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Accu-Chek Aviva US Multiclix Manual
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1. Lancing Device amp Lancet Meets the requirements of MDD 93 42 EEC Manufacturer STERILANCE MEDICAL SUZHOU INC 68 LiTangHe RD XiangCheng Suzhou China 215131 Tel 86 512 65799308 Fax 86 512 67217663 IFU RSBGM107 UM RESURE REV 07 13 50
2. Do NOT change your treatment just because of an alternative site result do a fingertip test to confirm the result Hm If you often do not notice when your blood glucose is low do a fingertip test Caution Hm Talk with your healthcare professional before you test with your palm or forearm Do NOT ignore symptoms of high or low blood glucose Fingertips samples are able to show the rapid change of glucose faster than forearm samples Do NOT change your treatment just because of a result 31 Running a Blood Glucose Test with Blood from Your Forearm Please use the clear cap with the lancing device for AST testing 1 This graphic shows where the 2 Massage the puncture area of 4 Press the trigger button to meter cleared for alternate forearm for a few seconds activate the lancing device site testing 3 Press and hold the device with 5 Hold the device against a Clear adjustable tip against forearm and increase pressure the forearm until the blood sample size is sufficient 32 Running a Blood Glucose Test with Blood from Your Palm 1 Massage the puncture area of 2 Press and hold the device 3 Press the trigger button to activate palm for a few seconds with a clear adjustable tip the lancing device against the palm 4 Hold the device against palm and increase pressure until the blood sample size is sufficient 1 Check with your healthcare professional before testing sites other that the fingertip 2 Pleas
3. or you can press and hold the right button to turn your meter off Low battery symbol N 1 The meter won t delete earlier records after you replace batteries You should reset the time and date again after you replace the batteries 3 1 5V AAA x 2 batteries are available at most stores You may take the old batteries with you for replacement 4 Remove batteries when you will not be using the meter for one month or more 40 Cleaning Your Meter Caring for your Suresign Resure Blood Glucose Monitoring System does not require special cleaning Please keep the meter free of dirt dust bloodstains and water stains Follow these guidelines carefully to help you get the best performance possible Do Do Not m Make sure the meter is turned off NH Get any moisture in the test strip slot Gently wipe the meter s surface with a soft NW Spray any cleaning solution directly onto cloth slightly dampened with ethanol the meter 70 75 Put the meter under water or liquid Pour liquid into the meter Cleaning Your Lancing Device Hm To clean the lancing device wipe it with a soft cloth dampened with water and mild detergent DO NOT places the entire device under water To disinfect the cap after cleaning place it in 70 75 rubbing alcohol for 10 minutes at least once a week Allow the cap to air dry after disinfecting 41 Maintenance and Testing Your meter needs little or no maintenance with normal use It autom
4. 6 U R l INN B OO d G UCOSE SS MONITORING SYSTEM UserManual Dear Suresign Resure Blood Glucose Monitoring System Owner Thank you for using the Suresign Resure Blood Glucose Monitoring System We designed this system to be dependable easy to use compact lightweight and portable to help you monitor your blood glucose on a regular basis Please read this manual thoroughly before you begin testing This manual provides you and your diabetes care team with important information and step by step direction to use the Suresign Resure Blood Glucose Monitoring System To start testing quickly you can also refer to the Quick Reference Guide Thanks again for choosing Suresign Intended Use The Suresign Resure Blood Glucose Monitoring System is intended for the quantitative measurement of glucose in venous whole blood or fresh capillary whole blood from fingertips palm and forearm Testing is done outside the body In Vitro diagnostic use It is indicated for self testing over the counter OTC by persons with diabetes or in clinical settings by healthcare professionals as an aid to monitor the effectiveness of diabetes control Standard Accessories Your new Suresign Resure Blood Glucose meter and accessories work together to measure the amount of glucose in your blood The system includes e Suresign Resure Blood Glucose Meter e User s Manual e Alkaline Battery 2 ct e Quick Reference Guide e Glucose Test Strips 10 pc
