Lab results · May 8

Otto read
your labs.

{/* A1c trend hero */}

A1c trend · 3 readings

5.8 %

Pre-diabetic

{/* Trend bars */}

{[ { v: 5.4, l: '2 yrs ago', t: 'sage' }, { v: 5.6, l: '1 yr ago', t: 'amber' }, { v: 5.8, l: 'Today', t: 'amber' }, ].map((p, i) => (

{p.v}

{p.l}

))} {/* Threshold line */}

What Otto sees

Your A1c has climbed steadily. Combined with your visceral fat and recent post-meal fatigue, this looks like early insulin resistance. A walk after dinner, most nights, is the highest-leverage thing.

{/* Lab list */}

All values {labs.map((lab, i) => (

{lab.l}

{lab.v} {lab.u}

))}

Share with doctor go('coach')}>Ask Otto

); } // ───────────────────────────────────────────────────────────── // 09 AI HEALTH COACH CHAT // ───────────────────────────────────────────────────────────── function ScreenCoach({ go }) { const initial = [ { role: 'otto', text: "Good morning, Michael. I read your latest labs. Want me to walk you through what changed?" }, { role: 'user', text: 'Why am I at risk for pre-diabetes specifically?' }, { role: 'otto', text: "Your A1c is 5.8% — that's the pre-diabetic range. Combined with your visceral fat (level 9), 7,400 daily steps, and the post-meal fatigue you mentioned Tuesday, it points to insulin resistance starting to develop. Your father's T2D adds genetic risk." }, { role: 'user', text: "What's the single biggest thing I can do?" }, { role: 'otto', text: "Walk 30 minutes after dinner most nights. Post-meal walks lower blood glucose 10–15% acutely and improve insulin sensitivity within two weeks. Want me to add this to your daily plan?" }, ]; const [messages, setMessages] = React.useState(initial); const [input, setInput] = React.useState(''); const [typing, setTyping] = React.useState(false); const scrollRef = React.useRef(); React.useEffect(() => { if (scrollRef.current) { scrollRef.current.scrollTop = scrollRef.current.scrollHeight; } }, [messages, typing]); const send = (text) => { if (!text.trim()) return; setMessages(m => [...m, { role: 'user', text }]); setInput(''); setTyping(true); setTimeout(() => { setTyping(false); setMessages(m => [...m, { role: 'otto', text: "Yes — I'll add a 30-minute post-dinner walk to your daily actions starting tonight. I'll also keep an eye on your evening glucose patterns.", }]); }, 1400); }; const suggested = ['Show my 6-month trends', 'What foods spike my blood sugar?', 'Should I start metformin?']; return (

Otto

Reads your labs, devices and history

{messages.map((m, i) => (

{m.text}

))} {typing && (

{[0,1,2].map(i => )}

)}

{/* Suggested */}

{suggested.map(s => ( ))}

{/* Input */}

setInput(e.target.value)} onKeyDown={e => e.key === 'Enter' && send(input)} placeholder="Ask Otto anything…" style={{ flex: 1, border: 'none', outline: 'none', background: 'transparent', fontFamily: OttoTokens.sans, fontSize: 16, color: OttoTokens.ink, }}/>

); } // ───────────────────────────────────────────────────────────── // 10 DAILY CHECK-IN // ───────────────────────────────────────────────────────────── function ScreenCheckin({ go }) { const [step, setStep] = React.useState(0); const [mood, setMood] = React.useState(null); const [tags, setTags] = React.useState([]); const symptoms = ['Tired', 'Mild headache', 'Some chest tightness', 'Joint stiffness', 'Sleep poorly', 'Dizziness', 'Felt fine']; const moods = [ { e: '😀', l: 'Good' }, { e: '🙂', l: 'Okay' }, { e: '😐', l: 'Neutral' }, { e: '😕', l: 'Low' }, { e: '😞', l: 'Bad' }, ]; const toggle = (s) => setTags(t => t.includes(s) ? t.filter(x => x !== s) : [...t, s]); if (step === 3) { return (

Check-in complete

Thank you,
Otto noted it.

What I heard

{tags.length ? tags.map(t => {t}) : Felt fine}

{tags.includes('Tired') || tags.includes('Mild headache') ? (

Fatigue + headache after lunch can relate to blood sugar fluctuations given your Pre-D status. I've flagged this for tomorrow's signal review.

) : null}

{ setStep(0); setMood(null); setTags([]); go('home'); }}>Back to Otto

); } return (

{/* Progress */}

{[0,1,2].map(i => (

))}

{step === 0 && (

1 of 3

Good morning, Michael.
How are you feeling?

{moods.map((m, i) => ( ))}

)} {step === 1 && (

2 of 3

Anything bothering you?
Tap all that apply.

{symptoms.map(s => { const on = tags.includes(s); return ( ); })}

)} {step === 2 && (

3 of 3

In the last 2 weeks,
have you felt down or hopeless?

{['Not at all', 'Several days', 'More than half the days', 'Nearly every day'].map(o => ( ))}

Otto uses a clinically-validated screen (PHQ-2). Answers stay private.

)}

{step > 0 && ( )}

setStep(step + 1)}> {step === 2 ? 'Finish check-in' : 'Continue'}

); } Object.assign(window, { ScreenPreventive, ScreenBook, ScreenLab, ScreenCoach, ScreenCheckin });