You mean a pin prick glucose monitor or ketone monitor?
The problem with the pin-prick glucose monitors is that they are allowed to be something like 95% correct, where “correct” is plus or minus 15% from the actual value. So, if your blood sugar is 100, a reading anywhere between 85 and 115 is “correct”, 95% of the time (5% of the time will be outside that range).
I have found the continuous glucose monitors (CGMs) to be a lot better in this regard. In other words, when you wake up, instead of getting 105 one day and 130+ the next day with pin-prick meters (actual values of mine), the CGMs have basically the same value in the morning. Now, some argue that the value might be wrong, but I only tested my CGM versus an actual blood draw once, and it was correct.
If you want accuracy, try a search for “tests of glucose monitors” or something like that. At one time, there was a clear winner. I’m not sure about now.
If you want a “generic” meter for both glucose and ketones, the Keto Mojo is okay. The blood sugar is all over the map, but it provides at least an estimate of what’s going on, and you can also test ketones.
As for the continuous ketone meters, they aren’t in the US yet. Not sure when they will come here.