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N. Anju Latha, B. Rama Murthy, U. Sunitha / International Journal of Engineering Research
                and Applications (IJERA) ISSN: 2248-9622 www.ijera.com
                    Vol. 2, Issue 5, September- October 2012, pp.1440-1444
Design And Development Of A Microcontroller Based System For
             The Measurement Of Blood Glucose
                         N. Anju Latha1*, B. Rama Murthy1, U. Sunitha2,
           1. Department of Instrumentation, Sri Krishnadevaraya University, Anantapur, A.P., INDIA
              2. Department of Electronics, Sri Krishnadevaraya University, Anantapur, A.P., INDIA


Abstract
         Diabetes Mellitus is a group of metabolic        diabetes, so lifelong treatment is the only alternative
diseases characterized by high blood sugar                with continuous monitoring with diet control. Blood
(glucose) levels which results from defects in            glucose of a person has also been routinely
insulin secretion. In the present study, a                measured at medical checkups. There are different
microcontroller     based      system     for    the      methods of in blood glucose measurement,
measurement of blood glucose is designed and              Amperometric method, Spectroscopic method,
developed. It is based on the Amperometric                Calorimetric method. In self measurement blood
method. A PIC 18F4520 microcontroller is used             Glucose meters amperometric method is mainly
in the present study. LCD module is used to               used [6]. Glucose measurement technique used
display     measured        values     of     blood       glucose oxidation method. The whole operation is
glucose.The MAX232         is     a    dual     line      very simple with enzymes oxidation, which transfers
driver/receiver, converts signals from an RS-             electrons to electrodes.
232 serial port to TTL compatible signals is                       There is evidence that the chorionic
interfaced with the microcontroller. Software is          complications of diabetes are related to the duration
developed in C language using MPLAB IDE for               and severity of hyperglycemia (diabetes control and
the Microchip Technology, due to the inherent             complications Trial Research group 1993, UK
language flexibility, the extent of support and its       prospective diabetes study group 1998). However
potential for portability across a wide range of          good diabetic control is very difficult to achieve in
hardware. The instrument is tested and results            many diabetic patients and frequent blood glucose
are found to be satisfactory. The instrument is           testing is needed to detect hyper and
handheld, rugged, low cost, low energy                    hyperglycemia[7]. The most investigated technology
consumption, wearable and cost effective                  for in vivo glucose monitoring is based on
compared to the other commercially available.             implanted Amperometric enzyme electrodes [2]
                                                          (Mastrototaro, 2000, sachedina and Pick up, 2003).
Keywords:       Blood   glucose    measurement,
Amperometric       method,     PIC     18F4520                    Tight control of blood glucose levels
microcontroller,    RS232 level translator and            achieved through frequent blood glucose monitoring
MPLAB embedded workbench IDE for microchip.               has been shown to be effective in reducting
                                                          complicatins such as Retinopathy, Nephropathy and
I. INTRODUCTION                                           Neuropathy [3,4]
          The blood glucose is an important criterion
to discriminate the health condition of patients in       Principle:
clinical field. Blood glucose of a patient is measured             In the present paper, we measure the blood
3-4 times per a day in constant timer interval.           glucose based on Amperometic method. The
Diabetes is a disease where the body doesn‟t              glucose sensor [5] is an electrochemical diagnostic
properly use or produce insulin [1]. Insulin is a         strip which used glucose oxidase enzymes. When
hormone produced in the human body which is need          blood sample is applied, the enzyme becomes
for the conversion of sugar, starches and other food      catalytically active and mediator compound transfer
into energy. Without insulin the body would not be        electrons to the electrode. The electrical signal is
able to receive the amount of energy needed to            then processed, amplified and converted into display
function, which is why diabetes is such a serious         by microcontroller.
disease. There are two types of diabetes Type I and
Type II. Type I diabetes is where an individual‟s                     Glucose Oxidase
body doesn‟t produce insulin. Type II diabetes is                                                     Gluconic
where an individual body doesn‟t properly use             Glucose +                                  acid   +
insulin combined with a relative insulin shortage         O2 + H2O                                   H2O2
within the body. Type II diabetes is the more                         GOD
common type with about 90% of people with
diabetes having this form. There is no cure for


                                                                                                1440 | P a g e
N. Anju Latha, B. Rama Murthy, U. Sunitha / International Journal of Engineering Research
                 and Applications (IJERA) ISSN: 2248-9622 www.ijera.com
                     Vol. 2, Issue 5, September- October 2012, pp.1440-1444
II Experimental
A. Hardware Design
        The block diagram of the microcontroller
based system for the measurement of blood glucose
is shown in fig 1. An Illustrative schematic diagram
is shown in fig2.