5. Solution Test You need the meter a test strip and control solution 1 Put a test strip into the 2 Press left button to set i AC a PC 83 The icons Y and meter according to the or CS Mode then press gt right button to a are displayed direction of the arrow on confirm the setting the test strip The meter turns on automatically 20 4 Place the meter on a flat 7 Touch the control solution drop 9 Do not remove the test strip yet surface like a table to the tip of the transparent Check if the reading falls within the 5 Remove the control solution window of the test strip range printed on the test strip bottle bottle cap and wipe the tip of the Do not put control solution bottle with a tissue drop on top of the strip 10 Push the Strip Ejector to remove 6 Squeeze the bottle until a tiny 8 The meter starts to count down the test strip drop forms at the tip of the from 5 seconds and then 11 Throw the test strip away after bottle shows the test result you have compared the reading Be aware that there are Normal and High ranges listed on IG nang E punted Siete N your test strip bottle The Normal and High refer to the three strip bottle different control solutions that are available Please be sure that vou are looking at the correct range D4 Understanding Control Solution Test Results The label on your test strip bottle shows the acceptable ranges for the Control Solutions The result you get
6. Strips ss eeeeeennnnnnnnnzennnnnnnnnnnnznzzzznnzznnnzznzznzzzznzzzzznnnannna 17 Chapter 2 Control Solution Testing nn KA anaa aana eaaa nenen aee 18 WE Run a ONO SOUNON TEST sat a a tA Al 18 About Tie Conto Solo i i i A A A aaa 19 Running Control solution Tests ANG E TG Aa a gk tt 20 Understanding Control Solution Test Results ccccccocnncnococconnnnnnnnncnnononnncnnnnnnononononnnnnnnnnnnnnnnnnnnnnnnnnnnnnnos 22 Chapter 3 Testing Your Blood Glucose coooococoocnoccconocococonononcnonnnnnonnnononnnnnnnnnnnnononnnnnnnnnnnnnnnnnnnnnnannns 24 Using the Lancing Device lt a a ee idas 24 Inserting a Lancet into the Lancing Device c ooonnnccconnnncccoconcnnoconcncnonnnnnnonannnnononccnnonnnnnnnnnnnnnnnnnonnnnenanannnns 25 Running a Blood Glucose Test with Blood from Your FingertipS ooooonccccnnncccccnononnnncnnnnnnnonnnonnnncnnnonononos 27 Alternative Site Testing AS Tia diria 30 Running a Blood Glucose Test with Blood from Your Forearm ooocccccccnnoccncccnncnnnnonnnnnancnncnnnnnnnnonnnnannnnnnnos 32 Running a Blood Glucose Test with Blood from Your Palm ooooccccoccoconcccccnnnnnnnnononnnancnncnnnnnnnnnnnnnannnnnnnns 33 DisearaingWSed AACS ii ii a o nti 34 Understanding Your Test Restilis iii dis a E E A O Un ustan Fest Rest snitch l i has Seer ean 35 symptoms of High or Low Blood GIUCOSC assi a ke e 36 Comparing Your Meter Result to a Lab Results oooccccccoccnccc
7. and 104 F 10 C and 40 C Outside this range the system may get incorrect results DO NOT reuse the test strips The test strips are for single use only Hematocrit The hematocrit between 20 and 60 will not affect the results Hematocrit below 20 may cause higher results Hematocrit above 60 may cause lower results Altitude up to 3 048 meters above sea level has no effect on readings Healthcare Professionals Please note these additional Limitations 1 If the patient has the following conditions the result may fails Severe dehydration 4 Severe hypotension low blood pressure Shock Astate of hyperglycemic hyperosmolar state with or without ketosis Lipemic samples Cholesterol level up to 500 mg dL 12 92 mmol L and triglycerides up to 3 000 mg dL 33 6mmol L do not affect the results Grossly lipemic patient samples have not been tested and are not recommended for testing with Suresign Resure Blood Glucose Meter 47 3 Critically ill patients should not be tested with Suresign Resure glucose meters 4 DO NOT use during xylose absorption testing Xylose in the blood will interfere with the Blood Glucose Monitoring System 5 Interfering Substances depend on the concentration The below substances up to the test concentration will not affect the test results Glucose Level 80 mg dL 250 mg dL 500 mg dL 4 4 mmol L 13 9 mmol L 27 8 mmol L Concentrations of the interference tested Ascorbic A
