Personal Glucose Meter: Biosensing Platforms for Environmental Toxicants

The detection of environmental toxicants is transitioning from centralized laboratory methods to decentralized, point-of-care (POC) monitoring. A highly innovative approach in this field is the repurposing of commercially available, low-cost, and portable personal glucose meters (PGMs) as universal biosensing platforms. This strategy leverages the widespread availability and ease of use of PGMs to develop rapid, on-site detection methods for a wide array of non-glucose targets, significantly reducing both cost and development time. This systematic review comprehensively examines the various strategies employed to adapt PGMs for the detection of a wide array of ecotoxicants, including chemical targets (antibiotics, mycotoxins, pesticides, heavy metals, persistent organic pollutants) and biological ones (pathogenic bacteria, and viruses). The systematic review critically evaluates different sensor designs, highlighting that while aptamer-based and non-enzymatic biosensors offer advantages in stability and cost, antibody-based sensors provide high specificity. A significant finding is the persistent trade-off between analytical sensitivity and practical field deployment; many of the most sensitive assays require multi-step procedures, precise temperature control, magnetic separation, centrifugation, and the use of additional equipment, factors that undermine true POC utility. To address this gap, we propose four essential criteria for POC readiness: (i) ambient-temperature operation, (ii) no reliance on magnetic or centrifugal separation, (iii) total assay time, and (iv) robustness in complex environmental matrices. This systematic review confirms the feasibility of this approach across a broad spectrum of targets. However, the key challenge for future research lies in simplifying the assay protocols, eliminating cumbersome sample preparation steps, and enhancing robustness to make these biosensors truly practical for routine, on-site environmental monitoring.