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Wearable sweat sensors represent a breakthrough in noninvasive, real-time biochemical monitoring for personalized healthcare. Researchers recently developed a wireless Janus paper-based microfluidic patch (JPMP) to overcome traditional limitations in liquid-holding capacity. This innovative system enables the continuous detection of glucose, creatinine, and uric acid in human sweat. By utilizing wax-printed Janus papers, the device achieves efficient unidirectional transport of biofluids even when saturated. Consequently, this technology offers a scalable and cost-effective solution for long-term metabolic health tracking.
The Janus paper-based microfluidic patch draws inspiration from natural mechanisms like the asymmetric wettability of lotus leaves. Furthermore, it incorporates leaf-tip-directed liquid transport to maintain sustained drainage. This design prevents sweat saturation from impeding the sensor's performance. The fabrication process uses a facile wax printing method, which ensures the scalable production of patterned Janus paper. Additionally, the device uses D-sorbitol-doped PEDOT:PSS conductive ink to create high-performance electrodes. These porous structures facilitate highly sensitive electrochemical detection of key metabolic analytes.
Ensuring the longevity of enzymatic sensors is crucial for reliable monitoring. Therefore, the researchers proposed an in-situ growth method for three-enzyme-inorganic hybrid nanoflowers on the electrodes. This technique significantly extends the operational lifespan of creatinine sensors. Moreover, during testing with healthy participants, the system successfully monitored postprandial metabolic changes. This validation demonstrates the device's potential to provide real-time data for managing conditions like diabetes and gout. Ultimately, these advancements pave the way for more accessible and proactive medical diagnostics in daily life.
These sensors use Janus paper to ensure a continuous one-way flow of fresh sweat to the electrodes. This mechanism prevents the mixing of old and new samples, which maintains data accuracy during prolonged wear.
While sweat glucose levels correlate with blood glucose, these sensors currently complement traditional testing. They provide continuous trends and noninvasive insights that help patients manage their metabolic health more effectively.
Standard paper-based devices often stop working once they become fully soaked. The Janus paper design uses asymmetric wettability to pump liquid away from the skin, allowing the sensor to function even under heavy perspiration.
Disclaimer: This content is for informational and educational purposes only and does not constitute professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition. Refer to the latest local and national guidelines for clinical practice.
References
Zhang S et al. A wax-printed Janus paper-based microfluidic wearable sensor for metabolic analysis in sweat. Biosens Bioelectron. 2026 Jun 01. doi: undefined. PMID: 42224781.
Gao Y, Choi S. Micropatternable Janus Paper as a Wearable Skin Patch for Sweat Collection and Analysis. Adv Mater Technol. 2023. doi: 10.1002/admt.202300123.
Ye Z et al. Wearable Janus fabric SERS sensor for detection of urea, uric acid and pH in sweat. Sens Actuators B Chem. 2025. doi: 10.1016/j.snb.2024.138392.

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