OneTouch Ultra®2 Owner`s Booklet(BY)
Contents
1. Error messages If you get an ERROR message on your screen rather than a result see Troubleshooting in Section 8 After getting a result Once you have read your result you may e Attach notes to this result if the flags comments feature is on see Section 4 Attaching flags or comments to your results or e Review your meter memory by pressing Z9 to go to MAIN MENU see Section 5 Reviewing past results and averages or e Turn the meter off by removing the test strip Removing the used lancet Remove the lancing device cap Place the lancet protective cover on a hard surface and push the lancet tip into the cover Remove the lancet and place it in a container for sharp objects Replace the lancing device cap Disposing of the used lancet and test strip It is important to discard the used lancet carefully after each use to avoid unintended lancet stick injuries Used test strips and lancets may be considered biohazardous waste in your area Be sure to follow your health care professional s recommendations or local regulations for proper disposal TESTING YOUR BLOOD GLUCOSE 12 Interpreting unexpected test results Refer to the following cautions whenever your test results are lower or higher than what you expect A CAUTION Low glucose results e If your test result is lower than 70 mg dL or is shown as LOW GLUCOSE it may mean hypoglycemia low blood glucose Treat this condition immediately according to your health ca2. Message ERROR 4 TRIP PROBLEM SEE OWNERS BOOKLET ERROR 5 gt TRIP PROBLEM OR SAMPLE TOO SMALL RETEST WITH A MEW STRIP LOY BAT TERY REPLACE BATTERY horny SEE OWNERS BOOKLET What it means One of the following may apply You may have high glucose and have tested in an environment near the low end of the system s operating temperature range 43 111 F or There may be a problem with the test strip For example it may have been damaged or moved during testing or The sample was improperly applied or There may be a problem with the meter The meter has detected a problem with the test strip Possible causes are test strip damage or an incompletely filled confirmation window Meter battery is low but still has enough power to perform a test Meter battery does not have enough power to perform a test What to do If you tested in a cool environment repeat the test in a warmer environment with a new test strip see Section 3 Testing your blood glucose If you tested in a normal or warm environment repeat the test with a new test strip see Section 3 Testing your blood glucose If you applied the sample incorrectly review pages on blood application see Section 3 Testing your blood glucose or control solution testing see Section 6 Control solution testing and repeat the test with a new test strip Repeat the test with a new test strip Refer to information o
3. and 30 day periods the NUM and AVG columns will show 0 Also if you do not use the meal flag feature then the NUM and AVG columns will show 0 on the BEFORE MEAL and AFTER MEAL average screens To see averages for different parts of the day or over a different number of days you can use OneTouch Diabetes Management Software and your home computer See Downloading results to a computer in this section Downloading results to a computer You can use your meter with OneTouch Diabetes Management Software DMS for storing your records and to help you spot patterns for planning meals exercise and medication OneTouch DMS puts information downloaded from the meter into charts and graphs If you are a current OneTouch DMS user additional software updates may be required for use with the OneTouch Ultra 2 Meter Please visit www QOneTouchDiabetesSoftware com Obtain the required software and cable For order information and to learn more about OneTouch Diabetes Management Software visit www OneTouchDiabetesSoftware com Install the software on a computer Follow the installation instructions provided with the Software If using a OneTouch Interface Cable USB format install the software driver A WARNING To avoid a possible shock Do Not insert a test strip when the meter is connected to a computer with the OneTouch Interface Cable Get ready to transfer readings Connect the OneTouch Interface Cable to t
4. 7 Getting a blood sample from the fingertip Before testing wash your hands thoroughly with warm soapy water Rinse and dry Snap off the lancing Insert a sterile lancet Twist off the protective device cap Firmly push the lancet into the cover and save it for later use holder Replace the lancing device cap Adjust the depth setting Twist the lancing device cap until the desired setting appears Smaller numbers are for shallower punctures which may be less painful NOTE A shallower puncture may be less painful Try a shallower setting first and increase the depth until you find the one deep enough to get a sufficient blood drop for testing Cock the lancing device Slide the cocking control back until it clicks If it does not click that s okay It may have been cocked when you inserted the lancet TESTING YOUR BLOOD GLUCOSE 9 Insert a test strip to turn the meter on Insert a test strip into the test strip port as shown with the three contact bars facing you If the code on the meter does not match the code on the test strip vial see Coding your meter in Section 2 When the APPLY BLOOD screen appears on the display you can apply your blood sample Lance your finger Hold the lancing device firmly against the side of your finger Press the release button Approximate size Get a round drop of blood Gently squeeze your finger until you get a round drop of blood If the blood sme
5. MENU by pressing Q removing the test strip will not turn the meter off Use one of the three methods above GETTING TO KNOW YOUR SYSTEM 3 Setting up your meter Setting the meter language date and time You can change many of the settings that came pre set with your meter Before using your meter for the first time or if you change the meter battery you should check and update these settings Make sure you complete steps 1 through 8 below to ensure your desired settings are saved Turn the meter on CUM AINMERN O With the meter turned off press and hold amp for two seconds to access MAIN MENU LAST RESULT ALL RESULTS RESULT AWG Get to the LANGUAGE screen E When using the meter for the first time or after changing the meter battery you will automatically SET LIF start in the LANGUAGE screen METER OFF aw In other cases from the MAIN MENU press or W to select SET UP and press Q9 eel Then press or Y to select METER SETTINGS and press G9 METER SETTINGS FLAGS COMMENTS Choose a language SSE aa Now press or Y to highlight the language of your choice and press Pare ite oe EMGLISH ESPANOL NOTE If you select the wrong language press 29 and hold for five seconds to turn the meter off Then turn the meter back on and re start from step 1 Set the date format Press or Y to highlight the date format choose month first MM DD YYYY or day first DD MM YYYY To confirm your select
