Zero Out of Range

The Future of Pediatric
Diabetes Care Starts Here

Through relentless research and cutting-edge solutions, Fluent is reimagining diabetes management to empower children and people with diabetes to live fully and freely.

589M
Adults with Diabetes (2024)
852M
Projected by 2050
+45%
Growth vs 25% population growth

What We Do

We are reimagining diabetes management to empower children and people with diabetes to live fully and freely. Through relentless research and cutting-edge solutions, we aim to achieve Zero Time Out of Range — breaking economic barriers, fighting stigmatization, and shaping a future free from diabetes complications.

Time in Range (TIR) is a modern metric referring to the percentage of time a person's blood glucose stays within 70–180 mg/dL — increasingly important in diabetes management.
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Research-Driven

Scientific rigor from the field of Formula 1 engineering applied to personalised blood glucose prediction models.

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Mobile-Health Innovation

Fluent PrevYOU brings real-time personalised blood glucose predictions directly to your mobile device.

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Pediatric Focus

Dedicated solutions for children aged 6–12 and young users aged 12–18, with their families and caregivers.

Where We Go

To lead the future of pediatric diabetes care, where every child can thrive without limitations and live life on equal footing with their peers — today and tomorrow.

01
Personalised Prediction
Real-time blood glucose forecasting adapted to each individual's unique biometric profile.
02
Zero Barriers
Free mobile app — no financial barriers to accessing the most advanced diabetes management tools.
03
Community-Powered
Family members, teachers, and coaches integrated into personalised care delivery.
04
In Range ++
AI-guided suggestions for action patterns that maximize time in the optimal glucose range.
GC

"Diabetes was one of those words I had always heard casually before meeting my wife. I learned to understand and comprehend what it means to deal with this disease through her experience, which is much more difficult to accept and face than if it were my own."

"However, I also received a great lesson: perhaps not all challenges will be won, but with intelligence and commitment, it is possible to manage diabetes well and take care of oneself."

Giuseppe Callea
Project Ideator — Fluent Research

Not long after, the idea for a research project for simpler and more effective management named Fluent was born.

Giuseppe has always been involved in research and development in a very different domain — Formula 1, Formula 2, and other automotive competitions. In this domain, he has had the privilege of helping shape the frontier of advanced technology. Beyond the breakthroughs, he has embraced a culture of innovation that sparks solutions with real competitive impact.

He believes this same spirit of innovation has inspired and keeps driving the work of all people contributing to the Fluent project.

Today, a small but significant milestone has been reached, making sophisticated and innovative technology accessible to everyone living with diabetes.
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Diabetes Demographic Trends

Explore the global data: 589 million adults living with diabetes in 2024, projected to reach 852 million by 2050.

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Focus: Personalised Medicine

Learn how Fluent's research approach centers on individualized care for better outcomes.

Fluent research project arises from the increasing prevalence of diabetes, both Type 1 and Type 2, and the need for personalised medicine approaches to enhance diabetes management and patient outcomes.

We, together with all diabetic people willing to take on the "Zero Time Out of Range" challenge, are pursuing an ambitious goal that demands a transformative shift in diabetes care. We believe this can only be realized through a deeply personalised approach tailored to each individual's unique needs.

Beyond the Individual

When it comes to children and adolescents, a truly personalised approach must extend beyond the individual. It must also engage and empower key figures in their lives — such as family members, teachers, and sports coaches — so they can actively contribute to achieving the goal while also easing the daily burden of diabetes management.

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Individual Tailoring

Every person's blood glucose response is unique. Our prediction model continuously adapts to each user's biometric patterns.

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Extended Care Network

For young users, the care ecosystem includes parents, teachers, and sports coaches — all empowered with real-time guidance.

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Zero Time Out of Range

The ultimate goal: enabling every person with diabetes to maintain optimal blood glucose levels consistently.

Innovation

From Reactive to
Proactive Diabetes Care

Personalised blood glucose prediction is the key that shifts management from responding to events — to anticipating them.

