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

Not a pilot. A Type 1 diabetic engineer just open-sourced an AI platform that analyzes glucose data without leaving your hardware.

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The KeyNews take

Why it matters

GlycemicGPT demonstrates a growing category of AI-powered health tools built with LLMs at the application layer—self-hosted, privacy-first, and designed to augment clinical decision-making rather than replace it. Shows how BYOAI architecture (Ollama, Claude, OpenAI endpoints) is enabling regulated use cases where data residency and audit trails matter.

The key facts

16 to know
  1. Self-hosted AI analysis layer for continuous glucose monitoring data

  2. Supports Dexcom G7, Tandem t:slim X2/Mobi, Nightscout integrations

  3. BYOAI model selection: Ollama (fully local) or Claude/OpenAI-compatible endpoints

  4. Stack: FastAPI backend, Next.js dashboard, Kotlin Android/Wear OS apps

  5. GPL-3.0 open source, no subscriptions, no vendor lock-in

  6. Monitoring & analysis only—does not deliver insulin or control pumps

  7. Data flows directly from self-hosted instance to chosen AI provider (no centralized service)

  8. Plugin SDK available for community device support

  9. Self-hosted platform; data never leaves user infrastructure unless explicitly routed to chosen AI provider

  10. Supports Dexcom G7, Tandem t:slim X2, Mobi pumps, Nightscout via direct BLE or cloud API

  11. BYOAI: users can run Ollama locally or bring Claude/OpenAI/compatible endpoints

  12. Features: daily pattern briefs, meal response analysis, RAG-backed conversational chat, predictive alerting with caregiver escalation

  13. Read-only monitoring—does not deliver insulin or control pumps (explicitly non-autonomous)

  14. Stack: FastAPI, PostgreSQL, Redis, Next.js, React, TypeScript, Kotlin (Android/Wear OS)

  15. GPL-3.0, no subscriptions, open-source on GitHub

  16. Launched on Hacker News (Show HN) with 6 points, 1 comment as of publication

Go to the source

Hacker Newsgithub.com

Publisher excerpt: I'm a Type 1 diabetic and software engineer. Last year I went months between endocrinologists with no clinician reviewing my data. I'm an engineer, so I built the tool I needed — and now I'm open sourcing it. GlycemicGPT is a self-hosted platform that connects continuous glucose monitors, insulin…
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