Freezing-of-Gait (FoG) affects over 50% of mid-to-late stage Parkinson's disease (PD) patients, significantly impairing patients' mobility independence and reducing quality of life. FoG is characterized by sudden episodes where walking cannot start or is interrupted, occurring exclusively during standing or walking, and never while sitting or lying down. Current FoG detection systems require extensive patient-specific training data and lack generalization, limiting clinical deployment. To address these issues, we introduce FM-FoG, a real-time foundation model-based wearable system achieving FoG detection in unseen patients without patient-specific training. Our approach combines self-supervised pretraining on diverse Inertial Measurement Unit (IMU) datasets with sensor context integration. Since FoG occurs only during ambulatory activities, a lightweight CNN-LSTM activity classifier selectively activates the foundation model only during walking or standing, avoiding unnecessary computation. Evaluated on the VCU FoG-IMU dataset with 23 PD patients, FM-FoG achieves a 98.5% F1-score when tested on previously unseen patients, substantially outperforming competitive baseline methods. Deployed on a Google Pixel 8a smartphone, the system extends battery life by up to 72% while maintaining sub-20ms intervention latency. The results indicate that our FM-FoG can enable practical, energy-efficient healthcare applications that generalize across patients without individual training requirements.

Newly diagnosed Type 1 Diabetes (T1D) patients often struggle to obtain effective Blood Glucose (BG) prediction models due to the lack of sufficient BG data from Continuous Glucose Monitoring (CGM), presenting a significant "cold start" problem in patient care. Utilizing population models to address this challenge is a potential solution, but collecting patient data for training population models in a privacy-conscious manner is challenging, especially given that such data is often stored on personal devices. Considering the privacy protection and addressing the "cold start" problem in diabetes care, we propose "GluADFL", blood Glucose prediction by Asynchronous Decentralized Federated Learning. We compared GluADFL with eight baseline methods using four distinct T1D datasets, comprising 298 participants, which demonstrated its superior performance in accurately predicting BG levels for cross-patient analysis. Furthermore, patients' data might be stored and shared across various communication networks in GluADFL, ranging from highly interconnected (e.g., random, performs the best among others) to more structured topologies (e.g., cluster and ring), suitable for various social networks. The asynchronous training framework supports flexible participation. By adjusting the ratios of inactive participants, we found it remains stable if less than 70% are inactive. Our results confirm that GluADFL offers a practical, privacy-preserving solution for BG prediction in T1D, significantly enhancing the quality of diabetes management.