Available online at www.sciencedirect.com ScienceDirect IFAC PapersOnLine 53-2 (2020) 15970–15975 Development of a Discrete Spectrometric Development of a Discrete Spectrometric Development of a Discrete Spectrometric NIR Reflectance Glucometer Development of a Discrete Spectrometric NIR Reflectance Glucometer NIR Reflectance Glucometer ∗ NIR Reflectance Glucometer∗ Jake D. Campbell ∗∗ Lui Holder-Pearson ∗∗ Jake D. Campbell Lui Holder-Pearson ∗ ∗ ∗ Jake D. Campbell Holder-Pearson ∗ ∗ Christopher Connor ∗ Lui ∗ Knopp ∗ Jake D. Campbell Lui Holder-Pearson ∗ ∗ Jennifer JakeG. D.Pretty Campbell Lui Benton Holder-Pearson ∗ Connor ∗ Christopher G. Pretty Benton Jennifer Knopp ∗ ∗ Christopher G. Pretty Connor Benton Jennifer Knopp ∗ ∗ ∗ ∗ J. Geoffrey ∗ Connor ∗ Jennifer Knopp ∗ ∗ JakeG. D.Pretty Campbell LuiChase Holder-Pearson Christopher Benton ∗ Christopher G. Pretty Connor Benton Jennifer Knopp ∗ J. Geoffrey Chase J. Geoffrey ∗ ∗ ∗ ∗ Jennifer Knopp ∗ Christopher G. Pretty ConnorChase Benton J. Geoffrey Chase J. Geoffrey Chase ∗ ∗ J. Geoffrey Chase Mechanical Engineering Department, University of Canterbury, ∗ ∗ Mechanical Engineering Department, University of Canterbury, Department, University Canterbury, ∗ Mechanical Engineering Christchurch, New Zealand (e-mail:of ∗ Mechanical Engineering Department, University of Mechanical Engineering Department, University of Canterbury, Canterbury, Christchurch, New Zealand (e-mail: Christchurch, New Zealand (e-mail: ∗ jake.campbell@pg.canterbury.ac.nz). Mechanical Engineering Department, University of Canterbury, Christchurch, New Zealand (e-mail: Christchurch, New Zealand (e-mail: jake.campbell@pg.canterbury.ac.nz). jake.campbell@pg.canterbury.ac.nz). Christchurch, New Zealand (e-mail: jake.campbell@pg.canterbury.ac.nz). jake.campbell@pg.canterbury.ac.nz). jake.campbell@pg.canterbury.ac.nz). Abstract: Abstract: Abstract: Currently, there are no continuous, non-invasive blood glucose monitors. With over 366 Abstract: Abstract: Currently, there are no continuous, non-invasive blood glucose monitors. With over 366 Currently, there are no expected continuous, non-invasive blood glucose monitors. With over million people worldwide to be diagnosed as diabetic by 2030, an alternative to 366 the Abstract: Currently, there are continuous, non-invasive blood glucose monitors. With 366 Currently, there are no no expected continuous, non-invasive blood glucose monitors. With over over 366 million people worldwide expected to be be diagnosed as diabetic by 2030, an alternative to the million people worldwide to diagnosed as diabetic by 2030, an alternative to the current invasive methods is critical. This paper investigates the use of a discrete spectometric, Currently, there are no continuous, non-invasive blood glucose monitors. With over 366 million people people worldwide expected to be paper diagnosed as diabetic diabetic by 2030, an to million worldwide expected to be diagnosed as by an alternative alternative to the the current invasive methods is critical. This investigates the use2030, of aa discrete discrete spectometric, current invasive methods is critical. This paper investigates the use of spectometric, NIR reflectance glucometer to detect a change in glucose concentration in alternative solution. Attoeach million people worldwide expected to be diagnosed as diabetic by 2030, an the current invasive methods is critical. This paper investigates the use of aa discrete spectometric, current invasive methods is critical. This paper investigates the use of discrete spectometric, NIR reflectance glucometer to detect a change in glucose concentration in solution. At each NIR reflectance glucometer to detect aa light, change in glucose concentration in solution. At each wavelength, an LED is used to emit and a reverse-biased LED detects light using current invasive methods is critical. This paper investigates the use of a discrete spectometric, NIR reflectance glucometer to detect change in glucose concentration in solution. At each NIR reflectance glucometer to to detect changeand in glucose concentration solution. At using each wavelength, an LED LED is used used to emita light, light, and reverse-biased LED indetects detects light using wavelength, an is emit aaa reverse-biased LED light wavelengths 660 LED nm, 850 nm,to940 nm, nm, 1550 nm, 1650 nm. The discharge time of a NIR reflectance glucometer detect change in glucose concentration solution. At using each wavelength, an is to emit light, and LED detects light wavelength, an LED is used used to emita1450 light, and a reverse-biased reverse-biased LED in detects light using wavelengths 660 nm, 850 nm, 940 nm, 1450 nm, 1550 nm, 1650 nm. The discharge time of a wavelengths 660 nm, 850 nm, 940 nm, 1450 nm, 1550 nm, 1650 nm. The discharge time of reverse-biased LED is proportional to the temporal integral of the detected light intensity. wavelength, an LED is used to emit light, and a reverse-biased LED detects light using wavelengths 660 660 nm, is850 850 nm, 940 940 nm, nm, 1450 nm, 1550 nm, nm, 1650ofnm. nm. The discharge time of aaa wavelengths nm, nm, 1450 nm, 1550 1650 The discharge time of reverse-biased LED proportional to the temporal integral the detected light intensity. reverse-biased LED is proportional to the temporal integral of the detected light intensity. The sensor’s 660 response toproportional changing glucose was tested both water and porcine wavelengths nm, is nm, 940 nm, nm, 1550 nm, 1650 The discharge time of a reverse-biased LED to the temporal integral of the detected light intensity. reverse-biased LED is850 proportional to 1450 theconcentration temporal integral ofnm. thein detected light intensity. The sensor’s response to changing glucose concentration was in both water and porcine −1 tested The sensor’s response to changing glucose concentration was tested in both water and porcine blood. Glucose concentration was increased by 0.5 mmol l and compared with a finger stick reverse-biased LED is proportional to the temporal integral of the detected light intensity. The sensor’s response to changing glucose concentration was tested in both water and porcine −1 The sensor’s response to changing glucose concentration was tested in