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The Australia self-monitoring blood glucose market covers fingerstick meters, test strips, lancets, lancing devices and control solutions that people with diabetes use at home to check glucose, sold through pharmacies, online suppliers and clinics and largely accessed through the National Diabetes Services Scheme. It excludes continuous glucose monitoring sensors, which are a separate product class.
In 2025, the market is valued at AUD 310.00 million and is forecast to grow at a CAGR of 1.90%, reaching AUD 374.20 million by 2035. Growth is driven by about 1.5 million NDSS registrants, most of them with type 2 diabetes, and by fingerstick testing remaining the routine and backup method outside subsidised sensor groups.
Compound Annual Growth Rate
1.9%
Value in AUD million
2026-2035
The Australia self-monitoring blood glucose market is maturing rather than disappearing. Fingerstick testing once defined diabetes self-care, but sensors now serve most people with type 1 diabetes, so growth depends on type 2 diabetes, pregnancy-related diabetes and people who are not eligible for subsidised sensors.
Three forces shape demand: the National Diabetes Services Scheme, which subsidises strips and offers free meters; continuing sensor substitution, shown by the delisting of Dexcom G6 from 1 October 2026 and FreeStyle Libre 2 from 1 July 2026; and supplier rationalisation, as older strip brands leave the scheme.
In July 2026 Pharmx Technologies renewed its NDSS ordering agreement to July 2028, in May 2026 the government only noted a call to widen sensor access, and in February 2026 diabetes groups sought AUD 106.48 million for sensors.
The market is moving from a broad volume business towards a smaller, more targeted fingerstick base focused on people who are not served by subsidised sensors. Test strips lead because every check consumes one, while meters advance fastest as supplier exits and connected models renew the installed base. Gestational diabetes grows quickest among diabetes types, and online supply gains share as suppliers deliver free meters directly to registrants. New South Wales stays the largest state while Western Australia grows fastest. Subsidy rules, sensor policy decisions and pharmacy ordering systems point to a stable but slow-growing outlook.
| Metric | Value |
| Market Size 2025 | AUD 310.00 million |
| Projected Market Size 2035 | AUD 374.20 million |
| CAGR 2026 to 2035 | 1.90% |
| Fastest-Growing Product Type | Blood Glucose Meters: 2.9% CAGR |
| Fastest-Growing Diabetes Type | Gestational Diabetes: 3.4% CAGR |
| Largest Revenue Segment 2025 | Test Strips |
| Dominant State | New South Wales |
| Highest CAGR by State | Western Australia: 2.5% |
| NDSS registrants in 2025 | About 1.5 million |
Subsidised Pharmacy Access Keeps Fingerstick Testing Routine
Revenue is on course to expand by about 21% across the decade, from AUD 310.00 million in 2025 to AUD 374.20 million in 2035 at a 1.9% CAGR. Pharmacy supply, free meters and a type 2 diabetes base of 1,326,834 NDSS registrants make demand recurring, though sensor substitution keeps growth modest.
Meters, Gestational Diabetes and Online Supply Lead Growth
Test Strips hold the largest revenue share, but Blood Glucose Meters grow at an estimated 2.9% CAGR, Gestational Diabetes at 3.4% and Online Pharmacies and Mail Order at 4.1% through 2035. Supplier exits and direct delivery of free meters explain the upside.
Sensor Funding Decision Remains Open
On 26 May 2026 the government noted a parliamentary recommendation to extend subsidised sensors to more people, pointing to existing funding rather than committing to expansion. Any widening would shift volume away from strips, so the decision is the main swing factor.
| Report Summary | Unit | Value |
| Base Year | AUD million | 2025 |
| Historical Period | AUD million | 2019 to 2025 |
| Forecast Period | AUD million | 2026 to 2035 |
| Market Size 2025 | AUD million | 310.00 |
| Market Size 2035 | AUD million | 374.20 |
| CAGR 2026 to 2035 | Percentage | 1.90 % |
| CAGR by Product Type: Blood Glucose Meters | Percentage | 2.9 % |
| CAGR by Diabetes Type: Gestational Diabetes | Percentage | 3.4 % |
| CAGR by Distribution Channel: Online Pharmacies and Mail Order | Percentage | 4.1 % |
| CAGR by State: Western Australia | Percentage | 2.5 % |
| NDSS Registrants with Type 2 Diabetes December 2025 | Million Persons | 1.33 |
| Australian Population March 2026 | Million Persons | 27.92 |
| Market Share by State 2025 | New South Wales | Dominant Share |
Subsidised pharmacy access keeps fingerstick testing routine for most registrants, while sensor substitution caps growth. Meters, pregnancy-related diabetes and online supply advance fastest across the forecast period.