                                                                                                                                                                       Liquid Crystal Display



     Glucose Test                                                                Glucose detection                                                                                                                                         Personal
     Stripe                                                                      circuit                                                                                                                                                   Computer
                                                                                                                                                                                               PIC 18F4520

                                                                                                                                                                                               Micro
                                                                                                                                                                                               Controller
                                                                                       Filter circuit                                                                                                                                             MAX 232




                                                                                          A/D conversion




Fig1: Block Diagram of Design and Development of Microcontroller based system for the measurement of
Blood Glucose.
              R1        R2


              22K         1K
                        R3           -5V
                                                        LM358                                                                                                                        VCC
                                       R4
          1                          100K                                        +5V                                                                                                                                                                                                      X2
      1   2           2K                           1                    8                                                                                                                                                                                                             1
      2   3                                        2   1           8    7                                                                                         U1
                                                                                                                                                                                                                                               MAX232                                          6
                                                                                                                                                                              11

                                                                                                                                                                                     32




 4    3                                            3   2           7    6                                                                                                                                                                                  7                          2
 5   4                                             4   3           6    5                                                                                     2                                        25                         10               T2OUT                                       7
                                                                                                                                                                               VDD

                                                                                                                                                                                      VDD




     5                                 -5V             4           5                                                                                          3   RA0/AN0                    RC4/TX    26                          9   T2IN                8                          3
                                                                                                                                                              4   RA0/AN1                    RC4/RX                                    R2OUT        R2IN                C7                     8
                                                                                                                                                              5   RA0/AN2                                   R18         1                                                             4
     sensor                                                                                                                                                   6   RA0/AN3                                         1K    2   1                              1                                   9
                                                                                                                                                              7   RA0/TCLK                                              3   2                         C+   3                          5
                                                                                                                                                             33   RA0/AN5                              40   R19 100     4   3     11                 C1-   4   C4       10uf
                                                                                                                                                             34   RB0/INT                    RB7/PGD   39               5   4     13   T1IN          C2+   5
                                                                                                                                                             35   RB1                        RB6/PGC   38               6   5     14   R1IN          C2-   2
                                                                                                                                                             36   RB2                            RB5   19               7   6     12   T1OUT          V+   6                   C6
                                                                                                                                                             37   RB3/PGM                   RD0/PSP0   20               8   7          R1OUT          V-       10uf
                                                                                                                                                                  RB4                       RD1/PSP1                        8                                                             5V
                                             R5                                                                                                              23                                        21               9
                                             10K                                                                                                             18   RC4/SDI                   RD2/PSP2   22              10   9                                   C5
                                                                                                                                          C1                 17   RC0/SCK                   RD3/PSP3   27              11   10                                                 10uf
                                                                       R9                                                                                    13   RC0/CCP1                  RD4/PSP4   28              12   11                                   10uf
                                                                       22K                                                                                   14   OSC1/CLKIN                RD5/PSP5   29              13   12
                                                                                                                                                                  OSC1/CLKOUT               RD6/PSP6                        13
                                                                                                                                                      5MHz




                                                                                                                                                                                                       30              14
                               R6                                                                                       C4                C2                 1                              RD7/PSP7                   15   14
                               1K                                             C7                                        47nF                                      ~MCLR/VPP                                       5V   16   15
                                                                                1UF                                                                          24                                                             16
                                                                                                                                                             15   RC4/SDO
                                                                                                                                                                  RC0/TIOS0                            8
                               R7                                      R10                                                                                   16                              RE0/RD    9
                                                                                                                                                                                                                            LCD
                               22K                                     2.2K                                                                                       RC0/TIOS1                  RE1/WR    10
                                                                                                                                                                                             RE2/CS

                                                                                     TL072CP                                                                                                           31
                                                                                                                                                                                                VSS
              -5V              R8                       C6                                                     5V                                                                                      12
                               33K            100nF                          1                       8                                                                                          VSS
                      C8                                                     2   1               8   7
                                                                             3   2               7   6
                                                                             4   3               6   5
                                                                                                                                                                        PIC18F4520
                                                                                 4               5
                      47nF
                    C3
                    100nF                                                                                         C5
                                                                                                                100nF




                                                                                                         +5V
                                                                                       R13 10K



                                                                                     LM358                      R11
                                                                                                                10K
                                                       R12                   1                       8            R14
                                                                             2   1               8   7
                                                                             3   2               7   6
                                                       100                   4   3               6   5         220
                                                                                 4               5




                                                                                                                                   7486             +5V

                                                                                                                                               14
                                                                                                                         1                14   13
                                                                         R15         1K                                  2     1          13   12
                                                                                                                         3     2          12   11
                                                                                                                         4     3          11   10
                                                                                                                         5     4          10   9
                                                                                                                         6     5           9   8
                                                             +5V              R16 1K                                     7     6           8
                                                                                                                               7

                                                                         R17 1K




Figure 2: Schematic diagram of Design and Development of Microcontroller based system for the measurement
of Blood Glucose.


