What price is right? In fact, I will need two columns to explore them and the issues involved in their best use. Modern strips work by measuring the electrical energy in glucose in the blood.

That electricity…is read out by the meter as a glucose concentration. Apparently, working with enzymes is hard. Because they use enzymes, strips are delicate. Gebel, exposure to humidity or temperature extremes can damage the enzymes, reducing accuracy. So the colored patch at the end of the strip includes absorbents to soak up blood and enzymes to turn it into electricity and stabilizers to protect the enzymes. Then the electric current goes down circuits printed on a thin film of gold to the meter, where a computer chip turns it into a numerical reading.

But according to David Kliff, founder of DiabeticInvestor. Todd Siesky is a group manager of communications and external relations at Roche, the company that makes Accu-Chek brand products.

The cost of our strips includes their research and development, state-of-the-art production, comprehensive quality processes, verification, clinical and analytical performance studies, continued process improvements, and ongoing compliance to all regulatory and government standards. Other strip manufacturers are in North Carolina and Florida, so at least they are made in America.

You can see a promotional video that shows strip production here. The Food and Drug Administration requires meters to be accurate, but not that accurate.

So, if your meter readsthat could mean anywhere from 80 to So a reading of 70 means 55 to That sounds like a wide range, but Donald Powers, PhD, chairman of the technical committee at the International Organization for Standardization says.

Meters are pretty much at the limits of their technology. There are trade-offs between performance and convenience. It seems that most or all brands of strips are close to equally accurate.

According to Powers, most test strips have similar designs and are made in roughly the same way. Even the same brand of strip will vary from batch to batch and even within the same container. The ways we use them also affect accuracy. As a serious tester I find this important. Then there are the questions of price, why prices vary so much, what insurance will pay for, and what doctors will order.

Also, how many do we need? These issues are as complicated as quality. To help out, please let us know your views on meters, strips, and their prices.

Disclaimer of Medical Advice: You understand that the blog posts and comments to such blog posts whether posted by us, our agents or bloggers, or by users do not constitute medical advice or recommendation of any kind, and you should not rely on any information contained in such posts or comments to replace consultations with your qualified health care professionals to meet your individual needs. The opinions and other information contained in the blog posts and comments do not reflect the opinions or positions of the Site Proprietor.

One thing I found was that my morning reading never came close to the morning lab reading taken within 10 minutes of my own reading. Also my A1c did not track closely with my averages. In the past year I switched to the WalMart ReliOn brand with consistent results, even taking a reading at the same time from a new container.

As long as a product it for diabetic use—the price goes up. Prices of strips are way too high and after a lot of looking up these things—the company is making tons of money selling them. Thank God for that. I find the Reli-on meters to be just as accurate, and nothing beets their price. Even with my current insurance coverage name brand strips would cost me more. So I choose to stay with what is affordable. I do not personally have diabetes but my boyfriend of 3 years does.

I have learned a lot from this experience. Before my relationship with him, I have a cousin and her husband who received a patent on a machine to measure blood sugar levels without needing a blood sample, it was all done through the skin.

Also, I find it agrevating that there is no generic brand of insulin. Once again, not about the people with the disease.

This information needs to be widely known. It explains why my glucose readings are sometimes way off from my expectations. In general, it is my daily readings that are not consistent with the A1c tests in the doctors office, but the overall average of my individual readings generally corresponds to the A1c lab reports. So even though individual readings may disappoint and alarm me, over time the results are fairly consistent. In future I will view some of my highs and lows as possibly incorrect, and not become so alarmed.

The consistency of individual readings over a week should help me know how the glucose control is trending so I can regulate my eating, rather than a daily guide. I have used three different brands of meters over 18 years as a type 2 diabetic and not noticed any significant differences in the brand accuracy. Medicare has changed their way of patients getting test materials. You used to be able to get them through your regular rx source but now you have to get them from a contracted supplier.

Good luck on that. I have tried several of the available vendors and none are making my AccuCheck Aviva Strips available so they all want to change you to another device. And I believe things are going to get worse with Obama Care. Excellent column, I appreciate this information. Regarding pricing, it seems to me that with the quantity manufactured, since diabetes is at epidemic proportions.

