# Uncertainty quantification in neural network-based glucose prediction for diabetes

arXiv: https://arxiv.org/abs/2603.04955 · HTML: https://mlsanity.com/paper/2603.04955/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 7 of its 29 references that are in the map.
- First posted on arXiv 5 Mar 2026.

## Builds on (most cited first, 7 of 7)

- [Dropout as a Bayesian Approximation: Representing Model Uncertainty in Deep Learning](https://mlsanity.com/paper/1506.02142/) (2015)
- [Learning Phrase Representations using RNN Encoder-Decoder for Statistical Machine Translation](https://mlsanity.com/paper/1406.1078/) (2014)
- [What Uncertainties Do We Need in Bayesian Deep Learning for Computer Vision?](https://mlsanity.com/paper/1703.04977/) (2017)
- [Evidential Deep Learning to Quantify Classification Uncertainty](https://mlsanity.com/paper/1806.01768/) (2018)
- [Deep Evidential Regression](https://mlsanity.com/paper/1910.02600/) (2019)
- [Assessing Reliability and Challenges of Uncertainty Estimations for Medical Image Segmentation](https://mlsanity.com/paper/1907.03338/) (2019)
- [Evidential Physics-Informed Neural Networks for Scientific Discovery](https://mlsanity.com/paper/2509.14568/) (2025)

## Abstract (arXiv)

In this work, we investigate uncertainty-aware neural network models for blood glucose prediction and adverse glycemic event identification in Type 1 diabetes. We consider three families of sequence models based on LSTM, GRU, and Transformer architectures, with uncertainty quantification enabled by either Monte Carlo dropout or through evidential output layers compatible with Deep Evidential Regression. Using the HUPA-UCM diabetes dataset for validation, we find that Transformer-based models equipped with evidential output heads provide the most effective uncertainty-aware framework, achieving consistently higher predictive accuracies and better-calibrated uncertainty estimates whose magnitudes significantly correlate with prediction errors. We further evaluate the clinical risk of each model using the recently proposed Diabetes Technology Society error grid, with risk categories defined by international expert consensus. Our results demonstrate the value of integrating principled uncertainty quantification into real-time machine-learning-based blood glucose prediction systems.