Trends page: GMI trend, weekday pattern, bolus, site-age (FR7, FR8) #9

Merged
willemjan merged 1 commits from dev into main 2026-07-26 19:06:24 +00:00
3 changed files with 363 additions and 0 deletions
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import plotly.graph_objects as go
import requests
import streamlit as st
from auth import require_auth
from data_processing import classify_treatments
from nightscout_client import NightscoutConfigError
from reporting import (
bolus_stats,
day_of_week_pattern,
gmi_percent,
overnight_daytime_split,
site_interval_stats,
)
from ui_common import get_colors, load_range_data, select_period_days
st.set_page_config(page_title="Glucose dashboard — Trends", page_icon="📊", layout="wide")
require_auth()
st.title("Trends")
st.caption("Geschat HbA1c (GMI) over tijd en overige statistieken (FR7, FR8).")
start, end, days = select_period_days(default_label="90 dagen")
try:
glucose, treatments = load_range_data(start, end)
except NightscoutConfigError as exc:
st.error(str(exc))
st.stop()
except (requests.RequestException, ValueError) as exc:
st.error(f"Kon geen data ophalen van Nightscout: {exc}")
st.stop()
if glucose.empty:
st.info("Geen glucosemetingen gevonden in deze periode.")
st.stop()
colors = get_colors()
events = classify_treatments(treatments)
# --- FR7: geschat HbA1c (GMI) per maand ------------------------------------
st.subheader("Geschat HbA1c (GMI) per maand")
monthly = glucose.copy()
monthly["month"] = monthly["timestamp"].dt.to_period("M").astype(str)
monthly_gmi = monthly.groupby("month")["mmol"].mean().apply(gmi_percent)
if len(monthly_gmi) >= 1:
fig = go.Figure(
go.Bar(x=monthly_gmi.index, y=monthly_gmi.to_numpy(), marker_color=colors["glucose"])
)
fig.update_layout(
paper_bgcolor="rgba(0,0,0,0)",
plot_bgcolor="rgba(0,0,0,0)",
font_color=colors["text"],
height=280,
margin={"l": 10, "r": 10, "t": 10, "b": 10},
yaxis={"title": "GMI (%)", "gridcolor": colors["grid"]},
xaxis={"title": "Maand", "gridcolor": colors["grid"]},
)
st.plotly_chart(fig, width="stretch")
st.caption("GMI is een schatting (Bergenstal et al. 2018), geen labwaarde.")
# --- FR8: nacht vs. overdag --------------------------------------------------
st.subheader("Nacht (00:00-06:00) vs. overdag")
split = overnight_daytime_split(glucose)
col1, col2 = st.columns(2)
col1.metric("Tijd in bereik 's nachts", f"{split['overnight']['in_range']:.0f}%")
col2.metric("Tijd in bereik overdag", f"{split['daytime']['in_range']:.0f}%")
# --- FR8: patroon per weekdag -------------------------------------------------
st.subheader("Patroon per weekdag")
weekday_df = day_of_week_pattern(glucose)
weekday_plot = weekday_df.dropna(subset=["mean_mmol"])
if not weekday_plot.empty:
fig = go.Figure(
go.Bar(x=weekday_plot["weekday"], y=weekday_plot["mean_mmol"], marker_color=colors["glucose"])
)
fig.update_layout(
paper_bgcolor="rgba(0,0,0,0)",
plot_bgcolor="rgba(0,0,0,0)",
font_color=colors["text"],
height=280,
margin={"l": 10, "r": 10, "t": 10, "b": 10},
yaxis={"title": "Gem. glucose (mmol/L)", "gridcolor": colors["grid"]},
xaxis={"gridcolor": colors["grid"]},
)
st.plotly_chart(fig, width="stretch")
# --- FR8: bolus-insuline --------------------------------------------------
st.subheader("Bolus-insuline")
st.caption(
"Alleen bolusinsuline (maaltijd/correctie/combo/SMB) — basaalinsuline vereist "
"profielgegevens en is hier niet in verwerkt (zie docs/design-reporting.md)."