                                                                                                                                                                                                                                                  1441 | P a g e
N. Anju Latha, B. Rama Murthy, U. Sunitha / International Journal of Engineering Research
                  and Applications (IJERA) ISSN: 2248-9622 www.ijera.com
                     Vol. 2, Issue 5, September- October 2012, pp.1440-1444
Sensor unit with Biosensor                         Biosensor is connected to amplifier LM358 and
         According to the American diabetes               ADC.
Association (ADA) [8], the term diabetes mellitus
describes a metabolic disorder of multiple aetiology      Signal conditioning unit
characterized by chronic hyper glycaemia with                       In general any Instrumentation system
disturbances of carbohydrate, fat and protein             consists of various units staring from sensors to data
metabolism resulting from defects in insulin              representation units, among that signal conditioning
secretion, insulin action, or both. The effects of        is a vital process. The glucose measurement
diabetes mellitus include long– term damage,              originates as a small current generated by the
disfunction and failure of various organs. Diabetes       chemical reaction occurring in the test strip. The test
mellitus may present with characteristic symptoms         strip contains glucose oxidase, a chemical that binds
such as thirst, polyuria, blurring of vision, and         to D-glucose to start a redox reaction. The redox
weight loss.                                              reaction breaks down the glucose and releases
         A biosensor is a sensor that makes use of        electrons. The flow of electrons is known as current
biological or living material for its sensing function.   and is collected by electrodes built-in to the test
There are three main parts of a biosensor: (i)            strip. The current is converted to voltage through the
biological detection elements, which recognize the        use of a current-to-voltage converter.
substance of interest, (ii) a transducer, which                     When test stripe is inserted PIC micro
converts the biorecognition event into a measurable       controller sense the presence of the strip. The
signal and (iii) a signal processing system, which        current output from the glucose test strip is
converts the signal into a workable form.                 connected to inverting input of the LM358 [9]. The
         The basic operation of glucose biosensor is      LM358 dual operational amplifier, low power drain,
based on the fact that the enzyme glucose oxidase         a common mode input voltage range extending to
(GOD) catalyses the oxidation of glucose to               ground/VEE, eliminating the necessity for external
gluconic acid. The enzyme acts as a biorecognition        biasing components. The current is converted to a
element, which recognizes glucose molecules. These        voltage in LM358.A current-to-voltage converter is
enzyme molecules are located on an electrode              simply an op amp with a feedback resistor. The op
surface, which acts as a transducer. As soon as the       amp is used as a high impedance source that forces
enzyme recognizes the glucose molecules, it acts as       all of the current to flow through the resistor. The
a catalyst to produce gluconic acid and hydrogen          average current I produced by the glucose test strip
peroxide from glucose and oxygen from the air. The        is 20μA. V is chosen to be 2 volts, then R = 100000
electrode recognizes the number of electron transfer      Ohms
due to hydrogen peroxide/oxygen coupling. This                      The output of LM 358 is given to the filter
electron flow is proportional to the number of            circuit. The filter circuit uses a TL072 [10] Low
glucose molecules present in blood. The glucose           Noise JFET Input Operational Amplifier and is
sensor is an electrochemical diagnostic strip which       configured as a 100 Hz Sallen-Key Low Pass
uses glucose oxidase enzymes in conjunction with          Butterworth filter. The glucose measurement is
three electrically conductive electrodes. Two of          taken from a single acquisition from the analog-to-
these electrodes are „working‟ electrodes meaning         digital converter. When a sample is applied to the
they are the measured electrodes, and the third is a      test strip the voltage jumps to a peak value and then
reference electrode as shown in fig 3.                    begins to decay linearly between 1 and 5 seconds.
                                                          The voltage reading is taken after 2 seconds the
                                                          sample is applied. Fig 4 shows a typical voltage
                                                          curve for glucose.




                                                          Fig 4: Glucose voltage curve.

                                                                   The voltage level is then converted to a
                                                          glucose concentration using equation
                                                                               Concentration = (voltage)
                                                                      x922.23− 22.9
Fig 3: Schematic layout of a biosensor and test                    The Micro controller PIC 18F4520 is used
stripe                                                    to connect each component of the meter. The
The signals from glucose sensor are transmitted to        processor is responsible for the analog-to-digital
next stage of signal condition unit. The output of the    conversion, LCD control, user interface, and
                                                          communication with a serial device. The


                                                                                                1442 | P a g e
N. Anju Latha, B. Rama Murthy, U. Sunitha / International Journal of Engineering Research
                and Applications (IJERA) ISSN: 2248-9622 www.ijera.com
                    Vol. 2, Issue 5, September- October 2012, pp.1440-1444
microcontroller uses a 5 MHz clock. The analog-to-
digital converter is configured with two control
registers, ADCON0 and ADCON1. ADCON0 is
used to configure the conversion clock, the input
channel. The analog-to-digital converter is set up to
use an Fosc/8 conversion clock, read channel 0, and
turn the module on. The maximum device frequency
is 5 MHz.

