In recent years, substantial advancements have been made in the development of enzyme-free glucose sensors utilizing pristine metal-organic frameworks (MOFs) and their combinations. This paper provides a comprehensive exploration of various MOF-based glucose sensors, encompassing monometallic MOF sensors as well as multi-metal MOF combinations. These approaches demonstrate improved glucose detection capabilities, facilitated by the augmented surface area and availability of active sites within the MOF structures. Furthermore, the paper delves into the application of MOF complexes and derivatives in enzyme-free glucose sensing. Derivatives incorporating carbon or metal components, such as carbon cloth synthesis, rGO-MOF composites, and core–shell structures incorporating noble metals, exhibit enhanced electrochemical performance. Additionally, the integration of MOFs with foams or biomolecules, such as porphyrins, enhances the electrocatalytic properties for glucose detection. Finally, this paper concludes with an outlook on the future development prospects of enzyme-free glucose MOF sensors.