Development of Electrical Impedance Spectroscopy (EIS) Technique to Classify Diabetes Mellitus Disease Using Machine Learning with Backpropagation Method
DOI:
https://doi.org/10.48048/tis.2025.10309Keywords:
Backpropagation, Classification, Diabetes mellitus, Electrical impedance spectroscopy, Machine learningAbstract
Diabetes mellitus is an urgent challenge for global health. According to data from the International Diabetes Federation (IDF), the prevalence of diabetes has increased significantly in the last 5 years and is predicted to reach 700 million cases by 2045. Recently, a diabetes screening method based on the electrical properties of cells using the Electrical Impedance Spectroscopy (EIS) technique was proposed. In previous studies, the EIS technique was only used to identify cell and tissue damage but was not yet able to classify a disease such as diabetes. This study aims to develop the EIS technique so that it can be used to classify diabetes mellitus using machine learning with the backpropagation method. The data source was obtained from direct measurements in the laboratory using 90 mice (Mus musculus) that were made to suffer from diabetes mellitus. Mice were confirmed to have diabetes mellitus through a fasting blood sugar test (FBST) as a reference, then their cell electrical properties were measured using EIS. The measurement data will be made into a dataset for a machine learning model with the backpropagation training method consisting of input layers, hidden layers, and output layers. Paired data parameters used as input and output layers are frequency, phase, and impedance with blood glucose levels. The results of making a machine learning model to develop the EIS technique in classifying diabetes mellitus produced a fairly good performance index with an accuracy of 98.39 %, precision of 99 %, recall of 97 %, F1-score of 98 %, and specificity of 99 %. EIS development with the help of machine learning that utilizes the backpropagation method can be used to classify diabetes mellitus. The results of developing EIS using machine learning can be used to classify diabetes mellitus independently in a short time but have high accuracy.
HIGHLIGHTS
- Development of electrical impedance spectroscopy (EIS) technique using backpropagation method successfully differentiated healthy, pre-diabetic, and diabetic conditions very well with 98.39 % accuracy, 99 % precision, 97 % recall, 98 % F1-score and 99 % specificity.
- Measurement results show that the impedance value of the diabetic group is lower than the control group, which indicates changes in fluid distribution and vascular resistance due to hyperglycemia.
- Phase angle decreased significantly in the diabetic group, indicating disruption of cell membrane integrity due to oxidative stress and inflammation.
- The impedance pattern of the pre-diabetic group is more similar to a healthy group but experiences gradual changes as it approaches the diabetic condition.
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Z Cheng, D Dall’Alba, KL Schwaner, P Fiorini and TR Savarimuthu. Robot assisted electrical impedance scanning for tissue bioimpedance spectroscopy measurement. Measurement 2022; 195, 111112.
SI Cheon, H Choi, H Kang, JH Suh, S Park, SJ Kweon, M Je and S Ha. Impedance-readout integrated circuits for electrical impedance spectroscopy: Methodological review. IEEE Transactions on Biomedical Circuits and Systems 2023; 18(1), 215-232.
M Faisal, UP Juswono and DR Santoso. The dielectric properties of skin damage and its correlation to free radical intensity caused by UVA/UVB radiation impact. Journal of Physics: Conference Series 2022; 2165(1), 12053.
M Faisal, UP Juswono, DR Santoso and CS Widodo. Analysis of diabetes mellitus screening method based on electrical properties of cells using dielectric method. BIO Web of Conferences 2025; 154, 02006.
M Faisal, UP Juswono, DR Santoso and CS Widodo. Correlation of electrical impedance values to blood sugar levels of mice (Mus musculus) with diabetes mellitus. Journal of Physics: Conference Series 2025; 2945(1), 012003.
H Sun, P Saeedi, S Karuranga, M Pinkepank, K Ogurtsova, BB Duncan, C Stein, A Basit, JCN Chan and JC Mbanya. IDF diabetes atlas: Global, regional and country-level diabetes prevalence estimates for 2021 and projections for 2045. Diabetes Research and Clinical Practice 2022; 183, 109119.
SF Awad, A Al‐Mawali, JA Al‐Lawati, M Morsi, JA Critchley and LJ Abu‐Raddad. Forecasting the type 2 diabetes mellitus epidemic and the role of key risk factors in Oman up to 2050: Mathematical modeling analyses. Journal of Diabetes Investigation 2021; 12(7), 1162-1174.
