Ahmadian Nivad, Manickavasagan Annamalai, Ali Amanat
School of Engineering, College of Engineering and Physical Sciences, University of Guelph, Guelph, Ontario, Canada.
J Med Eng Technol. 2023 Feb;47(2):121-130. doi: 10.1080/03091902.2022.2100496. Epub 2022 Jul 27.
Monitoring blood glucose levels is a vital indicator of diabetes mellitus management. The mainstream techniques of glucometers are invasive, painful, expensive, intermittent, and time-consuming. The ever-increasing number of global diabetic patients urges the development of alternative non-invasive glucose monitoring techniques. Recent advances in electrochemical biosensors, biomaterials, wearable sensors, biomedical signal processing, and microfabrication technologies have led to significant research and ideas in elevating the patient's life quality. This review provides up-to-date information about the available technologies and compares the advantages and limitations of invasive and non-invasive monitoring techniques. The scope of measuring glucose concentration in other bio-fluids such as interstitial fluid (ISF), tears, saliva, and sweat are also discussed. The high accuracy level of invasive methods in measuring blood glucose concentrations gives them superiority over other methods due to lower average absolute error between the detected glucose concentration and reference values. Whereas minimally invasive, and non-invasive techniques have the advantages of continuous and pain-free monitoring. Various blood glucose monitoring techniques have been evaluated based on their correlation to blood, patient-friendly, time efficiency, cost efficiency, and accuracy. Finally, this review also compares the currently available glucose monitoring devices in the market.
监测血糖水平是糖尿病管理的一项重要指标。血糖仪的主流技术具有侵入性、疼痛、昂贵、间歇性和耗时等特点。全球糖尿病患者数量的不断增加促使人们开发替代性的非侵入性血糖监测技术。电化学生物传感器、生物材料、可穿戴传感器、生物医学信号处理和微制造技术的最新进展为提高患者生活质量带来了重要的研究成果和思路。本综述提供了有关现有技术的最新信息,并比较了侵入性和非侵入性监测技术的优缺点。还讨论了在其他生物流体(如间质液(ISF)、眼泪、唾液和汗液)中测量葡萄糖浓度的范围。侵入性方法在测量血糖浓度方面的高精度水平使其在检测到的葡萄糖浓度与参考值之间的平均绝对误差较低,从而优于其他方法。而微创和非侵入性技术具有连续和无痛监测的优点。已根据各种血糖监测技术与血液的相关性、对患者的友好程度、时间效率、成本效率和准确性进行了评估。最后,本综述还比较了市场上目前可用的血糖监测设备。