RESUMEN
To enhance personalized diabetes management, there is a critical need for non-invasive wearable electrochemical sensors made from flexible materials to enable continuous monitoring of sweat glucose levels. The main challenge lies in developing glucose sensors with superior electrochemical characteristics and high adaptability. Herein, we present a wearable sensor for non-enzymatic electrochemical glucose analysis. The sensor was synthesized using hydrothermal and one-pot preparation methods, incorporating gold nanoparticles (AuNPs) functionalized onto aminated multi-walled carbon nanotubes (AMWCNTs) as an efficient catalyst, and crosslinked with carboxylated styrene butadiene rubber (XSBR) and PEDOT:PSS. The sensors were then integrated onto screen-printed electrodes (SPEs) to create flexible glucose sensors (XSBR-PEDOT:PSS-AMWCNTs/AuNPs/SPE). Operating under neutral conditions, the sensor exhibits a linear range of 50 µmol/L to 600 µmol/L, with a limit of detection limit of 3.2 µmol/L (S/N = 3), enabling the detection of minute glucose concentrations. The flexible glucose sensor maintains functionality after 500 repetitions of bending at a 180° angle, without significant degradation in performance. Furthermore, the sensor exhibits exceptional stability, repeatability, and resistance to interference. Importantly, we successfully monitored changes in sweat glucose levels by applying screen-printed electrodes to human skin, with results consistent with normal physiological blood glucose fluctuations. This study details the fabrication of a wearable sensor characterized by ease of manufacture, remarkable flexibility, high sensitivity, and adaptability for non-invasive blood glucose monitoring through non-enzymatic electrochemical analysis. Thus, this streamlined fabrication process presents a novel approach for non-invasive, real-time blood glucose level monitoring.
Asunto(s)
Técnicas Biosensibles , Glucosa , Oro , Nanotubos de Carbono , Sudor , Dispositivos Electrónicos Vestibles , Humanos , Sudor/química , Glucosa/análisis , Oro/química , Nanotubos de Carbono/química , Técnicas Biosensibles/métodos , Electrodos , Técnicas Electroquímicas/métodos , Técnicas Electroquímicas/instrumentación , Nanopartículas del Metal/química , Límite de DetecciónRESUMEN
BACKGROUND: With the advent of personalized medical approaches, precise and tailored treatments are expected to become widely accepted for the prevention and treatment of diabetes. Paper-based colorimetric sensors that function in combination with smartphones have been rapidly developed in recent years because it does not require additional equipment and is inexpensive and easy to perform. In this study, we developed a portable, low-cost, and wearable sweat-glucose detection device for in situ detection. RESULTS: The sensor adopted an integrated biomimetic nanoenzyme of glucose oxidase (GOx) encapsulated in copper 1, 4-benzenedicarboxylate (CuBDC) (GOx@CuBDC) through a biomimetic mineralization process. CuBDC exhibited a peroxide-like effect, cascade catalytic effect with the encapsulated GOx, and increased the enzyme stability. GOx@CuBDC and 3,3,5,5-tetramethylbenzidine were combined to form a hybrid membrane that achieved single-step paper-based glucose detection. SIGNIFICANCE AND NOVELTY: This GOx@CuBDC-based colorimetric glucose sensor was used to quantitatively analyze the sweat-glucose concentration with smartphone readings. The sensor exhibited a good linear relationship over the concentration range of 40-900 µM and a limit of detection of 20.7 µM (S/N = 3). Moreover, the sensor performed well in situ monitoring and in evaluating variations based on the consumption of foods with different glycemic indices. Therefore, the fabricated wearable sweat-glucose sensors exhibited optimal practical application performance.
Asunto(s)
Técnicas Biosensibles , Colorimetría , Cobre , Glucosa Oxidasa , Glucosa , Teléfono Inteligente , Sudor , Glucosa Oxidasa/química , Glucosa Oxidasa/metabolismo , Cobre/química , Sudor/química , Humanos , Glucosa/análisis , Dispositivos Electrónicos Vestibles , Límite de Detección , Enzimas Inmovilizadas/química , Enzimas Inmovilizadas/metabolismoRESUMEN
Managing diabetes is a chronic challenge today, requiring monitoring and timely insulin injections to maintain stable blood glucose levels. Traditional clinical testing relies on fingertip or venous blood collection, which has facilitated the emergence of continuous glucose monitoring (CGM) technology to address data limitations. Continuous glucose monitoring technology is recognized for tracking long-term blood glucose fluctuations, and its development, particularly in wearable devices, has given rise to compact and portable continuous glucose monitoring devices, which facilitates the measurement of blood glucose and adjustment of medication. This review introduces the development of wearable CGM-based technologies, including noninvasive methods using body fluids and invasive methods using implantable electrodes. The advantages and disadvantages of these approaches are discussed as well as the use of microneedle arrays in minimally invasive CGM. Microneedle arrays allow for painless transdermal puncture and are expected to facilitate the development of wearable CGM devices. Finally, we discuss the challenges and opportunities and look forward to the biomedical applications and future directions of wearable CGM-based technologies in biological research.
