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The continuous blood glucose monitoring system using interstitial fluid (ISF) extracted by ultrasound and vacuum is
proposed in this paper. The skin impedance measurement is introduced into the system to monitor the skin permeability
variation. Low-frequency ultrasound is applied on skin surface to enhance the skin permeability by disrupting the lipid
bilayers of the stratum corneum (SC), and then ISF is extracted out of skin continuously by vacuum. The extracted ISF is
diluted and the concentration of glucose in it is detected by a biosensor and used to predict the blood glucose
concentration. The skin permeability is variable during the extraction, and its variation affects the prediction accuracy.
The skin impedance is an excellent indicator of skin permeability in that the lipid bilayers of the SC, which offer
electrical resistance to the skin, retard transdermal transport of molecules. So the skin impedance measured during the
extraction is transformed to skin conductivity to estimate correlation coefficient between skin conductivity and
permeability. Skin conductivity correlates well with skin permeability. The method and experiment system mentioned
above may be significative for improving the prediction accuracy of continuous blood glucose monitoring system.
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