Giorno

your daily health companion

🌟 This looks like a better day
You logged energy 4 or 5 — worth noting what might have helped. These records become valuable for spotting what supports you.
How are you right now?
crash / bedbound good day
Symptoms
Bowel health
Bristol stool type
Sleep last night
Hours slept
😴 8h
Time to fall asleep
Night wakings
On waking I felt
Unrefreshing sleep is a diagnostic criterion for ME/CFS — tracking this separately from sleep duration matters.
Hydration & vitals
Fluid intake today
💧 0 glasses
⌚ Wearable readings
Tags tap to add
💊 Medications
Tap a dose to mark it taken or skipped — saves automatically
Add or edit medications →
My medications
Add medication
Dose times
Or specific time:
Today's forecast
Log a few days to see your energy forecast
Autonomic Load Estimate
Derived from your symptom patterns · not a medical measurement
—
/ 100
Log a few days to see your estimate
Your autonomic load score will appear after 3+ days of logging
0 days logged
— avg energy
— med adherence
Symptom trends — 14 days
7-day energy trend
🌱
Insights will grow with your data
After a week of logging, Giorno will start noticing patterns — like which days tend to precede crashes, or how your symptoms cluster together.
Share Giorno
Help someone else who might need this
Recent logs
Tap any entry to edit or fill in a missed day
No entries yet. Start logging today.
Log a missed day
Fill in a day you couldn't log at the time
📅
Weekly summary
Log at least 3 days in a week to see your summary.
New entry
Tags
Journal entries
No entries yet.
Cycle settings
Tell Giorno how your cycle works so tracking makes sense for your body
My situation
Cycle log
No cycle data yet.
Connect a device
Choose how to get your biometric data into Giorno
Manual HRV / HR entry
Enter today's reading from any source — a chest strap, finger sensor, or another app
HRV (ms)
Resting HR (bpm)
Date
Imported readings
No wearable data yet. Import your first reading above.
Appointment summary
A natural language summary written as if you're explaining your condition to a new doctor
This generates a plain-English paragraph you can read aloud or hand over at the start of an appointment — designed for people who struggle to articulate how they've been feeling under pressure.
Over the last
Appointment type
Doctor appointment report
A printable summary of your recent health — formatted for medical consultations
This report summarises your symptoms, medication adherence, patterns, and key observations over your chosen date range. You can print it or save it as a PDF from your browser's print menu.
Date range
From
To
Your name (optional — appears on report)
Prepared for
Include in report
Raw data export
Download all your data for backup or analysis
📝 Appointment prep notes
Things you want to bring up at your next appointment
Saves automatically — use it as a running list between visits.
📋 Medication list
Printable summary to bring to appointments
Shows each medication, its dose, and how often you take it. Print it, save as a PDF, or email it to yourself.
✉️ Doctor letter generator
A properly formatted letter to send to a specialist or GP before an appointment
Generates a professional letter in clinical language — the kind that patients spend hours writing by hand. Copy it, paste into an email, or print and bring it with you.
Letter purpose
Cloud sync
Access your data on any device, backed up securely
Create a free account to sync your data across devices. Your logs are encrypted and stored securely — you can export or delete everything at any time.

Your data is never sold or used for advertising.
Supports Google, Apple, GitHub, and email
Privacy & data
Local-first: All data is stored on your device first. Cloud sync is optional and additive — disabling it doesn't delete your local data.

Encryption: Your health data is encrypted before it leaves your device and stored encrypted at rest.

No tracking: Giorno doesn't use analytics, advertising SDKs, or third-party trackers of any kind.

Deletion: You can delete your account and all associated data at any time from this screen.
Before a high-effort day
Use this before appointments, travel, social events, or anything demanding
After a high-effort day
Recovery checklist — run through this the day after something demanding
What is the Autonomic Load Estimate?
Giorno is not a medical device. The Autonomic Load Estimate is a personal pattern-awareness tool — not a clinical measurement, not a diagnostic instrument, and not a substitute for medical care. It should never be used to make medical decisions. It is described as an estimate throughout the app and always will be.
The estimate is built from your own logged symptoms using correlations identified in published research. Here's exactly what it's based on.
Sleep quality predicts next-day HRV
Multiple studies show that self-reported sleep quality correlates with objective heart rate variability measurements the following morning. Poor sleep reduces parasympathetic tone and increases sympathetic activity — both reflected in lower HRV. Giorno uses your logged sleep quality as the strongest single input to the estimate.
Tobaldini et al. (2017). Sleep, sleep deprivation and the autonomic nervous system. Best Practice & Research Clinical Endocrinology & Metabolism. PubMed ↗
Fatigue severity correlates with autonomic dysfunction
In ME/CFS and related populations, self-reported fatigue severity is consistently associated with reduced HRV and autonomic dysregulation. The COMPASS-31 — a validated clinical scale for autonomic dysfunction — includes fatigue and orthostatic domains that mirror the symptoms Giorno tracks.
Suarez et al. (2012). The autonomic symptom profile. Neurology. PubMed ↗
Post-exertional patterns reveal autonomic recovery
Research in ME/CFS shows that symptom severity 24–48 hours after exertion is a more reliable marker of autonomic recovery than same-day measurements. This is the basis for Giorno's boom-bust pattern detection — identifying when a high-energy day is followed by a crash.
Davenport et al. (2019). Chronotropic intolerance. Frontiers in Pediatrics. PubMed ↗
Orthostatic symptoms as ANS markers
Dizziness on standing, heart racing, and heat intolerance are direct symptoms of autonomic dysregulation — particularly in POTS and dysautonomia. Their severity on a given day is meaningful signal for the overall autonomic load estimate.
Freeman et al. (2011). Consensus statement on the definition of orthostatic hypotension. Clinical Autonomic Research. PubMed ↗
Known limitations
Giorno is transparent about what its estimates can and can't do:

