A Personalized Recommendation System to Support Diabetes Self-Management for American Indians

The epidemic of diabetes in American Indian (AI) communities is a serious public health challenge. The incidence and prevalence of diabetes have increased dramatically with accompanying increases in body weight and diminished physical activity. In this paper, we propose a proactive diabetes self-care recommendation system specifically for AI patients. It recommends healthy life style to users to fight for their diabetes. Thanks to the quasi-ubiquitous use of cellphones in most AI tribes, we choose cellphones as the platform to provide smart personal care for AI patients. By integrating the AI users’ ontological profile with general clinical diabetes recommendation and guidelines, the system can make personalized recommendations (e.g., food intake and physical workout) based on the special socioeconomic, cultural, and geographical status particularly to AI patients. The proposed system was implemented as mobile applications. Evaluations performed by use case studies and human expert verification demonstrate the effectiveness of the system.