The device comes with all the needles and strips shown in the picture. Features of the Accu-Chek blood glucose meter: Ease of Use: The Accu-Chek blood glucose meter is characterized by a super simple design, with only one button, making the operation easy and comfortable. Large and Clear Screen: The large and clear screen of the Accu-Chek blood glucose meter provides accurate and easy-to-read readings, making it easy to understand the measurement results. Convenient Accessories: It comes with convenient tools and accessories such as the Accu-Chek FastClix lancing device, which makes the testing experience painless for the user.