8. atically tests its own systems every time you turn it on and lets you know if something is wrong See Screen Messages and what to do about them To make sure the display is working properly turn off the meter Press and hold the right button to see the complete display All the indicators should be clear and look exactly like the picture to the left If not please contact your healthcare provider 42 Screen Messages and Troubleshooting Never make treatment decisions based on an error message If you have any concerns please contact your healthcare provider 0329 19 00 LI Gal Humidified Used strips Action Replace with a new strip Low power Action Replace with new batteries System fault Action Replace the batteries first If ERROR 001 appears again please contact your local dealer 43 System fault Action Replace the batteries first If Err appears again please contact your local dealer Test result is higher than 630 mg dL 35 0 mmol L Action Test again If the result is still the same try a control solution test and if the control solution test falls within the correct range please call your healthcare provider The test result is lower than 20 mg dL 1 1 mmol L Action Test again If the result is still the same try a control solution test and if the control solution test falls within the correct range please call your healthcare provider 44 Err messa
9. cid 4 mg dL 0 26mmol L 10 89 1 76 4 55 lbuprofen 50 mg dL 2 43mmol L 3 10 2 88 4 62 L Dopa 1 8 mg dL 0 09mmol L Sodium Salicylate 50 mg dL 3 12mmol L Tetracycline 1 5 mg dL 0 03mmol L Tolbutamide 100 mg dL 3 7mmol L Bilirubin unconjugated 2 4 mg dL 0 04mmolL Uric acid 8 mg dL 0 48mmol L Xylose 4 mg dL 0 27mmol L 48 Device Information Suresign Resure Blood Glucose Monitoring System Suresign Resure Blood Glucose Test Strips Suresign Resure Blood Glucose Meter Suresign Resure Normal Control Solution Suresign Resure High Control Solution Suresign Resure Low Control Solution Obelis s a ECIREP Boulevard G n ral Wahis 53 B 1030 Brussels Belgium TEL 82 2 732 59 54 FAX 32 2 732 60 03 E mail mail obelis net Manufacturer EPS BIO TECHNOLOGY CORP wal No 8 R amp D RD III Hsinchu Science Park Hsinchu Taiwan 30077 TEL 886 3 6686868 FAX 886 3 6686866 E mail info epsbio com tw Website http www epsbio com Distributor CICA Healthcare Ltd Kilcran House Kildownev Road Ballvmena UK BT44 9EV E mail info suresign com Website www suresign com CE 0537 49 Warranty EPS warrants the original purchaser for a period of 3 years from the date of purchase This means during the warranty period if the Self Monitoring Blood Glucose System does not work for any reason other than obvious abuse EPS will replace it with a new system or an equivalent product free of charge
10. cocnonnnccnnnnnconononononnnnnnonononononnononnnnnnnnnnonnns 37 Chapter 4 Meter Memory Setup ooooooococccccccccccoconononcccnnnonononnnnonnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnonnnnnnnnnnnnnnnnnnns 38 Memory Storing Test Results ireira a E a a e a E e OEA A ES o EA R 38 Viewing Test RESUS ias 39 Chapter 5 Maintenance and Troubleshooting ooooccccncnnccccccccccnncnnnnnnnnononononcnnnnnnnnnnnnononnnnnnnnnnnnnnnos 40 Herning Bauere Sre aaa ce elle tear aa aa aaa ad ee ie eet oz ec 40 Cleaning Your Meter 23 aaa aa aaa eds past Seeders dde ade na esas ei AI Cleaning Your Lancing Devi Eiser ieee ue eee eee decal bape sal Pecan aa o aaa a Malnitenance anc TESTING scsi n ata 42 Screen Messages and Troubleshooting sas aka aaa AA aa aaa akan A aa BN a E ak a a aa Aa a E ang aa aan 43 Chapter 6 Technical Information ooncccccncnccccccccnnoccccnnnonnnononononnnnnononononononnnnnnnnnnnnnnnnnnnnnnnnnnennnnnninnns 46 S PECINCAMONS aisa ga Kg a na a aba dd 46 LAN ez lo a l A a oe A 47 Device MONO ii iii ie ie a l N 49 Wan anty sti rai it 50 Chapter 1 Understanding Your Meter The Suresign Resure Blood Glucose Meter Test Strip Slot Insert test strip here Strip Ejector Display Push the Strip Shows results Ejector to messages and remove the strip results stored in memory Left Buttons Press to enter memory adjust setting and l NA Right 9 Buttons Press to Ba
