Modeling Glucose Transport From Systemic Circulation to Sweat
Abstract
Sweat sensing may provide a noninvasive means of estimating blood biomarker levels if a number of technological hurdles can be overcome. This report describes progress on a physiologically based transport model relating sweat glucose and key electrolyte concentrations to those in blood. Iontophoretically stimulated sweat glucose and fasted blood glucose were simultaneously measured in 2 healthy human subjects. Sweat glucose was measured with a novel, prototype skin sweat collection/analysis system and blood glucose with a commercial fingerstick glucometer. These data, in combination with data from 3 published studies, were used to calibrate a dynamic mathematical model for glucose transport and uptake in human skin, followed by extraction into sweat. Model simulations revealed that experimental and literature sweat glucose values were well represented under varying physiologic conditions. The glucose model, calibrated under a variety of experimental conditions including electrical enhancement, revealed a 10 min blood-to-sweat lag time and a sweat/blood glucose level ranging from 0.001 to 0.02, depending on the sweat rate. These values are consistent with those reported in the literature. The developed model satisfactorily described the sweat-to-blood relationship for glucose concentrations measured under different conditions in 4 human studies including the present pilot study. The algorithm may be used to facilitate sweat biosensor development.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
La Count et al.'s glucose model demonstrated a ten-minute blood-to-sweat lag time and a sweat/blood glucose level ranging from 0.001 to 0.02, depending on the sweat rate.
“The glucose model, calibrated under a variety of experimental conditions including electrical enhancement, demonstrated a ten-minute blood-to-sweat lag time and a sweat/blood glucose level ranging from 0.001 to 0.02, depending on the sweat rate.”
From Wearable sensors for monitoring the physiological and biochemical profile of the athlete (2019) · cites this paper as [54]
Cites
Lee, H., Choi, T. K., Lee, Y. B., Cho, H. R., Ghaffari, R., Wang, L., Choi, H. J., Chung, T. D., Lu, N., Hyeon, T., et al. (2016) · Nature Nanotechnology · doi:10.1038/nnano.2016.38 · Cited by 1,802 · see citing works
Non-invasive wearable electrochemical sensors: a review
Bandodkar, A. J., & Wang, J. (2014) · Trends in Biotechnology · doi:10.1016/j.tibtech.2014.04.005 · Cited by 1,247 · see citing works
Klonoff, D. C. (2005) · Diabetes Care · doi:10.2337/diacare.28.5.1231 · Cited by 725 · see citing works
Sonner, Z., Wilder, E., Heikenfeld, J., Kasting, G., Beyette, F., Swaile, D., Sherman, F., Joyce, J., Hagen, J., Kelley-Loughnane, N., et al. (2015) · Biomicrofluidics · doi:10.1063/1.4921039 · Cited by 724 · see citing works
Self-citationNon-invasive glucose monitoring technology in diabetes management: A review
Vashist, S. K. (2012) · Analytica Chimica Acta · doi:10.1016/j.aca.2012.03.043 · Cited by 575 · see citing works
Correlation Between Sweat Glucose and Blood Glucose in Subjects with Diabetes
Moyer, J., Wilson, D., Finkelshtein, I., Wong, B., & Potts, R. (2012) · Diabetes Technology & Therapeutics · doi:10.1089/dia.2011.0262 · Cited by 570 · see citing works
Tierney, M. J., Tamada, J. A., Potts, R. O., Jovanovic, L., & Garg, S. (2001) · Biosensors and Bioelectronics · doi:10.1016/s0956-5663(01)00189-0 · Cited by 390 · see citing works
The Diagnosis of Cystic Fibrosis
Stern, R. C. (1997) · New England Journal of Medicine · doi:10.1056/nejm199702133360707 · Cited by 325 · see citing works
Formulation and stability of a novel artificial human sweat under conditions of storage and use
Harvey, C. J., LeBouf, R. F., & Stefaniak, A. B. (2010) · Toxicology in Vitro · doi:10.1016/j.tiv.2010.06.016 · Cited by 275 · see citing works
Physiological Differences Between Interstitial Glucose and Blood Glucose Measured in Human Subjects
Kulcu, E., Tamada, J. A., Reach, G., Potts, R. O., & Lesho, M. J. (2003) · Diabetes Care · doi:10.2337/diacare.26.8.2405 · Cited by 252 · see citing works
