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Megha C.Pande, Prof.A. K. Joshi / International Journal of Engineering Research and
Applications (IJERA) ISSN: 2248-9622 www.ijera.com
Vol. 3, Issue 4, Jul-Aug 2013, pp.129-131
129 | P a g e
Non-Invasive Optical Blood Glucose Measurement
Megha C.Pande1,
Prof.A. K. Joshi2
1, 2(
Department of Instrumentation & Control, Pune University, Pune, India)
ABSTRACT
The method for noninvasively blood
glucose monitoring system is discussed in this
paper. Lot of research work has been done in
developing the device which is completely
noninvasive to avoid the pros & cons because of
frequent pricking. In this paper we are trying to
analyze the noninvasive blood glucose
measurement study in the near infrared region
which is the most suitable region for blood glucose
measurement. For this purpose we use a technique
which is similar to pulseoximetry based on near
infrared spectrometry .An infrared light of
particular wavelength is passed through fingertip
containing an arterial pulse component are
derived,thus minimizing influences of basal
components such as resting blood volume,skin,
muscle and bone.
Keywords- Glucose measurement, Non-invasive,
Pulse-oximetry, photoplethysmography (PPG).
I. Introduction
Diabetes mellitus is a medical condition in
which the body does not adequately produce the
quantity or the quality of insulin needed to maintain
the normal circulating blood glucose. Insulin is the
hormone that enables glucose (Sugar) to enter the
body cells to be used for energy. Two types of
diabetes are common. Type I is known as Insulin
dependent diabetes Mellitus (IDDM) & accounts for
5-10% of all cases. Type II or Non-insulin
Dependent Diabetes Mellitus (NIDDM) occurs in
childhood and requires insulin doses to maintain life,
In addition to healthy eating & exercise. NIDDM
occurs later in life perhaps after 40 years of age and
may require insulin or to be controlled with an oral
medication weight loss, a nutritious diet and a
regular exercise.
Blood glucose measurements allow the detection of
diabetic condition and are widely used by hospitals
like Operation Theatre, ICU, ER and Labour
Room.[1]
A noninvasive blood glucose measurement
has many advantages including the prevention of
pain and potential transmission of infectious
diseases, reduced need for trained personnel, and
relatively short measurement time, and the absence
of bio-hazardous waste. Since the near infrared light
is found to penetrate a great depth into biological
tissues, near infrared spectroscopy has been
developed into a noninvasive method for biomedical
sensing and clinical diagnosis. The absorption of
whole blood in the visible and infrared range is
dominated by the different glucose derivatives and
blood plasma that consists mainly of water. It is well
known that pulsatile changes of blood volume in
tissue can be observed by measuring the
transmission or reflection of light through the blood
volume.
Several methods are used to measure total
blood glucose. The most common methods utilize
spectrophotometric analysis of light absorbance
based on Beer –Lambert law.[2]
II. Methods for Glucose Measurement
2.1 Invasive Methods
Laboratory methods used for blood glucose
testing
A) Reduction method
B) Condensation method
C) Enzymatic methods
2.2 Non Invasive Blood Glucose Measurement
Techniques
Noninvasive methods mostly depend on
absorption or transmittance. Blood glucose gives
different absorption spectrum for different
wavelengths.
2.2.1 Optimal wavelength region in the near infrared
[5]
The MIR light propagates only into a few
scores or micrometer and may be applied for
extracted blood sample. On the other hand, the NIR
light has deeper penetration into biological medium
up to a few milimeters. The NIR has a potential to
be applied for non-invasive or minimally invasive
blood analysis even though glucose absorption is not
as high as in the MIR region Following are the most
common noninvasive methods.
2.2.2 Near infrared spectroscopy:
Glucose produces one of the weakest NIR
absorption signal per concentration unit of the body
major component.NIR spectroscopy glucose
measurement enables investigation of tissues depths
in the range of 1 to 100 millimetres with a general
decrease in penetration depth as wavelength value is
increased.NIR transmission through an earlobe, web
and finger cuticle or reflected from the skin.
