LifeLeaf launches on Kickstarter at the end of October — join the waitlist

For clinicians

Cardio‑metabolic context between visits.

Blood sugar patterns and blood pressure from one optical sensor at the wrist, day and night. No needle, no patch, no cuff.

What your patient’s app shows, how it performed against reference devices, how it measures, and how to work with us.

4reference-device studies
7clinical sites
70,000+paired readings
0fingersticks to enter
LifeLeaf watch in front of the LifeLeaf app on a phone.

What your patient brings you

Patterns you can read in a minute.

Glucose appears as patterns, ranges and medians — never as point readings. Blood pressure appears as readings. Patients can share a date range with you, or bring a PDF log to the appointment.

LifeLeaf app: 14-day ambulatory glucose profile with percentile bands, median glucose and time in range.
Glucose profileAGP-style 14-day pattern, median and time in range.
LifeLeaf app: ambulatory cardiovascular profile with systolic and diastolic percentile bands and daytime and night-time averages.
Blood pressure24-hour profile, with daytime and night-time averages.
LifeLeaf app: share-data screen where the patient chooses contacts, including their physicians, to receive a date range.
Shared with youThe patient picks the range and the people.

Post-prandial excursions

Which meals move glucose, and for how long.

What you seeSize and duration of post-meal excursions, and how quickly glucose returns toward baseline.

Between visitsDietary conversations based on the patient’s own days, not recall.

Non-nutritive elevation

Rises with no meal behind them.

What you seeGlucose elevation with no logged food; the app treats stress as one possible driver.

Between visitsSeparates dietary patterns from everything else.

Nocturnal blood pressure

Night-time pressure, and whether it dips.

What you seeCuffless readings through sleep, within a 24-hour ambulatory profile.

Between visitsNight-time pressure is hard to capture outside an ambulatory study. Here it arrives with the patient.

Metabolic recovery

Back to baseline by morning?

What you seeA daily score for the overnight return to glucose baseline.

Between visitsLinks evening habits to the next morning’s starting point.

Cardio-metabolic balance

Does pressure ride along with glucose?

What you seeWhether blood pressure rises during glucose excursions — same sensor, same moment.

Between visitsBoth signals on one timeline.

Our newest and least-studied score: a pattern, with no claim of cause and effect.

HRV · respiration · SpO₂

The rest of the picture.

What you seeHeart rate, rhythm, heart-rate variability, respiration rate and oxygen saturation, plus glycemic-variability trends.

Between visitsContext for sleep, recovery and stress.

The app adapts to where your patient is
LongevityWeight managementOn GLP‑1 therapyPregnancy

Coaching is behavioural by design — a walk after meals, slow breathing, an earlier dinner — and never gives medication advice. For patients on GLP‑1 therapy it focuses on hydration, GI tolerability and fueling.

Accuracy at a glance

Tested against four references.

A continuous glucose monitor, a fingerstick meter, a validated cuff and an intra-arterial line. The headline figure from each study is below; populations, sites and methods are on the evidence page.

vs reference CGM
prospective, longitudinal

8.5%

MARD · glucose

83.4% of readings within ±15% of reference; 1.5% more than 40% away.

N = 66 · 10,905 paired readings
Bailey et al., ATTD 2023

vs fingerstick meter
hospital setting

10.8%

MARD · glucose

A diverse population across 12 countries, in a study designed to test performance across skin tones.

N = 248 · 1,713 readings
Bailey et al., ADA 2025

vs validated cuff
outpatient clinics

−0.02 / 0.03

Mean bias, mmHg · sys / dia

SD 12.5 systolic, 8.4 diastolic. Adults aged 18–85.

N = 293 · 1,029 readings
Almahmeed et al., ESH 2023 · J Hypertension 41(S3), E111–112

vs intra-arterial line
Mayo Clinic

0.96 / 0.95

Correlation R · sys / dia

During heart-rhythm procedures, including patients in AF, SVT and VT. Correlation degrades above 140/90 mmHg.

N = 87 (60 training / 27 validation)
Sosin et al., Mayo Clinic · AHA 2025, scientific poster

Three of the four were published as journal-supplement abstracts and one as a scientific poster. We are pursuing independent validation and will publish it.

