<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.0 20040830//EN" "journalpublishing.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="2.0" xml:lang="en" article-type="reviewer-report"><front><journal-meta><journal-id journal-id-type="nlm-ta">JMIRx Med</journal-id><journal-id journal-id-type="publisher-id">xmed</journal-id><journal-id journal-id-type="index">34</journal-id><journal-title>JMIRx Med</journal-title><abbrev-journal-title>JMIRx Med</abbrev-journal-title><issn pub-type="epub">2563-6316</issn><publisher><publisher-name>JMIR Publications</publisher-name><publisher-loc>Toronto, Canada</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">v5i1e60389</article-id><article-id pub-id-type="doi">10.2196/60389</article-id><article-categories><subj-group subj-group-type="heading"><subject>Peer-Review Report</subject></subj-group></article-categories><title-group><article-title>Peer Review of &#x201C;Machine Learning&#x2013;Based Hyperglycemia Prediction: Enhancing Risk Assessment in a Cohort of Undiagnosed Individuals&#x201D;</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Alam</surname><given-names>Fakhare</given-names></name><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff id="aff1"><institution>Oakland University</institution>, <addr-line>Rochester</addr-line><addr-line>MI</addr-line>, <country>United States</country></aff><contrib-group><contrib contrib-type="editor"><name name-style="western"><surname>Meinert</surname><given-names>Edward</given-names></name></contrib></contrib-group><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>11</day><month>9</month><year>2024</year></pub-date><volume>5</volume><elocation-id>e60389</elocation-id><history><date date-type="received"><day>09</day><month>05</month><year>2024</year></date><date date-type="accepted"><day>09</day><month>05</month><year>2024</year></date></history><copyright-statement>&#x00A9; Fakhare Alam. Originally published in JMIRx Med (<ext-link ext-link-type="uri" xlink:href="https://med.jmirx.org">https://med.jmirx.org</ext-link>), 11.9.2024. </copyright-statement><copyright-year>2024</copyright-year><license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">https://creativecommons.org/licenses/by/4.0/</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIRx Med, is properly cited. The complete bibliographic information, a link to the original publication on <ext-link ext-link-type="uri" xlink:href="https://med.jmirx.org/">https://med.jmirx.org/</ext-link>, as well as this copyright and license information must be included.</p></license><self-uri xlink:type="simple" xlink:href="https://xmed.jmir.org/2024/1/e60389"/><related-article related-article-type="companion" ext-link-type="doi" xlink:href="10.1101/2023.11.22.23298939" xlink:title="Preprint (medRxiv)" xlink:type="simple">https://www.medrxiv.org/content/10.1101/2023.11.22.23298939v1</related-article><related-article related-article-type="companion" ext-link-type="doi" xlink:href="10.2196/56993" xlink:title="Preprint (JMIR Preprints)" xlink:type="simple">http://preprints.jmir.org/preprint/56993</related-article><related-article related-article-type="companion" ext-link-type="doi" xlink:href="10.2196/60174" xlink:title="Authors' Response to Peer-Review Reports" xlink:type="simple">https://med.jmirx.org/2024/1/e60174</related-article><related-article related-article-type="companion" ext-link-type="doi" xlink:href="10.2196/56993" xlink:title="Published Article" xlink:type="simple">https://med.jmirx.org/2024/1/e56993</related-article><kwd-group><kwd>hyperglycemia</kwd><kwd>diabetes</kwd><kwd>machine learning</kwd><kwd>hypertension</kwd><kwd>random forest</kwd></kwd-group></article-meta></front><body><p><italic>This is the peer-review report for &#x201C;Machine Learning&#x2013;Based Hyperglycemia Prediction: Enhancing Risk Assessment in a Cohort of Undiagnosed Individuals.&#x201D;</italic></p><sec id="s2"><title>Round 1 Review</title><sec id="s1-1"><title>General Comments</title><p>This paper [<xref ref-type="bibr" rid="ref1">1</xref>] introduces a machine learning (ML) methodology for predicting hyperglycemia in one of the cohorts taken from a suburban Nigerian region. The authors present the details of the methodology for participant recruitment and screening, data analysis, and selection of ML models.</p></sec><sec id="s1-2"><title>Specific Comments</title><sec id="s1-2-1"><title>Major Comments</title><list list-type="order"><list-item><p>The introduction and motivation behind the work are well written. However, there is not enough literature done on the ML aspect of noncommunicable disease prediction; please also cite some of the recent work where ML-based methods are used for noncommunicable disease prediction.</p></list-item><list-item><p>Before selecting the features, was there any domain expert consulted? If yes, please provide reasoning on some aspect of feature selection.</p></list-item><list-item><p>How were the different ML models selected for the experiment? Please elaborate on some selection criteria such as the combination of tree-based models with other ensemble approaches such as random forest.</p></list-item></list></sec><sec id="s1-2-2"><title>Minor Comments</title><list list-type="order"><list-item><p>In Table 2, please reduce the decimal precision up to 2 digits.</p></list-item><list-item><p>Figure 1 could be improved with a flow diagram to provide better readability and details of each step.</p></list-item></list></sec></sec></sec></body><back><fn-group><fn fn-type="conflict"><p>None declared.</p></fn></fn-group><glossary><title>Abbreviations</title><def-list><def-item><term id="abb1">ML</term><def><p>machine learning</p></def></def-item></def-list></glossary><ref-list><title>References</title><ref id="ref1"><label>1</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Oyebola</surname><given-names>K</given-names> </name><name name-style="western"><surname>Ligali</surname><given-names>F</given-names> </name><name name-style="western"><surname>Owoloye</surname><given-names>A</given-names> </name><etal/></person-group><article-title>Machine learning&#x2013;based hyperglycemia prediction: enhancing risk assessment in a cohort of undiagnosed individuals</article-title><source>JMIRx Med</source><year>2024</year><volume>5</volume><fpage>e56993</fpage><pub-id pub-id-type="doi">10.2196/56993</pub-id></nlm-citation></ref></ref-list></back></article>