Intelligent Biosensors for Diabetic Wound Monitoring

Diabetic chronic wounds, characterized by persistent inflammation and a complex microenvironment, pose a major challenge to global healthcare. Traditional dressings act merely as passive physical barriers, lacking the ability to sense biochemical fluctuations or respond to dynamic pathological changes. Therefore, developing smart platforms for in situ, continuous, and non-invasive monitoring is crucial for early warning and precision intervention. This review systematically explores recent advances in high-fidelity wound monitoring, focusing on the deep integration of “front-end interface engineering” and “back-end data analysis”. We first analyze the specific physicochemical and biochemical abnormalities of the diabetic wound microenvironment. Next, we discuss how advanced material designs, such as active fluid management, anti-biofouling zwitterionic networks, and nanozyme-based reactive oxygen species (ROS) scavenging, ensure the long-term stability of sensing interfaces against complex microenvironmental interference. Building on this hardware foundation, we summarize in situ sensing strategies and multiparameter decoupling techniques tailored for key biomarkers, including pH, temperature, glucose, ROS, and MMP-9. Furthermore, we highlight cutting-edge developments in signal digitization, emphasizing the pivotal role of portable devices and machine learning algorithms in extracting high-dimensional features and translating complex multimodal signals into objective clinical metrics. By outlining this comprehensive technological closed-loop, this review aims to provide a systematic theoretical framework for the development and clinical translation of next-generation smart wound monitoring platforms.