Diabetic Test Strip Manufacturing: A Comparative Analysis
Two methods for making a glucose test strip's electrodes stand out. Screen-Printing (Thick Film) presses conductive ink onto plastic, while Laser Ablation (Thin Film) starts with a thin metal coating and uses a laser to remove everything that isn't electrode [3]. Both suit industrial-scale production [3]. Manufacturers rarely say which method a given strip uses, and the FDA decision summaries we read don't say either [5][6].
Screen-Printing Technology
- Screen printing pushes a conductive paste through a patterned mesh onto the strip's plastic base. The inks are usually carbon-based, sometimes with metal nanoparticles mixed in [3].
- This is the low-cost, high-volume route. Screen printing allows strip electrodes to be mass-produced at low cost [1], and a 2010 review found that most point-of-care glucose sensors relied on disposable screen-printed strips [2].
- The trade-offs are rougher electrode surfaces than a metal film gives, and older printed designs needed larger blood samples.
Laser Ablation Technology
- Laser ablation starts with a thin metal film, such as gold or palladium laid down by sputtering (a vacuum coating process), and cuts the electrode pattern into it. Along with optical lithography, it is one of the main ways to pattern metal electrodes such as gold [3]. For how the metals compare with carbon, see our article on electrode material composition.
- The payoff is precision: laser ablation is used to control electrode dimensions accurately [4]. Sub-microliter strips are on the market. FDA's decision summary for FreeStyle Lite strips lists a 0.3 µL sample [5], and a 2016 review traces the drop in sample size over the decades from 25 µL to as little as 0.3 µL [4]. We found no source that credits that drop to laser ablation alone.
- Strips with several electrodes put them to work as checks. In FDA's decision summary for Accu-Chek Aviva Plus strips, the meter watches separate measurement and sample-sufficiency electrodes to confirm enough blood was applied, then uses alternating-current signals to correct for hematocrit and temperature [6]. That summary doesn't say how the electrodes are made.
- Laser ablation needs a larger up-front investment than printing. Whether it also reads more accurately is a separate question. We didn't find a published study comparing laser-ablated and printed strips head to head, and the Aviva Plus summary shows the meter's own corrections shape the final result too [6].
Modern Manufacturing Advances
Roll-to-Roll (R2R) processing feeds the strip material through the line as one continuous web instead of sheet by sheet. Roll-to-roll printing is one of the routes used to batch-produce disposable, multi-electrode sensors [1]. Strip makers use it with both methods to raise throughput and lower the cost of each strip.
References
- Device integration of electrochemical biosensors (Wu J, Liu H, Chen W, Ma B, Ju H. Nat Rev Bioeng. 2023;1:346-360)Source
- Glucose biosensors: an overview of use in clinical practice (Yoo EH, Lee SY. Sensors (Basel). 2010;10(5):4558-4576)Source
- Chemical Sensors and Biosensors for Point-of-Care Testing of Pets (Fonseca et al. ACS Sens. 2025;10:3222-3238)Source
- Transforming the blood glucose meter into a general healthcare meter for in vitro diagnostics in mobile health (Lan T, Zhang J, Lu Y. Biotechnol Adv. 2016)Source
- FDA 510(k) Decision Summary K092602: FreeStyle Lite and FreeStyle Freedom Lite Blood Glucose Monitoring SystemsSource
- FDA 510(k) Decision Summary K101299: ACCU-CHEK Aviva Plus Test StripsSource