Reported Reactions

Devices › Glucose dehydrogenase, glucose

Device brand name · Blood glucose monitoring test strips

Accu-Chek Guide: medical device reports filed with FDA

772 reports name it, 2019–2026. Manufacturer given most often on reports: Roche Diabetes Care. Product code LFR.

772
device reports naming the brand
0% of all MAUDE reports · about 103 a year
365
reports, 12 months to August 2026
300 in the 12 months before
94.3%
classified as malfunction
93% across the product code
0%
classified as death, as reported
0 reports · not verified by FDA

772 medical device reports received by FDA name the brand "Accu-Chek Guide" (blood glucose monitoring test strips); the manufacturer given most often on reports is Roche Diabetes Care; received from January 2019 to August 2026. Brand names are as the reporter or manufacturer wrote them, so one product can appear under several spellings.

365 reports arrived in the 12 months to August 2026, up 22% from 300 in the 12 months before. FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases. The event types recorded are malfunction (94.3%), injury (5.6%) and other (0.1%); across all glucose dehydrogenase, glucose reports (product code LFR) death is recorded in 0% and malfunction in 93%. Event type is the reporter's classification of the report, not a verified outcome.

The device problems coded most often are imprecise or erratic results (50.1%), high test results (25.9%) and display or visual feedback problem (8.7%). The patient problems coded most often are hypoglycemia, hyperglycemia and dizziness. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Reports by month, five years

02040Sep 2021: 0Oct 2021: 0Nov 2021: 1Dec 2021: 22022Jan 2022: 1Feb 2022: 0Mar 2022: 0Apr 2022: 0May 2022: 0Jun 2022: 1Jul 2022: 1Aug 2022: 1Sep 2022: 1Oct 2022: 1Nov 2022: 1Dec 2022: 02023Jan 2023: 2Feb 2023: 0Mar 2023: 1Apr 2023: 0May 2023: 1Jun 2023: 1Jul 2023: 0Aug 2023: 0Sep 2023: 1Oct 2023: 1Nov 2023: 2Dec 2023: 12024Jan 2024: 1Feb 2024: 0Mar 2024: 0Apr 2024: 4May 2024: 5Jun 2024: 0Jul 2024: 31Aug 2024: 21Sep 2024: 2Oct 2024: 4Nov 2024: 38Dec 2024: 262025Jan 2025: 34Feb 2025: 37Mar 2025: 35Apr 2025: 35May 2025: 28Jun 2025: 26Jul 2025: 20Aug 2025: 15Sep 2025: 35Oct 2025: 31Nov 2025: 23Dec 2025: 372026Jan 2026: 40Feb 2026: 37Mar 2026: 28Apr 2026: 27May 2026: 24Jun 2026: 25Jul 2026: 21Aug 2026: 37

Reports by the month FDA received them. FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases.

By year received

01783562019: 1320192020: 1020202021: 520212022: 720222023: 1020232024: 13220242025: 35620252026: 2392026

Event type and report source

Event type, as classified on the report

Death0%0
Injury5.6%43
Malfunction94.3%728
Other0.1%1
Not given0%0

Who filed the report

Manufacturer report99.4%767
Voluntary report0.6%5
User facility report0%0
Distributor report0%0
Not given0%0

Grey bar: all 74,282 reports carrying product code LFR. Event type is the filer's classification and is not verified by FDA.

Device problems coded

Device problem (FDA code)ReportsShareShare across product code
Imprecise or erratic results38750.1%1%
High test results20025.9%4%
Display or visual feedback problem678.7%0.3%
Low test results466%1.6%
Labelling, instructions for use or training problem81%0%
Incorrect measurementthe device measured wrongly70.9%0.1%
Failure to power up50.6%0.3%
Display difficult to read30.4%0%
Incorrect, inadequate or imprecise result or readings20.3%33.5%
Melted20.3%0%
Power problem20.3%0%
Battery problema problem with the battery10.1%3%
Erratic or intermittent display10.1%0.1%
Expiration date error10.1%0.3%
Overheating of device10.1%0%
Sparking10.1%0%

FDA's device problem codes as entered on the report; one report can carry several. Generic codes such as "no apparent adverse event" are left out.

Patient problems coded

Patient problem (FDA code)ReportsShare
Hypoglycemialow blood sugar435.6%
Hyperglycemiahigh blood sugar212.7%
Dizzinesslight-headedness or unsteadiness81%
Shaking/tremors81%
Loss of consciousnesspassing out70.9%
Fatiguetiredness50.6%
Diaphoresis40.5%
Headachehead pain30.4%
Blurred vision20.3%
Confusion/ disorientation20.3%
Distress10.1%
Nauseafeeling sick10.1%
Skin inflammation/ irritation10.1%

Patient problem codes are present mainly in reports filed since 2019 and are often blank.

In context

MeasureAccu-Chek GuideProduct code LFRAll MAUDE reports
Reports77274,28226,136,888
Share of that pool—1%0%
Classified as death, per 1,000 reports009
Classified as injury5.6%6.9%36.2%
Classified as malfunction94.3%93%62.3%
Filed by the manufacturer99.4%99.8%94.9%

Shares are of reports, not of devices in use. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Other brands with product code LFR

BrandReportsLatest 12 monthsClassified as death
Freestyle Flash19,42200%
Accu-Chek Comfort Curve Test Strips13,06500%
Accu-Chek Aviva Test Strips11,07300%
Accu-Chek Compact Test Drum7,57900%
Freestyle9,490260.1%
Accu-Chek Aviva Plus Test Strips7,94700%
Accu-Chek Mobile Test Strips3,52700%
Accu-Chek Performa Test Strips3,88610%
Accu-Chek Active Test Strips1,47500%
Accu-Chek Comfort Curve4,12000.6%
FreeStyle Lite12,2444300%
Freestyle Freedom3,43060%
Accu-Chek Smartview Test Strips99300%
Freestyle Navigator75400%
Accu-Chek Compact Plus Test Drum76900%

Ordered by report count for navigation only. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data." FDA also states that "common products may have a higher number of adverse events due to the higher total number of people using the product."

Questions about Accu-Chek Guide reports

How many FDA reports name Accu-Chek Guide?

772 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 365 in the latest 12 months.

What kinds of events are reported?

malfunction (94.3%), injury (5.6%) and other (0.1%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

imprecise or erratic results (50.1%), high test results (25.9%), display or visual feedback problem (8.7%), low test results (6%) and labelling, instructions for use or training problem (1%). These are FDA's device problem codes as entered on the report.

Who files these reports?

manufacturer reports (99.4%) and voluntary reports (0.6%). Manufacturers and user facilities are required to report; voluntary reports come from health professionals and the public.

Do these reports show that Accu-Chek Guide was at fault?

No. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data." FDA adds that "a causal relationship cannot be established between product and reactions listed in a report."

How do I report a problem with a medical device?

Through FDA MedWatch (Form FDA 3500 for health professionals and consumers), or to the manufacturer. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Device Adverse Event (MAUDE) bulk export released 28 Sep 2026, which holds reports FDA received through 31 Aug 2026. Brand, generic and manufacturer names are as written on the reports; product code names come from FDA's device classification. A report counts here when any device it lists carries this brand name after punctuation and capitalisation are normalised. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.