Show HN: GlycemicGPT – Open-source AI-powered diabetes management
github.comI'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 escalation
Important: 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-in
Stack:
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, sandboxed
Looking for contributors — especially folks with BLE/Android experience or anyone in the diabetes tech space. Plugin SDK is documented if you want to add support for new devices. GitHub: https://github.com/GlycemicGPT/GlycemicGPT
I'm a T1D who has an insulin pump looping with AndroidAPS and NightScout, what does this give you that Nightscout and Autotune doesn't give you?
And how do you deal with AI hallucinations?
The alerts system and sharing with caregivers is a solved problem already (e.g. Dexcom's Follow, Abbot's LibreLinkUp).
Do you find the analytics actually helps? I.e. a lot of this will depend on what you ate and whether or not you logged it?