Microcontroller
          In the present study, we have used
PIC18F4520 [11] microcontroller for the
measurement of blood glucose. PIC18F4520 is an
Enhanced Flash Microcontroller with Power
Managed Modes. The PIC microcontrollers have
high computational performance with the addition
of high endurance, Enhanced Flash program
memory. The PIC18F4520 introduces design
enhancements that make these microcontrollers a
logical choice for much high performance, power
sensitive applications. it consists of        Three
programmable external interrupts, Four input
change              interrupts,           Enhanced
Capture/Compare/PWM (ECCP) module, Master
Synchronous Serial Port (MSSP) module supporting
3-wire SPI and I2C Master and Slave Modes,
Enhanced Addressable USART module, 10-bit, 13-
channel Analog-to-Digital Converter module, Dual
analog comparators with input multiplexing, High-
current sink/source 25 mA/25 mA
RS-232 (Recommended Standard 232) is a standard
for serial binary data signals connecting between a
DTE (Data Terminal Equipment) and a DCE (Data
Circuit-terminating Equipment). It is commonly          Figure 5: Flowchart for design and development of
used in computer serial ports. Here, we use MAX         microcontroller based system for the measurement
232 (RS-232) for serial communication in between        of blood glucose.
microcontroller and personal computer [12].                      The PC is the standard computing device
                                                        for the „C‟ compiler. [14]. to development of C
                                                        programs for an PIC18F4520 executing on a PC is
Display unit
                                                        now familiar with MPlab IDE for Microchip [15].
         The measured Blood Glucose data are
                                                        The flowchart of the program is presented in Figure
displayed on the Liquid Crystal display. In present
work we are using LM16200 [13] (16 x 2 character)       5. A software method of digitally sampling the
LCD display. The LCD connects to the                    concentration of glucose levels is described. The
                                                        micro controller program controls the external
microcontroller using 14 pins. There are eight
                                                        devices and measures the input signals from the
parallel pins used for data transfer, three pins for
                                                        sensor and displays the output. Figures 5 contain the
enable, instruction/register select and read/write
                                                        flow chart for the present designed instrument used
control. The data and instructions are sent through
                                                        to determine the blood glucose. When we insert a
D0-D7 lines of LCD screen.
                                                        glucose test stripe in the meter, the microcontroller
         Lcd displays requires less power and it is
used display any alpha-numeric and symbols. The         automatically detect the presence of stripe, when we
display has a built in controller with synchronous      drop blood sample, it measure the glucose
                                                        concentration and display the output blood glucose.
serial and parallel interfaces. The display has a
lifetime of about 10,000hours.
                                                        III. RESULTS AND OBSERVATION
B. Software                                                      The performance of the microcontroller
         „C‟ programme language is used for the         based system for the measurement of blood glucose
development of Blood glucose meter. The „C‟             is designed, developed and tested. Blood glucose
programming language is growing in importance           values are illustrated on the two lines of the display
and has become the standard high level language for     and transfer values to personal computer. Constant
real-time embedded applications.                        attention has been made on applying blood sample 1


                                                                                             1443 | P a g e
N. Anju Latha, B. Rama Murthy, U. Sunitha / International Journal of Engineering Research
                          and Applications (IJERA) ISSN: 2248-9622 www.ijera.com
                              Vol. 2, Issue 5, September- October 2012, pp.1440-1444
         micro liter of blood is the required for testing. The          Ilse Milants, R.N., Mona Eerdekens, R.N.,
         blood sample is applied correctly in a reaction zone;          Pieter J. Wouters, Bart De Moor, and Greet
         the enzyme becomes active and mediator compound                Van den Berghe, Journal of Diabetes
         transfer electrons to the electrode. Low power                 Science and Technology Volume 2, Issue
         consumption, long shelf life, and environmental                6, November 2008
         operating characteristics (least affected by             2.    “Fluoresence based glucose sensor”, John
         temperature, humidity, and pressure), were very                .C.Pick up, Faeiza Hussain,Nicholas D
         important considerations in component and design               Evan, olaf J. Rolinski,David J.S. Birch, Bio
         selection. The blood glucose measurements were                 sensors & Bio electronics, 20 (2005),Pg
         tested and the results are shown in Table 1.                   2555-2565.
S.   Actual      Blood ACCU CHEK Present designed                 3.    The UKDS study group: Intensive blood
No   Glucose values blood glucose Blood                 glucose         glucose control with sulphonylueas or
     mg/dl                meter mg/dl        meter mg/dl                Insulin compared with conventional
1    93                   93                 92                         treatment and risk of complications in
2    136                  134                135                        patients with type 2 diabetes (UKPDS33),
3    213                  211                212                        Lancet 1998;352:837-853
4    183                  182                182                  4.    The diabetes control and complications
5    149                  148                149                        trial (DCCT): The effect of intensive
         Table 1: Blood Glucose values                                  treatment of diabetes on the development
                                                                        and progression of long term complications
                  The results of the present study are in good          in insulin dependent diabetes Mellitus: the
         agreement with the standard blood glucose meters               New England Journal of Medicine 1993;
         (ACCU CHEK & One Touch Ultra instruments). In                  3299140:977-986
         the present study, a microcontroller based system,       5.    “Electrochemical biosensors – principles
         which converts the glucose concentration in the                and applications”, Miroslav Pohanka1, Petr
         blood sample into voltages compatible with                     Skládal2,      Journal     of     APPLIED
         microcontroller     input      requirements.      The          BIOMEDICINE ,57–64, 2008,ISSN 1214-
         microcontroller software determines the validity of            0287
         the voltage and analyze. Once the test stripe has        6.    Worthington, D. (1990). "Use of models in
         inserted in the meter, the glucose concentration               the self-management of insulin-dependent
         corresponding to the applied blood sample is                   diabetes mellitus," Computer Methods and
         displayed as blood glucose. We got good accuracy               Programs in Biomedicine, vol. 32(3-4), pp.
         when compared to YSI 2300 glucose analyzer [11].               233-239.
                                                                  7.    Gabir MM, Hanson RL, Dabelea D,
         IV. SUMMARY                                                    Imperatore G, Roumain J, Bennett PH,
                  The hardware and software features of a               Knowler WC. Plasma glucose and
         microcontroller based system for the measurement               rediction of microvascular disease and
         of blood glucose are described. The necessary                  mortality: evaluation of 1997 American
         software is developed in C, using MPlab IDE for                Diabetes Association and 1999 World
         Microchip. The system is quite successful for the              Health Organization criteria for diagnosis
         measurement of blood glucose with an accuracy of               of diabetes. Diabetes Care. 2000 Aug;
         less than ± 2%. Our instrument protects data in the            23(8):1113-1118
         event of power loss and does not require periodic        8.    Definition, Diagnosis and Classification of
         refreshing. This feature would enable the health care          Diabetes Mellitus and its Complications,
         team to use the recorded data to perform diabetes              Part 1: Diagnosis and Classification of
         mellitus variability studies. In the present paper, we         Diabetes      Mellitus    World       Health
         used test strips designed for the One Touch Ultra              Organization          Department          of
         glucose meter made by Life scan, PIC                           Noncommunicable Disease Surveillance
         microcontroller, RS232 for transferring data to                Geneva WHO/NCD/NCS/99.2
         personal computer for further processing and LCD         9.    LM358 datasheet, www.national.com
         to display which operated with Less power and            10.   TL072 datasheet, www.ti.com
         more bright. These are the novel parts when              11.   PIC micro controller 18f4520 datasheet ,
         compared to others.                                            http://www.microchip.com(2008)
                                                                  12.   IC MAX 232 datasheet, www.maxim-
         Reference                                                      ic.com (2006).
           1.     “Blood Glucose Measurements in Arterial         13.   Lcd datasheet www.lampex.com
                  Blood of Intensive Care Unit Patients           14.    RC-51 ANSI-C Compiler for the 8051
                  Submitted      to     Tight    Glycemic               family, “Reference manual” (2005).
                  Control:Agreement      between   Bedside        15.   Michael J Pont, University of Leicester,
                  Tests”, Dirk Vlasselaers, Tom Van Herpe,              “Embedded C”, Vol 1-2.