11. d as the latest is added so it is very important to have the correct time and date set in the meter A 1 Do not change your therapy based on one individual result in memory 2 The memory is not lost when you replace the battery You do need to check that the time and date are still correct for future readings See Section Setting the time and date in Chapter 1 3 Once 480 results are in memory adding a new result causes the oldest one to be deleted 38 Viewing Test Results The meter provides average readings over 7 14 30 and 90 days allowing you to easily track your blood glucose levels 1 Press gt until turning the meter on 4 Press gt to view averages of 2 Press to view the latest test result 30day AC PC and 7 14 30 90 days 3 All results are shown in turn from records of M480 to M001 39 Chapter 5 Maintenance and Troubleshooting Inserting Batteries The meter uses two alkaline 1 5V AAA batteries Batteries will normally last for more than 2000 tests Other types of 1 5V AAA batteries are also acceptable but the capacity of test times may differ Insert the batteries when you first use the meter or replace with new batteries when the LP low power message and the low battery symbol appear on the display The meter will not turn on the first time batteries are inserted Please press and hold the right button or insert the test strip to turn your meter on The meter will turn off automatically
12. e do NOT use the first drop of blood sample 33 Discarding Used Lancets 1 Unscrew and remove the 2 Without touching the used 3 Pointing the lancing device cab lancet stick the lancet tip toward a container for sharp or into its protective cover biohazard material slide the eject button up to release the covered lancet into the container 34 Understanding Your Test Results The Suresign Resure Blood Glucose test strips are plasma referenced and calibrated for easier comparison to lab results The normal fasting blood glucose range for an adult without diabetes is 70 130 mg dL 3 9 7 2 mmol L Two hours after eating the blood glucose range for an adult without diabetes is less than 180 mg dL 10 mmol L For people with diabetes please consult your healthcare provider for the blood glucose range appropriate for you Reference American Diabetes Association Standards of medical care in diabetes Table 10 Diabetes care 2011 Vol 34 Suppl 1 S21 Unusual Test Results If your test result does not match the way you feel please follow these steps 1 Run a control test Chapter 2 Control Solution Testing 2 Repeat a blood glucose test Chapter 3 Testing Your Blood glucose 3 If your test results still do not reflect the way you feel call your doctor immediately N 1 Extremelv high humiditv mav affect the test results A relative humiditv greater than 9090 may cause inaccurate results 2 Hematocrit below 20 ma
13. f Meter Symbols Folder Symbol HHH Date Show the moment of month and day HHHH Show the moment of time Test result Show the test result 188 Record Average display eri all the test results or average of 7 14 30 90 Control Solution test and the result is not included Control Solution in the memory Indicate after noon IE E PR When the battery symbol appears prepare new NS Batteries status batteries for installation Y AC antecibos Indicate before meal ge PC post cibos Indicate after meal Y Insert strip Insert the test strip to test blood glucose Theinomneter When the thermometer icon appears the temperature is too high or too low W Memory Showthe memorized resul Apply blood Apply blood to the test strip mg dL The testing unit of blood glucose is mg dL The testing unit of blood glucose is mmol L ES eor Meme yaen sin taun Table of Contents Chapter 1 Understanding Your Meter occccccoooococoncccnoconcccconnoconcnnnnononononnnonncnnnnnnnnnonnnonnnnnennnnnninnnss 13 The Suresign Resure Blood Glucose Meter ccccccccsseseeeeceeceeeeeesasaeesseeeeeceeeeessaaeeeseseeeeeeeessssaaaeaeeeees 13 The Suresign Resure ACCESSOLSICS ccccccccecccesssseeeceeceeeeeeeeeeeeeeeseeceeeeeseeeeseeseceeeeeesseseeuasseeeeeeeeeeeseeagaes 14 Merno BAN Ee aana aa Aa ak ga anang e ed ed 15 setting Phe Time and Date sr il es 16 Using Suresign Resure Blood Glucose Test