The Fluent Innovation

From the outset, our research has centered on developing personalised blood glucose predictions as the key tool to shift from the traditional reactive approach to a new proactive model. Empowering individuals to foresee their blood glucose response to a pattern of actions is essential for elevating diabetes management to a more advanced and effective level.

It didn't take long to realise that making blood glucose predictions readily accessible to people was equally important. A prediction based on data that is hard to retrieve and/or provide to the algorithm wouldn't be very helpful for daily diabetes management. Therefore, Fluent ventured into the mobile-health space — equipping the prediction algorithm with the immediacy required for effective daily use.

The result of this journey is a mobile app called Fluent PrevYOU capable of delivering real-time personalised blood glucose predictions.

A New Management Paradigm

Understanding the difference between reactive and proactive diabetes management.

Traditional Reactive Management Old Approach

  • Real-time Data: Sensor measurements offer current blood glucose levels.
  • Current Trend Analysis: Analyzes blood glucose trends from the last few minutes.
  • Immediate Action: Allows individuals to react promptly to changes.
  • Strips and sensors both provide only a measurement of current blood glucose levels.

New Proactive Management Fluent Approach

  • Future Trend Prediction: Forecasts how blood glucose might respond to upcoming actions.
  • Scenario Exploration: Enables "what-if" scenarios to determine the best combination of actions.
  • Strategic Planning: Predicts future levels so individuals can plan ahead — preventing undesirable fluctuations.
  • Together with sensor data, achieves optimal blood glucose and the "Zero Time Out of Range" goal.
In modern diabetes management, both sensor measurement and blood glucose prediction play crucial roles. While sensor measurement supports immediate reactive responses, blood glucose prediction empowers individuals to proactively manage their health by anticipating future trends and planning accordingly.

Fluent PrevYOU is a personalised solution for diabetes control — from real-time therapy management to blood glucose prediction.

Fluent PrevYOU empowers diabetic children and people with the world's most advanced management solution, developed to take on the "Zero Time Out of Range" challenge.

The primary target audience includes individuals with diabetes seeking personalised management solutions, as well as healthcare providers looking to offer a personalised medicine approach to enhance diabetes management and patient outcomes.

Fluent PrevYOU is currently available for Android devices only on Google Play Store.

18+
General Users
Download the app on Google Play Store to start predicting your blood glucose and stay longer time in range.
6–12
Children
Parents of diabetic children can check the early access programs — a gamified version tailored for kids is in development.
12–18
Young Users
A tailored version for adolescents is being shaped through the early access program.
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Healthcare Providers
Doctors and caregivers can explore digital therapy implementation through the early access program.

If you have been diagnosed with diabetes recently you can find some useful information here. We also invite you to check other sources such as National Diabetes Associations websites. We view education as the most powerful tool for effectively managing and overcoming diabetes challenges.

Type 1 vs. Type 2 Diabetes: Key Differences

FeatureType 1 DiabetesType 2 Diabetes
CauseAutoimmune: immune system attacks insulin-producing cells in the pancreas.Insulin resistance; body doesn't use insulin properly; may later produce less insulin.
OnsetUsually develops in childhood or adolescence, but can occur at any age.Typically develops in adults over 45, but increasingly seen in younger people.
Insulin ProductionLittle to no insulin produced.Insulin produced, but not used effectively.
TreatmentRequires daily insulin therapy.Managed with lifestyle changes, oral medications, sometimes insulin.
SymptomsDevelop quickly and are more noticeable.Develop gradually, may go unnoticed for years.
Risk FactorsGenetic predisposition; not linked to lifestyle.Family history, obesity, sedentary lifestyle, age, ethnicity.
PreventionCannot be prevented.Often preventable through healthy lifestyle choices.
PrevalenceAbout 5–10% of diabetes cases.About 90–95% of diabetes cases.