In my experience different meters are different in their ability to give accurate readings at hypoglycemic ranges. The only one that I have used that has been reasonably accurate is the one touch meter. The accucheck meter got me into serious trouble because of its inaccuracy at hypoglycemic ranges which sent my blood glucose bouncing like crazy.

It would tell me my BG was 90 when the one touch meter that I was using to calibrate my new cgm said it was No wonder that when I relied on the accucheck meter I was getting so many extremes.

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Switching back to a one touch meter was a major help in stabilizing bg. Ever since I test any new meters I try against the lifescan meter.

When I ttold this to my dr she told me that the lifescan meters were the only meter at that time that was reasonably accurate at hypoglycemic ranges. Thanks for the info! I always used the Accu check meter that used the drums and was so handy. Now I can no longer get the drums and had to go to a new meter. Nothing like taking advantage of diabetics.

I had 4 different meters at one time and one day sat down and tested my blood sugar with them all at the detriment of my poor fingers. Of course, I received 4 different readings. So, again, what is accurate? They change meters a lot.

Unlike some, I seldom have very high or very low readings so accuracy is less important than consistency. Comparing individual meters is tricky. One has to have two meters loaded with strip and then do a single hit of the lance and then quickly load both meters from same blood sample.

Otherwise one has to average out readings for a while and then compare averages. So with same meter one cannot get similar readings in short intervals of time. That story is politely deleted and the guff peddled is all meters read the same. For me that is at fasting in early morning after intestines are doing nothing. Two hours after a meal is when the fun begins for me.

On the non specific glucose d meter strip systems; I can see readings 40 to points to high. Some meter strip systems have filters built in to block interferors as well as cope better with water and oxygen.

Are the companies sticking it to the Americans? Many drugs are cheaper in Europe, Canada, and Japan because the drug companies do not charge them for development. This needs to change. I agree with Kathy. The Reli-on test strips are very valid at an extremely economical price. My insurance deductible for the other strips is higher than the Reli-on brand.

I have been using a Breeze2 by Bayer for several years and appreciate the 10 test disc it includes…however like other meters I have used there can be variances. I am a senior on Medicare and find it unfortunate that they only allow one test a day forex brokers mini accounts we are on insulin.

I thought the objective was to keep ones blood glucose in check so it did not progress to insulin and greater complications. I have not had any difficulty with test strips since their availability. Yes, occasionally I get a higher than usual result and just test again, with the same meter, and the result is within the range I thought it should be. Comparing meters is not the way to go in my view as when I used to do this my 2nd test was way off what the 1st one was.

I stopped comparing and followed what my trusted meter said — no problem developed. Of course, on occasion, we will have a unusual result. Then we need to ask did we do something different today? Count our carbs incorrectly, ill of just goofed somehow? I think that any of the meters since I began using them [decades ago] have been accurate as much as possible.

I work with the numbers I have before and after meters arrived on the scene. Naturally, my way does not mean that others do not have a good method of control also. Frequent testing, using one meter as often as needed is the answer, at least for me.

As soon as test strips became available tracking BG levels became much more accurate. My doctors over the years told me to not compare meters. I tested this theory and found this to be true. I have a Medtronic insulin pump now, use One Touch meter and test strips.

Recently I found out that the One Touch meter will be discontinued. So I switched to the Contour Next meter and test strips — working just fine. My meter works just fine as long as I stick to my method of control without too much variance. I sometimes cheat a bit on carbs, then must up my insulin amount accordingly and usually get by make money selling diabetic test strips my indulgence.

Stress, ill or big goof—up! Think we need to realize this more than than some of us do, at times? I use only the one-touch as it works with my insulin pump as well as CGM.

My insurance made me change last year to the freestyle…hated it! My control got worse. Then the insurance changed again without bothering to even tell me and I am now able to get the one touch strips again though a tad more exspensive. Thanks for the tip about the Reli-On meter. I will look into this for my second meter to compare results. My readings with my Bayer Contour have generally been substantiated by the A1C.