BA Alzahrani, HK Salamatullah, FS Alsharm, JM Baljoon, AO Abukhodair, ME Ahmed, H Malaikah and S Radi. The effect of different types of anemia on HbA1c levels in non-diabetics. BMC Endocrine Disorders 2023; 23, 24.
N Zarifsanaiey, K Jamalian, L Bazrafcan, F Keshavarzy and HR Shahraki. The effects of mindfulness training on the level of happiness and blood sugar in diabetes patients. Journal of Diabetes & Metabolic Disorders 2020; 19, 311-317.
F Hajimoosayi, S Jahanian Sadatmahalleh, A Kazemnejad and R Pirjani. Effect of ginger on the blood glucose level of women with gestational diabetes mellitus (GDM) with impaired glucose tolerance test (GTT): A randomized double-blind placebo-controlled trial. BMC Complementary Medicine and Therapies 2020; 20, 116.
S Pereira, MK Hahn, B Humber, T Chaudhry, S Wu, SM Agarwal, N Dimitrova and A Giacca. Protocol for the hyperinsulinemic euglycemic clamp to measure glucose kinetics in rats. Star Protocols 2024; 5(3), 103-104
K Bhattacharya, P Sengupta, S Dutta, P Chaudhuri, L Das Mukhopadhyay and AK Syamal. Waist-to-height ratio and BMI as predictive markers for insulin resistance in women with PCOS in Kolkata, India. Endocrine 2021; 72, 86-95.
Y Moshkovits, D Rott, A Chetrit and R Dankner. The association between insulin sensitivity indices, ECG findings and mortality: a 40-year cohort study. Cardiovascular Diabetology 2021; 20(1), 97.
J Huang, Y Zhang and J Wu. Review of non-invasive continuous glucose monitoring based on impedance spectroscopy. Sensors and Actuators A: Physical 2020; 311, 112103.
TK Bera. Electrical impedance spectroscopy (EIS) for photovoltaic materials: Possibilities and challenges. IOP Conference Series: Materials Science and Engineering 2020; 955(1), 012076.
UP Juswono, AYP Wardoyo, CS Widodo, JAE Noor and DR Santoso. Correlation between exposure to transfluthrin and the change in dielectric properties and deformed cells of mice. Polish Journal of Environmental Studies 2020; 30, 663-670.
CS Widodo, W Sugianto, AM Effendi and G Saroja. Study on the effect of sugar canes and saccharin to the value of electrical impedance of apple cider manalagi (Malus sylvestris mill). Journal of Physics: Conference Series 2019; 1153(1), 012121.
M Van Haeverbeke, M Stock and B De Baets. Equivalent electrical circuits and their use across electrochemical impedance spectroscopy application domains. IEEE Access 2022; 10, 51363-51379.
S Abasi, JR Aggas, GG Garayar-Leyva, BK Walther and A Guiseppi-Elie. Bioelectrical impedance spectroscopy for monitoring mammalian cells and tissues under different frequency domains: A review. ACS Measurement Science Au 2022; 2, 495-516.
U Hassan, MH Zulfiqar, MMU Rahman and K Riaz. Low cost and flexible sensor system for non-invasive glucose in-situ measurement. In: Proceedings of the 17th International Bhurban Conference on Applied Sciences and Technology (IBCAST), Islamabad, Pakistan. 2020, p. 87-90.
D Pessoa, BM Rocha, GA Cheimariotis, K Haris, C Strodthoff, E Kaimakamis, N Maglaveras, I Frerichs, P de Carvalho and RP Paiva. Classification of electrical impedance tomography data using machine learning. In: Proceedings of the 3rd Annual International Conference of the IEEE Engineering in Medicine & Biology Society (EMBC), Mexico. 2021, p. 349-353.
J Chen, S Wang, K Wang, P Abiri, ZY Huang, J Yin, AM Jabalera, B Arianpour, M Roustaei, E Zhu, P Zhao, S Cavallero, S Duarte-Vogel, E Stark, Y Luo, P Benharash, YC Tai, Q Cui and TK Hsiai. Machine learning‐directed electrical impedance tomography to predict metabolically vulnerable plaques. Bioengineering & Translational Medicine 2024; 9, 61-67.
