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Prevalence of type II diabetes and cardiometabolic diseases is increasing worldwide and early identification of their complications could reduce healthcare costs. An early complication of diabetes is small fiber neuropathy that can be diagnosed through assessment of sweat dysfunction. In this context, the Sudoscan™ technology developed by Impeto Medical provides early diagnosis, rapid and non-invasive analysis of sudomotor functions. This technology is based on measurements of skin current density via the imposition of low amplitude voltages (4 to 1.5V) between electrodes applied to the skin and measuring the low current generated. These electrodes are sensitive to the composition of the sweat produced by the eccrine glands when stimulated. To optimize the electrode materials and the diagnosis, a better insight into the origin of the electrochemical signals is needed by mimicking the in vivo results through the use of a model electrochemical cell reproducing physiological sweat conditions. In this paper, the electrode surface was modified with polymeric membranes to mimic the role of the filter of the skin and to get similar results to those obtained by Sudoscan™. Then, the composition of the electrolyte was changed by optimizing its viscosity to reduce the flow of Cl − ions to the electrode surface. The electrochemical behavior of the electrodes, measured in terms of current-voltage studied in artificial sweat, were compared to those of the Sudoscan™ technology.

International audience; A non-invasive device based on measurements of electrochemical skin conductance can detect small fiber neuropathy, a sweat gland dysfunction implicated in several diseases. The measurement is related to sweat composition and notably to chloride concentration. To optimize the electrode material, in vitro experiments are performed in mimetic sweat solutions. This work reports on the resistance to pitting corrosion of biocompatiblestainless steels (AISI 304L, AISI 430, AISI 430T, D2205) in sweat mimicking electrolyte at pH 7 with variable chloride concentration, to determine the most sensitive material to sweat composition. AISI 430 is promising due to its high sensitivity to chloride concentration variations.

An electrochemical sensor detects the risk of diabetes and prediabetes; low potentials are applied to nickel electrodes and electrical responses are measured. Although the contact of nickel with skin is short, the risk of allergical reactions cannot be discarded. SS 304L, with lower Ni content, was tested in carbonate buffer solutions containing chloride, lactate and urea to investigate its sensitivity to different parameters in sweat and compare it to nickel. The results show that SS 304L is a suitable material for the assessment of sudomotor dysfunction due to its high capacity to detect the deviation in Cl− concentration. Sensitivity of SS 304L to Cl− is much higher than for nickel.

We have studied the electrochemical kinetics of anodic Ni dissolution as a function of chloride ion concentration, at pH 5, 6 and 7, in order to mimic the conditions of sweat samples. Our results show that the rate-determining step for Ni dissolution in the mentioned pH range is the transfer of one first electron, as suggested by the Tafel slopes close to 0.120 V/decade. However, the reaction order in chloride ion varies from ca. 2 at pH 7 to values close to unity for pH values between 5 and 6. This finding is very important for sensor applications in sweat fluids since the sensitivity of the Ni electrode to chloride ions is higher in neutral solutions (pH ca. 7) compared to that in slightly acid solutions (pH between 5 and 6). Small variations in pH in real samples are expected so this change in sensitivity should be considered when sensing chloride ions in sweat fluids.

The surface ageing of nickel electrodes was studied in the frame of the development of non-invasive biomedical devices, dedicated to the detection of sudomotor dysfunction manifested by an alteration of the ionic balance in human sweat. In this kind of technology, low voltage potentials with variable amplitudes are applied to nickel electrodes, placed on skin regions with a high density of sweat glands, and the electrical responses are measured. The trick is that nickel electrodes play alternately the role of anode and cathode, thus the analysis of the temporal evolution of the physico-chemical properties of nickel is of prime importance to ensure the good performance of the device. Electrochemical measurements coupled to surface chemical characterizations (X-ray photoelectron spectroscopy (XPS), Time of Flight-Secondary Ion Mass Spectrometry (ToF-SIMS)) were performed on pure Ni samples, immersed in buffered chloride solutions mimicking human sweat. The shapes of voltammograms, recorded in a restricted anodic potential range, show that the nickel surface was gradually passivated as a function of the number of scans. This was confirmed by XPS data, with the formation of a 1 nm thick duplex layer composed by nickel hydroxide (outermost layer) and nickel oxide (inner layer). In a negative extended potential range, though the electrochemical behavior of electrodes was not modified upon cycling the potential, XPS data show that the inner layer was thickening, indicating a surface degradation of the nickel electrode. Below pitting potentials, adsorbed chloride was only hardly detected by XPS, and the surface composition of the nickel samples was similar after treatments in chloride or chloride-free buffered solutions. In a larger potential range enabling to reach the breakdown potential, the highly chemically sensitive ToF-SIMS characterization pointed out that the surface concentration of adsorbed chloride was higher in pits than elsewhere on the surface sample.