6. Prepare and apply control solution Shake the control solution vial before each test Remove the cap and squeeze the vial to discard the first drop Then wipe the tip with a clean tissue or cloth Hold the vial upside down and gently squeeze a hanging drop Touch and hold the hanging drop of control solution where the narrow channel meets the TOP EDGE of the test strip Make sure the confirmation window fills completely Control solution should not be applied to the flat face of the test TOP strip EDGE 1 NARROW CHANNEL Apply Drop Here CONFIRMATION WINDOW Read your result When the confirmation window is full the meter will count down from 5 to 1 mardl Your control solution result will then appear on the display along with the date time unit of CONTROL SOLUTION measure and the words CONTROL SOLUTION The control solution results can be viewed in the 13 17 09 10 23 AM list of past results but are not counted in your result averages Check if the result is in range Compare the result displayed on the meter to the control solution range printed on the test strip vial Each vial of test strips may have a different control solution range If the results you get are not within this range the meter and test strips may not be working properly Repeat the control solution test Out of range results may be due to e not following the instructions detailed in steps 1 7 e expired or contaminated control solution e expired or d
7. Up and down buttons OK button Select or change information Turns the meter on off X Turns the backlight on off amp Confirms menu selections GETTING TO KNOW YOUR SYSTEM 2 TEST STRIP Edge to apply sample Confirmation window Contact bars Insert into test port Turning your meter on To perform a test insert a test strip as far as it will go The meter will briefly perform system checks then the display will turn on Or With the meter turned off press and hold Z9 for two seconds to access MAIN MENU Check that the screen shows solid black for two seconds If it does the display is working properly If the meter does not power on try changing the meter battery See Replacing the batteries in Section 7 A CAUTION If you see any light areas within the black Start up screen there may be a problem with the meter Contact LifeScan Customer Service at 1 800 227 8862 available 24 hours a day seven days a week Using the meter display backlight When the meter is already on press and hold for two seconds to turn the backlight on or off Turning your meter off There are several ways to turn your meter off Press and hold amp for five seconds e Your meter will turn off by itself if left alone for two minutes Go to MAIN MENU and press or Y to highlight METER OFF then press G23 e Before or after completing a test remove the test strip If you advance from the test result screen to the MAIN
8. language date and time in Section 2 Dispose of batteries This product contains a lithium ion battery which contains perchlorate materials special handling may apply Dispose of batteries according to your local environmental regulations CARING FOR YOUR SYSTEM 22 Caring for your system Your OneTouch Ultra 2 Blood Glucose Monitoring System does not need any special maintenance Storing your system Store your meter test strips control solution and other items in your carrying case after each use Store each item in a cool dry place below 86 F but Do Not refrigerate Keep all items away from direct sunlight and heat Tightly close the cap on the test strip vial and or control solution vial immediately after use to avoid contamination or damage Store test Strips only in their original vial Checking for expiration or damage to test strips and control solution Expiration dates for test strips and control solutions are printed on their vial labels When you first open a new vial of test strips or control solution record the discard date on the label Refer to the test strip or control solution vial for instructions on determining the discard date A CAUTION Do Not use the test strips or control solution after the expiration date printed on the vial or the discard date whichever comes first or your results may be inaccurate Cleaning your meter To clean your meter wipe the outside with a soft cloth dampened with
9. power remaining to perform a test You must install a new battery before using your meter SEE OWNERS BOOKLET Low backlight battery Replace the backlight battery when you can no longer see the backlight coming on There will not be any icon on the meter display to indicate a low backlight battery Note that the meter will provide accurate blood glucose results even when the backlight battery needs to be replaced Replacing the batteries Remove the old battery Start with the meter off Open the battery door and pull up on the battery ribbon The white ribbon is for the meter battery and the black ribbon is for the backlight battery Meter battery Backlight battery Insert the new battery With the side facing up toward you place the battery in the compartment within the fold of the ribbon Push the battery until it snaps into the battery clasp Insert the two battery door tabs into the matching holes on the meter and push down until you hear the door click into place If the meter does not power on after you have replaced the meter battery check that the battery is correctly installed with the side up If the meter still does not power on contact LifeScan Customer Service at 1 800 227 8862 available 24 hours a day seven days a week Check your meter settings Removing the meter battery will not affect your stored results However you may need to re set your meter settings See Setting the meter