H Sharma, D Kalita, U Naskar, BK Mishra, P Kumar and KB Mirza. Prediction of glucose sensor sensitivity in the presence of biofouling using machine learning and electrochemical impedance spectroscopy. IEEE Sensors Journal 2023; 23(16), 18-25.
BF Wee, S Sivakumar, KH Lim, WK Wong and FH Juwono. Diabetes detection based on machine learning and deep learning approaches. Multimedia Tools and Applications 2024; 83(8), 24153-24185.
MZM Shamim, S Alotaibi, HS Hussein, M Farrag and M Shiblee. Diagnostic accuracy of smartphone-connected electrophysiological biosensors for prediction of blood glucose level in a type-2 diabetic patient using machine learning: A pilot study. IEEE Embedded Systems Letters 2021; 14(1), 27-30.
V Bongiorno, S Gibbon, E Michailidou and M Curioni. Exploring the use of machine learning for interpreting electrochemical impedance spectroscopy data: evaluation of the training dataset size. Corrosion Science 2022; 198, 110119.
J Schaeffer, P Gasper, E Garcia-Tamayo, R Gasper, M Adachi, JP Gaviria-Cardona, S Montoya-Bedoya, A Bhutani, A Schiek and R Goodall. Machine learning benchmarks for the classification of equivalent circuit models from electrochemical impedance spectra. Journal of The Electrochemical Society 2023; 170(6), 060512.
M Annamalai and PB Muthiah. An early prediction of tumor in heart by cardiac masses classification in echocardiogram images using robust back propagation neural network classifier. Brazilian Archives of Biology and Technology 2022; 65, e22210316.
V Geetha, KS Aprameya and DM Hinduja. Dental caries diagnosis in digital radiographs using back-propagation neural network. Health Information Science and Systems 2020; 8, 1-14.
P Nanglia, S Kumar, AN Mahajan, P Singh and D Rathee. A hybrid algorithm for lung cancer classification using SVM and neural networks. ICT Express 2021; 7(3), 335-341.
S Ghazal, WS Qureshi, US Khan, J Iqbal, N Rashid and MI Tiwana. Analysis of visual features and classifiers for Fruit classification problem. Computers and Electronics in Agriculture 2021; 187, 106267.
SC Dubey, KS Mundhe and AA Kadam. Credit card fraud detection using artificial neural network and backpropagation. In: Proceedings of the 4th International Conference on Intelligent Computing and Control Systems (ICICCS), Madurai, India. 2020, p. 268-273.
J Snegha, V Tharani, SD Preetha, R Charanya and S Bhavani. Chronic kidney disease prediction using data mining. In: Proceedings of the International Conference on Emerging Trends in Information Technology and Engineering (IC-ETITE), Vellore, India. 2020.
D Passos and P Mishra. A tutorial on automatic hyperparameter tuning of deep spectral modelling for regression and classification tasks. Chemometrics and Intelligent Laboratory Systems 2022; 223, 104520.
X Du, H Xu and F Zhu. Understanding the effect of hyperparameter optimization on machine learning models for structure design problems. Computer-Aided Design 2021; 135, 103013.
M Reyad, AM Sarhan and M Arafa. A modified Adam algorithm for deep neural network optimization. Neural Computing and Applications 2023; 35(23), 17095-17112.
J Nopparat, A Nualla-Ong and A Phongdara. Ethanolic extracts of Pluchea indica (L.) leaf pretreatment attenuates cytokine-induced β-cell apoptosis in multiple low-dose streptozotocin-induced diabetic mice. PLoS One 2019; 14(2), e0212133.
M Faisal, UP Juswono, DR Santoso and CS Widodo. The effectiveness of herbal medicine mangosteen peel extract (Garcinia mangostana) to prevent free radicals occurrence and decrease in hemoglobin levels in the blood caused by diabetes mellitus. Trends in Sciences 2025; 22(3), 9250.
LC Ward and S Brantlov. Bioimpedance basics and phase angle fundamentals. Reviews in Endocrine and Metabolic Disorders 2023; 24(3), 381-391.
D Bellido, C García-García, A Talluri, HC Lukaski and JM García-Almeida. Future lines of research on phase angle: Strengths and limitations. Reviews in Endocrine and Metabolic Disorders 2023; 24(3), 563-583.
