Trajectory-grounded orientation for today's appointment.
Fasting labs look normal. Trajectory does not. Pre-clinical metabolic window — reversible with intervention now.
David's standard labs would not trigger concern on a traditional review — fasting glucose and HbA1c are borderline, BMI is high but stable. The Horizon-1 trajectory tells a different story: continuous glucose data from his wearable shows sustained post-prandial excursions >9 mmol/L, ALT is drifting upward, and the joint projection indicates crossing T2DM diagnostic criteria within roughly 24 months on this trajectory. This is the window to intervene.
Output of the dynamic hypergraph. Direction = trajectory on that axis.