From Chat to Checkup: Can Large Language Models Assist in Diabetes Prediction?

Fuente: arXiv
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Main Authors: Sakib, Shadman, Akhand, Oishy Fatema, Abrar, Ajwad
Format: Preprint
Published: 2025
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author Sakib, Shadman
Akhand, Oishy Fatema
Abrar, Ajwad
author_facet Sakib, Shadman
Akhand, Oishy Fatema
Abrar, Ajwad
contents While Machine Learning (ML) and Deep Learning (DL) models have been widely used for diabetes prediction, the use of Large Language Models (LLMs) for structured numerical data is still not well explored. In this study, we test the effectiveness of LLMs in predicting diabetes using zero-shot, one-shot, and three-shot prompting methods. We conduct an empirical analysis using the Pima Indian Diabetes Database (PIDD). We evaluate six LLMs, including four open-source models: Gemma-2-27B, Mistral-7B, Llama-3.1-8B, and Llama-3.2-2B. We also test two proprietary models: GPT-4o and Gemini Flash 2.0. In addition, we compare their performance with three traditional machine learning models: Random Forest, Logistic Regression, and Support Vector Machine (SVM). We use accuracy, precision, recall, and F1-score as evaluation metrics. Our results show that proprietary LLMs perform better than open-source ones, with GPT-4o and Gemma-2-27B achieving the highest accuracy in few-shot settings. Notably, Gemma-2-27B also outperforms the traditional ML models in terms of F1-score. However, there are still issues such as performance variation across prompting strategies and the need for domain-specific fine-tuning. This study shows that LLMs can be useful for medical prediction tasks and encourages future work on prompt engineering and hybrid approaches to improve healthcare predictions.
format Preprint
id arxiv_https___arxiv_org_abs_2506_14949
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle From Chat to Checkup: Can Large Language Models Assist in Diabetes Prediction?
Sakib, Shadman
Akhand, Oishy Fatema
Abrar, Ajwad
Computation and Language
While Machine Learning (ML) and Deep Learning (DL) models have been widely used for diabetes prediction, the use of Large Language Models (LLMs) for structured numerical data is still not well explored. In this study, we test the effectiveness of LLMs in predicting diabetes using zero-shot, one-shot, and three-shot prompting methods. We conduct an empirical analysis using the Pima Indian Diabetes Database (PIDD). We evaluate six LLMs, including four open-source models: Gemma-2-27B, Mistral-7B, Llama-3.1-8B, and Llama-3.2-2B. We also test two proprietary models: GPT-4o and Gemini Flash 2.0. In addition, we compare their performance with three traditional machine learning models: Random Forest, Logistic Regression, and Support Vector Machine (SVM). We use accuracy, precision, recall, and F1-score as evaluation metrics. Our results show that proprietary LLMs perform better than open-source ones, with GPT-4o and Gemma-2-27B achieving the highest accuracy in few-shot settings. Notably, Gemma-2-27B also outperforms the traditional ML models in terms of F1-score. However, there are still issues such as performance variation across prompting strategies and the need for domain-specific fine-tuning. This study shows that LLMs can be useful for medical prediction tasks and encourages future work on prompt engineering and hybrid approaches to improve healthcare predictions.
title From Chat to Checkup: Can Large Language Models Assist in Diabetes Prediction?
topic Computation and Language
url https://arxiv.org/abs/2506.14949