Martins Ana J L, Velásquez Reinaldo J, Gaillac Denis B, Santos Vanessa N, Tami Diego C, Souza Rodrigo N P, Osorio Fernan C, Fogli Gabriel A, Soares Beatriz S, Rego Cassio G do, Medeiros-Ribeiro Gilberto, Drummond Juliana B, Mosquera-Lopez Clara M, C Ramirez Jhonattan
Programa de Pós-Graduação em Engenharia Elétrica, Universidade Federal de Minas Gerais, Belo Horizonte, MG, 31270-901, Brazil.
Departamento de Engenharia Eletrônica, Universidade Federal de Minas Gerais, Belo Horizonte, MG, 31270-901, Brazil.
Biosens Bioelectron. 2025 Mar 1;271:117081. doi: 10.1016/j.bios.2024.117081. Epub 2024 Dec 21.
Frequent glucose monitoring is essential for effective diabetes management. Currently, glucose monitoring is done using invasive methods such as finger-pricking and subcutaneous sensing. However, these methods can cause discomfort, heighten the risk of infection, and some sensing devices need frequent calibration. Non-invasive glucose monitoring technologies have attracted significant attention due to their potential to overcome the limitations of their invasive counterparts by offering painless and convenient alternatives. This review focuses on two prominent approaches to non-invasive glucose sensing: optical- and microwave-based methods. On one hand, optical techniques, including Raman and near-infrared (NIR) spectroscopy, leverage the unique spectral properties of glucose molecules to measure their concentration in tissues and biofluids. On the other hand, microwave sensing leverages the dielectric properties of glucose to detect concentration changes based on impedance measurements. Despite their promise, optical- and microwave-based technologies face challenges such as signal interference and high variability due to tissue heterogeneity, which impact their accuracy and reliability. This review provides a comprehensive overview of the advancements of these non-invasive methods, highlighting their technical implementation, limitations, and their future potential in revolutionizing glucose monitoring for diabetes care.
频繁的血糖监测对于有效的糖尿病管理至关重要。目前,血糖监测是通过诸如手指采血和皮下传感等侵入性方法进行的。然而,这些方法可能会引起不适,增加感染风险,并且一些传感设备需要频繁校准。非侵入性血糖监测技术因其能够通过提供无痛且便捷的替代方法来克服侵入性监测方法的局限性而备受关注。本综述聚焦于两种突出的非侵入性血糖传感方法:基于光学和微波的方法。一方面,光学技术,包括拉曼光谱和近红外(NIR)光谱,利用葡萄糖分子独特的光谱特性来测量其在组织和生物流体中的浓度。另一方面,微波传感利用葡萄糖的介电特性,基于阻抗测量来检测浓度变化。尽管基于光学和微波的技术前景广阔,但它们面临诸如信号干扰以及由于组织异质性导致的高变异性等挑战,这些挑战影响了它们的准确性和可靠性。本综述全面概述了这些非侵入性方法的进展,突出了它们的技术实施、局限性以及在革新糖尿病护理血糖监测方面的未来潜力。