both with wateraa and porcine blood. Glucose concentration was increased by 0.5 ll−1 and compared finger stick blood. Glucose concentration was increased by 0.5 mmol mmol compared with finger stick glucometer. Each wavelength exhibited an expected change in and adsorption given only an increase −1 The sensor’s response to changing glucose concentration was tested in both water porcine blood. Glucose concentration was by ll−1 and compared with aa and finger stick blood. Glucose concentration was increased increased by 0.5 0.5 mmol mmol and compared with finger stick glucometer. Each wavelength exhibited an expected change in adsorption given only an increase glucometer. Each wavelength exhibited an expected change in adsorption given only an increase −1 in glucose concentration. The inverted exponential increase in absorption is explained by Beer blood. Glucose concentration was increased by 0.5 mmol l and compared with a finger stick glucometer. Each wavelength wavelength exhibited an expected expected increase change in ininadsorption adsorption given only an an increase increase glucometer. Each exhibited an change given only in glucose concentration. The inverted exponential absorption is explained by Beer in glucose concentration. The inverted exponential increase in absorption is explained by Beer Lambert’s law. Wavelengths 660 nm, 850 nm and 1450 nm showed minimal change to absorption, glucometer. Each wavelength exhibited an expected change in adsorption given only an increase in glucose concentration. The inverted exponential increase in absorption is explained by Beer in glucose concentration. The inverted exponential increase in absorption is explained by Beer Lambert’s law. Wavelengths 660 nm, 850 nm and 1450 nm showed minimal change to absorption, Lambert’s law. Wavelengths 660 nm, 850 nm and 1450 nm showed minimal change to absorption, while 940 nm, 1550 nm and 1650 nm showed considerable change in absorption. The 1550 nm in glucose concentration. The inverted exponential increase in absorption is explained by Beer Lambert’s law. Wavelengths 660 nm, 850 nm and 1450 nm showed minimal change to absorption, Lambert’s law. 1550 Wavelengths 660 nm, 850 nm and 1450 nm showed minimal change to absorption, while 940 nm, nm and 1650 nm showed considerable change in absorption. The 1550 nm −1 −1 while 940 nm, 1550 nm and 1650 nm showed considerable change in absorption. The 1550 LED gave the greatest increase in absorption with a 7% rise over minimal 4.3in mmol l−1 to 20.6 mmol lnm . Lambert’s law. Wavelengths 660 nm, 850 nm and 1450 nm showed change to absorption, while 940 nm, 1550 nm and 1650 nm showed considerable change absorption. The 1550 −1 while 940 nm, 1550 nm and 1650 nm showed considerable change in absorption. The 1550 nm −1 −1 . LED gave the greatest increase in absorption with aa 7% rise over 4.3 mmol ll−1 to 20.6 mmol llnm LED gave the greatest increase in absorption with 7% rise over 4.3 mmol to 20.6 mmol −1 Ratios of absorption responses (R , R and R ) each proportional −1gave −1 .. while 940 nm, 1550 nm and 1650 nm showed considerable change in absorption. The 1550 nm LED gave the greatest increase in absorption with a 7% rise over 4.3 mmol l to 20.6 mmol l 1550/1650 1550/1450 940/850 LED gave the greatest responses increase in(R absorption with a 7% rise over 4.3 mmol l−1gave to 20.6 mmol l−1 . Ratios of absorption ,, R and R )) each proportional 1550/1650 1550/1450 940/850 Ratios of absorption and R proportional 1550/1650 1550/1450 940/850 increases inthe absorption with increasing glucose concentrations. LED gave greatest responses increase in(R absorption with a 7% rise over 4.3 mmol l gave to 20.6 mmol l . Ratios of absorption responses (R ,, R R and R )) each each gave proportional 1550/1650 1550/1450 940/850 Ratios of absorption responses (R R and R each gave proportional increases in absorption with increasing glucose concentrations. 1550/1650 1550/1450 940/850 increases in absorption with increasing glucose concentrations. Ratios of absorption responses (R , R and R ) each gave proportional increases in absorption with increasing glucose concentrations. 1550/1650 1550/1450 940/850 license BY-NC-ND CC the under article access open an is This Authors. The 2020 © increases in absorption with increasing glucose concentrations. Copyright increases inDiscrete absorption increasing non-invasive, glucose concentrations. licenses/by-nc-nd/4.0) Keywords: NIRwith spectrometry, glucose sensor, LED-LED detection, Beer (http://creativecommons.org/ Keywords: Discrete NIR spectrometry, non-invasive, glucose sensor, LED-LED detection, Beer Keywords: Discrete NIR spectrometry, non-invasive, glucose sensor, LED-LED detection, Beer Lambert’s Law Keywords: Discrete NIR spectrometry, non-invasive, glucose sensor, sensor, LED-LED LED-LED detection, detection, Beer Beer Keywords: Discrete NIR spectrometry, non-invasive, glucose Lambert’s Law Lambert’s Law Keywords: Discrete NIR spectrometry, non-invasive, glucose sensor, LED-LED detection, Beer Lambert’s Law Law Lambert’s Lambert’s Law 1. INTRODUCTION Continuous non-invasive glucose sensing has been a topic 1. INTRODUCTION INTRODUCTION Continuous non-invasive glucose sensing has been a topic 1. Continuous non-invasive glucose has been a topic of research for over 20 years (Liu sensing et al., 2005). Techniques 1. INTRODUCTION INTRODUCTION Continuous non-invasive glucose sensing has a 1. Continuous non-invasive glucose sensing has been been a topic topic of research for over 20 years (Liu et al., 2005). Techniques of research for over 20 years (Liu et al., 2005). Techniques such as near-infrared (NIR) spectroscopy havebeen beena stud1. INTRODUCTION non-invasive glucose sensing has topic Diabetes is a metabolic disorder resulting from the inabil- Continuous of research for over 20 years (Liu et al., 2005). Techniques of research for over 20 years (Liu et al., 2005). Techniques such as near-infrared (NIR) spectroscopy have been studDiabetes is is aa metabolic metabolic disorder disorder resulting resulting from from the the inabilinabil- such as near-infrared (NIR) spectroscopy have been studDiabetes ied, but as yet, there have been no commercialized prodof research for over 20 years (Liu