However, never has my fasting reading agreed with the lab results taken a short time later. Generally the lab has a higher reading. However, before cataract surgery, the hospital took my fasting reading with a meter and their reading agreed with my own results before I left for the hospital. I believe they also used the same brand meter, which is the reason ftp put syntax unix the agreement, no doubt.

Thank you for a very informative discussion. I purchased a ReliOn meter and strips from WalMart recently. When compared to my two Accu Check meters, the ReliOn read 20 — 25 points below my meters.

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I called ReliOn about the the option trader handbook ebook and they sent me a new meter that now reads within 5 — 8 points of the AccuCheks at all readings.

Medicare is the major problem. Medicare will only cover 1 test per day IF YOU ARE NOT TAKING INSULIN. I am buying stocks on margin apush on Metformin, which I make money selling diabetic test strips after every meal or snack,therefore, Medicare will only cover the purchase of strips every three months.

That only leaves 10 strips for errors, etc. My secondary medical plan covers the balance matlab undefined function input arguments of type double Medicare does not pay.

I do not have any co-pays. With the change in Medicare suppliers, they only have 20 suppliers left. I use Bayer Contour. I had trouble finding a supplier that handles them, so I wrote to Bayer and they gave me a list of their four remaining suppliers. It was quite an ordeal, so I hope no more changes will happen in the future. Thank you for the opportunity to discuss these problems. I was recently informed that the company that I was receiving my strips for the one touch meter were no longer going to be supplied to me.

I was sent a Solus talking meter and new testing strips, I am not bp oil spill effect on stock market happy camper. I truly miss my one touch ultra 2 meter and would like to know how I could get my strips for this? All my testing supplies are from outside the United States. I want to have them made in the United States.

I need to have accuracy as I control my blood glucose level with diet. All meals are less than 19 grams of carbohydrate. I ended up going to my Doctor for prescription specifying in prescription the meter, model and strips that work and ended up going to my local drug store and got it filled. Open interest in stock market nse used to use mail order from a company in Florida and got nastily harassed for the last 2.

All meters are not the same and some of the cheaper stuff has issues. I do not understand why the government is butting in on this. My read is they can set their fixed reimbursement rate but we should be free to select the meter that works best for us and if necessary pay an extra premium.

Stick to one meter no pun intended If you stick to the one meter your readings are going to be what they are. Just go by what they say.

To Helen and Jim: I have to do the same for test strips specifying the meter brand, model and the test strips it requires. Ditto on the government staying out of my healthcare choices, when what I have been doing has been working and keeping me healthy. I use the one touch ultra meter and test times daily. I too had difficulty in finding a test strip supplier. Medicare required my doctor to send a new script verifying that I need test strips and the quantity.

Seems as though this supposedly Affordable Healthcare Act IS NOT to our benefit??? From the comments from these postings, we are not only concerned with the cost of test strips, but london forex rush system download agree that all diabetics are not alike. One size should fit all??? Check online for American made. Lots of brand names are mentioned in these posts.

Maybe one would be right for you. No need to change. As a matter of fact, as a last resort you can complain to medicare. I found this article very interesting. I started using a BG meter about 3 years ago. I am a retired electrical engineer and in my work I did a lot of development of measuring instruments. I talked to my pharmacist about this and he did not understand what my concern was. I would never have been satisfied with this kind of accuracy black scholes option pricing model ppt any of my professional work.

And it is true forex cypress ca more accuracy equates to more money. I do get the calibration solution with each 90 day supply and use it when opening a fresh package of strips.

They will vary from about 85 to when the norm is supposed to be But this is the way it is I guess. Just my two cents worth. I like you, BobC That kind of thing. I refuse to buy test strip solution and will accept it if it is given freely.

I just purchased the One Touch Ultra Mini from Walmart and I did purchase the Equate brand strips that go with the Ultra Mini and it worked great!

Anyway, the bottle is 50 strips and the meter case itself only wants to handle a 25 strip vial, so I have to shove the strip vial into the outer pocket so I can zip it up.

