Modeling continuous glucose monitoring curves by Beta generalized nonparametric models

We present a functional data analysis approach for studying time-dependent, continuous glucose monitoring data with repeated measures for each individual in an experiment. After scaling the glucose concentration curves to the interval [ 0,1 ] , we model them by using a Beta distribution with two time-varying parameters. In this context, we develop a local linear maximum likelihood smoothing procedure that is valid when more than one parameter depends on time. Our approach is applicable even when only one or a few individuals are available, which is an advantage over previous functional methods in this setting. We evaluate the performance of our estimator in terms of computation time and model fit using a synthetic dataset as well as a large, real clinical trial dataset. We also compare our method with existing methods in the literature. From a methodological point of view, we contribute to extend local likelihood estimation from one to two time-varying parameters by developing theoretical expressions for estimation and for approximating the leave-one-out cross-validation. Moreover, we show that this kernel-based approach competes with spline-based estimation methods, the dominant line of functional regression models today.