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Nightscout Documentation

 * Supported Uploaders

CREATE YOUR NIGHTSCOUT

 * New Nightscout Users
 * Help me choose

CREATE YOUR DATABASE

 * Choose your database
 * MongoDB Atlas Database
 * Railway Database
 * Northflank Database

CREATE YOUR WEB APP

 * Choose your platform
 * Nightscout in Azure (Docker)
 * Nightscout in Northflank
 * Nightscout in Render
 * Nightscout in Railway
 * Nightscout in Heroku
 * Nightscout in Fly.io

SETUP NIGHTSCOUT

 * Setup your Profile
 * Setup Uploaders
 * Setup Downloaders - Followers
 * Nightscout on your Watch
 * Nightscout Configuration
 * xDrip+ for CareLink
 * Troubleshoot Dexcom Share

USE NIGHTSCOUT

 * Discover your Nightscout site
 * Create Reports
 * Nightscout Security and Privacy
 * Admin Tools
 * Closed loop systems
 * IFTTT Integration
 * Remote notifications
 * Troubleshooting Nightscout
 * Update Nightscout
 * Deploy another version
 * Downgrade Nightscout

ADVANCED DIY

 * Advanced Nightscout deployments
 * Building Nightscout in Ubuntu
 * Building Nightscout with Docker
 * Nightscout in your Synology NAS

VENDORS

 * Migration?
 * Multiple sites and support
 * Update GitHub
 * Redeploy with GitHub
 * Troubleshoot GitHub
 * Troubleshoot MongoDB Atlas
 * Troubleshoot Azure
 * Troubleshoot Northflank
 * Troubleshoot Railway
 * Troubleshoot Heroku
 * Heroku Eco plan
 * Heroku Basic plan
 * Heroku MFA
 * Update the Heroku stack
 * Troubleshoot Fly.io
 * Troubleshoot Render

CLINICIANS

 * Nightscout for clinicians
 * Setup the main view
 * Nightscout reports

TRANSLATE

 * Google Translate links

Nightscout Documentation
 * 
 * Welcome to Nightscout
 * View page source

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WELCOME TO NIGHTSCOUT





Health professional? You might not want to build a Nightscout site and just need
to find out how to get data from it, jump to the dedicated pages here.



INTRODUCTION

Nightscout (also known as CGM in the Cloud) is an open-source cloud application
used by people with diabetes and parents of kids with diabetes to visualize,
store and share the data from their Continuous Glucose Monitoring sensors in
real-time. Once setup, Nightscout acts as a central repository of blood glucose
and insulin dosing/treatment data for a single person, allowing you to view the
CGM graph and treatment data anywhere using just a web browser connected to the
internet.

There are several parts to this system. You need somewhere online to store,
process and visualize this data (a Nightscout Site), something to upload CGM
data to your Nightscout (an Uploader), and then optionally you can use other
devices to access or view this data (one - or more - Follower).


NIGHTSCOUT SITE

 * The Nightscout cloud application can be installed by yourself (Do It
   Yourself, in short: DIY) using hosting services from various cloud service
   providers.

 * You can also pay to use a fully-managed Nightscout hosting service and avoid
   having to personally build and maintain your site.


UPLOADER

The CGM data is usually sent to Nightscout by an uploader device such as a
mobile cellphone running an app like xDrip+, Spike, xDrip4iOS, Medtronic
Uploader and others. Alternatively, the CGM data can be pulled directly from
your online Dexcom account. The application you’ll need for uploading the data
depends on which CGM device you’re using and what type of mobile device you
have.


FOLLOWERS

In addition to viewing the data using a web browser, there are also applications
available for mobile devices, smartwatches, electronic devices and other
cloud-based services which allow you alternative ways to view and interact with
the information stored within your Nightscout site (often known as “Followers”).




DEVELOPMENT HISTORY

Nightscout was developed by people with Type 1 Diabetes and parents of kids with
T1D and has continued to be developed, maintained, and supported by volunteers,
clinical use, and commercial sponsorship. The web portal known as Nightscout is
made by the CGM Remote Monitor Contributors and the Nightscout community over
years.

When first implemented, Nightscout was a solution specifically for remote
monitoring of Dexcom G4 CGM data. Today, there are Nightscout solutions
available for nearly all commercial CGM sensors. The goal of the project is to
allow the remote monitoring, sharing and analysis of any T1D’s glucose levels
using existing monitoring devices.