14. g Why Run a Control Solution Test We recommend that you run the Suresign Resure control test because it lets you know that your meter and test strios are working properly to give reliable results You should run the control solution tests when You use the Suresign Resure Blood Glucose Meter for the first time You open a new bottle of test strips You think the meter or test strips may be working incorrectly You drop the meter You have repeated a test and the test results are still lower or higher than expected You are practicing the test procedure N Professional users are instructed to follow federal state and local guidelines 18 About The Control Solutions Use only with Suresign Resure test strips Write the date you opened the control solution bottle on the bottle label The control solutions are good for three months from the date the bottle is opened or until the expiration date on the bottle whichever comes first Do not use a control solution that is past the expiration date Control solutions can stain clothing If you spill it wash your clothes with soap and water Close the bottle tightly after every use Left over control solution should not be added back into the control bottle Store control solution at room temperature between 2 C 30 C 36 F 86 F Do not freeze If you would like to purchase Suresign Resure Control Solutions please contact your healthcare provider 19 Running a Control
15. ge Not enough sample was drawn into the test strip for measurement Action Discard the test strip and repeat the test a aE i i b The Ht and thermometer icon appears Temperature is too high outside the required range of 10 C 40 C 50 F 104 F This alerts users that an incorrect result may occur if the test continues Action Relocate the meter to a location with temperature between 10 C 40 C 50 F 104 F The Lt and thermometer icon appears Temperature is too low outside the required range of 10 C 40 C 50 F 104 F This alerts users that an incorrect result may occur if the test continues Action Relocate the meter to a location with temperature between 10 C 40 C 50 F 104 F 45 Chapter 6 Technical Information Specifications mi 100400 50 F 104 F Storage and 30 C 36 F 86 F transportation condition 40 85 RH Blood sample 0 6 uL i Fresh blood from fingertips palm or forearm 43 2 grams 1 52 oz w o batteries 46 Limitations The test strips are used for fresh capillary whole blood samples oI O 8 DO NOT use serum or plasma sample DO NOT use anticoagulant NaF or potassium oxalate for venous sample preparation DO NOT use neonate blood sample Extreme humidity may affect the results A relative humidity greater than 90 may cause incorrect results The system should be used at temperatures between 50 F
16. he result does not match how you feel follow the steps under Unusual Test follow the steps under Unusual Test Results Results 36 Comparing Your Meter Result to a Lab Result A common question is how the blood glucose results on your meter compare to the lab results Your blood glucose can change quickly especially after eating taking medication or exercising If you test yourself in the morning then go to the doctor s office for a blood glucose test The results will probably not match even if you are fasting This is typically not a problem with your meter it just means that time has elapsed and your blood glucose has changed If you want to compare your meter result to the lab result you must be fasting Bring your meter to the doctor s office and test yourself by fingertips within five minutes of having blood drawn from your arm by a healthcare professional Keep in mind that the lab could use different technology than Suresign Resure blood glucose meter and that blood glucose meters for self testing generally read somewhat lower or higher than the lab result For accuracy and precision data and for important information on limitations see the instructions that come with your test strips 3 Chapter 4 Meter Memory Setup Memory Storing Test Results Your meter stores a maximum of 480 test results with the time and date of the test You can review them at any time When the memory is full the oldest result is droppe
17. o not touch the strips with wet hands Do not use expired strips the expiration date is shown on the bottle Do not bend cut or twist the strips Altitude up to 3 048 meters above sea level has no effect on readings Health Related Information m If you are experiencing dehydration frequent urination low blood pressure shock or hyperosmolar hyperglycemic nonketotic coma HHNKC you may get a test result that is lower than what your blood glucose really is If you think you are dehydrated call your doctor right away m If you have followed the steps in the user s manual but still have symptoms that do not seem to match your test results or if you have questions please contact your healthcare provider m Please read your test strip instructions carefully for additional health related information A Warning for potential biohazard Healthcare professionals using this system on multiple patients should handle all products or objects in contact with human blood carefully to avoid transmitting viral disease even after cleaning Explanation of Symbols Lor IVD Eet 4 5V AAA x 2 batteries only UC E A AA NE ES Er Green Dot Duales Svstem Deutschland GmbH DSD Separate collection for WEEE Waste of electrical and electronic equipment Discard 6 months 180 days after opening Keep away form sunlight This product meets the requirements of Directive 98 79 EC in vitro diagnostic medical devices Explanation o
