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ONE TOUCH Ultra Owner`s Booklet
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1. in plasma equivalent units However the result you obtain from your meter may differ somewhat 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 See ONE TOUCH Ultra Test Strip package insert for typical accuracy and precision data and for important information on Limitations To make an accurate comparison between meter and laboratory results follow the guidelines below Before you go to the lab Perform a control solution test to make sure the meter is working properly Itis best to fast for at least eight hours before doing comparison tests Take your meter with you to the lab While at the lab Make sure that the samples for both tests the meter test and the lab test are taken and tested within 15 minutes of each other Wash your hands before obtaining a blood sample Never use your meter with blood that has been collected in a gray top test tube Use fresh capillary blood only You may still have a variation from the result because blood glucose levels can change significantly over short periods especially if you have recently eaten exercised taken medication or experienced stress In addition if you have eaten recently the blood glucose level from a fingerstick can be up to 70 mg dL higher than blood drawn from a vein venous sample used for a lab test Therefore it is best
2. M BUTTON The M Mode button is used to set up the meter enter the memory mode and turn the meter on and off DATA PORT The data port accepts the LifeScan Interface Cable which can be used to help download your test results to a computer for further analysis using IN TOUCH Diabetes Management Software li 2 ONE OLCH ilira Li 4 5 a TEST PORT The test port is where you insert the ONE TOUCH Ultra Test Strip for testing The meter will turn on automatically when you insert a test strip C BUTTON The C Change button is used to change the date and time code number and unit of mea surement as well as to indicate control solution tests and to review test results while in the memory mode ONE TOUCH Ultra meter display segments CTL Indicates a control solution test result CODE Appears with the code number of the test strips currently in use BLOOD DROP SYMBOL This symbol tells you when to apply the sample BATTERY SYMBOL Appears when the battery is low or must be replaced code ctl Pa oO MONTH DAY KETONES Appears when a blood glucose test result is above 240 mg dL on os yoo nie Liv ma mmol L mg dL 68 88 0888 HOUR MINUTES MEM Indicates a test result stored in memory TEST RESULT AREA Test results are displayed here A decimal point appears when the unit of measure ment is millimoles per liter UNITS OF MEASUR
3. inaccurate result The meter will turn on automatically All segments will appear briefly on the display Then the code number and amp symbol will appear Code the meter if necessary Insert This End 23 24 Correct Incorrect Good Sample Sample Too Small STEP 2 Apply Sample Obtain a rounded drop of blood using the ONE TOUCH Ul traSoft Adjustable Blood Sampler The blood sample must be at least 1 microliter in volume actual size or you may get an inaccurate test result When the amp symbol appears on the display touch and hold the drop of blood to the TOP EDGE of the test strip where it meets the narrow channel Do not push your finger against the test strip or try to apply a smeared sample Hold the blood drop to the TOP EDGE of the test strip until blood has completely filled the confirmation window before the meter begins to count down If the confirmation window does not fill completely before the meter begins to count down do not add more blood to the test strip discard the test strip and retest If you have trouble filling the test strip contact LifeScan Customer Services for assistance Note If you do not apply a blood sample within two minutes the meter will turn itself off You must remove the test strip and insert it back into the meter to restart the test procedure STEP 3 Accurate Results in Just 5 Seconds Your blood glucose test result w
4. low blood glucose hypoglycemia Test results greater than 240 mg dL 13 3 mmol L mean high blood glucose hyperglycemia If you get results below 60 mg dL or above 240 mg dL and do not have symptoms first repeat the test If you have symptoms or con tinue to get results that fall below 60 mg dL or above 240 mg dL follow the treatment advice of your healthcare professional If you are experiencing symptoms that are not consistent with your blood glucose test results AND you have followed all instructions described in the ONE TOUCH Ultra Owner s Booklet call your healthcare professional A red blood cell count hematocrit that is very high above 55 or very low below 30 can cause false results TABLE OF CONTENTS GETTING STARTED BEFORE TESTING TESTING YOUR BLOOD yi The Complete ONE TOUCH Ultra Blood Glucose Monitoring System ONE TOUCH Ultra Blood Glucose Meter ONE TOUCH Ultra Test Strips Checking the Display Coding the Meter Checking the System with ONE TOUCH Ultra Control Solution Getting a Drop of Blood Step by Step Test Procedure Special Messages 11 17 18 23 26 USING THE METER MEMORY VIEWING TEST RESULTS ON A PERSONAL COMPUTER COMPARING METER AND LABORATORY RESULTS SETTING THE METER CARING FOR YOUR METER DISPLAY MESSAGES AND PROBLEM SOLVING GUIDE SPECIFICATIONS GUARANTEE Data Downloading Setting the Time Date and Unit of Measurement M
