Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv 6997801, Israel.
Division of Endocrinology, Diabetes and Metabolism, Sheba Medical Center, Tel-Hashomer. Derech Sheba 2, Ramat-Gan 5266202, Israel.
Sensors (Basel). 2021 Oct 9;21(20):6704. doi: 10.3390/s21206704.
The non-invasive self-monitoring of blood glucose (SMBG) has been the subject of intense investigation over recent decades. We conducted a pilot study designed to examine a novel non-invasive glucometer, the HGR GWave, utilizing radiofrequency (RF) sensing. Blood glucose levels assessed by this HGR prototype were compared to measurements performed by a hexokinase core laboratory assay during an oral glucose tolerance test (oGTT) for 5 subjects with type 2 diabetes. The HGR glucose meter readings were also compared to two Abbot Freestyle glucose meters, which were also used for calibration. The accuracy of the results was evaluated through the calculation of relative absolute difference (RAD), specified percentage differences between 43 reference glucose measurements, and using comparator measurements. The median RAD was -4.787. We detected 79.04%, 92.99% and 97.64% of HGR readings within ±10%, ±15% and ±20% of the reference glucose measurements. The HGR readings had a high correlation with reference lab glucose measurements with R = 0.924 (95% CI 0.929-0.979; < 0.0001). When compared to the Freestyle glucose meters 94.3% and 100% of the readings were within ±5% and ±10%, with R = 0.975 (0.975-0.994; < 0.0001). The HGR prototype glucose meter was found to be accurate in detecting real-time blood glucose during an oGTT in this small pilot study. A study with a broader range of blood glucose levels is needed to further assess its accuracy and its suitability for clinical use.
在过去几十年中,非侵入性自我监测血糖(SMBG)一直是研究的热点。我们进行了一项试点研究,旨在检查一种新型的非侵入性血糖仪 HGR GWave,该血糖仪利用射频(RF)感应。在 5 名 2 型糖尿病患者的口服葡萄糖耐量试验(oGTT)期间,使用该 HGR 原型机评估的血糖水平与通过己糖激酶核心实验室测定的测量值进行了比较。HGR 血糖仪的读数还与两个 Abbott Freestyle 血糖仪进行了比较,这两个血糖仪也用于校准。通过计算相对绝对差(RAD)、43 个参考血糖测量值之间的特定百分比差异以及使用比较器测量值来评估结果的准确性。中位数 RAD 为-4.787。我们检测到 HGR 读数在±10%、±15%和±20%的参考葡萄糖测量值内的 79.04%、92.99%和 97.64%。HGR 读数与参考实验室葡萄糖测量值高度相关,R = 0.924(95%置信区间 0.929-0.979;<0.0001)。与 Freestyle 血糖仪相比,94.3%和 100%的读数在±5%和±10%以内,R = 0.975(0.975-0.994;<0.0001)。在这项小型试点研究中,发现 HGR 原型血糖仪在检测 oGTT 期间的实时血糖方面非常准确。需要进行一项具有更广泛血糖范围的研究,以进一步评估其准确性及其在临床使用中的适用性。