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Works excellently. I purchased it for the purpose of measuring blood ketones for reference on the ketogenic diet. Easy to understand--assuming one is willing to spend ten minutes reading the informational piece. Efficient, and I'm glad to have invested the money.
I do not use this meter to test my blood glucose levels but only for testing blood ketone levels. For testing ketones It seems to require a little larger drop of blood than what my glucose meter requires. The results are displayed quickly. The main problem with this meter is that the testing strips for testing ketone levels are very expensive, so I don't use it very often. If you shop around on the internet you can find some strips for less, but never cheap. I am please with the results from this meter.