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A systematic review of continuous glucose monitoring sensors: principles, core technologies and performance evaluation

Xiao‐Yuan Wu, Xingyu Zhao, W. Chen, Qinghua Chen, Linghai Kong, Peiyao Li

2025Sensors and Actuators Reports15 citationsDOIOpen Access PDF

Abstract

Diabetes is characterized by chronic hyperglycemia, a condition resulting from insufficient or impaired insulin secretion and utilization. As the global prevalence of diabetes continues to rise, Continuous Glucose Monitoring (CGM) technology has emerged as a key solution. The flexible electrode design and ‘‘24/7’’ coverage of CGM systems address the discomfort associated with traditional Blood Glucose Monitoring (BGM), reducing the need for frequent fingertip punctures and improving patient compliance. The shift from BGM to CGM technology can be attributed to significant advancements in electrode design, material selection, and sensor performance. This paper reviews recent advancements in CGM systems, focusing on the principles of the four sensor generations, core sensing technologies, outer membrane design, and key performance indicators. Finally, this paper provides a summary and outlook on future research directions in CGM sensors development.

Topics & Concepts

Continuous glucose monitoringCore (optical fiber)Computer scienceMedicineDiabetes mellitusTelecommunicationsType 1 diabetesEndocrinologyElectrochemical sensors and biosensorsDiabetes Management and ResearchMicrofluidic and Capillary Electrophoresis Applications