Hematocrit (HCT) fluctuations and ambient temperature variations are two critical interference factors limiting the accuracy of electrochemical glucose test strips in self-monitoring of blood glucose (SMBG). In this study, a high-precision screen-printed glucose sensor incorporating in situ impedance-based HCT correction and temperature compensation was developed. The system employs a time-division multiplexing strategy, integrating a normalized thermodynamic model and an in situ impedance-based HCT correction algorithm, to achieve synergistic decoupling and precise compensation of temperature and HCT interferences. Experimental results demonstrate that after multi-parameter synergistic correction, the system exhibits excellent stability across a wide temperature range (10–35 °C) and a broad HCT range (10–70%). The accuracy indicators significantly surpass ISO 15197:2013 standards. In contrast, uncorrected measurements showed deviations ranging from approximately −80% to +30% due to HCT fluctuations. This multiple correction strategy effectively resolves systematic errors in whole blood testing without increasing electrode complexity or requiring pretreatment steps, providing a robust technical solution for high-precision, low-cost personal glucose monitoring.
Lu et al. (Sat,) studied this question.