5. result Use only for three months after first opening Record the discard date date opened plus three months on the control solution vial Discard after three months Store the control solution tightly closed at temperatures below 86 F 30 C Do not refrigerate CAUTION The control solution range printed on the test strip vial is for ONE TOUCH Ultra Control Solution only It is used to test meter and test strip performance It is not a recommended range for your blood glucose level E 14 How to do a control solution test STEP 1 Insert Test Strip Insert a test strip contact bars end first and facing up into the test port Contact bars must be inserted all the way into the meter or you may get an inaccurate test result The meter will turn on automat ically All segments will appear briefly on the display Then code r example is displayed followed by the amp symbol Be sure the code number on the display matches the code number on the test strip vial If the code numbers do not match code the meter correctly After the amp symbol appears on the display press the C button ctl will appear on the display With the ctl sign on the display the meter will mark your next test in memory as a control solution test If you decide not to perform a control solution test the ctl sign will disappear when you press the C button again Note Every time you perform a control solu
6. EMENT Depending upon how the meter is set either mmol L or mg dL will appear with the test result ONE TOUCH Ultra Test Strips The ONE TOUCH Ultra System mea sures the amount of sugar glucose in whole blood Blood is applied to the TOP EDGE of the ONE TOUCH Ultra Test Strip and is automatically drawn into the reaction cell where the reaction takes place The ONE TOUCH Ultra Test Strip consists of the following parts Top Edge Apply a drop of blood here where the narrow channel meets the top edge of the test strip Confirmation Window This is where you confirm if enough blood has been applied to the TOP EDGE Contact Bars Insert this end of the test strip into the meter Push it in firmly until it will go no further See pages 17 26 Testing Your Blood for complete instructions Important Test Strip Information Store test strip packages in a cool dry place below 86 F 30 C Keep away from direct sunlight and heat Do not refrigerate Store your test strips in their original vial only do not transfer them to a new bottle or any other container After removing a ONE TOUCH Ultra Test Strip from the vial immediately replace the vial cap and close it tightly With clean dry hands you may touch the test strip anywhere on its surface when removing it from the vial or inserting it into the meter Use each test strip immediately after removing it from the vial Write the discard d
7. NE TOUCH ONETOUCH Liltra TEST SUMMARY This summary is intended only for quick reference and not as a substi tute for the ONE TOUCH Ultra Owner s Booklet Please read the entire booklet before you begin testing 1 Insert test strip Meter turns on automatically 2 Apply sample Touch and hold the blood drop to TOP EDGE of test strip where it meets narrow channel 3 Hold the blood drop to the TOP EDGE until confirmation window is completely filled before meter begins to count down If confirmation window does not fill completely do not add blood to test strip Discard test strip and retest 4 Accurate test results in just 5 seconds Dear ONE TOUCH Ultra System Owner You have chosen one of the best blood glucose monitoring systems available This booklet has important information you must know about the ONE TOUCH Ultra System Read it carefully Your ONE TOUCH Ultra System provides you with accurate plasma calibrated test results This feature makes it easier for you and your doctor to compare your meter results with laboratory results If you ve been using another type of meter you may notice that your results with the ONE TOUCH Ultra System are about 12 higher Blood glucose monitoring plays an important role in diabetes control A long term study showed that keeping blood glucose levels close to normal can reduce the risk of diabetes complications by up to 60 The results you get w
