When I first moved back to New Zealand after seven years in the UK, I had a sexy little meter called a Freestyle – an Abbott product. It was tiny, quick, reliable and had little pottles of test strips.
Then, I realised the Freestyle test strips weren’t subsided here, so I moved on to the Optium Xceed, which seemed to be the only half decent tester out there at the time. I really didn’t rate the Xceed. It took longer to count down, required a far heftier drop of blood, and I couldn’t be faffed with unwrapping the strips from the silver foil every time I did a test, plus having to dispose of the foil and the strip. High maintenance!
So, when the Accu-Chek Performa came out in all its streamlined glory, I was all over it. Nicer carry case, faster to count down, a neat little pottle of strips and small amounts of blood required. That’s a bit of me.
I did notice in my transition though that the calibration was quite different. I’d read a few things saying that the Performa had come under a decent amount of criticism because it measured BGs slightly higher than they were, which made it dangerous for when you were hypo because you’d test and the numbers would be ok. However, whatever the case is, and if I did go through a period of adjusting my blood sugars down slightly, it all seems fine to me now.
Then – recently (well a few months ago now, have been meaning to write about this for a while) Optium Xceed lifted its game. Fancy new strips in smaller foil cases (but still the silly foil cases, gah) which require less blood. Ahhhh – I sense a leveling of the playing field. Then, they took the leveling and raised it one – by getting their ketone strips to also fit the Xceed meter. No more messy number 1s and dipping to see if you’ve got ketones. I see what you’ve done there, Abbott!
This was enough to inspire me to get my hands on a packet of these new strips and try them out for myself, given that I’ve an Xceed still sitting at work for when I go into meetings. I was all prepared to change my mind again and go back, hat in hand to my Xceed – but I haven’t. I have to say the foil wrappers just make it too much of a hassle for me, and I still think you need slightly less blood for the Performa.
Finally (and sorry, this post is getting very long) – I see in the latest Diabetes Auckland magazine – the Freestyle has now hit the NZ market in the form of the Freestyle Lite. Medica Pacifica are doing free upgrades if you swap for an opposition meter (call them on 0800 106 100), or Diabetes Auckland are selling them (Members – $15, non members $18). Get in there! I remember my first meter (The Glucocard II) costing my parents something crazy like $200. Now they’re $15! There’s hope for insulin pumps yet.
One more thing (I know, you’re not supposed to say that after saying ‘finally’) – I have just been told also that in October there is a new, sassy meter out which is an upgrade to the current Performa. See it here – it’s called the Accu-Chek Aviva Nano and uses the same test strips as the Performa so will still be subsided. Nice to have some choice!
EDIT: I happened to be meeting with a rep from Medica Pacifica today and she has given me a Freestyle Lite – I’ve not had time to get a script for the strips yet but have ten in my starter kit so will at least get into them…. the best part about this little meter is the button you can see at the bottom which is not only a backlight for the screen but shines a light down the strip and onto your finger – no more fumbling about in the movies using my mobile phone to see where the blood is on my finger. Sweet!
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Sianne wrote
Hi Nic
Been meaning to email you re this. I did mention on the weekend to Justin that you might be interested in the freestyle lite for all the things you mentioned
I.e. the backlight and the strips being in a pottle. Didn’t know the light shines down the strip which should be great as I was in the movies on Sunday night and wanted to test my BG’s with my optium and wasn’t easy.
The Optium definitely requires more blood than the Accu-chek. Would love to know how much blood the freestyle requires.
Only downside I see to the freestyle is it can’t do ketones
Also ketone strips are now funded – 2 boxes a year
Nic wrote
The Freestyle Lite needs a reeeallly tiny amount – awesome! 0.3 microlitres.
Accu-chek Performa and Optium Xceed are both 0.6 microlitres.
(had to laugh that you obviously know what I like in a meter, I must have been banging on about it a lot on the blog!)
Aaron wrote
This is great news! As you can all tell I don’t particularly rate either of the current options!
I like the design of the Xceed and think that it is generally quite accurate but it uses a lot of blood which it take up slowly and that puts me off that meter so I don’t use it (ketone testing or not ketone testing). The accu-chek performa on the other hand is quick and uses a tiny amount of blood but I swear that it is inaccurate. I just did a test for lunch and got 15.5mmol/L then did it again and got 11.mmol/L!!! 10% my proverbial. I heard from someone in the know the other day that current testers are up to 18% inaccurate which is not cool.
I’m definitely going to give the new ones a go and see how they compare to each other in the same way that I did with pumps before I found one I felt suited me the best. The national Diabetes Youth conference that Nic and I are going to in a couple of weeks will also be a good forum for discussion with the pharmacy companies so we’ll be sure to ask the tough questions – call me Mike McRoberts! Or the guy from Fair Go/Target.
Nic wrote
I think it would be funnier if you interviewed them in a Bruno style.
Kathy Scott wrote
Hi there,
One of the things that bothers me about having a big choice of meters is that the HPs often have a favourite and will only ‘accept’ readings from that one. I’ve had that in the distant past and it was an absolute pain. I understand that it is already an issue in some centres now. I have 3 meters – an Accu-chek performa at home, and 2 Xceeds, one in my gym bag and one in my handbag. I went to the lab. the other day for my 6 monthly tests before my clinic appointment and dutifully did a test on all three meters, the Performa said 5.3 mml/l one Xceed said 5.5 mml/l and the other one said 6.8mml/l. It will be interesting to see what the lab. random glucose reading is. I’m not sure that I’m looking forward to finding out what my HbA1c is – I also get my first reading with the new scale.
An interview would be great! I look forward with great anticipation!
Kathy.
Nic wrote
Hmmm, I like the idea of doing a test on three meters at once – I now have an Xceed (at work), a Performa (I carry it around with me 24/7) and the new Freestyle Lite (currently not in full use as the starter kit comes with just 10 strips and I’ve only got a couple more strips left til my next appt in ten days). Might have to try that out at work on Monday (heck, I’ve got enough holes in my fingertips already, what’s a few more).
The good thing about the Freestyle Lite from a ladies’ point of view is that it’s so tiny it takes up a lot less space in any sort of small bag you might want to take out at night – hurrah for that!
Alison wrote
How does the Freestyle Lite compare with the Accu Chek Nano in size? I have an Accu Chek Nano and its great having such a small meter.
The freestyle light sounds great – that it lights up the test strip at night.
I bought an Accu Check Nano in the UK (the regular one was about 14 pounds, the nano less than 15 pounds!).
When I got back to NZ I rang Accu Chek to see if the same meter is available here – they traded in my UK Accu Chek for the NZ version. I can’t believe the Accu Chek Nano costs $80 here!
I have an old spare Optium meter (not the Xceed) and rang Medica Pacifica to see if I could swap it but they will only swap certain meters. I am nervous to buy the Freestyle Lite in case its lots bigger than the Accu Chek Nano. Although if theres not much difference it could be a trade off as the smaller sample and the light on the test strip sound great.