Biosensors · 2023 · 31 citations · 27 references
EngineeringBioengineeringBiomedical EngineeringBiocompatibilityBiomaterialsSensorsBlood Glucose MonitoringContinuous Glucose MonitoringMicroneedle-based DeliveryMicroscale BiosensorsNanomaterial-based BiosensorsColorimetric BiosensorsColorimetric SensingInterstitial Fluid BiosensingInterstitial Glucose MeasurementMicroneedle BiosensorsMicroneedle Delivery SystemsMicroneedle FabricationMicroneedles
Though monitoring blood glucose (BG) is indispensable for regulating diabetes, the frequent pricking of the finger by the commonly used fingertip blood collection causes discomfort and poses an infection risk. Since glucose levels in skin interstitial fluid (ISF) correlate with blood glucose levels, monitoring glucose in the skin ISF can be a viable alternative. With this rationale, the present study developed a biocompatible porous microneedle capable of rapid sampling, sensing, and glucose analysis in ISF in a minimally invasive manner, which can improve patient compliance and detection efficiency. The microneedles contain glucose oxidase (GOx) and horseradish peroxidase (HRP), and a colorimetric sensing layer containing 3,3′,5,5′-tetramethylbenzidine (TMB) is on the back of the microneedles. After penetrating rat skin, porous microneedles harvest ISF rapidly and smoothly via capillary action, triggering the production of hydrogen peroxide (H2O2) from glucose. In the presence of H2O2, HRP reacts with TMB contained in the filter paper on the back of microneedles, causing an easily visible color shift. Further, a smartphone analysis of the images quickly quantifies glucose levels in the 50–400 mg/dL range using the correlation between color intensity and glucose concentration. The developed microneedle-based sensing technique with minimally invasive sampling will have great implications for point-of-care clinical diagnosis and diabetic health management.
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10-Year Follow-up of Intensive Glucose Control in Type 2 Diabetes
Rury R. Holman, Sanjoy K. Paul, M. Angelyn Bethel et al. · New England Journal of Medicine · 2008 · 7.8K citations · Full text
Diagnosis and Classification of Diabetes Mellitus
Diabetes Care · 2012 · 2.3K citations · Full text