Swiss-based Indian scientist's implant lowers blood sugar in mice without insulin or drugs

Controlling glucose without drugs, without insulin, without lifestyle changes
Endocrinologist Ambrish Mithal on the concept behind the ETH Zurich implant, tested so far only in mice.
Mark

So what actually does this device do?

Mimi

It sits under the skin and, when a glucose monitor reports blood sugar above a set threshold, it switches on and converts glucose into gluconate, which the kidneys excrete.

Mark

And it worked in mice?

Mimi

Blood sugar improved within 90 minutes, and over six weeks the mice also lost weight and had lower triglycerides.

Luke

Worth being careful there. That's mice, and the researchers themselves call it proof of concept. Nothing in the reporting says how many animals were tested.

Mark

Why does the drug-free part matter?

Mimi

The team points to side effects, adherence, cost and unresolved long-term safety questions with current drugs. Treatment is often lifelong.

Luke

Fair, but "no detected adverse effects" over six weeks is not the same as long-term safety. Six weeks is short.

Mark

How far is it from a human patient?

Mimi

Maity says the device must get smaller. The catalyst in the tests was 5cm by 5cm by 0.5cm, and the implant also needs a power source and monitor integrated.

Luke

And the human-scale claim is about clearing glucose in five litres of liquid in the lab, not in a person. Mithal's praise is real, but so is his caution. No timeline for trials has been given.

  • Blood sugar in diabetic mice fell within 90 minutes of a small implant switching on, a result that startled a field long dependent on daily medication.
  • The device wakes on its own only when glucose crosses a set threshold, and it is built from a catalyst that turns sugar into a compound the kidneys flush away.
  • Its catalyst is still far larger than the implant casing, and the team must shrink it and add a wireless power source before any human trial can begin.
  • Outside experts welcome the novelty but caution that what works in lab mice may never carry over to people, leaving the idea promising yet unproven.

In a laboratory at ETH Zurich, researchers have shown that a small implant can draw excess sugar out of the blood of diabetic mice without insulin or any medicine, a quiet departure from a century of treating the disease by adding substances to the body. Humanity's struggle with diabetes, which now touches hundreds of millions of adults, has long depended on lifelong pills and injections, and this work offers a glimpse of a different relationship with the body's chemistry. It remains a promise rather than a remedy, since the mice are a distant stand-in for people and the device must still be made far smaller and given its own power before any human could receive it.

On Thursday, researchers at ETH Zurich, the Swiss Federal Institute of Technology, reported a small implant that pulls excess glucose from the blood of diabetic mice without insulin or any drug. Among them was Debasis Maity, an Indian postdoctoral researcher who joined the lab six years ago and has spent his career on implants for metabolic disorders. The paper is due in the journal Science on Friday.

In the mice, blood sugar improved within 90 minutes of the device switching on. Over six weeks the animals lost weight, showed lower triglycerides, and displayed no adverse effects. The implant sits under the skin, links to a continuous glucose monitor through a smartphone, and activates on its own when sugar climbs past a preset level. Inside, a catalyst of platinum-decorated gold particles converts glucose into gluconate, which the kidneys excrete.

The need is vast. Nearly 590 million adults worldwide live with diabetes, more than 90 million of them in India, and most depend on medicines taken for life. Maity is candid about the distance ahead. "These are proof-of-concept experiments in lab mice," he said, and the device must shrink and gain its own power source before people can be considered. Ambrish Mithal of Max Healthcare in New Delhi, who was not involved, called the idea conceptually fascinating while warning that mouse results need not hold in humans. The next milestones to watch are the shrinking of the catalyst and the integration of power and monitoring.

On Thursday, researchers at ETH Zurich, the Swiss Federal Institute of Technology, reported a small implant that pulls excess glucose out of the blood of diabetic mice without insulin or any drug. Among them was Debasis Maity, an Indian postdoctoral researcher, who described the work to The Telegraph in a telephone interview. The paper is set to appear in the US journal Science on Friday.

In the mice, blood sugar improved within 90 minutes of the device switching on. Over six weeks of treatment, the animals also lost body weight and showed lower triglyceride levels, and the team detected no adverse effects.

The implant sits under the skin and is housed in a casing measuring 26mm by 14mm by 5mm. It connects through a smartphone to a continuous glucose monitor. When blood sugar rises above a pre-set threshold, the device activates on its own and begins clearing glucose. Because it is electrically driven, the rate of removal can be adjusted, and it stops once glucose reaches the target level.

Inside is an electrocatalyst made of tiny platinum-decorated gold particles embedded in a graphite base. The cluster selectively converts glucose into gluconate, a compound the kidneys rapidly excrete. The team, supervised by Martin Fussenegger, professor of biotechnology and bioengineering, calls this a dose-controllable, drug-free alternative for diabetes control. They argue that current drug therapies can be limited by adverse effects, tolerability, adherence, cost and unresolved long-term safety questions.

The scale of the problem is large. The International Diabetes Federation's 2025 Atlas estimated nearly 590 million adults worldwide living with diabetes, over 90 million of them in India, often alongside obesity. Treatment relies largely on medicines that lower glucose or body weight, typically for life. Some studies suggest diabetes and the need for medication might be reversed through rigorous diet and lifestyle change, but poor adherence to those regimens remains a major obstacle.

Maity graduated from the Ramakrishna Mission Vivekananda Centenary College in Calcutta and earned a PhD from Bharathiar University, Coimbatore. He joined ETH six years ago and has worked with Fussenegger on implants for metabolic disorders.

He is plain about how early this is. "These are proof-of-concept experiments in lab mice," he said, adding that the technology needs refining and the device needs to shrink before human trials. In lab experiments, the team showed glucose clearance in about five litres of liquid, comparable to an adult human's blood volume. The catalyst used in those tests measures 5cm by 5cm by 0.5cm, far larger than the implant casing. Future work will focus on miniaturising it and integrating a power source, such as wireless charging, along with a continuous glucose monitor.

Ambrish Mithal, chair of endocrinology and diabetology at the Max Healthcare group in New Delhi, was not involved in the study. He called it conceptually fascinating: controlling glucose without drugs, insulin or lifestyle changes. He cautioned that what works in lab mice need not work in people, but said it was the most novel thing he had seen this year in diabetes treatment strategies. The next steps to watch are the shrinking of the catalyst and the integration of power and monitoring, which must happen before any human trial.

These are proof-of-concept experiments in lab mice.
— Debasis Maity, postdoctoral researcher, ETH Zurich
This is the most novel thing I've seen this year on diabetes treatment strategies.
— Ambrish Mithal, Max Healthcare, New Delhi
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