Type 1 Diabetes

Type 1 Diabetes (T1D) is a chronic autoimmune condition in which the body's immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body produces little to no insulin.

Onset & Causes

Onset: Typically develops in children, adolescents, or young adults, though it can occur at any age. The onset is usually rapid and requires immediate medical attention.

  • Autoimmune response
  • Genetic predisposition
  • Environmental triggers (e.g., viral infections)
Symptoms
  • Frequent urination
  • Excessive thirst
  • Unexplained weight loss
  • Fatigue
  • Blurred vision
  • Increased hunger
Diagnosis & Treatment

Diagnosis: Fasting blood glucose, HbA1c levels, autoantibodies (GAD, IA-2), C-peptide levels.

Treatment:

  • Lifelong insulin therapy (via injections or insulin pump)
  • Continuous glucose monitoring (CGM)
  • Carbohydrate counting and dietary management
  • Regular physical activity
  • Education and psychosocial support
Complications & Management Goals

Complications (if unmanaged): Diabetic ketoacidosis (DKA); long-term: cardiovascular disease, neuropathy, nephropathy, retinopathy.

Management Goals: Maintain blood glucose within target range, prevent acute and chronic complications, improve quality of life.

Type 2 Diabetes

A chronic condition that occurs when the body either doesn't produce enough insulin or becomes resistant to insulin, preventing glucose from entering cells efficiently. It is the most common form of diabetes, accounting for 90–95% of cases.

Symptoms
  • Increased thirst and urination
  • Fatigue, blurred vision
  • Slow-healing wounds
  • Numbness or tingling in hands or feet
  • Frequent infections
  • Unexplained weight loss
Causes, Risk Factors & Management

Causes: Insulin resistance, genetics, poor diet, physical inactivity, obesity, ethnicity (higher risk in African American, Hispanic/Latino, Native American, Asian American populations).

Management: Healthy eating, regular physical activity, weight loss, blood sugar monitoring, medications or insulin therapy as needed.

Gestational Diabetes

A type of diabetes that develops during pregnancy — typically between the 24th and 28th week — due to hormonal changes causing insulin resistance. Affects 5–10% of pregnancies in the U.S.

Key Facts, Symptoms & Diagnosis
  • Usually disappears after childbirth.
  • Increases risk of developing type 2 diabetes later in life.
  • Often no noticeable symptoms.
  • Possible signs: increased thirst, frequent urination, fatigue.
  • Diagnosis made through routine screening during pregnancy.
Risks, Complications & Management

Risks for baby: High birth weight, premature birth, low blood sugar after birth, increased risk of obesity and type 2 diabetes later.

Risks for mother: Preeclampsia, cesarean delivery, future type 2 diabetes.

Management: Healthy diet and regular physical activity, monitoring blood sugar levels, insulin therapy if needed.

Personalised Blood Glucose Prediction

At the heart of the breakthrough introduced by Fluent research lies the personalised blood glucose prediction feature implemented in Fluent PrevYOU. This cutting-edge innovation is set to revolutionize diabetes management by delivering individualized forecasts that empower users to maintain optimal glucose levels with greater precision.

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Formula 1 Technology

Our engineers with a motorsport background developed the blood glucose prediction model using the same exact approach used in Formula 1 to predict lap times of racing cars.

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Mobile-Ready Model

A mobile version of the larger analytical model has been developed to run on a smartphone, delivering real-time predictions with immediacy required for effective daily use.

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Self-Improving

The model keeps adapting and improving its prediction capabilities with use. The more you use it, the more accurate the prediction you'll get.

Is Artificial Intelligence used in the prediction?

At the moment, AI technology is not used and is not part of the prediction model. Among other reasons: the limited level of personalization of AI algorithms currently offered on mobile phones, and the uncertainty of results produced in situations of low data density.

Fluent researchers are however monitoring AI developments closely and exploring future integration possibilities.