et al., 2005). Techniques ity of the body to regulate the level of glucose in the blood. such as near-infrared (NIR) spectroscopy have been studDiabetes is metabolic disorder resulting from the inabilsuch as near-infrared (NIR) spectroscopy have been prodstudbut as yet, have been no commercialized Diabetes aa metabolic disorder resulting from ity of of the the is body to regulate regulate the level level of glucose glucose in the the inabilblood. ied, ied, but as yet,athere there have been no commercialized prodity body to the of in the blood. providing solution al., 2008). Products such as near-infrared (NIR) spectroscopy have been studThe diabetes is ever ied, but as have been no commercialized prodDiabetes a metabolic disorder resulting from the ity ofprevalence the is body toof regulate theworldwide level of glucose glucose inincreasing, the inabilblood. ucts ied, but as yet, yet,aathere there have(Poddar been noet commercialized products providing solution (Poddar et al., 2008). Products ity of the body to regulate the level of in the blood. The prevalence of diabetes worldwide is ever increasing, ucts providing solution (Poddar et al., 2008). Products The prevalence of diabetes worldwide is ever increasing, using NIR measurements have reported good correlation ied, but as yet, there have been no commercialized prodwith over 366 million people expected to be diagnosed by ucts providing a solution (Poddar et al., 2008). Products ity of the body to regulate the level of glucose in the blood. The prevalence of diabetes worldwide is ever increasing, ucts providing a solution (Poddar et al., 2008). Products NIR measurements have reported good correlation The of diabetes is be ever increasing, with prevalence over 366 366 million million peopleworldwide expected to to be diagnosed by using using NIR measurements have reported good with over people expected diagnosed by with blood glucose, but too many of were providing a solution (Poddar et the al., estimations 2008).correlation Products 2030 (Wild366 et million al., Currently, individuals with diausing NIR have reported good correlation The of 2004). diabetes worldwide is be ever increasing, with over people expected to be diagnosed by ucts using NIR measurements measurements have reported good correlation with blood glucose, but too many of the estimations were with over people expected to diagnosed by 2030 prevalence (Wild366 et million al., 2004). Currently, individuals with diadiawith blood glucose, but too many of the estimations were 2030 (Wild et al., 2004). Currently, individuals with not clinically acceptable (Poddar et al., 2008; Smith, 2017; using NIR measurements have reported good correlation betes need to use invasive methods, such as finger pricks, with blood glucose, but too many of the estimations were with over 366 million people expected to be diagnosed by 2030 (Wild et al., 2004). Currently, individuals with diawith blood glucose, but too many of the estimations were not clinically acceptable (Poddar et al., 2008; Smith, 2017; 2030 (Wild et al., 2004). Currently, individuals with diabetes need need to to use use invasive invasive methods, methods, such such as as finger finger pricks, pricks, Nybacka, not clinically acceptable (Poddar et al., 2008; Smith, 2017; betes 2016). Different proteins and molecules within with blood glucose, but too many of the estimations were to monitor blood glucose concentration. The discomfort not clinically acceptable (Poddar et al., 2008; Smith, 2017; 2030 (Wild et al., 2004). Currently, individuals with diabetes need to use invasive methods, such as finger pricks, not clinically acceptable (Poddar et al., 2008; Smith, 2017; Nybacka, 2016). Different proteins and molecules within betes need to use invasive methods, such as finger pricks, to monitor blood glucose concentration. The discomfort Nybacka, 2016). Different proteins and molecules within to monitor blood glucose concentration. The discomfort blood absorb different wavelengths of 2008; light to differing not clinically acceptable (Poddar et al., Smith, 2017; and possible complications caused by these methods lead Nybacka, 2016). Different proteins and molecules within betes need to use invasive methods, such as finger pricks, to monitor blood glucose concentration. The discomfort Nybacka, 2016). Different proteins and molecules within absorb different wavelengths of light to differing to glucose concentration. The discomfort andmonitor possibleblood complications caused by by these these methods lead blood blood absorb different wavelengths of light differing and possible complications caused methods lead extents, allowing estimation of concentration ofto com2016). Different proteins and molecules within to reduced frequency of monitoring patients, reducblood absorb different wavelengths of to differing glucose concentration. The discomfort and possibleblood complications caused by by by these methods lead Nybacka, blood absorb different wavelengths of light light toeach differing extents, allowing estimation of concentration of each comand possible complications caused these methods lead to monitor reduced frequency of monitoring monitoring by patients, reducextents, allowing estimation of concentration of each comto reduced frequency of by patients, reducpound (Delbeck et al., 2019). blood absorb different wavelengths of light to differing ing the effectiveness of diabetes prevention (Chowdhury extents, allowing estimation of concentration of each comand possible complications caused by these methods lead to reduced frequency of monitoring by patients, reducextents, allowing estimation of concentration of each compound (Delbeck et al., 2019). to reduced frequency of monitoring by patients, reducing the the effectiveness effectiveness of of diabetes diabetes prevention prevention (Chowdhury (Chowdhury pound (Delbeck et al., 2019). ing extents, allowing estimation of concentration of each comet al., 2013). The majority of continuous glucose monitors pound (Delbeck et al., 2019). to reduced frequency of monitoring by patients, reducing the effectiveness of diabetes prevention (Chowdhury pound (Delbeck et al., 2019). ing the effectiveness of diabetes prevention (Chowdhury The main