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GRENZE International Journal of Engineering and Technology Vol. 12 (2026), Issue 1

A Retrieval-Augmented Generation Framework for Conversational Chronic Disease Monitoring Agents in Resource-Constrained Environments

Authors

Sujal Gundlapelli, Vishakha Salunkhe, Mayuri Satpute, Sonali Sethi, Roshani V. Pawar

Abstract

This paper introduces Chrono, a conversational agent powered by Retrieval- Augmented Generation (RAG) for proactive monitoring of chronic conditions like diabetes and heart disease. The system analyzes patient data to detect risks and deliver personalized recommendations. Chrono integrates a local knowledge base with large language models, incorporating rule-based alerts and multi-case conversational memory for context-aware interactions. A comparative evaluation, validated by a certified medical professional in a blind review, found Chrono’s recommendations to be 15-18% more clinically appropriate and actionable than a baseline rule-based system, highlighting its potential for scalable deployment.