The monitor would need to be usable for all ages. This would mean that it would need to have the ability to read the glucose with ease. This is a very subjective rating and could easily vary from person to person. But meters that require you to wipe their strips are inherently more difficult to use than ones that don't.
AccuCheck Advantage. The AccuCheck Advantage is an excellent blood test meter. The AccuCheck Complete is easy enough to use that even young kids will be able to use it by themselves. However, the meter is larger than other meters on the market.
Lifescan's SureStep and FastTake. Testing with the FastTake is easy. The difference between the FastTake and the AccuCheck complete reflects the fact that the FastTake is calibrated to serum glucose values and the AccuCheck Complete is calibrated to whole blood values. FastTake Compact Blood Glucose Monitoring System has a data port, but the cable is not yet available. It will use the LifeScan In Touch software. This meter is plasma-blood calibrated. It requires only a 2.5µ (2.5 microliter) drop of blood, less than any other meter, and tests in 15 seconds. SureStep Meter lacks a data port. This meter is plasma-blood calibrated.
Lifescan's One Touch. One Touch Profile's data port allows it to work with diabetes management software. This is a whole blood-calibrated meter. One Touch II's data port allows it to work with diabetes management software. This is a whole blood-calibrated meter. One Touch Basic lacks a data port. This is a whole blood-calibrated meter.
Bayer's Glucometer Elite. Glucometer Elite has a unique test strip design that actually sucks the blood into the test chamber, and it requires much less blood (3 microliters) than most meters. Young children, however, will find it very difficult to open the foil wrapped test strip. You have to peel the foil s-l-o-w-l-y down, exposing the electronic contacts that are inserted into the meter. If you pull too quickly, the very small strip will fall out. With a little practice, adults can easily master this. Young children with weak fingers will find it difficult.
Ease of use. The AccuCheck Advantage is an excellent blood test meter. It's very small (2.25 by 3.5 by 5/8 inches) and lightweight, and fits easily in a child's hand. With dimensions of 4.79" x 2.83" x 1.06" [121.7mm x 72.0mm x 27.0mm] and weighing 4.4 oz [125 g] without batteries, the AccuCheck Complete is much larger than its predescessor, the AccuCheck Advantage. FastTake small size (3.12" x 2.25" x .75", 1.6 ounces with battery) and weight (easily fits in a kid's T-shirt pocket). All monitors still use the blood drop testing except the FastTake and Glocumeter Elite.
Features. AccuCheck Advantage has 100 test memory that stores the date and time for each test, data port, common 3-volt coin batteries, and touchable strips. AccuCheck Complete turns on automatically, has 1,000 memories and sophisticated diabetes management software integrated into the meter, extensive averaging as part of integrated diabetes management software, data port for external interface to computer software, and uses two standard AAA alkaline batteries (rated for approximately 1,000 tests). FastTake has 150-test memory for storing blood sugar readings, 14-day averaging, Large, easy-to-read display, Data interface port (cable and software not yet available), and uses two standard watch batteries (rated for approximately 1,000 tests). One Touch Basic is a single memory that displays the last blood sugar reading. And the One Touch Basic still uses the hard-to-find J battery, instead of AAA batteries like the One Touch Profile. SureStep has 10 reading memory, two AAA batteries, visual backup reading of test strip using color chart on strip bottle. Glucometer Elite has 20 result memory, large LCD display that is very easy to read, event associated average blood sugar readings, insulin dosage and carbohydrate counting after each test. AccuCheck Complete has the highest memory.
Speed. AccuCheck Complete test results in 30 seconds. FastTake displays test results in 15 seconds. One Touch Profile test results in 45 seconds. One Touch Basic test results 45 seconds. SureStep test results in 30 seconds. AccuCheck Advantage test results 40 seconds. Glucometer Elite test results 35 seconds. The FastTake has the quickest test result speed.
Suitability for use of all ages. Exceptionally easy to use, even for young children, the small size of the AccuCheck Advantage makes it an excellent meter for at home and on the road. Recommended for children with diabetes who bleed well. Primarily due to the large blood reguired, the AccuCheck Complete is recommended only for children with diabetes who bleed easily. The FastTake is easy enough to use that even young kids will be able to use it by themselves. All monitors are suitable for all ages in the use of blood testing. Some may need a little help or none at all. FastTake is most suitable to use.
Costs. The cost includes strips (per 100 strips). The cost of the One Touch Profile and One Touch Basic is about $57. The cost of the SureStep is about $66. The cost of the AccuCheck Advantage and AccuCheck Complete is about $55. The cost of the FastTake is about 42. The cost of Glucometer Elite is about $48. FastTake is the less expensive monitor.
|Table 1. Comparisons of Blood Glucose Monitoring Systems|
|Categories||One Touch Profile||One Touch Basic||SureStep||AccuCheck Advantage||AccuCheck Complete||FastTake||Glucometer Elite|
|Ease of use||9||9||10||9||9||10||9|
|Speed of results||4||4||6||5||5||10||5|
|Suitability by children under ten years old||10||10||8||8||8||10||8|
|Suitability by children over ten years old||10||10||8||10||10||10||8|
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