Wearable biosensors for human sweat glucose detection based on carbon black nanoparticles

Conductive hydrophobic graphene oxide films via laser-scribed surface modification

Graphene oxide (GO) can be surface modified for various purposes, including enhancing its properties or tailoring its behaviour for specific applications such as biosensing. Herein we report the behaviour of a carboxylate functionalized graphene oxide that is both water repellent and electrically conductive. The GO is first produced using a modified Hummers method and then functionalized with a hyperbranched isostearic alcohol through an esterification reaction. The as-deposited functionalized GO films were observed to cause "petal-like" wetting of water, whereby droplets exhibited contact angles (CAs) greater than 150° and remaining pinned to the surface. To improve their conductivity, films of the functionalized GO deposited onto glass were laser-scribed to reduce some of the specific, adjoining regions of oxidic carbon to partially restore some of the sp2 C network. This improved the conductivity of the as-deposited GO films by approximately four orders of magnitude from 0.002 to ∼20 S/m using the low laser scan speed of 250 mm/min. It was observed that with a high laser scan speed of 500 mm/min some of the hydrophobic character was retained (CAs ∼110°), whilst maintaining conductivities of up to 0.17 S/m. Consequently, these materials show promise for applications such as biosensing materials, where tuneable hydrophobicity combined with conductivity are required characteristics.

Ga@MXene-based flexible wearable biosensor for glucose monitoring in sweat

Most wearable biosensors struggle to balance flexibility and conductivity in their sensing interfaces. In this study, we propose a wearable sensor featuring a highly stretchable, three-dimensional conductive network structure based on liquid metal. The sensor interface utilizes a patterned Ga@MXene hydrogel system, where gallium (Ga) grafted onto MXene provides enhanced electrical conductivity and malleability. MXene provides excellent conductivity and a three-dimensional layered structure. Additionally, the chitosan (CS) hydrogel, with its superior water absorption and stretchability, allows the electrode to retain sweat and closely stick to the skin. The sensor demonstrates a low limit of detection (0.77 μM), high sensitivity (1.122 μA⋅μM⁻1⋅cm⁻2), and a broad detection range (10-1,000 μM), meeting the requirements for a wide range of applications. Notably, the sensor can also induce perspiration in the wearer. The three-dimensional porous structure of the Ga@MXene/CS biosensor ensures excellent conductivity and flexibility, making it suitable for a variety of applications.

A Simple and Sensitive Wearable SERS Sensor Utilizing Plasmonic-Active Gold Nanostars

Wearable sweat sensors hold great potential for offering detailed health insights by monitoring various biomarkers present in sweat, such as glucose, lactate, uric acid, and urea, in real time. However, most previously reported sensors, primarily based on electrochemical technology, are limited to monitoring only a single analyte at a given time. This study introduces a simple, sensitive, wearable patch based on surface-enhanced Raman spectroscopy (SERS), integrated with highly plasmonically active sharp-branched gold nanostars (GNS) for the simultaneous detection of three sweat biomarkers: lactate, urea, and glucose. We have fabricated the GNS on commercially available adhesive tape, resulting in achieving a low-cost, flexible, and adhesive wearable SERS patch. The limits of detection for lactate, urea, and glucose were achieved at 0.7, 0.6, and 0.7 μM, respectively, which are significantly lower than the clinically relevant concentrations of these biomarkers in sweat. We further evaluated the performance of our wearable SERS patch during outdoor activities, including sitting, walking, and running. To evaluate its overall effectiveness, we simultaneously measured the concentrations of lactate, urea, and glucose during these activities. Overall, our simple, sensitive wearable SERS sensor represents a significant breakthrough by enabling the simultaneous detection of lactate, urea, and glucose present in sweat, marking a major step toward future applications in autonomous and noninvasive personalized healthcare monitoring at home.

Advanced nanomaterials for electrochemical sensors: application in wearable tear glucose sensing technology

In the last few decades, tear-based biosensors for continuous glucose monitoring (CGM) have provided new avenues for the diagnosis of diabetes. The tear CGMs constructed from nanomaterials have been extensively demonstrated by various research activities in this field and are gradually witnessing their most prosperous period. A timely and comprehensive review of the development of tear CGMs in a compartmentalized manner from a nanomaterials perspective would greatly broaden this area of research. However, to our knowledge, there is a lack of specialized reviews and comprehensive cohesive reports in this area. First, this paper describes the principles and development of electrochemical glucose sensors. Then, a comprehensive summary of various advanced nanomaterials recently reported for potential applications and construction strategies in tear CGMs is presented in a compartmentalized manner, focusing on sensing properties. Finally, the challenges, strategies, and perspectives used to design tear CGM materials are emphasized, providing valuable insights and guidance for the construction of tear CGMs from nanomaterials in the future.

Smartphone based wearable sweat glucose sensing device correlated with machine learning for real-time diabetes screening

BACKGROUND

Diabetes is a significant health threat, with its prevalence and burden increasing worldwide indicating its challenge for global healthcare management. To decrease the disease severity, the diabetic patients are recommended to regularly check their blood glucose levels. The conventional finger-pricking test possesses some drawbacks, including painfulness and infection risk. Nowadays, smartphone has become a part of our lives offering an important benefit in self-health monitoring. Thus, non-invasive wearable sweat glucose sensor connected with a smartphone readout is of interest for real-time glucose detection.

RESULTS

Wearable sweat glucose sensing device is fabricated for self-monitoring of diabetes. This device is designed as a body strap consisting of a sensing strip and a portable potentiostat connected with a smartphone readout via Bluetooth. The sensing strip is modified by carbon nanotubes (CNTs)-cellulose nanofibers (CNFs), followed by electrodeposition of Prussian blue. To preserve the activity of glucose oxidase (GOx) immobilized on the modified sensing strip, chitosan is coated on the top layer of the electrode strip. Herein, machine learning is implemented to correlate between the electrochemical results and the nanomaterial content along with deposition cycle of prussian blue, which provide the highest current response signal. The optimized regression models provide an insight, establishing a robust framework for design of high-performance glucose sensor.

SIGNIFICANCE

This wearable glucose sensing device connected with a smartphone readout offers a user-friendly platform for real-time sweat glucose monitoring. This device provides a linear range of 0.1-1.5 mM with a detection limit of 0.1 mM that is sufficient enough for distinguishing between normal and diabetes patient with a cut-off level of 0.3 mM. This platform might be an alternative tool for improving health management for diabetes patients.

Culture-free detection of β-lactamase-Producing bacteria in urinary tract infections using a paper sensor

Developing simple, inexpensive, fast, sensitive, and specific probes for antibiotic-resistant bacteria is crucial for the management of urinary tract infections (UTIs). We here propose a paper-based sensor for the rapid detection of β-lactamase-producing bacteria in the urine samples of UTI patients. By conjugating a strongly electronegative group -N+(CH3)3 with the core structures of cephalosporin and carbapenem antibiotics, two visual probes were achieved to respectively target the extended-spectrum/AmpC β-lactamases (ESBL/AmpC) and carbapenemase, the two most prevalent factors causing antibiotic resistance. By integrating these probes into a portable paper sensor, we confirmed 10 and 8 cases out of 30 clinical urine samples as ESBL/AmpC- and carbapenemase-positive, respectively, demonstrating 100% clinical sensitivity and specificity. This paper sensor can be easily conducted on-site, without resorting to bacterial culture, providing a solution to the challenge of rapid detection of β-lactamase-producing bacteria, particularly in resource-limited settings.