Continuous glucose monitoring in interstitial fluid using glucose oxidase-based sensor compared to established blood glucose measurement in rats.

作者: Stefanie Woderer , Nadja Henninger , Claus-Dieter Garthe , Hans Martin Kloetzer , Martin Hajnsek

DOI: 10.1016/J.ACA.2006.08.016

关键词:

摘要: Abstract Glucose monitoring is of importance for success complex therapeutic interventions in diabetic patients. Its impact on treatment and glycemic control demonstrated large clinical trials. Up to eight blood glucose measurements per day are recommended. Notwithstanding, a substantial number patients cannot or will not monitor their appropriately. Considerable progress disturbed metabolism can be expected by continuous monitoring. The aim the study was evaluate performance new amperometric oxidase-based sensor vitro vivo after subcutaneous implantation into rats. For testing current output sensors measured exposure increasing decreasing concentrations up 472 mg dL −1 over time period 7 days. After interscapular region male rats interstitial fluid evaluated compared arterial Hyper- hypoglycaemia were induced intravenous application insulin, respectively. Current each implanted converted concentration using first measurement only. A change with 0.35 nA mg  dL indicates high sensitivity vitro. response (90% steady state) calculated approximately 60 s. Test strips as reference readings found an appropriate rapidly available method comparison established hexokinase automated lab analyzer limits agreement +32.8 −25.7 mg dL Bland-Altman analysis. In normo- hypoglycaemic range correlated well whereas hyperglycaemia reflected completely when changing rapidly. data given characterize sensitivity, long term stability short time. single calibration required only periods findings demonstrate that highly promising candidate assessment humans.

参考文章(32)
Reza Jamali, Johnny Ludvigsson, Simin Mohseni, Continuous monitoring of the subcutaneous glucose level in freely moving normal and diabetic rats and in humans with type 1 diabetes. Diabetes Technology & Therapeutics. ,vol. 4, pp. 305- 312 ,(2002) , 10.1089/152091502760098447
A. Mang, J. Pill, N. Gretz, B. Kränzlin, H. Buck, M. Schoemaker, W. Petrich, Biocompatibility of an electrochemical sensor for continuous glucose monitoring in subcutaneous tissue. Diabetes Technology & Therapeutics. ,vol. 7, pp. 163- 173 ,(2005) , 10.1089/DIA.2005.7.163
Jennifer Marshall, Peter Jennings, Adrian Scott, Richard J. Fluck, Christopher W. Mcintyre, Glycemic control in diabetic CAPD patients assessed by continuous glucose monitoring system (CGMS) Kidney International. ,vol. 64, pp. 1480- 1486 ,(2003) , 10.1046/J.1523-1755.2003.00209.X
Janet A. Tamada, Nancy J.V. Bohannon, Russell O. Potts, Measurement of glucose in diabetic subjects using noninvasive transdermal extraction Nature Medicine. ,vol. 1, pp. 1198- 1201 ,(1995) , 10.1038/NM1195-1198
K.W. Johnson, J.J. Mastrototaro, D.C. Howey, R.L. Brunelle, P.L. Burden-Brady, N.A. Bryan, C.C. Andrew, H.M. Rowe, D.J. Allen, B.W. Noffke, W.C. McMahan, R.J. Morff, D. Lipson, R.S. Nevin, In vivo evaluation of an electroenzymatic glucose sensor implanted in subcutaneous tissue. Biosensors and Bioelectronics. ,vol. 7, pp. 709- 714 ,(1992) , 10.1016/0956-5663(92)85053-D
Udo Hoss, Brit Kalatz, Ralf Gessler, Hans-Jörg Pfleiderer, Elisabeth Andreis, Malte Rutschmann, Helmut Rinne, Michael Schoemaker, Cornelia Haug, Rolf D. Fussgaenger, A Novel Method for Continuous Online Glucose Monitoring in Humans: The Comparative Microdialysis Technique Diabetes Technology & Therapeutics. ,vol. 3, pp. 237- 243 ,(2001) , 10.1089/152091501300209615
Oleh Smutok, Galyna Gayda, Mykhailo Gonchar, Wolfgang Schuhmann, None, A novel L-lactate-selective biosensor based on flavocytochrome b2 from methylotrophic yeast Hansenula polymorpha. Biosensors and Bioelectronics. ,vol. 20, pp. 1285- 1290 ,(2005) , 10.1016/J.BIOS.2004.04.020
L Heinemann, G Schmelzeisen-Redeker, Non-invasive task force (NITF), Non-invasive continuous glucose monitoring in Type I diabetic patients with optical glucose sensors Diabetologia. ,vol. 41, pp. 848- 854 ,(1998) , 10.1007/S001250050998
Francine R. Kaufman, Role of the continuous glucose monitoring system in pediatric patients. Diabetes Technology & Therapeutics. ,vol. 2, pp. 49- 52 ,(2000) , 10.1089/15209150050214122