2.2.3 FIR spectroscopy:
Megha C.Pande, Prof.A. K. Joshi / International Journal of Engineering Research and
Applications (IJERA) ISSN: 2248-9622 www.ijera.com
Vol. 3, Issue 4, Jul-Aug 2013, pp.129-131
130 | P a g e
A second technology for non-invasive
blood glucose monitoring through spectroscope
measures absorption of FIR contained in natural
thermal emission or body heat. FIR spectroscopy is
the only type of radiation technology that does not
require an external energy source.
2.2.4 Raman spectroscopy:
Raman spectroscopy measures scattered
light that has been influenced by the oscillation and
rotation of the scatter. Various Raman techniques
have been attempted in blood, water, serum and
plasma solutions. Analytical problems include
instability in the laser wavelengths and intensity &
errors due to other chemicals in the tissue sample
and long spectral acquisition times [3]
2.2.5 Photo acoustic spectroscopy:
It uses optical beam to rapidly heat the
sample and generate an acoustic pressure wave that
can be measured by microphone. The techniques are
also subject to chemical interference from biological
molecules as well as physical interference from
temperature and pressure changes. [4]
III. Basic Principle
Basic block diagram of noninvasive blood
glucose measurement system is described in
following figure.
The non-invasive sensor system allows a
continuous measurement of the blood glucose
concentration, which is based on a pulse photometric
measurement method. Thereby an area of skin is
trans-illuminated by light which is emitted by LEDs
in the range SW NIR. Suitable wavelengths are
selected for the analyses of relative blood glucose
concentration.
3.1 Mathematical implantation
Blood glucose is responsible for providing
the energy to body. For spectrophotometric
experiments, Beer-lambert’s law is utilized and
developed the notation of absorbance to express
light absorption as a function of blood glucose
concentration given by following equation (1).
𝑶𝑫 = 𝐥𝐨𝐠 𝟏𝟎
𝑰 𝟎
𝑰
= ∈ × 𝑪 × 𝑳 (1)
Where OD-Optical density
I0-Light intensity of incident light
I-Light intensity of transmitted light
𝜺-Extinction coefficient
C-Concentration of blood glucose
L-Length of light path through solution
3.2 Sensor Design
The developed glucose sensor system
consist of number of hardware modules, which
consist of appropriate light sources, constant
intensity circuit, detector circuit. The sensor consist
of emitter LED’s with center wavelength as 660nm
and 940nm.660nm LED is selected as reference and
940 nm wavelength shows the linear relationship
with glucose concentration when experimentation is
carried out with different glucose concentration
made from distilled water and sugar.
The LEDS are designed to be placed
opposite to a photo diode that detects the light from
the LEDS. Absorption on each wavelength differs
significantly for different glucose concentration. For
maintain the constant intensity circuit is used. OPT
101 is used as detector. This single receiver photo
diode is installed in the lower shell of finger clip.
The probe is placed to the patient’s body usually on
the finger. The transmitted light is sensed by
photodiode. Output voltage of photodiode varies
linearly with intensity.
The amplifier is designed for single or dual
power supply operation, making it ideal for battery
operated equipment. Integrated combination of
photodiode and amplifier removes the problems of
leakage current, noise pick-up, and gain peaking due
to stray capacitance. OPT 101 operates from +2.7v
to 36v supplies and quiescent current is only
120microampere.
IV. Result and Discussions
An optical sensor is developed for blood
glucose using wavelength 940nm. Output is
obtained on Digital storage oscilloscope where AC
and DC components can be separate out easily.
Correlation is established between actual blood
glucose concentration and measured output voltage
at OPT 101 for more than 8 patients.
