A Verio Pro, yesterday

How come I’m testing and reviewing?

After spotting an advert in Balance, I called Lifescan to blag a new OneTouch Verio Pro to test out. From the advert it seemed like a very, very slimmed down version of the Aviva Expert and it claimed to be able to spot patterns of high and low readings and to make suggests if dosages needed altering.

There was also mention of its “GlucoFilter” which “corrects for the presence of certain substances that, when present at therapeutic levels, commonly interfere with accurate BG results, such as paracetamol and Vitamin C.” That’s all new on me but I thought I’d give it a go…

In the box

The meter arrives in the usual shiny box and inside is the meter itself, a pack of ten test strips, the OneTouch Comfort finger-pricker with stabby things, black carry case roughly 17cm by 10cm, control solution, plenty of leaflets and a manual the size of a small novel.

The meter

Sized 57mm x 88m (roughly twice the size of the Accu-Chek Aviva Nano) with three buttons on the front and a slot at the top for the test strip. The display is very clear and similar in shade to a generic e-book reader with the added benefit of being backlit for the dark. Although I always have issues when testing in the dark with actually getting the blood that’s slowly coming out of my finger onto the strip.

One huge plus is that it takes 2 AAA batteries to power it.  The big issue with my current, favoured, Aviva Nano is the use of flat CR2032 batteries that aren’t cheap to replace. Be aware though it’s not possible to use rechargeable batteries in the meter, according to the hefty manual.

The stabber

I cannot emphasise enough how impressed I was with the blood extractor. It is easily the least painful pricker I’ve used, although the needles aren’t as hard-wearing as my previous Multiclix so will not be suitable for those that replace their lancets less frequently.

In use

The test strips need blood applying from the side, which is different for me but it just might be I’ve not come across that style of strip before [Abbott's FreeStyle Lite also has sideways strips - Tim]. The strips need 0.4 µl of blood, which isn’t too bad and results are returned in 5 seconds after a countdown on the display.

The brains

The data analysis is where I had really high hopes for the Verio Pro and I was maybe a little over-optimistic in what I believed it could offer me. It comes with average analysis scores over 7, 14 and 30 days. Results can be tagged as before-meal, after-meal, fasting or bedtime.

The highly promising trend analysis looks at your BG and will display a message depending on whether it spots patterns in your BG. The lower limit of the acceptable range is set at 3.8mmol/L but the upper pre-meal limit is changeable depending on your own targets.

A low pattern message will appear when you get a ‘low’ (under 3.8) BG on any 2 days within the same 3 hour period over the last 5 consecutive days.

A high pattern message will appear when you get a ‘high’ BG on any 3 days with the test tagged as pre-meal within the same 3hr period over the last 5 consecutive days. This only works for pre-meal tagged tests.

That’s it. No more analysis given, which is a great shame. There’s obviously potential here but the inability to add insulin or notes for exercise, etc., means that the 1,001 other variables can’t be spotted to help you work out what’s really causing the lows or highs apart from insulin dosage. The fact that the high analysis only works when the test is tagged as pre-meal removes the potential to analyse for insulin effectiveness, say, two hours after eating.

Overall

It does seem a nice tidy meter but I’m not sure it’s offering much over a pen and paper. The fact it looks at 5 days of data is the most useful point but for me the variables outside of insulin dosage are too significant for me to base dosage adjustments purely on 2 tests from 5.

The added promise of the Glucofilter mentioned in the marketing blurb is maybe something I’ve never noticed before.  Whilst just scanning through the manual now to try and find another mention of it, and failing, I came across a description of the ‘Extreme Low’ warning.  This will display when the result is below 1.1mmol/L.  Now it might just be me, but if I was still conscious at 1.1 I’m not sure the message, if my eyes were functioning well enough to read it, would be enough to convince me I need to get carbs fast anyway.

In summary I’m afraid that for me it’s gone back in the box as a useful reserve that I don’t think will ever turn into my regular meter. Sorry OneTouch.

Obviously I’m only one user so others my find it very useful and with further use it may become more beneficial but not for me.

However, GET THE PRICKER and a hefty supply of sharps and your digits will love you forever more!

Check out the manufacturer’s website here: http://www.lifescan.co.uk/ourproducts/meter/one-touch-verio-pro

An Accu-Chek Mobile blood glucose testing meter, yesterday

A gnomish review of an innovative device.

What’s in the box?

