Managing blood sugar is crucial for individuals with diabetes or those tracking their metabolic health. In Australia, the top options include finger-prick devices and continuous glucose monitors (CGMs). Here's a quick rundown of the best tools available:

• Finger-prick devices: Affordable and accurate for occasional checks. Examples: Accu-Chek Guide, Contour Next One.
• CGMs: Provide continuous tracking and trend alerts for intensive management. Examples: Dexcom G6, FreeStyle Libre 2, Guardian Connect.‍
• Hybrid options:Vively combines CGM sensors with nutrition coaching for holistic health insights.

Quick comparison

Key takeaway: Choose based on your needs – occasional checks (finger-prick), continuous tracking (CGMs), or added health insights (Vively). Cost, accuracy, and ease of use vary, so weigh these factors carefully.

1. Dexcom G6

The Dexcom G6 delivers a 9% MARD accuracy compared to the FreeStyle Libre 2's 9.3%.

With automated connectivity, the Dexcom G6 eliminates the need for fingerstick calibrations. It sends readings directly to a smartphone or receiver and offers customisable alerts, including a mandatory urgent low warning for added safety.

For Australians managing type 1 or type 2 diabetes, the Dexcom G6 provides proven clinical benefits, such as reducing A1C levels and increasing time spent in the target range. Approved for users as young as 2 years old, it is also safe for pregnant women.

The transmitter is priced at approximately $300, while a three-pack of sensors costs around $400. This balance of cost and performance makes it a strong option for users looking for a reliable system.

The Dexcom G6 is particularly suited for individuals who:

• Need continuous and precise glucose tracking
• Use insulin pumps, benefiting from seamless integration
• Want to share data with healthcare providers or loved ones
• Wish to avoid routine fingerstick tests
• Feel comfortable using digital tools for health management

Additionally, the G6 maintains its accuracy even when acetaminophen is used. However, it is not recommended for individuals on dialysis or those in critical care.

2. FreeStyle Libre 2

The FreeStyle Libre 2 is designed to combine reliable performance with ease of use, making it a practical choice for Australians managing diabetes.

Research shows it performs well during moderate-to-rapid glucose changes. For instance, when compared to devices like the Dexcom G4 Platinum, the FreeStyle Libre 2 proved effective in managing glucose fluctuations.

Cost is an important factor for many users. Each sensor is priced at $102.00. However, NDSS-eligible users can access it for just $15 per 14-day box. Additionally, the Subscribe and Save program provides a 20% discount for those not eligible under NDSS.

The system's ability to deliver readings through both the FreeStyle LibreLink app and a dedicated reader adds flexibility. Combined with its extended sensor life and affordability, the FreeStyle Libre 2 stands out as a reliable choice for continuous glucose monitoring.

3. Guardian Connect

Guardian Connect is another option in the continuous glucose monitoring (CGM) market, designed for people managing diabetes with multiple daily insulin injections. It stands alongside other well-known systems like Dexcom G6 and FreeStyle Libre 2.

Clinical studies show the system's sensor readings have a 10.9% mean absolute relative difference, with 87.8% of readings falling within the ±20% clinical range. These numbers place Guardian Connect among the top CGM options in Australia.

Cost breakdown

For Australian users, the cost is a key factor. The initial setup includes a transmitter priced at around $950, plus $250 for a pack of five sensors and $50 for a charger. On average, the system costs $3,600 annually, or approximately $300 per month.

Important usage tips

To get the best results, place the sensor on the abdomen or the back of the upper arm. Avoid using medications like acetaminophen, which can interfere with readings, and steer clear of extreme temperatures (below 10°C or above 40°C) or high humidity.

Guardian Connect’s customisable predictive alerts set it apart from other CGM systems in Australia. However, there are some limitations. It’s only approved for users aged 14 and older (with the Guardian 3 sensor) and is only partially water-resistant.

Additional features

The system allows data sharing with up to five care partners through the CareLink platform, promoting teamwork in diabetes management. Even without predictive alerts, it achieves a 90.5% hypoglycaemia detection rate, which jumps to 98.5% when 30-minute predictive alerts are enabled. This makes it a practical tool for users who need precise glucose monitoring throughout their day.

4. Accu-Chek Guide

The Accu-Chek Guide is well-known in Australia for its precise readings and simple design. Clinical studies confirm it delivers 100% accuracy for critical low glucose levels below 4.17 mmol/L.

Accuracy and testing features

This system offers "10/10 accuracy", meaning 95% of glucose readings are within ±0.56 mmol/L of lab reference values for levels under 5.6 mmol/L, and within 10% for higher readings.

Pricing in Australia

Here’s what Australian users can expect to pay:

• Meter unit: AUD $59.95
• Test strips (100-pack): AUD $58.00 (regular price: $72.50)

Smart Features and Design

The device comes with a spill-resistant vial, making strip handling easier. It also includes a bright port light and a backlit display, which are especially useful in low-light settings.