Glucose Effects on Skin Keratinocytes
Spravchikov, N., Sizyakov, G., Gartsbein, M., Accili, D., Tennenbaum, T., & Wertheimer, E. (2001) · Diabetes · doi:10.2337/diabetes.50.7.1627 · Cited by 243 · see citing works
Physiology of Epithelial Chloride and Fluid SecretionPreprint
Frizzell, R. A., & Hanrahan, J. W. (2012) · Cold Spring Harbor Perspectives in Medicine · doi:10.1101/cshperspect.a009563 · Cited by 235 · see citing works
Electrical Properties of Skin at Moderate Voltages
Chizmadzhev, Y. A., Indenbom, A. V., Kuzmin, P. I., Galichenko, S. V., Weaver, J. C., & Potts, R. O. (1998) · Biophysical Journal · doi:10.1016/s0006-3495(98)74008-1 · Cited by 185 · see citing works
Interstitial fluid glucose dynamics during insulin-induced hypoglycaemia
Steil, G. M., Rebrin, K., Hariri, F., Jinagonda, S., Tadros, S. S., Darwin, C. H., & Saad, M. F. (2005) · Diabetologia · doi:10.1007/s00125-005-1852-x · Cited by 148 · see citing works
Principles and models of biological transport
(1988) · General Pharmacology The Vascular System · doi:10.1016/0306-3623(88)90180-2 · Cited by 147 · see citing works
Dancik, Y., Miller, M. A., Jaworska, J., et al. (2012) · Advanced Drug Delivery Reviews · doi:10.1016/j.addr.2012.01.006 · Cited by 147 · see citing works
Reverse Iontophoresis: Noninvasive Glucose Monitoring in Vivo in Humans
Rao, G. S., Guy, R. H., Glikfeld, P., LaCourse, W. R., Leung, L., Tamada, J. A., Potts, R. O., & Azimi, N. (1995) · Pharmaceutical Research · doi:10.1023/a:1016271301814 · Cited by 138 · see citing works
Smith, N. P., & Crampin, E. J. (2004) · Progress in Biophysics and Molecular Biology · doi:10.1016/j.pbiomolbio.2004.01.010 · Cited by 100 · see citing works
Simmers, P., Li, S. K., Kasting, G. B., & Heikenfeld, J. C. (2017) · Journal of Dermatological Science · doi:10.1016/j.jdermsci.2017.10.013 · Cited by 96 · see citing works
Self-citationA modified anaerobic method of sweat collection
Boysen, T. C., Yanagawa, S., Sato, F., & Sato, K. (1984) · Journal of Applied Physiology · doi:10.1152/jappl.1984.56.5.1302 · Cited by 91 · see citing works
Principles and Models of Biological Transport
Friedman, M. H. (2008) · Springer eBooks · doi:10.1007/978-0-387-79240-8 · Cited by 91 · see citing works
Sonner, Z., Wilder, E., Gaillard, T. R., Kasting, G. B., & Heikenfeld, J. C. (2017) · Lab on a Chip · doi:10.1039/c7lc00364a · Cited by 89 · see citing works
Self-citationDermal Clearance Model for Epidermal Bioavailability Calculations
Ibrahim, R. E., Nitsche, J. M., & Kasting, G. B. (2012) · Journal of Pharmaceutical Sciences · doi:10.1002/jps.23106 · Cited by 77 · see citing works
Self-citationComparison of Glucose Levels in Dermal Interstitial Fluid and Finger Capillary Blood
Stout, P. J., Peled, N., Erickson, B., Hilgers, M. E., Racchini, J. R., & Hoegh, T. (2001) · Diabetes Technology & Therapeutics · doi:10.1089/152091501750220046 · Cited by 76 · see citing works
Computational Biophysics of the Skin
Querleux, B. (2014) · doi:10.1201/b17205 · Cited by 56 · see citing works
A quantitative description of the Na-K-2Cl cotransporter and its conformity to experimental data
Benjamin, B., & Johnson, E. A. (1997) · American Journal of Physiology-Renal Physiology · doi:10.1152/ajprenal.1997.273.3.f473 · Cited by 40 · see citing works
The human eccrine sweat gland: Structure, function and disorders
Bovell, D. L. (2015) · Journal of Local and Global Health Science · doi:10.5339/jlghs.2015.5 · Cited by 40 · see citing works
General method for the derivation and numerical solution of epithelial transport models
Latta, R. A., Clausen, C., & Moore, L. C. (1984) · The Journal of Membrane Biology · doi:10.1007/bf01870733 · Cited by 38 · see citing works
The effects of insulin on the level and activity of the GLUT4 present in human adipose cells
Kozka, I. J., CLARK, A. E., Reckless, J. P. D., Cushman, S. W., Gould, G. W., & Holman, G. D. (1995) · Diabetologia · doi:10.1007/bf00401836 · Cited by 37 · see citing works
Enhancing glucose flux into sweat by increasing paracellular permeability of the sweat gland
Jajack, A., Brothers, M., Kasting, G., & Heikenfeld, J. (2018) · PLOS ONE · doi:10.1371/journal.pone.0200009 · Cited by 35 · see citing works
