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Noninvasive diagnostic methods for diabetes mellitus from tear fluid
Gabriela Glinská1, Kristína Krajčíková1, Katarína Zakutanská2
1Department of Medical and Clinical Biochemistry, Faculty of Medicine, Pavol Jozef Šafárik University in Košice Trieda SNP 1 040 11 Košice Slovakia vladimira.tomeckova@upjs.sk.
RSC Advances
|May 6, 2022
Summary
New spectroscopic and microscopy methods show structural changes in tear fluid of diabetes mellitus patients. This may improve early detection of diabetic retinopathy and other eye conditions.
Area of Science:
- Ophthalmology
- Endocrinology
- Biomedical Engineering
Background:
- Diabetes mellitus can lead to diabetic retinopathy, a leading cause of blindness.
- Early stages of diabetic retinopathy are often asymptomatic, hindering timely diagnosis.
- Current screening methods for diabetic retinopathy have limitations in early detection.
Purpose of the Study:
- To investigate the diagnostic potential of fluorescence spectroscopy, infrared spectroscopy, and atomic force microscopy for diabetes mellitus.
- To analyze structural changes in tear fluid of diabetic patients compared to healthy individuals.
- To explore novel laboratory methods for diagnosing diabetes mellitus and ocular diseases using tear fluid.
Main Methods:
- Pilot study involving patients with diabetes mellitus and healthy subjects.
- Analysis of tear fluid using fluorescence spectroscopy, infrared spectroscopy, and atomic force microscopy.
- Comparison of tear fluid structural changes between treated diabetic patients and controls.
Main Results:
- Infrared spectroscopy and atomic force microscopy confirmed structural differences in tear fluid of diabetic patients.
- These methods identified changes in tear fluid composition related to diabetes mellitus.
- The study demonstrated the feasibility of using tear fluid for diagnostic purposes.
Conclusions:
- Spectroscopic and microscopy techniques show promise for diagnosing diabetes mellitus.
- Tear fluid analysis using these novel methods could aid in early detection of diabetic retinopathy.
- Future research may lead to improved diagnostic tools for diabetes and related eye diseases.

