According to Dr. Bernstein, the fingertips show an immediate response to changes in blood sugar. I lent the book out or I'd provide the full explanation he gave.
As a type I diabetic, I use both my forearm and my finger tip for testing. While I find both to be almost painless (admittedly I may have built up a tolerance) arm does hurt slightly less, and more importantly, does not callus like the finger tip. However, in times of rapid blood sugar fluctuation, arms are delayed by about 10-20 minutes, where as fingers are not.