Remote monitoring companies and health systems that run their own monitoring software, and need devices patients can use at home, often compare Smart Meter and Tenovi. Both send readings over cellular networks, so patients do not need Wi-Fi, a phone app, or Bluetooth pairing. Smart Meter builds a cellular connection into each blood pressure cuff, glucose meter, pulse oximeter, and scale it makes. Tenovi sells a plug-in cellular hub that picks up readings from more than 60 Bluetooth devices in the home.
Diabetes programs that want cellular glucose meters with automatic test-strip refills
Programs that need continuous glucose monitors instead of fingerstick meters
Remote monitoring companies, health systems, and community health centers that want one cellular hub for many brands of device
Programs that want each device to carry its own cellular connection with no hub in the home
| Axis | Smart Meter | Tenovi |
|---|---|---|
| Setup in the patient's home | Stronger Each device sends its own readings over cellular, so there is no hub to plug in. |
The gateway has to stay plugged into a wall outlet near the devices. |
| Range of devices | Smart Meter makes its own cellular cuffs, glucose meters, pulse oximeters, and scales. | Stronger The gateway works with more than 60 FDA-cleared Bluetooth devices from many brands, plus Tenovi's own. |
| Diabetes programs | Stronger Cellular glucose meters come with automatic test-strip refills, and the FDA-cleared iGlucose Touch launched in January 2026. |
Glucose meters are among the Bluetooth devices the gateway reads. |
| Medication tracking | Smart Meter's device list has no pillbox. | Stronger The Tenovi Smart Pillbox lights up and reports when a compartment is opened. |
| Getting devices to patients | Its SmartPartners program covers shipping, strip refills, and staff training, which scores 7.1. | Stronger Gateways and devices ship with fulfillment services, which scores 7.3. |
| Scale | Smart Meter has sold cellular devices since 2016, and HealthSnap is among the monitoring companies that use its cuff. | Stronger Tenovi said in August 2025 that it had shipped 268,000 devices to about 250,000 patients, and it lists more than 180 partners. |
| Knowing what you will pay | A quote per device plus a monthly data fee, strip refills, and shipping. | Stronger A quote per gateway and device plus monthly connectivity and fulfillment. |
Smart Meter is for a monitoring program centered on blood pressure and diabetes that wants each device to work out of the box with no hub, and wants test strips refilled automatically. Tenovi is for a program that wants many brands of devices, plus a pillbox that reports doses, behind one cellular hub and an API.
Walk away from both if you want a vendor to run the whole program with its own nurses, since both sell devices and data to teams that have their own software and staff. Walk away from Smart Meter if your patients use continuous glucose monitors.