34
Total Patients
+2 this week
7
Needs Attention
5 pending approvals
78%
Avg. Adherence
+4% vs last week
3
Critical Alerts
Immediate review
Critical Alerts
3 urgentElena Marchetti — Glucose spike
Fasting glucose 8.9 mmol/L · Restricted food logged
09:14
Tomáš Novák — Unapproved plan
Plan sent without clinical review
08:51
Amara Diallo — Adherence <50%
3 consecutive days below threshold
Yesterday
Stefan Weber — Meal conflict
Lactose in plan · allergy flag active
Yesterday
Pending Approvals
Yuki Tanaka — Week 12 Plan
AI 1,850 kcal · Low-carb
Amara Diallo — Week 8 Plan
AI 2,100 kcal · Mediterranean
Stefan Weber — Modified Plan
Lactose-free adjustment · 1,920 kcal
Adherence Trends — This Week
↑ Improving
AI Insights
Pattern
Adherence drops 23% on weekends across 8 patients. Consider lighter weekend meal plans.Recommendation
Elena Marchetti's glucose trend suggests carb threshold reduction from 130g to 90g.Action
4 patients haven't logged meals in 48h. Automated check-in message recommended.Today's Summary
Appointments6 today
Plans approved3 / 5
Messages replied8 / 11
Patient Risk
On track21
Needs attention9
Critical4
Today's Appointments 6
08:30
Elena Marchetti
09:15
Yuki Tanaka
10:00
Amara Diallo
11:30
Stefan Weber
14:00
Tomáš Novák
15:45
Nina Pasternak
Calendar
May 2026
Mo
Tu
We
Th
Fr
Sa
Su
28
29
30
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
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22
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28
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31
Mon 5 May · 4 apts
09:00Yuki Tanaka
11:00Stefan Weber
14:30Nina Pasternak
EM
Elena Marchetti
Body Weight
74.2
kg
↓ −1.2 kg
BMI
27.4
kg/m²
↓ −0.4
Total Cholesterol
5.1
mmol/L
↑ +0.2
Fasting Glucose
8.9
mmol/L · ⚠ High
↑ +1.4 vs last
HbA1c
7.2
% (target <7.0)
→ No change
Diagnosis & Summary
Primary Diagnosis
Clinical Notes
Patient has been on metformin 500mg/day. Glucose control remains suboptimal. Recent dietary changes show positive weight trend but HbA1c hasn't improved. Weekend adherence particularly poor — social dining identified as key barrier.
Last bloodwork: 28 Apr 2026 · View full report →
Clinical Goals
Reduce fasting glucose below 7.0 mmol/L
Current 8.9
Achieve HbA1c < 7.0%
Current 7.2%
Reduce weight by 2kg in 8 weeks
−1.2 kg ✓
Maintain protein ≥ 95g/day
Avg 88g
Improve weekend adherence above 70%
22%
Dietary Restrictions & Protocol
Avoid / Restrict
Macros Target / Day
Protein≥ 1.4g/kg (≈ 104g)
Carbohydrates≤ 90g net
Fats55g (unsaturated)
Calories1,650–1,800 kcal
Preferred / Encouraged
Week 10 · Apr 28 – May 4, 2026
Pending approval
AI Generated
07:30
Breakfast
310 kcal total
Greek yogurt (full-fat, 150g) with flaxseeds & mixed berries
310 kcal
✓ Followed
Green tea (unsweetened)
0 kcal
✓ Followed
12:30
Lunch
570 kcal total
Grilled salmon fillet (180g) with steamed broccoli
480 kcal
Modified
Olive oil & lemon dressing (1 tbsp)
90 kcal
✓ Followed
15:30
Afternoon Snack
180 kcal total
Almonds (30g, unsalted)
180 kcal
Skipped
19:00
Dinner
660 kcal total
Grilled chicken breast (200g) with roasted vegetables
520 kcal
Skipped
Whole grain rice (80g cooked)
140 kcal
Skipped
Total kcal
1,720
of 1,800 target
Protein
98g
of 104g target
Net Carbs
87g
of 90g limit ✓
Fats
52g
of 55g target
62%
This Week
71%
Last 4 Weeks
22%
Weekend Avg
84%
Breakfast Rate
Daily Adherence — This Week
↓ Declining
High (≥80%)
Medium
Low (<60%)
Mon
85%
Tue
70%
Wed
40%
Thu
30%
Fri
60%
Sat
22%
Sun
18%
Meal Tracking Log — This Week
| Date | Breakfast | Lunch | Snack | Dinner | Daily % | Note |
|---|---|---|---|---|---|---|
| Mon 28 | ✓ Yes | ✓ Yes | Partial | ✓ Yes | 85% | — |
| Tue 29 | ✓ Yes | Partial | ✓ Yes | ✗ No | 70% | Skipped dinner (late work) |
| Wed 30 | ✓ Yes | Partial | ✗ No | ✗ No | 40% | Reported bread intake at dinner |
| Thu 1 | ✓ Yes | ✗ No | ✗ No | ✗ No | 30% | Did not log — no check-in |
| Fri 2 | ✓ Yes | ✓ Yes | ✗ No | Other | 60% | Restaurant meal (untracked) |
| Sat 3 | ✗ No | ✗ No | Partial | ✗ No | 22% | Social event — limited adherence |
| Sun 4 | ✗ No | ✗ No | ✗ No | Partial | 18% | No logging |
Conversations
Elena Marchetti
My blood sugar was high again...