Glucose testing in India for less than 4 cents per test. But it is too good to be true? India is all set to unveil a path-breaking test for diabetes that will save both money and blood. The Indian Council of Medical Research ICMR is almost ready with a new digital finger-pricking blood sugar machine that will not require repeated use of testing strips. Significantly, it will cost less than Rs 2 per blood sample and require 1, times lesser blood than what glucose meters use now.

Even better, it will take only 10 seconds to know your blood glucose count. Being developed by professor of biological sciences at BITS-Pilani, Dr Suman Kapur, the test will undergo final evaluation by July 15 and is expected to be ready for mass production by December….

Test strip accuracy from one mfg. I think if you stick with one you will be fine. What is disturbing is the profit drive of the industry. It seems that all terminable diseases are driven for profit instead of cures. Why does healthcare cost so much in the US as opposed to Canada, Japan. India and other countries? If we are the world leaders. Then why are we doing so poorly in helping our own in healthcare? The science behind test strips is really not that complicated and most development costs were paid for decades ago.

I have many meters. One Touch Verio, Mini, etciBG Star, and FreeStyle. All seem to work well. All have one major downside… PRICE! I have a insurance deductible that has to be met prior to only paying a copay. Thank goodness for my HSA account. Here is a few things I did that seemed to lessen the financial burden to my family. I know everything I list will not help everyone but if my suggestions help just one of us I will feel good. I cannot stress this enough. I have recently found after much research that the WalMart meter ReliOn is one of the best value s.

Before placing an order for a couple hundred strips I purchased the meter at my neighborhood store and compared results between that meter and my Verio they give a 5 pack with a new meter purchase. Ok, there is a small downside, the Verio software is pretty cool… ReliOn, not so much. However I could not justify the sheer savings you get from WalMart to continue the use of OneTouch products. I am a Veteran. I found out that many Vets use the VA to offset the cost of their insulin prescriptions.

All you have to do is after your register setup a consult at your local clinic and bring a set of your prescriptions to them. Oh yeah, be nice to them! A little kindness goes a long way. They set me up with a months worth of insulin at a pop. This saved me a ton! This is still cheaper than my copay after I meet my deductible.

If you can, setup an HSA account with your company. If you know what this is then please stop here. Most employers do some sort of match on your contributions. Whoever reads this can find glucose testing strips much cheaper then the retail stores. Just type in glucose monitor strips in the address space at the top and you will see other companies out there that sell the strips for way less.

Also i recommend checking ebay. You can also buy in bulk of just about any quantity also wich can save you even more money.

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Iv never had any issues and iv ben buying this way for years. I hope this helps some one. I would be concerned about how accurate they are…these people often buy from people who sell them. Temperature and humidity can affect the reliability of the test strips. CVS informed me that Medicare would no longer pay for the accu-Chek system. Have to get a whole new system.

One Touch Well, I found out that it was my insurance plan express scripts that changed systems, not medicare. We dont need every single person to pay the COST of RESEARCH in full. There is what is known as a CAP on that. Just like any other medical cost they feel they need to make each patient pay in full the cost of all the equipment and their years at med school!!! If you were to divide these costs between all the users it would be way less than what they charge!

Its a monopoly started when they let insurance came into play.

The prices for test strips is insane, they gave me a One touch verio, the lancets cannot even pierce the back of my hand, let alone a finger. Strips are cheaper at places like Costco and Walmart. Its cheaper to buy insulin than it is to buy test strips!

This is a case where government needs to step in and raise hell because vets, medicare and other medi- group programs are being subsidized heavily to pay for these. These are the toilet seat hammers of and tax payers and users especially are being ripped off. All comments are moderated and there may be a delay in the publication of your comment. Please be on-topic and appropriate.

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Interesting subject — thanks for posting it. Keep up the good work and I will be looking forward to your next column. Why try to create problems when in fact there is none. This story from last year seems promising- Glucose testing in India for less than 4 cents per test. Please, tell us how, oh wise one?

So I read this thread and thought I would offer my two cents… I have many meters. I hope this helps someone. Sign up for our Newsletter Enter your email address to receive our weekly newsletter. Related Blog Posts What Does A1C Stand For? What Is a Normal Blood Sugar Level? Monitoring Versus Obsessing When to Check Blood Sugar More From David Spero.

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