Continuous glucose monitoring using a novel glucose/galactose binding protein: results of a 12-hour feasibility study with the becton dickinson glucose/galactose binding protein sensor

Diabetes Technol Ther. 2011 Mar;13(3):309-17. doi: 10.1089/dia.2010.0130. Epub 2011 Feb 7.

Abstract

Aim: This study evaluated the performance characteristics of a prototype Becton Dickinson (BD) (Franklin Lakes, NJ) glucose/galactose binding protein (GGBP) sensor placed intradermally (BD-ID) or subcutaneously (BD-SC) for continuous glucose monitoring.

Materials and methods: The performance characteristics of the prototype BD GGBP sensor after intradermal or subcutaneous placement were assessed, and its accuracy was compared with that of a glucose oxidase (GOx)-based sensor and a standard laboratory method (YSI STAT2300 analyzer, Yellow Springs Instrument, Yellow Springs, OH) under glucose clamp conditions and during an off-clamp meal challenge in 40 patients with type 1 or 2 diabetes in a 12-h feasibility study.

Results: BD-ID and BD-SC sensors performed as well as or better than the GOx-based sensor (differences in median absolute percentage error 2-4 points in hyperglycemic and euglycemic regions, ≥ 10 points in the hypoglycemic region). For glucose values ≤ 100 mg/dL, the percentage of measurement values in consensus error plot Zone A was substantially higher with the GGBP sensors than the GOx-based sensor.

Conclusions: The BD prototype sensor demonstrated competitive accuracy relative to a GOx-based sensor and a YSI blood standard with a single calibration and minimal warm-up. Current development work is focused on the design and manufacture of a commercially feasible device that will include marked enhancements to device robustness and longevity.

Trial registration: ClinicalTrials.gov NCT01093833.

Publication types

  • Comparative Study
  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Biosensing Techniques / methods*
  • Blood Glucose / analysis
  • Blood Glucose / metabolism
  • Blood Glucose Self-Monitoring / instrumentation
  • Blood Glucose Self-Monitoring / methods*
  • Calcium-Binding Proteins / metabolism*
  • Diabetes Mellitus, Type 1 / blood*
  • Diabetes Mellitus, Type 2 / blood*
  • Female
  • Galactose / blood
  • Glucose Clamp Technique
  • Humans
  • Linear Models
  • Male
  • Middle Aged
  • Monosaccharide Transport Proteins / metabolism*
  • Periplasmic Binding Proteins / metabolism*
  • Reproducibility of Results
  • Young Adult

Substances

  • Blood Glucose
  • Calcium-Binding Proteins
  • Monosaccharide Transport Proteins
  • Periplasmic Binding Proteins
  • galactose-binding protein
  • Galactose

Associated data

  • ClinicalTrials.gov/NCT01093833