10. such as when driving a car This is especially important if you suffer from hypoglycemia unawareness lack of symptoms to indicate an insulin reaction Getting a blood sample Getting a blood sample from your forearm or palm is different than getting a sample from your fingertips Follow these instructions to get a sufficient blood drop for testing A CAUTION Before testing make sure to wash the puncture site with soap and water Rinse and dry thoroughly The clear cap is for forearm or palm sampling only Replace the lancing device cap with the clear cap Insert a lancet and snap on clear cap Carefully insert a new sterile lancet Snap on the clear cap Adjust the depth setting You may need a deeper setting to get a sufficient sample for testing Twist the cap to increase the depth Be sure to cock the lancing device Choose a sample site e Choose a spot away from bone veins and hair Massage the site to increase blood flow e Select a spot with no visible veins and avoid deep lines which may cause your blood sample to smear Forearm Palm TESTING YOUR BLOOD GLUCOSE 14 Lance your forearm or palm e Firmly press and hold the lancing device against your forearm or palm for a few seconds e Wait until the skin surface under the clear cap changes color as blood collects beneath the skin This tells you there is enough blood flow for a good sample Forearm or Palm e Then press the release bu
11. 1 F Relative humidity 10 90 Altitude up to 10 000 feet or 3 048 meters Hematocrit 30 55 2x 3 0V d c 60 mA 2 x CR 2032 batteries direct current This meter complies with CISPR 11 2003 Class B Radiated Only Emissions of the energy used are low and not likely to cause interference in nearby electronic equipment The meter has been tested for immunity to Level 3 electrostatic discharge as specified in IEC 61000 4 2 This meter has been tested for immunity to radio frequency interference over the frequency range 80 MHz to 2 5 GHz at 3 V m as specified in IEC 61000 4 3 Degree of protection rating IP32 G CAN CSA 22 2 61010 1 04 UL 61010 1 04 IEC 61010 1 and IEC 61010 2 101 C US TROUBLESHOOTING AND DETAILED INFORMATION ABOUT YOUR SYSTEM 27
12. 6 Insert a test strip to turn on the meter Remove a test strip from its vial With clean dry hands you may touch the test strip anywhere on its surface Do Not bend cut or modify the test strips in any way Use each test strip immediately after removing it from the vial Insert the test strip into the test port as shown with the three contact bars facing you Push the test strip in as far as it will go After the black start up screen appears the meter will display the code from your last test If a flashing appears instead of a code number such as when you are first using the meter follow the instructions in step 3 to change to a numerical code CHECK CODE Match the code on the meter with the code on the test strip vial If the code on the meter does not match the code on the test strip vial press or Y to match the code number on the test strip vial The new code number will flash on the display for three seconds then briefly stop flashing after which the display will advance to the APPLY BLOOD screen If the codes already match press Z9 to go to the APPLY BLOOD screen When you do not make a change after five seconds the display will advance to the APPLY BLOOD screen The meter is now ready to perform a blood glucose test NOTE If the APPLY BLOOD screen appears before you are sure the codes match remove the test strip and re start from step 1 e If you change APPLY BLOOD to APPLY CONTROL b
13. E R ed Tietz Textbook of Clinical Chemistry Philadelphia W B Saunders Company 1994 959 To maximize your chances of an accurate comparison between meter and laboratory results follow a few basic guidelines Before going to the lab e Perform a control solution test to make sure the meter is working properly e Do Not eat for at least eight hours before you test your blood e Take your meter with you to the lab While at the lab e Conduct your meter test within 15 minutes of the lab test e Use only fresh capillary blood obtained from the fingertip e Follow all instructions in this User Guide for performing a blood glucose test with your meter TROUBLESHOOTING AND DETAILED INFORMATION ABOUT YOUR SYSTEM 26 Technical specifications Reported result range 20 600 mg dL Calibration Plasma equivalent Sample Fresh capillary whole blood Test time 5 seconds Assay method Glucose oxidase biosensor Meter power source One replaceable 3 0 Volt CR 2032 lithium battery or equivalent Backlight power source One replaceable 3 0 Volt CR 2032 lithium battery or equivalent Unit of measure mg dL Electrical and safety standards Memory Automatic shutoff Size Weight Operating ranges Battery ratings 500 blood glucose or control solution test results 2 minutes after last action 3 12 x 2 25 x 0 90 inches or 7 92 x 5 72 x 2 29 cm Approximately 1 5 ounces or 42 5 grams with batteries Temperature 43 11
14. G e the average of all test results BEFORE MEAL AWG e the average of before meal results and AFTER MEAL AWG e the average of after meal results MENU To select the type of result average you want to see press or Y to highlight your choice then press G9 If you have turned the flags comments feature off selecting RESULT AVG from the MAIN MENU will lead directly to the ALL RESULTS AVG screen REVIEWING PAST RESULTS AND AVERAGES 18 The meter will display each of your 7 14 and 30 day averages The top of the display shows which type of average you are looking at For each of the 7 14 and 30 day periods leading up to the current date the meter will display the number of results obtained NUM and the average of those results AVG In result averages a HIGH GLUCOSE result is counted as 600 mg dL and a LOW GLUCOSE result as 20 mg dL Control solution results are not part of your averages From any screen showing averages press Z9 to go back to the previous screen To return to the main menu from the RESULT AVG screen press VY until MENU is highlighted then press Q NOTE e Result averages provide information from past results Do Not use result averages to make immediate treatment decisions e If you change your date setting your averages may change too The meter calculates averages based on the 7 14 and 30 day periods ending on the current date setting e If you do not have results in the past 7 14