                                                                                                   1444 | P a g e

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Ia2514401444

  • 1. N. Anju Latha, B. Rama Murthy, U. Sunitha / International Journal of Engineering Research and Applications (IJERA) ISSN: 2248-9622 www.ijera.com Vol. 2, Issue 5, September- October 2012, pp.1440-1444 Design And Development Of A Microcontroller Based System For The Measurement Of Blood Glucose N. Anju Latha1*, B. Rama Murthy1, U. Sunitha2, 1. Department of Instrumentation, Sri Krishnadevaraya University, Anantapur, A.P., INDIA 2. Department of Electronics, Sri Krishnadevaraya University, Anantapur, A.P., INDIA Abstract Diabetes Mellitus is a group of metabolic diabetes, so lifelong treatment is the only alternative diseases characterized by high blood sugar with continuous monitoring with diet control. Blood (glucose) levels which results from defects in glucose of a person has also been routinely insulin secretion. In the present study, a measured at medical checkups. There are different microcontroller based system for the methods of in blood glucose measurement, measurement of blood glucose is designed and Amperometric method, Spectroscopic method, developed. It is based on the Amperometric Calorimetric method. In self measurement blood method. A PIC 18F4520 microcontroller is used Glucose meters amperometric method is mainly in the present study. LCD module is used to used [6]. Glucose measurement technique used display measured values of blood glucose oxidation method. The whole operation is glucose.The MAX232 is a dual line very simple with enzymes oxidation, which transfers driver/receiver, converts signals from an RS- electrons to electrodes. 232 serial port to TTL compatible signals is There is evidence that the chorionic interfaced with the microcontroller. Software is complications of diabetes are related to the duration developed in C language using MPLAB IDE for and severity of hyperglycemia (diabetes control and the Microchip Technology, due to the inherent complications Trial Research group 1993, UK language flexibility, the extent of support and its prospective diabetes study group 1998). However potential for portability across a wide range of good diabetic control is very difficult to achieve in hardware. The instrument is tested and results many diabetic patients and frequent blood glucose are found to be satisfactory. The instrument is testing is needed to detect hyper and handheld, rugged, low cost, low energy hyperglycemia[7]. The most investigated technology consumption, wearable and cost effective for in vivo glucose monitoring is based on compared to the other commercially available. implanted Amperometric enzyme electrodes [2] (Mastrototaro, 2000, sachedina and Pick up, 2003). Keywords: Blood glucose measurement, Amperometric method, PIC 18F4520 Tight control of blood glucose levels microcontroller, RS232 level translator and achieved through frequent blood glucose monitoring MPLAB embedded workbench IDE for microchip. has been shown to be effective in reducting complicatins such as Retinopathy, Nephropathy and I. INTRODUCTION Neuropathy [3,4] The blood glucose is an important criterion to discriminate the health condition of patients in Principle: clinical field. Blood glucose of a patient is measured In the present paper, we measure the blood 3-4 times per a day in constant timer interval. glucose based on Amperometic method. The Diabetes is a disease where the body doesn‟t glucose sensor [5] is an electrochemical diagnostic properly use or produce insulin [1]. Insulin is a strip which used glucose oxidase enzymes. When hormone produced in the human body which is need blood sample is applied, the enzyme becomes for the conversion of sugar, starches and other food catalytically active and mediator compound transfer into energy. Without insulin the body would not be electrons to the electrode. The electrical signal is able to receive the amount of energy needed to then processed, amplified and converted into display function, which is why diabetes is such a serious by microcontroller. disease. There are two types of diabetes Type I and Type II. Type I diabetes is where an individual‟s Glucose Oxidase body doesn‟t produce insulin. Type II diabetes is Gluconic where an individual body doesn‟t properly use Glucose + acid + insulin combined with a relative insulin shortage O2 + H2O H2O2 within the body. Type II diabetes is the more GOD common type with about 90% of people with diabetes having this form. There is no cure for 1440 | P a g e