Asunto(s)
Diabetes Mellitus , Dispositivos Electrónicos Vestibles , Humanos , Glucosa , Glucemia , Automonitorización de la Glucosa Sanguínea , Diabetes Mellitus/diagnósticoRESUMEN
Non-invasive wearable sweat glucose sensors are expected to be highly desirable for personalized diabetes management. Therefore, developing facile, convenient, and scalable manufacturing method of such wearable sensors is urgently needed. Herein, we report a simple and low-cost stamping-vacuum filtration dry transfer (SVFDT) method for construction of a wearable sweat glucose electrochemical sensor. In this patch, a three-electrode array template was made by using a polyvinyl chloride (PVC) stamp, followed by the preparation of multiwalled carbon nanotubes (MWCNTs)/polydimethylsiloxane (PDMS) (MP) film electrode using the vacuum-filtration dry transfer method. In addition, for further enhancing the conductivity of the electrode, another similar stamp with a raised surface dipping carbon nanotubes (CNTs) conductive coating was stamped on the surface of the MP electrode to obtain CNTs/MWCNTs/PDMS (CMP) electrode. CMP electrode was modified with the enzyme-like Ni-Co metal-organic framework (MOF) material which showed good electro-catalytic activity and achieved high sensitivity for glucose detection with a low detection limit of 6.78 µM and a wide linear range of 20 µM - 1.1 mM. More importantly, the Ni-Co MOF modified CMP (NCMP) electrode also displayed high stability under stretching and bending conditions. Finally, the sweat absorbent cloth was combined with the NCMP film electrode to form a wearable flexible electrochemical sensor patch, which could adhere to the skin to enrich sweat and realize real-time detection of sweat glucose with high accuracy. This SVFDT method can also be applied to the fabrication of other electronic devices.
Asunto(s)
Estructuras Metalorgánicas , Nanotubos de Carbono , Dispositivos Electrónicos Vestibles , Sudor , Dimetilpolisiloxanos , Electrodos , GlucosaRESUMEN
Designing highly active material to fabricate a high-performance noninvasive wearable glucose sensor was of great importance for diabetes monitoring. In this work, we developed CuxO nanoflakes (NFs)/Cu nanoparticles (NPs) nanocomposites to serve as the sensing materials for noninvasive sweat-based wearable glucose sensors. We involve CuCl2 to enhance the oxidation of Cu NPs to generate Cu2O/CuO NFs on the surface. Due to more active sites endowed by the CuxO NFs, the as-prepared sample exhibited high sensitivity (779 µA mM-1 cm-2) for noninvasive wearable sweat sensing. Combined with a low detection limit (79.1 nM), high selectivity and the durability of bending and twisting, the CuxO NFs/Cu NPs-based sensor can detect the glucose level change of sweat in daily life. Such a high-performance wearable sensor fabricated by a convenient method provides a facile way to design copper oxide nanomaterials for noninvasive wearable glucose sensors.
Asunto(s)
Técnicas Biosensibles , Nanocompuestos , Nanopartículas , Dispositivos Electrónicos Vestibles , Nanocompuestos/química , Cobre/química , Glucosa/químicaRESUMEN
Recent advances in microelectronics and electrochemical sensing platforms have preceded the development of devices for personal monitoring and managing physiological and metabolic information that exploit sweat as a noninvasive, convenient approach for providing information about underlying health conditions, such as glucose level monitoring. Although most sweat glucose sensors have targeted applications during exercise and other active stimulation induced-sweat, natural sweating offers an attractive alternative with minimal effect on users that can be accessed during routine and sedentary activities without impeding personal lifestyle and preserves the correlation between blood and sweat glucose. Here, we present a noninvasive sweat glucose sensor with convenient hydrogel patches for rapid sampling of natural perspiration without external activities that stimulate sweating. The wearable hydrogel patch rapidly takes up natural sweat from the hand and serves as a medium for electrochemical sensing. A prussian blue-doped poly(3,4-ethylenedioxythiophene nanocomposite (PB-PEDOT NC) electrode provides cost-effective, stable and excellent electrocatalytic activity in sweat glucose measurements. We demonstrated sweat glucose sensor functionality by long-term measurements of glucose in sweat from human subjects consuming food and drinks. By enabling the analysis of sweat glucose during routine and sedentary activities, the sweat glucose sensor shows great promise for clinical-grade glucose management and enlarges the scope of next-generation noninvasive sensing systems.