Support for Longer Time in Range: In Range ++

In addition to predicting blood glucose response to the pattern of actions you select, we have implemented into Fluent PrevYOU a feature called "In Range ++". Whenever a pattern/timing is found which offers longer time in range potential than the pattern you input, we make it available — you can jump on it by tapping the "In Range ++" button.

This approach focuses on extending the time during which blood glucose levels remain within the target range, thereby reducing complications associated with diabetes.

We're dedicating increasing effort to developing this feature because we truly believe it has the potential to elevate your diabetes management — making it both simpler and more effective.

Together, we can transform the vision of

"Zero Time Out of Range"

into a reality.

Current Limitations

Current therapy prescription methods lack real-time integration with patients' lifestyles, leading to suboptimal adherence and effectiveness. People often struggle with managing their diabetes due to the absence of continuous, personalised guidance and prompts that align with their daily routines.

Research indicates that patients who do not receive continuous therapy prompts are more likely to experience poor adherence, leading to ineffective treatment outcomes. Better therapy integration into patients' daily lives can significantly improve adherence and effectiveness.

PrevYOU Digital Therapy

PrevYOU Digital Therapy is a groundbreaking feature designed to seamlessly integrate continuous therapy into patients' daily lives. This feature aims to enhance the delivery of personalised medical treatment, diet, physical exercise, and blood glucose testing prompts, offering real-time support for individuals with diabetes.

Continuous therapy integration and delivery can enable unprecedented harmonization of medical treatment and diet with patient's lifestyle. The switch to digital therapy ensures that therapy is not only prescribed but also seamlessly integrated into daily routines.

Children & Young Users

Children with diabetes face unique challenges in maintaining optimal blood glucose levels, which can impact their daily activities and long-term health. Current solutions often lack personalization and adaptability, leading to suboptimal management.

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PrevYOU for Children (6–12)

Currently under development. Provides children aged 6–12 with Type 1 diabetes, along with their parents and caregivers, an effective and personalised diabetes management solution.

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PrevYOU for Young Users (12–18)

Currently under development. Provides adolescents aged 12–18 with Type 1 diabetes, along with their parents and caregivers, a tailored effective management solution.

In the case of youngsters, the extended Caregiver Team — represented by family members, teachers, and sport coaches — can greatly benefit from the real-time prompts provided by the digital therapy implementation into Fluent PrevYOU to get guidance on how to help young people better manage their condition.

Doctors & Caregivers

The continuous therapy integration and delivery features of Fluent PrevYOU offers doctors and healthcare providers the possibility to enable unprecedented harmonization of medical treatment and diet with patient's lifestyle.

Digital Therapy Features for Clinicians
  • Medical treatment patterns traditionally prescribed on paper can now be loaded into Fluent PrevYOU to provide patients with real-time prompts.
  • Dietary indications for meal and snack compositions can be loaded and automatically delivered throughout the day/week/month including food/beverage quantities.
  • Clinicians will have enhanced access to structured, longitudinal patient data, enabling comprehensive evaluation of therapy adherence and clinical effectiveness.
  • The system supports standardized metrics and validated analytical frameworks for consistent monitoring, reporting, and interpretation of therapeutic outcomes.

Although Fluent research has already delivered breakthroughs which are now making possible to reach the "Zero Time Out of Range" condition, we are fully committed to further improving the effectiveness of our solution for diabetes management.

Below is a summary of the research and development areas we will be focusing on in the near future.

1. Personalised Blood Glucose Prediction

Further development and validation of the mathematical model for personalised blood glucose prediction — enabled by the increasing volume of user data from real-world life conditions.

Further development of Fluent PrevYOU "In Range ++" feature which suggests patterns of actions offering longer time in range potential.

🔬 Prediction Model📈 In Range ++

2. Therapy Management

Improvements to Fluent PrevYOU continuous therapy integration and delivery features to enhance therapy adherence and effectiveness.

Improvements to the workflow currently available to doctors and dieticians for digital therapy implementation and upload into Fluent PrevYOU.

