Your wearables are getting smarter

Remember when fitness trackers just counted steps? Today's AI-powered wearables are sophisticated health monitors that detect heart arrhythmias, predict diabetic events, and even identify early signs of respiratory infections. The integration of artificial intelligence (AI) and generative AI (genAI) has transformed these devices from simple data collectors into proactive health companions.

From data collection to intelligent analysis

Early wearables (remember Jawbone?) excelled at gathering data - heart rate, sleep patterns, activity levels - but left users to interpret this information themselves. The integration of AI has fundamentally changed this dynamic, enabling devices to not only collect data but also understand it in context.

Modern AI algorithms detect patterns that might escape human observation, compare individual data against vast population datasets, and generate personalized insights that drive meaningful health improvements.

Breakthrough applications

Significant advances have emerged in cardiovascular monitoring, where AI-powered wearables now detect atrial fibrillation (AFib) with accuracy approaching clinical standards. Smartwatches equipped with electrocardiogram (ECG) technology have shown high sensitivity (70-96%) and specificity (70-94%) for detecting AFib, depending on the device and algorithm used.

In diabetes management, AI algorithms are revolutionizing care through continuous glucose monitoring (CGM) systems. These devices, like Dexcom’s G7 CGM system, can predict glucose level trends 60 minutes in advance with over 90% accuracy, allowing users to prevent hypoglycemic events before they occur. The integration of meal recognition algorithms and activity patterns enables more precise insulin dosing recommendations.

The Whoop 4.0 wearable has proven valuable for early infection detection. Its AI system monitors respiratory rate, heart rate variability, and other metrics to identify subtle changes that may signal infection. A compelling example is when professional golfer Nick Watney's Whoop device detected elevated respiratory rates overnight. Though he felt no symptoms, this prompted him to get tested for COVID-19. His positive test result enabled early isolation, preventing potential transmission during a PGA Tour event.

GearJunkie

While not as popular as other wearable types, smart glasses are also incorporating AI to increase health and wellness tracking abilities. Solos Smart Glasses, when paired with the Solos AirGo app, enable users to track and monitor health metrics, including posture, to build healthy habits and achieve targeted fitness goals.

Personalized health coaching

The introduction of genAI has added a new dimension to health wearables through natural language interactions and predictive insights. Users now engage with conversational interfaces that explain health data clearly, receive personalized coaching that adapts to their preferences, and get context-aware reminders that feel like helpful suggestions rather than automated alerts.

GenAI excels at creating custom reports and interactive dashboards that clarify complex health relationships. This technology transforms raw data into compelling visual stories that help users understand their health metrics and lifestyle choices.

  • Remote monitoring: Biofourmis, a digital therapeutics company, uses genAI to analyze real-time physiological data from wearables, detecting behavioral anomalies and health deviations as they occur. Especially useful in remote or resource-poor settings where face-to-face visits with a healthcare professional may prove challenging.

  • Wellness support: The Apollo Neuro wearable device creates personalized vibrations called “Apollo Vibes” to help users manage stress, improve sleep, and enhance focus. Developed by neuroscientists and physicians, it stimulates the vagus nerve and balances the autonomic nervous system, which controls stress and relaxation responses. This mimics touch therapy's calming effects to promote relaxation.

Apollo Neuro

  • Chronic disease management: Livongo uses AI and genAI to manage chronic diseases through a platform that offers personalized guidance, health tracking, and real-time feedback for diabetes and hypertension. It also provides targeted recommendations when vital signs deviate from normal ranges.

  • Fitness coaching: Sensoria’s Smart Socks can help improve running form by measuring cadence, impact forces and foot landing. The Sensoria Run App then provides users with AI coaching and dashboard tracking.

  • Gamification: The CUDIS Ring, an AI-powered smart ring, monitors heart rate, sleep, stress, and activity while providing personalized coaching. Through blockchain integration, it transforms health tracking into an engaging game with users earning points for exercising, tracking sleep, and completing wellness challenges.

Cudis

Key challenges

If smart wearables are really going to support people on their healthy journeys, four critical areas require attention as this technology evolves:

  • Data overload and integration issues: Managing vast health data and ensuring compatibility with electronic health records (EHRs) is a challenge.

  • Privacy and security concerns: AI-based data collection raises concerns about patient data security and compliance(e.g., GDPR).

  • Bias in AI models: AI training datasets can introduce bias, leading to inaccurate health predictions for certain demographics.

  • Physician trust and explainability: AI models must be transparent and interpretable for healthcare professionals to trust their outputs.

🔮 Looking ahead

The integration of AI into health wearables represents more than just technological advancement - it's a fundamental shift in how we monitor and manage personal health. As these devices become more sophisticated, they're increasingly bridging the gap between consumer wellness and clinical care.

For healthcare providers and digital health startups, the challenge now is to harness this potential while ensuring accuracy, privacy, and accessibility. The goal isn't just to collect more data but to transform that data into actionable insights that improve health outcomes.

The question isn't whether AI will transform health wearables but how quickly and comprehensively this transformation will occur. Are we ready for a future where our devices not only track our health but actively participate in maintaining it?


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Alison Doughty

Hello! I'm Alison, and I translate tomorrow's healthcare breakthroughs into today's insights for forward-looking clinicians and healthcare business leaders.

For over two decades, I've operated at the intersection of science, healthcare, and communication, making complex innovations accessible and actionable.

As the author of the Healthy Innovations newsletter, I distil the most impactful advances across medicine, biotechnology, and digital health into clear, strategic insights. From AI-powered diagnostics to revolutionary gene therapies, I spotlight the innovations reshaping healthcare and explain what they mean for you, your business and the wider community.

https://alisondoughty.com
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