Show HN: GlycemicGPT – Open-source AI-powered diabetes management

Does it prompt logging? For example, when I was trying to monitor my BG after diagnosis, I tried to log my meals to correlate later, but 1) would forget and 2) wouldn’t have the energy to time align the stats. So a tool that even saw changes in BG and shot me a text or message (did you eat/exercise do something @ [time]?) and used the LLM or something else to capture and enrich the metadata. Paired with boring things like med reminders (I just realized I forgot my metformin while typing this) and giving me an easy visualizer with these meta points would be useful. If I’m tracking sleep on a device etc.

As others have said, the analysis might be risky. I don’t want to trust interpretation to anyone but myself (bear my own risk) or my clinician. But just remembering to capture the data and making it easily time alignable and possible augmentable in the future would be useful.

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I truly appreciate your work (and I’ll absolutely take a look at it).

But let me say one thing: I’ve been diabetic for more than 20 years. Ten years of management with finger pricks, three measurements a day, and insulin pens (thinking about it now, it feels completely insane that anyone could imagine managing this madness in such a primitive way). Then came years of CGM systems (I’m on my third one now, with different types of sensors, but that’s not the point).

I tinkered, automated, hacked things. But in the end I came to one conclusion: you need a competent specialist (someone who also understands that we tend to be a bit tech-obsessed) who, besides listening to you, actually imposes a strategy. We are the ones who need to adapt to the mainstream approach so we can speak the same language and have methods that are compatible with “everyone else.” No doctor will ever fully understand your custom system, and meanwhile the key to proper management is not in what you built.

Precise carb counting (without cheating yourself), correct boluses given at the right times, marking exercise, boredom and repetition, and being lucid about the effects of changes (agreed upon beforehand!) to CGM settings — changes that should only be made when you’re certain you’ve been a “good and precise patient.”

I’m saying this from the perspective of my own devastated situation. I now have an HbA1c of 5.8, but only after 20 years of smashing my head against the wall (and suffering incredible damage, many mistakes, and the classic “I’ve figured it all out myself” approach).

Stay strong.

This is as dangerous as people talking together on e.g. Facebook groups. I've seen people give flat out dangerous advice, and other people take it.

Nursed someone back to health and went through a T1D pregnancy and certainly had to work with the clinicians during; Desperately: There is use for this software, and no greater need to bury it or unmake it than it is to bury or unmake Facebook groups or other discussion venues.

In fact, software that actually reads literature and presents perspectives actually derived from plausibility from a scientific basis is in many cases a 100% increase of availability of such a perspective. Doctors – from experience – may not offer that. And forum lore rarely does.

Software that actually reaches into literature – which LLMs do – and presents its perspective with the required framing is arguably a strict improvement to the infohazardous environment of a given patient with a difficult condition like T1 diabetes.

And I ask for this discussion's participants' understanding of the sarcastically wry use of "basic adult competence". It was at once arrogant and caring, and put forward… in something as quasi-serious as a HN discussion. I think that's OK.