Glucose is a key biomarker for both type 1 and type 2 diabetes [2] and an effective approach for glucose monitoring is essential for diabetes management. Commonly, glucose levels have been measured by blood drawing requiring a painful sample collection. Alternatively, glucose can be detected in other biofluids such as tears, saliva, and sweat. [3] To avoid pain and infection risk arising from traditional invasive diagnosis, noninvasive methods have been explored. Sweat can be collected continuously and may be less prone to contamination than other biofluids. [4] Glucose level in sweat has been reported to be in a range of 0.01-1.11 × 10 −3 m and it is correlated well with blood glucose levels. [5] Likewise, lactate is an important biomarker for pressure ischemia, and hypoxia. [6] It has been reported that the increase of lactate level is directly related with DKA which is a serious complication of diabetes. [7] Wearable sensors play an important role for self-health monitoring. [8] However, the commercial wearable sensors such as Fitbit, Garmin, and Apple watch provide only physical information, such as heart rate without chemical information of the wearer. Since the electrochemistry is a simple, rapid, and portable analytical technique, the researchers have attempted to develop noninvasive wearable chemical sensors based on electrochemical An electrochemical sensing device based on a cotton-thread electrode for real-time and simultaneous detection of sweat glucose and sweat lactate is reported. The cotton thread surfaces are simply modified by cellulose nanofibers/carbon nanotube ink-Prussian blue/chitosan to enhance liquid adsorption, bioreceptor immobilization, and sensor performance in addition to minimize potential irritation and allergies on the wearer's skin. The modified thread surfaces are characterized by laser scanning confocal microscopy, scanning electron microscopy, and Fourier transform Raman spectroscopy. Amperometry is carried out via hydrogen peroxide detection for electrochemical characterization of the modified thread electrodes. A circuit and digital readout of this wearable sensor are customized designed to be integrated with thread electrodes for real-time and simultaneous detection of sweat glucose and sweat lactate. The wristwatch sensing device provides a linear range of 0.025-3 × 10 −3 m with a detection limit of 0.025 × 10 −3 m for glucose and a linear range of 0.25-35 × 10 −3 m with a detection limit of 0.25 × 10 −3 m for lactate. This device can effectively determine the cut-off levels of both glucose and lactate, which can distinguish between a normal individual and one with a diabetic condition. This platform opens a new avenue for noninvasive and real-time detection of other sweat biomarkers.