ResearchResearch paperEfficiency & Inference · Training & Scaling · Interpretability1 source · Oct 20, 2026

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

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.

Key points

  • Continuous glucose monitoring supports diabetes management but requires forecasting models that are accurate, interpretable, and efficient enough for real-time deployment.
  • 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.

Sources (1)

  • [1]SSMCGM-Stream: A Streaming State-Space Model for Personalized Diabetes Management
    arXiv (AI, ML, NLP, CV, robotics, multi-agent) · Oct 20, 10:48 PM
    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.
    Continuous glucose monitoring supports diabetes management but requires forecasting models that are accurate, interpretable, and efficient enough for real-time deployment.

Extractive summary: sentences quoted from the sources.

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