The Role of Nanomaterials in the Wearable Electrochemical Glucose Biosensors for Diabetes Management.

The increasing prevalence of diabetes mellitus necessitates the development of advanced glucose-monitoring systems that are non-invasive, reliable, and capable of real-time analysis. Wearable electrochemical biosensors have emerged as promising tools for continuous glucose monitoring (CGM), particularly through sweat-based platforms. This review highlights recent advancements in enzymatic and non-enzymatic wearable biosensors, with a specific focus on the pivotal role of nanomaterials in enhancing sensor performance. In enzymatic sensors, nanomaterials serve as high-surface-area supports for glucose oxidase (GOx) immobilization and facilitate direct electron transfer (DET), thereby improving sensitivity, selectivity, and miniaturization. Meanwhile, non-enzymatic sensors leverage metal and metal oxide nanostructures as catalytic sites to mimic enzymatic activity, offering improved stability and durability. Both categories benefit from the integration of carbon-based materials, metal nanoparticles, conductive polymers, and hybrid composites, enabling the development of flexible, skin-compatible biosensing systems with wireless communication capabilities. The review critically evaluates sensor performance parameters, including sensitivity, limit of detection, and linear range. Finally, current limitations and future perspectives are discussed. These include the development of multifunctional sensors, closed-loop therapeutic systems, and strategies for enhancing the stability and cost-efficiency of biosensors for broader clinical adoption.