difficulty in NIR detection is due to the weak abet al., 2013). The majority of continuous glucose monitors et al., 2013). The majority of continuous glucose monitors The main difficulty in NIR detection is due to the weak abpound (Delbeck et al., 2019). (CGMs) require subcutaneous insertion of a filament for ing the effectiveness of diabetes prevention (Chowdhury The main difficulty in NIR detection is due to the weak abet al., 2013). The majority of continuous glucose monitors et al., 2013). The majority of continuous glucose monitors sorption characteristics of glucose in a spectral region dom(CGMs) require subcutaneous insertion of a filament for The main difficulty in NIR detection is due to the weak ab(CGMs) require subcutaneous insertion of a filament for The main difficulty in NIR detection is due to the weak absorption characteristics of glucose in a spectral region domelectro-chemical measurement of local interstitial glucose et al., 2013). The majority of continuous glucose monitors sorption characteristics of glucose in a spectral region dom(CGMs) require subcutaneous insertion of a filament for (CGMs) require subcutaneous insertion of a filament for inated by absorption from water, haemoglobin and lipids The main difficulty in NIR detection is due to the weak abelectro-chemical measurement measurement of of local local interstitial interstitial glucose glucose sorption characteristics of glucose in a spectral region domelectro-chemical sorption characteristics of glucose in a spectral region dominated by by absorption absorption from from water, water, haemoglobin haemoglobin and and lipids lipids concentrations and require multiple calibrations each day. (CGMs) require subcutaneous insertion of a filament for inated electro-chemical measurement of local interstitial glucose electro-chemical measurement of local interstitialeach glucose (Amerov et al., 2004). Conventional spectroscopy has characteristics of glucose in a spectral region domconcentrations and and require multiple multiple calibrations each day. sorption inated by absorption from water, haemoglobin and lipids concentrations require calibrations day. inated by absorption from water, haemoglobin and lipids et al., 2004). Conventional spectroscopy has They are complex and havemultiple significant drift and dynamics electro-chemical measurement of local interstitial glucose (Amerov al., 2004). spectroscopy has concentrations and require calibrations each day. (Amerov concentrations and require calibrations each day. been investigated the wavelength range and of 500 nm inated by et absorption fromConventional water, haemoglobin lipids They are are complex complex and havemultiple significant drift and dynamics dynamics (Amerov et al., 2004). Conventional spectroscopy has They and have significant drift and (Amerov et al., through 2004). Conventional spectroscopy has been investigated through the wavelength range of 500 nm (Zhou et al., 2018) concentrations and require multiple calibrations each day. been investigated through the wavelength range of 500 nm They are complex and have significant drift and dynamics They complex to 2000 nm with three main bands of interest: 2000 nmet al., 2004). Conventional spectroscopy has (Zhouare et al., al., 2018)and have significant drift and dynamics (Amerov been investigated through the wavelength range of 500 nm (Zhou et 2018) been investigated through the wavelength range of 500 nm to 2000 nm with three main bands of interest: 2000 nmThey are complex and have significant drift and dynamics to 2000 nm with three main bands of interest: 2000 nm(Zhou et al., 2018) (Zhou et al., 2018) 2500 nm (combination overtone), 1400 nm-2000 nm(first been investigated through the wavelength range of 500 nm Futures in healthcare rely as much on enabling patient to 2000 nm with three main bands of interest: 2000 nmto 2000 nm with three main bands of interest: 2000 nm2500 nm (combination overtone), 1400 nm-2000 nm(first Futures in healthcare rely as much on enabling patient (Zhou et al., 2018) 2500 nm (combination overtone), 1400 nm-2000 nm(first Futures in healthcare much on enabling patient overtone) and 750three nm-1400 nmbands (second overtone) (Yadav 2000 nm with main of interest: 2000 nmself-management as onrely newas innovative technologies. A to 2500 nm (combination overtone), 1400 nm-2000 nm(first Futures in healthcare rely as much on enabling patient 2500 nm (combination overtone), 1400 nm-2000 nm(first overtone) and 750 nm-1400 nm (second overtone) (Yadav Futures in healthcare rely as much on enabling patient self-management as as on on new new innovative innovative technologies. technologies. A A overtone) and 750 nm-1400 (second (Yadav self-management et al.,nm 2015). andnm Yamakoshi (2006) developed (combination overtone), 1400overtone) nm-2000 nm(first non-invasive glucose method facilitate more overtone) and 750 nm (second overtone) (Yadav Futures in healthcare much would on enabling patient self-management as sensing onrely newas innovative technologies. A 2500 overtone) andYamakoshi 750 nm-1400 nm-1400 nm (second overtone) (Yadav et al., 2015). Yamakoshi and Yamakoshi (2006) developed self-management as on new innovative technologies. A non-invasive glucose sensing method would facilitate more et al., 2015). Yamakoshi and Yamakoshi (2006) developed non-invasive glucose sensing method would facilitate more aetpulse glucometer using spectrometry values from 900 nm overtone) and 750 nm-1400 nm (second overtone) (Yadav patient monitoring, reducing complications and improving et al., 2015). Yamakoshi and Yamakoshi (2006) developed self-management as on new innovative technologies. A non-invasive glucose sensing method would facilitate more al., 2015). Yamakoshi and Yamakoshi (2006) developed a pulse glucometer using spectrometry values from 900 nm non-invasive glucose sensing method would facilitate more patient monitoring, reducing complications and improving a pulse glucometer using spectrometry values from 900 nm patient monitoring, reducing complications and improving to 17002015). nm. Through PLS methods, they gained accurate et al., Yamakoshi and Yamakoshi (2006) developed quality of life. a pulse glucometer using spectrometry values