Clinical performance evaluation of the SiJoy GS1 continuous glucose monitor during oral glucose tolerance testing in healthy adults

ObjectiveThis study evaluated the performance of the SiJoy GS1 Continuous Glucose Monitor (CGM) system by analyzing the time lag between plasma glucose (PG) and CGM measurements during an Oral Glucose Tolerance Test (OGTT) in healthy adults. This investigation would elucidate the implications of phy...

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Main Authors: Wanyi Zhao, Dongmei Zheng, Xianbao Shi, Feng Xu, Lin Chen, Xingmei Liu, Xiaolong Jin, Qingbo Guan, Chao Xu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Endocrinology
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Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2025.1536292/full
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author Wanyi Zhao
Wanyi Zhao
Wanyi Zhao
Wanyi Zhao
Wanyi Zhao
Dongmei Zheng
Dongmei Zheng
Dongmei Zheng
Dongmei Zheng
Dongmei Zheng
Xianbao Shi
Feng Xu
Feng Xu
Lin Chen
Lin Chen
Xingmei Liu
Xingmei Liu
Xingmei Liu
Xingmei Liu
Xiaolong Jin
Xiaolong Jin
Qingbo Guan
Qingbo Guan
Qingbo Guan
Qingbo Guan
Qingbo Guan
Chao Xu
Chao Xu
Chao Xu
Chao Xu
Chao Xu
author_facet Wanyi Zhao
Wanyi Zhao
Wanyi Zhao
Wanyi Zhao
Wanyi Zhao
Dongmei Zheng
Dongmei Zheng
Dongmei Zheng
Dongmei Zheng
Dongmei Zheng
Xianbao Shi
Feng Xu
Feng Xu
Lin Chen
Lin Chen
Xingmei Liu
Xingmei Liu
Xingmei Liu
Xingmei Liu
Xiaolong Jin
Xiaolong Jin
Qingbo Guan
Qingbo Guan
Qingbo Guan
Qingbo Guan
Qingbo Guan
Chao Xu
Chao Xu
Chao Xu
Chao Xu
Chao Xu
author_sort Wanyi Zhao
collection DOAJ
description ObjectiveThis study evaluated the performance of the SiJoy GS1 Continuous Glucose Monitor (CGM) system by analyzing the time lag between plasma glucose (PG) and CGM measurements during an Oral Glucose Tolerance Test (OGTT) in healthy adults. This investigation would elucidate the implications of physiological delay time and optimize technical delays in populations.Research design and methodsA total of 129 participants wore SiJoy GS1 sensors on their posterior upper arms for at least 48 hours before undergoing an OGTT.ResultsTo minimize the Mean Absolute Relative Difference (MARD), two approaches were tested: MARD minimization and minimum deviation match. The demographic characteristics of the participants included a mean age of 37.62 (± 11.21) years, height of 169.84 (± 7.81) cm, and weight of 71.86 (± 18.0) kg. Among them 69.0% were healthy. SiJoy GS1 sensors exhibit an excellent performance of consistency with 96.6% at 20/20% and MARD of 8.01(± 4.9) % at the fasting phase. The consensus error grid results showed 89.22% of all values fell within Zone A, and 100% of values were in Zone A+B collectively. In terms of minimizing Mean Absolute Relative Difference (MARD), at 30 minutes of OGTT, the first method suggested a 15-minute delay while the second proposed a 10-minute average delay time. The latter approach was more suitable due to the less variability in the timing of glucose peaks during the OGTT.ConclusionsIn the study, the SiJoy GS1 sensor exhibited consistent performance. Its accuracy was unaffected by subject characteristics. The application of the minimum deviation match method proved advantageous in reducing the CGM delay time.
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spelling doaj-art-b484a7a714f0448ea87dcadd8dee520d2025-08-20T03:24:07ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922025-06-011610.3389/fendo.2025.15362921536292Clinical performance evaluation of the SiJoy GS1 continuous glucose monitor during oral glucose tolerance testing in healthy adultsWanyi Zhao0Wanyi Zhao1Wanyi Zhao2Wanyi Zhao3Wanyi Zhao4Dongmei Zheng5Dongmei Zheng6Dongmei Zheng7Dongmei Zheng8Dongmei Zheng9Xianbao Shi10Feng Xu11Feng Xu12Lin Chen13Lin Chen14Xingmei Liu15Xingmei Liu16Xingmei Liu17Xingmei Liu18Xiaolong Jin19Xiaolong Jin20Qingbo Guan21Qingbo Guan22Qingbo Guan23Qingbo Guan24Qingbo Guan25Chao Xu26Chao Xu27Chao Xu28Chao Xu29Chao Xu30Department of Endocrinology, Shandong Provincial Hospital, Shandong University, Jinan, Shandong, ChinaKeyLaboratory of Endocrine Glucose & Lipids Metabolism and Brain Aging, Ministry of Education, Jinan, Shandong, ChinaDepartment of Endocrinology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, ChinaShandong Clinical Research Center of Diabetes and Metabolic Diseases, Jinan, Shandong, ChinaShandong Institute of Endocrine and Metabolic Diseases, Jinan, Shandong, ChinaDepartment of Endocrinology, Shandong Provincial Hospital, Shandong University, Jinan, Shandong, ChinaKeyLaboratory of Endocrine Glucose & Lipids Metabolism and Brain Aging, Ministry of Education, Jinan, Shandong, ChinaDepartment of Endocrinology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, ChinaShandong Clinical Research Center of Diabetes and Metabolic Diseases, Jinan, Shandong, ChinaShandong Institute of Endocrine and Metabolic Diseases, Jinan, Shandong, ChinaShenzhen Sibionics Co.Ltd, Shenzhen, ChinaKeyLaboratory of Endocrine Glucose & Lipids Metabolism and Brain Aging, Ministry of Education, Jinan, Shandong, ChinaDepartment of Endocrinology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, ChinaKeyLaboratory of Endocrine