Lancing devices and lancets often go unexamined. People tend to use whatever comes with their glucometer. It doesn't have to be this way. You can choose the combination that works best for you.
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But checking your blood this way is often painful and unpleasant. In the quest to help you reduce this discomfort, we looked at 10 sets of lancing devices and lancets available from 9 different manufacturers.
Poking your finger to check glucose levels is an integral part of daily diabetes management. Even people using continuous glucose monitors (CGMs) need to check and calibrate to a fresh drop of blood from time to time.
One of the earliest lancing devices was nicknamed the Guillotine. It was a large, spring-loaded device with the lancet and its needle fully visible as it moved down its track toward the fingertip. Thankfully, today's lancing devices conceal the lancet needle, making the process less scary, and accidental sticks less likely.
Not all lancets look the same. While the shape and function of lancets don't vary much, some manufacturers produce lancets in a rainbow of colors. This adds a little bit of fun to an otherwise un-fun task. Some people with children with diabetes comment in product reviews that having the colors to focus on makes the entire process less distressing for their child.
Most lancing devices have an adjustable setting to determine the depth of the jab. The depth is measured by the number of millimeters the needle penetrates the skin. While the depth settings don't strictly correspond with the actual depth in millimeters, they're set up so that the lower-numbered depth setting is shallower, while higher numbers mean a deeper jab.
Nearly all lancing devices ' with two notable exceptions in our roundup ' tend to use the same type of spring-loaded mechanism to push the lancet needle into the skin.
Lancet needles come in a variety of widths, which are measured in gauges (G). The finer and narrower the needle, the less painful it is to use. Oddly, higher gauge numbers indicate finer and narrower needles, while lower gauge numbers indicate heavier, thicker needles. So a 33 G lancet is thinner and more desirable than a 30 G lancet.
Lancets come out of the package with a cover over the needle tip, which you need to remove before use. Once you insert the lancet into the lancing device, there's a safety cover that keeps the needle sterile and helps avoid accidental jabs.
Generally, lancing devices for diabetes all look very much the same. The devices are small tubes that launch a small needle known as a lancet into the skin to make a puncture that produces a drop of blood.
Because the price paid can be so variable, we've included the list price found on the manufacturer's site and rounded up to the next full dollar. When a manufacturer didn't list a price, we used the approximate retail price found on Amazon.
The actual price you will pay for a lancing device and lancets will depend on your insurance, whether you use a manufacturer's discount coupon, and whether you can find other discounts.
We selected our best lancing devices based on the following:
Features:
Needles: fine gauge (30 G) needle with a bevel-cut edge
User feedback: rated highly on Amazon, gaining 4.7 out of 5 stars; one user did point out that they didn't like having to manually advance to the next needle after each use
Price: lancing device: $13; lancets (102 count, 17 drums of 6): $15
Where to buy: your local pharmacy, Amazon, or directly from Accu-Chek
The lancing device looks like a thick, retractable pen with a button at one end and the cap at the other. This is the most common design for lancing devices.
What is uncommon is how the lancing needles are packaged. They come in a self-contained drum of six. This design removes the need to touch or see the needles. And it means that you can test throughout the day without having to insert a new lancet each time.
This is a proprietary design that makes the FastClix incompatible with lancets from other manufacturers.
Features:
Needles: 28 G
User feedback: rated highly on Amazon, with 4.6 out of 5 stars; comments say the device worked as expected
Price: lancing device: $12; lancets (200 count): $25
Where to buy: your local pharmacy, Amazon, or directly from Accu-Chek
This lancing device looks exactly like the Accu-Chek FastClix and functions in the same way and has the same features. Where it differs is that it uses single-use lancets instead of the multi-use drum.
Features:
Needles: 30 G and 33 G
User feedback: overall rating on Amazon is very high, with 4.6 out of 5 stars
Price: lancing device: $17; lancets (33 G, 100 count): $12
Where to buy: your local pharmacy and Amazon
The OneTouch Delica Plus lancing device is a smaller and shorter tube than many other devices. The launch mechanism is a button on the side of the device, and the depth level is set using a wheel at the back end of the tube. It only uses the compatible lancets made by OneTouch, but they're available in both fine and extra-fine gauges.
Features:
Needles: 28 G
User feedback: has an overall rating of 4.5 out of 5 stars on Amazon; several users complain that their lancing device broke easily, and one user says the small size made the lancing device difficult to use
Price: lancing device: $13; lancets (200 count): $17
Where to buy: your local pharmacy, Amazon, or directly from Abbott Diabetes Care
This device clocks in at just under 3 inches long and is shaped somewhat like a cigar. It also seems to be one of the simpler designed devices. It uses a sliding tab on its side to cock the lancet needle and a button below to launch it. The lancets themselves are single use and are a standard square-bottom design, so they're compatible with a variety of devices from other manufacturers.
