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Lee JE, Sridharan B, Kim D, Sung Y, Park JH, Lim HG. Continuous glucose monitoring: Minimally and non-invasive technologies. Clin Chim Acta 2025; 575:120358. [PMID: 40379197 DOI: 10.1016/j.cca.2025.120358] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2025] [Revised: 05/12/2025] [Accepted: 05/13/2025] [Indexed: 05/19/2025]
Abstract
This paper highlights technological advancements in non-invasive blood glucose monitoring against the backdrop of increasing global prevalence of diabetes. Traditional monitoring methods, primarily invasive methods face limitations in providing continuous glucose level data, which is essential for effective and timely diagnosis of disease stage and for determining the optimal therapeutic strategy. Recent non-invasive technologies encompass optical, acoustic, electromagnetic, and chemical approaches. These technologies exploit the intrinsic properties of glucose, such as its optical absorption coefficients, to offer promising avenues for less intrusive blood glucose monitoring. Despite these advancements, challenges in achieving high accuracy persist due to interference from substances like water and other blood components. This underlines the need for sophisticated algorithms and sensor designs for accurate glucose estimation. Further research is required to integrate various sensing techniques and advanced data processing to enhance accuracy and user-friendliness. In conclusion, while significant progress has been made, developing a reliable, convenient, and accessible method for non-invasive glucose monitoring is crucial for transforming diabetes management and improving patients' quality of life.
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Affiliation(s)
- Jeong Eun Lee
- Industry 4.0 Convergence Bionics Engineering, Pukyong National University, Busan 48513, Republic of Korea
| | - Badrinathan Sridharan
- Department of Biomedical Engineering, Pukyong National University, Busan 48513, Republic of Korea
| | - Daehun Kim
- Industry 4.0 Convergence Bionics Engineering, Pukyong National University, Busan 48513, Republic of Korea
| | - Yeongho Sung
- Industry 4.0 Convergence Bionics Engineering, Pukyong National University, Busan 48513, Republic of Korea
| | - Jin Hyeong Park
- Industry 4.0 Convergence Bionics Engineering, Pukyong National University, Busan 48513, Republic of Korea
| | - Hae Gyun Lim
- Industry 4.0 Convergence Bionics Engineering, Pukyong National University, Busan 48513, Republic of Korea; Department of Biomedical Engineering, Pukyong National University, Busan 48513, Republic of Korea.
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2
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Ahamad N, Banerjee S, Wei CC, Lu KC, Khedulkar AP, Jian WB, Mahmood S, Chu CW, Lin HC. Flexible Non-Enzymatic Glucose Sensors: One-Step Green Synthesis of NiO Nanoporous Films via an Electro-Exploding Wire Technique. ACS APPLIED MATERIALS & INTERFACES 2024; 16:64494-64504. [PMID: 39531442 PMCID: PMC11615849 DOI: 10.1021/acsami.4c13653] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/13/2024] [Revised: 10/31/2024] [Accepted: 10/31/2024] [Indexed: 11/16/2024]
Abstract
In this study, we successfully synthesized nickel oxide (NiO) nanoparticles (NPs), i.e., samples NiO 24V, NiO 36V, and NiO 48V, via an environmentally friendly one-step electro-exploding wire technique by employing three distinct voltage levels of 24, 36, and 48 V, respectively. Sample NiO 48V showed the most rugged surface and smallest particle size, which helped to enhance electrocatalytic properties. The highest Ni3+ content of sample NiO 48V contributed to the increasing redox current and rendering highly enhanced chemical reactions and thereby improving their electrochemical properties and electrocatalytic performance in the glucose oxidation processes in alkaline (0.1 M NaOH, pH = 13) media. The NiO 48V electrode showcased an excellent linear detection range spanning from 0.1 to 1 mM, featuring a remarkable sensitivity of 1202 μA mM-1 cm-2 and an exceptionally low limit of detection (LOD) value of 0.25 μM. Remarkably, NiO NPs exhibited exceptional long-term stability, commendable reproducibility, favorable repeatability, and outstanding selectivity. This study also highlights the excellent operational performance of the NiO 48V electrode in real-world samples, such as commercially available beverages and human urine, highlighting the practical nature of these nonenzymatic sensors in real-life scenarios for the food industries, clinical diagnostics, and biotechnology applications.
