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Health care that keeps going between visits

Most care happens at home, in the months between clinic visits. cosys.work builds collaborative systems for that part: you, the family who help you, and your doctor, working on your care together. For chronic and comorbid conditions, starting with diabetes.

Peer-to-peer, private and sovereign. Built in Nepal.

One app for each condition

Specialised apps, coming soon. Starting with diabetes.

Each condition gets an app built for it, with the words, the readings and the plans that condition needs. They share one record on your phone, because many people live with more than one.

DiabetesIn closed pilot

The Diabetes App, the first of them. Photo logging, your doctor’s plan, and family who help.

Blood pressureComing soon

Readings, medicines and your doctor’s targets, over time.

MenopauseComing soon

Symptoms, cycles and treatments, noted in your own words.

ArthritisComing soon

Pain, stiffness, medicines and what helps, day by day.

And moreComing soon

Conditions rarely come alone. The apps share one record, so they work together.

Peer-to-peer

Your record moves directly between your phone and the people you choose: family who help, and later your clinic. No central server holds it.

Private

Photos are read and questions answered on your phone. Anything that travels is sealed so only the phones you chose can open it.

Sovereign

The record is yours. You decide who sees what, you can end any share, and you can take the whole of it with you as a file.

How it works, starting with diabetes

Snap, share, follow the plan

  1. 01

    Snap

    Photograph your glucometer or a lab report. The number is read on your phone, and you check it before it’s saved. This works in airplane mode.

  2. 02

    Share

    Choose family members who help you, and choose what each one sees. Before a visit, make a one-page summary of your last month as a PDF to show or send your doctor. When your clinic joins through the Clinic App, you’ll scan its QR code and the summary reaches your doctor directly.

  3. 03

    Follow

    Your targets, medicines and your doctor’s instructions sit on a plan card on your phone, with reminders for your medicines. Later, with the Clinic App, your clinic will be able to set the plan and send a checklist of next tests.

Why Nepal, why now

Your body changes every day. Visits come every few months.

22%

of adults over 30 had high blood sugar in the capital’s 2024–25 screening of 19,660 people.

Source: Kathmandu Post, Nov 2025

2–3 months

is how often most people with diabetes see a doctor. Sugar levels change every day.

1–2 hours

of intake for a 5–15 minute consultation, in the clinics we’ve spoken to.

What we have seen, not a formal study.

What makes it different

The Diabetes App, next to a typical diabetes app

  • Works with no signal

    Typical diabetes apps
    Partly, or not at all
    The Diabetes App
    Yes: logging, photos, your summary and reminders (the assistant too, on phones with about 6 GB of memory)
  • Where the AI runs

    Typical diabetes apps
    In the cloud
    The Diabetes App
    On your phone
  • Who holds your record

    Typical diabetes apps
    The app company’s servers
    The Diabetes App
    You, on your phone
  • Cost to patients

    Typical diabetes apps
    Free trial, then a subscription
    The Diabetes App
    Free forever, with optional services from others in the app
  • Share with family

    Typical diabetes apps
    The full numbers
    The Diabetes App
    Your choice for each person: the numbers, the range only, or alerts only
  • Your doctor’s targets

    Typical diabetes apps
    Typed in by you, or none
    The Diabetes App
    Your doctor’s, or published WHO and ADA values, always labelled with where they came from
Three products, one network

Built for both sides of the consulting room door

Our promises

What the app will always and never do

Your doctor decides; the app remembers

It never calculates or recommends insulin doses, and it never estimates carbohydrates or calories.

Your record belongs to you

Export it at any time as PDF or CSV, or as an encrypted backup only your passphrase opens. There is no cloud copy of your record.

Built for the hard case first

It runs on low-cost Android phones, on slow networks and in Nepali.

Built in Nepal

Patients: The Diabetes App is in closed pilot, so join the waitlist and we'll tell you when it is ready for you. Clinics: the Clinic App is in development, and a preview is available on request.