Predicting Postprandial Glycemic Response from Meal Images, Clinical Variables, and Gut Microbiome Information

Predicting postprandial glycemic response (PPGR) is fundamental to personalized nutrition and type 2 diabetes management, yet existing approaches typically rely on manually reported dietary intake, limiting their scalability in free-living settings. We propose a multimodal framework that replaces manual dietary logging with image-derived macronutrient estimates and integrates them with clinical variables and gut microbiome information for personalized PPGR prediction. The framework jointly performs image-based macronutrient estimation and glucose prediction, while an attention-based prediction module models interactions between dietary and host-specific information. We evaluate the proposed approach on a real-world dataset comprising meal images, continuous glucose monitoring, clinical variables, and gut microbiome profiles. The proposed model outperforms existing PPGR baselines using image-derived nutritional inputs and approaches the performance of methods that rely on manually reported macronutrients despite using automatically estimated nutritional information. These results demonstrate that combining image-derived nutrition with complementary clinical and gut microbiome information provides a practical foundation for scalable personalized PPGR prediction.