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Affiliation(s)
- Nadeem Ahamad
- Department
of Materials Science and Engineering, National
Yang Ming Chiao Tung University, Hsinchu 300093, Taiwan
| | - Soumallya Banerjee
- Department
of Materials Science and Engineering, National
Yang Ming Chiao Tung University, Hsinchu 300093, Taiwan
| | - Chia-Chun Wei
- Department
of Electrophysics, National Yang-Ming Chiao
Tung University, Hsinchu 300093, Taiwan
| | - Kuan-Cheng Lu
- Department
of Electrophysics, National Yang-Ming Chiao
Tung University, Hsinchu 300093, Taiwan
| | | | - Wen-Bin Jian
- Department
of Electrophysics, National Yang-Ming Chiao
Tung University, Hsinchu 300093, Taiwan
| | - Sadiq Mahmood
- International
College of Semiconductor Technology, National
Yang Ming Chiao Tung University, Hsinchu 300093, Taiwan
| | - Chih-Wei Chu
- Research
Center for Applied Sciences, Academia Sinica, Taipei 11529, Taiwan
| | - Hong-Cheu Lin
- Department
of Materials Science and Engineering, National
Yang Ming Chiao Tung University, Hsinchu 300093, Taiwan
- Center
for Emergent Functional Matter Science, National Yang Ming Chiao Tung University, Hsinchu 300093, Taiwan
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Song C, Guo J, Wang Y, Xiang H, Yang Y. Electrochemical Glucose Sensors: Classification, Catalyst Innovation, and Sampling Mode Evolution. Biotechnol J 2024; 19:e202400349. [PMID: 39385538 DOI: 10.1002/biot.202400349] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2024] [Revised: 08/26/2024] [Accepted: 09/12/2024] [Indexed: 10/12/2024]
Abstract
Glucose sensors are essential tools for monitoring blood glucose concentration in diabetic patients. In recent years, with the increasing number of individuals suffering from diabetes, blood glucose monitoring has become extremely necessary, which expedites the iteration and upgrade of glucose sensors greatly. Currently, two main types of glucose sensors are available for blood glucose testing: enzyme-based glucose sensor (EBGS) and enzyme-free glucose sensor (EFGS). For EBGS, several progresses have been made to comprehensively improve detection performance, ranging from enhancing enzyme activity, thermostability, and electron transfer properties, to introducing new materials with superior properties. For EFGS, more and more new metallic materials and their oxides are being applied to further optimize its blood glucose monitoring. Here the latest progress of electrochemical glucose sensors, their manufacturing methods, electrode materials, electrochemical parameters, and applications were summarized, the development glucose sensors with various noninvasive sampling modes were also compared.
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Affiliation(s)
- Chenyang Song
- School of Bioengineering, Zunyi Medical University Zhuhai Campus, Zhuhai, Guangdong, China
| | - Jian Guo
- School of Bioengineering, Zunyi Medical University Zhuhai Campus, Zhuhai, Guangdong, China
| | - Yuhan Wang
- School of Bioengineering, Zunyi Medical University Zhuhai Campus, Zhuhai, Guangdong, China
| | - Hongying Xiang
- Clinical Laboratory, Guizhou Provincial People's Hospital, Guiyang, Guizhou, China
| | - Yufeng Yang
- School of Bioengineering, Zunyi Medical University Zhuhai Campus, Zhuhai, Guangdong, China
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4
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Jiang S, Li Q, Wu G, Mu X, Wang X, Wang Y, Wu Y, Wu J, Li Y. Advances in Label-Free Glucose Detection Using Self-Assembled Nanoparticles and Surface-Enhanced Raman Spectroscopy. Anal Chem 2024; 96:11533-11541. [PMID: 38973171 DOI: 10.1021/acs.analchem.4c02221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/09/2024]
Abstract
In the landscape of biomolecular detection, surface-enhanced Raman spectroscopy (SERS) confronts notable obstacles, particularly in the label-free detection of biomolecules, with glucose and other sugars presenting a quintessential challenge. This study heralds the development of a pioneering SERS substrate, ingeniously engineered through the self-assembly of nanoparticles of diverse sizes (Ag1@Ag2NPs). This configuration strategically induces 'hot spots' within the interstices of nanoparticles, markedly amplifying the detection signal. Rigorous experimental investigations affirm the platform's rapidity, precision, and reproducibility, and the detection limit of this detection method is calculated to be 6.62 pM. Crucially, this methodology facilitates nondestructive glucose detection in simulated samples, including phosphate-buffered saline and urine. Integrating machine learning algorithms with simulated serum samples, the approach adeptly discriminates between hypoglycemic, normoglycemic, and hyperglycemic states. Moreover, the platform's versatility extends to the detection and differentiation of monosaccharides, disaccharides, and methylated glycosides, underscoring its universality and specificity. Comparative Raman spectroscopic analysis of various carbohydrate structures elucidates the unique SERS characteristics pertinent to these molecules. This research signifies a major advance in nonchemical, label-free glucose determination with enhanced sensitivity via SERS, laying a new foundation for its application in precision medicine and advancing structural analysis in the sugar domain.