Curve is fitted in fig. 1 and correlation is
obtained From results it is observed that though
940nm wavelength can be used for noninvasive
measurement since it has linear relationship with
glucose concentration provided other error causing
elements are reduced S still there a is scope for
further improvement like instead of taking more
number of patients; some dedicated patients should
be selected and more number of light sources or
LEDs should be used for good results.
Megha C.Pande, Prof.A. K. Joshi / International Journal of Engineering Research and
Applications (IJERA) ISSN: 2248-9622 www.ijera.com
Vol. 3, Issue 4, Jul-Aug 2013, pp.129-131
131 | P a g e
Figure 1
REFERENCES
[1] A. Caduff, F. Dewarrat, M. Talary, G.
Stalder, L. Heinemann, and Y. Feldman,
"Non-invasiveglucose monitoring in patients
with diabetes: Anovel system based on
impedance spectroscopy,"
Biosens.Bioelectron., Mar.2006.
[2] A. Pfutzner, A. Caduff, M. Larbig, T.
Schrepfer, and T. Forst, "Impact of posture
and fixation technique on impedance
spectroscopy used for continuous and
noninvasive glucose monitoring," Diabetes
Technol. Ther., vol. 6, no. 4, pp. 435-441,
Aug.2004.
[3] T. Forst, A. Caduff, M. Talary, M. Weder,
M.Brandle, P. Kann, F. Flacke, C. Friedrich,
and A.Pfutzner, "Impact of environmental
temperature onskin thickness and
microvascular blood flow insubjects with and
without diabetes," DiabetesTechnol. Ther.,
vol. 8, no. 1, pp. 94-101, Feb.2006.
[4] Heise, H.M. Medical applications of infrared
spectroscopy. Mikrochim.Acta, in press,
1996.Wilson, B.C. and Jacques, S.L. 0ptii:al
reflectance and transmittance of tissue:
principles and applications. IEEE
[5] Valery V. Tuchin (Ed.), Handbook of
Optical Sensing of Glucose in Biological
Fluids and Tissues (CRC Press 2009 Taylor
& Francis Group) 100-103.
y = -0.035x + 6.895
R² = 0.405
0
1
2
3
4
5
6
60 70 80 90 100 110 120 130 140 150 160
VAC/Vmin
Actual Glucose Concentration (mg/dl)
940 nm
940 nm

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U34129131

  • 1. Megha C.Pande, Prof.A. K. Joshi / International Journal of Engineering Research and Applications (IJERA) ISSN: 2248-9622 www.ijera.com Vol. 3, Issue 4, Jul-Aug 2013, pp.129-131 129 | P a g e Non-Invasive Optical Blood Glucose Measurement Megha C.Pande1, Prof.A. K. Joshi2 1, 2( Department of Instrumentation & Control, Pune University, Pune, India) ABSTRACT The method for noninvasively blood glucose monitoring system is discussed in this paper. Lot of research work has been done in developing the device which is completely noninvasive to avoid the pros & cons because of frequent pricking. In this paper we are trying to analyze the noninvasive blood glucose measurement study in the near infrared region which is the most suitable region for blood glucose measurement. For this purpose we use a technique which is similar to pulseoximetry based on near infrared spectrometry .An infrared light of particular wavelength is passed through fingertip containing an arterial pulse component are derived,thus minimizing influences of basal components such as resting blood volume,skin, muscle and bone. Keywords- Glucose measurement, Non-invasive, Pulse-oximetry, photoplethysmography (PPG). I. Introduction Diabetes mellitus is a medical condition in which the body does not adequately produce the quantity or the quality of insulin needed to maintain the normal circulating blood glucose. Insulin is the hormone that enables glucose (Sugar) to enter the body cells to be used for energy. Two types of diabetes are common. Type I is known as Insulin dependent diabetes Mellitus (IDDM) & accounts for 5-10% of all cases. Type II or Non-insulin Dependent Diabetes Mellitus (NIDDM) occurs in childhood and requires insulin doses to maintain life, In addition to healthy eating & exercise. NIDDM occurs later in life perhaps after 40 years of age and may require insulin or to be controlled with an oral medication weight loss, a nutritious diet and a regular exercise. Blood glucose measurements allow the detection of diabetic condition and are widely used by hospitals like Operation Theatre, ICU, ER and Labour Room.