This article originally posted 16 August, 2005 and appeared in Issue 273
Research Brings the Artificial Pancreas One Step Closer
New Artificial Pancreas invented that can measure glucose and inject insulin.
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An amazing device has been invented by the St. Petersburg physicists - specialists
of the Vavilov State Optical Institute. With its help, a patient can learn the
glucose concentration in the blood without injections, and if the concentration
is rather high, to inject additional amount of insulin into the blood.
The device is an artificial pancreas and it will consist of two parts. One
part, according to the developers' idea, is slightly larger than a watch battery
and can be implanted under the skin near the waist. The other part, the size
of a cigarette pack, will be attached outside the body.
Researchers have been trying to produce an artificial pancreas for about twenty-five
years with varying success. Research by St. Petersburg physicists promises a
significant breakthrough.
“The essence of our method is that it allows to identify glucose and
to determine its concentration against a background of multiple other components
of blood - by the glucose two-dimensional spectral image, says Vladimir Chuvashov,
Ph. D. (Engineering), manager of research. That is, the method allows to measure
the glucose content in parallel in one beam by two ways - both by the spectroscopic
and the polarimetric ones.
“Practically all earlier developments are based on one-dimensional spectral
images. The difference in quality of glucose recognition is approximately the
same as between one-dimensional and two-dimensional dactyloscopic skin print
in the course of person identification. The method we are developing can be
used for glucose identification both in the ophthalmic fluid (this is a non-invasive
option) and in the corporeal one (implantable option)”.
In the second case, measurement takes place in the part of the device that
is under the skin. It is connected with the help of the optical communications
fiber line with the external part where a semiconductor laser is located along
with micro-devices for analysis of the signal obtained in the course of the
analysis.
So, a small laser generates irradiation. The laser beam is directed under the
skin along the optical fiber, i.e. part of glass fiber. The beam is partly absorbed,
partly dispersed, and partly reflected. The important thing is that glucose
(due to structure of its molecules) changes the beam parameters to some extent.
Firstly, it changes the plane of optical polarization, and it is known to what
extent. Secondly, it changes intensity of scattered radiation proportionally
to the properties inherent in glucose (physicists specify - “due to fundamental
absorption bands caused by vibration frequency of a glucose molecule”).
The light which has changed as a result of interaction with the tissue and
substances dissolved in intercellular fluid, returns back to the device again
along the waveguide. The beam should be analyzed there, so that in the long
run a person could determine the glucose concentration in this fluid. To this
end, respective devices - spectrometers - are required. Large spectrometers
are no problem for a long time, they have been well-known for long. It is difficult
to design small ones - so that it would be convenient to carry them all the
time.
There are multiple private companies worldwide that deal with similar developments
on a competitive basis, and many technical solutions are already known. Detailed
development is certainly necessary anyway, but this problem is solvable, and
researchers already know the way to solve it.
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