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An analyte sensor system including a substrate, a first electrode disposed on a first surface of the substrate, a second electrode disposed on a second surface of the substrate, a third electrode provided in electrical contact with at least one of the first or second electrodes, where at least a por

An analyte sensor system including a substrate, a first electrode disposed on a first surface of the substrate, a second electrode disposed on a second surface of the substrate, a third electrode provided in electrical contact with at least one of the first or second electrodes, where at least a portion of the first electrode and the second electrode are subcutaneously positioned in a patient, and where the third electrode is substantially entirely positioned external to the patient, and corresponding methods are provided.

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1. An analyte monitoring system, comprising: an analyte sensor comprising a substrate, at least one electrode disposed on a first side of the substrate and at least one electrode disposed on a second side of the substrate opposite the first side, wherein the electrodes are in fluid contact with an i

1. An analyte monitoring system, comprising: an analyte sensor comprising a substrate, at least one electrode disposed on a first side of the substrate and at least one electrode disposed on a second side of the substrate opposite the first side, wherein the electrodes are in fluid contact with an interstitial fluid of a user when at least a portion of the substrate is transcutaneously positioned within the user; andan on body unit operatively coupled to the analyte sensor and configured to receive one or more signals from the sensor corresponding to an analyte level of the user, wherein the on body unit is electrically connectable to the first side of the substrate by a first electrical connection and is electrically connectable to the second side of the substrate by a second electrical connection;wherein an external surface of the on body unit comprises at least one conductive point in electrical contact with an external electrode, wherein the at least one conductive point physically contacts the user's skin when the on body unit is operatively coupled to the transcutaneously positioned sensor. 2. The system of claim 1, wherein the external electrode is a counter electrode. 3. The system of claim 2, wherein at least one of the electrodes disposed on the substrate is a working electrode and another of the electrodes disposed on the substrate is a reference electrode. 4. The system of claim 1, wherein the external electrode is positionable external to the user. 5. The system of claim 1, wherein the external electrode is in electrical contact with a temperature probe. 6. The system of claim 1, wherein the external surface of the on body unit comprises a plurality of conductive points in electrical contact with the external electrode. 7. The system of claim 6, wherein the plurality of conductive points are disposed in a predetermined pattern. 8. The system of claim 1, further comprising an alarm unit configured to alert the user when the external electrode is no longer in electrical contact with the skin of the user. 9. The system of claim 8, wherein the alarm unit is integrated with the on body unit. 10. An analyte monitoring system, comprising: an analyte sensor comprising a substrate, at least one electrode disposed on a first side of the substrate and at least one electrode disposed on a second side of the substrate opposite the first side, wherein the electrodes are in fluid contact with an interstitial fluid of a user when at least a portion of the substrate is transcutaneously positioned within the user, the analyte sensor further comprising a conductive path through the substrate from the at least one electrode disposed on the first side to the second side; andan on body unit operatively coupled to the analyte sensor and configured to receive one or more signals from the sensor corresponding to an analyte level of the user, wherein the on body unit is electrically connectable to only the second side of the substrate;wherein an external surface of the on body unit comprises at least one conductive point in electrical contact with an external electrode, wherein the at least one conductive point physically contacts the user's skin when the on body unit is operatively coupled to the transcutaneously positioned sensor. 11. The system of claim 10, wherein the external electrode is a counter electrode. 12. The system of claim 11, wherein at least one of the electrodes disposed on the substrate is a working electrode and another of the electrodes disposed on the substrate is a reference electrode. 13. The system of claim 10, wherein the conductive path is a via. 14. The system of claim 10, wherein the external electrode is positionable external to the user. 15. The system of claim 10, wherein the external electrode is in electrical contact with a temperature probe. 16. The system of claim 10, wherein the external surface of the on body unit comprises a plurality of conductive points in electrical contact with the external electrode. 17. The system of claim 16, wherein the plurality of conductive points are disposed in a predetermined pattern. 18. The system of claim 10, further comprising an alarm unit configured to alert the user when the external electrode is no longer in electrical contact with the skin of the user. 19. The system of claim 18, wherein the alarm unit is integrated with the on body unit.