PMID- 37481866 OWN - NLM STAT- MEDLINE DCOM- 20230814 LR - 20230814 IS - 1873-4235 (Electronic) IS - 0956-5663 (Linking) VI - 237 DP - 2023 Oct 1 TI - Micro interstitial fluid extraction and detection device integrated with the optimal extraction conditions for noninvasive glucose monitoring. PG - 115515 LID - S0956-5663(23)00457-8 [pii] LID - 10.1016/j.bios.2023.115515 [doi] AB - Interstitial fluid glucose sensors have promising prospects in noninvasive glucose monitoring. However, the commonly used method of extracting interstitial fluid, reverse iontophoresis (RI), still remains to be optimized to solve problems such as insufficient extraction flux and skin irritation. To find the optimal RI conditions, in this study we explored the effects of multiple factors such as current frequency, duration, duty cycle and their interactions on extraction with the design of experiments (DOE) method. A multifunctional extraction and detection device was designed to control extraction conditions and measure the surface water content of the extraction electrode in situ and real time. A micro glucose monitoring device (MicroTED) combined with a cheap and flexible paper-based electrode was developed under the determined optimal extraction conditions. In on-body continuous glucose monitoring tests carried out to verify the performance of the device, the optimized conditions can facilitate stable extraction of up to 1.0 mg without any skin discomfort. The mean Pearson correlation coefficient between the measurement results of MicroTED and commercial glucometer is above 0.9. In the Clarke error grid analysis, all data points fell within Clarke error grid areas A and B, demonstrating the feasibility of further clinical application of the device. CI - Copyright (c) 2023 Elsevier B.V. All rights reserved. FAU - Tianyi, Sun AU - Tianyi S AD - School of Electronic, Electrical and Communication Engineering, University of Chinese Academy of Sciences, Beijing, China. FAU - Yulong, Zhou AU - Yulong Z AD - School of Electronic, Electrical and Communication Engineering, University of Chinese Academy of Sciences, Beijing, China. FAU - Yanzhen, Jing AU - Yanzhen J AD - Research Center for Materials Science and Opti-Electronic Technology, School of Optoelectronics, University of Chinese Academy of Sciences, Beijing, China. FAU - Chen, Ching-Jung AU - Chen CJ AD - Research Center for Materials Science and Opti-Electronic Technology, School of Optoelectronics, University of Chinese Academy of Sciences, Beijing, China. Electronic address: cjchen@ucas.ac.cn. FAU - Liu, Jen-Tsai AU - Liu JT AD - Research Center for Materials Science and Opti-Electronic Technology, College of Materials Science and Opti-Electronic Technology, University of Chinese Academy of Sciences, Beijing, China. Electronic address: jtliu@ucas.ac.cn. LA - eng PT - Journal Article DEP - 20230714 PL - England TA - Biosens Bioelectron JT - Biosensors & bioelectronics JID - 9001289 RN - 0 (Blood Glucose) RN - IY9XDZ35W2 (Glucose) SB - IM MH - *Blood Glucose/analysis MH - Blood Glucose Self-Monitoring MH - Extracellular Fluid/chemistry MH - *Biosensing Techniques MH - Skin/chemistry MH - Glucose/analysis OTO - NOTNLM OT - Continuous glucose monitor OT - Noninvasive OT - Optimal extraction condition OT - Reverse iontophoresis COIS- Declaration of competing interest There is no financial/commercial conflict of interest. EDAT- 2023/07/24 00:41 MHDA- 2023/08/14 06:42 CRDT- 2023/07/23 18:03 PHST- 2023/04/13 00:00 [received] PHST- 2023/07/01 00:00 [revised] PHST- 2023/07/03 00:00 [accepted] PHST- 2023/08/14 06:42 [medline] PHST- 2023/07/24 00:41 [pubmed] PHST- 2023/07/23 18:03 [entrez] AID - S0956-5663(23)00457-8 [pii] AID - 10.1016/j.bios.2023.115515 [doi] PST - ppublish SO - Biosens Bioelectron. 2023 Oct 1;237:115515. doi: 10.1016/j.bios.2023.115515. Epub 2023 Jul 14.