from 900 non-invasive glucose sensing method would facilitate more patient monitoring, reducing complications and improving a pulse glucometer using spectrometry values from 900 nm nm to 1700 nm. Through PLS methods, they gained accurate patient monitoring, reducing complications and improving quality of life. to 1700 nm. Through PLS methods, they gained accurate quality of results from glucoseusing measurent, but required further work pulse glucometer spectrometry values fromaccurate 900 nm 1700 nm. Through PLS methods, they gained patient reducing complications and improving ato quality monitoring, of life. life. to 1700 nm. Through PLS methods, they gained accurate results from glucose measurent, but required further work quality of life. results from glucose measurent, but required further work on their instrumentation to take the sensor out of the to 1700 nm. Through PLS methods, they gained accurate results from glucose measurent, but required further work The project has received funding from EU H2020 R&I programme quality of life. results from glucose measurent, butthe required further work on their instrumentation to take sensor out of the The funding from H2020 programme on their instrumentation to take the sensor out of the The project project has has received received funding from EU EU H2020 R&I R&I programme laboratory (Yamakoshi et al., 2009). results from glucose measurent, but required further work (MSCA-RISE-2019 call) under agreement #872488 –DCPM on their instrumentation to take the sensor out of the The project has received funding from EU H2020 R&I programme on their instrumentation to take the sensor out of the laboratory (Yamakoshi et al., 2009). The project has received funding from EU H2020 R&I programme (MSCA-RISE-2019 call) under agreement #872488 –DCPM laboratory (Yamakoshi et al., 2009). (MSCA-RISE-2019 call) under agreement #872488 –DCPM on their instrumentation to take the sensor out of the laboratory (MSCA-RISE-2019 call) agreement #872488 –DCPM The project has received funding from EU H2020 R&I programme laboratory (Yamakoshi (Yamakoshi et et al., al., 2009). 2009). (MSCA-RISE-2019 call) under under agreement #872488 –DCPM laboratory (Yamakoshi et al., 2009). (MSCA-RISE-2019 call) under agreement #872488 –DCPM 2405-8963 Copyright © 2020 The Authors. This is an open access article under the CC BY-NC-ND license. Peer review under responsibility of International Federation of Automatic Control. 10.1016/j.ifacol.2020.12.388 Jake D. Campbell et al. / IFAC PapersOnLine 53-2 (2020) 15970–15975 15971 Where: ID : IE : : c: d: Detected light intensity Emitted light intensity Absorption coefficients Concentration of molecules Optical path length Blood consists of many constituents at varying concentrations and absorption characteristics, meaning absorption in Beer Lambert’s law is the sum of all components: A(λ) = Fig. 1. Equivalent circuit diagram for the sensing diode within LED-LED detection. 1.1 LED-LED Light Detection i (λ)ci (2) A(λ) represents the total absorbance through blood at a particular wavelength (λ). By using different absorption characteristics at varying wavelengths, the concentrations of each constituent can be calculated (Zhang et al., 2016). 1.3 Detection Wavelength Conventional methods of light detection use LEDs to emit light and photodiodes to detect returning light. The current is then amplified and converted to a voltage, and sampled by a microprocessor through an analog to digital converter (ADC) (Kennedy, 2015). The sensing methodology used here has a forward-biased LED to emit, and a reverse-biased LED detect light. Rather than taking instantaneous measurements with an ADC, the reversebiased LED uses its inherant capacitance to integrate the incoming light intensity over the sensing period (Stojanovic and Karadaglic, 2013; Lau et al., 2006). Thus, the output from the sensor represents the inverse of the detected light intensity. Lau et al. (2006) demonstrates that the lower photocurrent producing efficiency of LEDs is an advantage as LED detection provides approximately an order of magnitude greater response to light intensity changes compared to photodiodes. The spectral detection region of the LEDs is also of slightly lower wavelength of the emission spectrum, creating a narrower detection range(O’Toole and Diamond, 2008). Recently, the LED-LED sensing method has been employed with success in absorbance measurements for determining the concentration of solutions due to their spectrally sensitive absorption spectrum and their ease of implementation (Shin et al., 2016). Figure 1 shows the basic circuit diagram used in this study. Each wavelength to be detected had a pair of LEDs, one emitting and the other detecting the reflected light. 1.2 Beer-Lambert’s Law Beer Lambert’s law describes the exponential attenuation of light travelling through a substance. The attenuation of light across a path length (d) is from the concentration of the solute (c) and how much light it absorbs () (Mendelson, 1992), yielding: ID = IE ecd (1) To take advantage of the light absorption bands of glucose at 750 nm-1400 nm, LEDs of wavelength 660 nm, 850 nm and 940 nm were used. Haxha et al used a 940 nm LED to monitor changes in glucose level (Haxha and Jhoja, 2016). In this region, haemoglobin is the dominant absorber, so any changes in blood oxygen level will skew the results (Bashkatov et al., 2005). Thus, an 850 nm LED was chosen because the isosbestic point of oxyhaemoglobin and deoxyhaemoglobin is at 800 nm, within the lower detection spectrum (Chan et al., 2013). At the isosbestic point, the absorption by haemoglobin is consistent, regardless of the oxygen saturation. This wavelength was used to account for the change in absorption by haemoglobin when assessing the change in glucose at the same wavelength. In the second absorption band, glucose has a dominant absorption peak at 1550 nm as well as at 1650 nm. Figure 2 shows the approximate absorption by glucose, water, lipids and albumin from 500 nm to 2000 nm. At 1450 nm absorption is dominated by water, meaning variations in concentrations of glucose and other blood constituents cause a minimal change in absorption. At 1550 nm and 1650 nm, glucose is the