The AI scribe for diabetes dietitians

The diabetes dietetic record

Your carbohydrate and insulin advice, the nutrition diagnosis and the HbA1c-linked goals you set, Note Dr writes the full, watertight record, ready to approve.

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Trusted from private clinics to hospital dietetic teams

Bupa Until HCA Healthcare UK Nuffield Health Circle Health Group NHS
See it in action

From consultation to approved record

Note Dr listens to the appointment as it happens. While you take the dietary history, talk through carbohydrate counting and adjust the insulin ratios aloud, it writes the record in the background, so your attention stays on the patient and not on the keyboard.

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Built for scrutiny

Defensible by
default, every contact

  • Nutrition diagnosis on record

    The PASS-style nutrition diagnosis and the reasoning behind it, captured as you think it through aloud, not reconstructed after clinic.

  • Insulin-adjustment advice documented

    The carbohydrate-counting review and the insulin-ratio change you advised, with the self-adjustment limits and safety-netting recorded as you give them.

  • Goals and monitoring captured

    The HbA1c-linked, measurable goal and the review plan you set, the very elements audits show go missing most from the dietetic record.

Document the type 1 review plan

Plan, post-lunch hyperglycaemia

Measurable goal agreedTime in range toward 70%, HbA1c under 58
Insulin advice recordedLunch ratio adjusted 1:10 to 1:8
Consent and safety-netSelf-adjustment rules explained, agreed

As precise as your carb counting

A reviewed Note Dr record captures more of what a record needs to stand up to scrutiny, the ABCDE assessment, the nutrition diagnosis, measurable goals and monitoring, the parts of the dietetic record published audits show are documented least well.

  • Attention on the patient
  • Time back in your day

Audits and standards referenced: Lövestam et al (Nutrition & Dietetics, 2015), Clerc et al (Journal of Human Nutrition and Dietetics, 2024) and Tabacchi et al (Supportive Care in Cancer, 2024), with the HCPC standards of proficiency and the BDA Model and Process for Nutrition and Dietetic Practice (2021).

A note for
every contact type

    Patient memory

    Last contact's plan,
    before they sit down

    Ask what you assessed last time, the goals you set, the insulin advice you gave or what the patient consented to, answered in seconds from their own record.

    Walk into the review already knowing the story, without trawling the notes.

    Ask Note Dr, Emrys Pennington
    What goals did we set for Emrys, and what insulin advice did I give?
    NNote Drfrom this patient's record
    At the review on 9 June, you diagnosed post-lunch hyperglycaemia from an insufficient lunchtime ratio, with accurate carbohydrate counting on the CGM download. You set a goal of time in range toward 70% and HbA1c under 58, adjusted the lunchtime ratio from 1:10 to 1:8, and recorded consent for the self-adjustment rules.
    Drawn from 3 documents across 2 contacts
    Clinical references

    The standard,
    in clinic

    When a presentation calls for it, Note Dr surfaces the published guidance diabetes dietitians work to, from the BDA Model and Process and HCPC record-keeping standards to NICE diabetes and nutrition-support guidance and the DAFNE structured-education curriculum, with the source shown. It never tells you how to treat your patient; that judgement stays with you.

    app.notedr.com
    Appointment TranscriptEmrys PenningtonToday · 17:06
    06:18EmrysMy sugars spike after lunch even though I'm carb counting properly.
    06:31DietitianCarbohydrate estimates look accurate, so this is an insulin-ratio issue. Let's tighten the lunchtime ratio.
    NNote Dr

    Want me to surface any guidance for this? You could ask:

    Show me the BDA Model and Process for nutrition and dietetic practice
    What does NICE recommend on carbohydrate counting and structured education?
    Remind me of the NICE CG32 refeeding-syndrome risk criteria
    What are the HbA1c and time-in-range targets for type 1 diabetes?
    Find the evidence behind the DAFNE structured-education programme
    GuidelinesJournalsReferences

    Diabetes records,
    kept straight

    Why diabetes dietitians trust Note Dr with a record that stands up to scrutiny.

    ★★★★★

    My nutrition diagnosis is finally on record

    Priya S, diabetes specialist dietitian

    I always reasoned the diagnosis out loud, but the PASS statement rarely made the note. Now the reasoning behind it, accurate carb counting but an insulin-ratio problem, is right there. I edit and approve in under a minute.

