Fuzzy-Enhanced Machine Learning Approach for Type 2 Diabetes Diagnosis

Abstract

Accurate diabetes prediction is critical for early clinical intervention, yet existing machine-learning pipelines often fail due to class imbalance, noisy physiological measurements, and redundant or weakly informative features. To address these unresolved limitations, this study establishes a unified fuzzy-evolutionary-ensemble framework designed to uncover a more discriminative feature space for type 2 diabetes prediction. The workflow integrates selective fuzzification of nonlinear clinical variables, SMOTE-ENN-based balancing and noise filtering, and Bat-Algorithm-driven evolutionary feature selection prior to training a Random Forest classifier. Applied to the Pima Indians Diabetes Dataset, the framework compresses the expanded fuzzy-numerical space into an optimized 10-feature subset and yields substantial performance gains: 96.11% accuracy, 95.14% precision, 98.00% recall, and a 98.23% F1-score. Relative to a baseline Random Forest using all 16 features (74.45% accuracy; 59.86% F1), the system achieves more than a 1.6-fold improvement in F1-score while preserving over 99% stability in majority-class detection and surpassing earlier published 16-feature models impacted by imbalance and weak feature relevance. Collectively, these results demonstrate that the integrated pipeline produces an enhanced fuzzy-numerical representation space that improves diabetes risk stratification and provides a scalable, uncertainty-aware foundation for diagnostic modeling across broader clinical datasets.