dominant absorber, so a rise in glucose level is expected to increase absorption at these wavelengths. LEDs at 1550 nm and 1650 nm were chosen as the absorption of lipids vary greatly, potentially allowing extraction of the lipid concentration, which is also clinically useful. When calculating the change in absorption, the displacement of water by glucose must be included (Amerov et al., 2004). The relatively strong absorption properties of water in the NIR spectrum causes significant changes in total absorbance when glucose is added. Upon dissolution of glucose, water molecules are displaced from the optical path length. At wavelengths where water dominates absorption (1450 nm), the total absorbance is expected to drop with increasing glucose. At 1550 nm and 1650 nm, glucose is the dominant absorber of light, so even with displacement of water, the absorbance is expected to increase with glucose concentration. Jake D. Campbell et al. / IFAC PapersOnLine 53-2 (2020) 15970–15975 15972 glucose concentration. 1650 nm is also expected to increase with glucose, but not as much as 1550 nm. 2.3 Water Testing Fig. 2. Absorption spectrum of the major light absorbers in the NIR range, not to scale. Derived from (Yadav et al., 2015; Amerov et al., 2004) The first test conducted was with glucose added to deionised water. To minimize the effect of outside variables during testing, 40 litres of water was kept at body temperature inside an insulated container. Glucose was added in increments of 3.60 g to increase the concentration by 0.5 mmol l−1 at each step. The concentration was increased from 0 mmol l−1 up to 20 mmol l−1 . The target physiological range of blood glucose in a person is between 4 mmol l−1 and 8 mmol l−1 . While blood glucose levels may climb above 20 mmol l−1 in hyperglycemic patients. Thus, measuring a range from 0-20 mmol l−1 provides a physiologically relevant range to show a response to glucose. A sensor was placed in a resealable bag 200 mm below the surface of the water, minimising the effect of light reflecting off the surface of the water. Upon each addition of glucose, the water was stirred for 20 seconds and allowed to come to a rest. Data were recorded over 30 seconds and the average over this time was used for calculations. The test was conducted in a dark room with no light source other than the sensor. Table 1. Experimental procedure Test Water Blood 1 Blood 2 Fig. 3. Diagram of the developed glucose sensor. Volume l 40.20 1.10 0.94 Gstart mmol l−1 0 4.9 4.3 Gstep mmol l−1 0.50 0.50 0.50 Gend mmol l−1 20.0 16.8 20.6 2.4 Pig Blood Testing 2. METHODS 2.1 Sensor Design To measure absorption of light at the required wavelengths, a sensor with 12 LEDs was built. Each of the six wavelengths have an emitter and detector LED. The sensor was designed in a rosette shape to ensure the path of each wavelength travelled through the same space. Figure 3 shows the sensor. The 660 nm and 940 nm LEDs are contained in the same package to minimise the footprint. An ATMEGA32U2 running at 16 MHz was used to power the emitting LED and to time the discharge of the reverse-biased LED. The LEDs used were XZM2MRTNI55W-8 (660,940 nm), 15412085A3060 (850 nm), MTSM5014-843-IR (1450 nm), MTSM5015-843IR (1550 nm) and MTSM5016-843-IR (1650 nm). 2.2 Beer-Lambert’s Law While the intention of the sensor is to detect glucose in pulsatile human blood, testing was first done in vitro to verify a response to changing glucose. The 1450 nm and 1550 nm wavelengths would be the focus as glucose has no absorption at 1450 nm and dominant absorption at 1550 nm. Compared to 1450 nm, the reflected light intensity at 1550 nm should increase with the addition of glucose. Thus, the ratio of 1450 nm and 1550 nm should represent a Beer-Lambert response curve with increasing The next step in testing the sensor’s response to glucose was to add glucose to blood under the same conditions as the test in water. Two litres of pigs blood were used for testing. To reduce the effects of clotting, 1.8 g of EDTA for 1 l of pig blood was added as an anticoagulant. The fresh pig blood was kept in an insulated container between 04 ◦C during transport and was raised to room temperature for testing. An ACCU-CHEK Performa Glucometer was used to measure the blood glucose content throughout the test for sensor calibration. Table 1 gives the test conditions. The sensor was mounted underneath the flask, in contact with the glass. The first test was done within 3 hours of obtaining the fresh blood. Figure 4 shows the setup for both tests. The first test had 1.1 l of blood and an initial blood glucose level of 4.9 mmol l−1 . For each measurement, 0.09 g of glucose powder was stirred into the blood for 30 seconds and allowed to settle. One minute of data were recorded and the average reading taken. The second test was conducted two days after the first to further reduce the blood glucose content. The blood stayed between 2-8 ◦C during waiting period and was brought to room temperature for testing. 3. RESULTS As the sensor integrates reflected light intensity during a measurement, an increase in absorption is directly proportional to an increase in discharge time of the receiving Jake D. Campbell et al. / IFAC PapersOnLine 53-2 (2020) 15970–15975 15973 Fig. 4. Experimental setup for pig blood testing. LED. This inverse relation is in contrast to conventional photodiode measurement, where an increase in absorption reduces the detected voltage. Figures 5 and 6 show the time taken for each LED to discharge. A higher discharge time results from higher absorption by light travelling through the solution, and therefore higher concentration. The value α is used to represent the proportionality between discharge time and light intensity. 