Ketogenic
diets have attracted substantial interest in the treatment
of chronic diseases, but there are health risks with long-term regimes.
Despite the advancements in diagnostic and therapeutic methods in
modern medicine, there is a huge gap in personalized health management
of this dietary strategy. Hence, we present a wearable microneedle
biosensor for real-time ketone and glucose monitoring. The microneedle
array possesses excellent mechanical properties, allowing for consistent
sampling of interstitial biomarkers while reducing the pain associated
with skin puncture. Vertical graphene with outstanding electrical
conductivity provides the resulting sensor with a high sensitivity
of 234.18 μA mM–1 cm–2 and
a low limit detection of 1.21 μM. When this fully integrated
biosensor was used in human volunteers, it displayed an attractive
analytical capability for tracking the dynamic metabolite levels.
Moreover, the results of the on-body evaluation established a significant
correlation with commercial blood measurements. Overall, this cost-effective
and efficient sensing platform can accelerate the application of a
ketogenic diet in personal nutrition and wellness management.