Accurate Post-Calibration Predictions for Noninvasive Glucose Measurements in People Using Confocal Raman Spectroscopy

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  • Anders Pors
  • Kaspar G. Rasmussen
  • Rune Inglev
  • Nina Jendrike
  • Amalie Philipps
  • Ajenthen G. Ranjan
  • Vibe Vestergaard
  • Jan E. Henriksen
  • Nørgaard, Kirsten
  • Guido Freckmann
  • Karl D. Hepp
  • Michael C. Gerstenberg
  • Anders Weber

In diabetes prevention and care, invasiveness of glucose measurement impedes efficient therapy and hampers the identification of people at risk. Lack of calibration stability in non-invasive technology has confined the field to short-term proof of principle. Addressing this challenge, we demonstrate the first practical use of a Raman-based and portable non-invasive glucose monitoring device used for at least 15 days following calibration. In a home-based clinical study involving 160 subjects with diabetes, the largest of its kind to our knowledge, we find that the measurement accuracy is insensitive to age, sex, and skin color. A subset of subjects with type 2 diabetes highlights promising real-life results with 99.8% of measurements within A + B zones in the consensus error grid and a mean absolute relative difference of 14.3%. By overcoming the problem of calibration stability, we remove the lingering uncertainty about the practical use of non-invasive glucose monitoring, boding a new, non-invasive era in diabetes monitoring.

OriginalsprogEngelsk
TidsskriftACS Sensors
Vol/bind8
Udgave nummer3
Sider (fra-til)1272-1279
Antal sider8
ISSN2379-3694
DOI
StatusUdgivet - 2023

Bibliografisk note

Publisher Copyright:
© 2023 The Authors. Published by American Chemical Society.

ID: 362330061