The Australia self-monitoring blood glucose market is being shaped by sensor delistings, unresolved funding decisions and advocacy for wider subsidised access.
July 2026 - NDSS Delists Dexcom G6 Transmitters and Sensors From October
June 2026 - FreeStyle Libre 2 Sensor Leaves NDSS as Libre 2 Plus Takes Over
May 2026 - Government Notes Call to Widen Subsidised Sensor Access
February 2026 - Diabetes Groups Seek Budget Funding for Sensors and Insulin Delivery
Sensor product exits and unresolved funding decisions shape the policy backdrop, and each change keeps meters and strips in demand as the backup for people moving between monitoring devices.
Recent developments, presented from the most recent, show the Australia self-monitoring blood glucose market moving from pharmacy ordering and supplier restructuring into earlier brand exits.
July 2026 - Pharmx Technologies Renews NDSS Ordering Agreement to 2028
March 2026 - Roche Withdraws Insulin Pump Consumables From NDSS
February 2026 - Ascensia Diabetes Care Names Peter Bodlund Chief Executive
August 2025 - NDSS Removes Rightest GS700 Strips From the Product Schedule
Pharmacy ordering stability, supplier restructuring and product delistings show a market consolidating around fewer strip brands while suppliers redirect resources. Momentum favours established, locally supported meter ranges.
The Expert Market Research’s report on the Australia Self-Monitoring Blood Glucose Market offers a detailed analysis of the market based on the following segments.
Market Breakup by Product Type
Test Strips lead because every fingerstick check consumes one, and NDSS removed TRUE Metrix and Lifesmart 2 Twoplus strips in January 2025 and Rightest GS700 strips in August 2025, moving users to other brands. Blood Glucose Meters grow fastest at an estimated 2.9% CAGR through 2035, as those forced switches and connected models such as Contour Next One and Accu-Chek Guide Me renew the installed base. Lancets and Lancing Devices follow testing frequency, and Ascensia moved Microlet lancets to colour options in 2025. Control Solutions and Accessories support accuracy checks. Others include ketone strips for dual meters such as GlucoKey and FreeStyle Optium Neo.
Market Breakup by Diabetes Type
Type 2 Diabetes leads, with 1,326,834 NDSS registrants in December 2025 against 144,022 with type 1, and grows at an estimated 2.0% CAGR through 2035 as most users stay on strips. Gestational Diabetes is fastest at an estimated 3.4%, because the government in May 2026 only noted a recommendation to extend subsidised sensors to gestational diabetes, which leaves fingerstick testing the standard in pregnancy. Type 1 Diabetes grows slowest at an estimated 0.6%, since Breakthrough T1D said in February 2026 that over 70% of Australians with type 1 already use sensors. Others cover type 3c diabetes and rarer forms, growing at an estimated 2.2%.
Market Breakup by Distribution Channel
Community Pharmacies lead because NDSS products are supplied through participating pharmacies, over 97% of eligible pharmacies took part in 2022, and Pharmx renewed its NDSS ordering agreement to July 2028 in July 2026. Online Pharmacies and Mail Order grows fastest at an estimated 4.1% CAGR through 2035, as Ascensia delivers a free Contour Next meter to each NDSS registrant every 18 months and Pharmaco ships its meters through its website. Hospitals and Clinics start new patients on meters, with Abbott directing registrants to diabetes clinics and professionals ordering CareSens N Voice from Pharmaco. Others include aged care and community health supply.
Market Breakup by Region
New South Wales dominates with 8.67 million residents in March 2026, and grows at an estimated 1.6% CAGR through 2035. Western Australia is fastest at an estimated 2.5%, after population growth of 2.1% in the year to March 2026, the quickest of any state. Queensland, at an estimated 2.2%, added 90,100 residents to reach 5.74 million, while Victoria, at 1.9%, grew 1.6% to 7.15 million. South Australia, with 1.92 million residents, grows slowest at 1.4%. Others covers Tasmania, the ACT and the Northern Territory, growing at an estimated 1.7%, with 268,900 residents in the Northern Territory.
| CAGR 2026 to 2035, Market by State | Growth Rate |
| New South Wales | 1.6 % |
| Victoria | 1.9 % |
| Queensland | 2.2 % |
| Western Australia | 2.5 % |
| South Australia | 1.4 % |
| Others (incl. Tasmania, ACT and Northern Territory) | 1.7 % |
Competition combines global meter makers and local distributors. Barriers include listing on the NDSS schedule, free meter programs that tie users to proprietary strips, pharmacy ordering integration, Therapeutic Goods Administration registration and clinician familiarity.