S Salavati, PR Mendes Júnior, A Rocha and A Ferreira. Adaptive loss optimization for enhanced learning performance: Application to image-based rock classification. Neural Computing and Applications 2025; 37, 6199-6215.
AK Shahade, KH Walse, VM Thakare and M Atique. Multi-lingual opinion mining for social media discourses: an approach using deep learning based hybrid fine-tuned smith algorithm with Adam optimizer. International Journal of Information Management Data Insights 2023; 3(2), 100182.
D Sisodia and DS Sisodia. Prediction of diabetes using classification algorithms. Procedia Computer Science 2018; 132, 1578-1585.
XJ Lin, CY Zhang, S Yang, ML Hsu, H Cheng, J Chen and H Yu. Stress and its association with academic performance among dental undergraduate students in Fujian, China: A cross-sectional online questionnaire survey. BMC Medical Education 2020; 20, 181.
NW Carris, BE Bunnell, R Mhaskar, CG DuCoin and M Stern. A systematic approach to treating early metabolic disease and prediabetes. Diabetes Therapy 2023; 14(10), 1595-1607.
T Hori, S Nakamura, H Yamagami, S Yasui, M Hosoki, T Hara, Y Mitsui, S Masuda, K Kurahashi and S Yoshida. Phase angle and extracellular water-to-total body water ratio estimated by bioelectrical impedance analysis are associated with levels of hemoglobin and hematocrit in patients with diabetes. Heliyon 2023; 9(4), e14724.
PJ Mhatre and M Joshi. Human body model with blood flow properties for non-invasive blood glucose measurement. Biomedical Signal Processing and Control 2022; 72, 103271.
P Hurtik, S Tomasiello, J Hula and D Hynar. Binary cross-entropy with dynamical clipping. Neural Computing and Applications 2022; 34(14), 12029-12041.
N Tran, JG Schneider, I Weber and AK Qin. Hyper-parameter optimization in classification: To-do or not-to-do. Pattern Recognition 2020; 103, 107245.
MS Suchithra and ML Pai. Improving the prediction accuracy of soil nutrient classification by optimizing extreme learning machine parameters. Information Processing in Agriculture 2020; 7(1), 72-82.
S Punitha, F Al-Turjman and T Stephan. An automated breast cancer diagnosis using feature selection and parameter optimization in ANN. Computers & Electrical Engineering 2021; 90, 106958.
S Koley. Critically reckoning spectrophotometric detection of asymptomatic cyanotoxins and faecal contamination in periurban agrarian ecosystems via convolutional neural networks. Trends in Sciences 2024; 21(12), 8528.
M Gasser, A Naguib, M Abdelhafiz, S Elnekhaily and O Mahmoud. Artificial neural network model to predict filtrate invasion of nanoparticle-based drilling fluids. Trends in Sciences 2023; 20(5), 6736.
A Rauchfleisch and J Kaiser. The false positive problem of automatic bot detection in social science research. PLoS One 2020; 15(10), e0241045.
CR Olsen, RJ Mentz, KJ Anstrom, D Page and PA Patel. Clinical applications of machine learning in the diagnosis, classification, and prediction of heart failure. American Heart Journal 2020; 229, 1-17.
C Bedard, C Piette, L Venance and A Destexhe. Extracellular and intracellular components of the impedance of neural tissue. Biophysical Journal 2022; 121(6), 869-885.
H Yang, W Huang, S Chu, X Zhang and X Wang. In situ assessment of stress level in perch during cryogenic waterless live transportation using multisource impedance electrodes. Sensors and Actuators A: Physical 2024; 369, 115083.
A Umehara, T Oshima, OS Deshmukh, T Nishizu and T Imaizumi. Detection of cell membrane disruption using electrical impedance spectroscopy and acceleration of cell wall modification in carrot processed under low temperature blanching. Journal of Food Engineering 2025; 385, 112270.
F Regazzoni, M Salvador, L Dede and A Quarteroni. A machine learning method for real-time numerical simulations of cardiac electromechanics. Computer Methods in Applied Mechanics and Engineering 2022; 393, 114825.
RE Hacisoftaoglu, M Karakaya and AB Sallam. Deep learning frameworks for diabetic retinopathy detection with smartphone-based retinal imaging systems. Pattern Recognition Letters 2020; 135, 409-417.