09:14 · Today
General notes
Bread incident logged Wed 30
Internal
EM
Elena Marchetti
Type 2 Diabetes · Glucose alert active · Last active: 09:14
Today, 09:02
Doctor, I've been doing my best with the plan but I find the evening meals really hard. Is it okay if I have something lighter?
That's a great observation, Elena. Evening meals can be lighter — what matters most is avoiding high-carb foods. I'll update the plan to include simpler dinner options.
Today, 09:14
Doctor, my blood sugar was high this morning again (9.1 mmol/L). I had bread for dinner last night, could that be the reason?
Elena, yes — bread, especially white bread, causes rapid blood glucose spikes due to its high glycemic index. Based on your current readings (9.1 mmol/L, above the 7.0 target), I'd recommend avoiding bread entirely this week. Your plan already restricts net carbs to 90g/day — bread alone can use 40–60% of that allowance. Would you like some alternative evening meal ideas that are filling and low-carb?
Context: Glucose 8.9↑ · Adherence 62% · Plan pending · Next apt 08:30 today
AI Assistant
Clinical Data
I've reviewed Elena's clinical profile. Here are my observations and suggestions for this session.
Suggestion — Clinical Goals
Weekend adherence dropped to 22% (Sat–Sun). I suggest adding a simplified weekend plan variant with 2 meals instead of 4, to reduce cognitive load during social events.
Alert — Glucose Trend
Fasting glucose rose from 7.2 to 8.9 over 7 days (+1.7 mmol/L). Based on the bread incident on Wed, I recommend reducing carb target from 90g to 70g for the next 7 days and scheduling a mid-week glucose review.
The HbA1c has been stable at 7.2% for 3 consecutive readings. This suggests the carb limit is helping maintain glycemia but hasn't yet translated to HbA1c improvement — typically takes 8–12 weeks to reflect dietary changes.
Approval Queue 5 pending
Yuki Tanaka — Week 12 Plan
Low-carb · 1,850 kcal · 5 days
AI Generated · Confidence 94%
Amara Diallo — Week 8 Plan
Mediterranean · 2,100 kcal · 7 days
AI Generated · Confidence 89%
Stefan Weber — Lactose-free Plan
AI-adjusted · 1,920 kcal · 7 days
AI Modified · Allergen-safe verified
Elena Marchetti — Glucose-restricted
Diabetic protocol · 1,680 kcal · Net carbs 90g
AI Generated · Review recommended
Tomáš Novák — Initial Plan
Metabolic protocol · 2,200 kcal · New patient
AI Generated · Low confidence 71% · Review advised
Nina Pasternak — Week 9 Plan
DASH protocol · 1,980 kcal · Approved by Dr. Kovalenko
AI Summary
All plans reviewed
5 plans generated from patient clinical data. 1 requires manual review (low confidence: Novák).Safety check passed
No critical contraindications found in 4/5 plans. Stefan's plan updated to remove lactose products automatically.Approval Stats
Avg review time4.2 min
AI approval rate73%
Plans modified18%
Plans rejected9%
Inbox
4 unread
AI drafts ready
Patient Quick View
Last glucose8.9 mmol/L ↑
Weight trend−1.2 kg
Adherence62%
Plan statusPending
AI Message Suggestions
Tone guidance
Patient shows anxiety about glucose readings. Recommend reassuring tone while enforcing dietary boundaries.78%
Overall adherence
↑ +4% vs last week
21
Patients ≥80%
↑ +3 this week
7
Patients <60%
↑ +1
18:30
Avg last meal
Within target
Patient Adherence Breakdown
YT
Yuki Tanaka91%ExcellentNP
Nina Pasternak88%GoodSW
Stefan Weber76%AverageEM
Elena Marchetti62%LowAD
Amara Diallo48%CriticalPattern Detection
Weekend drop
8 patients show 20–35% lower adherence Sat–Sun. Consistent 3 weeks running.Dinner skip rate
Dinner skipped 2.4× more than breakfast. Consider simpler evening options.By Meal Type
Breakfast84%
Lunch79%
Snack58%
Dinner71%
Audit Trail
Time
Action
09:18
Dr. Kovalenko approved message to Elena Marchetti · AI draft modified before send
Message09:14
AI System generated reply draft for Elena Marchetti · Flagged for review
AI09:02
Dr. Kovalenko approved meal plan Nina Pasternak — Week 9 · No modifications
Approval08:55
Dr. Kovalenko modified plan Stefan Weber · Removed lactose items · Approved
Edit + Approve08:30
AI System generated 3 meal plans: Yuki, Amara, Stefan · Placed in approval queue
AI08:15
Dr. Kovalenko rejected plan Amara Diallo — Week 7 · Reason: insufficient protein
Rejection