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Affiliation(s)
- Shen Jiang
- State Key Laboratory of Frigid Zone Cardiovascular Diseases (SKLFZCD), College of Pharmacy, Harbin Medical University, Baojian Road No. 157, Harbin 150081, Heilongjiang, China
| | - Qiuyun Li
- State Key Laboratory of Frigid Zone Cardiovascular Diseases (SKLFZCD), College of Pharmacy, Harbin Medical University, Baojian Road No. 157, Harbin 150081, Heilongjiang, China
| | - Guangrun Wu
- State Key Laboratory of Frigid Zone Cardiovascular Diseases (SKLFZCD), College of Pharmacy, Harbin Medical University, Baojian Road No. 157, Harbin 150081, Heilongjiang, China
| | - Xuming Mu
- State Key Laboratory of Frigid Zone Cardiovascular Diseases (SKLFZCD), College of Pharmacy, Harbin Medical University, Baojian Road No. 157, Harbin 150081, Heilongjiang, China
| | - Xiaotong Wang
- State Key Laboratory of Frigid Zone Cardiovascular Diseases (SKLFZCD), College of Pharmacy, Harbin Medical University, Baojian Road No. 157, Harbin 150081, Heilongjiang, China
| | - Yunpeng Wang
- State Key Laboratory of Frigid Zone Cardiovascular Diseases (SKLFZCD), College of Pharmacy, Harbin Medical University, Baojian Road No. 157, Harbin 150081, Heilongjiang, China
| | - Yanli Wu
- State Key Laboratory of Frigid Zone Cardiovascular Diseases (SKLFZCD), College of Pharmacy, Harbin Medical University, Baojian Road No. 157, Harbin 150081, Heilongjiang, China
| | - Jing Wu
- School of Physics and Technology, Nantong University, No. 9, Seyuan Road, Nantong, Jiangsu 226019, PR China
| | - Yang Li
- State Key Laboratory of Frigid Zone Cardiovascular Diseases (SKLFZCD), College of Pharmacy, Harbin Medical University, Baojian Road No. 157, Harbin 150081, Heilongjiang, China
- Research Unit of Health Sciences and Technology (HST), Faculty of Medicine University of Oulu, 2125B, Aapistie 5A, 90220 Oulu, Finland
- Department of Clinical Laboratory Diagnosis, Fourth Affiliated Hospital of Harbin Medical University, Harbin 150001, Heilongjiang, China
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K M A, R R, Krishnamoorthy R, Gogula S, S B, Muthu S, Chellamuthu G, Subramaniam K. Internet of Things enabled open source assisted real-time blood glucose monitoring framework. Sci Rep 2024; 14:6151. [PMID: 38486038 PMCID: PMC10940634 DOI: 10.1038/s41598-024-56677-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2023] [Accepted: 03/09/2024] [Indexed: 03/18/2024] Open
Abstract
Regular monitoring of blood glucose levels is essential for the management of diabetes and the development of appropriate treatment protocols. The conventional blood glucose (BG) testing have an intrusive technique to prick the finger and it can be uncomfortable when it is a regular practice. Intrusive procedures, such as fingerstick testing has negatively influencing patient adherence. Diabetic patients now have an exceptional improvement in their quality of life with the development of cutting-edge sensors and healthcare technologies. intensive care unit (ICU) and pregnant women also have facing challenges including hyperglycemia and hypoglycemia. The worldwide diabetic rate has incited to develop a wearable and accurate non-invasive blood glucose monitoring system. This research developed an Internet of Things (IoT) - enabled wearable blood glucose monitoring (iGM) system to transform diabetes care and enhance the quality of life. The TTGOT-ESP32 IoT platform with a red and near-infrared (R-NIR) spectral range for blood glucose measurement has integrated into this wearable device. The primary objective of this gadget is to provide optimal comfort for the patients while delivering a smooth monitoring experience. The iGM gadget is 98.82 % accuracy when used after 10 hours of fasting and 98.04 % accuracy after 2 hours of breakfast. The primary objective points of the research were continuous monitoring, decreased risk of infection, and improved quality of life. This research contributes to the evolving field of IoT-based healthcare solutions by streaming real-time glucose values on AWS IoT Core to empower individuals with diabetes to manage their conditions effectively. The iGM Framework has a promising future with the potential to transform diabetes management and healthcare delivery.
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Affiliation(s)
- Abubeker K M
- Department of Electronics and Communication Engineering, Amal Jyothi College of Engineering (Autonomous), Koovappally, Kerala, India.
| | - Ramani R
- Department of Computer Science and Engineering, P.S.R Engineering College, Sivakasi, Tamilnadu, India
| | - Raja Krishnamoorthy
- Department of Electronics and Communication Engineering, Kalasalingam Academy of Research and Education, Krishnankoil, Tamilnadu, India
| | - Sreenivasulu Gogula
- Department of Computer Science and Engineering, (Data Science), Vardhaman College of Engineering, Shamshabad, Hyderabad, India
| | - Baskar S
- Faculty of Engineering, Department of Electronics and Communication Engineering, Karpagam Academy of Higher Education, Coimbatore, Tamilnadu, India
| | - Sathish Muthu
- Department of Orthopaedics, Government Medical College & Hospital, Karur, Tamilnadu, India
| | - Girinivasan Chellamuthu
- Department of Orthopaedics, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, Chennai, Tamilnadu, India
| | - Kamalraj Subramaniam
- Department of Biomedical Engineering, Karpagam Academy of Higher Education, Coimbatore, Tamilnadu, India
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