Why intraperitoneal glucose sensing is sometimes surprisingly rapid and sometimes slow: A hypothesis.

Abstract:

:The artificial pancreas requires fast and reliable glucose measurements. The peritoneal space has shown promising results, and in one of our studies we detected glucose changes in the peritoneal space already at the same time as in the femoral artery. The peritoneal lining is highly vascularised, covered by a single layer of mesothelial cells and therefore easily accessible for proper sensor technology, e.g. optical technology. We hypothesize that the rapid intraperitoneal glucose dynamics observed in our study was possible because the sensors were located directly at the peritoneal lining, at the point where the glucose molecules entered the peritoneal space. Glucose travels slowly in fluids by diffusion, and a longer distance between the sensor and the peritoneal lining would consequently result in slower dynamics. We therefore propose to place the glucose sensor in an artificial pancreas as closely to the peritoneal lining as possible, or even utilize appropriate sensor technology to measure glucose in the peritoneal lining itself.

journal_name

Med Hypotheses

journal_title

Medical hypotheses

authors

Åm MK,Fougner AL,Ellingsen R,Hjelme DR,Bösch PC,Stavdahl Ø,Carlsen SM,Christiansen SC

doi

10.1016/j.mehy.2019.109318

subject

Has Abstract

pub_date

2019-11-01 00:00:00

pages

109318

eissn

0306-9877

issn

1532-2777

pii

S0306-9877(18)31227-1

journal_volume

132

pub_type

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