Files
HealthLog/src/lib/glucose.ts
T
Marc-André Bombeck 554f36aeab Show whole-number metrics as whole numbers
The dashboard tiles printed every value at one decimal: '121,0 mmHg',
'60,0 bpm', '9.240,0' steps. TrendCard takes the metric's precision, and
blood pressure, pulse, HRV, steps and mg/dL glucose pass zero. The
measurement list names count-shaped units the way the insights pages do
('13 Etagen', '12,5 Atemzüge/min') instead of the source's 'count'.
2026-10-08 16:21:12 +02:00

226 lines
8.2 KiB
TypeScript

/**
* Blood-glucose unit conversions.
*
* HealthLog stores glucose canonically in **mg/dL**. The UI can display in
* mmol/L for users who prefer that (SI-unit countries). Conversion factor is
* 18.0182 (per DGIM / DDG S3 guideline). We round to clinically meaningful
* precision: 0 fractional digits for mg/dL, 1 for mmol/L.
*/
export type GlucoseUnit = "mg/dL" | "mmol/L";
/**
* mg/dL per mmol/L, per the DGIM / DDG S3 guideline. Exported because it is
* the one factor for this conversion in the tree: the inbound alias resolver
* normalises a mmol/L cell with it, the glucose insight page scales its chart
* by its reciprocal, and the helpers below round with it. Two nearly-equal
* copies of a health conversion is how the same reading comes out as two
* different numbers on two screens.
*/
export const MGDL_PER_MMOL = 18.0182;
export function mgdlToMmol(mgdl: number): number {
return Math.round((mgdl / MGDL_PER_MMOL) * 10) / 10;
}
export function mmolToMgdl(mmol: number): number {
return Math.round(mmol * MGDL_PER_MMOL);
}
/** Decimal places a glucose value is shown at: whole mg/dL, tenths of mmol/L. */
export function glucoseFractionDigits(unit: GlucoseUnit): number {
return unit === "mmol/L" ? 1 : 0;
}
export function convertGlucose(value: number, to: GlucoseUnit): number {
return to === "mmol/L" ? mgdlToMmol(value) : Math.round(value);
}
/**
* Convert a value the user typed in their display unit back to the
* canonical mg/dL HealthLog stores. The inverse of {@link convertGlucose}
* for the editor write path: a `5.5 mmol/L` target the user enters must
* persist as `99 mg/dL`, not as the literal `5.5`. A `mg/dL` display unit
* is already canonical, so it only rounds.
*/
export function toCanonicalMgdl(value: number, from: GlucoseUnit): number {
return from === "mmol/L" ? mmolToMgdl(value) : Math.round(value);
}
/**
* A published glucose cut-point, in both units as its source states it.
*
* The SI figure is carried rather than converted because a guideline prints
* its own rounding: ADA's fasting cut-point is 100 mg/dL and 5.6 mmol/L, and
* `mgdlToMmol(100)` gives 5.5. A reader on mmol/L must see the number their
* own guideline prints, not a re-rounded neighbour of it.
*/
export interface GlucoseCutPoint {
mgdl: number;
mmol: number;
}
/** Consensus time-in-range band edges (Battelino 2019). */
export const GLUCOSE_TIR_CUT_POINTS = {
veryLow: { mgdl: 54, mmol: 3.0 },
low: { mgdl: 70, mmol: 3.9 },
high: { mgdl: 180, mmol: 10.0 },
veryHigh: { mgdl: 250, mmol: 13.9 },
} as const satisfies Record<string, GlucoseCutPoint>;
/** Fasting-glucose diagnostic cut-points for adults (ADA 2024). */
export const GLUCOSE_FASTING_CUT_POINTS = {
prediabetesFrom: { mgdl: 100, mmol: 5.6 },
prediabetesTo: { mgdl: 125, mmol: 6.9 },
diabetesFrom: { mgdl: 126, mmol: 7.0 },
} as const satisfies Record<string, GlucoseCutPoint>;
/**
* The interpolation parameters every glucose band sentence takes: each
* cut-point in the reader's unit, formatted by the caller's locale-aware
* number formatter, plus the unit symbol. A sentence that names a band
* reads its numbers from here, so no locale string carries a fixed unit.
*/
export function glucoseBandParams(
unit: GlucoseUnit,
formatNumber: (value: number, fractionDigits: number) => string,
): Record<string, string> {
const digits = glucoseFractionDigits(unit);
const v = (point: GlucoseCutPoint) =>
formatNumber(unit === "mmol/L" ? point.mmol : point.mgdl, digits);
return {
unit,
veryLow: v(GLUCOSE_TIR_CUT_POINTS.veryLow),
low: v(GLUCOSE_TIR_CUT_POINTS.low),
high: v(GLUCOSE_TIR_CUT_POINTS.high),
veryHigh: v(GLUCOSE_TIR_CUT_POINTS.veryHigh),
prediabetesFrom: v(GLUCOSE_FASTING_CUT_POINTS.prediabetesFrom),
prediabetesTo: v(GLUCOSE_FASTING_CUT_POINTS.prediabetesTo),
diabetesFrom: v(GLUCOSE_FASTING_CUT_POINTS.diabetesFrom),
};
}
/**
* The stored glucose-unit choice as the closed pair, or `null` when none was
* made. The column is free text (a restored backup writes it unchecked), so a
* value that is neither unit reads as no choice rather than passing through to
* a client that decodes the pair.
