The rising field of bioelectronics, which couples the realms of electronics and biology, holds huge potential for the development of novel biomedical devices for therapeutics and diagnostics. Organic electronic devices are particularly promising; the use of robust organic electronic materials provides an ideal bio-interface due to their reported biocompatibility, and mechanical matching between the sensor element and the biological environment, are amongst the advantages unique to this class of materials. One promising device emerging from this field is the organic electrochemical transistor (OECT). The OECT combines properties and characteristics that can be tuned for a wide spectrum of biological applications. These applications have allowed the development of OECTs to sense local ionic/biomolecular and single cell activity, as well as characterization of tissue and even monitoring of function of whole organs. The OECT is an extremely versatile device that emerges as an important player for therapeutics and diagnostics.The use of organic materials, such as conducting polymers, makes the OECT tunable for a wide range of applications. For example, OECTs have been used for sensing applications. A representative example is the glucose sensor. The OECT has been used as glucose sensor and has shown high sensitivities and low limit of detection for concentrations at the nanomolar range. However, apart from high sensitivities, stability and reproducibility are common necessities for long term applications. For example, it is of equal importance for these sensors to continuously record variations of glucose for diabetic patients, since multiple measurements per day without failure are necessary. Additionally, stability is necessary for implantable sensors. For brain cells such as neurons, glucose is the main energy source. Thus recording modulations of glucose levels before or during an epileptic crisis will enhance our understanding of this disease. Long-term stabilities for these sensors can be achieved through biofunctionalization, which is a method to attach a biomolecule to a device. For long term applications a covalent binding of the biomolecule is preferred. Biofunctionalization of conducting polymers, which are used as active materials in OECTs, is a mandatory step that can enhance OECT properties such as biocompatibility, stability, and functionality. In this work, different biofunctionalization methods of poly(3,4-ethylenedioxythiophene) doped with tosylate anions (PEDOT:TOS) or doped with poly(styrene sulfonate) (PEDOT:PSS) have been explored. The biofunctionalization methods have led to improvements for different applications such as better interfaces with living cells, and better stability for enzymatic sensors. Additionally, we have employed the use of ionic liquids in combination with cross-linkable polymers as alternative solid state electrolytes. These electrolytes are improving the stability of recordings in electrophysiology. Finally, in vitro measurements of metabolic activities in cells have been explored. The monitoring of glucose uptake and its conversion to lactate is a sensitive indicator of the viability of these cells. Furthermore, in the presence of toxic compounds and pathogens, the nature or kinetics of these metabolic activities is getting affected. Therefore, OECTs used for glucose and lactate sensing can at the same time be used for Immunosensing.