  • 2. N. Anju Latha, B. Rama Murthy, U. Sunitha / International Journal of Engineering Research and Applications (IJERA) ISSN: 2248-9622 www.ijera.com Vol. 2, Issue 5, September- October 2012, pp.1440-1444 II Experimental A. Hardware Design The block diagram of the microcontroller based system for the measurement of blood glucose is shown in fig 1. An Illustrative schematic diagram is shown in fig2. Liquid Crystal Display Glucose Test Glucose detection Personal Stripe circuit Computer PIC 18F4520 Micro Controller Filter circuit MAX 232 A/D conversion Fig1: Block Diagram of Design and Development of Microcontroller based system for the measurement of Blood Glucose. R1 R2 22K 1K R3 -5V LM358 VCC R4 1 100K +5V X2 1 2 2K 1 8 1 2 3 2 1 8 7 U1 MAX232 6 11 32 4 3 3 2 7 6 7 2 5 4 4 3 6 5 2 25 10 T2OUT 7 VDD VDD 5 -5V 4 5 3 RA0/AN0 RC4/TX 26 9 T2IN 8 3 4 RA0/AN1 RC4/RX R2OUT R2IN C7 8 5 RA0/AN2 R18 1 4 sensor 6 RA0/AN3 1K 2 1 1 9 7 RA0/TCLK 3 2 C+ 3 5 33 RA0/AN5 40 R19 100 4 3 11 C1- 4 C4 10uf 34 RB0/INT RB7/PGD 39 5 4 13 T1IN C2+ 5 35 RB1 RB6/PGC 38 6 5 14 R1IN C2- 2 36 RB2 RB5 19 7 6 12 T1OUT V+ 6 C6 37 RB3/PGM RD0/PSP0 20 8 7 R1OUT V- 10uf RB4 RD1/PSP1 8 5V R5 23 21 9 10K 18 RC4/SDI RD2/PSP2 22 10 9 C5 C1 17 RC0/SCK RD3/PSP3 27 11 10 10uf R9 13 RC0/CCP1 RD4/PSP4 28 12 11 10uf 22K 14 OSC1/CLKIN RD5/PSP5 29 13 12 OSC1/CLKOUT RD6/PSP6 13 5MHz 30 14 R6 C4 C2 1 RD7/PSP7 15 14 1K C7 47nF ~MCLR/VPP 5V 16 15 1UF 24 16 15 RC4/SDO RC0/TIOS0 8 R7 R10 16 RE0/RD 9 LCD 22K 2.2K RC0/TIOS1 RE1/WR 10 RE2/CS TL072CP 31 VSS -5V R8 C6 5V 12 33K 100nF 1 8 VSS C8 2 1 8 7 3 2 7 6 4 3 6 5 PIC18F4520 4 5 47nF C3 100nF C5 100nF +5V R13 10K LM358 R11 10K R12 1 8 R14 2 1 8 7 3 2 7 6 100 4 3 6 5 220 4 5 7486 +5V 14 1 14 13 R15 1K 2 1 13 12 3 2 12 11 4 3 11 10 5 4 10 9 6 5 9 8 +5V R16 1K 7 6 8 7 R17 1K Figure 2: Schematic diagram of Design and Development of Microcontroller based system for the measurement of Blood Glucose. 1441 | P a g e
  • 3. N. Anju Latha, B. Rama Murthy, U. Sunitha / International Journal of Engineering Research and Applications (IJERA) ISSN: 2248-9622 www.ijera.com Vol. 2, Issue 5, September- October 2012, pp.1440-1444 Sensor unit with Biosensor Biosensor is connected to amplifier LM358 and According to the American diabetes ADC. Association (ADA) [8], the term diabetes mellitus describes a metabolic disorder of multiple aetiology Signal conditioning unit characterized by chronic hyper glycaemia with In general any Instrumentation system disturbances of carbohydrate, fat and protein consists of various units staring from sensors to data metabolism resulting from defects in insulin representation units, among that signal conditioning secretion, insulin action, or both. The effects of is a vital process. The glucose measurement diabetes mellitus include long– term damage, originates as a small current generated by the disfunction and failure of various organs. Diabetes chemical reaction occurring in the test strip. The test mellitus may present with characteristic symptoms strip contains glucose oxidase, a chemical that binds such as thirst, polyuria, blurring of vision, and to D-glucose to start a redox reaction. The redox weight loss. reaction breaks down the glucose and releases A biosensor is a sensor that makes use of electrons. The flow of electrons is known as current biological or living material for its sensing function. and is collected by electrodes built-in to the test There are three main parts of a biosensor: (i) strip. The current is converted to voltage through the biological detection elements, which recognize the use of a current-to-voltage converter. substance of interest, (ii) a transducer, which When test stripe is inserted PIC micro converts the biorecognition event into a measurable controller sense the presence of the strip. The signal and (iii) a signal processing system, which current output from the glucose test strip is converts the signal into a workable form. connected to inverting input of the LM358 [9]. The The basic operation of glucose biosensor is LM358 dual operational amplifier, low power drain, based on the fact that the enzyme glucose oxidase a common mode input voltage range extending to (GOD) catalyses the oxidation of glucose to ground/VEE, eliminating the necessity for external gluconic acid. The enzyme acts as a biorecognition biasing components. The current is converted to a element, which recognizes glucose molecules. These voltage in LM358.A current-to-voltage converter is enzyme molecules are located on an electrode simply an op amp with a feedback resistor. The op surface, which acts as a transducer. As soon as the amp is used as a high impedance source that forces enzyme recognizes the glucose molecules, it acts as all of the current to flow through the resistor. The a catalyst to produce gluconic acid and hydrogen average current I produced by the glucose test strip peroxide from glucose and oxygen from the air. The is 20μA. V is chosen to be 2 volts, then R = 100000 electrode recognizes the number of electron transfer Ohms due to hydrogen peroxide/oxygen coupling. This The output of LM 358 is given to the filter electron flow is proportional to the number of circuit. The filter circuit uses a TL072 [10] Low glucose molecules