Cited by 215Electrochemical sensors and biosensorsDiabetes Management and ResearchAnalytical Chemistry and Sensors

Implanted Electrochemical Glucose Sensors for the Management of Diabetes

Heller, Adam·1999·Annual Review of Biomedical Engineering

Abstract

▪ Abstract By maintaining a near normal (70–120 mg/dL) glucose concentration, diabetic patients can drastically reduce the likelihood of the occurrence of diabetes complications. In the near future, subcutaneously implanted electrochemical glucose sensors will be available to provide frequent or continuous information on which timely treatment decisions, such as insulin injection or glucose source intake, can be based, as well as timely alarm signals. The currently engineered devices are of three types: (a) innocuous microsensors, with actively mass-transporting areas <10−3 cm 2, replaced twice a week by the patient; (b) self-contained, surgeon-implanted, transmitter-containing packages of >1 cm 2 area, operating for >100 days; and (c) devices transporting subcutaneous fluid to an external sensor, based on implanted microfiltration or microdialysis fibers or on iontophoretic transport of the subcutaneous fluid through the skin.

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Crossref · 10.1146/annurev.bioeng.1.1.153

Cites

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  • CGM supplies real-time data on glucose trends, magnitude, duration, and frequency of daily fluctuations.

    “Continuous glucose monitoring (CGM) provides real-time information on trends (i.e., whether the glucose levels are increasing or decreasing), magnitude, duration, and frequency of glucose fluctuations during the day.5–6”
  • Lag is also created by tissue responses to the sensor such as electrode fouling, biofouling, and foreign body encapsulation that impedes glucose diffusion.

    “Lag is also created by tissue responses to the sensor such as electrode fouling, biofouling, and the foreign body encapsulation that impedes glucose diffusion to the sensor.5–6”

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References 97 · Cited by 215

Authors
Heller, A.
Affiliations
Texas Materials Institute (US)
Corresponding author
Heller, Adam
Venue
Annual Review of Biomedical Engineering
Published
1999-08
Volume
1
Issue
1
Pages
153-175
ISSN
  • 1523-9829 (ISSN-L)
  • 1545-4274
OpenAlex
W2138208850
Cited by
215
References
97
Citations by year
2026: 4 · 2024: 2 · 2023: 10 · 2022: 2 · 2021: 8 · 2020: 8 · 2019: 8 · 2018: 6 · 2017: 7 · 2016: 7 · 2015: 10 · 2014: 11 · 2013: 12 · 2012: 9
FWCI
1.30
Type
journal article
Language
en
Open access
closed
Locations
  • Annual Review of Biomedical Engineering (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institutes of Health
Topics
  • Physical Sciences › Engineering › Electrical and Electronic Engineering › Electrochemical sensors and biosensors
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
  • Physical Sciences › Chemical Engineering › Bioengineering › Analytical Chemistry and Sensors
Keywords
electrochemical glucose sensor, diabetes management, continuous glucose monitoring, microfiltration, insulin injection
MeSH terms
Biocompatible Materials, Biomedical Engineering, Blood Glucose, Body Fluids, Diabetes Mellitus, Electrochemistry, Humans, Monitoring, Physiologic, Biosensing Techniques, Prostheses and Implants, In Vitro Techniques

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