15. N OTHER Highlight NO COMMENT if you decide not to add a comment or if you want to erase a previously entered comment from the result Use OTHER when the available choices do not apply You may want to write down what OTHER means to you so you can discuss it with your health care professional To confirm your selection press amp The comment you chose will appear below the result maya TOO MUCH FOOD 10 06 09 T45PM aw ATTACHING FLAGS OR COMMENTS TO YOUR RESULTS 17 Reviewing past results and averages Reviewing past results and averages If you have just completed a test press Z9 to get to the MAIN MENU screen If your meter is off press amp and hold to turn it on From the MAIN MENU screen you can choose e LAST RESULT to view your most recent result LAST RESULT e ALL RESULTS to review up to 500 of your most recent results four at a time or Se ae e RESULT AVG to select one of three types of result averages SET UP Press or Y to highlight LAST RESULT ALL RESULTS or RESULT AVG and press 9 Eeee on Meal Flag Last result The meter will display your most recent result Press amp to return to MAIN MENU If you wish to add or change a meal flag or comment for this result see Section 4 Attaching flags or comments to your results madl All results Comment Date Time Unitof The meter will display four results at a time in the order the tests were done starting with measure the most recent For eac
16. ONE OUCH Uitra2 Blood Glucose Monitoring System USER GUIDE Replaces Owner s Booklet Rev date 07 2009 Contents Getting to know your system Setting up your meter Testing your blood glucose 4 Attaching flags or comments to your results 5 Reviewing past results and averages Control solution testing 20 7 Caring for your system 22 Troubleshooting and detailed information about your system Symbols ZN Cautions and Warnings Refer to safety related notes in this User Guide and inserts that came with your meter and testing supplies Low battery Direct current As your partner in diabetes care we welcome you to contact us anytime 1 800 227 8862 English 1 800 381 7726 Espa ol www OneTouchDiabetes com If you cannot reach Customer Service contact your health care professional for advice The system described herein is covered by one or more of the following U S patents 5 708 247 5 951 836 6 241 862 6 284 125 7 112 265 D522 656 and D542 681 Use of the monitoring device included herein is protected under one or more of the following U S patents 6 413 410 6 733 655 7 250 105 7 468 125 Purchase of this device does not act to grant a use license under these patents Such a license is granted only when the device gt rr a is used with OneTouch Ultra Test Strips No test strip supplier other B lI F E SCAN than LifeScan is authorized to grant such a licen
17. PROBLEM CALL CUS TOMER SERVICES ERROR 2 METER OR STRIP PROBLEM RETEST wiTH 4 MEW STRIP ERROR 3 METER WAS MOT READY RETEST WITH A MEW STRIP What it means You may have a very low blood glucose level severe hypoglycemia lower than 20 mg dL You may have a very high blood glucose level severe hyperglycemia over 600 mg dL Meter is too hot above 111 F or too cold below 43 F to work correctly There is a problem with the meter Error message could be caused either by a used test strip or a problem with the meter The sample was applied before the meter was ready What to do This may require immediate treatment according to your health care professional s recommendations Although this message could be due to a test error it is safer to treat first and then do another test Re check your glucose level If the result is HIGH GLUCOSE again obtain and follow instructions from your health care professional without delay Wait a few minutes and insert a new test strip If you do not get another TEMPERATURE ERROR message the meter is now within the operating range Do Not use the meter Repeat the test with a new test strip see Section 3 Testing your blood glucose Repeat the test with a new test strip Apply a blood or control solution sample only after APPLY BLOOD or APPLY CONTROL appears on the display TROUBLESHOOTING AND DETAILED INFORMATION ABOUT YOUR SYSTEM 24
18. amaged test strip e use of a test strip or control solution past its discard date or e a problem with the meter Example A CAUTION The control solution range printed on the test strip vial is for OneTouch Ultra Control Solution only It is not a recommended range for your blood glucose level A CAUTION If you continue to get control solution test results that fall outside the range printed on the test strip vial Do Not use the meter the test strips or the control solution Contact LifeScan Customer Service at 1 800 227 8862 available 24 hours a day seven days a week CONTROL SOLUTION TESTING 21 7 Caring for your system Your OneTouch Ultra 2 Meter uses two 3 0 Volt CR 2032 lithium batteries or equivalent Replacement batteries can be found in most stores where batteries are sold Your meter comes with two batteries already installed one that powers the meter only and one that powers the backlight Replacing the batteries N Meter battery Backlight battery Low meter battery The meter shows a battery icon E in the upper right corner of the display or a low battery message to indicate the condition of the meter battery only When the battery icon first appears LOW BATTERY there is enough power for a minimum of 100 more tests You should replace the meter battery as soon as possible REPLACE BATTERY Nous When your meter displays the LOW BATTERY screen message there is not enough battery
19. ars or runs Do Not use that sample Wipe the area and gently squeeze another drop of blood or puncture a new site Zs TESTING YOUR BLOOD GLUCOSE 10 Applying blood and reading results Once you have a blood sample and your meter shows the APPLY BLOOD screen you are ready to obtain a blood glucose result If your meter does not show the APPLY BLOOD screen remove the unused test strip and re start the test process See Getting a blood sample from the fingertip in Section 3 Prepare to apply the sample Keeping your finger extended and steady move the meter and test strip toward the blood drop Fingertip Do Not apply blood on the top of the test strip Do Not hold the meter and test strip underneath the blood drop This may cause blood to run into the test port and damage the meter Apply the sample Line up the test strip with the blood drop so that the narrow channel on the edge of the test strip is almost touching the edge of the blood drop I1 Narrow channel Fl Gently touch the channel to the edge of the blood drop Be careful not to push the test strip against your fingertip or the test strip may not fill completely e Do Not smear or scrape the drop of blood with the test strip e Do Not apply more blood to the test strip after you have moved the drop of blood away e Do Not move the test strip in the meter during a test A CAUTION You may get an ERROR 5 message or an inaccurate resu
