MadSci Network: Medicine
Query:

Re: Is there a non-Invasive and effective way to measure blood Glucose levels?

Date: Tue Aug 24 11:27:49 1999
Posted By: Dr. Neeraj Kulkarni, Medical student, Completing internship, V.M.Medical college
Area of science: Medicine
ID: 935097068.Me
Message:

Completely non-invasive means are not possible yet we slowly progressing 
towards the ways in which minimal discomfort will be there to patient.  One 
of the products is sent as an example.
Hope you will be satisfied with the answer. 
 
Glucose Biosensor
 Diabetes and its associated complications are among the most prevalent, 
costly diseases in the world.  Its incidence is increasing at a 
significant rate.   Diabetes affects men and women equally but occurs most 
frequently in the elderly.   Direct costs are estimated at about $50 
billion, almost 6% of the total personal healthcare expenditures in the US.
A ten year study, the Diabetes Control and Complications Trial (DCCT) 
sponsored by the National Institutes of Diabetes and Digestive and Kidney 
Diseases, showed that "tight diabetes control," keeping blood sugar levels 
close to normal by recent blood sugar testing, several daily insulin 
shots, and lifestyle changes, was associated with a major reduction in 
diabetic complications.  These findings led the American Diabetes 
Association to recommend tight control as an important way to delay the 
onset and dramatically slow the progression of complications from diabetes.
 

People with diabetes measure their blood glucose levels by sticking a 
finger with a needle to obtain a blood drop that is placed on a test strip 
and analyzed by a portable instrument.  Repeating this procedure several 
times a day becomes painful, leading many patients, especially the 
elderly, to perform the procedure infrequently.   Furthermore, the 
accuracy of some blood glucose analyzers is poor.



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SYBD's Implanted Glucose Biosensor
SYBD has developed an implantable glucose biosensor to monitor blood 
glucose without the need for finger sticks.  Termed a biosensor because it 
utilizes an enzyme specific for glucose, it provides glucose measurement 
significantly more accurate than possible from current portable measuring 
devices.  Once implanted in subcutaneous tissue during a simple outpatient 
procedure, the biosensor, which is about the size of a cardiac pacemaker, 
provides continuous, accurate monitoring of blood glucose which is 
displayed as a digital readout in a wearable beeper-sized device.   
Ultimately, the biosensor will be linked to an implanted insulin pump, 
creating a closed-loop mechanical pancreas.  It is anticipated the implant 
life of the biosensor will exceed one year.

More than 16 million people, approximately half undiagnosed, are estimated 
to suffer from diabetes in the US.  Between 600,000 and 700,000 new cases 
are diagnosed each year.  About 800,000 diabetics are insulin-dependent.  
Mortality from diabetes and its associated complications is high; it is 
the seventh leading cause of death in the US.  SYBD estimates the global 
market for the implanted glucose sensor to exceed $1 billion.

 


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Technology 
Oxygen, glucose, and enzyme electrodes, developed and patented by Dr. 
Clark, are used worldwide. The original implantable glucose biosensor 
technology had been developed and patented by Dr. Clark. New patent 
applications covering the sensor include a titanium encased battery and 
microprocessor, a silicone-sheathed platinum electrode, and a glucose 
oxidase enzyme system enclosed in a semipermeable cellophane acetate 
membrane. All components in contact with body tissue are widely used in in 
vivo or implantable medical devices, and the overall design is similar to 
implantable pacemakers. The biosensor will be implanted subcutaneously, 
thus measuring tissue glucose. There is evidence from animal studies that 
tissue glucose correlates with blood glucose in a predictable manner, and 
potential implant problems are avoided by not having the sensor tip in 
long term contact with blood. SBI projects an implant life by this method 
of up to 2 years. The implanted biosensor will communicate with an 
external, wearable receiver that will display/record calculated blood 
glucose levels on demand or according to a programmed schedule. A second 
generation, closed-loop device will include an implantable or wearable 
glucose infusion pumps for continuous, automated control of blood glucose 
levels. The technology for such infusion pumps already exists.


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Return to Synthetic Blood Homepage

For further information, please contact Synthetic Blood International at 
e-mail: sybd@siscom.net  



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