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nightscout-connect

Nightscout's methods for synchronizing with common diabetes cloud providers. This module provides a single entry point to Nightscout for similar modules and allows managing http library and injecting dependencies from a single point.

Roadmap

  • Nightscout
    • hello world
    • better gap finding
    • glucose
    • treatments, profiles, devicestatus
  • Dexcom
  • Glooko
    • fetch data
    • translate treatments and v2 CGM readings (experimental)
  • LibreLinkUp
  • Medtronic
    • hello world
    • glucose, stub devicestatus
    • treatments, profiles, devicestatus
  • Tidepool
  • Tandem
  • Diasend - obsolete

Lower priority

  • Better UI integration, diagnostics, test connection, fix errors, manage plugin...
  • Generate predictable pattern eg sine for test.
  • run in capture mode to generate up to date test fixtures
  • better sidecar support
  • better cli support (pipe to/from anywhere: * | nightscout-connect | * , file, fixtures, csv, json, web services...

Help wanted

  • more vendors
  • better design suggestions
  • testing, especially with real-world international accounts and version changes

Brief Doc

  • ENABLE=connect include the keyword connect in the ENABLE list.
  • Environment variable prefix CONNECT_:
    • CONNECT_SOURCE - The name for the source of one of the supported inputs. one of nightscout, dexcomshare, etc...

Testing

The package has a Node test suite covering connector contracts and fake-server Nightscout connectivity paths:

npm install
npm test

Current coverage includes Dexcom Share auth/session shapes, Nightscout source/output token flows, LibreLinkUp regional and timestamp behavior, and Glooko regional/device identity plus v2 CGM reading transforms.

How to use

For now there are two "output" devices available, internal Nightscout as a plugin, or external Nightscout as a sidecar from the commnandline. We will consider additional output targets.

From Nightscout

This is a Nightscout plugin. Enable the plugin by including the word connect in the ENABLE list. Select a data source by providing CONNECT_SOURCE. Make sure to provide the credentials needed by your data source. If they are missing, the plugin will produce a helpful error through Nightscout indicating which variables to set.

From command line

Running from the commandline for development purposes, as a sidecar, for example, use npm install and consider npm ln to place the nightscout-connect shell script in your path. Once in your path, it will offer --help for all subcommands.

When using the external Nightscout output, provide:

  • CONNECT_NIGHTSCOUT_ENDPOINT=<destination Nightscout URL>
  • CONNECT_API_SECRET=<destination Nightscout API secret>
$ nightscout-connect --help
nightscout-connect <cmd> [args]

Commands:
  nightscout-connect capture <dir> [hint]  Runs as a background server forever.
  nightscout-connect forever [hint]        Runs as a background server forever.
  nightscout-connect demo                  a quick demo using timers instead of
                                           I/O
  nightscout-connect completion            generate completion script

Options:
  --version  Show version number                                       [boolean]
  --help     Show help                                                 [boolean]

nightscout-connect will read the environment variables the same way as Nightscout extended variables using the prefix CONNECT_. Development use typically consists of commands like this:

../cgm-remote-monitor/node_modules/.bin/env-cmd -f ../minimed-envs/subject.env nightscout-connect capture logs

Where subject.env typically consists of something like this:

CONNECT_API_SECRET=626753d7f62f000078e8f6e2
CONNECT_NIGHTSCOUT_ENDPOINT=http://localhost:3030
CONNECT_SOURCE=minimedcarelink
CONNECT_CARELINK_USERNAME=your username
CONNECT_CARELINK_PASSWORD=your password
CONNECT_CARELINK_REGION=your region
CONNECT_COUNTRY_CODE=your country code

Input Data Sources

Nightscout

Work in progress

To sync from another Nightscout site, include CONNECT_SOURCE_ENDPOINT and CONNECT_SOURCE_API_SECRET.

  • CONNECT_SOURCE=nightscout
  • CONNECT_SOURCE_ENDPOINT=<URL>
  • CONNECT_SOURCE_API_SECRET=<OPTIONAL_API_SECRET>
  • CONNECT_SOURCE_COLLECTIONS=entries,treatments,devicestatus,profiles
  • CONNECT_SOURCE_MAX_COUNT=1000

The CONNECT_SOURCE_ENDPOINT must be a fully qualified URL and may contain a ?token=<subject> query string to specify an accessToken. The CONNECT_SOURCE_API_SECRET, if provided, will be used to create a token called nightscout-connect-reader. This information or the token provided in the query will be used to read information from Nightscout and is optional if the site is readable by default.

Select this driver by setting CONNECT_SOURCE equal to nightscout.

The Nightscout source copies entries, treatments, devicestatus, and profiles by default. Set CONNECT_SOURCE_COLLECTIONS to a comma-separated subset if you only want specific collections. Each collection uses its own cursor from the destination output's gap analysis.

Dexcom Share

To synchronize from Dexcom Share use the following variables.

  • CONNECT_SOURCE=dexcomshare
  • CONNECT_SHARE_ACCOUNT_NAME=
  • CONNECT_SHARE_PASSWORD=

Optional, CONNECT_SHARE_REGION and CONNECT_SHARE_SERVER do the same thing, only specify one.

