Is graphene the rock upon which new era continuous glucose monitors could be built?
Eirini PapanikolaouYannis Vasileios SimosKonstantinos SpyrouEleni I TzianniPatra VezyrakiKonstantinos TsamisMichaela PatilaStelios TigasMamas I ProdromidisDimitrios P GournisHaralambos StamatisDimitrios PeschosEvangelia DounousiPublished in: Experimental biology and medicine (Maywood, N.J.) (2022)
Diabetes mellitus' (DM) prevalence worldwide is estimated to be around 10% and is expected to rise over the next decades. Monitoring blood glucose levels aims to determine whether glucose targets are met to minimize the risk for the development of symptoms related to high or low blood sugar and avoid long-term diabetes complications. Continuous glucose monitoring (CGMs) systems emerged almost two decades ago and have revolutionized the way diabetes is managed. Especially in Type 1 DM, the combination of a CGM with an insulin pump (known as a closed-loop system or artificial pancreas) allows an autonomous regulation of patients' insulin with minimal intervention from the user. However, there is still an unmet need for high accuracy, precision and repeatability of CGMs. Graphene was isolated in 2004 and found immediately fertile ground in various biomedical applications and devices due to its unique combination of properties including its high electrical conductivity. In the last decade, various graphene family nanomaterials have been exploited for the development of enzymatic and non-enzymatic biosensors to determine glucose in biological fluids, such as blood, sweat, and so on. Although great progress has been achieved in the field, several issues need to be addressed for graphene sensors to become a predominant material in the new era of CGMs.
Keyphrases
- glycemic control
- blood glucose
- type diabetes
- weight loss
- insulin resistance
- room temperature
- end stage renal disease
- risk factors
- randomized controlled trial
- ejection fraction
- hydrogen peroxide
- walled carbon nanotubes
- newly diagnosed
- prognostic factors
- patient reported outcomes
- nitric oxide
- skeletal muscle
- sleep quality
- adipose tissue
- breast cancer risk