It becomes more accurate over time. The estimate is personalised to your patterns — it's less reliable in the first week and improves with consistent logging.

Inconsistent logging reduces accuracy. If you log sporadically, the patterns are harder to detect reliably.

It's calibrated for autonomic conditions. If your primary symptoms aren't fatigue, sleep, or orthostatic in nature, the estimate may be less relevant to you.

Individual variation matters. The underlying correlations are based on population research. Your personal relationship between these symptoms and your ANS state may differ.
Activity heatmap
A year of your health at a glance — tap any cell to view that day
Less
More
MonWedFriSun
Data explorer
Ask questions about your data
Show me days where
Compare with
Select filters above to explore your data.
Share a summary
Generate a shareable snapshot — no raw health data included
Need support right now?
Living with a chronic illness is genuinely hard. If you're struggling — whether with your health, your mental wellbeing, or just having a difficult day — you're not alone. Here are some resources that may help.
🆘
In crisis right now
If you're having thoughts of suicide or self-harm, please reach out immediately.
📞 Call or text 988 (US Suicide & Crisis Lifeline) 💬 Text HOME to 741741 (Crisis Text Line) 🌍 International crisis resources (Befrienders)
🧠
Mental health & chronic illness
Chronic illness and mental health are deeply connected. These organisations understand that.
NAMI — National Alliance on Mental Illness HealthUnlocked — peer support communities
💙
Condition-specific communities
Peer support from people who understand what you're going through.
ME Action — ME/CFS advocacy & community Dysautonomia International — POTS & dysautonomia The Ehlers-Danlos Society TMS — The Mast Cell Disease Society r/ChronicIllness — peer community
📋
Preparing for appointments
Tools and guides for getting the most out of medical consultations.
Generate your Giorno doctor report → Bateman Horne Center — clinician guides for ME/CFS & POTS
A note from Giorno
"Giorno was built because tracking symptoms shouldn't feel like more work on top of already being unwell. If this app has been useful to you — even a little — that matters to us. And if there's a day when opening the app is too much, that's completely okay too. Your data will be here when you're ready."
Post-Exertional Malaise tracker
Log an activity and track how you feel 12, 24, and 48 hours later
PEM is a hallmark of ME/CFS — symptoms worsen 12–48 hours after exertion, not immediately. This tracker builds your personal evidence base for what your body can and can't handle.
What did you do?
Effort level
Duration
How do you feel right now (before)?
Follow-up reminders
Rate how you felt after each logged activity
No activities logged yet.
Activity history
No entries yet.
Plan my day
Check if your planned activities are within your safe range
Based on your energy history, Giorno estimates your typical daily energy budget. Add activities below and see whether your plan is likely to stay within it.
Estimated energy budget
0 of — units used
Add an activity
Energy cost
Add work to your plan
Select the type that best matches what work looks like for you today
Work costs are estimated at 8–12 units depending on how much physical and social demand it involves. Tap your type to add it directly to your plan.
Common activity costs
Reference guide based on ME/CFS research — tap any to add to your plan
Trigger experiments
Test whether something makes your symptoms better or worse
Set up a trigger to test. Log when you do and don't have it. After 10+ paired days, Giorno runs the comparison and tells you whether the data supports a connection.
What do you want to test?
Which symptom are you watching?
Hypothesis
Active experiments
No triggers set up yet.
Share with a caregiver
Give a partner, family member, or carer read-only access to your health summary
The caregiver view shows your recent energy trend, today's status, and key patterns — without exposing your full logs or any ability to edit your data. It updates automatically.
Your name (shown in the caregiver view)
Caregiver's name (optional — for your reference)
What to share
Anonymous benchmarking
See how your patterns compare to others with similar conditions
All data is anonymous and aggregated — no individual data is ever shared or visible. Opting in contributes to better pattern models for everyone with these conditions. You can opt out at any time.
Contribute anonymous data
Helps improve Giorno for everyone
What's shared: Anonymised symptom averages, condition tags, and aggregate patterns. Never: your account, name, exact logs, location, or any identifying information.
Display
Adjust how the app looks and reads
Background
Text size
Active symptoms
Toggle which symptoms appear in your daily log
Add custom symptom
Daily log reminder
A gentle nudge to log each day
Send daily reminder
Reminders only fire while Giorno is open in a browser tab on the same device — it doesn't need to be the active tab, just open somewhere.
Weather integration
Overlay barometric pressure and temperature with your symptoms
Many people with POTS, MCAS, and fibromyalgia notice correlations between weather changes — especially barometric pressure drops — and symptom flares.
Fetch daily weather automatically
📲 Add Giorno to your home screen
A shortcut — nothing gets downloaded or installed
Giorno lives in your browser — this just adds a shortcut to your phone's home screen so it opens full-screen, without the browser bars. Nothing is downloaded. It's the same site, just easier to reach.
About reminders: Medication and log reminders require Giorno to be open in a browser tab on the same device — it doesn't need to be the active tab, just open somewhere. They won't fire if the tab is closed, or if Giorno is only open on a different device.
🍎 iPhone / iPad (Safari)
1
Tap the Share button (the box with an arrow pointing up) in Safari's toolbar
2
Scroll down and tap "Add to Home Screen"
3
Tap "Add" in the top right corner
Must be done in Safari — it won't appear in Chrome on iPhone.
🤖 Android (Chrome)
1
Tap the three-dot menu (⋮) in the top right
2
Tap "Add to Home screen"
3
Tap "Add" to confirm
Send feedback
Something not working? An idea? We want to hear it.
About the creator
Hi, I'm Stephanie Barchiesi — a mental health therapist, and the person behind Giorno.