4. DISCUSSION 4.1 Water Testing Testing showed the predicted relationship between glucose levels and light absorption. An increase in absorption at 940 nm, 1550 nm and 1650 nm was recorded, while at 660 nm and 850 nm, there was a decrease in absorption. Figure 5 plots the discharge time of each wavelength at increasing glucose levels. At 1450 nm and 850 nm, the data were very noisy with slight upwards and downwards trends respectively over the range of glucose. At 660 nm there was a slight decrease and at 940 nm, an increase. This increase is due to the slight absorption peak at 940 nm. 4.2 Pig Blood Testing Testing in blood gave different results to just water. Figure 6 shows that at 1450 nm and 1650 nm there was decreased absorption with increasing glucose. This difference is represented in the change in absorption at 850 nm, as this wavelength represents the total haemoglobin count. Absorption at 1450 nm, 660 nm, 940 nm and 1650 nm were consistent between tests. Table 2. Relative Reflection Intensity (α/ID ) readings for an empty flask λ(nm) α/ID 660 0.72e5 860 0.40e5 940 0.21e5 1450 2.63e5 1550 2.17e5 1650 0.54e5 Fig. 5. Change in reflected light intensity in water with an increase in glucose concentration. 4.3 Wavelength Ratios The three main wavelength relationships of interest were between 1450 nm and 1550 nm, 1550 nm and 1560 nm and 940 nm and 850 nm. At 1450 nm and 1550 nm is the greatest difference between glucose absorbance coefficients and at 940 nm and 850 nm is the isobestic point of haemoglobin and a slight absorbance by glucose. At 1650 nm and 1550 nm, there is a difference in absorption by albumin and lipids as well as glucose. In Figure 6, the noise variation in readings are present in all wavelengths. Taking the ratio of each wavelength pair removes the constant noise component during each measurement such as ambient lighting. Figure 7 shows the relationship to glucose. For better comparison, each response is normalised and centred at zero. The absorbance at 1650 nm has the largest decrease, so the ratio of 1550 nm to 1650 nm was also calculated (R1550/1650 ). This ratio gives the greatest response to the normalised data, with R1550/1450 second greatest. R940/850 gives the lowest response to increasing glucose. 4.4 Beer Lambert’s Law As the sensor was placed in a resealable plastic bag, there was a slight difference in absorption compared to glass. Testing was done with an empty flask and the baseline recording is shown in Table 2. All wavelengths except for 1450 nm and 660 nm had lower responses without blood. As the testing was done under ambient lighting, the increase in 660 nm and 1450 nm is due to room lighting and sunlight. The response of each ratio in Figure 7 follows the inverted Beer Lambert’s law. At low glucose concentrations of glucose, reflected light intensity exponentially decreases. As the only factor in Equation 1 that changes is the concentration, the observed changes in light absorption can be attributed solely to the addition of glucose. At wavelengths with no glucose absorption peaks (660 nm, 15974 Jake D. Campbell et al. / IFAC PapersOnLine 53-2 (2020) 15970–15975 of water molecules. At 1650 nm and 1550 nm, the signal gave the greatest rise in absorption. The response at 1450 nm was expected to reduce due to the displacement of water. However, it remained noisy, slightly increasing with glucose level. This high variation is likely due to the minimal effect of water displacement due to glucose. The high absorption of light by water at 1450 nm means minimal light entering the solution returned to the sensor, so the majority of the light returned will be reflected off the surface of the water. The intensity of reflected light was much higher for 660 nm and 940 nm as water and glucose absorb minimally at these wavelengths. Absorption of 660 nm and 940 nm light in the pig blood were much higher due to the presence of haemoglobin. It is also expected the glass of the flask reduced the amount of reflected light reaching the sensor as the LED discharge times for an empty flask were very similar to those with blood present. The exact absorption by the glass is not further explored as the purpose of this paper is to measure a change in absorption with increasing glucose concentrations, so a constant effect from glass does not affect the conclusions. Fig. 6. Change in reflected light intensity in pigs blood with an increase in glucose concentration. Fig. 7. Normalised and centred absorbance ratios of R1550/1650 , R1550/1450 and R940/850 in pigs blood over an increasing glucose level. 850 nm, 1450 nm), the reflected light intensity has minimal change, providing further validation. The development of a non-invasive blood glucose monitor has been the focus of intense interest for several decades. Among possible approaches, NIR spectroscopy has shown much promise. However, definitive results have remained elusive. This paper investigated the LEDs as light detectors at selected spectral wavelengths, creating a discrete spectrometer. The designed glucose sensor was tested in water and pigs blood. In water, the change in absorbance was solely due to the increase in glucose concentration and the displacement Testing in pig blood yielded different absorption responses to testing in water. The presence of haemoglobin reduced the intensity of reflected light in the first absorption band and the presence of other lipids and albumin in the blood gave an opposite response than that of water at 1650 nm. At 1650 nm, glucose, water, albumin and lipids have similar absorption coefficients. As glucose displaces the other molecules from the optical path, the corresponding increase in absorption by glucose does not account for the reduced absorption by displacement. Thus, the absorption in blood at 1650 nm decreases with increasing glucose levels. In contrast, the increased absorption from glucose at 1550 nm is more than the reduction in absorption from displacement, so the overall absorption at 1550 nm increases with increasing glucose concentration. Ratios of absorbance at various wavelengths were calculated to test the response to glucose. Figure 7 shows that the three ratios investigated all follow Beer Lambert’s law for light absorption. The wavelength 1450 nm was chosen for testing as water is the primary absorber. By comparing the increasing absorbance at 1550 nm to the decreasing absorption at 1450 nm, the effect of glucose concentration can be seen. Water has minimal absorption in the first absorption band, so the ratio between 940 nm and 850 nm shows the relationship between glucose and haemoglobin. At the isobestic point of haemoglobin (850 nm) the decrease in absorption is due to the displacement