Glucomodicum Ltd, A.I. Virtasen Aukio 1, 00560, Helsinki, Finland.
Department of Physics, University of Helsinki, Gustaf Hällströmin katu 2, 00560, Helsinki, Finland.
Sci Rep. 2022 Nov 9;12(1):18318. doi: 10.1038/s41598-022-21424-9.
The benefits of continuous glucose monitoring (CGM) in diabetes management are extensively documented. Yet, the broader adoption of CGM systems is limited by their cost and invasiveness. Current CGM devices, requiring implantation or the use of hypodermic needles, fail to offer a convenient solution. We have demonstrated that magnetohydrodynamics (MHD) is effective at extracting dermal interstitial fluid (ISF) containing glucose, without the use of needles. Here we present the first study of ISF sampling with MHD for glucose monitoring in humans. We conducted 10 glucose tolerance tests on 5 healthy volunteers and obtained a significant correlation between the concentration of glucose in ISF samples extracted with MHD and capillary blood glucose samples. Upon calibration and time lag removal, the data indicate a Mean Absolute Relative Difference (MARD) of 12.9% and Precision Absolute Relative Difference of 13.1%. In view of these results, we discuss the potential value and limitations of MHD in needle-free glucose monitoring.
连续血糖监测(CGM)在糖尿病管理中的益处已得到广泛证实。然而,由于其成本和侵入性,CGM 系统的广泛采用受到限制。目前的 CGM 设备需要植入或使用皮下针,无法提供便捷的解决方案。我们已经证明,磁流体动力学(MHD)在提取含有葡萄糖的真皮间质液(ISF)方面非常有效,而无需使用针。在这里,我们首次报道了 MHD 用于人体葡萄糖监测的 ISF 采样研究。我们对 5 名健康志愿者进行了 10 次葡萄糖耐量试验,发现 MHD 提取的 ISF 样本中的葡萄糖浓度与毛细血管血糖样本之间存在显著相关性。经过校准和时滞消除后,数据表明平均绝对相对差异(MARD)为 12.9%,精度绝对相对差异为 13.1%。鉴于这些结果,我们讨论了 MHD 在无针血糖监测中的潜在价值和局限性。