Technology & Innovation

Non-Invasive Glucose Sensing Technologies

Non-Invasive Glucose Sensing (NIGS) aims to replace fingerstick test strips and invasive filaments with technologies that measure glucose through the skin. The field is categorized into Optical techniques (NIRS, Raman, OCT), Transdermal extraction (Reverse Iontophoresis), and Biofluid analysis (tears/sweat).

Despite the FDA approval of the GlucoWatch in 2001, the device failed commercially due to skin irritation and inaccuracy. Major tech firms (Google, Apple) have struggled with the physiological lag between blood and interstitial fluid, and the low signal-to-noise ratio caused by water absorption and environmental interference. Currently, no non-invasive technology meets the ISO 15197 accuracy standards required for insulin dosing, leaving the market dominated by electrochemical strips and minimally invasive CGMs.

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Non-Invasive Glucose Sensing Technologies

Ditch the fingerstick test strips and invasive filaments! Non-invasive glucose sensing is here, measuring glucose through the skin.

Categories of NIGS

We've got three main categories:

  • Optical techniques: think NIRS, Raman, and OCT.
  • Transdermal extraction: Reverse Iontophoresis takes the stage.
  • Biofluid analysis: tears and sweat are on the radar.

History of NIGS

The GlucoWatch made history with FDA approval in 2001, but skin irritation and inaccuracy shut it down [1].

Challenges in NIGS

Tech giants like Google and Apple face two big hurdles:

  • Physiological lag: the delay between blood and interstitial fluid is a challenge.
  • Low signal-to-noise ratio: water absorption and environmental interference get in the way.

Current State of NIGS

Here's the truth: no non-invasive technology meets the ISO 15197 accuracy standards required for insulin dosing [2]. Electrochemical strips and minimally invasive CGMs still dominate the market.

References

  1. Non-invasive glucose monitoring: Assessment of technologies and market opportunitiesSource

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