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CGM Apps: Where We Are and Where We’re Headed

CGM Companion Apps and SaMD
Discover how CGM apps are evolving with real-time data, predictive AI, and connected care. Learn what’s next and how the NEX platform from Sequenex can accelerate your CGM app development, reduce costs, and ensure compliance.

CGM apps have become essential tools in diabetes management, offering real-time insights, alerts, and data-sharing features that enhance patient outcomes. But for MedTech developers aiming to push the boundaries of what’s possible, today’s capabilities are just the beginning. 

In this article, we’ll explore the current CGM app landscape and what the future holds as apps grow smarter, more connected, and more predictive. We’ll also look at how platforms like Sequenex’s NEX can help developers build smarter, compliant, and future-ready solutions faster than ever.

Today’s CGM App Landscape

Today’s CGM apps serve as the digital backbone of continuous glucose monitoring, offering users and clinicians convenient access to real-time glucose data, trends, and analytics. These apps not only track glucose levels but also deliver alerts, enable data sharing, and support more informed treatment decisions. As CGM technology has become more widespread, CGM apps have evolved to offer a user-friendly experience with increasingly powerful features, making them indispensable tools for diabetes management.

The most popular CGM apps are typically developed by device manufacturers themselves. For example, Dexcom G7 offers a sleek, intuitive app experience that provides real-time glucose readings, customizable alerts, and Apple Watch integration. Dexcom Clarity, a companion app, focuses on long-term glucose trends and data visualization, providing valuable insights for both patients and providers.  FreeStyle LibreLink, designed for use with Abbott’s FreeStyle Libre sensors, enables users to scan sensors with their smartphones for instant glucose readings. Medtronic’s MiniMed Mobile app supports real-time data display from their insulin pump and CGM systems, empowering users with remote access and alerts.

In addition to manufacturer-specific platforms, a range of independent CGM-compatible apps has emerged to enhance diabetes data management. Apps like mySugr, Tidepool, and Glooko integrate with various CGM systems to provide centralized data aggregation, advanced analytics, and AI-powered insights. These secondary apps often support data from insulin pumps, activity trackers, Apple Health, and food logs, offering a more holistic view of diabetes care.

Today’s CGM app landscape is diverse and expanding, with an increasing emphasis on usability, interoperability, and personalized insights.

Standard Features

While today’s CGM apps vary in design and functionality, most share a core set of features that have become standard across the industry. These features are essential for effective glucose monitoring and user engagement, and they reflect the baseline expectations for any modern CGM app.

Real-Time Glucose Monitoring

  • Continuous display of glucose levels updated every few minutes or whenever the user scans their sensor
  • Color-coded trends to quickly indicate rising, falling, or stable glucose levels

Customizable Alerts and Notifications

  • High and low glucose alerts to warn users before levels become dangerous
  • Predictive alerts based on trend data, such as rapid glucose drops

Historical Data and Trends

  • Graphs showing glucose levels over time
  • Data export options for provider review or personal records
  • Time-in-range summaries and average glucose readings

Data Sharing Capabilities

  • Real-time sharing with caregivers, family members, and healthcare professionals
  • Integration with provider portals or remote monitoring platforms

Mobile Accessibility and Cloud Syncing

  • Cross-platform functionality (iOS and Android)
  • Automatic cloud backup and syncing across devices
  • Support for wearables like Apple Watch

Integration with Other Health Data

  • Syncing with fitness trackers and digital health platforms
  • Optional logging of meals, insulin doses, and physical activity

These standard features form the foundation of today’s CGM apps, enabling users to stay informed and proactive in managing their diabetes. For MedTech developers, these functionalities are considered table stakes—expected by users and regulators alike—and must be implemented with precision, usability, and security in mind.

Unique Features

As competition and user expectations grow, CGM apps are beginning to differentiate themselves through innovative features that go beyond the standard toolkit. These unique functionalities aim to enhance user experience, deepen clinical insight, and support more personalized diabetes care.

Predictive and AI-Driven Insights

  • Some apps use machine learning to forecast glucose trends far in advance, helping users take preemptive action.

Personalized Coaching and Recommendations

  • Apps like mySugr provide AI-powered tips, gamified feedback, and in-app coaching to help users improve time-in-range and build healthy habits.
  • These systems may adjust recommendations based on historical behavior and preferences.

Automated Insulin Dosing Integration

  • Integration with automated insulin delivery systems, like the Medtronic MiniMed 780G, allows some apps to not only monitor glucose levels but also adjust insulin doses in real time.
  • These closed-loop systems are paving the way for more autonomous diabetes management.

Community and Social Features

  • Some CGM apps offer built-in support communities or sharing options, creating a more engaging and connected user experience.
  • Peer insights and shared stories can motivate users and reduce isolation.

Multi-Device Data Aggregation

  • Some CGM apps, such as Tidepool, support importing data from a wide variety of CGM systems, insulin pumps, and activity trackers to provide a unified dashboard.
  • This level of interoperability is especially useful for clinicians managing diverse patient populations.

Advanced Visualization Tools

  • Certain apps offer dynamic charts and annotation features to make data interpretation easier and more meaningful for users.
  • These tools are particularly valuable for healthcare providers seeking detailed reports and trend analyses.

These innovative features reflect a growing emphasis on personalization, automation, and actionable insights. For developers, exploring these unique capabilities can offer a competitive edge and open doors to improved patient outcomes.

