Continuous monitoring of blood glucose. 2002

Jean-Jacques Robert
Hôpital Necker - Enfants Malades, Paris, France. jean-jacques.robert@nck.ap-hop-paris.fr

Continuous blood glucose monitoring aims to: better evaluate glycaemic variations; better detect hypoglycaemia; and, ultimately, automatize insulin delivery (artificial beta cell). The sensors can be fully implantable, with the challenge of constructing durable systems to avoid repeated implantations. In-dwelling needle-like electrodes and microdialysis fibres with a pump that brings the dialysate to the glucose sensor are inserted in the subcutaneous tissue through the skin. The GlucoWatch is an almost non-invasive technique that extracts the extracellular fluid by iontophoresis. In these systems, the glucose oxidase generates the electrical signal, proportional to the glucose concentration. Non-invasive techniques aim at measuring the glucose concentration without breaching the skin, using absorption of light in the infrared spectrum. These techniques have not reached the necessary reliability for use as glycaemic alarms, and even less as artificial beta cells. Currently, glucose sensors are mainly used as glycaemic holters to help in the management of insulin therapy.

UI MeSH Term Description Entries
D008991 Monitoring, Physiologic The continuous measurement of physiological processes, blood pressure, heart rate, renal output, reflexes, respiration, etc., in a patient or experimental animal; includes pharmacologic monitoring, the measurement of administered drugs or their metabolites in the blood, tissues, or urine. Patient Monitoring,Monitoring, Physiological,Physiologic Monitoring,Monitoring, Patient,Physiological Monitoring
D001786 Blood Glucose Glucose in blood. Blood Sugar,Glucose, Blood,Sugar, Blood
D003920 Diabetes Mellitus A heterogeneous group of disorders characterized by HYPERGLYCEMIA and GLUCOSE INTOLERANCE.
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

Related Publications

Jean-Jacques Robert
April 2001, Ugeskrift for laeger,
Jean-Jacques Robert
September 1984, Diabetic medicine : a journal of the British Diabetic Association,
Jean-Jacques Robert
March 2013, Diabetes technology & therapeutics,
Jean-Jacques Robert
May 2019, Journal of diabetes science and technology,
Jean-Jacques Robert
August 2011, Diabetes research and clinical practice,
Jean-Jacques Robert
July 2018, Journal of diabetes science and technology,
Jean-Jacques Robert
November 1998, Medizinische Klinik (Munich, Germany : 1983),
Jean-Jacques Robert
December 2002, MMW Fortschritte der Medizin,
Jean-Jacques Robert
January 1977, Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme,
Copied contents to your clipboard!