Noise Reduction in Glucose Sensors
Continuous glucose monitoring (CGM) systems face significant challenges in signal accuracy and reliability. Raw sensor data contains multiple noise sources—including baseline drift that can exceed 0.5 mg/dL per hour, activity-induced artifacts of 10-20 mg/dL, and interference from medications like acetaminophen that can cause errors of up to 30%.
The fundamental challenge lies in distinguishing true glycemic changes from sensor artifacts while maintaining continuous operation across varying physiological conditions and patient activities.
This page brings together solutions from recent research—including adaptive calibration algorithms, redundant sensor architectures, medication interference compensation, and noise filtering techniques based on activity detection. These and other approaches focus on improving CGM reliability while reducing the need for frequent blood glucose measurements.
1. Chewing Gum Formulation with Water-Insoluble Base and Cannabinoid-Infused Resin-Elastomer Matrix
NORDICCAN AS, 2025
Chewing gum formulation for mucosal delivery of cannabinoids that provides improved release and sensory properties compared to conventional gum bases. The gum contains a water-insoluble gum base with specific ratios of natural resins, elastomers, and elastomer plasticizers. The cannabinoids are mixed into the gum base in close proximity with high intensity sweeteners. This allows better release and taste masking. The gum also has water-soluble chewing gum ingredients separated from the base. This allows customization of the chewing experience.
2. Method for Calibrating Biometric Signals with Dynamic Correction of Calibration Factors Based on Sensor Stability Variability
I-SENS, INC., 2025
Accurately calibrating biometric signals from a continuous monitoring device like a glucose sensor in a way that compensates for instability in the sensor's performance over time. The method involves calculating calibration factors using reference biometric values, but if the sensor's calibration parameters are unstable, it corrects the calculated factor instead of using it directly. The correction is based on the difference between the calculated factor and the previous factor. This allows accurate calibration even when sensor stability is changing. The correction is further refined by considering the section of sensor usage where the reference biometric was taken, as stability varies over time.
3. Blood Glucose Estimation via Interstitial Fluid Measurement Using Kalman Filter and Adaptive State Transition Model
i-SENS GmbH, EYESENSE GMBH, 2024
Method for accurately estimating blood glucose levels using interstitial fluid glucose measurements. It involves a sensor to measure interstitial glucose levels, a Kalman filter to estimate blood glucose based on the sensor readings, and a state transition model to account for factors like diffusion. The method uses filtering, noise estimation, and outlier detection to improve accuracy. The state transition models adapt based on glucose rate changes.
4. Continuous Glucose Monitor Signal Processing with Adaptive Noise Covariance Kalman Filter
DEXCOM INC, 2023
Filtering continuous glucose monitor (CGM) signals using a modified Kalman filter to improve accuracy and reduce downtime compared to conventional techniques. The filter adapts the noise covariance terms based on detected artifacts in the raw CGM signal. When artifacts like pressure or zero crossings are identified, the process and measurement noise covariances are updated. This allows the filter to better handle non-analyte related noise that can impact CGM performance.
5. Continuous Glucose Monitoring System with Condition-Specific Machine Learning Model Ensemble for Signal Prediction
MEDTRONIC MINIMED INC, 2023
Reducing blanking of sensor glucose signals in continuous glucose monitoring (CGM) systems by using multiple machine learning models trained for specific conditions. The CGM device inputs sensor data into multiple models, each trained for different data characteristics or abnormal conditions. The models generate predicted glucose values. The device combines the predictions to generate the displayed glucose value. This improves accuracy and reduces blanking compared to using a single model.
6. Continuous Glucose Sensor with Adaptive Kalman Filter for Real-Time Noise Reduction and Artifact Detection
Dexcom, Inc., 2022
Monitoring blood glucose levels using a continuous glucose sensor with improved noise reduction techniques. The sensor filtering uses a Kalman filter with adaptive noise covariance estimates based on innovation and residual signals. This allows better noise reduction without long filtering gaps. Artifact detection is also implemented to trigger noise covariance updates. The technique adapts the filter parameters in real-time based on signal characteristics to better track glucose levels with reduced error.
7. Continuous Glucose Monitoring System with Condition-Specific Machine Learning Model Integration
MEDTRONIC MINIMED, INC., 2022
Improving continuous glucose monitoring (CGM) systems by using multiple machine learning models trained for specific conditions to generate more reliable sensor glucose values. The models are trained separately for factors like sensor data availability, accuracy, and probabilistic reliance. During CGM, the models are applied and outputs averaged to generate the sensor glucose value. For outlier conditions, signatures in sensor data are identified and models adjusted to prioritize those associated with the signature. This allows customization of models for situations like limited data or high variability to improve accuracy.
8. Continuous Glucose Monitoring System with Real-Time Machine Learning-Based Error Detection and Correction
MEDTRONIC MINIMED, INC., 2022
Improving the accuracy and reliability of continuous glucose monitoring (CGM) systems by using machine learning to detect and correct errors in complex sensor data in real time. The system trains a machine learning model to identify outlier measurements based on sensor data behavior signatures informed by criteria like iCGM. If an outlier is detected, the sensor data is blanked or not displayed. The system also trains a model to identify erroneous sensor use conditions based on error patterns. The model determines resolutions to correct the errors.