present in blood. The glucose Noise JFET Input Operational Amplifier and is sensor is an electrochemical diagnostic strip which configured as a 100 Hz Sallen-Key Low Pass uses glucose oxidase enzymes in conjunction with Butterworth filter. The glucose measurement is three electrically conductive electrodes. Two of taken from a single acquisition from the analog-to- these electrodes are „working‟ electrodes meaning digital converter. When a sample is applied to the they are the measured electrodes, and the third is a test strip the voltage jumps to a peak value and then reference electrode as shown in fig 3. begins to decay linearly between 1 and 5 seconds. The voltage reading is taken after 2 seconds the sample is applied. Fig 4 shows a typical voltage curve for glucose. Fig 4: Glucose voltage curve. The voltage level is then converted to a glucose concentration using equation Concentration = (voltage) x922.23− 22.9 Fig 3: Schematic layout of a biosensor and test The Micro controller PIC 18F4520 is used stripe to connect each component of the meter. The The signals from glucose sensor are transmitted to processor is responsible for the analog-to-digital next stage of signal condition unit. The output of the conversion, LCD control, user interface, and communication with a serial device. The 1442 | P a g e
  • 4. N. Anju Latha, B. Rama Murthy, U. Sunitha / International Journal of Engineering Research and Applications (IJERA) ISSN: 2248-9622 www.ijera.com Vol. 2, Issue 5, September- October 2012, pp.1440-1444 microcontroller uses a 5 MHz clock. The analog-to- digital converter is configured with two control registers, ADCON0 and ADCON1. ADCON0 is used to configure the conversion clock, the input channel. The analog-to-digital converter is set up to use an Fosc/8 conversion clock, read channel 0, and turn the module on. The maximum device frequency is 5 MHz. Microcontroller In the present study, we have used PIC18F4520 [11] microcontroller for the measurement of blood glucose. PIC18F4520 is an Enhanced Flash Microcontroller with Power Managed Modes. The PIC microcontrollers have high computational performance with the addition of high endurance, Enhanced Flash program memory. The PIC18F4520 introduces design enhancements that make these microcontrollers a logical choice for much high performance, power sensitive applications. it consists of Three programmable external interrupts, Four input change interrupts, Enhanced Capture/Compare/PWM (ECCP) module, Master Synchronous Serial Port (MSSP) module supporting 3-wire SPI and I2C Master and Slave Modes, Enhanced Addressable USART module, 10-bit, 13- channel Analog-to-Digital Converter module, Dual analog comparators with input multiplexing, High- current sink/source 25 mA/25 mA RS-232 (Recommended Standard 232) is a standard for serial binary data signals connecting between a DTE (Data Terminal Equipment) and a DCE (Data Circuit-terminating Equipment). It is commonly Figure 5: Flowchart for design and development of used in computer serial ports. Here, we use MAX microcontroller based system for the measurement 232 (RS-232) for serial communication in between of blood glucose. microcontroller and personal computer [12]. The PC is the standard computing device for the „C‟ compiler. [14]. to development of C programs for an PIC18F4520 executing on a PC is Display unit now familiar with MPlab IDE for Microchip [15]. The measured Blood Glucose data are The flowchart of the program is presented in Figure displayed on the Liquid Crystal display. In present work we are using LM16200 [13] (16 x 2 character) 5. A software method of digitally sampling the LCD display. The LCD connects to the concentration of glucose levels is described. The micro controller program controls the external microcontroller using 14 pins. There are eight devices and measures the input signals from the parallel pins used for data transfer, three pins for sensor and displays the output. Figures 5 contain the enable, instruction/register select and read/write flow chart for the present designed instrument used control. The data and instructions are sent through to determine the blood glucose. When we insert a D0-D7 lines of LCD screen. glucose test stripe in the meter, the microcontroller Lcd displays requires less power and it is used display any alpha-numeric and symbols. The automatically detect the presence of stripe, when we display has a built in controller with synchronous drop blood sample, it measure the glucose concentration and display the output blood glucose. serial and parallel interfaces. The display has a lifetime of about 10,000hours. III. RESULTS AND OBSERVATION B. Software The performance of the microcontroller „C‟ programme language is used for the based system for the measurement of blood glucose development of Blood glucose meter. The „C‟ is designed, developed and tested. Blood glucose programming language is growing in importance values are illustrated on the two lines of the display and has become the standard high level language for and transfer values to personal computer. Constant real-time embedded applications. attention has been made on applying blood sample 1 1443 | P a g e
