wellness-cgm-mcp: Instructions file for Codex

AGENTS.md

wellness-cgm-mcp AGENTS.md is an instructions file for Codex, OpenCode from davidmosiah/wellness-cgm-mcp. It costs 686 tokens per session, scanned A, original, MIT.

Project instructions for a local-first server that gives AI agents access to continuous glucose monitor data. Continuous glucose monitoring records blood-sugar readings over time.

In plain words
What is it for?
Use them when changing the MCP server, its Dexcom integration, glucose calculations, command-line tools, or glucose-data tools.
Why use it?
They explain the project’s source layout, mock data behavior, Dexcom connection, and OAuth sign-in flow so contributors can work safely in the codebase.

Instructions file for CodexOpenCode

Written for Codex and OpenCode: the file is AGENTS.md. Also seen: mentions AGENTS.md.

This is davidmosiah/wellness-cgm-mcp's own configuration. It tells Codex and OpenCode how to work on wellness-cgm-mcp itself, so it is not a mod to install elsewhere. Copy it as a starting point and replace the rules that are about this project. Everything wellness-cgm-mcp configures →

Reuse

Borrowing it

Nothing to install: this file belongs to davidmosiah/wellness-cgm-mcp. Take a copy, put it at the same path in your own repository, and replace the rules that are about this project with yours.

Copy the file
curl -O https://raw.githubusercontent.com/davidmosiah/wellness-cgm-mcp/main/AGENTS.md
Clone the repo
git clone --depth 1 https://github.com/davidmosiah/wellness-cgm-mcp

Made for: Codex, OpenCode.

Wrote this? Show the measurements

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Per session 686 This file is loaded in full into every session.
When invoked 686 The same file — it is already loaded in full.
Security scan A 0 findings. A grade says what 26 rules found in the file — not that it is safe.
Origin original No closer match found in the catalogue.
Token cost

What it costs to keep this loaded

Counted locally with the o200k_base tokenizer, which is exact for GPT models; Claude uses its own tokenizer and its counts differ. Treat this as one consistent yardstick across the catalogue rather than a bill. Prices are per million input tokens.

ModelPer sessionOnce invoked
Fable 5.1 $0.00686 $0.00686
Opus 5 $0.00343 $0.00343
Sonnet 5 $0.00137 $0.00137
Haiku 4.5 $0.00069 $0.00069

Measured 8d ago against content hash 7e47ab76ebf5, method: parsed. Prices are Anthropic first-party input rates as of 2026-09-08, from the pricing page.

Security

Grade A, and why

wellness-cgm-mcp AGENTS.md scanned grade A with 0 findings against 26 rules in 11 categories — prompt injection, anti-refusal, data exfiltration, privilege escalation, supply chain, agent snooping, system-prompt leakage, SSRF and excessive agency — measured 8d ago.

A static scan of the body, not an audit. Every finding is printed with the line that produced it so you can judge whether it matters here. A mod is markdown that instructs an agent; that is exactly why what it instructs is worth reading.

Nothing flagged

None of the 26 patterns this scan looks for appear in this file: no shell pipes, no recursive deletes, no credential paths, no hidden text, no instruction-override or anti-refusal phrasing, no agent-config snooping. That is not a guarantee, it is the absence of the things that are checkable.

AGENTS.md · 58 lines

How it starts

The opening of the file, as written. The whole thing — 58 lines — stays where its author put it; the contents beside it link to each section on GitHub.

AGENTS.md — wellness-cgm-mcp

What this is

A local-first MCP server that exposes continuous-glucose-monitor data to AI agents. v0.1 ships full Dexcom Developer API support (sandbox + production). FreeStyle Libre via LibreLink Up is roadmapped for v0.2.

Source layout

  • src/index.ts — MCP entry. stdio + Streamable HTTP.
  • src/constants.ts — Versions, Dexcom URLs, TIR thresholds.
  • src/services/dexcom-client.ts — Dexcom OAuth flow + EGV fetch.
  • src/services/glucose-engine.ts — Pure-function math: TIR, GMI, CV, meal response, mock readings generator.
  • src/services/{capabilities,privacy-audit,agent-manifest}.ts — Standard manifest surfaces.
  • src/tools/cgm-tools.ts — 10 MCP tools.
  • src/cli/commands.tsdoctor, setup, status, authorize, exchange.

Mock mode

Without DEXCOM_ACCESS_TOKEN, all glucose tools return synthetic 5-minute-interval readings tagged with mock: true. The synthetic series simulates a baseline of 95 mg/dL with breakfast and lunch spikes so the math (TIR, GMI, meal response) returns plausible values. This lets agents demo the full tool surface without setup.

OAuth flow (v0.1)

  1. User signs up at developer.dexcom.com and creates a project (sandbox is free).
  2. User sets DEXCOM_CLIENT_ID, DEXCOM_CLIENT_SECRET, DEXCOM_REDIRECT_URI.
  3. wellness-cgm authorize prints the OAuth URL.
  4. User opens it, grants access, copies the auth code from the redirect URL.
  5. wellness-cgm exchange <auth_code> swaps the code for access_token + refresh_token.
  6. User sets DEXCOM_ACCESS_TOKEN. The MCP flips from mock → live mode automatically.

Refresh-token rotation lands in v0.2.

Time-in-range

We surface TWO TIR profiles in every summary:

  • Diabetic (70-180 mg/dL) — ADA standard for adults with diabetes.
  • Metabolic health (70-140 mg/dL) — Levels-style for non-DM users.

Agents should surface BOTH so the user picks the one that fits their context.

GMI formula

Bergenstal 2018: GMI(%) = 3.31 + 0.02392 × mean(mg/dL). We surface this as an estimated A1C — clearly labelled as an estimate, not a lab measurement.

Read the full file on GitHub · 58 lines

Changes

What this file has done since we first saw it

Hashed on every crawl. A supply-chain change to an agent config is a question of when, not whether, so the history is kept rather than the latest state alone.

  1. 8d ago First seen · 58 lines · 686 tokens per session scan A 7e47ab76ebf5

Subscribe to this mod's changes

wellness-cgm-mcp AGENTS.md is an instructions file published in the GitHub repository davidmosiah/wellness-cgm-mcp (1 stars, last pushed 10d ago), licensed MIT. It adds 686 tokens to every session, about $0.0034 per session on Opus 5. A static security scan graded it A with 0 findings. No closer match exists in the catalogue, so it is treated as the original; first seen 2026-08-31.

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