GlycemicGPT – Open-source AI-powered diabetes management

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 pumps, and existing Nightscout instances to an AI analysis layer running on your own infrastructure. Data sources:Dexcom G7 (cloud API) Tandem t:slim X2 and Mobi pumps (direct BLE) Nightscout (point it at your existing instance and you're running in minutes)What the AI layer does:Daily briefs summarizing overnight and 24-hour patterns Meal response analysis Conversational chat with RAG-backed clinical knowledge Predictive alerting with configurable thresholds and caregiver escalationImportant: this is monitoring and analysis only. GlycemicGPT does not deliver insulin, does not control your pump, and is not a closed-loop system. It reads your data and gives you insight on top of it. Your clinical decisions stay between you and your care team. Architecture:Self-hosted via Docker or K8S — the GlycemicGPT stack runs entirely on your hardware BYOAI — bring your own AI provider. Use Ollama for fully local operation (no data leaves your hardware), or point it at Claude, OpenAI, or any OpenAI-compatible endpoint if you prefer a hosted model. Data flows directly from your instance to the provider you choose; nothing is routed through any centralized service operated by the project. GPL-3.0, no subscriptions, no vendor lock-inStack:Backend API: FastAPI, Python 3.12, PostgreSQL 16, Redis 7 Web Dashboard: Next.js 15, React 19, Tailwind CSS, shadcn/ui AI Sidecar: TypeScript, Express, multi-provider proxy Android App: Kotlin, Jetpack Compose, BLE Wear OS: Kotlin, Wear Compose, Watch Face Push API Plugin SDK: Kotlin interfaces, capability-based, sandboxedLooking for contributors — especially folks with BLE/Android experience or anyone in the diabetes tech spa

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85

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Verdict

BUILD

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An open-source, self-hosted AI platform that analyzes diabetes device data to provide actionable insights without vendor lock-in or closed-loop control.

The pain

Type 1 diabetics often face gaps in continuous clinical oversight and lack accessible, personalized data analysis tools that respect privacy and avoid vendor lock-in.

The gap

Existing diabetes management tools are often proprietary, closed-loop, or cloud-dependent, limiting user control, privacy, and customization for advanced data insights.

Build angle

Focus on building a robust, privacy-first, extensible AI analysis platform that integrates seamlessly with popular diabetes devices and empowers users with actionable insights while maintaining clinical safety boundaries.

Strengths

  • Strong founder insight as a Type 1 diabetic and engineer
  • Open-source and self-hosted approach addresses privacy and vendor lock-in concerns
  • Supports multiple popular devices and data sources
  • Flexible AI provider integration (local or cloud)
  • Clear scope avoiding regulatory complexity by not controlling insulin delivery

Risks

  • Regulatory and liability concerns around medical advice from AI
  • User adoption challenges due to technical setup (self-hosting, BLE pairing)
  • Competition from established commercial closed-loop and cloud platforms
  • Potential data integration and device compatibility issues over time
  • Need for clinical validation and trust-building with users and providers

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