Calibration of a subcutaneous amperometric glucose sensor implanted for 7 days in diabetic patients
Abstract
Unlabelled Calibration, i.e. the transformation in real time of the signal I(t) generated by the glucose sensor at time t into an estimation of glucose concentration G(t), represents a key issue for the development of a continuous glucose monitoring system.Objective To compare two calibration procedures. In the one-point calibration, which assumes that I(o) is negligible, S is simply determined as the ratio I/G, and G(t) = I(t)/S. The two-point calibration consists in the determination of a sensor sensitivity S and of a background current I(o) by plotting two values of the sensor signal versus the concomitant blood glucose concentrations. The subsequent estimation of G(t) is given by G(t) = (I(t)-I(o))/S.Research design and methods A glucose sensor was implanted in the abdominal subcutaneous tissue of nine type 1 diabetic patients during 3 (n = 2) and 7 days (n = 7). The one-point calibration was performed a posteriori either once per day before breakfast, or twice per day before breakfast and dinner, or three times per day before each meal. The two-point calibration was performed each morning during breakfast.Results The percentages of points present in zones A and B of the Clarke Error Grid were significantly higher when the system was calibrated using the one-point calibration. Use of two one-point calibrations per day before meals was virtually as accurate as three one-point calibrations.Conclusion This study demonstrates the feasibility of a simple method for calibrating a continuous glucose monitoring system.
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The lag time between blood and subcutaneous tissue glucose concentrations causes further inaccuracies for CGM devices.
“The lag time between blood and subcutaneous tissue glucose concentrations cause further inaccuracies for CGM devices.79–80”
From Biocompatible Materials for Continuous Glucose Monitoring Devices (2013) · cites this paper as [80]
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- Authors
- Choleau, C., Klein, J. C., Reach, G., Aussedat, B., Demaria-Pesce, V., Wilson, G. S., Gifford, R., & Ward, W. K.
- Affiliations
- Inserm (FR)
- Centre de Morphologie Mathématique - CMM (FR)
- University of Kansas (US)
- Corresponding author
- Reach, G.
- Venue
- Biosensors and Bioelectronics
- Publisher
- Elsevier BV
- Published
- 2002-08
- Volume
- 17
- Issue
- 8
- Pages
- 647-654
- ISSN
- 0956-5663 (ISSN-L)
- OpenAlex
- W2191369865
- Cited by
- 76
- References
- 18
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 1 · 2022: 2 · 2021: 1 · 2020: 1 · 2019: 5 · 2018: 2 · 2017: 1 · 2016: 2 · 2015: 6 · 2014: 7 · 2013: 7 · 2012: 6
- FWCI
- 2.12
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Biosensors and Bioelectronics (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01dk030718-12, 5r01dk055297-03)
- National Institute of Diabetes and Digestive and Kidney Diseases (DK55297, DK-30718)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Physical Sciences › Engineering › Electrical and Electronic Engineering › Electrochemical sensors and biosensors
- Health Sciences › Medicine › Surgery › Pancreatic function and diabetes
- Keywords
- continuous glucose monitoring, one-point calibration, two-point calibration, sensor sensitivity, background current, Clarke error grid, type 1 diabetes, sensor accuracy
- MeSH terms
- Blood Glucose, Diabetes Mellitus, Type 1, Humans, Blood Glucose Self-Monitoring, Biosensing Techniques, Prostheses and Implants
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 ›
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