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Infrared Thermal Imaging for Diabetes Detection and Measurement
摘要： The diabetes mellititus (type 1) condition occur when the beta cell destroy partially due to autoimmune process. The beta cells produce insulin with respect to blood glucose level. The insulin hormone regulates blood glucose in body. The blood glucose increases in body when insulin secretion is low from pancreas, termed as Diabetes mellititus. The Diabetes mellititus causes infection, pain in mouth. The regions in mouth affected by diabetes mellititius include gums, teeth, jaw and tongue. The glucose level increases in saliva which grows harmful bacteria. The bacteria in combination with plaque cause bad breath, gum disease and coating on tongue. The coating and sugar level in tongue alters the temperature of tongue. In this paper we propose to analyze tongue thermal image to diagnose diabetes at early stage.
关键词： Glycemic index,Tongue,Diabetes mellititus,Plaque
更新于2025-09-23 15:23:52
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Fluorometric determination of glucose based on a redox reaction between glucose and aminopropyltriethoxysilane and in-situ formation of blue-green emitting silicon nanodots
摘要： A method is described for fluorometric detection of glucose. It is based on the finding that silicon nanodots (SNDs) are formed from glucose and aminopropyltriethoxysilane (APTES) under mild experimental conditions. The SNDs thus formed have an average diameter of ～2 nm, exhibit good water dispersibility, blue fluorescence (with excitation/emission maxima at 410/475 nm), broad pH tolerance, and are photostable. The assay was applied to the quantification of glucose with high sensitivity, good specificity, and over a wide detection range (from 10 μM to 0.9 mM). It was applied to the determination of glucose in spiked serum samples and gave satisfactory results and recoveries.
关键词： Fluorescence detection,Enzyme-free analysis,Diabetes,Silicon nanoparticles
更新于2025-09-23 15:23:52
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Absolute quantification (ml blood/sec???mm2 tissue) of normal vs. diabetic foot skin microvascular blood perfusion: Feasibility of FM-PPG measurements under clinical conditions
摘要： Fluorescence-mediated photoplethysmography (FM-PPG) is the first routine clinical methodology by which to quantifiably measure tissue blood perfusion in absolute terms (mL blood/sec ? mm2 tissue). The FM-PPG methodology has been described in detail previously in this journal (MVR 114, 2017, 92-100), along with initial proof-of-concept measurements of blood perfusion in both ocular and forearm skin tissues. The motivation for the current study was to investigate whether FM-PPG can be used readily and routinely under realistic clinical conditions. The vehicle for doing this was to measure medial foot capillary blood flow, i.e., tissue perfusion, in 7 normal subjects, mean = 6.76 ± 2.29 E-005 mL/(sec ? mm2), and lesion-free areas of 8 type-2 diabetic patients with skin ulceration, mean = 4.67 + 3.15 E-005 mL/(sec ? mm2). Thus, perfusion in the diabetics was found to be moderately lower than that in the normal control subjects. Earlier skin perfusion measurements in medial forearms of 4 normal subjects, mean = 2.64 + 0.22 E-005 mL/(sec ? mm2), were lower than both the normal and diabetic foot perfusion measurements. Variability in the heartbeat-to-heartbeat blood perfusion pulses in the skin capillaries, defined as the ratio of the standard deviation among beat-to-beat pulses divided by the mean perfusion of those pulses, was determined for each subject. Average variability in foot skin was 21% in the diabetic population, versus 16% for normal subjects; and it was 18% in forearm skin. We conclude that absolute quantitative FM-PPG measurement of skin blood perfusion at the level of nutritive capillaries is feasible routinely under clinical conditions, allowing for quantitative measurement of skin tissue blood perfusion in absolute terms.
关键词： Indocyanine green dye,Type-2 diabetes,Fluorescence-mediated photoplethysmography,Foot skin blood perfusion,Absolute quantification
更新于2025-09-23 15:23:52
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In vivo multiphoton microscopy detects longitudinal metabolic changes associated with delayed skin wound healing
摘要： Chronic wounds are difficult to diagnose and characterize due to a lack of quantitative biomarkers. Label-free multiphoton microscopy has emerged as a useful imaging modality capable of quantifying changes in cellular metabolism using an optical redox ratio of FAD/(NADH+FAD) autofluorescence. However, the utility of an optical redox ratio for long-term in vivo monitoring of tissue metabolism has not been robustly evaluated. In this study, we demonstrate how multiphoton microscopy can be used to monitor changes in the metabolism of individual full-thickness skin wounds in vivo. 3D optical redox ratio maps and NADH fluorescence lifetime images identify differences between diabetic and control mice during the re-epithelialization of wounds. These metabolic changes are associated with a transient increase in keratinocyte proliferation at the wound edge. Our study demonstrates that high-resolution, non-invasive autofluorescence imaging can be performed in vivo and that optical redox ratios can serve as quantitative optical biomarkers of impaired wound healing.