The device comes in the standard sort of meter packaging, a windowed box which displays the meter.  Inside is the meter, of course, a separately packaged test cassette, a lancet cassette for the FastClix finger stabbing device, and half a rainforest.

Actually, the half a rainforest is mainly made up of an excellent handbook (239 pages) that tells you all you need to know about setting up your meter for the first time (practically nothing), and starting to use it.  The rest of it consists of a quick reference guide, a card you can send off to get the carry case of your choice, a welcome pack containing registration cards and a card to hand to your GP or DSN, so you can change your repeat prescription to cassettes and FastClix cartridges.

All very glossy, well presented, and pretty comprehensive, such a pity all my communications with Roche are via the internet, but at least it’s all recyclable.

The Meter

When you finally get down to looking at the meter itself, apart from the fact that it’s big and black with a snazzy silver fascia, the first thing to strike you is the slider that covers the test area, rather than an open slot for inserting strips.  Not only does this protect the innards of the meter from pocket and bag fluff (possibly even belly button fluff, but we won’t go there!), opening it will switch the meter on and move a test patch into place ready to test.

There are still the usual three buttons on the face of the meter, but these are more to do with menu selection than testing.  In this respect the device bears much more resemblance to a mobile phone than its predecessors do as all the settings are accessed by a simple menu system.

There are many settings to play with too, results can be flagged, reminders set, and target ranges set, plus display brightness as well as the usual time and date settings.  None of this is beyond the capabilities of anyone that can use a cell phone, but it is a step up from the average meter.

On the other hand, you can ignore all the bells and whistles, just drop in a cassette, and trot off into the sunset.  It’s a nice piece of kit with the feel of quality one would expect from Roche products.

Setup

Setting up couldn’t be easier, open the slider, open the cassette door, and drop in the cassette.  Close the door and the slider and you’re ready to test.  Pop the lancet cartridge in the finger stabber and you’re loaded for bear!  Time and date are preset, so there’s no need to change them.

Use

Open the slider, just be a little bit careful not to snag the tape, the meter switches on, checks the display, announces the number of tests available, and moves a test patch into position before telling you it’s ready, all this is remarkably quick.  Inflict the usual gratuitous violence on your selected finger, and touch the patch on the cassette to the resultant gob of gore, uptake by the tape is almost instantaneous.

In five seconds or less you’ll have a result.  Close the slider, and the meter will switch off after displaying the result, telling you how many tests you have left, and winding the used test patch into the cassette.  Job Done!

I have to add, that this meter takes all the fiddlyness out of testing, it’s just a case of set the finger stabber, switch on, test, switch off.  You can probably do it almost as quickly as you read my description.

For the Geeks

Downloading data couldn’t be simpler; all you need is an infra-red connection.  Users of the Roche software (Accu-Chek Compass or Accu-Chek 360°) will have one anyway.  If you just have an infra- red connection and no software, this meter can export the data as a comma separated (CSV) file that can be imported into a spreadsheet or word processor.  This file includes the download date, download time, and the serial number of the meter.

Conclusion

This is a really good piece of kit, whilst it might not be the meter of choice for some of us that like our meters to be small and sexy, (like Tim) I like it.

It’s a natural step up from the ease of use of the Accu-Chek Compact Plus.  Fifty tests on a cassette, six lancets in a cartridge, and no need to touch a single test strip or a lancet.  Add to that the fact that both items can be dumped in the household rubbish after use, and you begin to realise testing can’t get any easier or quicker than this.

I have no hesitation in recommending the Accu-Chek Mobile to everyone.  (My cheque from Roche is in the post they tell me? [You wish - Tim])

Results

Sample size: > 5/5
0.3µl (approximately)

Test time: > 4/5
5 seconds (approximately)

Test strip calibration: > 5/5
None required, the cassette has an RFI chip that calibrates the meter automatically.

Test strip slurpiness: > 5/5
Mega slurpy, almost instantaneous vampiric uptake.

Memory: > 5/ 5
500 tests with averages available for 7, 14, and 30 days.  It is also possible to set up to ten reminder times

Sexiness: > 2/5
About as sexy as a house brick, perhaps ‘butch’ would be a better description. 2

Beeping:  > 4/5
Switchable

4am test:  > 3/5
There is no backlight, but the figures are very high contrast, bright fluorescent yellow on black.  Whether ‘tis is enough to protect the device from fits of hypoglycaemic rage remains to be seen.

Overall: An excellent meter, the one all new meters will have to look up to! 33/40