Type 1 diabetes

Accuracy of ChatGPT , Gemini, Claude and DeepSeek in Carbohydrate Counting

Diabetes Obes MetabPublished Comparative accuracy study

Authors' conclusion

ChatGPT most accurately approximated clinicians' carbohydrate calculation among the tested AI models and fulfilled strict clinical equivalence criteria. Although the other models tended to underestimate carbohydrate content, their mean deviations remained within clinically acceptable limits.

Study context

Population
Meals equally distributed among breakfast, lunch, dinner and snacks; identical standardized English prompts
Participants
124 meals
Comparison
ChatGPT, Gemini, Claude and DeepSeek vs clinician-calculated reference values
Outcome
Equivalence between clinician and AI-generated carbohydrate calculations within an error margin of ±5%
Methodological detailsequivalence (±5% margin), Two One-Sided Tests, Bland-Altman analysis
  • Equivalence (±5% margin)
  • Two One-Sided Tests
  • Bland-Altman analysis

Performance

As reported in the abstract

Equivalence with clinicians' carbohydrate calculation (±5% margin)
  • Only ChatGPT met the predefined ±5% equivalence criterion
  • Gemini and DeepSeek achieved equivalence within a ±10% margin

Further findings

OutcomeValues
Carbohydrate content per mealClinicians median 30.32 g · ChatGPT median 30.75 g · Gemini median 30.40 g · DeepSeek median 29.75 g · Claude median 29.25 g

Agreement with clinicians (bias, limits of agreement, correlation)

ChatGPT showed the smallest bias, narrowest limits of agreement and highest correlation with clinicians
Claude displayed the largest negative bias and widest dispersion

Original publication

Accuracy of ChatGPT , Gemini, Claude and DeepSeek in Carbohydrate Counting. Diabetes Obes Metab. Published 13 April 2026. doi:10.1111/dom.70747

Composed by AI from the published abstract and checked against it. How Briefs are made →

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