Built for the Realities of Primary Care

Between high-risk patients, tight staffing, and shifting reimbursement models, managing diabetes at scale is harder than ever.

Diabimetrics™ is an AI-powered platform that integrates seamlessly into your existing workflows offering real-time data, culturally relevant coaching tools, and local resource referrals that improve outcomes while reducing staff workload.

Whether you’re leading a community health center, managing a value-based care contract, or supporting rural populations, Diabimetrics™ helps you:

  • Identify high-risk patients earlier with predictive analytics
  • Track SDOH barriers like food insecurity, transportation, and housing instability
  • Engage patients with culturally aligned coaching
  • Reduce readmissions and ER visits through real-time alerts and social support
  • Improve A1C, adherence, and HEDIS scores
  • Support CPT billing for RPM and CCM services

Learn how Diabimetrics™ could work for your clinic or health system?

Let’s talk. We offer pilots, demos, and collaborative rollout plans that fit your team’s goals and capacity.

Schedule a Call

360° Patient Support in One Seamless Platform

  • Predictive Risk Stratification
     Our AI flags patients at risk for complications like foot ulcers, kidney disease, and cardiac events—before clinical symptoms escalate.
  • Social Determinants of Health (SDOH) Integration
     Go beyond lab values. Diabimetrics™ combines glucose data with real-world barriers like food insecurity, housing instability, and transportation gaps.
  • Culturally Aligned Coaching Tools
     Equip your CHWs and care teams with scripts and guidance tailored to the communities you serve.
  • Local Resource Referrals
     Automatically connect patients with nearby programs—nutrition support, ride services, mental health providers—through digital social prescribing.
  • Remote Monitoring + Care Team Alerts
     Continuous health tracking with automated notifications, making it easy to intervene early without constant manual review.
Clinicians using AI diabetes care dashboard to personalize treatment for underserved communities

Real Outcomes for Providers Like You

Proven impact in pilot sites across New England:

8–12% average drop in HbA1c

5%+ weight loss among engaged users

Fewer acute events and readmissions

Increased patient engagement and trust

Save $150,000+ per 100 patients annually by preventing diabetes-related complications reducing costly ER visits,
hospitalizations, and readmissions.

Supports CPT billing for RPM and CCM

Diabimetrics™ has demonstrated early success with FQHCs, Medicaid providers, and community health alliances and is ready to scale.

When 1 in 4 healthcare dollars goes toward diabetes, you need tools that deliver clinical and financial ROI.

Why Providers Partner with Us and not health systems

  • Remote patient monitoring with real-time tracking and HIPAA-compliant documentation
  • Culturally intelligent care tailored for underserved and minority populations
  • Plug-and-play implementation with seamless EHR integration
  • No disruption to existing workflows or added burden on staff
  • Supports value-based care and drives new revenue opportunities