For as long as I can remember, I've felt like something in my body wasn't quite right. In 2022, while juggling graduate school for clinical counseling and a full-time job, things started to shift. My health noticeably declined — symptoms that once felt manageable became overwhelming, showing up more often and with greater intensity. I was constantly drained, like I could never fully recharge.

I'm still figuring out what's going on. I'm currently being evaluated for several conditions, including narcolepsy type 1, and came very close to meeting the diagnostic criteria across two sleep studies.

I built Giorno to help me pace myself and understand the patterns that affect me — because I've learned that knowing your patterns is part of living your life as fully as you can.

It's been helpful to me, so I wanted to share it with you. I hope it helps you manage your own conditions better, and that you're able to live your life to the fullest that you can.
☕ Support Giorno
Completely optional — Giorno will always be free
If Giorno has been useful to you and you'd like to say thank you, you're welcome to buy me a coffee. It genuinely helps me keep developing it.
No account needed · one-time · any amount
What's new in Giorno
Version 1.6
March 2026
▼
✂️ Customize and Settings split into separate tabs
⚙️ Settings now persist correctly across sessions
🔐 Full account sync — your data follows you when signed in
👤 About the creator card added to Settings
⌚ Wearable sleep data no longer overwrites manual entries
⏰ Reminder time selection now stays highlighted after reload
Version 1.5
March 2026
▼
📲 Progressive Web App — install to home screen
🗓️ Heatmap calendar — a year at a glance
🔍 Data explorer — ask questions about your data
💊 Medication intelligence — dose timing insights
📤 Shareable summary — privacy-safe snapshot
📵 Offline mode — works without internet
💙 Support & resources section
🎓 Interactive onboarding tutorial
Version 1.4
February 2026
▼
🔵 Web Bluetooth live HRV
⌚ Garmin & Fitbit auto-sync
📅 Weekly summary
📓 Symptom journal
🌸 Cycle tracker
✏️ Edit past entries
Privacy & legal
Your data stays on your device unless you choose to enable cloud sync. Giorno doesn't use analytics, advertising SDKs, or third-party trackers.

What we collect (if sync is on): Your encrypted symptom logs, medication list, and account email. Nothing else.

What we never do: Sell your data, use it for advertising, share it with third parties, or use it to train AI models without explicit opt-in consent.
About Giorno
Giorno is a personal health companion for people with complex, fluctuating health conditions.

Autonomic Load Estimate is a research-informed proxy derived from your symptom patterns — not a clinical measurement.

Giorno v1.6 · View the science → · Support resources →
Built with the help of Claude AI (Anthropic) and Replit Agent. AI was used to assist with code — all health information, design decisions, and product direction are the creator's own.