    ★★★★★

    Insulin advice, captured exactly

    Callum R, advanced diabetes dietitian

    Every ratio change and the self-adjustment limits I give are now in the note, word for word. That advice was my biggest exposure, and it used to live only in my memory until I typed it up hours later.

    ★★★★★

    Goals and monitoring, never skipped

    Naomi A, paediatric diabetes dietitian

    Measurable, HbA1c-linked goals and the monitoring plan were always the first things to slip when clinic overran. Note Dr captures the target and the review plan every time, so my notes finally show what we set out to achieve.

    ★★★★★

    Structured education, documented cleanly

    Ffion M, diabetes education dietitian

    DAFNE days generate a lot to record, the curriculum, competencies and any hypos. Note Dr drafts it to our course template while I teach, so every participant's record reads the same and nothing gets missed in the rush.

    ★★★★★

    Calmest audit we've had

    Harriet V, clinical lead dietitian

    Contemporaneous records across the team, with the nutrition diagnosis, measurable goals and monitoring on every contact. Our last record-keeping audit against the BDA model was the smoothest we have run; the notes already told the whole story.

    Rated 4.7 out of 5 by dietitians from 69 reviews

    What's said in the surgery
    stays in the surgery.

    Every recording and record is protected by strong, independently assessed security and encryption.

    ISO 27001 Aligned Cyber Essentials GDPR Compliant ICO Registered NHS Compliant UKCA Medical Device HIPAA Compliant

    ★★★★★

    Across a full diabetes caseload, first appointments, reviews and structured-education sessions, every record now reads to the same standard, with the nutrition diagnosis, the insulin advice and the HbA1c-linked goals that used to vanish when I was busy. My notes finally match the work I actually do.

    Devan MDiabetes specialist dietitian

    Diabetes dietitian FAQs

    Do I need patient consent to use an AI scribe in a diabetes clinic?

    You need transparency rather than a signed consent form: tell the patient at the start of the appointment and respect their wishes if they object, which is the approach current UK guidance on ambient scribing describes for direct care. With Note Dr, transcription runs on-device, the disclosure sits in the draft, and nothing enters the dietetic record until you review and approve it.

    Can an AI scribe structure notes to the BDA Model and Process?

    Note Dr drafts the diabetes dietetic record to the structure UK dietitians work to: the ABCDE assessment, a PASS-style nutrition diagnosis, measurable goals and the monitoring plan, mapped to the stages of the BDA Model and Process and HCPC record-keeping expectations. Templates are yours to shape, so a review or a DAFNE note keeps its own layout. You review and approve every draft.

    Can it write the letter to the GP and diabetes team as well as the note?

    Yes. From the same consultation, Note Dr can draft both the structured dietetic record and the correspondence: the letter back to the GP, the update for the diabetes team or the discharge summary with goal outcomes and revised insulin ratios. Each document is drafted from what was actually said in the appointment, and you review and approve every one before anything is sent or filed.

    Can it record HbA1c-linked goals and the nutrition diagnosis?

    Yes. As you reason the nutrition diagnosis aloud and agree a measurable, HbA1c or time-in-range linked goal, Note Dr records the PASS-style diagnosis and the target in your note. The figures are always recoverable from the glucose download, but the reasoning that led you there and the goal you settled on with the patient are what fade once the next review begins.

    Does Note Dr document carbohydrate counting and insulin-adjustment advice?

    Yes. As you review carbohydrate-counting accuracy and advise an insulin-to-carbohydrate ratio or correction-factor change, Note Dr records it in your structured note, with the self-adjustment limits and safety-netting you give. This advice is captured the moment you give it, then you review and approve before saving.

    How does it document a DAFNE or DESMOND structured-education session?

    Build a course template once and Note Dr drafts each session to it: the curriculum covered, the participant's competencies, any hypoglycaemia and the follow-on plan. It captures structured education while you teach, so every record reads consistently across the programme. You review and approve each note.

    Will it work alongside my diabetes and dietetic software?

    Yes. Note Dr sits beside whatever clinical software you already run. You paste or export the finished note straight into your dietetic record, diabetes register or hospital system, with no integration project and nothing to replace. It is a scribe that drafts the record, not a replacement for your system.

    Records that keep up with your clinic

    Complete, watertight records for every contact on your list, first appointments, reviews and structured education, reviewed and approved by you. The nutrition diagnosis, insulin advice and HbA1c-linked goals, finally handled.

    Get Note Dr free

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