18. on to 2 The display shows the last 3 Repeat step 2 to set the date and turn the meter on 2 digit of the year that flashes at time The flashing field is the one the top of display as well Press you are currently setting A AM left button to adjust the year P PM and press gt right button to confirm the setting 16 Using Suresign Resure Blood Glucose Test Strips Use only with Suresign Resure Blood Glucose Meters Run a control solution test every time you open a new bottle of test strips See Chapter 2 Control Solution Testing Keep the test strips in their original bottle After you take a test strip out of the bottle tightly close the bottle immediately This keeps the test strips dry Use the test strip within three minutes after taking it out of the bottle The strip is for single use only Do not reuse it Record the date you open the test strip bottle Be sure to check the expiration date on the test strip bottle The test strip is good for 6 months from the date the bottle is opened or until the expiration date on the bottle whichever comes first Store the test strip bottle and your meter in a cool dry place Store the test strips between 2 C 30 C 86 F 86 F Do not freeze Do not apply blood or control solution to the test strip before you insert it into the meter Do not touch the test strip with wet hands Do not bend cut or twist the test strips 17 Chapter 2 Control Solution Testin
19. s e Test Strip Instructions e Lancets 10 pcs e Self Test Log Book e Lancing device e Normal Control Solution e AST Lancing Device Cap e Glucose Control Solution Instructions e Carrying Case Optional Accessories e Low Control Solution e High Control Solution ji 1 Normal control solution is included with the svstem 2 Low control solution and High control solution are available For purchase please contact vour healthcare provider Why is it so important to test blood glucose regularly Testing your blood glucose regularly can make a big difference in how you manage your diabetes every day We have made this blood glucose monitoring system as simple as possible to help you use it regularly Your meter is easy to use and you can adjust the lancing device for your comfort Do you need help If you have questions or need assistance please contact your healthcare provider A Although the Suresign Resure Blood Glucose Monitoring System is easy to use you may need to consult with your healthcare professional this may be your doctor pharmacist or diabetes nurse educator for instructions on how to use the system Only the correct use of the system will ensure accurate results Important Information about Your New Meter Suresign Resure blood glucose meter is designed and approved for testing fresh capillary whole blood samples from your fingertips palm and forearm The meter is for in vitro diagnostic use ONLY for testing o
20. should be inside the acceptable range for the appropriate control solution level Make sure you compare the result to the correct level of control When the control solution result is inside the range on the test strip bottle your test strips and your meter are working properly If your control solution result is not inside the acceptable range printed on your test strip bottle here are some things you can do to solve the problem average mode 2 If L is set the control solution values will not be counted into averages but only in the memory for review i 1 If E is not set then the control test values will be counted into 7 14 30 60 90 days 22 Troubleshooting Check Was the test strip exposed to open air for a long period of time Does test strip cap close tightly Or was test strip cap left open Is the meter functioning well Is the control solution expired or contaminated Were test strips and control solutions stored in cool dry places Did you follow the testing steps properly Action If yes repeat the control test with properly stored Strips If the cap was not tight or the bottle was left uncapped open a new bottle of test strips Do not reuse the strips from the affected bottle You can use the control solutions to verify the meters functions If yes replace with a new control solution to check the performance of SMBG system If no repeat the control test with properl