*/
export function storedGlucoseUnit(
value: string | null | undefined,
): GlucoseUnit | null {
return value === "mg/dL" || value === "mmol/L" ? value : null;
}
export function resolveGlucoseUnit(
userPreference: string | null | undefined,
): GlucoseUnit {
return userPreference === "mmol/L" ? "mmol/L" : "mg/dL";
}
/**
* The `GlucoseContext` enum members, in the order every surface iterates them.
*/
export const NAMED_GLUCOSE_CONTEXTS = [
"FASTING",
"POSTPRANDIAL",
"RANDOM",
"BEDTIME",
] as const;
export type NamedGlucoseContext = (typeof NAMED_GLUCOSE_CONTEXTS)[number];
/**
* The bucket every reading lands in whose `glucoseContext` column is NULL,
* blank, or not one of the four enum members.
*
* It is not a `GlucoseContext` value and never reaches the database — the
* column stays NULL. It exists because a reading without a meal-time tag is
* still a reading, and a surface that iterates only the named contexts drops
* it silently. That is not hypothetical: a meter synced through Apple Health
* writes no HealthKit meal-time metadata at all, so such an account has one
* hundred percent of its readings here and saw an empty dashboard, empty
* targets, and an empty doctor-report panel while the data was current
* (#943). The Coach's glucose block already grouped them under the same
* name — this promotes that one bucket to the shared notion the rest of the
* tree resolves through.
*/
export const GLUCOSE_CONTEXT_UNSPECIFIED = "UNSPECIFIED";
export type GlucoseContextBucket =
NamedGlucoseContext | typeof GLUCOSE_CONTEXT_UNSPECIFIED;
/** Canonical iteration order: the named contexts first, untagged last. */
export const GLUCOSE_CONTEXT_BUCKETS = [
...NAMED_GLUCOSE_CONTEXTS,
GLUCOSE_CONTEXT_UNSPECIFIED,
] as const;
/**
* Resolve a stored `glucose_context` cell to the bucket it belongs to.
* NULL, an empty string, and any value outside the enum all resolve to
* {@link GLUCOSE_CONTEXT_UNSPECIFIED} — the fail-open arm, because dropping
* a reading is worse than filing it under "no meal-time tag".
*/
export function glucoseContextBucket(
raw: string | null | undefined,
): GlucoseContextBucket {
if (raw == null) return GLUCOSE_CONTEXT_UNSPECIFIED;
const key = raw.trim().toUpperCase();
return (NAMED_GLUCOSE_CONTEXTS as readonly string[]).includes(key)
? (key as NamedGlucoseContext)
: GLUCOSE_CONTEXT_UNSPECIFIED;
}
/**
* Group rows into their glucose buckets, in {@link GLUCOSE_CONTEXT_BUCKETS}
* order, skipping buckets with no rows. Row order inside a bucket is the
* caller's input order, so a caller that reads "latest" off the head or tail
* keeps doing so.
*/
export function groupByGlucoseContext<T>(
rows: readonly T[],
contextOf: (row: T) => string | null | undefined,
): Array<[GlucoseContextBucket, T[]]> {
const byBucket = new Map<GlucoseContextBucket, T[]>();
for (const row of rows) {
const bucket = glucoseContextBucket(contextOf(row));
const list = byBucket.get(bucket);
if (list) list.push(row);
else byBucket.set(bucket, [row]);
}
return GLUCOSE_CONTEXT_BUCKETS.flatMap((bucket) => {
const list = byBucket.get(bucket);
return list ? [[bucket, list] as [GlucoseContextBucket, T[]]] : [];
});
}
/**
* Threshold metric key corresponding to a glucose bucket. Keeps the
* effective-range resolver the single source of truth.
*
* The untagged bucket borrows the RANDOM band: a reading with no meal-time
* tag IS a spot reading, which is exactly what RANDOM means, and inventing a
* fifth threshold would give the user a second editor row that judges the
* same readings by a different number.
*/
export function thresholdMetricForContext(
context: GlucoseContextBucket,
):
| "BLOOD_GLUCOSE_FASTING"
| "BLOOD_GLUCOSE_POSTPRANDIAL"
| "BLOOD_GLUCOSE_RANDOM"
| "BLOOD_GLUCOSE_BEDTIME" {
switch (context) {
case "FASTING":
return "BLOOD_GLUCOSE_FASTING";
case "POSTPRANDIAL":
return "BLOOD_GLUCOSE_POSTPRANDIAL";
case "BEDTIME":
return "BLOOD_GLUCOSE_BEDTIME";
case "RANDOM":
case GLUCOSE_CONTEXT_UNSPECIFIED:
return "BLOOD_GLUCOSE_RANDOM";
}
}