The present invention describes an active overlay of real-time glucose and/or insulin information on a display for convenient monitoring and control of information for the management of diabetes. The superimposed images on display can be varied based on automated and/or programmable processes and/or alerts of the system. In various embodiments, the system can include a console and/or remote control to allow the user to control the overlay display. In specific embodiments, the system can communicate with a glucose sensor and/or insulin infusion device.