21. soft or thin skin 3 4 for average and 5 for thick or calloused skin 2 Lancing device and lancets are not to be shared between users Sharing lancing devices and lancets may transmit blood borne pathogens such as viral hepatitis 26 Running A Blood Glucose Test With Blood From Your Fingertips 1 Wash your hands with 2 Put a test strip into the meter in 3 Press left button to set ai el ak ana the direction of the arrow The Ac or PO MSS SAAT every meter turns on automatically Mode then press gt right button to confirm the setting N You can also turn on the meter by inserting a test strip 2 4 The icons U and amp 5 Hold the lancing device firmly 6 Gently squeeze and or massage show themselves against the side of your finger your fingertip until a round drop When the blood drop flashes Press the trigger button Then of blood on your fingertip on the display obtain a drop remove the lancing device 7 Wipe away the first drop with a of blood from your finger from your finger tissue and use the second drop N Please make sure to applv blood when the blood drop appears on the displav 28 8 Touch the drop to the tip of the transparent window of the test strip Do not put blood on top of the strip Be sure to get enough blood in the strip s confirmation window Otherwise an inaccurate reading may yield 9 The meter starts to count down from 5 seconds and then shows the te
22. st result 10 Push the Strip Ejector to remove the test strip 11 Throw it away after you have compared the reading to the range printed on the test strip bottle 29 Alternative Site Testing AST Understanding Alternative Site Testing What is AST What is the advantage of AST Besides the fingertip you can test your palm or You have the option of testing other places on forearm your body besides the fingertip Consult your health care professional before you begin using the palm or forearm for testing Blood glucose test results obtained from your palm or forearm may differ significantly from fingertips samples We strongly recommend that you Do AST ONLY in the following intervals E In a pre meal or fasting state more than 2 hours since the last meal lm Two hours or more after taking insulin a Two hours or more after exercise Do NOT use AST if E You think your blood glucose is low You are unaware of hypoglycemia Your AST results do not match the way you feel You are testing for hyperglycemia Your routine glucose results are often fluctuating 30 Fingertip test only A If sick If blood glucose is low After exercising Two hours or less after eating When you have just taken insulin After injecting rapid acting insulin two hours or less AST Results Hm lf the blood glucose test result from the alternative site test does not match how you feel do a fingertip test to confirm the result again
23. tterv Door results turn the meter on confirm Flip open the batterv door bv setting and scroll through pushing the tab in the direction of resulis the arrow and pulling the door up 13 The Suresign Accessories Blood Glucose Test Strip Electrode Strip Insert Direction Hand Hold p Area Reaction area jy t Blood collection area Test Strip Bottle Control Solution Bottle ax e 076141703 IP Q 201604 SURESIGN JB NORMAL GLUCOsE CONTROL GR 035111301N 2016 04 RSBGM101 RESURE S Expiration Date Lancing Device Sliding barrel Pull on until it clicks and then release to Sleeve enable lancing Hand Hold device Area Trigger button Press the trigger Hub button to activate Unscrew or the lancing device Recap the Cap Carrier Insert the lancet into the carrier AST TE E Lancing MA Device Cap Use this DO Adjustable tip transparency Select the cap for AST desired testing penetration depth 14 Inserting Batteries 1 Open the battery door on the back of the meter by pushing the tab in the direction of the arrow and pulling the door up 2 Insert two batteries and the meter beeps 3 Put the battery door back in place and snap it closed The meter turns on automatically 15 Setting the Time and Date Setting the current time and date in your meter is important if you use the meter memory 1 Press 9 right butt
