scholarly journals A Review of Non-Invasive Optical Systems for Continuous Blood Glucose Monitoring

Sensors ◽  
2021 ◽  
Vol 21 (20) ◽  
pp. 6820
Author(s):  
Bushra Alsunaidi ◽  
Murad Althobaiti ◽  
Mahbubunnabi Tamal ◽  
Waleed Albaker ◽  
Ibraheem Al-Naib

The prevalence of diabetes is increasing globally. More than 690 million cases of diabetes are expected worldwide by 2045. Continuous blood glucose monitoring is essential to control the disease and avoid long-term complications. Diabetics suffer on a daily basis with the traditional glucose monitors currently in use, which are invasive, painful, and cost-intensive. Therefore, the demand for non-invasive, painless, economical, and reliable approaches to monitor glucose levels is increasing. Since the last decades, many glucose sensing technologies have been developed. Researchers and scientists have been working on the enhancement of these technologies to achieve better results. This paper provides an updated review of some of the pioneering non-invasive optical techniques for monitoring blood glucose levels that have been proposed in the last six years, including a summary of state-of-the-art error analysis and validation techniques.

2019 ◽  
Vol 9 (15) ◽  
pp. 3046 ◽  
Author(s):  
Antonio Alarcón-Paredes ◽  
Victor Francisco-García ◽  
Iris P. Guzmán-Guzmán ◽  
Jessica Cantillo-Negrete ◽  
René E. Cuevas-Valencia ◽  
...  

Patients diagnosed with diabetes mellitus must monitor their blood glucose levels in order to control the glycaemia. Consequently, they must perform a capillary test at least three times per day and, besides that, a laboratory test once or twice per month. These standard methods pose difficulty for patients since they need to prick their finger in order to determine the glucose concentration, yielding discomfort and distress. In this paper, an Internet of Things (IoT)-based framework for non-invasive blood glucose monitoring is described. The system is based on Raspberry Pi Zero (RPi) energised with a power bank, using a visible laser beam and a Raspberry Pi Camera, all implemented in a glove. Data for the non-invasive monitoring is acquired by the RPi Zero taking a set of pictures of the user fingertip and computing their histograms. Generated data is processed by an artificial neural network (ANN) implemented on a Flask microservice using the Tensorflow libraries. In this paper, all measurements were performed in vivo and the obtained data was validated against laboratory blood tests by means of the mean absolute error (10.37%) and Clarke grid error (90.32% in zone A). Estimated glucose values can be harvested by an end device such as a smartphone for monitoring purposes.


Electronics ◽  
2019 ◽  
Vol 8 (6) ◽  
pp. 662 ◽  
Author(s):  
Louis WY Liu ◽  
Abhishek Kandwal ◽  
Qingsha Cheng ◽  
Hongjian Shi ◽  
Igbe Tobore ◽  
...  

Non-invasive blood glucose monitoring at microwave frequencies is generally thought to be unreliable in terms of reproducibility of measurements. The failure to reproduce a blood glucose measurement from one experiment to another is in major part due to the unwanted interaction of leaky waves between the ambient environment and the blood glucose measuring device. In this work, we have overcome this problem by simply eliminating the leaky modes through the use of surface electromagnetic waves from a curved Goubau line. In the proposed methodology, a fixed volume of blood-filled skin tissue was first formed by vacuum suction and partially wound with a curved Goubau line which was coated with a 3 mm thick layer of gelatin/glycerin composite. Blood glucose levels were non-invasively determined using a network analyzer. At 4.5 GHz, a near-linear correlation exists between the measured S12 parameters and the blood glucose levels. The measured correlation was highly reproducible and consistent with the measurements obtained using the conventional invasive lancing approach. The findings of this work suggest the feasibility of non-invasive detection of left and right imbalances in the body.


2016 ◽  
Vol 19 (5) ◽  
pp. 397-405 ◽  
Author(s):  
Alina Yur'evna Babenko ◽  
Yulia Alexeevna Kononova ◽  
Alexandr Ivanovich Tsiberkin ◽  
Michail Konstantinovich Khodzitsky ◽  
Elena Nilkolaevna Grineva

Improved prognoses of patients with type 2 diabetes are primarily determined by the extent of blood glucose control (correction of both hyper- and hypoglycemia and normalization of blood glucose levels). The proper identification and timely correction of abnormal blood glucose levels require frequent blood glucose monitoring by the patient. Currently used methods for the self-monitoring of blood glucose have significant drawbacks that limit their use. The most significant problems with these methods include insufficient accuracy, invasiveness and high cost, leading to noncompliance and difficult assessment of disease status. Such factors underscore the need for a noninvasive, cost-effective and highly accurate method to measure blood glucose levels. There are several different approaches for the noninvasive measurement of blood glucose levels, including optical analysis, ultrasound and bioimpedance. The concept of a noninvasive glucometer was launched more than 30 years ago. Nevertheless, most noninvasive technologies are still in early stages of development and are not used in clinical practice. This review describers the most promising developments in this area.