WHAT ARE THE VALUES OF NIGHTSCOUT

We are compelled in the pursuit of humane and equitable application of
technology to liberating people from the burden of diabetes. We are not waiting
to deliver the benefits we’ve found in sharing all diabetes experiences.
Nightscout is free to contribute, free to access, free to criticize, free to
try, free to depend on, free to modify, and free to distribute. The Nightscout
community demands respect and dignity for all community members. The reputation
of the Nightscout community is affected by the quality of the source code, the
quality of our relationships, the quality of our discussions, what we are known
for doing: the way we treat each other. Users of Nightscout are impacted by
reliability, security and confidentiality of Nightscout. Therefore, the
developers and contributors of Nightscout strive to improve the quality of
Nightscout while making these opportunities accessible to all.

Nightscout’s longevity, the application, the ecosystem, and the culture demand
we use all tools at our disposable to achieve the values in a sustainable way.
We are not waiting to do whatever it takes to meet the needs of people affected
by the inhumane demands of diabetes. Our active collaboration against the burden
of diabetes creates the results we desire.


WHAT DO I NEED?

You will need:

 * A CGM sensor

 * A way to upload your data, to be stored in Nightscout (this is generally an
   internet-connected mobile phone with a matching uploader app)

 * Internet access

 * Basic computer skills and the ability to carefully follow the installation
   guides shown on this site
   
   *”Carefully” means that you will thoroughly read, follow and complete each
   step without skipping any and without giving up thinking that it is too
   difficult - it isn’t, you just need to be patient.*

IMPORTANT

Before using Nightscout, it is important to understand that this project:

 * is an open-source, community-based project and is not supported by any
   company

 * is not officially approved or regulated for diabetes therapy and/or treatment
   in any way

If you will be using DIY: You must understand that you take full responsibility
for building and running this system and you agree to do so at your own risk.

SAFETY

 * This project requires a working internet connection and availability of
   third-party cloud services

 * Do not rely only on Nightscout as the only way you have of knowing your blood
   glucose values and trends

 * Make sure you’re ready to cope with an unexpected failure and always have
   alternative ways to check your blood glucose levels


HOW MUCH DOES IT COST?

There’s no simple answer to this. You basically have two options:

 1. DIY: Use instructions on this website to create your own installation. You
    will need to maintain this installation yourself. There are cloud providers
    that offer the needed hosting services for free, so your monthly hosting
    cost can be free - $0 with this option. Historically vast majority of
    Nightscout users have opted for this choice. Of note, with this option you
    are the person responsible for ensuring the service is up when you need it.
    The community aims to support people who choose this option, but this is
    entirely driven by a voluteer effort and support might not be available when
    you need it.

 2. Use a service: You can use a hosting provider that does all of this work for
    you in exchange for a monthly fee. There are currently three options
    available for this (NS10BE, T1Pal, Nightscout.Pro, Serendipity Bio), all of
    which are from active Nightscout community members. If you’re a
    non-technical person, this is a great choice.

The Nightscout development community actively supports both of these choices.


BUILD YOUR OWN NIGHTSCOUT DIY SITE

Tip


Interested in building a Nightscout DIY site? You’ll find instructions ⇒ HERE ⇐.



Note: DIY users of Nightscout have been historically using platforms like
Digital Ocean, Microsoft Azure and then Salesforce Heroku to host their sites.
With time, more platforms were added.

If you have the time to author instructions for this purpose, new documentation
pull requests are extremely welcome as well as comments.


NIGHTSCOUT AS A SERVICE

If you want to save time and avoid the need to maintain a DIY solution, you have
three service providers of choice.


T1PAL

T1Pal directly supports the sustainability of the Nightscout Project. The
monthly subscription for T1Pal is $11.99 USD/month.

The T1Pal hosting service has been developed by Ben West, a member of the
original CGM in the Cloud team and an original lead core developer for the
Nightscout Project. Database and server administration is automated and managed
automatically as part of the service. Contact T1Pal support to request specific
features or versions.

If you need help with T1Pal, please file a support ticket by emailing support at
t1pal.com, or select “Get Support” from My Account.


