The study evaluates time‑series foundation models for continuous glucose monitoring (CGM) forecasting across eight public datasets covering Type 1, Type 2, and non‑diabetes populations. Zero‑shot foundation models did not consistently beat strong task‑specific baselines, but lightweight fine‑tuning of models like Chronos‑Bolt improved root‑mean‑square error by up to 18% in both in‑distribution and out‑of‑distribution settings. Incorporating multimodal dietary context via CGMacros and a residual‑based fusion framework further reduced overall RMSE by ~3% and postprandial RMSE by ~15%, indicating that dietary signals add clinically meaningful value beyond CGM alone.
By Bowen Zhang, Hsiu-Wen Cheng, Hongyu Yang, Evie L. Shen, Joleen Vansomphone, Yuna Li, Kerry Zhou, Zitian Qu, Suning Zhao, Xiangning Deng, Hua Zhou, Jin J. Zhou
arXiv:2607. 21117v1 Announce Type: cross Abstract: Preprocessing blood glucose time-series data is a critical yet often overlooked step in developing data-driven methods for diabetes management, particularly for type 1 diabetes.
By Davide Marelli, Giorgia Rigamonti, Mirko Paolo Barbato, Paolo Napoletano
arXiv:2601. 05353v2 Announce Type: replace Abstract: Accurate blood glucose forecasting using continuous glucose monitoring (CGM) data can support the early prediction of dysglycemic risk.
By Shovito Barua Soumma, Hassan Ghasemzadeh
arXiv:2606. 06881v1 Announce Type: new Abstract: Blood glucose forecasting models are foundational for modern diabetes management systems, as reliable short-term predictions can enable proactive interventions, support automated insulin delivery, and reduce the risk of hypo- and hyperglycemic events.
By Baiying Lu, Zhaohui Liang, Ryan Pontius, Shengpu Tang, Temiloluwa Prioleau
The paper examines how the representation of physiological data affects the performance of large language models (LLMs) in predicting post‑meal blood glucose events for people with type 1 diabetes. Using the OhioT1DM dataset, the authors compare zero‑shot and few‑shot prompt‑based LLMs across 30, 60, and 90‑minute horizons, varying the textual encoding of glucose readings, derived descriptors, and contextual variables such as insulin, meals, carbs, and activity. Results show that while conventional supervised models excel at hyperglycemia prediction, certain prompt‑based LLM configurations outperform them for hypoglycemia, and that the way data is presented to the model is a key determinant of success, with added context not consistently improving outcomes.
arXiv:2607. 19006v1 Announce Type: new Abstract: Accurate forecasting of blood glucose concentration is key in the management of Type 1 Diabetes, facilitating early detection of adverse glycemic events and supporting timely therapeutic interventions.
By Giorgia Rigamonti, Mirko Paolo Barbato, Davide Marelli, Paolo Napoletano