Type 1 diabetes

Chat, Gemini and Claude at the dinner table: assessing general-purpose AI tools for carbohydrate counting in the context of type 1 diabetes

Diabetes Res Clin PractPublished Diagnostic accuracy study

Authors' conclusion

General-purpose AI tools can provide carbohydrate estimates but show variable accuracy. They may complement, not replace, structured education in T1D management.

Study context

Population
Thirty meals of varying type and complexity, in the context of T1D carbohydrate counting
Participants
30 meals
Comparison
ChatGPT, Gemini and Claude vs expert dietitians for carbohydrate estimation
Outcome
Absolute error vs reference carbohydrate content
Methodological detailsmixed-effects regression with meal as random effect, standardized prompt
  • Mixed-effects regression with meal as random effect
  • Standardized prompt

Performance

As reported in the abstract

Secondary outcomes

Large overestimations (≥+20 g)

Performance by meal type or complexity

Performance did not vary by meal type or complexity

Original publication

Chat, Gemini and Claude at the dinner table: assessing general-purpose AI tools for carbohydrate counting in the context of type 1 diabetes. Diabetes Res Clin Pract. Published 26 November 2025. doi:10.1016/j.diabres.2025.113031

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