The meter that's "best" is the one that you yourself decide on, as the one you'll be likely to use. Issues to consider when looking at new meters include:

• Do you need a meter with a memory?
• Do you want a meter that can download its memory to a computer?
• Do you want a meter that can record your insulin dose and other information?
• Do you prefer individually wrapped strips in foil, or would you prefer a bottle that contains 25-50 strips? (Some people find the foil wrapped strips difficult to open, but they are less prone to spoilage if you use the meter in an area with humidity or you have a meter that you use infrequently. They take less space to carry around.)
• Does speed of testing make a difference?
• Do you want a meter that "beeps" to prompt you or would you prefer a silent meter?
• Look at the carrying case it comes with to see if it is convenient for you.
• Do you have to change batteries frequently, or do you get a new meter when the batteries are low? Can you get the batteries easily?
• Check the calibration procedure to see if you are comfortable with it.
• Find out if the meter needs to be cleaned.
• If you will be using the meter at high altitudes or extremes of temperature, check to make sure the one you like is okay.
• Look at the back section of Diabetes Forecast magazine. There is a section that advertises mail order diabetes products. Many local pharmacies will match prices in Forecast. The difference in initial cost of the meters is small compared to the ongoing cost of strips.
• Keep in mind that most manufacturers of meters offer mail rebates after you buy the meter and trade-in rebates if you mail them back your old meter. If you don't like your original purchase, you can always trade it in for another for fairly little money.
• Some people prefer one brand of meter for home use and a different brand to carry around.
• If you have access to a Diabetes Nurse Educator, that nurse can advise you on what meter is best.
• You could go to a large pharmacy or surgical supply store and ask them to demonstrate the different meters and tell you the advantages and disadvantages.
• Don't, don't, don't trade your meter for a new meter just because you're told the new meter will be "free." Ask your diabetes team if the trade would be a "good deal" for you.

by Tessa G. Lebinger, M.D.