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arXiv · 2610.28976

SSMCGM-Stream: A Streaming State-Space Model for Personalized Diabetes Management

Shakson Isaac·Chirag Patel
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Abstract

Continuous glucose monitoring supports diabetes management but requires forecasting models that are accurate, interpretable, and efficient enough for real-time deployment. We present SSMCGM-Stream, a streaming state-space model that maintains a personalized hidden state updated with each incoming glucose reading to provide constant-time forecasting, physiologically structured counterfactual reasoning, and interpretable forecasts through hidden-state attribution. Built on this foundation, SSMCGM-Agent delivers risk-aware, natural-language decision support by translating forecasts, explanations, and counterfactuals into grounded recommendations through a guarded language-model interface. Evaluated on the T1DEXI cohort, SSMCGM-Stream achieves forecasting performance comparable to strong neural baselines while substantially reducing computational cost, enabling continuous on-device diabetes decision support.

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Shakson Isaac, Chirag Patel. 2026-10-20. SSMCGM-Stream: A Streaming State-Space Model for Personalized Diabetes Management. https://arxiv.org/abs/2610.28976

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