The meter also identifies blood sugar patterns and trends, while its Bluetooth connectivity allows easy sharing of data via the MySugr app. However, some users have reported occasional Bluetooth pairing issues and errors with strip insertion.

Beyond its usability, the Accu-Chek Guide offers features tailored for diabetes management. Users can set target ranges, add test markers and notes, and receive alerts for patterns. Its wide dosing area and strip ejector button make testing more convenient, especially for those who test frequently.

5. Contour Next One

Contour Next One stands out in Australia for its high accuracy and practical features, making it a reliable choice for those managing their glucose levels. Clinical studies highlight its strong performance, showing a lower mean absolute difference (MAD) from reference values compared to other blood glucose monitoring systems.

Accuracy performance

In the low glucose range (<3.9 mmol/L), Contour Next One showed impressive accuracy with a MAD of just 0.11 mmol/L, surpassing several competitors:

Smart technology features

Contour Next One is packed with features designed to make glucose monitoring easier and more efficient:

• smartLIGHT technology: Provides colour-coded feedback – green for target, amber for high, and red for low.
• Second-chance sampling: Gives users an extra 60 seconds to apply more blood if needed.
• Fast results: Delivers readings in just 5 seconds.
• Bluetooth connectivity: Automatically syncs with the CONTOUR DIABETES app for seamless data tracking.

These features, paired with its affordability, make it a strong contender in the Australian market.

Australian pricing structure

Contour Next One offers competitive pricing in Australia:

• Basic kit: AUD $19.99 at Blooms The Chemist.
• Bluetooth monitoring system: Around AUD $42.54 from select online retailers.
• Flexible payments: Blooms The Chemist provides 4 interest-free instalments of AUD $5.00.

The basic kit includes a glucometer, lancing device, 5 lancets, a user guide, a quick reference guide, and a carry case.

Clinical validation

Clinical studies confirm that the Contour Next One achieves the lowest mean deviation (MAD/MARD) among its competitors and meets ISO 15197:2013 standards.

6. Vively CGM Program

Vively combines continuous glucose monitoring with personalised nutrition coaching, specifically designed for users in Australia. While it uses continuous monitoring like other top devices, Vively adds a layer of value through integrated health coaching.

Technology and monitoring system

The program uses Abbott FreeStyle Libre sensors to provide real-time interstitial glucose data through its app. This data helps users understand how their diet, exercise, sleep, and stress levels affect their glucose levels.

Features overview

Vively offers a range of tools and resources:

These features are designed to meet the needs of various users through flexible membership options.

Subscription options

Vively’s subscription plans combine advanced technology with lifestyle coaching, offering a practical solution for managing diabetes.

Clinical impact and user feedback

With over 12,000 members, Vively has made a notable impact. One user shared:

"I had considered just buying the CGM and using the freestyle libre app directly, but vively is definitely worth it for all the scientific context and data integration it provides.

Cost comparison

Using a CGM without a membership can cost over $2,000 annually. Vively's plans are more affordable and include free shipping with every purchase.

Australian market focus

Vively stands out in the Australian market by offering:

• Local customer support and adherence to Australian healthcare standards
• Compatibility with fitness wearables for all-in-one health tracking
• Easy-to-understand glucose data analysis without requiring expensive appointments

With its mix of technology, coaching, and accessibility, Vively is a strong choice in Australia’s glucose monitoring market.

Key features comparison

Here's a breakdown of how Australia's top CGMs and traditional glucose meters stack up.

Accuracy and reading frequency (CGMs Only)

Note: Traditional meters depend on finger-prick testing.

Cost comparison (Annual)

This comparison helps users weigh performance against costs to find the most suitable option for managing glucose levels effectively.

Feature analysis

How CGMs differ from traditional meters:

These differences highlight the added convenience and functionality that CGMs offer compared to traditional methods.

Recommendations by user type

Here’s a breakdown of the best glucose monitoring options based on specific user needs.

For athletes and performance-focused individuals

Athletes can rely on devices like Dexcom G6 and FreeStyle Libre 2 to track glucose levels in real-time during workouts. Studies indicate that while these tools are helpful for improving training and recovery, they should complement – not replace – an athlete's own body awareness.

For budget-conscious users

If you're looking for affordable options, traditional blood glucose meters provide dependable results without the high price tag of CGMs.

For metabolic health tracking

The Vively CGM Program goes beyond basic monitoring by combining CGM sensors with personalised nutrition coaching. It provides in-depth reports and insights for those aiming to fine-tune their metabolic health.

For Type 1 diabetes management

For managing Type 1 diabetes, the Dexcom G6 stands out with automatic readings every 5 minutes, customisable alerts, and easy data-sharing options.

For occasional monitoring

If you only need to check your glucose levels occasionally, traditional meters like Contour Next One or BETACHEK C50 are affordable and effective for periodic use.

‍Tip: Some health insurance plans may cover the cost of monitoring devices and supplies, helping to lower your expenses for regular glucose tracking.