9. Glucose Sensor with Noise-Reducing Dual-State Current Pulse Measurement
NEMESIS CO LTD, 2021
Glucose sensing device that reduces the effect of noise in measuring glucose concentration. The device has a unique sensing method to minimize noise compared to conventional glucose sensors. The device generates a sensing pulse signal using just the current from the second sensing state when the voltage is different from the reference voltage. This pure current is used to generate the sensing pulse width, which is then compared to a reference pulse width to generate digital measurement data. Subtracting the noise current in the first state reduces noise in the final measurement.
10. Continuous Glucose Monitoring System with Short-Term Predictive Kalman Filtering for Noise and Calibration Error Reduction
UNIV VIRGINIA PATENT FOUNDATION, UNIVERSITY OF VIRGINIA PATENT FOUNDATION, 2021
Improving accuracy of continuous glucose monitoring (CGM) devices by using short-term prediction to reduce random noise and calibration errors. The method involves substituting the current CGM reading with a predicted glucose value a short horizon ahead. This compensates for delays in the BG-to-IG kinetics and improves accuracy, especially at hypoglycemic levels. A Kalman filter is used for the prediction.
11. Continuous Glucose Monitoring System Utilizing Moving Horizon Estimation for Blood Glucose Level Determination
EYESENSE GMBH, 2020
Method to accurately determine blood glucose levels using a continuous glucose monitoring (CGM) system by leveraging the moving horizon estimation (MHE) technique. The method involves continuously measuring interstitial glucose levels using a sensor and applying MHE to estimate the blood glucose based on the interstitial measurements. This takes into account the time delay and diffusion between blood and interstitial glucose levels. The MHE allows adaptive estimation of noise variances and model parameters over time for improved accuracy compared to Kalman filtering or smoothing the interstitial signals.
12. Implantable Glucose Sensor with Dual Electrode System for Non-Glucose Electroactive Compound Detection
DexCom, Inc., 2020
Implantable glucose sensor that reduces calibration needs compared to traditional glucose sensors. The sensor has two electrodes, one inside the enzymatic part of the membrane and one outside. By measuring both signals, it detects changes in non-glucose electroactive compounds like urea that affect sensor performance. This allows adaptive calibration based on stability instead of frequent calibrations. It also helps prevent false readings by filtering when glucose transport stability falls. The sensor design enables bifunctionality with enzyme and non-enzyme electrodes.
13. Recursive Filtering Method for Glucose Level Estimation Using Probability-Weighted Sensor Data
ROCHE DIABETES CARE, INC., 2019
Estimating actual glucose levels in a diabetic person when sensor noise or failure is present. The method involves using a probability analysis tool to determine the accuracy of the glucose sensor based on the measured results. The glucose results are then analyzed weighted by the sensor accuracy. A recursive filter estimates the actual glucose level using the weighted results. This allows more reliable glucose level estimation in the presence of sensor noise or failure.
14. Glucose Sensor Signal Trend Analysis for Stability and Accuracy Assessment in Closed Loop Systems
MEDTRONIC MINIMED INC, 2018
Reliability analysis of glucose sensor signals in closed loop glucose control systems to determine if the sensor is stable and accurate enough to trust for critical decisions like insulin dosing. The analysis involves evaluating metrics of potential sensor signal trends to detect significant changes in responsiveness over time. If the metrics exceed thresholds, it indicates sensor instability and may trigger alerts or adjustments to the closed loop system. This proactive sensor reliability monitoring helps mitigate issues like drifting, noise, and artifacts that could compromise patient safety.
15. Continuous Glucose Monitoring Device with Adaptive Parameter Estimation Filtering System
Zhejiang University, ZHEJIANG UNIVERSITY, 2017
Continuous glucose monitoring device with improved noise filtering to enhance accuracy and reduce false alarms. The device uses a parameter estimation filter to process the glucose data. The filter estimates the filter parameters based on the signal-to-noise ratio to adaptively optimize the filtering. This allows the filter to better handle varying levels of noise in the glucose signals. It involves preprocessing the glucose data, estimating filter parameters, and applying the filter.
16. Wavelet-Based Analysis Method for Identifying Erroneous Measurements in Continuous In-Vivo Blood Analyte Sensors
EDWARDS LIFESCIENCES CORP, 2016
Detecting erroneous measurements from continuous in-vivo blood analyte sensors like glucose monitors in medical applications. The method involves using a wavelet transform to analyze the sensor signals. It compares the sensor signal to time-shifted and frequency altered versions of a wavelet function to reveal unusual signal features. This detailed local analysis enables detecting signal irregularities during blood draw, clearance, and calibration segments that may indicate errors like dilution.
The technologies featured here show different methods of lowering noise interference and enhancing signal quality. Through the consideration of variables such as drug interference, activity-related variations, and baseline drift, these advances lead to more accurate glucose measurements.
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