💊 Digital Therapy👨‍⚕️ Clinician Workflow

3. PrevYOU for Children and Young Users

Ongoing and future developments include a version of the app specifically designed for children aged 6–12 and young users aged 12–17, incorporating gamification (Zoor & Zoory mascots) and age-appropriate UX.

👶 Ages 6–12🧑‍🎓 Ages 12–17
Early Access Programmes

Shape the Future of
Diabetes Care With Us

Join our early access programs to be among the first to experience and help shape the next generation of Fluent PrevYOU — tailored for children, young users, and healthcare providers.

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PrevYOU for Children (6–12)

Fluent researchers are currently working on a tailored solution of PrevYOU for children. Our gamified version relies on Zoor and Zoory (acronyms of Zero Out of Range) — helping communicate with children in their language and giving voice to continuous therapy prompts.

If you are a parent or caregiver who wants to be part of the early access program, get in contact with us!
📧 [email protected]
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PrevYOU for Young Users (12–18)

Fluent researchers are currently working on a tailored solution of PrevYOU for young users. Unlike the children's version, we are evaluating several design options for this age group.

By joining the early access program, you'll help us shape this version to better suit you and others in this group.

Open to young users aged 12–17 or their parents who want to participate.
📧 [email protected]
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PrevYOU for Healthcare Providers

The digital therapy features of Fluent PrevYOU offer doctors and healthcare providers the possibility to enable unprecedented harmonization of medical treatment and diet with patient's lifestyle.

If you are a doctor or caregiver interested in the possibilities offered by Fluent PrevYOU such as digital therapy implementation, please join our early access program.

Content for healthcare provider early access will be updated shortly.
📧 [email protected]
Full content for the Verona academic partnership is available at fluentcommunity.com/verona/

The University of Verona represents one of Fluent's key academic partnerships, contributing to the research and validation of the personalised blood glucose prediction model. This collaboration bridges academic rigor with real-world application.

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Research Collaboration

Joint research activities supporting the development and validation of Fluent's core blood glucose prediction technology.

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Clinical Expertise

Academic medical expertise informing the clinical validity and applicability of Fluent PrevYOU's personalised medicine approach.

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Content Coming Soon

Content for the Padova academic partnership is currently being prepared. Please check back soon for updates on this collaboration.

We're Here to Help

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App Support

Technical support and questions about the Fluent PrevYOU mobile app.

[email protected]
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Early Access

Apply to join early access programs for children, young users, or healthcare providers.

[email protected]
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Educational Programs

Enquiries about Fluent's educational programs in collaboration with IDF and ISPAD.

[email protected]
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Investors

Information about strategic research areas and investment opportunities.

[email protected]
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Educational Program Details Coming Soon

Fluent's educational programs in collaboration with IDF (International Diabetes Federation) and ISPAD (International Society for Pediatric and Adolescent Diabetes) are being finalized. Contact us for early enquiries.

📧 [email protected]

Fluent PrevYOU mobile health platform provides access to longitudinal patient data collected under real-world conditions, encompassing diverse age groups, genders, and biometric profiles — offering a uniquely rich dataset for translational and clinical research applications.

The platform not only empowers individuals living with diabetes but also equips researchers with access to data that would otherwise remain unavailable. This closed-loop model — where researchers support patients, and patients in turn contribute to research — represents a transformative approach to medical research.
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AI-Driven Predictive Models

Ongoing exploration and validation of AI-driven predictive models using real-world data to further advance precision medicine.

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Digital Twin Simulations

Research into digital twin technology for personalised diabetes simulation and treatment optimization.

Wearable Biosensors

Exploring integration with next-generation wearable biosensor technology for richer real-time data.

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Real-Time Data Integration

Building systems for seamless real-time data integration across devices, clinicians, and care teams.

If interested in learning more about the strategic research areas for diabetes and other diseases that are currently shaping our innovation pipeline, please contact us.

Contact Investors Team ›