Supersensitive metal free in-situ synthesized graphene oxide@cellulose nanocrystals acetone sensitive bioderived sensors.

A series of graphene oxide@cellulose nanocrystal (GO@CNC) nanoparticles (NPs) were synthesized in this study using a room temperature-based simple modified hummers process. The morphological structures, as well as chemical characteristics of these materials, were characterized using transmission electron microscopy (TEM), X-ray diffraction (XRD), and other techniques. The results show that the as-prepared nanoparticles are made up of crystallite grains with an average size of around 7.82, 14.69, 10.77, 7.82, and 12.51 nm for GO, CNC, GO1@CNC1, GO2@CNC3, and GO3@CNC3 respectively, and OH & COOH functionalities on the NPs' surfaces. GO@CNC NPs exhibit significantly better sensing characteristics towards acetone when compared to virgin GO nanoplatelets; specifically, the optimal sensor based on GO3@CNC3 NPs showed the highest response (60.88 at 5 ppm), which was higher than that of the virgin GO sensor at 200 °C operating temperature and including those reported. Furthermore, the sensors have a high sensitivity towards acetone in sub-ppm concentrations as well as a detection limit of 5 ppm, making it a viable candidate for diabetes breath testing.

Blood Ketone Bodies and Breath Acetone Analysis and Their Correlations in Type 2 Diabetes Mellitus.

Analysis of volatile organic compounds in the breath for disease detection and monitoring has gained momentum and clinical significance due to its rapid test results and non-invasiveness, especially for diabetes mellitus (DM). Studies have suggested that breath gases, including acetone, may be related to simultaneous blood glucose (BG) and blood ketone levels in adults with types 2 and 1 diabetes. Detecting altered concentrations of ketones in the breath, blood and urine may be crucial for the diagnosis and monitoring of diabetes mellitus. This study assesses the efficacy of a simple breath test as a non-invasive means of diabetes monitoring in adults with type 2 diabetes mellitus. Human breath samples were collected in Tedlar™ bags and analyzed by headspace solid-phase microextraction and gas chromatography-mass spectrometry (HS-SPME/GC-MS). The measurements were compared with capillary BG and blood ketone levels (ß-hydroxybutyrate and acetoacetate) taken at the same time on a single visit to a routine hospital clinic in 30 subjects with type 2 diabetes and 28 control volunteers. Ketone bodies of diabetic subjects showed a significant increase when compared to the control subjects; however, the ketone levels were was controlled in both diabetic and non-diabetic volunteers. Worthy of note, a statistically significant relationship was found between breath acetone and blood acetoacetate (R = 0.89) and between breath acetone and ß-hydroxybutyrate (R = 0.82).

Sensing Technologies for Detection of Acetone in Human Breath for Diabetes Diagnosis and Monitoring.

The review describes the technologies used in the field of breath analysis to diagnose and monitor diabetes mellitus. Currently the diagnosis and monitoring of blood glucose and ketone bodies that are used in clinical studies involve the use of blood tests. This method entails pricking fingers for a drop of blood and placing a drop on a sensitive area of a strip which is pre-inserted into an electronic reading instrument. Furthermore, it is painful, invasive and expensive, and can be unsafe if proper handling is not undertaken. Human breath analysis offers a non-invasive and rapid method for detecting various volatile organic compounds thatare indicators for different diseases. In patients with diabetes mellitus, the body produces excess amounts of ketones such as acetoacetate, beta-hydroxybutyrate and acetone. Acetone is exhaled during respiration. The production of acetone is a result of the body metabolising fats instead of glucose to produce energy. There are various techniques that are used to analyse exhaled breath including Gas Chromatography Mass Spectrometry (GC-MS), Proton Transfer Reaction Mass Spectrometry (PTR-MS), Selected Ion Flow Tube-Mass Spectrometry (SIFT-MS), laser photoacoustic spectrometry and so on. All these techniques are not portable, therefore this review places emphasis on how nanotechnology, through semiconductor sensing nanomaterials, has the potential to help individuals living with diabetes mellitus monitor their disease with cheap and portable devices.