The NDSS is administered by Diabetes Australia

Glucose monitoring

Monitoring your glucose levels gives you information you need to make decisions about managing your diabetes.

Ways to monitor glucose levels

Glucose monitoring shows you how insulin, food, activity, stress, and illness affect your glucose levels. It also lets you know when you need to take action to keep your glucose levels in your target range. There are three ways of monitoring glucose levels:

Glucose monitoring app

Continuous glucose monitoring (CGM)

CGM devices are small, wearable monitors that continually measure your glucose levels 24/7.

Blood-Glucose-Meter-Checking

Finger prick blood glucose checks

Finger prick blood glucose checks show you what your blood glucose level is at a single point in time.

Hba1c-Check

HbA1c check

An HbA1c check is a pathology blood test that reflects your average glucose levels over the past 10 to 12 weeks.

Continuous glucose monitoring (CGM)

CGM devices are small wearable monitors that keep track of glucose levels throughout the day and night.

CGM shows you your current glucose level, and whether it is steady, rising or falling, and how quickly. This allows you to make informed decisions about how to respond to your glucose level.

You can get alerts if your glucose level is outside your target range, or if a hypo is predicted.

This can help you manage diabetes more confidently during everyday activities such as eating out, exercise or travel.

Your diabetes health professional can help you decide which device best suits you and your lifestyle.

CGM devices measure glucose in the fluid between your cells instead of in the blood. CGM readings and finger prick blood glucose readings will often be different. The difference is because of the time it takes for the glucose to move from the blood and into the fluid between your cells. This can take 6-12 minutes, depending on your glucose level, and is referred to as “lag time”. You will see the greatest difference between these readings when your glucose levels change quickly.

The benefits of using CGM devices include continuous tracking and alerts. Learn more in our CGM fact sheet.

Finger prick blood glucose checks

You’ll need a blood glucose meter, blood glucose strips, a lancing device (finger pricker) and a lancet (finger pricking needle). Your diabetes health professional can help you decide which blood glucose meter is best suited to you.

You can use your NDSS card to access subsidised blood glucose strips from your local NDSS Access Point. This is usually your local community pharmacy.

You can also buy blood glucose meters, finger prickers, needles and sharps containers from your pharmacy.

All blood glucose meters store the readings in a memory. So, it’s important to be sure the time and date settings on the meter are correct.

If you prefer, you can write down your readings in a record book or use an app on your smartphone or device. This allows you to share your daily blood glucose patterns with your diabetes health professional.

How to check for ketones

Your diabetes health professional will recommend you check for ketones when your blood glucose level is above your target range or when you’re unwell. There are two options:
  1. Blood ketones using a compatible blood glucose meter and blood ketone strips you purchase from your pharmacy. 
  2. Urine ketones using urine ketone strips (subsidised through the NDSS).

HbA1c check 

The HbA1c test is a way of checking how your diabetes is going overall. 

The HbA1c test measures the amount of glucose that is stuck to the red blood cells. The more glucose in the bloodstream, the more it sticks to the red blood cells. This causes the HbA1c result to be higher. As the red blood cells live for an average of 10 to 12 weeks, your HbA1c reflects your average blood glucose levels over that time.

The lower the blood glucose levels, the lower the HbA1c. If your blood glucose levels are in your target range, your HbA1c will likely be in your target range too. 

If your HbA1c is above your target range, you are at a higher risk of developing diabetes-related complications.

Your doctor will usually request this test for you every 3 to 6 months. Always ask your doctor for your results and discuss what you can do if your HbA1c is not in your target range.

The general HbA1c target for people with type 1 diabetes is 7% (53 mmol/mol). Sometimes this target may be higher or lower depending on your personal circumstances or other health conditions.

You and your diabetes health professional will set a HbA1c target that is right for you.

How often should you check your blood glucose?

How often and when to check blood glucose levels is different for each person. Your diabetes health professional will help you decide when the best times are for you to check.

The usual times to check your glucose levels are:

  • before meals to help you decide your insulin dose
  • after meals to see if you need more or less insulin
  • overnight to check if your glucose levels are outside your target range.

There are other times that it might be recommended to check your glucose levels:

  • before bed
  • before, during, and after exercising
  • before driving and every 2 hours during long driving trips
  • if fasting for religious or cultural reasons
  • if you’re feeling unwell or having a medical procedure
  • if you feel like your glucose level is too low (hypoglycaemia or hypo) or too high
  • if you’re unsure of your sensor reading.

There may be other times that your diabetes health professional recommends you check your blood glucose levels as part of your diabetes management plan. Your blood glucose readings can help you make decisions about managing your diabetes.

General guide for blood glucose target ranges

When you wake up:

4-7 mmol/L

Before meals at other times of day:

4-7 mmol/L

2 hours after the start of a meal:

5-10 mmol/L
Check-your-blood-glucose

Your diabetes health professionals can help you decide if CGM is right for you. They will work with you to choose the right device for your lifestyle and diabetes management.

CGM devices are great tools to help you manage your diabetes. Work with your diabetes health professional to get the best out of using your device.

Find out more

  • Download our Compatibility chart to find out more about compatible CGM devices and insulin pumps.
  • Go to ndss.com.au or call NDSS Helpline 1800 637 700 for more information.

Where to get diabetes supplies

The NDSS is an initiative of the Australian Government and is administered by Diabetes Australia.

The NDSS gives you access to subsidised diabetes products to help you manage type 1 diabetes. Go to these links for more information about subsidised products.

You can order your subsidised NDSS supplies at a NDSS Access Point (usually a community pharmacy).

To find a community pharmacy in your area:

Other supplies

  • Disposable pen device: This device is supplied with the insulin, when your prescription is filled at your pharmacy. An alternative is a reusable pen device supplied by a diabetes health professional or through your pharmacy.
  • Insulin: Insulin is supplied through the Pharmaceutical Benefit Scheme (PBS). Your doctor or diabetes a nurse practitioner will give you a prescription for insulin. Insulin will come in five boxes. Each box has 5 cartridges for a reusable pen or 5 disposable pens.

You can purchase products such as adhesive, wipes, patches, lancets, management diaries through your local pharmacy or online diabetes shop.

NDSS registration

  • Call the NDSS Helpline 1800 637 700 and ask to speak to a diabetes health professional about how the NDSS can support you.
  • Your NDSS registration gives you access information, programs, support services, and subsidised diabetes products through your local pharmacy. Go to ndss.com.au to find out how to manage your NDSS registration.
  • Sign in to My NDSS to access the support that is available to you and your family.

Disposing of your sharps safely 

You will need to dispose of your used syringes, pen needles, lancets, CGM sensors, and used insulin pump cannulae and inserters in a safe way.

To avoid a needle stick injury, make sure your sharps are disposed of in a strong, plastic, screw top container that’s puncture proof.

You can purchase an Australian Standard Sharps container, or you can use a strong plastic container with a tight-fitting screw top lid such as a bleach bottle.

Avoid using thin plastic containers that may be pierced, glass, cardboard, or aluminum containers as they’re not puncture or shatter proof.

Only put sharps in your sharps container.

Used wrappings or paper waste can be safely disposed of in your household garbage bin.

When your container is full, seal the lid firmly and take it to your local sharps disposal site where it will be incinerated. This may be at your local hospital, council, or pharmacy.

Last updated: May 2025