Features:
Needles: 28 G
User feedback: rated highly overall on Amazon, with 4.5 out of 5 stars; users comment that the lancing device worked as expected, and some remark that the rainbow-colored lancets provided a nice distraction from an otherwise tedious task
Price: lancing device: around $15; lancets (100 count): around $10
Where to buy: your local pharmacy or Amazon
The Microlet Next is a tube-shaped lancing device with the launch button on the side and a sliding tab for ejecting used lancets. Pulling the back end of the tube cocks the lancet for launch. But it is the lancets that truly bring some delight: They come in a rainbow of colors.
Features:
Needles: 32 G at the base and tapered down to 36 G at the tip
User feedback: rated 4.4 out of 5 stars on Amazon; users comment that they liked being able to give their fingertips a break, and parents can check their child's blood in the middle of the night without waking them; one user points out that there is a learning curve, saying you have to hold the activation button down and wait for the vacuum to release
Price: lancing device starter kit (six contact tips, two nozzles, a travel organizer pouch, and a few lancets): around $89; Butterfly Touch lancets (300 count): around $24; replacement contact tips (6 count): around $15; replacement nozzle (2 count): around $15.
Where to buy: Amazon or directly from Genteel
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The Genteel Plus lancing device is unique in look and design. In fact, it looks like something out of a movie.
Instead of plunging the lancet needle into the skin, when the activation button is pushed, a vacuum is created in the tip, drawing the skin up toward the lancet. This creates separation between the layer of skin where the blood capillaries are and the nerve endings. When the lancet is released, it punctures the skin without reaching the nerves, avoiding causing pain.
The Genteel Plus makes it possible to avoid finger pricks sometimes (or altogether). You can choose to draw blood from your abdomen, thigh, the base of your thumb ' really anywhere on your body.
The Genteel Butterfly Touch lancets also have a unique tapered design. They measure 32 G at the base and taper to 36 G at the tip. This design minimizes the lancet's vibration as it enters the skin and reduces or eliminates pain.
Features:
Needles: available in 30 G and 33 G
User feedback: overall rating of 4.6 out of 5 stars on Amazon; one user mentions having to remove the tip to reset the spring in the lancing device.
Price: lancing device (includes 100-count 30 G lancets): around $13; lancets (30 G, 300 count): $9; lancets (33 G, 100 count): $6.
Where to buy: Amazon or directly from CareTouch
The CareTouch Lancing Device uses the standard tube design with the trigger button on the side. The depth level is set by twisting the tip. The lancets are gamma sterilized, latex-free, and come in rainbow colors.
Features:
Needles: 30 G and 28 G
User feedback: highly rated on Amazon with 4.7 out of 5 stars; one user mentions that it did take some pressure to get the needle to release, but once it did they didn't feel any pain at all; another mentions liking that the Pip is self-contained so they felt comfortable carrying the used lancets until they could get to a sharps disposal container
Cost: starter kit (includes carry case, 50 lancets ' 30 of the primary size selected + 10 each of the other two sizes): $10; lancets (100 count): $18
Where to buy: Amazon or directly from Pip
Pip looks more like a small tube of lip gloss than a lancing device. Completely self-contained, each Pip lancing system is less than 2 inches long, making it super easy to carry around.
To use it, twist the top off, press the tip against the finger, and the needle is triggered. Once the skin has been jabbed, pull the Pip away from the skin, replace the top, and dispose of it properly. This system works well for people with limited dexterity.
Being self-contained also means that the puncture depth and needle size are fixed. The manufacturer provides three color-coded options for needle size and depth. The blue Pip is a 30 G needle that goes to a 1.0 millimeter (mm) depth. The purple Pip is a 30 G needle at 1.6 mm depth. And the orange Pip is a 28 G needle at 1.8 mm depth.
50 Pips come in the starter kit: 30 are in the size and color the user chooses, plus 10 each of the other two sizes.
Features:
Needles: 30 G
User feedback: overall rating of 4.4 out of 5 stars on Amazon; some users complain about the cap popping off the lancing device or breaking
Price: lancing device: around $11; lancets (30 G, 100 count): $6
Where to buy: Amazon
A traditionally designed tube-shaped lancing device, the Autolet has a spring-loaded mechanism that's primed when the lancet is inserted. No need to pull a lever or push a tab.
It's most unique characteristic is something called Comfort Zone technology. The Autolet has eight raised pressure points on the tip. The user rubs their fingertip on these points before triggering the lancet. This reportedly stimulates comforting signals to the brain, countering any pain that might otherwise be felt.
Features:
Needles: 30 G
User feedback: overall 4.6 out of 5 rating on Amazon
Price: lancing device starter kit (includes 100 count, 30G lancets): around $10; lancets (30G, 100 count): around $8
Where to buy: Amazon or directly from AUVON
Another traditionally designed tube-shaped lancing device, the AUVON is one of the less expensive options.
In addition to its design to minimize vibrations and oscillation while lancing, the AUVON also has a rough surface near its tip for the user to rub their finger on. Doing this draws blood toward the surface, making it easier to get a sample without having to go deeper and eliminating the need to squeeze the finger. This means less pain in the short term and less nerve damage in the long term.
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