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Real-time diabetes data, one secure record

Unifying patient devices, manual entries and clinician oversight - with ML-based insulin-dose prediction

HealthTechCloud PlatformMachine LearningReal-time Sync
Year

2024

Duration

Multi-phase delivery

Industry

HealthTech / Diabetes Management

Real-time diabetes data, one secure record
Starting position

Starting position

Starting position

  • Apps and notes per patient

    Device apps, food logs, paper notes - nothing synced

    4+ disconnected sources
  • Clinical visibility between visits

    Only point-in-time snapshots during appointments

    None
  • Insulin dosing support

    Patients estimate doses from experience, no data-driven aid

    Manual estimation only
  • Access control over health data

    No structured roles, no audit trail

    None

Market size

≈ 540 million worldwide

People living with diabetes

Scope: TAM; initial launch on a regional marketSource: IDF Diabetes Atlas

Approx. budget

NDA

50,000 – 199,999 €

Budget breakdown

Platform, patient record & real-time sync40%
ML insulin-dose prediction model25%
Security, GDPR & access control20%
Clinical beta & production rollout15%

Budget bucket per Clutch.co project cost category. Exact figures under NDA.

4-phase delivery

Multi-phase

  1. 1

    Phase 1

    Discovery, clinical workflow research, security baseline

  2. 2

    Phase 2

    Platform architecture, device integration spec, role model

  3. 3

    Phase 3

    Core patient record, real-time sync, ML insulin-dose model

  4. 4

    Phase 4

    Beta with clinical partners, audit and production rollout

The Challenge

Fragmented diabetes data across devices and channels

Patients managing diabetes typically juggle continuous glucose monitors, glucometers, food logs and paper notes - none of which sync. Clinicians see only snapshots during appointments, and insulin dosing relies entirely on the patient's own estimation.

Glucose readings live in proprietary device apps with no shared view

Manual entries (meals, insulin, activity) often stored in separate notes

Clinicians lack a continuous longitudinal record between visits

Insulin doses estimated by feel, with no data-driven support

Sensitive health data requires strict access control and auditability

Our Solution

Unified patient record with ML-based insulin prediction

We built a secure cloud platform that ingests device readings, accepts manual entries, and exposes role-scoped views for patients, family caregivers and clinicians. On top of the unified record we developed a machine-learning model that predicts each patient's required insulin dose from their own glucose, meal and activity history.

Real-time data sync

Device readings and manual entries propagate to all authorised viewers within seconds.

Insulin-dose prediction (ML)

A Random Forest regression model, trained and tuned per patient, predicts the required insulin dose once enough diary history is collected.

Role-based access

Granular permissions separate patient, caregiver and clinician views with full audit logging.

Privacy-by-design

Encrypted storage, GDPR-aligned data handling and explicit patient consent flows.

What changed

How the patient + clinician offering changed

Capabilities reframed end-to-end so glucose data becomes a continuous shared record rather than scattered snapshots - and dosing gets data-driven support.

Data location

Before

Locked in proprietary device apps

After

Unified cloud record across devices

One shared source of truth for patient, caregiver and clinician.

Insulin dosing

Before

Manual estimation by the patient

After

Per-patient ML dose prediction

The model learns from the patient's own history instead of rules of thumb.

Clinical visibility

Before

Snapshots during appointments

After

Continuous longitudinal record

Decisions based on trends, not point-in-time readings.

Privacy posture

Before

Ad-hoc storage and sharing

After

Encrypted + GDPR-aligned by design

Health data handled to the standard the regulation demands.

Investment → Product ImpactNDA

From scattered notes to a data product with predictive value

Ratio

≈ 2-3x

modeled platform value vs. running cost, first year

Incremental revenue

≈ 10-15 h / month

estimated time reclaimed per patient on manual logging and data reconstruction

Investment

50,000 – 199,999 €

Payback period

Within the first year of operation

Method

Pre/post comparison of time spent gathering and reconstructing patient data, patients and clinicians combined

Confidence

Medium - based on beta-period usage; no clinical-outcome claims are made

Figures describe workflow efficiency only; medical outcomes are the domain of the clinical partners.

The Outcome

A single record replacing four fragmented systems

The platform consolidated glucose readings, meal logs, insulin tracking and activity data from separate apps into one continuous, clinician-accessible record - with a machine-learning model that predicts each patient's required insulin dose at its core.

Patient data sources

Before

4+ separate device apps

After

1 unified timeline

4× consolidation

At platform launch

Insulin-dose prediction

Before

Manual estimation by the patient

After

Per-patient ML model

PersonalisedRandom Forest regression, activates after ≈ 1,100 diary entries

Trained and tuned per patient

Clinical visibility

Before

Snapshots at appointments

After

Continuous real-time record

Always-on

For authorised clinicians

Access roles supported

Before

No structured access model

After

Patient · Caregiver · Clinician

3 role types

With full audit logging

Stack & Services
Node.js / Express
TypeScript
PostgreSQL
Real-time WebSockets
Machine Learning (Python, scikit-learn)
Cloud Infrastructure
GDPR / Security Compliance
I used to spend the first ten minutes of every appointment reconstructing what happened since the last one. Now I open the record and the whole period is already there - including what the model suggested and what the patient actually took.

Endocrinologist, clinical beta partner

Confidential - Diabetes Management Platform

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