Your diabetes.
Your way forward.
See where you stand, choose what matters,
and take the next step with your care team.
A clearer picture.
A practical next step.
How your care measures up.
Click a title to go directly to that answer. Every bar uses the same scale: −1 when a target is not met, 0 for neutral / individual review, and +1 when the target or reference is met. Grey markers mean missing or invalid information. Original readings are shown beside the bars.
Standard order groups related areas. Most critical first puts existing urgent flags and attention areas ahead of items needing information, individual review, and on-track checks.
Patient Summary
Focus on the readings and care areas that need attention or discussion. Select the boxes beside areas you would like to work on; your choices update Making Changes directly below.
Making Changes
Your selections in Patient Summary update the practical steps below automatically. Choose practical steps to discuss with your care team, and review progress at your next check-in.
Measurement details & target explanations
Your readings, in detail.
Every entered reading is shown immediately. Light-blue markers show a target or labelled review threshold when one applies. Missing context affects the interpretation, not whether your reading appears. No Making Changes selection is needed.
Your changes over time
Use Guidewire as often as you like. Save each check-in to see how your results and care priorities change over time.
Keep your report.
Educational prototype. The target score tracks confirmed targets and care checks; it is not a diabetes-risk estimate, treatment-quality rating or percentage reduction in complications. Results rely on the information entered and need clinical interpretation.
Know what
your report means.
Guideline references, visible uncertainty, and a method you can inspect.
A current clinical framework.
The automated checks use the American Diabetes Association’s 2026 Standards of Care. Medication discussion prompts also reflect the 2026 ADA/EASD type 2 diabetes consensus. Sources were checked on October 11, 2026; this version does not update itself.
Canadian metric and U.S. measurements are supported, including feet/inches and pounds. Diabetes Canada is linked as a companion reference, but switching units does not switch guidelines. This is an initial adult type 1 / type 2 prototype. Pregnancy, pediatric care, prediabetes and other diabetes require separate pathways.
Recommendations are paraphrased, not reproduced algorithms. Guidewire is not endorsed by the guideline publishers. A clinician should review the rules before use in patient care.
What your target score measures.
- Equal-weight checklist. The score is confirmed targets and checks met divided by all applicable included items, multiplied by 100 and rounded down. A score of 100 means all included targets and checks are met.
- Measurements and care checks. Applicable glucose, blood-pressure, lipid, activity and CGM targets are included, along with kidney review thresholds, eligible preventive-care checks, and flagged attention items. Kidney thresholds indicate when review is needed; meeting them does not rule out kidney disease.
- Missing remains unconfirmed. An unanswered or invalid applicable item is included but does not count as met. Clinical context and at least one assessed result are required before showing a score. Items with no applicable target and no attention flag are excluded, including weight, BMI and contextual history.
- Not a health-risk model. This custom checklist is not clinically validated, does not predict complications and does not measure how dangerous an individual result is. Urgent alerts stay visible regardless of the total.
- Compare with context. The set of applicable targets can change between visits. The score is independent of action-plan selections and chart filters. Compare individual results alongside the score.
Targets and safeguards
The main graph uses a shared categorical scale: −1 means not met, 0 means neutral or individual review, and +1 means met. Bar length does not measure severity or distance from a clinical target. Missing and invalid entries have grey unassessed markers, not a neutral rating. The black center line is 0. Measurement details retain the original units and targets.
Standard adult glucose comparisons require age 18+, type 1 or 2 diabetes, no pregnancy/planning, and a “No” answer to the complexity question. Age 65+, severe lows or complex health pauses standard glucose comparisons. An entered clinician A1C goal can still be displayed. Pregnancy and pediatric contexts always suppress standard comparisons.
For higher cardiovascular/kidney risk, a systolic goal below 120 may be appropriate if safe; the app flags this for clinician discussion. LDL has no universal target: an entered target, established vascular disease or clinician-confirmed high risk determines the reference. Screening follows type and duration; existing disease can require a different schedule.
CGM needs sufficient data and all requested metrics. Urine ACR conversion uses 1 mg/mmol ≈ 8.84 mg/g; LDL uses 38.67 mg/dL per mmol/L; glucose uses 18.0. Height and weight are stored internally as centimetres and kilograms for stable BMI calculations and compatibility with earlier patient files; U.S. entry and report views use feet/inches and pounds. Printed values may be rounded. Glucose comparisons use the published unit equivalents with rounding at their boundaries. Historical statuses are recalculated using this version’s rules. Care intervals are calculated in calendar months; reaching the stated month marks the check due.
The chart’s “Most critical first” order uses existing urgent safety flags, then areas needing attention or discussion, entries needing correction or more information, individual review, on-track checks, and non-applicable areas. Equal-priority items keep their standard order. This organizes review and is not a validated severity score. Action priority (1: urgent or prompt review, 2: next care discussion, 3: ongoing support) is a Guidewire triage label, not an evidence grade. Source links identify guideline-supported topics; this prototype does not assign invented evidence grades.
Your information stays with you.
Answers are held in this browser tab and are not sent to an app server. Refreshing or closing clears them. “Save this check-in” adds a dated snapshot to the current session; download a patient file to keep it.
You can protect a downloaded patient file with a passphrase. Keep that passphrase: it cannot be recovered. Unprotected JSON files and printed reports contain readable health information. There is no account-based patient database or device connection.