B Behera, MF Orlando and RS Anand. Prognosis of tissue stiffness through multilayer perceptron technique with adaptive learning rate in minimal invasive surgical procedures. IEEE Transactions on Medical Robotics and Bionics 2024; 6(2), 769-781.
R Patil and S Tamane. A comparative analysis on the evaluation of classification algorithms in the prediction of diabetes. International Journal of Electrical and Computer Engineering 2018; 8(5), 3966-3975.
V Rawat, S Joshi, S Gupta, DP Singh and N Singh. Machine learning algorithms for early diagnosis of diabetes mellitus: A comparative study. Materials Today: Proceedings 2022; 56, 502-506.
S Sindhu, SP Patil, A Sreevalsan, F Rahman and MS An. Phishing detection using random forest, SVM and neural network with backpropagation. In: Proceedings of the International Conference on Smart Technologies in Computing, Electrical and Electronics (ICSTCEE), Bengaluru, India. 2020, p. 391-394.
I Rodríguez-Rodríguez, M Campo-Valera and JV Rodríguez. Forecasting glycaemia for type 1 diabetes mellitus patients by means of IoMT devices. Internet of Things 2023; 24, 100945.
EC Seyrek and M Uysal. A comparative analysis of various activation functions and optimizers in a convolutional neural network for hyperspectral image classification. Multimedia Tools and Applications 2024; 83(18), 53785-53816.
A Thakur and A Kumar. Exploring the potential of ionic liquid-based electrochemical biosensors for real-time biomolecule monitoring in pharmaceutical applications: From lab to life. Results in Engineering 2023; 20, 101533.
J Gilnezhad, A Firoozbakhtian, M Hosseini, S Adel, G Xu and MR Ganjali. An enzyme-free Ti3C2/Ni/Sm-LDH-based screen-printed-electrode for real-time sweat detection of glucose. Analytica Chimica Acta 2023; 1250, 340981.
YH Lin, SJ Ruan, YX Chen and YF Li. Physics-informed deep learning for lithium-ion battery diagnostics using electrochemical impedance spectroscopy. Renewable and Sustainable Energy Reviews 2023; 188, 113807.
M Eghbali-Zarch and S Masoud. Application of machine learning in affordable and accessible insulin management for type 1 and 2 diabetes: A comprehensive review. Artificial Intelligence in Medicine 2024; 151, 102868.
V Jaiswal, A Negi and T Pal. A review on current advances in machine learning based diabetes prediction. Primary Care Diabetes 2021; 15(3), 435-443.
E Lin, Q Chen and X Qi. Deep reinforcement learning for imbalanced classification. Applied Intelligence 2020; 50(8), 2488-2502.
JP Sarkar, I Saha, A Sarkar and U Maulik. Machine learning integrated ensemble of feature selection methods followed by survival analysis for predicting breast cancer subtype specific miRNA biomarkers. Computers in Biology and Medicine 2021; 131, 104244.
M Bortoletto, AO Sanches, JA Santos, RG Da Silva, MM Tashima, J Payá, L Soriano, MV Borrachero, JA Malmonge and JL Akasaki. New insights on understanding the Portland cement hydration using electrical impedance spectroscopy. Construction and Building Materials 2023; 407, 133566.
P Li, H Tang, J Yu and W Song. LSTM and multiple CNNs based event image classification. Multimedia Tools and Applications 2021; 80(20), 30743-30760.
SZ Zhang, S Chen and H Jiang. A back propagation neural network model for accurately predicting the removal efficiency of ammonia nitrogen in wastewater treatment plants using different biological processes. Water Research 2022; 222, 118908.
AH Victoria and G Maragatham. Automatic tuning of hyperparameters using Bayesian optimization. Evolving Systems 2021; 12(1), 217-223.
MI Sameen, B Pradhan and S Lee. Application of convolutional neural networks featuring Bayesian optimization for landslide susceptibility assessment. Catena 2020; 186, 104249.
E Sheardown, AM Mech, MEM Petrazzini, A Leggieri, A Gidziela, S Hosseinian, IM Sealy, JV Torres-Perez, EM Busch-Nentwich and M Malanchini. Translational relevance of forward genetic screens in animal models for the study of psychiatric disease. Neuroscience & Biobehavioral Reviews 2022; 135, 104559.
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