Enhance-d Is Turning Exercise Into a Diabetes Superpower
StartUp Health community member Sam Scott, PhD, CEO & Co-founder of Enhance-d, is building a coaching platform that helps people with Type 1 and Type 2 diabetes train smarter using CGM and wearable data. Based in Switzerland and a member of our T1D Moonshot Community since 2023, the Enhance-d team is rolling out their new app, starting clinical pilots with Dexcom in the UK, expanding in Europe and the US, and growing a global, athlete-friendly community for people living with Type 1 diabetes.
From Lab Bench to Finish Line
When you talk with StartUp Health community member Sam Scott, PhD, of Enhance-d, you hear a throughline that connects hospital labs, pro cycling, and everyday workouts in the park. Trained as an academic in the UK, Scott studied blood glucose management during exercise, led a clinical lab in Bern, and worked with an elite cycling team in which every athlete lived with Type 1 diabetes. “I was in this really unique and privileged situation,” he says, “working in a hospital, seeing what was happening from the lab to the clinic, and then working with pro athletes.”
Ten years ago, continuous glucose monitors were rare outside of research. Today, CGM access is surging, and consumer wearables have made training data routine. Yet the software layer that translates those streams into practical guidance around exercise has lagged. “While everybody is focused on the hardware,” Scott says, “there is a real opportunity to focus on the software to create value and personalized action. This is what we want to do.”
The Platform: Turning Data Into Coaching
For everyone out there who has struggled with exercise as part of their diabetes management, Enhance-d is a platform that will make it a lot easier to be active and leverage the positive impact of physical activity on glucose management.
Think of it as a training partner that understands both diabetes and fitness goals. The app integrates CGM data with wearables and lifestyle inputs, then uses AI agents to deliver personalized, actionable guidance before, during, and after exercise. The vision is crisp. “We want Enhance-d to be the number one diabetes coaching platform in terms of exercise,” Scott says. “Assisting everybody living with diabetes to reach their exercise goals.”
Building a Movement: The Enhance-d Club
Because performance is social, the team built community into the product from day one. Enhance-d is the title sponsor for the Enhance-d Club, which is a community-led Type 1 diabetes support group. With more than 300 active members, the community meets for activities such as runs and bike rides and supports one another online and in person.
“We are proud to sponsor the Enhance-d Club UK, and very quickly we opened a chapter in the Netherlands,” Scott says. “We have interest from the United States, Australia, and Romania.” Enhance-d sponsors the clubs while local volunteers lead programming, which keeps the model authentic and scalable without diluting quality.
Additionally, Enhance-d is collaborating with EXTOD.org and the University of Exeter to expand the educational reach of its community platform. Together, they are developing a new Groups & Clubs feature within the Enhance-d app that will allow users to connect around shared goals and access trusted, evidence-based guidance and educational materials, turning expert knowledge into practical support for everyday athletes.
Bringing Exercise Into the Clinic
The clinical side is advancing in parallel. Enhance-d has begun rolling out its clinician dashboard in the UK and Switzerland, providing a practical way to bring exercise into the standard diabetes care toolkit.
In partnership with Dexcom, Enhance-d is also conducting more structured clinical pilots in two NHS sites in England: these will provide important feedback, which will be incorporated into potential joint roll-outs to clinics in the UK and additional international markets.
Scott notes that for most clinicians, exercise remains the missing piece of the puzzle. “There aren’t many clinicians who really understand this or can provide meaningful support,” he says. “And if they can, it’s usually one-on-one – nothing that scales. That’s the gap we’re filling.”
Traction & Partnerships
Those early pilots are helping validate the next stage of growth.
Traction is coming from multiple directions. More than 3,000 users across 60-plus countries have joined the Enhance-d platform, showing steady month-over-month growth driven almost entirely by organic adoption. Early analyses show measurable impact: users increased their average exercise duration by 17% and improved time in target glucose range during exercise by 5%, with fewer hypo- and hyperglycemic events overall.
The Enhance-d team continues to publish, partner, and refine, supported by a strong group of advisors that includes leaders from Stanford University and Oxford Nanopore Technologies. The company is earning startup awards, including honors from Future of Health, AIT, USI, and Web Summit. Behind the scenes, the team is building what Scott calls “the world’s largest dataset on diabetes, exercise, and lifestyle,” fueling the AI-driven features that power the app.
Partnerships reflect Enhance-d’s unique position at the intersection of sports tech and med tech. The company is in active discussions with performance brands and device makers. “We are in advanced conversations with a global sports apparel company and the leading sports watch manufacturer: more to come very soon!” For diabetes associations, the platform’s social features open new ways to amplify campaigns and educational events. For health systems and clinics, the dashboard aims to make physical activity coaching visible, actionable, and scalable – a long-missing component of comprehensive diabetes care.
What’s Next
As noninvasive and over-the-counter sensors expand the CGM market, Enhance-d is preparing to launch its AI-powered Smart Training Assistant in early 2026. “We can really personalize the solution,” says Scott.
The assistant will act as an always-available conversational coach, capable of answering user questions, offering tailored workout suggestions, and helping adjust plans based on individual needs and context. It is designed to make personalized training accessible, scalable, and adaptive for people managing complex variables like glucose levels, insulin dosing, nutrition timing, and multiple types of exercise.
Enhance-d has been released as a non-medical device on the App Store and Google Play. Moving forward, the team plans to pursue medical device certification in parallel with the app’s evolving guidance features and upcoming clinical trials with partners.
To support this next phase of growth, Enhance-d is completing its pre-seed funding round, backed by commitments from StartUp Health and a Swiss foundation. The team is now seeking an additional venture partner to join the round and help accelerate expansion in Europe and the US – fueling its mission to make exercise a core part of diabetes management for millions.
Part of a Global Community
Enhance-d’s progress is intertwined with the StartUp Health community. The company has been part of our T1D Moonshot Community since 2023, connecting with fellow founders, advisors, and partners who care about exercise, cardiometabolic health, and food as medicine. That network helps open doors to clinical pilots, brand collaborations, and investor relationships, and it gives Enhance-d a forum to share what works with peers who are building at the frontier of health innovation. “If you are interested, do not be shy to get in touch,” Scott says. “We are very open to feedback and to partnerships.”
Connect with the Enhance-d team via email
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Published: Oct 24, 2025
Produced by Nicole Kinsey
