Dexcom G7 VUI (NDA)*limited details

Dexcom G7 VUI (NDA)*
limited details

Dexcom G7 VUI (NDA)*limited details

This project proposed ways to utilize Siri VUI in the Dexcom G7 app to improve diabetes management in visually impaired and abled users.

2 feature concepts — new Siri commands and UI focused on discoverability — were presented to Dexcom UX and stakeholders. As of 2025, our VUI command has been added to the G7 app!

Dexcom: medical device provider of CGMs
Continuous Glucose Monitors (CGMs): a wearable device that tracks glucose levels 24/7 to manage diabetes
Dexcom: medical device provider of CGMs
Continuous Glucose Monitors (CGMs): a wearable device that tracks glucose levels 24/7 to manage diabetes

Overview

5-Person Team

7-Weeks (2023)

Overview

5-Person Team

7-Weeks (2023)

Overview

5-Person Team

7-Weeks (2023)

Clients

Dexcom

UCSD Design Lab

Clients

Dexcom

UCSD Design Lab

Clients

Dexcom

UCSD Design Lab

Role

Project Lead & Communicator

UX Researcher

UX Designer

Role

Project Lead & Communicator

UX Researcher

UX Designer

Role

Project Lead & Communicator

UX Researcher

UX Designer

Tools

Siri

Figma

Otter.ai

Tools

Siri

Figma

Otter.ai

Tools

Siri

Figma

Otter.ai

Problem Statement

"How can Siri VUI improve accessibility in Dexcom's new G7 app?"

A group of low-vision and visually abled users was provided to us!

I was tasked with guiding the team towards a tangible solution.

None of us knew anything about voice interactions and working with a visually impaired focus group … especially me!

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Where do we begin?

Research & Users

I analyzed secondary research to understand VUI interactions, potential challenges, and etiquette for a low-vision focus group.

I learned of best practices, strengths, and gaps through literary research and compiling a competitive analysis of 4 CGM competitors in the market.
Literary Research
Literary Research
Competitive Analysis
Competitive Analysis

Then, I used auto-ethnography to personally experience VUI scenarios and prompting structures in daily life.

"Hey Siri, remind me of my 8PM medication!"

Lastly, I conducted 3 (of the 7) user interviews to discover the pains and gains of current VUI app features.

Via Zoom, I delved into how Dexcom G6 users integrated its limited VUI into their daily routines. Then, the only command was to read blood glucose levels out loud!
Auto- Ethnography
Auto- Ethnography
5 Visually Impaired Participants
5 Visually Impaired Participants
2 Visually Abled Participants
2 Visually Abled Participants
User Demographics
User Demographics
Literary Research
Literary Research
Competitive Analysis
Competitive Analysis
Auto- Ethnography
Auto- Ethnography
5 Visually Impaired Participants
5 Visually Impaired Participants
2 Visually Abled Participants
2 Visually Abled Participants
User Demographics
User Demographics

Insights

I used an affinity diagram to code our data, which we parsed using Otter.ai transcriptions, into 6 key insights that encapsulated experiences with diabetes.

Different needs emerged, so we journey-mapped a "Day in the Life Of" 2 users: one for the visually impaired and one for the visually abled.

Similar to a user persona with pains and gains, a map identified when and where we could implement or enhance VUI usage.
Affinity Map
Affinity Map

Different needs emerged, so we journey-mapped a "Day in the Life Of" 2 users: one for the visually impaired and one for the visually abled.

Journey Map
Journey Map
Affinity Map
Affinity Map
Journey Map
Journey Map

Ideation & Prioritization

Insights to ideas! After brainstorming, I mapped potential VUI commands and sketched app features by use case.

"What will help users during X part of their routine?—How would it show up for visually-abled users?"

The team shared many concepts, but due to time constraints, 2 app features were prioritized using a matrix evaluating technical feasibility and user impact.

Faced with a 3-week deadline reduction, I prioritized cross-communication as a team with mentors for visibility, ensuring they validated all decisions before the next phase.
Crazy 8's (rapid ideation)
Crazy 8's (ideate)
Sketches
Sketches
Feasibility Matrix
Feasibility Matrix

Prototypes 1: Core Flows

#1: Siri Prompts for Elasticity

I mapped 1 (of the 2) flows for the VUI command in a flowchart detailing all potential voice options a user could say—error handling and all!

The G6 could only verbalize one number out loud, so the lack of complex data reading was a big pain. Our goal was to convey more complicated graphical information that would benefit all users with in-depth information.

#2: UI Flow for Discoverability

On a time crunch, I aided a high-fi design in Figma, offering onboarding sequences, increased settings options, and user customization capabilities for future VUI prompts.

Users struggled with the discoverability of existing in-app features. Our goal was to improve wayfinding and, once users found it, offer personalization!
Siri Prompt Flows
Siri Prompt Flows
We kept screen-reading in our minds when designing.
Hi-Fi App Flow
Hi-Fi App Flow
Siri Prompt Flows
Siri Prompt Flows
We kept screen-reading in our minds
Hi-Fi App Flow
Hi-Fi App Flow

Testing & Findings

I led 2 (of the 4) usability tests over Zoom, using a "Wizard of Oz" method to simulate command-&-response flows.

Wizard of Oz: simulates a functional interface by having a hidden human manually generate responses.

Objectives were to evaluate the learnability of new features, identify friction, and gather targeted feedback on key UI and design decisions.

Wizard of Oz Testing Example
Wizard of Oz Testing Example
Wizard of Oz Testing Example
Wizard of Oz Testing Example

Prototypes 2: Refining

4 key insights led to iterative design changes, evolving both prototypes with more varied information delivery across different use cases.

What would short Siri responses say ? Long? What about UI display for hands-on detection? Hands off?

AKA … more detail team! To haste!!!

We had fully fleshed out VUI commands and a high-fidelity prototype of app features!

Snippet
Snippet
Snippet
Snippet

Dexcom Presentation

Sprint complete, I led our final presentation to Dexcom's UX team and stakeholders, showcasing our research and 2 innovative G7 features.

The enthusiastic feedback and congratulations highlighted our impactful work within such a short time!

"I'm so excited about [Feature 1] because I'm working on [VUI] … this will be so meaningful and important as we start implementation!" — Lead UXD on G7 App
"7 weeks, you've covered a lot of ground. [Features] are very promising … in terms of Android and iOS, but with receivers as well. This is definitely going to be valuable across platforms." — UX Director

Impact

As of February 2025, the Dexcom G7 app has implemented a Siri command to read glucose trends. This feature directly addresses the pain point we identified regarding the lack of complex data reading, especially with visual information. By providing audio descriptions like "slowly rising" or "rapidly falling," the update benefits all users, particularly those with low vision, and demonstrates the impact of our team's VUI recommendations ❤️.

© 2025 Goldie Chu

© 2025 Goldie Chu

© 2025 Goldie Chu