Glucose & Lipids Metabolism and Brain Aging, Ministry of Education, Jinan, Shandong, ChinaDepartment of Endocrinology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, ChinaKeyLaboratory of Endocrine Glucose & Lipids Metabolism and Brain Aging, Ministry of Education, Jinan, Shandong, ChinaDepartment of Endocrinology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, ChinaShandong Clinical Research Center of Diabetes and Metabolic Diseases, Jinan, Shandong, ChinaShandong Institute of Endocrine and Metabolic Diseases, Jinan, Shandong, ChinaKeyLaboratory of Endocrine Glucose & Lipids Metabolism and Brain Aging, Ministry of Education, Jinan, Shandong, ChinaDepartment of Endocrinology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, ChinaDepartment of Endocrinology, Shandong Provincial Hospital, Shandong University, Jinan, Shandong, ChinaKeyLaboratory of Endocrine Glucose & Lipids Metabolism and Brain Aging, Ministry of Education, Jinan, Shandong, ChinaDepartment of Endocrinology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, ChinaShandong Clinical Research Center of Diabetes and Metabolic Diseases, Jinan, Shandong, ChinaShandong Institute of Endocrine and Metabolic Diseases, Jinan, Shandong, ChinaDepartment of Endocrinology, Shandong Provincial Hospital, Shandong University, Jinan, Shandong, ChinaKeyLaboratory of Endocrine Glucose & Lipids Metabolism and Brain Aging, Ministry of Education, Jinan, Shandong, ChinaDepartment of Endocrinology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, ChinaShandong Clinical Research Center of Diabetes and Metabolic Diseases, Jinan, Shandong, ChinaShandong Institute of Endocrine and Metabolic Diseases, Jinan, Shandong, ChinaObjectiveThis study evaluated the performance of the SiJoy GS1 Continuous Glucose Monitor (CGM) system by analyzing the time lag between plasma glucose (PG) and CGM measurements during an Oral Glucose Tolerance Test (OGTT) in healthy adults. This investigation would elucidate the implications of physiological delay time and optimize technical delays in populations.Research design and methodsA total of 129 participants wore SiJoy GS1 sensors on their posterior upper arms for at least 48 hours before undergoing an OGTT.ResultsTo minimize the Mean Absolute Relative Difference (MARD), two approaches were tested: MARD minimization and minimum deviation match. The demographic characteristics of the participants included a mean age of 37.62 (± 11.21) years, height of 169.84 (± 7.81) cm, and weight of 71.86 (± 18.0) kg. Among them 69.0% were healthy. SiJoy GS1 sensors exhibit an excellent performance of consistency with 96.6% at 20/20% and MARD of 8.01(± 4.9) % at the fasting phase. The consensus error grid results showed 89.22% of all values fell within Zone A, and 100% of values were in Zone A+B collectively. In terms of minimizing Mean Absolute Relative Difference (MARD), at 30 minutes of OGTT, the first method suggested a 15-minute delay while the second proposed a 10-minute average delay time. The latter approach was more suitable due to the less variability in the timing of glucose peaks during the OGTT.ConclusionsIn the study, the SiJoy GS1 sensor exhibited consistent performance. Its accuracy was unaffected by subject characteristics. The application of the minimum deviation match method proved advantageous in reducing the CGM delay time.https://www.frontiersin.org/articles/10.3389/fendo.2025.1536292/fullcontinuous glucose monitoring (CGM)plasma glucoseaccuracyglucose controlanalytical bias
spellingShingle Wanyi Zhao
Wanyi Zhao
Wanyi Zhao
Wanyi Zhao
Wanyi Zhao
Dongmei Zheng
Dongmei Zheng
Dongmei Zheng
Dongmei Zheng
Dongmei Zheng
Xianbao Shi
Feng Xu
Feng Xu
Lin Chen
Lin Chen
Xingmei Liu
Xingmei Liu
Xingmei Liu
Xingmei Liu
Xiaolong Jin
Xiaolong Jin
Qingbo Guan
Qingbo Guan
Qingbo Guan
Qingbo Guan
Qingbo Guan
Chao Xu
Chao Xu
Chao Xu
Chao Xu
Chao Xu
Clinical performance evaluation of the SiJoy GS1 continuous glucose monitor during oral glucose tolerance testing in healthy adults
Frontiers in Endocrinology
continuous glucose monitoring (CGM)
plasma glucose
accuracy
glucose control
analytical bias
title Clinical performance evaluation of the SiJoy GS1 continuous glucose monitor during oral glucose tolerance testing in healthy adults
title_full Clinical performance evaluation of the SiJoy GS1 continuous glucose monitor during oral glucose tolerance testing in healthy adults
title_fullStr Clinical performance evaluation of the SiJoy GS1 continuous glucose monitor during oral glucose tolerance testing in healthy adults
title_full_unstemmed Clinical performance evaluation of the SiJoy GS1 continuous glucose monitor during oral glucose tolerance testing in healthy adults
title_short Clinical performance evaluation of the SiJoy GS1 continuous glucose monitor during oral glucose tolerance testing in healthy adults
title_sort clinical performance evaluation of the sijoy gs1 continuous glucose monitor during oral glucose tolerance testing in healthy adults
topic continuous glucose monitoring (CGM)
plasma glucose
accuracy
glucose control
analytical bias
url https://www.frontiersin.org/articles/10.3389/fendo.2025.1536292/full
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