关键词： metabolism,optical redox ratio,autofluorescence,multiphoton microscopy,in vivo imaging,diabetes,FAD,NADH,wound healing
更新于2025-09-23 15:23:52
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How do we evaluate the role of focal/grid photocoagulation in the treatment of diabetic macular edema?
摘要： Vascular endothelial growth factor inhibitors (anti-VEGF) have consistently demonstrated e?cacy and safety and changed both the aim and perspectives of diabetic macular edema (DME) treatment. Hence, the present and future role of focal/grid laser photocoagulation in DME treatment has been subjected to some debate. However, extensive insight into technical advances in novel laser systems, treatment protocols of anti-VEGF trials and the functional impact of modern focal/grid photocoagulation is needed to evaluate the present and future role of photocoagulation in DME treatment. Across a wide range of clinical trials laser therapy was required as adjunctive/rescue treatment in approximately 20–50% of patients receiving anti-VEGF monotherapy for centre involving DME. Further, a lower retreatment rate and a more stable reduction in retinal thickness have been demonstrated in more studies. However, lacking information on the laser systems used, their technical speci?cations and protocols of application often complicates direct comparison of results in anti-VEGF trials. Hence, this paper aimed to provide an overview of the currently available data relevant to the potential role of focal/grid laser photocoagulation in DME treatment including a thorough overview of the current most commonly used laser systems. Results with subthreshold diode micropulse laser photocoagulation are intriguing and may o?er a valuable option as adjunctive therapy to anti-VEGF treatment. However, more well-designed studies on combination therapy are warranted to determine the full potential of modern retinal photocoagulation systems. In conclusion, current data suggest that focal/grid laser therapy should still be an option for consideration as adjunctive therapy in many patients.
关键词： anti-VEGF,maculopathy,diabetes,photocoagulation
更新于2025-09-23 15:23:52
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Cone–Photoreceptor Density in Adolescents With Type 1 Diabetes
摘要： Changes to retinal structure and function occur in individuals with diabetes before the onset of diabetic retinopathy. It is still unclear if these changes initially affect vascular or neural retina, or if particular retinal areas are more susceptible than others. This paper examines the distribution of cone photoreceptor density in the retina of adolescents with type 1 diabetes. This cross-sectional prospective study includes 29 adolescents and young adults with type 1 diabetes and no diabetic retinopathy and 44 control participants recruited at the Hospital for Sick Children. Adaptive-optics enhanced retinal imaging of the cone photoreceptor mosaic was performed in four quadrants at an eccentricity of ~78 from the fovea. After image registration and averaging, cone photoreceptors were counted and photoreceptor density was calculated. Analysis of variance with repeated measures was used to assess the differences in photoreceptor density between groups. Cone density was similar in both control participants and participants with diabetes. There was a small effect of retinal hemisphere; participants with diabetes did not show the expected radial asymmetry observed in control participants. Cone density in the parafoveal retina is not reduced in adolescents with type 1 diabetes.
关键词： adolescent,retina,type 1 diabetes,adaptive optics
更新于2025-09-23 15:23:52
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The Prevalence and Risk Factors for Diabetic Retinopathy in Shiraz, Southern Iran
摘要： Globally, diabetic retinopathy (DR) is one of the leading causes of blindness, that diminishes quality of life. This study aimed to describe the prevalence of DR, and its associated risk factors. This cross-sectional study was carried out among 478 diabetic patients in a referral center in Fars province, Iran. The mean±standard deviation age of the participants was 56.64±12.45 years old and DR prevalence was 32.8%. In multivariable analysis, lower education levels (adjusted odds ratio [aOR], 0.43; 95% confidence interval [CI], 0.24 to 0.76), being overweight (aOR, 1.70; 95% CI, 1.02 to 2.83) or obese (aOR, 1.88; 95% CI, 1.09 to 3.26), diabetes duration of 10 to 20 years (aOR, 2.35; 95% CI, 1.48 to 3.73) and over 20 years (aOR, 5.63; 95% CI, 2.97 to 10.68), receiving insulin (aOR, 1.99; 95% CI, 1.27 to 3.10), and having chronic diseases (aOR, 1.71; 95% CI, 1.02 to 2.85) were significantly associated with DR. In conclusion, longer diabetes duration and obesity or having chronic diseases are strongly associated with DR suggesting that control of these risk factors may reduce both the prevalence and impact of retinopathy in Iran.