  • CONNECT_SHARE_REGION= ous or us. us is the default if nothing is provided. Selecting us sets CONNECT_SHARE_SERVER to share2.dexcom.com. Selecting ous here sets CONNECT_SHARE_SERVER to shareous1.dexcom.com.
  • CONNECT_SHARE_SERVER= set the server domain to use.

Dexcom Share supports both older authentication responses that return a bare account ID and newer G7-era responses that return { accountId: "..." }. Authentication and non-HTTP failures are surfaced to the state machine rather than treated as empty data.

Glooko

Note: Experimental.

To synchronize from Glooko use the following variables.

  • CONNECT_SOURCE=glooko
  • CONNECT_GLOOKO_EMAIL=
  • CONNECT_GLOOKO_PASSWORD=
  • CONNECT_GLOOKO_TIMEZONE_OFFSET=0
  • CONNECT_GLOOKO_DEVICE_ID= optional stable device identity
  • CONNECT_GLOOKO_SERIAL_NUMBER= optional stable serial number
  • CONNECT_GLOOKO_WEB_ORIGIN= optional web origin override for regional/custom hosts
  • CONNECT_GLOOKO_AUTH_MODE=api optional auth mode: api, web, or auto
  • CONNECT_GLOOKO_USE_V3_GRAPH=true optional v3 graph CGM fallback when v2 returns no readings

By default, CONNECT_GLOOKO_SERVER is set to api.glooko.com because the default value for CONNECT_GLOOKO_ENV is default.

  • CONNECT_GLOOKO_ENV is the word default by default. Other values are eu, development, production, for api.glooko.work, and externalapi.glooko.com, respectively.
  • CONNECT_GLOOKO_SERVER the hostname server to use - api.glooko.com by default, eu.api.glooko.com for EU users, or a more specific regional host such as de-fr.api.glooko.com.
  • CONNECT_GLOOKO_TIMEZONE_OFFSET defines the time zone offset you are at from the UTC time zone, in hours

If both, CONNECT_GLOOKO_SERVER and CONNECT_GLOOKO_ENV are set, only CONNECT_GLOOKO_SERVER will be used.

Glooko uploads treatments and, when the v2 cgm/readings endpoint returns readings, CGM entries. Some EU accounts may require newer web-login or v3 graph flows. CONNECT_GLOOKO_AUTH_MODE=web uses Glooko's web sign-in form with CSRF token handling; auto tries API login first and falls back to web login on a 422 response. The optional v3 graph fallback fetches cgmHigh, cgmNormal, and cgmLow series when v2 CGM readings are empty, using the same authenticated session cookie.

Libre Link Up

To synchronize from Libre Link Up use the following variables.

  • CONNECT_SOURCE=linkup
  • CONNECT_LINK_UP_USERNAME=
  • CONNECT_LINK_UP_PASSWORD=

By default, CONNECT_LINK_UP_SERVER is set to api-eu.libreview.io because the default value for CONNECT_LINK_UP_REGION is EU. Other available values for CONNECT_LINK_UP_REGION:

  • US, EU, EU2, DE, FR, JP, AP, AU, AE, CA
  • CONNECT_LINK_UP_SERVER may be used to override the region mapping with an explicit LibreView API host.
  • CONNECT_LINK_UP_VERSION and CONNECT_LINK_UP_PRODUCT may be used when LibreLinkUp requires a newer client version or product identifier.

For folks connected to many patients, you can provide the patient ID by setting the CONNECT_LINK_UP_PATIENT_ID variable.

Optionally, you can override the default 5-minute refresh interval by providing CONNECT_LINK_UP_INTERVAL as an integer representing minutes.

LibreLinkUp uploads graph readings and the current glucose item to avoid the historical graph delay. Nightscout duplicate handling is relied on for overlap.

Minimed Carelink

To synchronize from Medtronic Minimed Carelink, set the following environment variables.

  • CONNECT_SOURCE=minimedcarelink
  • CONNECT_CARELINK_USERNAME
  • CONNECT_CARELINK_PASSWORD
  • CONNECT_CARELINK_REGION Either eu to set CONNECT_CARELINK_SERVER to carelink.minimed.eu or us to use carelink.minimed.com.

For folks using the new Many to Many feature, please provide the username of the patient to follow using CONNECT_CARELINK_PATIENT_USERNAME variable.

Tidepool

  • TODO

Tandem

  • TODO

History

Initially there was share2nightscout-bridge, then minimed-connect-to-nightscout. The request library was deprecated in February, 2020, and Nightscout needs to adapt by using currently maintained and supported dependencies. The initial goal is to help deprecate share2nightscout-bridge and use currently supported dependencies. Now there are more:

This module should be sufficient to replace share2nightscout-bridge as an initial minimum viable project. There are a few minor enhancements to help encourage migration away from share2nightscout-bridge:

  • Less latency: new glucose fetches will be tightly aligned to the previous glucose reading. In most cases, new glucose readings will be produced within 30 seconds.
  • Safe retries: There is an exponential backoff system to help prevent locking your account if the password changes. Each retry will take a much longer amount of time.
  • Safe community: There are now randomization behaviors to prevent tragedy of the commons from occurring. These features help spread the load to avoid accidentally overwhelming vendor servers.

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Single entry point for bridging cloud resources containing diabetes data to Nightscout.

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