Diabetes mellitus requires accurate and continuous glucose monitoring for early diagnosis, effective disease management, and prevention of severe complications. However, conventional glucose sensors often suffer from limited stability, frequent calibration, and invasive operation, which restrict their long-term and real-time use. In recent years, two-dimensional (2D) materials integrated into electrochemical, optical, and field-effect transistor (FET) platforms have emerged as promising alternatives due to their high surface area, tunable electronic properties, and excellent bio-interfacing capability. To address existing gaps in understanding and comparison, this review presents a systematic framework that categorizes glucose sensors according to both sensing mechanisms (electrochemical, optical, and FET-based) and application formats (invasive, non-invasive, and wearable). Beyond static classification, we analyze recent temporal trends in material selection, device architecture, and sensing performance, highlighting the evolution from graphene-based systems toward transition metal dichalcogenides (TMDCs) and MXene-enabled platforms for flexible and biofluid-compatible sensing. A critical comparison of enzyme immobilization and surface functionalization strategies is also provided to clarify their influence on sensitivity, stability, and reproducibility. Finally, key challenges related to long-term stability, selectivity, and device integration are discussed, and emerging directions are outlined to support the development of reliable, flexible, and high-performance glucose sensors for real-time and personalized healthcare.
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