“…ML and artificial intelligence (AI)-based clinical decision support (CDS) tools have recently gained widespread attention due to their potential for reducing costs, improving diagnostic reliability, nearly unlimited scalability, and ability to provide better treatment response predictions in complex disease management [ 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 ]. In T2D, ML-based tools improved blood glucose management and insulin dosage [ 41 ], and T2D detection and diagnosis [ 42 , 43 , 44 , 45 ], which, in turn, led to enhanced quality of care for individuals with diabetes [ 41 ]. However, there are no validated prediction tools to date to provide a clinical assessment of a T2D patient’s risk of developing HT.…”