of haemoglobin and at 940 nm, the increase in absorption is from the increased absorption of glucose. This behaviour can also be seen at 660 nm as absorbance decreases with increasing glucose. The ratio of 1650 nm to 1550 nm gave the largest change with increasing glucose in blood. Other than 1650 nm, all other wavelength absorptions were as expected. Moving forward, testing will be done in vivo to determine the absorption response. The sensor will be designed for use as a pulse glucometer, using the same principles as pulse oximetry. In vivo testing will isolate the response in the blood from the pulsatile signal, similar to work by Yamakoshi et al. (2009). Jake D. Campbell et al. / IFAC PapersOnLine 53-2 (2020) 15970–15975 5. CONCLUSION A sensor was developed to measure the light absorption by glucose in the NIR spectrum. Using discrete spectroscopy at 660 nm, 850 nm, 940 nm, 1450 nm, 1550 nm and 1650 nm, varied responses were found through testing in both water and pig blood. The results obtained can be explained by Beer Lambert’s law as the only factor affecting absorbance is the change in glucose concentration. The glucose concentrations tested were within the expected physiological range of blood glucose concentrations. Using LED-LED detection methods, the sensor integrates the reflected light intensity of the six wavelengths. The ratio of R940/850 increases with glucose due to the absorption peak at 940 nm and minimal change at the isobestic point of haemoglobin (850 nm). In the first overtone, R1550/1450 gives an increase in absorption because glucose is the dominant absorber at 1550 nm, while water is the only absorber at 1450 nm. The final ratio calculated was R1550/1650 which gave the greatest rise due to the displacement of other absorbing molecules (lipids, albumin). Future work on the sensor will involve an increase in output light intensity to increase the amount of light reaching the sensor. Non-invasive testing on pulsatile human blood will be completed and compared to the absorption in water and pig blood. REFERENCES Amerov, A.K., Chen, J., and Arnold, M.A. (2004). Molar Absorptivities of Glucose and other Biological Molecules in Aqueous Solutions over the First Overtone and Combination Regions of the Near-Infrared Spectrum. Applied Spectroscopy, 58(10), 1195–1204. Bashkatov, A.N., Genina, E.A., Kochubey, V.I., and Tuchin, V.V. (2005). Optical properties of human skin, subcutaneous and mucous tissues in the wavelength range from 400 to 2000 nm. Journal of Physics D: Applied Physics, 38(15), 2543–2555. Chan, E.D., Chan, M.M., and Chan, M.M. (2013). Pulse oximetry: Understanding its basic principles facilitates appreciation of its limitations. Respiratory Medicine, 107(6), 789–799. Chowdhury, K., Srivastava, A., Sharma, D.N., and Sharma, D.S. (2013). Challenges & Countermeasures in Optical Noninvasive Blood Glucose Detection. International Journal of Innovative Research in Science, Engineering and Technology, 2(1), 6. Delbeck, S., Vahlsing, T., Leonhardt, S., Steiner, G., and Heise, H.M. (2019). Non-invasive monitoring of blood glucose using optical methods for skin spectroscopy—opportunities and recent advances. Analytical and Bioanalytical Chemistry, 411(1), 63–77. Haxha, S. and Jhoja, J. (2016). Optical Based Noninvasive Glucose Monitoring Sensor Prototype. IEEE Photonics Journal, 8(6), 1–11. Kennedy, S.M. (2015). An introduction to pulse oximeters: Equations and theory. University of WisconsinMadison, 20. Lau, K.T., Baldwin, S., O’Toole, M., Shepherd, R., Yerazunis, W.J., Izuo, S., Ueyama, S., and Diamond, D. (2006). A low-cost optical sensing device based on 15975 paired emitter–detector light emitting diodes. Analytica Chimica Acta, 557(1-2), 111–116. Liu, R., Deng, B., Chen, W., and Xu, K. (2005). Next Step of Non-invasive Glucose Monitor by NIR Technique from the Well Controlled Measuring Condition and Results. Optical and Quantum Electronics, 37(13-15), 1305–1317. Mendelson, Y. (1992). Pulse oximetry: theory and applications for noninvasive monitoring. Clinical Chemistry, 38(9), 1601–1607. Nybacka, L. (2016). FTIR spectroscopy of glucose. O’Toole, M. and Diamond, D. (2008). Absorbance Based Light Emitting Diode Optical Sensors and Sensing Devices. Sensors, 8(4), 2453–2479. Poddar, R., Andrews, J.T., Shukla, P., and Sen, P. (2008). Non Invasive Glucose Monitoring Techniques: A review and current trends. 48. Shin, D.Y., Kim, J.Y., and Eom, I.Y. (2016). Spectral Responses of Light-Emitting Diodes as a Photodiode and Their Applications in Optical Measurements: LEDs as a Photodiode in Optical Measurements. Bulletin of the Korean Chemical Society, 37(12), 2041–2046. Smith, J.L. (2017). The Pursuit of Noninvasive Glucose. The Pursuit of Noninvasive Glucose: Hunting the Deceitful Turkey. 5th edition. Stojanovic, R. and Karadaglic, D. (2013). Design of an Oximeter Based on LED-LED Configuration and FPGA Technology. Sensors, 13(1), 574–586. Wild, S., Roglic, G., Green, A., Sicree, R., and King, H. (2004). Global Prevalence of Diabetes: Estimates for the year 2000 and projections for 2030. Diabetes Care, 27(5), 1047–1053. Yadav, J., Rani, A., Singh, V., and Murari, B.M. (2015). Prospects and limitations of non-invasive blood glucose monitoring using near-infrared spectroscopy. Biomedical Signal Processing and Control, 18, 214–227. Yamakoshi, K. and Yamakoshi, Y. (2006). Pulse glucometry: a new approach for noninvasive blood glucose measurement using instantaneous differential near-infrared spectrophotometry. Journal of Biomedical Optics, 11(5), 054028. Yamakoshi, Y., Ogawa, M., and Tamura, T. (2009). Multivariate Regression and Classification Models for Estimation of Blood Glucose Levels Using a New Non-invasive Optical Measurement Technique Named “Pulse-Glucometry. The Open Optics Journal, 3(1), 63– 69. Zhang, Z., Cai, Z., Han, G., Sheng, W., and Liu, J. (2016). Estimation of glucose absorption spectrum at its optimum pathlength for every wavelength over a wide range. Spectroscopy Letters, 49(9), 588–595. Zhou, T., Dickson, J.L., Shaw, G.M., and Chase, J.G. (2018). Continuous Glucose Monitoring Measures Can Be Used for Glycemic Control in the ICU: An In-Silico Study. Journal of Diabetes Science and Technology, 12(1), 7–19.