A Tale of Two Compartments: Interstitial Versus Blood Glucose Monitoring
Open accessAbstract
Self-monitoring of blood glucose was described as one of the most important advancements in diabetes management since the invention of insulin in 1920. Recent advances in glucose sensor technology for measuring interstitial glucose concentrations have challenged the dominance of glucose meters in diabetes management, while raising questions about the relationships between interstitial and blood glucose levels. This article will review the differences between interstitial and blood glucose and some of the challenges in measuring interstitial glucose levels accurately.
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The ratio of blood to tissue glucose is not constant and depends on metabolic rates related to glucose and insulin physiology, including cellular glucose uptake, blood flow, and capillary permeability.
“This assumption is problematic because the ratio of blood/tissue glucose is not constant, but rather depends on the metabolic rates related to glucose and insulin physiology including glucose uptake by cells or from blood vessels, blood flow, and permeability of capillaries.78”
From Biocompatible Materials for Continuous Glucose Monitoring Devices (2013) · cites this paper as [78]
Under normal conditions, the physiological lag time between blood and interstitial fluid glucose is between 5 and 10 minutes.
“Under normal conditions (i.e., conditions in which glucose levels are not rapidly changing from activities such as exercising or eating), the physiological lag time between blood and interstitial fluid glucose ranges between 5 and 10 min.78,81”
From Biocompatible Materials for Continuous Glucose Monitoring Devices (2013) · cites this paper as [78]
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References 60 · Cited by 390
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- Authors
- Cengiz, E., & Tamborlane, W. V.
- Affiliations
- Yale University (US)
- Corresponding author
- Cengiz, Eda
- Venue
- Diabetes Technology & Therapeutics
- Publisher
- SAGE Publications
- Published
- 2009-06-02
- Volume
- 11
- Issue
- S1
- Pages
- S-11-S-16
- ISSN
- 1520-9156 (ISSN-L)
- 1557-8593
- PMC
- PMC2903977
- OpenAlex
- W2009177416
- Cited by
- 390
- References
- 60
- Citations by year
- 2026: 24 · 2025: 22 · 2024: 30 · 2023: 38 · 2022: 33 · 2021: 26 · 2020: 25 · 2019: 30 · 2018: 44 · 2017: 25 · 2016: 22 · 2015: 14 · 2014: 13 · 2013: 11 · 2012: 13
- FWCI
- 7.99
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Diabetes Technology & Therapeutics (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Georgia Clinical and Translational Science Alliance
- National Institutes of Health
- National Institute of Diabetes and Digestive and Kidney Diseases (K12DK063709)
- National Center for Research Resources (RR 023423)
- 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 › Endocrinology, Diabetes and Metabolism › Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Keywords
- interstitial glucose, blood glucose, glucose monitoring, glucose sensor, continuous glucose monitoring, self-monitoring of blood glucose, diabetes management, blood glucose meters
- MeSH terms
- Arterioles, Blood Glucose, Diabetes Mellitus, Humans, Monitoring, Physiologic, Skin, Venules, Blood Glucose Self-Monitoring, Reproducibility of Results, Biosensing Techniques, Extracellular Fluid
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