20. ed on the up arrow at the bottom right corner of the result screen will flash when a result is first displayed to remind you to enter a meal flag To add or change a meal flag While viewing a result press to display the MEAL FLAG screen ee BEFORE MEAL Press or Y to highlight BEFORE MEAL or AFTER MEAL AFTER MEAL If you decide not to assign a flag to this result select NO FLAG MO FLAG AF To confirm your selection press 3 The meal flag you chose will appear above the result on the result screen madl 10 08 09 1 45PM aw NOTE Testing after a meal can show how the food you ate affects your blood glucose These results can be flagged as AFTER MEAL and are usually obtained two hours after the start of the meal Your health care professional may suggest another time period or other use for this feature ATTACHING FLAGS OR COMMENTS TO YOUR RESULTS 16 Add or change a comment The down arrow at the bottom right corner of the result screen will flash after you enter a meal flag for a new result to remind you to consider entering a comment To add or change a comment While viewing a result press Y to display the COMMENT screen om MO COMMENT Press or Y to highlight an appropriate comment MOT ENOUGH FOOD TOO MUCH FOOD MILD EXERCISE The available choices are NO COMMENT STRESS lof 3 NOT ENOUGH FOOD ILLNESS TOO MUCH FOOD FEEL HYPO MILD EXERCISE MENSES period HARD EXERCISE VACATION MEDICATIO
21. een using another type of meter one that provides whole blood calibrated results you may notice that your test results with the OneTouch Ultra 2 Meter are approximately 12 higher OneTouch Ultra 2 Meter test results and laboratory test results both are expressed in plasma equivalent units However your meter result may differ from your laboratory result due to normal variation Meter results can be affected by factors and conditions that do not affect laboratory results in the same way Your OneTouch Ultra 2 Meter glucose value is considered accurate when it is within 20 of the laboratory measurement There are some specific situations that could cause a difference of more than 20 e You have eaten recently The blood glucose level from blood obtained from a fingertip can be up to 70 mg dL higher than blood drawn from a vein venous sample used for a lab test e Your hematocrit percentage of your blood that is red blood cells is high above 55 or low below 30 e You are severely dehydrated e You tested at a temperature near the low end of the operating range 43 F and you get a high glucose result i e greater than 180 mg dL In this situation repeat the test in a warmer environment with a new test strip as soon as possible For accuracy and precision data and for important information on limitations see the insert that comes with your test strips 1 Sacks D B Carbohydrates Burtis C A and Ashwood
22. es your blood glucose level displays the result and stores it in its memory NOTE lf you have any questions about your OneTouch Ultra 2 Blood Glucose Monitoring System contact LifeScan Customer Service at 1 800 227 8862 available 24 hours a day seven days a week Getting to know your system The OneTouch Ultra 2 Blood Glucose Monitoring System INCLUDED WITH YOUR KIT a OneTouch Ultra 2 Meter batteries included b Lancing Device If another type of lancing device was included see the separate instructions that came with that lancing device c Sterile Lancet d Carrying Case If any of these items are missing from your kit contact LifeScan Customer Service at 1 800 227 8862 available 24 hours a day seven days a week AVAILABLE SEPARATELY E5 e Clear Cap P f OneTouch Ultra Test Strips g OneTouch Ultra Control Solution Ask for control solution where you obtain your test strips A WARNING Keep the meter and testing supplies away from young children Small items such as the battery door batteries test strips lancets protective covers on the lancets and control solution vial cap are choking hazards GETTING TO KNOW YOUR SYSTEM 1 Getting to know your system METER Test port Insert test strip here to turn meter on for testing Display ONETOUCH Ultra2 mg dL is the pre set unit of measure AD Indicates selection available using up or down button
23. h test result the meter will display the date and time of the test Results may also contain the following symbols HI if the result was above 600 mg dL LO if the result was below 20 mg dL ifa comment has been chosen for the result 09 19 225PM 104 09 18 8 15 AM 90 C if the result is from a control solution test 09 17 1023 Ahd 112 C ifthe result is flagged BEFORE MEAL and 09 16 41 44 4M Lo ifthe result is flagged AFTER MEAL 1of 4 MENL The meter stores a maximum of 500 blood glucose or control solution test results When the memory is full the oldest result is dropped as the newest is added To view details of an individual result press or Y to highlight the result you want then press 9 If you wish to add or change a meal flag or comment for this result see Section 4 Attaching flags or comments to your results To return to the list of all results from an individual result press G29 To view more recent results continue to press after the top result on the display is highlighted If you press when the most recent result is highlighted you will see the oldest stored results To view older results press after MENU is highlighted Pressing and holding amp or Y allows you to move more quickly through the results To return to the main menu highlight MENU then press G9 Averages If the flags comments feature is on the meter will display the three types of averages you can sae ALL RESULTS AV
