ABSTRACT

College of Precision Instrument and Opto-Electronics Engineering, Tianjin Univer-

sity, Tianjin 300072, P.R. China

Ruikang K. Wang

Department of Biomedical Engineering, Oregon Health & Science University 3303

SW Bond Avenue, Portland, OR 97239

10.1 The Principles and Issues on the Measurement of Blood Glucose Using

Near-Infrared Spectroscopy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 282

10.2 Factors of Influencing the Measuring Precision of Glucose Monitor . . . . . . . . 287

10.3 Noninvasive Glucose Measurement and Human-Spectrometer Interface

Technique . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 297

10.4 Challenges and Solutions in In Vivo Noninvasive Blood Glucose Monitoring 307

References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 316

Over the past decades, noninvasive blood glucose monitoring has become an in-

creasing important topic in the realm of biomedical engineering. Particularly, the

introduction of optical approaches has brought exciting advances to this field. How-

ever, there is still no clinically feasible method for continuously monitoring of the in

vivo human blood glucose concentration at the physiological level. This is probably

because the instrumental response to the glucose specific signal is feeble compared

to those of other compounds in the complex physiological system. An effective

solution to this problem will represent a major advance in this field. This chapter an-

alyzes the challenges faced by continuous in vivo blood glucose monitoring by use of

near-infrared spectroscopy on both the aspects of methodological and instrumental

implement. Some critical and imperative issues are identified and the promising and

viable countermeasures are suggested at the end of this chapter.