My pulmonologist didn't want me using a peak flow meter. I think he thought that it would make my breathing worse. So I go by how I'm feeling, which I think is at least as accurate. Have you had a PFT? That - or at least a Spirometry - is the gold standard for judging the progress of a patient.

As for preparing for your next visit, make notes on how you are doing everyday things, such as walking, exercising, sleeping, etc. That's important. And be sure to write down any questions that you have, especially concerning your meds. Good luck. I hope you have a good visit.
Hugs, Sue

I've had two PFTs. My FEV1 is about 35% MD doesn't like a Peak flow meter also. It helped me figure out I had a problem.

I have kept a journal and have rated my shortness of breath. Not sure if I have gotten worse. I am figuring out triggers. I
can't do pulmonary rehab. Three times a week for three months. With work, I don't have the time. I am doing a 3 hour crash course at the hospital. Plan on working out an exercise plan etc.

Wow! the fact that you're still working is very encouraging! I'm sure you get plenty of exercise with that. Sounds like you're doing all the right things.
Hugs, Sue

I'm also Stage 3-COPD with a fairly strong asthma component. I just went to my PA last week an she was shocked and pleased at my 20% improvement from my last appointment. I'm not gloating as I am most aware that with this condition, one can vary from month to month.
I am on Combivent and Symbicort (w/Flonase & Zyrtec for my seasonal allergies) and with those good results, these will be my meds until I see her again in 6 months.
I did tell her that I am walking alot and exercising in my home and doing breathing exercises to strengthen and expand by lung wall muscles. Those I find very invigorating.
I also use an obivously children's peak flow and I like it and my doc said it was fine to use, just don't overdue it. COPD is somewhat a mind game and those readings (good for me is 250) and my pulse ox meter reassure me when I think I'm not doing so good and voila, I actually am just fine (maybe the barometer is falling or a storm is approaching or I'm a little stressed about something and not breathing deeply enough).
So ask you doc about those meds I'm or and have you had any kind of repiratory therapy and would he recommend it and is it in your area.
Exercise is absolutely key to managing COPD.
Hope this info helps. Best of luck! Barb

I have a incentive spirometer that is similar to a PF meter.You blow into it to push the little gage up while at the same time u keep the balance ball with in range I start at 1000 and can get it up to 1200 - 1500 at times.
It does range from 0-500 all the way up to 4000
I havent used a peak flow in long time so not sure about any comarison.
but my pulm dr thinks it is good for me to blow on this as it helps to keep muscus out and lungs strong.