Self-citationSato, K., Feibleman, C. E., & Dobson, R. L. (1970) · Journal of Investigative Dermatology · doi:10.1111/1523-1747.ep12260581 · Cited by 34 · see citing works
Modeling Glucose and Water Dynamics in Human Skin
Groenendaal, W., Schmidt, K., von Basum, G., van Riel, N., & Hilbers, P. (2008) · Diabetes Technology & Therapeutics · doi:10.1089/dia.2007.0290 · Cited by 34 · see citing works
Increased glucose transport by human fibroblasts with a heritable defect in insulin binding
Longo, N., Griffin, L. D., Shuster, R. C., Langley, S. D., & Elsas, L. J. (1989) · Metabolism · doi:10.1016/0026-0495(89)90109-1 · Cited by 27 · see citing works
O’Donoghue, D. L., Dua, V., Moss, G. W. J., & Vergani, P. (2013) · The Journal of Physiology · doi:10.1113/jphysiol.2013.253955 · Cited by 15 · see citing works
Effect of formulation factors on electroosmotic glucose transport through human skin in vivo
Tamada, J. A., & Comyns, K. (2005) · Journal of Pharmaceutical Sciences · doi:10.1002/jps.20348 · Cited by 10 · see citing works
Mathematical Models of Skin Permeability: Microscopic Transport Models and Their Predictions
Querleux, B. (2014) · doi:10.1201/b17205-13 · Cited by 9 · see citing works
Human Subjects Testing of Sweat Stimulation Technologies
Wilder, E. (2016) · OhioLink ETD Center (Ohio Library and Information Network) · Cited by 2 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Accessing analytes in biofluids for peripheral biochemical monitoring
Heikenfeld, J., Jajack, A., Feldman, B., Granger, S. W., Gaitonde, S., Begtrup, G., & Katchman, B. A. (2019) · Nature Biotechnology · doi:10.1038/s41587-019-0040-3 · Cited by 758 · see citing works
Self-citationWearable sensors for monitoring the physiological and biochemical profile of the athlete
Seshadri, D. R., Li, R. T., Voos, J. E., Rowbottom, J. R., Alfes, C. M., Zorman, C. A., & Drummond, C. K. (2019) · npj Digital Medicine · doi:10.1038/s41746-019-0150-9 · Cited by 537 · see citing works
Physiological mechanisms determining eccrine sweat composition
Baker, L. B., & Wolfe, A. S. (2020) · European Journal of Applied Physiology · doi:10.1007/s00421-020-04323-7 · Cited by 353 · see citing works
Biomolecular sensors for advanced physiological monitoring
Flynn, C. D., Chang, D., Mahmud, A., Yousefi, H., Das, J., Riordan, K. T., Sargent, E. H., & Kelley, S. O. (2023) · Nature Reviews Bioengineering · doi:10.1038/s44222-023-00067-z · Cited by 226 · see citing works
Wearable sweat sensing for prolonged, semicontinuous, and nonobtrusive health monitoring
Moonen, E. J. M., Haakma, J. R., Peri, E., Pelssers, E., Mischi, M., & den Toonder, J. M. J. (2020) · VIEW · doi:10.1002/viw.20200077 · Cited by 86 · see citing works
- Authors
- La Count, T. D., Jajack, A., Heikenfeld, J., & Kasting, G. B.
- Affiliations
- University of Cincinnati (US)
- Corresponding author
- Kasting, Gerald B.
- Venue
- Journal of Pharmaceutical Sciences
- Publisher
- Elsevier BV
- Published
- 2019-01
- Volume
- 108
- Issue
- 1
- Pages
- 364-371
- ISSN
- 0022-3549 (ISSN-L)
- OpenAlex
- W2894030212
- Cited by
- 60
- References
- 37
- Citations by year
- 2026: 5 · 2025: 8 · 2024: 16 · 2023: 11 · 2022: 9 · 2021: 4 · 2020: 5 · 2019: 2
- FWCI
- 1.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Pharmaceutical Sciences (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Science Foundation (1608275)
- Topics
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmaceutical Science › Advancements in Transdermal Drug Delivery
- Physical Sciences › Engineering › Electrical and Electronic Engineering › Electrochemical sensors and biosensors
- Physical Sciences › Engineering › Biomedical Engineering › Advanced Sensor and Energy Harvesting Materials
- Keywords
- sweat glucose, blood glucose, glucose transport, skin, iontophoresis, non-invasive glucose monitoring, sweat electrolytes, sweat rate
- MeSH terms
- Adult, Biological Transport, Blood Glucose, Calibration, Electrolytes, Female, Glucose, Humans, Male, Skin, Sweat, Glucose Transport Proteins, Facilitative, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review