Enhancing diabetes monitoring systems' reports: A novel integrated diabetes report (IDR).

Abstract

Individuals with diabetes require continuous self-management. Diabetes monitoring systems generate structured reports that help individuals and healthcare providers interpret data and optimize treatment strategies. To design and validate an Integrated Diabetes Report (IDR) that improves the clarity, usability, and clinical relevance of diabetes data visualizations. A review of 13 diabetes monitoring systems revealed five main report categories: overlay, logbook, device-specific, daily, and overview reports. While the overview report was the most frequently used, it lacked comprehensive visualization and essential clinical metrics. To address these gaps, a multidisciplinary panel of four experts collaborated to design a more integrated reporting framework. Across systems, glucose statistics were included in all reports, followed by insulin data (in 12 systems), carbohydrate intake (in 6 systems), hypo-hyperglycemic indices (in 2 systems), sleep indices (in 2 systems), and medication details (in 1 system). Key gaps included minimal data on physical activity, limited documentation of carbohydrates, and the absence of consolidated insulin visualization. The IDR introduces a complications section, an integrated graph combining AGP with basal and bolus insulin, and an advanced insulin profile comparing seven calculated indices. The IDR improves clinical interpretation, supports treatment decisions, and enhances risk assessment for diabetes management.