It is significant for people with diabetes to know their body’s real-time glucose level, which can guide the diagnosis and treatment. Therefore, it is necessary to research continuous glucose monitoring (CGM) as it gives us real-time information about our health condition and its dynamic changes. Here, we report a novel hydrogel optical fiber fluorescence sensor segmentally functionalized with fluorescein derivative and CdTe QDs/3-APBA, which can continuously monitor pH and glucose simultaneously. In the glucose detection section, the complexation of PBA and glucose will expand the local hydrogel and decrease the fluorescence of the quantum dots. The fluorescence can be transmitted to the detector by the hydrogel optical fiber in real time. As the complexation reaction and the swelling–deswelling of the hydrogel are all reversible, the dynamic change of glucose concentration can be monitored. For pH detection, the fluorescein attached to another segment of the hydrogel exhibits different protolytic forms when pH changes and the fluorescence changes correspondingly. The significance of pH detection is compensation for pH errors in glucose detection because the reaction between PBA and glucose is sensitive to pH. The emission peaks of the two detection units are 517 nm and 594 nm, respectively, so there is no signal interference between them. The sensor can continuously monitor glucose in 0–20 mM and pH in 5.4–7.8. The advantages of this sensor are multi-parameter simultaneous detection, transmission-detection integration, real-time dynamic detection, and good biocompatibility.

A ratiometric fluorescence probe based on the conjugation of peroxyfluor-NHS (PF) and carbon dots (CDs) was designed for selective and rapid detection of glucose. When glucose was catalytically oxidized by glucose oxidase (GOx), the product H2O2 would react with colorless and non-fluorescent peroxyfluor moiety to give the colored and fluorescent fluorescein moiety which would absorb the energy of CDs emission at 450 nm due to the Förster Resonance Energy Transfer (FRET) and generate a new emission peak at 517 nm. The reaction between PF and H2O2 was slow with a rate constant of about 2.7 × 10−4 s−1 under pseudo-first-order conditions (1 uM PF, 1 mM H2O2), which was unconducive to rapid detection. Given this, a short time detection method was proposed by studying the kinetics of the reaction between PF and H2O2. In this method, the detection time was fixed at three minutes. The linear detection of glucose could be well realized even if the reaction was partially done. As glucose concentration increased from 0.05 mM to 5 mM, the fluorescence intensity ratio (I517/I450) after 3 minutes’ reaction of CDs-PF and glucose oxidation products changed linearly from 0.269 to 1.127 with the limit of detection (LOD) of 17.19 μM. In addition, the applicability of the probe in blood glucose detection was verified.