24. he COM or USB port on your computer Make sure the meter is turned off If you insert the cable while the meter is already on the meter will not respond to computer commands Then connect the other end of the OneTouch Interface Cable to the meter data port Interface Cable Transfer data Follow the instructions provided with the OneTouch DMS to download the results from the meter Once the command to start the download is sent from the computer to the meter the meter display will show PC indicating that the meter is in communication mode You will not be able to perform a test when the meter is in communication mode REVIEWING PAST RESULTS AND AVERAGES 19 Control solution testing When to test with control solution OneTouch Ultra Control Solution contains a known amount of glucose and is used to check that the meter and the test strips are working properly e Do a control solution test NOTE whenever you open a new vial of test strips e Use only OneTouch Ultra Control Solution with your if you suspect the meter and test strips are not working OneTouch Ultra 2 Meter properly e Control solution tests must be done at room temperature if you have had repeated unexpected blood glucose 68 77 F Make sure your meter test strips and control results solution are at room temperature before testing if you drop or damage the meter e Write the discard date 3 months after first opening
25. hing flags or comments to your results Attaching flags or comments to your results Your OneTouch Ultra 2 Meter allows you to attach optional notes to any blood glucose test result There are two kinds of notes and different reasons to apply them Note type Recommendation Benefit Meal Flag Add a meal flag to every blood glucose Allows you to link the effects of food to your result blood glucose result Provides you with separate averages for before meal and after meal tests Comment Select an appropriate comment whenever Helps track possible reasons for test results you test under conditions that you or your health care professional feel are worth noting We suggest you talk to your health care professional to see how meal flags and comments may help you manage your diabetes You can attach these notes just after a blood glucose test before you remove your used test strip from your meter You can also modify notes when reviewing a past result You will not be able to add a meal flag or comment to a result marked as a control solution test You can choose not to attach a meal flag or comment after a blood glucose test If you do not want to use this feature at all you can turn it off so the meter will not prompt you to add notes or to select a type of result average to review See Turning the flags comments feature off or on in Section 2 for instructions Add or change a meal flag If the flags comments feature is turn
26. ion press 29 DD MiM yey SETTING UP YOUR METER 4 Set the date i In the DATE SET UP screen press or V7 to change the first value and press G9 SET DATE 10 08 2009 Press or Y to change the second value and press 9 aw Press Gor to change the year and press Q9 ANP O Set the time format Press or Y to select the time format you prefer AM PM or 24 HR and press amp Set the time Press or Y to set the hour and press G9 Press or Y to set the minutes and press GI If you selected the AM PM time format press or Y to select AM or PM To confirm your selection SET TIME hl 15 AM a ENGLISH Confirm your settings l The choice YES will be highlighted at the bottom of the screen If your settings are correct press amp to confirm and save the settings and return to the MAIN MENU SETTINGS OK a No A WARNING The unit of measure mg dL must be displayed here If your display shows mmol L rather than mg dL contact LifeScan Customer Service at 1 800 227 8862 available 24 hours a day seven days a week You cannot change the unit of measure Use of the wrong unit of measure may cause you to misinterpret your blood glucose level and may lead to incorrect treatment SETTING UP YOUR METER 5 Turning the flags comments feature off or on Your OneTouch Ultra 2 Meter allows you to attach optional notes to any blood glucose test result See Section 4 Attaching f
27. lags or comments to your results for the types of meal flags and comments you can attach to a result and the reasons for using this feature If you do not wish to track separate result averages for before and after meals nor attach comments to any test result you may turn this feature off If you turn off the flags comments feature you will not see ax on the test result screen after you complete a blood glucose test You will be able to review the ALL RESULTS AVG screen but not before or after meal averages See Section 5 Reviewing past results and averages for more information about result averages To turn the flags comments feature off or on From MAIN MENU press or Y to select SET UP and press FLAGS COMMENTS From the SET UP screen select FLAGS COMMENTS and press 9 Press A or Y to highlight your response HONS EEE AGIN Select YES if you wish to change the setting or NO if you wish to leave it as it is CHANGE TO OFF YES ie ar Press 2 to confirm your selection and return to MAIN MENU If you want to cancel your settings and start the settings process over again press Aor V to highlight NO and press You will be returned to the LANGUAGE screen Note that none of the settings you entered will be saved Coding your meter Check the code on the test strip vial before inserting the test strip Code numbers are used to calibrate your meter with the test strips you are using SETTING UP YOUR METER
28. lt if the blood sample does not fill the confirmation window completely See Troubleshooting in Section 8 Discard the test strip and re start the test process Wait for the confirmation window to fill completely The blood drop will be drawn into the narrow channel and the confirmation window should fill completely Confirmation la window full When the confirmation window is full this means you have applied enough blood Now you can move the test strip en away from the blood drop and wait for the meter to count down from 5 to 1 Full Not full TESTING YOUR BLOOD GLUCOSE 11 Read your result on the meter Your blood glucose level appears on the display along with the unit of measure and the date and time of the test Blood glucose results are automatically stored in the meter s memory MEIOLCH Uitraz 104_ 1 06 09 17 15 4M ar A WARNING If mg dL does not appear with the test result contact LifeScan Customer Service at 1 800 227 8862 available 24 hours a day seven days a week Use of the wrong unit of measure may cause you to misinterpret your blood glucose level and may lead to incorrect treatment Example A CAUTION If you test at the low end of the operating range 43 F and your glucose is high over 180 mg dL the reading on your meter may be lower than your actual glucose In this situation repeat the test in a warmer environment with a new test strip as soon as possible
