What is it about?

People with type 1 diabetes often struggle to estimate carbohydrates in their meals — a key step for insulin dosing. This study tested two advanced AI models (ChatGPT-4 and Gemini) in everyday settings: social dinners, restaurant meals, and home cooking. AI accuracy improved when more meal details were available, suggesting a potential role in diabetes care with further validation.

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Why is it important?

This is the first real-world comparison of generative AI tools for carbohydrate counting in type 1 diabetes. The study highlights the potential of large language models to support patients in everyday life and contribute to digital health innovation.

Perspectives

As a physician and researcher in endocrinology, I’ve seen firsthand how difficult it can be for people with type 1 diabetes to estimate carbohydrates — especially in real-life settings like restaurants or social events. I wanted to test whether generative AI could offer real, practical help. I was surprised by how well these tools performed when given enough detail. I believe this could be the start of a new era in digital diabetes support.

Nicola Tecce
Universita degli Studi di Napoli Federico II

Read the Original

This page is a summary of: AI-Powered Carbohydrate Counting for Type 1 Diabetes: Accuracy and Real-World Performance, Diabetes Care, May 2025, American Diabetes Association,
DOI: 10.2337/dc25-0303.
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