How to read these figures

MARD (mean absolute relative difference) is the average percentage gap between LifeLeaf and the reference — lower is closer. Mean bias is the average signed difference in mmHg, and the SD is the spread around it. R is the correlation coefficient against the arterial reading.

Read together: how close the estimates sit, and how consistently they stay there.

How it measures

One sensor, three stages.

Reflectance photoplethysmography at several wavelengths, cleaned on the device, and interpreted by models trained on reference vitals collected with informed consent in clinical studies.

1 · SENSOR2 · SIGNAL3 · MODELMulti-wavelength LEDs → photodiode → analog front endMotion sensors flag movement; a skin-contact checkconfirms the watch is on the wrist before a reading counts.skinvesselraw lightFilter noisemotion · ambient light · sweat · temperatureCheck signal qualitya thin stretch is flagged, not scoredAdjust for demographics and skin toneusing the profile set once at account setupProcessed on the watcha clean signal is handed to the modelsProfile: age · sex · height · weight · skin typeclean signalGLUCOSENear-infrared absorptionat several wavelengths→ patterns, ranges, mediansBLOOD PRESSUREReflected-wave transit timebetween wavelength channels→ systolic / diastolicModels trained on reference vitals, PPGand demographic data collected withinformed consent in clinical studies.1 · SENSORMulti-wavelength light in, reflected light outLEDs · photodiode · motion and skin-contact checks2 · SIGNALFilter noise — motion, light, sweat, temperatureCheck quality — thin signal flaggedAdjust for demographics and skin tone3 · MODELGLUCOSENear-infraredabsorption→ patterns, rangesBLOOD PRESSUREReflected-wavetransit time→ sys / diaModels trained on reference vitals, PPG and demographicdata collected with informed consent in clinical studies.

Sensor.Multi-wavelength LEDs and a photodiode read light reflected from the tissue. Motion sensors and a skin-contact check tell the pipeline when to trust it.

Signal.Noise is filtered, quality is checked, and the signal is adjusted for demographic features and skin tone before any model sees it.

Model.Each estimate uses the optical signal plus the profile set at account setup. No calibration required, and no fingersticks to enter.

Glucose: near-infrared

LifeLeaf reads glucose with short-wave near-infrared absorption spectroscopy at several wavelengths: more glucose in the tissue, more of that light absorbed. A model trained on reference glucose data turns the absorption signal into an estimate, which the app presents as patterns, ranges and medians — including an AGP-style profile and time in range — rather than point readings.

Blood pressure: RWTT

Each wavelength sees the pulse wave arrive at a slightly different time. That timing shift (Δt) tracks arterial stiffness and pressure; reflected-wave transit-time analysis turns it into systolic and diastolic estimates without a cuff.

Δtλ1λ2
When the signal is thin

When signal quality is low, the app shows a shorter band and a plain note instead of a number. A gap is a gap, not a guess.

Ten years of work · 11 granted patents, 5 pending, 4 in progress. The full science →

Scope

What it is for, precisely.

Knowing where a tool performs well is what makes it useful.

Intended use

A general wellness device under FDA general-wellness guidance. It is not FDA-cleared; we are pursuing regulatory clearances in parallel.

Glucose as patterns

Trends, ranges, medians and time in range — never point-in-time mg/dL values. It works alongside your usual testing, not instead of it.

Blood-pressure range

In the arterial-line study, correlation degrades above 140/90 mmHg. At higher pressures, read the LifeLeaf trend next to a cuff.

Signal confidence

When the signal is thin, the app says so — a shorter band and a plain note in place of an estimate.

Newest score

Cardio-metabolic balance is the least-studied thing LifeLeaf shows. It is a pattern, with no claim of cause and effect.

Across skin tones

Skin tone is part of the signal pipeline, and the fingerstick study enrolled 248 people in 12 countries specifically to test it.