  • 5. N. Anju Latha, B. Rama Murthy, U. Sunitha / International Journal of Engineering Research and Applications (IJERA) ISSN: 2248-9622 www.ijera.com Vol. 2, Issue 5, September- October 2012, pp.1440-1444 micro liter of blood is the required for testing. The Ilse Milants, R.N., Mona Eerdekens, R.N., blood sample is applied correctly in a reaction zone; Pieter J. Wouters, Bart De Moor, and Greet the enzyme becomes active and mediator compound Van den Berghe, Journal of Diabetes transfer electrons to the electrode. Low power Science and Technology Volume 2, Issue consumption, long shelf life, and environmental 6, November 2008 operating characteristics (least affected by 2. “Fluoresence based glucose sensor”, John temperature, humidity, and pressure), were very .C.Pick up, Faeiza Hussain,Nicholas D important considerations in component and design Evan, olaf J. Rolinski,David J.S. Birch, Bio selection. The blood glucose measurements were sensors & Bio electronics, 20 (2005),Pg tested and the results are shown in Table 1. 2555-2565. S. Actual Blood ACCU CHEK Present designed 3. The UKDS study group: Intensive blood No Glucose values blood glucose Blood glucose glucose control with sulphonylueas or mg/dl meter mg/dl meter mg/dl Insulin compared with conventional 1 93 93 92 treatment and risk of complications in 2 136 134 135 patients with type 2 diabetes (UKPDS33), 3 213 211 212 Lancet 1998;352:837-853 4 183 182 182 4. The diabetes control and complications 5 149 148 149 trial (DCCT): The effect of intensive Table 1: Blood Glucose values treatment of diabetes on the development and progression of long term complications The results of the present study are in good in insulin dependent diabetes Mellitus: the agreement with the standard blood glucose meters New England Journal of Medicine 1993; (ACCU CHEK & One Touch Ultra instruments). In 3299140:977-986 the present study, a microcontroller based system, 5. “Electrochemical biosensors – principles which converts the glucose concentration in the and applications”, Miroslav Pohanka1, Petr blood sample into voltages compatible with Skládal2, Journal of APPLIED microcontroller input requirements. The BIOMEDICINE ,57–64, 2008,ISSN 1214- microcontroller software determines the validity of 0287 the voltage and analyze. Once the test stripe has 6. Worthington, D. (1990). "Use of models in inserted in the meter, the glucose concentration the self-management of insulin-dependent corresponding to the applied blood sample is diabetes mellitus," Computer Methods and displayed as blood glucose. We got good accuracy Programs in Biomedicine, vol. 32(3-4), pp. when compared to YSI 2300 glucose analyzer [11]. 233-239. 7. Gabir MM, Hanson RL, Dabelea D, IV. SUMMARY Imperatore G, Roumain J, Bennett PH, The hardware and software features of a Knowler WC. Plasma glucose and microcontroller based system for the measurement rediction of microvascular disease and of blood glucose are described. The necessary mortality: evaluation of 1997 American software is developed in C, using MPlab IDE for Diabetes Association and 1999 World Microchip. The system is quite successful for the Health Organization criteria for diagnosis measurement of blood glucose with an accuracy of of diabetes. Diabetes Care. 2000 Aug; less than ± 2%. Our instrument protects data in the 23(8):1113-1118 event of power loss and does not require periodic 8. Definition, Diagnosis and Classification of refreshing. This feature would enable the health care Diabetes Mellitus and its Complications, team to use the recorded data to perform diabetes Part 1: Diagnosis and Classification of mellitus variability studies. In the present paper, we Diabetes Mellitus World Health used test strips designed for the One Touch Ultra Organization Department of glucose meter made by Life scan, PIC Noncommunicable Disease Surveillance microcontroller, RS232 for transferring data to Geneva WHO/NCD/NCS/99.2 personal computer for further processing and LCD 9. LM358 datasheet, www.national.com to display which operated with Less power and 10. TL072 datasheet, www.ti.com more bright. These are the novel parts when 11. PIC micro controller 18f4520 datasheet , compared to others. http://www.microchip.com(2008) 12. IC MAX 232 datasheet, www.maxim- Reference ic.com (2006). 1. “Blood Glucose Measurements in Arterial 13. Lcd datasheet www.lampex.com Blood of Intensive Care Unit Patients 14. RC-51 ANSI-C Compiler for the 8051 Submitted to Tight Glycemic family, “Reference manual” (2005). Control:Agreement between Bedside 15. Michael J Pont, University of Leicester, Tests”, Dirk Vlasselaers, Tom Van Herpe, “Embedded C”, Vol 1-2. 1444 | P a g e