关键词： Diabetic retinopathy,Prevalence,Diabetes,Diabetes duration,Risk factors,Insulin
更新于2025-09-23 15:22:29
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The assessment of autofluorescence of the crystalline lens in diabetic patients and healthy controls: can it be used as a screening test?
摘要： Background: Our purpose was to demonstrate if measuring lens autofluorescence (AF) with a scanning confocal biomicroscope may be used to identify subjects with undiagnosed type II diabetes mellitus (DM), and hence, for it to be used as a marker for the severity of diabetic retinopathy in diabetic patients. Patients and methods: In this cross-sectional, comparative study, lens AF was measured with scanning confocal lens fluorescence biomicroscope in diabetic and healthy groups. Full ophthalmological examination was performed. Blood tests of fasting plasma glucose, and glycosylated hemoglobin were also analyzed. The correlation between lens AF results and blood tests was evaluated in both groups. The cutoff value for the diagnosis of DM using lens AF was investigated. Results: The study included 191 subjects with a mean age of 52.09±6.75 years. One hundred and seven (56.0%) subjects were female, and 84 (44.0%) were male. Eighty-two (42.9%) patients had type II DM, and 109 (57.1%) subjects self-reported as normal. The fluorescence ratio (FR) values ranged from 0.09 to 0.46 (0.23±0.06) in the total group. Mean FR measurements of diabetic subjects were significantly higher (0.27±0.06) than those without DM (0.20±0.05), ( p=0.001). A statistically significant correlation was found between glycosylated hemoglobin, fasting plasma glucose, and FR. The cutoff point for the FR according to the presence of DM was found to be 0.24 and above ( p=0.001), with a sensitivity of 71.95% and a specificity of 80.73%. Conclusion: Measuring AF of human lens as an indirect evidence of increased advanced glycation end products may helpful in detecting impaired glucose metabolism. Our results show highly significant correlation between possibility of DM and FR.
关键词： fasting plasma glucose,diabetic retinopathy,screening,HgA1c,lens autofluorescence,diabetes
更新于2025-09-23 15:22:29
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Left-Handed Metamaterial-Inspired Unit Cell for S-Band Glucose Sensing Application
摘要： This paper presents an oval-shaped sensor design for the measurement of glucose concentration in aqueous solution. This unit cell sensing device is inspired by metamaterial properties and is analytically described for better parametric study. The mechanism of the sensor is a sensing layer with varying permittivity placed between two nozzle-shaped microstrip lines. Glucose aqueous solutions were characterized considering the water dielectric constant, from 55 to 87, and were identified with a transmission coefficient at 3.914 GHz optimal frequency with double negative (DNG) metamaterial properties. Consequently, the sensitivity of the sensor was estimated at 0.037 GHz/(30 mg/dL) glucose solution. The design and analysis of this sensor was performed using the finite integration technique (FIT)-based Computer Simulation Technology (CST) microwave studio simulation software. Additionally, parametric analysis of the sensing characteristics was conducted using experimental verification for the justification. The performance of the proposed sensor demonstrates the potential application scope for glucose level identification in aqueous solutions regarding qualitative analysis.
关键词： sensors,metamaterial,glucose,diabetes
更新于2025-09-23 15:22:29
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Assessment of diabetic teleretinal imaging program at the Portland Department of Veterans Affairs Medical Center
摘要： We conducted a retrospective chart review of 200 diabetic patients who had teleretinal imaging performed between January 1, 2010, and January 1, 2011, at Portland Department of Veterans Affairs (VA) Medical Center outpatient clinics to assess the effectiveness of the diabetic teleretinal imaging program. Twenty patients (10%) had diabetic retinopathy. Ninety percent of the available teleretinal imaging studies were of adequate quality for interpretation. In accordance with local VA policy at that time, all teleretinal imaging patients should have been referred for a dilated retinal examination the following year. Image readers referred 97.5% of the patients to eye clinics for subsequent eye examinations, but the imagers scheduled appointments for only 80% of these patients. The redundancy rate, i.e., patients who had an eye examination within the past 6 mo, was 11%; the duplicate recall rate, i.e., patients who had a second teleretinal imaging performed within 1 yr of the eye examination, was 37%. Rates of timely diabetic eye examinations at clinics with teleretinal imaging programs, particularly when teleretinal imaging and eye clinics were colocated at the same community-based outpatient clinic, were higher than at those without a teleretinal imaging program. We concluded that the Portland VA Medical Center's teleretinal imaging program was successful in increasing the screening rate for diabetic retinopathy.
关键词： teleretinal imaging program,diabetes mellitus,dilated eye examination,diabetic retinal examination,primary care,diabetic retinopathy,outpatient clinic,screening,teleretinal imaging,telehealth
更新于2025-09-23 15:22:29