RT Journal Article T1 A Novel Earwax Method to Measure Acute and Chronic Glucose Levels A1 Herane-Vives, Andrés A1 Espinoza, Susana A1 Sandoval, Rodrigo A1 Ortega, Lorena A1 Alameda, Luis A1 Young, Allan H. A1 Arnone, Danilo A1 Hayes, Alexander A1 Benöhr, Jan K1 Earwax K1 Glucose K1 Glycated hemoglobin K1 Diabetes K1 Diagnosis K1 Glucosa K1 Hemoglobina a glucada K1 Diabetes mellitus K1 Diagnóstico AB Diabetes is the fourth cause of death globally. To date, there is not a practical, as well as an accurate sample for reflecting chronic glucose levels. We measured earwax glucose in 37 controls. Participants provided standard serum, glycated hemoglobin (HbA1c) and earwax samples at two time-points, one month apart. The specimens measured baseline fasting glucose, a follow-up postprandial glucose level and a between sample chronic glucose, calculated using the average level on the two occasions. The baseline earwax sample was obtained using a clinical method and the follow-up using a novel self-sampling earwax device. The earwax analytic time was significantly faster using the novel device, in comparison to the clinical use of the syringe. Earwax accurately reflected glucose at both assessments with stronger correlations than HbA1c. Follow-up postprandial concentrations were more significant than their respective fasting baseline concentrations, reflecting differences in fasting and postprandial glycemia and more efficient standardization at follow up. Earwax demonstrated to be more predictable than HbA1c in reflecting systemic fasting, postprandial and long-term glucose levels, and to be less influenced by confounders. Earwax glucose measurements were approximately 60% more predictable than HbA1c in reflecting glycemia over a month. The self-sampling device provided a sample that might accurately reflect chronic glycemia. PB MDPI YR 2020 FD 2020-12-10 LK http://hdl.handle.net/10668/3970 UL http://hdl.handle.net/10668/3970 LA en NO Herane-Vives A, Espinoza S, Sandoval R, Ortega L, Alameda L, Young AH, et al. Earwax Method to Measure Acute and Chronic Glucose Levels. Diagnostics. 2020 Dec 10;10(12):1069 DS RISalud RD Apr 7, 2025