OpenGluco—Innovative Open-Source Diabetes Care Management System

Continuous glucose monitoring (CGM) plays a central role in modern diabetes management, yet CGM data are often confined within proprietary manufacturer ecosystems, limiting interoperability and reuse. This paper presents OpenGluco, an open-source and provider-independent platform designed to unify CGM data from multiple commercial systems, including Abbott Freestyle Libre, Dexcom, and Medtronic. OpenGluco implements a modular server architecture that abstracts vendor-specific data access, normalizes heterogeneous glucose time series, and exposes standardized access through an application programming interface designed to support future scalability. The platform supports individual users as well as institutional and research deployments. Performance evaluation demonstrates reliable data ingestion, consistent API responsiveness within the evaluated deployment environment, and robust handling of heterogeneous sampling characteristics. Validation of data normalization shows preservation of clinically relevant metrics such as Time in Range. By emphasizing interoperability, user-authorized data access, and open-source transparency, OpenGluco provides a flexible foundation for clinical monitoring, education, and future analytics-driven decision-support applications in diabetes care.