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      Sampling of fluid through skin with magnetohydrodynamics for noninvasive glucose monitoring

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          Abstract

          Out of 463 million people currently with diabetes, 232 million remain undiagnosed. Diabetes is a threat to human health, which could be mitigated via continuous self-monitoring of glucose. In addition to blood, interstitial fluid is considered to be a representative sample for glucose monitoring, which makes it highly attractive for wearable on-body sensing. However, new technologies are needed for efficient and noninvasive sampling of interstitial fluid through the skin. In this report, we introduce the use of Lorentz force and magnetohydrodynamics to noninvasively extract dermal interstitial fluid. Using porcine skin as an ex-vivo model, we demonstrate that the extraction rate of magnetohydrodynamics is superior to that of reverse iontophoresis. This work seeks to provide a safe, effective, and noninvasive sampling method to unlock the potential of wearable sensors in needle-free continuous glucose monitoring devices that can benefit people living with diabetes.

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          Most cited references53

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          WITHDRAWN: Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: results from the International Diabetes Federation Diabetes Atlas, 9th edition

          To provide global estimates of diabetes prevalence for 2019 and projections for 2030 and 2045.
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            Fully integrated wearable sensor arrays for multiplexed in situ perspiration analysis.

            Wearable sensor technologies are essential to the realization of personalized medicine through continuously monitoring an individual's state of health. Sampling human sweat, which is rich in physiological information, could enable non-invasive monitoring. Previously reported sweat-based and other non-invasive biosensors either can only monitor a single analyte at a time or lack on-site signal processing circuitry and sensor calibration mechanisms for accurate analysis of the physiological state. Given the complexity of sweat secretion, simultaneous and multiplexed screening of target biomarkers is critical and requires full system integration to ensure the accuracy of measurements. Here we present a mechanically flexible and fully integrated (that is, no external analysis is needed) sensor array for multiplexed in situ perspiration analysis, which simultaneously and selectively measures sweat metabolites (such as glucose and lactate) and electrolytes (such as sodium and potassium ions), as well as the skin temperature (to calibrate the response of the sensors). Our work bridges the technological gap between signal transduction, conditioning (amplification and filtering), processing and wireless transmission in wearable biosensors by merging plastic-based sensors that interface with the skin with silicon integrated circuits consolidated on a flexible circuit board for complex signal processing. This application could not have been realized using either of these technologies alone owing to their respective inherent limitations. The wearable system is used to measure the detailed sweat profile of human subjects engaged in prolonged indoor and outdoor physical activities, and to make a real-time assessment of the physiological state of the subjects. This platform enables a wide range of personalized diagnostic and physiological monitoring applications.
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              Wearable biosensors for healthcare monitoring

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                Author and article information

                Contributors
                johan.bobacka@abo.fi
                Journal
                Sci Rep
                Sci Rep
                Scientific Reports
                Nature Publishing Group UK (London )
                2045-2322
                7 April 2021
                7 April 2021
                2021
                : 11
                : 7609
                Affiliations
                [1 ]GlucoModicum Ltd, A.I. Virtasen Aukio 1, 00560 Helsinki, Finland
                [2 ]GRID grid.13797.3b, ISNI 0000 0001 2235 8415, Laboratory of Molecular Science and Engineering, Faculty of Science and Engineering, , Åbo Akademi University, ; Biskopsgatan 8, 20500 Turku/Åbo, Finland
                [3 ]Skin and Allergy Hospital, Meilahdentie 2, 00250 Helsinki, Finland
                [4 ]GRID grid.15485.3d, ISNI 0000 0000 9950 5666, Nefrologian Poliklinikka, , Helsinki University Hospital, ; Haartmaninkatu 4, 00029 Helsinki, Finland
                [5 ]GRID grid.7737.4, ISNI 0000 0004 0410 2071, Department of Physics, , University of Helsinki, ; Gustaf Hällströmin katu 2, 00560 Helsinki, Finland
                Article
                86931
                10.1038/s41598-021-86931-7
                8027418
                73b683c5-7035-4703-bcd8-daa1abd01275
                © The Author(s) 2021

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

                History
                : 8 November 2020
                : 18 March 2021
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100014438, Business Finland;
                Award ID: 1258/31/2016
                Funded by: FundRef http://dx.doi.org/10.13039/501100002341, Academy of Finland;
                Award ID: 306041
                Categories
                Article
                Custom metadata
                © The Author(s) 2021

                Uncategorized
                techniques and instrumentation,bioanalytical chemistry
                Uncategorized
                techniques and instrumentation, bioanalytical chemistry

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