[1] A noninvasive blood glucose measurement has many advantages including the prevention of pain and potential transmission of infectious diseases, reduced need for trained personnel, and relatively short measurement time, and the absence of bio-hazardous waste. Since the near infrared light is found to penetrate a great depth into biological tissues, near infrared spectroscopy has been developed into a noninvasive method for biomedical sensing and clinical diagnosis. The absorption of whole blood in the visible and infrared range is dominated by the different glucose derivatives and blood plasma that consists mainly of water. It is well known that pulsatile changes of blood volume in tissue can be observed by measuring the transmission or reflection of light through the blood volume. Several methods are used to measure total blood glucose. The most common methods utilize spectrophotometric analysis of light absorbance based on Beer –Lambert law.[2] II. Methods for Glucose Measurement 2.1 Invasive Methods Laboratory methods used for blood glucose testing A) Reduction method B) Condensation method C) Enzymatic methods 2.2 Non Invasive Blood Glucose Measurement Techniques Noninvasive methods mostly depend on absorption or transmittance. Blood glucose gives different absorption spectrum for different wavelengths. 2.2.1 Optimal wavelength region in the near infrared [5] The MIR light propagates only into a few scores or micrometer and may be applied for extracted blood sample. On the other hand, the NIR light has deeper penetration into biological medium up to a few milimeters. The NIR has a potential to be applied for non-invasive or minimally invasive blood analysis even though glucose absorption is not as high as in the MIR region Following are the most common noninvasive methods. 2.2.2 Near infrared spectroscopy: Glucose produces one of the weakest NIR absorption signal per concentration unit of the body major component.NIR spectroscopy glucose measurement enables investigation of tissues depths in the range of 1 to 100 millimetres with a general decrease in penetration depth as wavelength value is increased.NIR transmission through an earlobe, web and finger cuticle or reflected from the skin. 2.2.3 FIR spectroscopy:
  • 2. Megha C.Pande, Prof.A. K. Joshi / International Journal of Engineering Research and Applications (IJERA) ISSN: 2248-9622 www.ijera.com Vol. 3, Issue 4, Jul-Aug 2013, pp.129-131 130 | P a g e A second technology for non-invasive blood glucose monitoring through spectroscope measures absorption of FIR contained in natural thermal emission or body heat. FIR spectroscopy is the only type of radiation technology that does not require an external energy source. 2.2.4 Raman spectroscopy: Raman spectroscopy measures scattered light that has been influenced by the oscillation and rotation of the scatter. Various Raman techniques have been attempted in blood, water, serum and plasma solutions. Analytical problems include instability in the laser wavelengths and intensity & errors due to other chemicals in the tissue sample and long spectral acquisition times [3] 2.2.5 Photo acoustic spectroscopy: It uses optical beam to rapidly heat the sample and generate an acoustic pressure wave that can be measured by microphone. The techniques are also subject to chemical interference from biological molecules as well as physical interference from temperature and pressure changes. [4] III. Basic Principle Basic block diagram of noninvasive blood glucose measurement system is described in following figure. The non-invasive sensor system allows a continuous measurement of the blood glucose concentration, which is based on a pulse photometric measurement method. Thereby an area of skin is trans-illuminated by light which is emitted by LEDs in the range SW NIR. Suitable wavelengths are selected for the analyses of relative blood glucose concentration. 