)
bolus = bolus_stats(treatments)
col1, col2 = st.columns(2)
col1.metric("Totaal bolus", f"{bolus['total_units']:.1f} E")
col2.metric("Aantal boluses", bolus["count"])
if bolus["by_type"]:
st.table({"type": list(bolus["by_type"].keys()), "eenheden": list(bolus["by_type"].values())})
# --- FR8: pompsite-leeftijd vs. glucose/insuline ---------------------------
st.subheader("Pompsite-leeftijd vs. glucose en insuline")
st.caption(
"Statistieken per interval tussen opeenvolgende pompwissels — een benadering "
"(zonder basaalinsuline) van of insulinebehoefte samenhangt met de leeftijd "
"van de pompsite."
)
site_stats = site_interval_stats(glucose, treatments, events["site_changes"])
if site_stats.empty:
st.info("Geen pompwissels gevonden in deze periode.")
else:
display = site_stats.copy()
display["start"] = display["start"].dt.strftime("%d-%m-%Y")
display["end"] = display["end"].dt.strftime("%d-%m-%Y")
st.dataframe(display, width="stretch", hide_index=True)
st.caption(f"Periode: {start.strftime('%d-%m-%Y')} t/m {end.strftime('%d-%m-%Y')}")
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@@ -9,8 +9,12 @@ definities waarop dit gebaseerd is (Battelino et al. 2019, Bergenstal et al.
from __future__ import annotations from __future__ import annotations
from itertools import pairwise
import pandas as pd import pandas as pd
from nightscout_client import INSULIN_EVENT_TYPES
# Klinische drempels in mmol/L (Battelino et al. 2019, Diabetes Care 42(8):1593-1603). # Klinische drempels in mmol/L (Battelino et al. 2019, Diabetes Care 42(8):1593-1603).
VERY_LOW = 3.0 VERY_LOW = 3.0
LOW = 3.9 LOW = 3.9
@@ -226,3 +230,132 @@ def agp_percentile_bands(glucose: pd.DataFrame, bin_minutes: int = 30) -> pd.Dat
grouped.columns = ["p5", "p25", "p50", "p75", "p95"] grouped.columns = ["p5", "p25", "p50", "p75", "p95"]
grouped = grouped.reset_index().rename(columns={"bin": "minute_of_day"}) grouped = grouped.reset_index().rename(columns={"bin": "minute_of_day"})
return grouped[AGP_PERCENTILE_COLUMNS].sort_values("minute_of_day").reset_index(drop=True) return grouped[AGP_PERCENTILE_COLUMNS].sort_values("minute_of_day").reset_index(drop=True)
def overnight_daytime_split(
glucose: pd.DataFrame, overnight_start: int = 0, overnight_end: int = 6
) -> dict[str, dict]:
"""Tijd-in-bereik apart voor de nacht (overnight_start-overnight_end uur) en overdag."""
empty = tir_breakdown_5band(glucose)
if glucose.empty:
return {"overnight": empty, "daytime": empty}
hour = glucose["timestamp"].dt.hour
is_overnight = (hour >= overnight_start) & (hour < overnight_end)
return {
"overnight": tir_breakdown_5band(glucose[is_overnight]),
"daytime": tir_breakdown_5band(glucose[~is_overnight]),
}
WEEKDAY_NAMES = ["Maandag", "Dinsdag", "Woensdag", "Donderdag", "Vrijdag", "Zaterdag", "Zondag"]
def day_of_week_pattern(glucose: pd.DataFrame) -> pd.DataFrame:
"""Gemiddelde glucose en tijd-in-bereik per weekdag."""
columns = ["weekday", "mean_mmol", "in_range_pct", "count"]
if glucose.empty:
return pd.DataFrame(columns=columns)
df = glucose.copy()
df["weekday"] = df["timestamp"].dt.dayofweek
rows = []
for weekday in range(7):
day_df = df[df["weekday"] == weekday]
if day_df.empty:
rows.append(
{"weekday": WEEKDAY_NAMES[weekday], "mean_mmol": None, "in_range_pct": None, "count": 0}
)
continue
tir = tir_breakdown_5band(day_df)
rows.append(
{
"weekday": WEEKDAY_NAMES[weekday],
"mean_mmol": round(day_df["mmol"].mean(), 1),
"in_range_pct": tir["in_range"],
"count": len(day_df),
}
)
return pd.DataFrame(rows, columns=columns)
def bolus_stats(treatments: pd.DataFrame) -> dict:
"""Samenvatting van bolus-insuline, opgesplitst naar type.