Roche
Roche, headquartered in Basel, Switzerland, was founded in 1896 and sells the Accu-Chek range in Australia through Roche Diabetes Care, including the Guide and Guide Me meters, which its local site presents as the successor to the retired Performa and which connect to the mySugr app. In March 2026 the NDSS announced that Roche would discontinue insulin pump consumables from 30 June 2026. Roche reported group sales of CHF 30.36 billion for the first half of 2026.
Ascensia Diabetes Care
Ascensia Diabetes Care, headquartered in Basel, Switzerland, was formed in 2016 when PHC Holdings acquired Bayer Diabetes Care, and its Australian arm in Bella Vista, New South Wales, launched Contour Next and Contour Next One in 2018. It sells Microlet lancets, which moved to colour options in 2025, and offers one free Contour Next meter per NDSS registrant every 18 months. Peter Bodlund became chief executive in April 2026, and Eversense operations began moving to Senseonics in January 2026.
Abbott
Abbott, headquartered in Abbott Park, Illinois, was founded in 1888 and appears on the NDSS free meter list with FreeStyle Optium Neo and other FreeStyle meters, alongside FreeStyle Libre sensors. The NDSS began subsidising Libre 2 Plus on 1 April 2025 and announced in June 2026 that Libre 2 leaves the scheme on 1 July 2026. Abbott reported second-quarter 2026 Diabetes Care sales of USD 2,188 million, up 9.0% on a comparable basis.
Pharmaco (Australia)
Pharmaco (Australia), based in Chatswood, New South Wales, distributes the CareSens range made by i-SENS of Seoul, a company established in 2000. Its CareSens N, N Voice and Dual meters appear on the NDSS free meter list, and its site also lists ketone meters, SmartLog software and the CareSens Air sensor. i-SENS launched the CareSens Air Receiver in November 2025, and CareSens won the grand prize in its monitoring category at the First Brand Awards in January 2026.
Other players operating in the Australia self-monitoring blood glucose market include Nipro Australia, i-SENS, Owen Mumford, Bionime, and AMSL Diabetes, alongside pharmacy chains, online pharmacies, lancet suppliers and clinic distributors serving registrants across Australia.
Competition rests on subsidy listing, free meter offers, pharmacy availability and connected software rather than price alone, so suppliers with broad support and established networks hold the advantage.
*While we strive to always give you current and accurate information, the numbers depicted on the website are indicative and may differ from the actual numbers in the main report. At Expert Market Research, we aim to bring you the latest insights and trends in the market. Using our analyses and forecasts, stakeholders can understand the market dynamics, navigate challenges, and capitalize on opportunities to make data-driven strategic decisions.*
The Australia self-monitoring blood glucose market is valued at AUD 310.00 million in 2025, supported by a large NDSS registrant base, subsidised pharmacy supply and the continuing use of fingerstick testing outside sensor-eligible groups.
The market is forecast to reach AUD 374.20 million by 2035, growing at a CAGR of 1.90 % over the 2026 to 2035 period, driven by type 2 diabetes growth, free meter programs and meter replacement as older strip brands leave the scheme.
Online Pharmacies and Mail Order records the highest CAGR at an estimated 4.1% through 2035, as suppliers such as Ascensia and Pharmaco deliver free meters directly to NDSS registrants and pharmacies order through digital systems.
New South Wales dominates, supported by 8.67 million residents in March 2026. Western Australia is the fastest-growing state at an estimated 2.5% CAGR, helped by population growth of 2.1% in the year to March 2026.
Key players include Roche, Ascensia Diabetes Care, Abbott, Pharmaco (Australia), Nipro Australia, i-SENS, Owen Mumford, Bionime, and AMSL Diabetes.
It is an Australian Government initiative administered by Diabetes Australia that subsidises products such as blood glucose strips, syringes and sensors for registered people with diabetes. Products are supplied mainly through community pharmacies, with about 1.5 million registrants in 2025.
It is the practice of checking glucose at home with a fingerstick sample, a meter and a test strip. It differs from continuous monitoring, which uses a sensor, and remains the usual method for most people with type 2 diabetes.
Explore our key highlights of the report and gain a concise overview of key findings, trends, and actionable insights that will empower your strategic decisions.
| REPORT FEATURES | DETAILS |
| Base Year | 2025 |
| Historical Period | 2019-2025 |
| Forecast Period | 2026-2035 |
| Scope of the Report |
Historical and Forecast Trends, Industry Drivers and Constraints, Historical and Forecast Market Analysis by Segment:
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| Breakup by Product Type |
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| Breakup by Diabetes Type |
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| Breakup by Distribution Channel |
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| Breakup by Region |
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| Market Dynamics |
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| Competitive Landscape |
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| Companies Covered |
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