Optical Non-Invasive Glucose Monitoring Using Aqueous Humor: A Review

Abstract

This review explores optical technologies for non-invasive glucose monitoring (NIGM) using aqueous humor (AH) as media, addressing the limitations of traditional invasive methods in diabetes management. It analyzes key techniques such as Raman spectroscopy, polarimetry, and mid- and near-infrared spectral methods, highlighting their respective challenges, alongside emerging hybrid approaches like photoacoustic spectroscopy and optical coherence tomography. Crucially, the practical realization of these optical methods for portable NIGM hinges on advanced instrumentation. Therefore, this review also details progress in compact NIR spectrometers. While conventional systems often lack suitability, significant advancements in on-chip technologies—including miniaturized dispersive spectrometers and various on-chip Fourier transform systems (e.g., spatial heterodyne, stationary wave integral, and temporally modulated FT systems)—utilizing integration platforms like SOI and SiN are promising. Such innovations offer the potential for high spectral resolution, large bandwidth, and miniaturization, which are essential for developing practical AH-based NIGM systems to improve diabetes care.