8. NE TOUCH Ultra Test Strip to turn on the meter All segments of the display will appear Next the code number will appear on the display for three seconds STEP 2 Match the Code Numbers Compare the code number on the meter display with the code number on the test strip vial If the two code numbers match you may begin testing If they do not match follow Step 3 When you first use the meter three dashes will appear showing that there is no code stored in the memory Example 10 STEP 3 Code the Meter Press the C button to select the correct code Each time you press and release the C button the number will increase by one To move faster simply press and hold the C button After you have selected the correct code number it will flash for three seconds and then appear solid for three seconds Then the symbol will appear indicating that the ONE TOUCH Ultra System is ready for testing Checking the System with ONE TOUCH Ultra Control Solution ONE TOUCH Ultra Control Solution is used to check that the meter and the test strips are working together as a system and that you are performing the test correctly It is very important that you do this simple check routinely to make sure you get accu rate results ONE TOUCH Ultra Control Solution contains a known amount of glucose that reacts with ONE TOUCH Ultra Test Strips Compare your control solution test results with the expect
9. a Example 64 MT A Py Hg Example WHAT IT MEANS The system is ready to accept a control solution test sample Five second count down The meter is calculating the result At the end of the count down the meter will display the test result A blood glucose test result in mg dL A blood glucose test result in mmol L ACTION You may now apply the control solution No action required No action required No action required MESSAGE H Tias Example WHAT IT MEANS A blood glucose test result with a sugges tion to check your ketone levels ACTION You may want to check your ketone levels Act according to instruc tions of your healthcare professional This message indicates i Tr Example Your blood glucose level is higher than 600 mg dL 33 3 mmol L Your blood glucose level is lower than 20 mg dL 1 1 mmol L A blood glucose test result stored in the memory very high blood sugar You should recheck your glucose level and if H 1 call your doctor immediately This message indicates very low blood sugar You should treat this condition according to the recommendations of your healthcare professional No action required 45 MESSAGE at ie Hga E Example Tat hoe bun Example 22 a Example 46 WHAT IT MEANS A control solution test result stored in the memory The
10. a Meter comes with one 3 0 V 2032 or equivalent lithium battery that is already installed The battery will provide you with enough power to perform about 1 000 tests When replacing the battery use only a 3 0 V 2032 or equivalent lithium battery The meter will alert you when the power is getting low by displaying two different messages 1 The symbol appears on the display with the unit of measurement when the meter is turned on and all other display messages are functional From the time the symbol first appears there is enough power left for about 50 tests The test results will be accurate but it is time to change the battery 2 The symbol appears on the display by itself This means that the battery will not provide enough power for a test You must change the battery To replace the battery make sure that the meter is turned off Turn the meter over and locate the battery compartment 1 Open the battery compartment by pressing up on the tab and pulling the battery compartment cover toward you 2 Remove the old battery by pulling upward on the ribbon Insert one 3 0 V 2032 or equivalent lithium battery making sure the positive side of the battery is facing up 3 Place the battery compartment cover over the battery compartment Push down on the battery compartment cover until you hear the tab click into place Note Replacing the battery does not affect the meter s memory previ
11. aintenance Battery 27 30 32 34 39 39 40 42 52 53 Vil viii pue ONE TOUCH Ultra m aa i ONETOL CH Ultra CAUTION Check your ONE TOUCH Ultra System to be sure the outer carton seal is not missing or broken If either of these conditions occurred please return your system to the place of purchase The Complete ONE TOUCH Ultra Blood Glucose Monitoring System The ONE TOUCH Ultra Blood Glucose Monitoring System consists of three main products the ONE TOUCH Ultra Blood Glucose Meter ONE TOUCH Ultra Test Strips and ONE TOUCH Ultra Control Solution These products have been designed tested and proven to work together as a system to produce accurate blood glucose test results Use only ONE TOUCH Ultra Test Strips and ONE TOUCH Ultra Control Solution with the ONE TOUCH Ultra Blood Glucose Meter Your system includes ONE TOUCH Ultra Meter ONE TOUCH Ultra Test Strips ONE TOUCH Ultra Control Solution ONE TOUCH UltraSoft Adjustable Blood Sampler ONE TOUCH UltraSoft Sterile Lancets Owner s Booklet Carrying Case Quick Reference Guide Warranty Registration Card Logbook One 3 0 V Lithium Battery Installed a Ps gt y N i rN yN Ww ONE TOUCH Ultra Blood Glucose Meter DISPLAY Your test results are displayed here The large easy to read display guides you through the test using symbols and simple messages