29. n blood application see Section 3 Testing your blood glucose or control solution testing see Section 6 Control solution testing When the battery icon first appears there is enough power for a minimum of 100 more tests Test results will still be accurate but replace the battery as soon as possible Replace meter battery TROUBLESHOOTING AND DETAILED INFORMATION ABOUT YOUR SYSTEM 25 Message What it means What to do No result in memory such as the first time use You can still perform a blood glucose test of the meter and get an accurate result Contact LifeScan or Customer Service at 1800 227 8862 available your meter was unable to recall this result 24 hours a day seven days a week to report This result will not be included in result this occurrence unless this is your first use of averages the meter Your meter was unable to recall this result You can still perform a blood glucose test and This result will not be included in result get an accurate result but contact LifeScan averages Customer Service at 1 800 227 8862 available 09 17 1023 AM 110 C 24 hours a day seven days a week to report 09 146 14144 Ahi L this occurrence 1of 4 MEMU Detailed information about your system Comparing meter and laboratory results Test results with the OneTouch Ultra 2 Meter are plasma calibrated This helps you and your health care professional to compare your meter results with laboratory tests If you have b
30. re professional s recommendations Although this result could be due to a test error it is safer to treat first then do another test e If you test at the low end of the operating range 43 F and your blood glucose is high you may get an inaccurate low result Re test in a warmer environment with a new test strip Dehydration and low glucose results e You may get false low glucose results if you are severely dehydrated If you think you are severely dehydrated contact your health care professional immediately High glucose results e If your test result is higher than 180 mg dL it may mean hyperglycemia high blood glucose and you should consider re testing Talk to your health care professional if you are concerned about hyperglycemia e HIGH GLUCOSE is displayed when your blood glucose level is higher than 600 mg dL You may have severe hyperglycemia very high blood glucose Re test your blood glucose If the result is HIGH GLUCOSE again this indicates a severe problem with your blood glucose control Obtain and follow instructions from your health care professional immediately Repeated unexpected glucose results e If you continue to get unexpected results check your system with control solution See Section 6 Control solution testing e If you are experiencing symptoms that are not consistent with your blood glucose results and you have followed all instructions in this User Guide call your health care professional Never ignore
31. rst open it A CAUTION e Do Not use your test strips if your vial is damaged or left open to air This could lead to error messages or inaccurate results Contact LifeScan Customer Service at 1 800 227 8862 available 24 hours a day seven days a week immediately if the test strip vial is damaged e If you cannot test due to a problem with your testing supplies contact your health care professional Failure to test could delay treatment decisions and lead to a serious medical condition e The test strip vial contains drying agents that are harmful if inhaled or swallowed and may cause skin or eye irritation e Do Not use test strips after the expiration date printed on the vial or the discard date whichever comes first or your results may be inaccurate Clear cap for alternate site sampling See Testing with a forearm or palm sample in Section 3 Cocking control Release button LANCING DEVICE Depth indicator Lancing device cap for fingertip sampling si cal Sterile lancet Lancet point If the lancing device shown here is not included with your kit see the user instructions for that lancing device TESTING YOUR BLOOD GLUCOSE 8 A CAUTION To reduce the chance of infection e Never share a lancet or a lancing device with anyone Always use a new sterile lancet each time you test lancets are for single use only e Always keep your meter and lancing device clean see Caring for your system in Section
32. se The accuracy of results A afohmeon sohmon company generated with LifeScan meters using test strips manufactured by anyone other than LifeScan has not been evaluated by LifeScan 2009 LifeScan Inc Distributed by LifeScan Inc Milpitas CA 95035 Before you begin Before using this product to test your blood glucose carefully read this User Guide and the inserts that come with the OneTouch Ultra Test Strips and OneTouch Ultra Control Solution Take note of warnings and cautions throughout this User Guide which are identified with A Many people find it helpful to practice the test with control solution before testing with blood for the first time See Section 6 Control solution testing Intended use The OneTouch Ultra 2 Blood Glucose Monitoring System is intended to be used for the quantitative measurement of glucose sugar in fresh capillary whole blood The OneTouch Ultra 2 System is intended for use outside the body in vitro diagnostic use by people with diabetes at home and by health care professionals in a clinical setting as an aid to monitor the effectiveness of diabetes control It should not be used for the diagnosis of diabetes or for testing newborns Test principle Glucose in the blood sample mixes with special chemicals in the test strip and a small electric current is produced The strength of this current changes with the amount of glucose in the blood sample Your meter measures the current calculat
