Abstract

The incidence of diabetes is increasing at an alarming rate, and regular glucose monitoring is critical in order to manage diabetes. Currently, glucose in the body is measured by an invasive method of blood sugar testing. Blood glucose (BG) monitoring devices measure the amount of sugar in a small sample of blood, usually drawn from pricking the fingertip, and placed on a disposable test strip. Therefore, there is a need for non-invasive continuous glucose monitoring, which is possible using a sweat sensor-based approach. As sweat sensors have garnered much interest in recent years, this study attempts to summarize recent developments in non-invasive continuous glucose monitoring using sweat sensors based on different approaches with an emphasis on the devices that can potentially be integrated into a wearable platform. Numerous research entities have been developing wearable sensors for continuous blood glucose monitoring, however, there are no commercially viable, non-invasive glucose monitors on the market at the moment. This review article provides the state-of-the-art in sweat glucose monitoring, particularly keeping in sight the prospect of its commercialization. The challenges relating to sweat collection, sweat sample degradation, person to person sweat amount variation, various detection methods, and their glucose detection sensitivity, and also the commercial viability are thoroughly covered.

Highlights

  • Wearable and digital technologies are bringing innovations to enable individuals with the ability to monitor their fitness and health conditions regularly and non-invasively

  • There are implantable glucose monitoring systems that contribute in offering regular glucose monitoring, but these methods are not recommended for all diabetic patients due to their invasive nature, and some of these approaches have been reported to show inaccuracies up to 21% [9]

  • Sensors based on fluorescence-based optical sensing employ light frequencies that vary depending on the concentration of glucose molecules in order to establish the interaction of the fluorescent nanoparticles or semiconductors with glucose molecules

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Summary

Introduction

Wearable and digital technologies are bringing innovations to enable individuals with the ability to monitor their fitness and health conditions regularly and non-invasively. This review article provides a current update on the state-of-art in continuous sweat glucose monitoring and their commercial prospects We extensively cover both the sweat collection mechanisms and various sweat glucose sensing mechanisms comprising the detection and transduction.

History of Wearable Biosensors
Sweat as an Alternative Source of Glucose Monitoring
Method
Benefits of Noninvasive Sweat Access to Bio Fluid
Exposure to Contaminants via the Skin
Quantity of Sweat Readily Available
Deviations in Results Because of pH Differences
Sweat Glands Periodic Activation
Sampling Variability within and between People
Insight into Non-Invasive Sweat Glucose Sensing Technologies
Enzymatic and Non-Enzymatic Electrodes Based on Electrochemical Sensors
Enzyme-Free Optical Glucose Sensors
Signal Amplification of Nanomaterials
Sweat Collection and Methods
Sweat Collection Substrate Materials and Issues
Microfludic
Absorption Collection
Epidermal Tattoo
Transducers and Electronics
Real-Time Sweat Monitoring using Electrochemical Methods
Optical Methods
Electromechanical Methods
Miscellaneous Techniques
Integration of Wearable Sensor
Challenges Opportunities in Wearable Technology for the Analysis in Sweat
The Sample Quantities Available Are Extremely Small
Reducing Skin-Surface Contamination
Sensor Shelf Life
Sweat Glucose Sensors Commercial Validation
Technological Challenges in Commercialization of CGMs
Stability of the Sensor
Reusability and Long-Lastingness
The Specificity and Sensitivity
Calibration
Findings
Concluding Remarks and Future Perspectives
Full Text
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