Sensors ◽  
2020 ◽  
Vol 20 (23) ◽  
pp. 6925
Author(s):  
Liu Tang ◽  
Shwu Jen Chang ◽  
Ching-Jung Chen ◽  
Jen-Tsai Liu

In recent years, with the rise of global diabetes, a growing number of subjects are suffering from pain and infections caused by the invasive nature of mainstream commercial glucose meters. Non-invasive blood glucose monitoring technology has become an international research topic and a new method which could bring relief to a vast number of patients. This paper reviews the research progress and major challenges of non-invasive blood glucose detection technology in recent years, and divides it into three categories: optics, microwave and electrochemistry, based on the detection principle. The technology covers medical, materials, optics, electromagnetic wave, chemistry, biology, computational science and other related fields. The advantages and limitations of non-invasive and invasive technologies as well as electrochemistry and optics in non-invasives are compared horizontally in this paper. In addition, the current research achievements and limitations of non-invasive electrochemical glucose sensing systems in continuous monitoring, point-of-care and clinical settings are highlighted, so as to discuss the development tendency in future research. With the rapid development of wearable technology and transdermal biosensors, non-invasive blood glucose monitoring will become more efficient, affordable, robust, and more competitive on the market.


2021 ◽  
Author(s):  
Matthes Kenning ◽  
Anselm Puchert ◽  
Eckhard Salzsieder

BACKGROUND Maintaining normal blood glucose levels in diabetes therapy is fundamentally linked to precise and accurate blood glucose measurements. In the light of interfering quantities like various substances or hematocrit, these aspects are of utmost clinical importance within a standardized validation of blood glucose monitors for personal use as well as a continuous quality assessment. OBJECTIVE Continuous and independent quality assurance of aspects affecting a blood glucose monitoring system’s performance. METHODS The influence of the hematocrit on the performance of three blood glucose monitors was assessed in accordance with ISO 15197 and sponsor’s requirements. RESULTS Only one device showed acceptable deviations of ≤ 10 mg/dL / 10 % to the reference device across the entire range. The other devices showed minor to clinically relevant interferences, particularly in response to higher hematocrit values. CONCLUSIONS Suitable BGM systems should be selected carefully by health care professionals and patients, especially with medical conditions known to interfere with blood glucose measurements.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yizhou Zou ◽  
Wanli Wang ◽  
Dongmei Zheng ◽  
Xu Hou

Abstract Background There are many continuous blood glucose monitoring (CGM) data-based indicators, and most of these focus on a single characteristic of abnormal blood glucose. An ideal index that integrates and evaluates multiple characteristics of blood glucose has not yet been established. Methods In this study, we proposed the glycemic deviation index (GDI) as a novel integrating characteristic, which mainly incorporates the assessment of the glycemic numerical value and variability. To verify its effectiveness, GDI was applied to the simulated 24 h glycemic profiles and the CGM data of type 2 diabetes (T2D) patients (n = 30). Results Evaluation of the GDI of the 24 h simulated glycemic profiles showed that the occurrence of hypoglycemia was numerically the same as hyperglycemia in increasing GDI. Meanwhile, glycemic variability was added as an independent factor. One-way ANOVA results showed that the application of GDI showed statistically significant differences in clinical glycemic parameters, average glycemic parameters, and glycemic variability parameters among the T2D groups with different glycemic levels. Conclusions In conclusion, GDI integrates the characteristics of the numerical value and the variability in blood glucose levels and may be beneficial for the glycemic management of diabetic patients undergoing CGM treatment.


Author(s):  
Nur Hasanah Ahniar

We present a medical records system and reminders to patients of the measurement results of non-invasive blood glucose levels. Measuring blood glucose levels is vital in avoiding potential adverse health effects like diabetes. Diabetes is a chronic metabolic disorder caused by a decrease in the pancreas to produce insulin. Generally, measuring blood glucose levels using the conventional method is injure the patient's finger. Currently, the non-invasive method was famous as one of the detections of blood glucose by applying the physical properties of laser absorption. In this paper, we use the photodiode as a detector, the LED as a sensor, and a signal conditioning circuit. The results showed that non-invasive glucose monitoring has the potential to measure glucose levels with sensitivity and linearity of 3.21 mg/dL and 98%, respectively. As a result of measuring the blood glucose levels of the subject was displayed on the LCD module was designed. We designed a simple application and medical record using Blynk applications and GUI MATLAB for recording the measurement results of blood glucose level. In the future, applications that have been developed can be used by doctors for monitoring the measurement of the blood glucose level and provide information to patients by mobile applications, sending an email or message the measurement results, the decision of a disease or not, and reminds the re-measurement time.


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