techniques using mid-infrared light, [5] surface plasmon resonance interferometry, [6] Raman spectroscopy, [7] electrochemical techniques using tears, [8] etc. However, these techniques suffer from size issues, or intermittent monitoring, or low sensitivity. According to ISO 15197:2013 specifies requirements for in vitro glucose monitoring systems, the detection error should be smaller than 0.83 mmol L −1 (15 mg dL −1 ) when the glucose concentration is smaller than 5.5 mmol L −1 (99 mg dL −1 ). However, only a few of the aforementioned sensors has focused on the sensitivity of minute change of the glucose concentration. In most cases, the sensitivity is larger than 20 mg dL −1 . [2,3,9,10] Metamaterials are artificial electromagnetic (EM) structures composed of subwavelength resonators with narrow-spectral feature, which are well suitable for sensing applications. [11,12] Localized surface plasmons (LSPs) arise from electron resonances of the nanoparticle surface and applied EM fields, which can produce significant local field enhancements [13][14][15] and are highly sensitive to the particle geometry and local dielectric environment. Hence, LSPs are especially suited for chemical and biological sensors. [16,17] It has been shown that plasmonic metamaterials can support spoof LSPs at microwave or terahertz (THz) frequencies. [18] Multipolar spoof LSPs on ultrathin planar textured metallic disk provide higher sensitivity, since these resonance modes are sharper than the dipole mode. [19] However, substantial losses (including the radiative and nonradiative losses) in metamaterials would significantly restrict the sensitivity, especially when the samples under test are polar liquids (high loss dielectrics, such as water) at the microwave frequencies. [20] Different schemes have been demonstrated to compensate the nonradiative losses such as by optimizing the subwavelength structures [21,22] and using superconductor. [23] The incorporation of gain medium can compensate the substantial losses, allowing for loss-free operation, amplification, and nanoscopic lasing. [24][25][26] Recently, gain-assisted ultrahigh-Q spoof plasmonic resonator has been experimentally demonstrated for polar liquids sensing at the microwave frequencies. [27] By directly incorporating a subwavelength amplifier chip into the spoof plasmonic resonator, the Q factor has been increased by several orders of magnitude. However, there exist significant radiative losses for the open structures, which hampers the limit of detection (LOD). Through exploring the coupling effects between meta-atoms, toroidal LSPs, [28,29] metadimer, [30,31] and Fano resonances [32,33] have been Fano resonance has received much attention in recent years due to its promising applications in surface enhanced phenomena, sensing, and nonlinear optics. However, it is challenging to achieve both high quality (Q) factor and high intensity using the Fano resonance. Different from active switching/tuning of plasmonic Fano resonances, gain-assisted active spoof plasmonic Fano reso...