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Diabetes prediction using a context-adaptive activation neural network

  • Published: 22 June 2026
  • This paper describes a novel diabetes prediction framework underpinned by a neural network architecture which features a parameterized activation function, called the Self-Learning Activation Linear Unit (SLALU). The proposed diabetes prediction model is composed of multiple self-learning activation linear units with parameters, and this SLALU can fit most of the traditional activation functions, including but not limited to the Rectified Linear Unit (ReLU) and the Parametric Rectified Linear Unit (PReLU). This self-adjusting activation approach provides a flexible bending ability, thereby outperforming the bending capabilities of traditional activation functions and reducing the intricacy involved in their manual selection. The design of our neuron model improves the network's representational capacity and fitting ability. Deployed in diabetes prediction, our advanced network model demonstrated superior performance across a suite of metrics, thereby recording an accuracy of 98.18%, thus outperforming several existing models.

    Citation: Ren Chen, Chao Wang, Fulong Chen. Diabetes prediction using a context-adaptive activation neural network[J]. AIMS Bioengineering, 2026, 13(2): 261-280. doi: 10.3934/bioeng.2026012

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  • This paper describes a novel diabetes prediction framework underpinned by a neural network architecture which features a parameterized activation function, called the Self-Learning Activation Linear Unit (SLALU). The proposed diabetes prediction model is composed of multiple self-learning activation linear units with parameters, and this SLALU can fit most of the traditional activation functions, including but not limited to the Rectified Linear Unit (ReLU) and the Parametric Rectified Linear Unit (PReLU). This self-adjusting activation approach provides a flexible bending ability, thereby outperforming the bending capabilities of traditional activation functions and reducing the intricacy involved in their manual selection. The design of our neuron model improves the network's representational capacity and fitting ability. Deployed in diabetes prediction, our advanced network model demonstrated superior performance across a suite of metrics, thereby recording an accuracy of 98.18%, thus outperforming several existing models.



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    Acknowledgments



    This research is partially supported by National Natural Science Foundation of China (61972438) and Wuhu Science and Technology Plan Project (2023yf117). The authors would like to thank their colleagues and students at Anhui Provincial Engineering Research Center of Medical Big Data Intelligent System.

    * http://www.kaggle.com

    Conflict of interest



    The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

    Author contributions



    Ren Chen proposed the conceptualization and reviewed & edited the manuscript. Chao Wang conducted the experiment and wrote the original draft. Fulong supervised this study and validated it. All authors reviewed the manuscript.

    Novelty claim



    The proposed novel diabetes prediction framework underpinned by a neural network architecture featuring a parameterized activation function, called the Self-Learning Activation Linear Unit (SLALU), is a classifier model equipped with an automatically adjustable activation neural network alongside a one-dimensional self-attention mechanism.

    Ethics approval of research



    The Ethics Committee of Anhui Normal University, approved all procedures. The datasets PIDD and LMCH for this study can be found in Kaggle (www.kaggle.com).

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