In daily life, you are undoubtedly familiar with diabetes and have often heard terms such as “the three polys and one loss” and “incurable.” In fact, diabetes is classified into two types: Type 1 diabetes and Type 2 diabetes. Type 2 diabetes, which primarily affects adults, accounts for 90% of all cases, whereas Type 1 diabetes is more common in children and adolescents.
Typically, patients are often uninformed and lack awareness of their own health conditions, as if shrouded in darkness. What they desire is not broad, homogenized treatment, but rather personalized, professional one-on-one care.
Tidepool, a company based in California, USA, leverages big data analytics to provide specialized services for the predominantly young population with type 1 diabetes. By offering open data, a development platform, and its proprietary mobile application, Tidepool enables more effective management of type 1 diabetes, transforming patients’ living conditions and making their daily lives easier and more manageable.
Tidepool Overview:
Tidepool was founded by a group of individuals deeply connected to type 1 diabetes, including patients with the condition, parents of children living with type 1 diabetes, and treating physicians. The disease plays a significant role in their lives. The sole purpose of establishing this platform is to leverage technology to alleviate the burden on individuals with type 1 diabetes by providing them with closed, vertical, and exclusive medical services.
Use cryptographic techniques to secure patient authentication data
• Integrate electronic medical records, fitness applications, and social networks to facilitate collaborative communication among patients, parents, and physicians
Open system architecture enables information visualization and deep machine learning
Tidepool Platform Application:
Blip:
This app was designed and developed by endocrinologists at the University of California, San Francisco (UCSF), along with top-tier software engineers, UI designers, and numerous patients and parents. To gain a deeper understanding of their condition, individuals with diabetes often review their personal health data. Therefore, they need software that can easily collect and display data related to their daily routines. Blip, built on the Tidepool platform, serves as a centralized patient database, enabling the recording and interpretation of various types of data, including information from insulin pumps, continuous glucose monitors, blood glucose tests, meals, exercise, and sleep.
Blip can also easily access all visual data stored on the same or different mobile devices. Even without a doctor present, Blip is highly beneficial for patients. It serves effectively as a tool for communication and learning, providing a platform for online patient–physician interactions, while allowing school nurses, daily caregivers, teachers, family members, and physicians to view the patient’s dataset.
Blip automatically initiates operations. All relevant information is collected and recorded in real time, including carbohydrate intake, insulin dosage, and blood glucose levels. Data can also be imported from other devices such as the Nike FuelBand and Fitbit. This is a standout feature of Blip; because it is developed on the Tidepool platform, it enables seamless interoperability between devices, allowing data from different manufacturers to be aggregated within this app.
Nutshell:
Tidepool’s corporate credo is: “Don’t let disease rob your life of flavor.” Since most people with diabetes cannot truly savor delicious meals, Nutshell empowers them to order cheese pizza without hesitation.
Nutshell can precisely inform you of the effects of consuming different foods. You will be able to understand your child’s reactions to various foods and avoid repeating mistakes. Once you understand how your child’s body responds, you can make more informed choices in the future rather than deciding blindly.
So when you head to a birthday party or camping trip, Nutshell will show you your previous records to help you better prepare for the occasion.
Sonar:
Living with diabetes means making hundreds or even thousands of decisions every day. Wouldn’t it be wonderful if accurate decisions could be made more quickly? Sonar is a decision-support tool. In addition to collecting data from applications provided by various device manufacturers or developers, it offers patients a simpler and more user-friendly search interface. It also facilitates physicians in providing treatment recommendations, such as determining optimal insulin pump dosages and avoiding the consumption of high-fat meals.
For example, Sonar can provide the following powerful decision support:
1. Identify and provide insulin sensitivity indices for different time periods without the need for carbohydrate intake.
2. Select time points when carbohydrate utilization is inactive to accurately assess the patient’s baseline physiological status.
3 Find the right exercise method. For example, play American football or exercise at specific times.
4. Searches are personalized, customizable, and savable; physicians can create and share personalized searches to benefit everyone in the diabetes community.
Tidepool Platform Features:
It is device-agnostic and entirely cloud-based. To encourage the explosive emergence of more applications, the team has made its technical resources fully open. The platform adopts the most modern design style to minimize complexity while maximizing innovative integration.

1. Leverage encryption technologies to ensure the security and integrity of patient data, prioritizing privacy protection while enabling open access to resources;
2. Integrated with electronic health records, mobile apps, and social platforms, enabling patients, parents, and healthcare providers to continuously enjoy an engaging, safe, and efficient healthcare environment;
3. An open architecture supports data visualization and machine learning;
4. A non-profit platform, operated not to pursue financial gain but to genuinely alleviate the burden on diabetes patients;
5. An open-source project that provides resource passwords free of charge and shares data;
Company Team and CEO:
Most members of the company’s team have Type 1 diabetes (T1D); six out of nine employees are patients. Many of them have had the disease since childhood, while others were diagnosed in adulthood. Additionally, two employees have family members with T1D. As a result, the entire team possesses a profound understanding of diabetes.
Photo of CEO Howard Look with the team
CEO Howard Look
Howard Look is the Chairman, CEO, and Founder. Previously, he served as Vice President of Software and User Experience on TiVo’s founding team, where he led efforts to make the TiVo experience more intuitive and user-friendly. He also held the position of Vice President at Pixar Animation Studios’ software division, where he developed a unique film production system. Additionally, he worked on confidential software projects at Amazon, leveraging devices and cloud services. At Linden Lab, he and his team open-sourced the Second Life Viewer 2.0 project. Howard holds a Bachelor’s degree in Computer Engineering from Carnegie Mellon University. His teenage daughter has Type 1 diabetes.
As Tidepool is a non-profit organization, it does not receive venture capital funding. However, on May 8, 2015, the company received a $900,000 grant from The Leona M. and Harry B. Helmsley Charitable Trust. The funds were primarily used to expand platform functionalities and support data uploading. On June 8, 2015, Tidepool was named the winner of the White House Innovation Award.

Responsible Editor: Zhang Nan
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