Let op: dit betreft alleen bolusinsuline (maaltijd/correctie/combo/SMB).
Basaalinsuline wordt hier niet in meegenomen — dat vereist profielgegevens
(zie docs/design-reporting.md, scoping-kanttekening) en levert dus geen
volledige totale-dagdosis op.
"""
if treatments.empty:
return {"total_units": 0.0, "count": 0, "by_type": {}}
bolus = treatments[treatments["eventType"].isin(INSULIN_EVENT_TYPES) & treatments["insulin"].notna()]
if bolus.empty:
return {"total_units": 0.0, "count": 0, "by_type": {}}
by_type = bolus.groupby("eventType")["insulin"].sum().round(1).to_dict()
return {
"total_units": round(bolus["insulin"].sum(), 1),
"count": len(bolus),
"by_type": by_type,
}
SITE_INTERVAL_COLUMNS = [
"start",
"end",
"duration_days",
"mean_mmol",
"in_range_pct",
"total_bolus_units",
"avg_bolus_units_per_day",
"total_carbs_g",
]
def _site_interval_row(glucose: pd.DataFrame, treatments: pd.DataFrame, start, end) -> dict:
duration_days = max((end - start).total_seconds() / 86400, 1e-9)
window_glucose = glucose[(glucose["timestamp"] >= start) & (glucose["timestamp"] < end)]
window_treatments = (
treatments[(treatments["timestamp"] >= start) & (treatments["timestamp"] < end)]
if not treatments.empty
else treatments
)
bolus = bolus_stats(window_treatments)
total_carbs = window_treatments["carbs"].fillna(0).sum() if not treatments.empty else 0.0
tir = tir_breakdown_5band(window_glucose)
return {
"start": start,
"end": end,
"duration_days": round(duration_days, 1),
"mean_mmol": round(window_glucose["mmol"].mean(), 1) if not window_glucose.empty else None,
"in_range_pct": tir["in_range"],
"total_bolus_units": bolus["total_units"],
"avg_bolus_units_per_day": round(bolus["total_units"] / duration_days, 1),
"total_carbs_g": round(total_carbs, 0),
}
def site_interval_stats(
glucose: pd.DataFrame, treatments: pd.DataFrame, site_changes: pd.DataFrame
) -> pd.DataFrame:
"""Statistieken per interval tussen opeenvolgende pompwissels (FR8).
Voor elk interval sinds een pompwissel: duur in dagen ("leeftijd" van de
pompsite bij het einde van het interval), gemiddelde glucose,
tijd-in-bereik, en bolus-insuline/koolhydraten in dat interval — als
benadering van of insulinebehoefte samenhangt met de leeftijd van de
pompsite. Zie bolus_stats() voor de kanttekening dat basaalinsuline hier
niet in zit.
"""
if site_changes.empty or glucose.empty:
return pd.DataFrame(columns=SITE_INTERVAL_COLUMNS)
change_times = sorted(site_changes["timestamp"])
boundaries = [*change_times, glucose["timestamp"].max()]
rows = [_site_interval_row(glucose, treatments, start, end) for start, end in pairwise(boundaries)]
return pd.DataFrame(rows, columns=SITE_INTERVAL_COLUMNS)
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@@ -3,11 +3,15 @@ import pytest
from reporting import ( from reporting import (
agp_percentile_bands, agp_percentile_bands,
bolus_stats,
day_of_week_pattern,
detect_events, detect_events,
gmi_percent, gmi_percent,
minutes_per_day, minutes_per_day,
overnight_daytime_split,
percent_cv, percent_cv,
sensor_active_percent, sensor_active_percent,
site_interval_stats,
summarize_events, summarize_events,
tir_breakdown_5band, tir_breakdown_5band,
) )
@@ -243,6 +247,114 @@ def test_agp_percentile_bands_handles_empty_input():
assert list(result.columns) == ["minute_of_day", "p5", "p25", "p50", "p75", "p95"] assert list(result.columns) == ["minute_of_day", "p5", "p25", "p50", "p75", "p95"]
def test_overnight_daytime_split_separates_by_hour():
glucose = _series(
[
("2026-01-01 02:00", 3.0), # nacht, laag
