Monologue
Conversation
The patient
A number on a phone. No explanation, no plan.
Coaching tied to the meal that caused it, in their own thread.
The clinician
A fourteen-page report, and fifteen minutes to read it.
A one-page brief, with the draft plan ready to sign.
The feedback loop
The quarterly visit — reporting on a quarter already gone.
Daily. Before the next spike, not after the next quarter.
Between visits
Silence, or alert fatigue.
Only what matters, with the reason attached.
Who decides
Nobody. The sensor collects; the patient guesses.
The clinician. Every time.