A Low-Power Wireless Transmitter for a Continuous Glucose Monitoring System-on-Chip

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Levine, Peter

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University of Waterloo

Abstract

Continuous glucose monitoring (CGM) can improve diabetes management by providing frequent measurements and revealing trends that are difficult to capture with invasive, intermittent tests. To this end, a miniaturized, wearable sensing platform that operates continuously and delivers timely alerts is beneficial for individuals who require active glucose management. This thesis presents a wireless transmitter, implemented in a complementary metal-oxide-semiconductor (CMOS) integrated circuit technology, for energy-efficient telemetry of biomedical signals from a wearable device that transmits short packets to a smartphone, enabling practical daily readout. Since the transmitter must meet Bluetooth Low Energy (BLE) constraints under a tight energy budget, several circuit and system-level design choices that balance frequency accuracy, spectral compliance, and robustness to process-voltage-temperature (PVT) variation at low supply voltages must be made. The proposed wireless transmitter is one component of a larger mixed-signal system-on-chip (SoC), which integrates a commercially-available electrochemical sensor that interacts with glucose and/or ketones, to enable continuous concentration measurement. The sensing front-end electronics of the SoC converts chemical activity into an electrical signal that is conditioned and digitized on-chip. This measured concentration is then encoded for BLE-compatible transmission by modulating the digitized data using Gaussian frequency-shift keying (GFSK) in the 2.4 GHz industrial, scientific, and medical (ISM) band, implemented as an integer-N charge-pump phase-locked loop (CP-PLL) with direct voltage-controlled oscillator (VCO) modulation. Simulated and experimental results from a fabricated prototype chip demonstrate the feasibility of the proposed approach in terms of sensor readout, burst energy, and BLE spectral compliance. Implemented in a 0.18 µm bulk CMOS process, the fabricated transmitter delivers -7.06 dBm at 13.5 mW DC power, with an intra-packet drift of 41.56 kHz and reference spurs of −26.4 dBm at ±2 MHz offsets — both within BLE LE 1M limits. End-to-end validation confirms the successful reception of BLE advertising packets on a commodity Nordic nRF5340 receiver, with the digitized electrochemical sensor data reconstructed from over-the-air stream. The presented methodology provides a foundation for compact wearable bio-sensing platforms, combining continuous chemical sensing with standardized wireless communication for patient-facing monitoring and alerts.

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