33. symptoms or make significant changes to your diabetes control program without speaking to your health care professional Unusual red blood cell count e A hematocrit percentage of your blood that is red blood cells that is either very high above 55 or very low below 30 can cause false results Testing with a forearm or palm sample The OneTouch Ultra 2 Meter lets you obtain a blood sample from your A CAUTION Talk to your health care professional before forearm or palm Getting a drop of blood from these alternate sites you begin using your forearm or palm for sampling may be less painful than a fingertip sample If you are testing Use blood sample from your Before or more than two hours after e a meal Fingertip forearm or palm e a rapid acting insulin injection or insulin pump bolus e exercise TESTING YOUR BLOOD GLUCOSE 13 A CAUTION Do Not test on your forearm or palm when e You think your blood glucose is rapidly falling such as within two hours of exercise or a rapid acting insulin injection or insulin pump bolus Testing with a fingertip sample may identify hypoglycemia or an insulin reaction sooner than testing with a forearm or palm sample e t has been less than two hours after a meal a rapid acting insulin injection or insulin pump bolus physical exercise or you think your glucose level is changing rapidly e You are concerned about the possibility of hypoglycemia or an insulin reaction
34. the vial on the vial label when you first open it A CAUTION Do Not swallow control solution it is not for human consumption Do Not apply control solution to the skin or eyes as it may cause irritation How to test with control solution Start with the meter off If you have turned the meter on to change settings or review past results turn it off Check the code on the test strip vial before inserting the test strip Insert a test strip to turn on the meter Make sure the three contact bars are facing you Push the test strip in as far as it will go Do Not bend the test strip Match the code on the meter with the code on the test strip vial If the code on the meter does not match the code on the test strip vial press or Y to match the code number on the test strip vial The new code number will flash on the display for three seconds then briefly stop flashing after which the display will advance to the APPLY BLOOD screen If the codes already match press 29 to go to the APPLY BLOOD screen When you do not make a change after five seconds the display will advance to the APPLY BLOOD screen Mark the test as a control solution test Press to change APPLY BLOOD to APPLY CONTROL You must mark the test before you apply control solution Once you have completed the test you cannot change the marking ae The meter is now ready to perform a control solution test CONTROL SOLUTION TESTING 20
35. tton while continuing to apply pressure Forearm Palm e Keep holding the lancing device against your skin until a round drop of blood forms under the cap e When sampling blood from your forearm or palm make sure the drop of blood is sufficient approximate size before you release pressure and remove the lancing device Remove the lancing device Forearm or Palm Carefully lift the lancing device away from your skin Do Not smear the blood sample If the drop of blood runs or spreads due to contact with hair or a line in your palm Do Not use the sample Try lancing again in a smoother area Choose a different puncture site each time you test Repeated punctures in the same spot may cause soreness and calluses If bruising occurs at an alternate site or you have difficulty getting a sample consider sampling from a fingertip instead You may want to review the choice of sites with your health care professional Apply the sample to the test strip Keep your forearm or palm steady and use your other hand to bring the top edge of the test strip to the drop of blood e See Testing with a fingertip sample in Section 3 for more information on applying the blood sample to the test strip See Interpreting unexpected test results in Section 3 for more information on unexpected test results e See Testing with a fingertip sample in Section 3 for information on disposing the used lancet TESTING YOUR BLOOD GLUCOSE 15 4 Attac
36. water and mild detergent Do Not use alcohol or another solvent to clean your meter Do Not get any liquids dirt dust blood or control solution inside the meter through the test port or the data port Never spray cleaning solution on the meter or immerse it in any liquid Cleaning your lancing device and clear cap To clean these items wipe them with a soft cloth dampened with water and mild detergent Do Not immerse the lancing device in any liquid To disinfect these items prepare a solution of one part household bleach to ten parts water Wipe the lancing device with a soft cloth dampened with this solution Immerse the caps only in this solution for 30 minutes After disinfecting rinse briefly with water and allow both to air dry CARING FOR YOUR SYSTEM 23 8 Troubleshooting and detailed information about your system Troubleshooting The OneTouch Ultra 2 Meter displays messages when there are problems with the test strip with the meter or when your blood glucose levels are higher than 600 mg dL or lower than 20 mg dL Messages do not appear in all cases when a problem has occurred Improper use may cause an inaccurate result without producing an error message In this Section screens that display SEE OWNER S BOOKLET means you should refer to this User Guide Message LOY GLUCOSE BELOW 20 mg dL HIGH GLUCOSE ABOVE 600 madl TEMPERATURE ERROR OUT OF OPERA TING RANGE SEE OWWNER S BOOKLET ERROR 1 METER
37. y mistake press y to change it back to APPLY BLOOD A CAUTION Matching the code on the meter and the code on the test strip vial is essential to obtaining accurate results Each time you test check to make sure the code numbers match SETTING UP YOUR METER 7 Testing your blood glucose Testing with a fingertip sample Preparing for a test Have these things ready when you test OneTouch Ultra 2 Meter OneTouch Ultra Test Strips Lancing device Sterile lancets NOTE e Use only OneTouch Ultra Test Strips e Make sure your meter and test strips are about the same temperature before you test e Testing must be done within the operating temperature range 43 111 F For the most accurate results try to test as close to room temperature 68 77 F as you can see Detailed information about your system in Section 8 e Tightly close the cap on the vial immediately after use to avoid contamination and damage e Store unused test strips only in their original vial e Do Not open the test strip vial until you are ready to remove a test strip and perform a test Use the test strip immediately after removing it from the vial e Do Not return the used test strip to the vial after performing a test e Do Not re use a test strip that had blood or control solution applied to it Test strips are for single use only e Write the discard date 6 months after first opening the vial on the vial label when you fi
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