("2026-01-01 03:00", 3.0), # nacht, laag
("2026-01-01 12:00", 6.0), # dag, in bereik
("2026-01-01 13:00", 6.0), # dag, in bereik
]
)
result = overnight_daytime_split(glucose, overnight_start=0, overnight_end=6)
assert result["overnight"]["low"] == pytest.approx(100.0)
assert result["daytime"]["in_range"] == pytest.approx(100.0)
def test_overnight_daytime_split_handles_empty_input():
empty = pd.DataFrame(columns=["timestamp", "mmol"])
result = overnight_daytime_split(empty)
assert result["overnight"] == result["daytime"]
def test_day_of_week_pattern_computes_per_weekday_stats():
# 2026-01-05 is een maandag
glucose = _series(
[
("2026-01-05 08:00", 6.0),
("2026-01-05 09:00", 8.0),
("2026-01-12 08:00", 7.0), # ook een maandag
]
)
result = day_of_week_pattern(glucose)
monday = result[result["weekday"] == "Maandag"].iloc[0]
assert monday["count"] == 3
assert monday["mean_mmol"] == pytest.approx(7.0)
tuesday = result[result["weekday"] == "Dinsdag"].iloc[0]
assert tuesday["count"] == 0
assert pd.isna(tuesday["mean_mmol"])
def test_day_of_week_pattern_handles_empty_input():
empty = pd.DataFrame(columns=["timestamp", "mmol"])
result = day_of_week_pattern(empty)
assert result.empty
assert list(result.columns) == ["weekday", "mean_mmol", "in_range_pct", "count"]
def test_bolus_stats_splits_by_event_type():
treatments = pd.DataFrame(
{
"timestamp": pd.to_datetime(["2026-01-01 08:00", "2026-01-01 12:00", "2026-01-01 20:00"]),
"eventType": ["Meal Bolus", "Correction Bolus", "Site Change"],
"insulin": [4.0, 1.5, None],
"carbs": [45.0, None, None],
}
)
result = bolus_stats(treatments)
assert result["total_units"] == pytest.approx(5.5)
assert result["count"] == 2
assert result["by_type"] == {"Meal Bolus": 4.0, "Correction Bolus": 1.5}
def test_bolus_stats_handles_empty_input():
empty = pd.DataFrame(columns=["timestamp", "eventType", "insulin", "carbs"])
result = bolus_stats(empty)
assert result == {"total_units": 0.0, "count": 0, "by_type": {}}
def test_site_interval_stats_splits_by_site_change():
glucose = _series(
[
("2026-01-01 00:00", 6.0),
("2026-01-05 00:00", 6.0),
("2026-01-10 00:00", 8.0),
]
)
treatments = pd.DataFrame(
{
"timestamp": pd.to_datetime(["2026-01-02 00:00", "2026-01-06 00:00"]),
"eventType": ["Meal Bolus", "Meal Bolus"],
"insulin": [3.0, 4.0],
"carbs": [30.0, 40.0],
}
)
site_changes = pd.DataFrame(
{
"timestamp": pd.to_datetime(["2026-01-01 00:00", "2026-01-06 00:00"]),
"eventType": ["Site Change", "Site Change"],
"insulin": [None, None],
"carbs": [None, None],
}
)
result = site_interval_stats(glucose, treatments, site_changes)
assert len(result) == 2
assert result.iloc[0]["duration_days"] == pytest.approx(5.0)
assert result.iloc[0]["total_bolus_units"] == pytest.approx(3.0)
# de bolus op 6 jan valt binnen het tweede interval ([6 jan, 10 jan))
assert result.iloc[1]["total_bolus_units"] == pytest.approx(4.0)
def test_site_interval_stats_handles_no_site_changes():
glucose = _series([("2026-01-01 00:00", 6.0)])
treatments = pd.DataFrame(columns=["timestamp", "eventType", "insulin", "carbs"])
empty_site_changes = pd.DataFrame(columns=["timestamp", "eventType", "insulin", "carbs"])
result = site_interval_stats(glucose, treatments, empty_site_changes)
assert result.empty
def test_summarize_events_handles_empty_input(): def test_summarize_events_handles_empty_input():
empty = pd.DataFrame(columns=["start", "end", "duration_minutes"]) empty = pd.DataFrame(columns=["start", "end", "duration_minutes"])
result = summarize_events(empty, period_days=14) result = summarize_events(empty, period_days=14)