NS10BE

ns.10BE.de was started in Nov 2017 and offers full managed Nightscout Services.
You can create Nightscout with a few clicks and won’t have to worry about
maintenance, updates, database space and CPU limits. A backup of your database
and settings is performed every 6-8 hours. You can import data from your old
Nightscout instance or MongoDB database, also upload data (Freestyle, Dexcom,
Omnipod, …) via CSV files. The servers are located in different fail-safe data
centers in Germany, Finland or France (can be selected) . They are monitored by
uptimerobot and own Slackbot. When a server goes down, it restarts itself and
sends a twitter message.

A Nightscout Instance at NS10BE costs €4.99/month, with discounts when
increasing subscription duration.

To see more about NS10 features and costs, take a look at the features page. The
registration is free.

Support: support at ns.10be.de or https://10be.de/en/contact.html or
https://twitter.com/10be_de or https://www.facebook.com/10be.de


NIGHTSCOUT PRO

Nightscout.Pro was founded in 2022 by Andy Low - A type 1 diabetic web developer
from Scotland, UK. Nightscout.Pro offer a completely ‘hands-off’ approach to
Nightscout hosting, meaning all you need to do is subscribe via the website, and
your Nightscout site will be created for you, with little to no configuration
needed. Your site will be set up in a ‘default’ configuration, which can be
modified by contacting support via Email, Facebook or Discord.

The site is translated into multiple languages, with more in line to be added
over time, and can accept payment in various local currencies.

Pricing per month

Currency

Price

GBP

£3

USD

$4

EUR

€4

PLN

18 zł

More information about the companies background and processes can be found on
the website at Welcome to Nightscout.Pro.


SERENDIPITY BIO

Serendipity provides instant deployment of Nightscout, literally.

Create your account and we’ll:

 * Launch your Nightscout server

 * Launch your Mongo database

 * Provide you a secure, shareable URL

Never worry about:

 * Database size

 * Reliabiity of your server

 * Upgrading versions

Serendipity Bio fully manages your Nightscout server and database.

Nightscout is configured for you automatically on start. Once launched you can
use our UI to change your settings to your liking!

Find support documents here or email us any time!

Concerned about reliability or sustainability? Serendipity Bio is built using
Amazon Web Services, which also hosts all your favorite websites like Netflix,
Apple, AirBnB, and ESPN.

Available globally, a monthly subscription is priced at $12.99 USD per month,
payable online via credit card.


WHO CAN HELP ME?

You will find many willing and open-hearted people in the Facebook groups.

The main group for all Nightscout support is the “CGM in the Cloud” Facebook
group.

There are also many local Nightscout communities and you’ll probably be able to
find one in your own country and language if this helps.

Technical Support

Unless you’re paying for a hosted Nightscout including support, this project is
“Do It Yourself” (DIY) and supported by volunteers. Whilst you will almost
certainly always will find someone ready to help you for free, building your own
Nightscout site doesn’t entitle you to any form of support from anybody.

The open-source diabetes movement is founded on the idea of paying it forward
and helping others to learn things that others took their time to help teach you
about.

Ask nicely, and nice people will always do nice things and help you.

Nightscout developers are busy people and we’d like them to concentrate on
maintaining and improving Nightscout, not only supporting users. (This means do
not send them private messages or friend requests just to help fix something
that is already clearly documented or for help that can be easily requested in
the CGM in the Cloud group)

Facebook Privacy

You’ll find a lot of useful and friendly diabetes-oriented groups on Facebook
and it’s probably the best place to find online support. Some people express
concerns about using Facebook: if you’re worried about your privacy just
remember Facebook will only share the information that you allow it to share.


HOW TO USE THESE DOCS

 * Use the navigation menu at the top on the left of the screen to find the
   section that you are looking for.

 * A Table of Contents for the current page is always displayed on the left side
   of the screen.

 * You can search the Nightscout Docs site by entering your search string (only
   English) below the Nightscout main logo top left.


HOW CAN I HELP?

You’ll find the source repository for this documentation here. Please don’t
hesitate to improve or correct anything you see and create a pull request!

You’re also welcome to contribute or report any error, unclear explanation,
typo, broken link etc. by going to GitHub and opening an issue.

Finally, to help on the development of Nightscout itself, feel free to join in
at our Discord Channel.












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