3.1 Mathematical implantation Blood glucose is responsible for providing the energy to body. For spectrophotometric experiments, Beer-lambert’s law is utilized and developed the notation of absorbance to express light absorption as a function of blood glucose concentration given by following equation (1). 𝑶𝑫 = 𝐥𝐨𝐠 𝟏𝟎 𝑰 𝟎 𝑰 = ∈ × 𝑪 × 𝑳 (1) Where OD-Optical density I0-Light intensity of incident light I-Light intensity of transmitted light 𝜺-Extinction coefficient C-Concentration of blood glucose L-Length of light path through solution 3.2 Sensor Design The developed glucose sensor system consist of number of hardware modules, which consist of appropriate light sources, constant intensity circuit, detector circuit. The sensor consist of emitter LED’s with center wavelength as 660nm and 940nm.660nm LED is selected as reference and 940 nm wavelength shows the linear relationship with glucose concentration when experimentation is carried out with different glucose concentration made from distilled water and sugar. The LEDS are designed to be placed opposite to a photo diode that detects the light from the LEDS. Absorption on each wavelength differs significantly for different glucose concentration. For maintain the constant intensity circuit is used. OPT 101 is used as detector. This single receiver photo diode is installed in the lower shell of finger clip. The probe is placed to the patient’s body usually on the finger. The transmitted light is sensed by photodiode. Output voltage of photodiode varies linearly with intensity. The amplifier is designed for single or dual power supply operation, making it ideal for battery operated equipment. Integrated combination of photodiode and amplifier removes the problems of leakage current, noise pick-up, and gain peaking due to stray capacitance. OPT 101 operates from +2.7v to 36v supplies and quiescent current is only 120microampere. IV. Result and Discussions An optical sensor is developed for blood glucose using wavelength 940nm. Output is obtained on Digital storage oscilloscope where AC and DC components can be separate out easily. Correlation is established between actual blood glucose concentration and measured output voltage at OPT 101 for more than 8 patients. Curve is fitted in fig. 1 and correlation is obtained From results it is observed that though 940nm wavelength can be used for noninvasive measurement since it has linear relationship with glucose concentration provided other error causing elements are reduced S still there a is scope for further improvement like instead of taking more number of patients; some dedicated patients should be selected and more number of light sources or LEDs should be used for good results.
  • 3. Megha C.Pande, Prof.A. K. Joshi / International Journal of Engineering Research and Applications (IJERA) ISSN: 2248-9622 www.ijera.com Vol. 3, Issue 4, Jul-Aug 2013, pp.129-131 131 | P a g e Figure 1 REFERENCES [1] A. Caduff, F. Dewarrat, M. Talary, G. Stalder, L. Heinemann, and Y. Feldman, "Non-invasiveglucose monitoring in patients with diabetes: Anovel system based on impedance spectroscopy," Biosens.Bioelectron., Mar.2006. [2] A. Pfutzner, A. Caduff, M. Larbig, T. Schrepfer, and T. Forst, "Impact of posture and fixation technique on impedance spectroscopy used for continuous and noninvasive glucose monitoring," Diabetes Technol. Ther., vol. 6, no. 4, pp. 435-441, Aug.2004. [3] T. Forst, A. Caduff, M. Talary, M. Weder, M.Brandle, P. Kann, F. Flacke, C. Friedrich, and A.Pfutzner, "Impact of environmental temperature onskin thickness and microvascular blood flow insubjects with and without diabetes," DiabetesTechnol. Ther., vol. 8, no. 1, pp. 94-101, Feb.2006. [4] Heise, H.M. Medical applications of infrared spectroscopy. Mikrochim.Acta, in press, 1996.Wilson, B.C. and Jacques, S.L. 0ptii:al reflectance and transmittance of tissue: principles and applications. IEEE [5] Valery V. Tuchin (Ed.), Handbook of Optical Sensing of Glucose in Biological Fluids and Tissues (CRC Press 2009 Taylor & Francis Group) 100-103. y = -0.035x + 6.895 R² = 0.405 0 1 2 3 4 5 6 60 70 80 90 100 110 120 130 140 150 160 VAC/Vmin Actual Glucose Concentration (mg/dl) 940 nm 940 nm