Author:
Hakala Tuuli A.,Zschaechner Laura K.,Vänskä Risto T.,Nurminen Teemu A.,Wardale Melissa,Morina Jonathan,Boeva Zhanna A.,Saukkonen Reeta,Alakoskela Juha-Matti,Pettersson-Fernholm Kim,Hæggström Edward,Bobacka Johan,García Pérez Alejandro
Abstract
AbstractThe 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.
Publisher
Springer Science and Business Media LLC
Reference57 articles.
1. Didyuk, O., Econom, N., Guardia, A., Livingston, K. & Klueh, U. Continuous glucose monitoring devices: Past, present, and future focus on the history and evolution of technological innovation. J. Diabetes Sci. Technol. 15, 676–683. https://doi.org/10.1177/1932296819899394 (2021).
2. Bidonde, J., Fagerlund, B. C., Frønsdal, K. B., Lund, U. H. & Robberstad, B. FreeStyle libre flash glucose self-monitoring system: A single-technology assessment. Report from the Norwegian Institute of Public Health. 7. https://www.ncbi.nlm.nih.gov/books/NBK482068/ (2017).
3. Akturk, H. K., Dowd, R., Shankar, K. & Derdzinski, M. Real-world evidence and glycemic improvement using dexcom G6 features. Diabet. Technol. Ther. 23, S-21. https://doi.org/10.1089/dia.2020.0654 (2021).
4. Deiss, D. et al. Clinical practice recommendations on the routine use of eversense, the first long-term implantable continuous glucose monitoring system. Diabetes Technol. Ther. 21, 254. https://doi.org/10.1089/dia.2018.0397 (2019).
5. Polonsky, W. H. et al. The impact of continuous glucose monitoring on markers of quality of life in adults with type 1 diabetes: Further findings from the DIAMOND randomized clinical trial. Diabetes Care 40, 736–741. https://doi.org/10.2337/dc17-0133 (2017).
Cited by
3 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献