Noninvasive Monitoring of Blood Glucose Using Color-Coded Photoplethysmographic Images of the Illuminated Fingertip Within the Visible and Near-Infrared Range: Opportunities and Questions

J Diabetes Sci Technol. 2018 Nov;12(6):1169-1177. doi: 10.1177/1932296818798347. Epub 2018 Sep 15.

Abstract

Noninvasive blood glucose assays have been promised for many years and various molecular spectroscopy-based methods of skin are candidates for achieving this goal. Due to the small spectral signatures of the glucose used for direct physical detection, moreover hidden among a largely variable background, broad spectral intervals are usually required to provide the mandatory analytical selectivity, but no such device has so far reached the accuracy that is required for self-monitoring of blood glucose (SMBG). A recently presented device as described in this journal, based on photoplethysmographic fingertip images for measuring glucose in a nonspecific indirect manner, is especially evaluated for providing reliable blood glucose concentration predictions.

Keywords: color sensing; noninvasive glucose sensing; plethysmographic skin imaging; skin tissue spectroscopy; visible/near-infrared spectroscopy.

Publication types

  • Evaluation Study

MeSH terms

  • Biosensing Techniques / instrumentation
  • Biosensing Techniques / methods
  • Blood Glucose / analysis*
  • Blood Glucose Self-Monitoring / instrumentation
  • Blood Glucose Self-Monitoring / methods
  • Calibration
  • Color
  • Equipment Design
  • Equipment and Supplies*
  • Fingers / blood supply
  • Fingers / diagnostic imaging*
  • Humans
  • Infrared Rays
  • Light
  • Lighting / instrumentation
  • Lighting / methods
  • Photoplethysmography* / instrumentation
  • Photoplethysmography* / methods
  • Reproducibility of Results
  • Skin / blood supply
  • Skin / diagnostic imaging*
  • Spectroscopy, Near-Infrared

Substances

  • Blood Glucose