24. utside the body It should not be used to diagnose diabetes Suresign Resure blood glucose meter can only be used with Suresign Resure Blood Glucose Test Strips Other test strips will give inaccurate results Testing is not valid for neonatal blood specimens Do not disassemble the meter as this may cause damage to the components resulting in incorrect readings Disassembling the meter will also void the warranty Always keep the meter clean and siore it in a safe place Protect the meter from direct sunlight to ensure a longer lifespan You should not store the meter and test strips in a car bathroom or refrigerator Keep the meter test strips and lancing device away from children and pets You should not test critically ill patients with home use blood glucose meters Incorrect results may occur when performing the test If you believe you are not feeling well please contact your healthcare professional Remove batteries if the meter will not be used for one month or more A Please dispose device according to the local rule of the disposition of electronic device accessory waste Warning for potential biohazard Healthcare professionals using this system on multiple patients should be aware that all products or objects that come in contact with human blood even after cleaning should be handled as if capable of transmitting a viral disease Consult with your healthcare professional before testing on your palm or forearm D
25. y cause higher results Hematocrit above 60 may cause lower results 3 Some studies have shown that electromagnetic fields may affect results Do not test near an operating microwave oven 35 Symptoms of High or Low Blood Glucose Being aware of the symptoms of high or low blood glucose can help you understand your test results and decide what to do if they seem unusual Here are the most common symptoms Greater than 240 mg dL 13 33 mmol L Below 60 mg dL 3 33 mmol L What It Means What It Means The test result is higher than reference normal The test result is lower than reference normal range 70 130 mg dL or 3 89 7 22 mmol L range 70 130 mg dL or 3 89 7 22 mmol L Symptoms Symptoms Fatigue increased appetite or thirst frequent Sweating trembling blurred vision rapid urination blurred vision headache general heartbeat tingling or numbness around mouth aching or vomiting or fingertips What to Do What to Do Hm If you are experiencing any of these m If you are experiencing any of these symptoms test your blood glucose symptoms test your blood glucose m Ifthe result displayed is greater than 240 Mm Ifthe result displayed is below 60 mg dL mg dL 13 33 mmol L and you have 3 33 mmol L and you have symptoms of symptoms of high blood glucose contact low blood glucose contact your healthcare your healthcare professional instantly professional instantly m lf the result does not match how you feel m lf t
26. y stored strips or control solutions Read Chapter 2 Control Solution Testing and test again Stop using the meter if you continue to obtain the inaccurate results 23 Chapter 3 Testing Your Blood Glucose Using the Lancing Device E The best depth setting is the lowest number that draws enough blood for a test Try different settings to find the one that s right for you MI Please do not share your lancing device with anyone And always use a new sterile lancet Lancets are for one time use only A Used test strips and lancets are considered bio hazardous waste in accordance with local regulations and should be handled as if capable of transmitting infection Users may discuss methods for disposing used test strips and lancets with their doctor 24 Inserting a Lancet into the Lancing Device You must first load the lancet into the lancing device to get it ready for use 1 Unscrew the Cap 2 Insert the lancet into the lancing 3 Recap the front cap device firmly then twist off the protective cover A Lancets are for use only and a new sterile lancet should be used each time you perform a test 25 4 Select the desired penetration 5 Pull on the sliding barrel of the 6 Set the lancing device aside depth lancing device until it clicks and until later in the test then release Now the lancing device is ready Do not prick your finger until your meter and strip are prepared A 1 Select 1 2 for
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