What to Expect from Tomorrow’s CGM Apps

As continuous glucose monitoring technology evolves, the next generation of CGM applications is poised to deliver smarter, more personalized, and fully integrated diabetes care experiences. Driven by rapid advancements in biosensors, software development, and AI, tomorrow’s CGM apps will go far beyond monitoring—they’ll act as proactive health partners.

Smarter, More Predictive Insights

The future of CGM apps lies in anticipating rather than just tracking glucose fluctuations. Advanced algorithms and machine learning models will analyze patterns in real time, offering:

  • Hyper-personalized predictions based on individual glucose responses to food, exercise, stress, and sleep
  • Context-aware alerts that factor in upcoming events such as meals, workouts, and bedtime, and adjust thresholds accordingly
  • Scenario simulations that help users understand the potential impact of different lifestyle choices on daily and long-term glucose values

Deeper Integration with the Digital Health Ecosystem

Tomorrow’s CGM apps will not operate in silos. Instead, they’ll connect seamlessly with a wide range of health technologies:

  • Interoperability with wearables, such as smartwatches and fitness trackers, and other biosensors to provide holistic health data
  • Tighter insulin delivery system integration, supporting adaptive closed-loop therapy with minimal user input
  • EHR integration for automated clinical reporting to reduce provider burden and improve care coordination

Intelligent Coaching and Behavioral Nudges

AI-powered coaching will take a more proactive role in guiding users through everyday decision-making:

  • Real-time lifestyle recommendations, including meal suggestions, activity prompts, and hydration reminders
  • Behavioral nudges tailored to the user’s habits, motivations, and goals to encourage adherence
  • Gamified health tracking to increase engagement and long-term app use

Greater Accessibility and Personalization

As the CGM user base expands, future applications will focus on inclusivity and adaptability:

  • Multi-language and culturally responsive interfaces to support global users
  • Customizable UX/UI to accommodate visual, cognitive, and physical accessibility needs
  • Voice-assistant integration for hands-free interaction and real-time updates
  • Expansion to non-diabetic populations to bring glucose insights to athletes, health-minded individuals, prediabetic patients, pregnancy, and more

Enhanced Data Privacy and Security

With richer datasets and broader integration, data protection will be a top priority:

  • End-to-end encryption and zero-trust architectures
  • User-controlled data-sharing options with granular permissions
  • Blockchain or decentralized data models to improve transparency and trust

Be Future Ready with NEX

The next wave of CGM apps will redefine what’s possible in digital diabetes care, blending real-time monitoring with intelligent support and full-system integration. For MedTech developers, embracing these emerging capabilities is key to staying ahead in a fast-moving, high-impact market.

Sequenex’s NEX platform empowers these innovative developers to build future-ready CGM apps faster, more cost-efficiently, and with advanced functionality. Designed for biosensor-agnostic applications, like CGM systems, NEX offers a robust foundation that eliminates reinventing the wheel and supports rapid iteration, compliance, and deployment.

NEX offers a host of features to give your CGM app a competitive edge, from faster delivery to ongoing support and maintenance.

Accelerated Time to Market

  • Ready-made infrastructure – Includes iOS & Android companion apps, patient/clinician dashboards, and an admin portal that are fully functional from day one.
  • MVP‑123 program – Launch a working MVP in under three months, enabling swift investor pitches and clinical pilot starts.

Cost Efficiency & Resource Optimization

  • Prebuilt modules – Includes real‑time data, graphs, alerts, and device integration to reduce dev overhead by up to 80%, allowing your team to focus on the unique features necessary to differentiate your CGM app in a competitive market.
  • Flexible hosting – Choose between Sequenex-hosted HIPAA-compliant infrastructure or self-hosted environments to accommodate diverse IT needs.

Regulatory Compliance & Quality Assurance

  • ISO 13485–certified QMS – Our certified QMS ensures development practices that are aligned with FDA, IEC, and ISO standards from the beginning.
  • Built-in compliance features – Includes audit trails, automated testing, documentation support (DHF, SRS, V&V), and traceability from prototyping through commercialization.

Secure, Scalable, and Interoperable Architecture

  • HIPAA-compliant cloud – Includes end-to-end encryption, real-time processing, backups, and cybersecurity best practices.
  • Biosensor/device agnostic – Supports BLE/NFC-connected CGM sensors out of the box and can easily integrate future devices.
  • Interoperability-ready – Prebuilt support for wearables, EHR connectivity, and remote monitoring platforms.

Comprehensive Support & Maintenance

  • Expert support – Sequenex handles device integration, routine maintenance, and updates, and ensures regulatory continuity, freeing your team to innovate and prepare for tomorrow’s CGM app market.
  • Continuous delivery – Enables seamless over-the-air updates while maintaining compliance, a critical advantage for CGM app evolution.

Building the Future of Continuous Glucose Monitoring

The CGM app market is rapidly evolving. Today’s apps deliver real-time monitoring, alerts, and insights that have already transformed diabetes care. But the next wave of CGM apps will go further, integrating AI, offering predictive analytics, and connecting seamlessly across health ecosystems to support smarter, more proactive disease management.

If you’re ready to lead that future, Sequenex’s NEX platform offers the foundation to get there faster, smarter, and more affordably. With built-in features, regulatory-ready infrastructure, and support for device integration and scaling, NEX lets you focus on innovation while we handle the rest.

Connect with us today to learn how NEX can accelerate your CGM app development and bring your vision of the future to life.

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