Questions clinicians ask

Is LifeLeaf FDA-cleared?
No. LifeLeaf is a general wellness device under FDA general-wellness guidance, and we are pursuing regulatory clearances in parallel. Our Chief Regulatory Advisor, Alberto Gutierrez, PhD, formerly directed the FDA’s Office of In Vitro Diagnostics and Radiological Health at CDRH.
Does it show glucose values?
Not as point readings. The app shows glucose as patterns, ranges and medians: an AGP-style profile, median glucose over the period, time in range as a percentage, and post-meal excursions. Blood pressure is shown as readings.
How does it compare with a CGM?
Against a reference CGM in a prospective, longitudinal study, LifeLeaf showed a MARD of 8.5%, with 83.4% of readings within ±15% (N = 66, 10,905 paired readings; Bailey et al., ATTD 2023). It reads from the wrist with no needle, no patch and no consumables, and it presents patterns rather than point readings — best read as trend context alongside your usual testing.
Does it need calibration?
No calibration is required and there are no fingersticks to enter. Each estimate uses the optical signal plus the profile the patient enters once at setup: age, sex, height, weight and skin type.
Can my patients share their data with me?
Yes. Patients choose a date range and the people to share it with, or export a PDF log to bring to an appointment.
How does it perform across skin tones?
The signal is adjusted for demographic features and skin tone before any model runs. The fingerstick-comparison study was designed to test this: 248 participants across 12 countries, overall MARD 10.8% (Bailey et al., ADA 2025). Full study details are on the evidence page.

Investigators and advisors

The people behind the data.

Investigators at Mayo Clinic, Cleveland Clinic Abu Dhabi and AMCR Institute, working with LifePlus’s clinical, science and regulatory leads.

The results presented at ADA this year show that LifeLeaf has the potential to provide accurate data, without invasiveness or complexity. This kind of non-invasive monitoring is uniquely poised to improve patient adherence and enable earlier detection — two critical factors in managing chronic conditions.
Timothy Bailey, MD
Timothy Bailey, MD, FACE, CPIEndocrinology · Founder, AMCR InstituteOn the ADA 2025 results
LifeLeaf delivers clinically validated performance without the usual barriers of needles, cuffs, or cost. By making blood pressure and glucose monitoring effortless and non-invasive, it drives better patient adherence…
Sam Asirvatham, MD
Sam Asirvatham, MD, FACCProfessor of Medicine, Cardiovascular Medicine, Mayo Clinic
Timothy Bailey, MDTimothy Bailey, MD, FACE, CPIEndocrinology · Founder, AMCR InstituteLead author · glucose studies
Sam Asirvatham, MDSam Asirvatham, MD, FACCProfessor of Medicine, Cardiovascular Medicine, Mayo ClinicInvestigator · arterial-line study
Wael Al Mahmeed, MDWael Al Mahmeed, MDCardiology · Heart & Vascular Institute, Cleveland Clinic Abu DhabiLead author · cuff study
Jerome S. Fischer, MDJerome S. Fischer, MDEndocrinologyCo-author · glucose studies

LifePlus clinical, science and regulatory

Indranil Sen-Gupta, MDIndranil Sen-Gupta, MDChief Medical Officer · Clinical faculty, Neurology, UC IrvineCo-author · validation studies
Nilanjan Banerjee, PhDNilanjan Banerjee, PhDChief Scientific Officer · Professor of Computer Science, University of MarylandCo-author · validation studies
Alberto Gutierrez, PhDAlberto Gutierrez, PhDChief Regulatory Advisor · formerly Director, Office of In Vitro Diagnostics and Radiological Health, CDRH, FDARegulatory
A patient in a clinical study having a reference reading taken while wearing LifeLeaf.

Where the studies ran

  • Mayo Clinic
  • Cleveland Clinic Abu Dhabi
  • AMCR Institute
  • PGI Chandigarh
  • Hospital Seberang Jaya, Malaysia
  • Saudi German Hospital, Dubai
  • Helios Heart Clinic, Germany

70,000+ paired readings across seven clinical sites.

Leadership and advisory board →

Work with us

Let’s talk about your patients.

Research, a patient pilot, an advisory role, or information to share with patients. Tell us which, and our clinical team will follow up.

  • Research. Study design and data collaboration.
  • Pilots. LifeLeaf with a defined group of your patients.
  • Advisory. Shape the clinical roadmap as the product moves toward clearance.
I’m interested in
Thank you.Our clinical team will be in touch at the email you gave.

See how your efforts are paying off, every day.

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