Glucose levels between the anterior chamber of the eye and blood are correlated based on blood glucose dynamics

PLoS One. 2021 Sep 1;16(9):e0256986. doi: 10.1371/journal.pone.0256986. eCollection 2021.

Abstract

Glycemic control is essential to manage metabolic diseases such as diabetes. Frequent measurements of systemic glucose levels with prompt managements can prevent organ damages. The eye is a glucose highly demanding organ in our body, and the anterior chamber (AC) in the eye has been suggested for a noninvasive blood glucose monitoring site. However, calculating blood glucose levels from measuring glucose levels in AC has been difficult and unclear. In this study, we aimed to examine glucose levels from AC and find a correlation with blood glucose levels. A total of 30 patients with cataracts (men and women, study 1; 7 and 3, study 2; 9 and 11) who visited Keio University Hospital from 2015 to 2018 and agreed to participate in this study were recruited. Glucose levels from AC and the blood were examined by a UV-hexokinase or H2O2-electrode method before/during the cataract surgery. These values were analyzed with regression analyses depending on the groups (blood glucose-ascending and descending groups). In the blood glucose-descending group, glucose levels from AC were strongly correlated with blood glucose levels (a high R2 value, 0.8636). However, the relatively moderate correlation was seen in the blood glucose-ascending group (a low R2 value, 0.5228). Taken together, we showed different correlation ratios on glucose levels between AC and the blood, based on blood glucose dynamics. Stacking data regarding this issue would enable establishing noninvasive blood glucose monitoring from measuring glucose levels in AC more correctly, which will be helpful for proper and prompt managements for glucose-mediated complications.

Publication types

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

MeSH terms

  • Aged
  • Aged, 80 and over
  • Anterior Chamber / chemistry*
  • Anterior Chamber / surgery
  • Blood Glucose / analysis*
  • Blood Glucose / drug effects
  • Blood Glucose Self-Monitoring / methods*
  • Cataract Extraction
  • Diabetes Mellitus / blood
  • Diabetes Mellitus / diagnosis*
  • Diabetes Mellitus / drug therapy
  • Female
  • Glucose / analysis*
  • Humans
  • Hypoglycemic Agents / administration & dosage
  • Male
  • Middle Aged
  • Prospective Studies

Substances

  • Blood Glucose
  • Hypoglycemic Agents
  • Glucose

Grants and funding

This work was supported by Fuji Xerox Co., Ltd. T. Kurihara and K. Negishi received funding for this work. The other authors received no specific funding for this work.