12. ate on the vial label when you first open it Discard remaining ONE TOUCH Ultra Test Strips and the vial three months after first opening date Apply only ONE TOUCH Ultra Control Solution or a blood sample to the top edge Applying other substances to the top edge will cause inaccurate results Do not use test strips beyond the expiration date printed on the package since they may cause inaccurate results Do not bend cut or alter a ONE TOUCH Ultra Test Strip in any way BEFORE TESTING Checking the Display Each time you insert a test strip into the ONE TOUCH Ultra Meter or turn the meter on all segments of the display will appear briefly This tells you that the system is performing several self checks and allows you to confirm that all display segments are working properly See pages 4 and 5 for all display segments Coding the Meter Code numbers are used to calibrate the ONE TOUCH Ultra Test Strips with the ONE TOUCH Ultra Meter for accurate results You must code the meter before using it for the first time and then every time you change to another vial of ONE TOUCH Ultra Test Strips Each time you test check that the code number on the meter display matches the code number on the test strip vial CAUTION If the code number displayed on the meter does not match the number printed on the vial test results may be inaccurate STEP 1 Enter the Code Mode Start with the meter turned off Insert a O
13. d must be purchased separately STEP 1 Install IN TOUCH Software Install IN TOUCH Software on your computer following the instructions pro vided in the IN TOUCH User s Manual STEP 2 Connect the LifeScan Interface Cable Connect the LifeScan Interface Cable to a serial port on the back of your computer With the meter turned off connect the LifeScan Interface Cable to the data port located on the bottom of the meter FE will appear on the display once the first command is received indicating that the meter is in the communication mode You are now ready to transfer all test results with date and time stored in meter memory to your computer Note While in the communication mode you will be unable to perform a blood glucose test If the meter is in the memory mode or the setting mode it will not respond to computer commands STEP 3 Transfer Data Following the instructions in the IN TOUCH User s Manual initiate the data transfer command If no command is received within two minutes the meter will turn itself off Pressing the M button will also turn the meter off To learn more about IN TOUCH Diabetes Management Software or to obtain a LifeScan Interface Cable separately con tact the LifeScan Data Management Line at 1 800 382 7226 31 COMPAR ING METER AND LABORA TORY RESULTS 32 ONE TOUCH Ultra Meter test results and laboratory test results are both expressed
14. dam aged test strip ACTION Check that the code num ber on the meter display matches the code number on the test strip vial Check the test strip for damage Code the meter or retest as necessary Repeat the test If the error message appears again contact LifeScan Customer Services at 1 800 227 8862 Repeat the test with a new test strip Hold the sample to the test strip until the meter begins to count down MESSAGE WHAT IT MEANS The battery sign appears on the display with the unit of mea surement The power of the battery is getting low You can complete about 50 more tests from the time this symbol first appears The battery sign appears on the display by itself The power of the battery is too low to run a test ACTION Test results will still be accurate but replace the battery as soon as possible Replace the battery at once The meter will not operate 49 MESSAGE WHAT IT MEANS ACTION If the meter does not display a message after inserting a test strip The temperature of the Repeat the test after the air meter or test strips meter and test strips have PROBABLE CAUSE WHAT TO DO mee below iie syste aan een a Battery exhausted Replace the battery operating range You within the operating cannot perform atest range b Battery incorrectly Check that the battery is until the meter and test installed or absent correctly installed with the strips reach a tempera positi
15. ed range printed on the test strip vial label Control solution should be used to Practice the test procedure a Make sure your meter and a T L test strips are working together ma i properly EO Ensure you are performing the T test correctly S 11 12 Before you use the ONE TOUCH Ultra Meter to test your blood for the first time practice the procedure using control solution When you can do three tests in a row that are within the expected range you are ready to test your blood Do a control solution test When you begin using a new vial of test strips At least once a week Whenever you suspect that the meter or test strips are not working properly When your blood glucose test results are not consistent with how you feel or when you think your results are not accurate Ifyou drop the meter The control solution test is similar to a blood test except that you use ONE TOUCH Ultra Control Solution instead of a drop of blood Important Control Solution Test Information Use only ONE TOUCH Ultra Control Solution Check the expiration date on the control solution vial Do not use if expired Control solution meter and test strips should come to room temperature 68 77 F 20 25 C before testing Shake the vial discard the first drop of ONE TOUCH Ultra Control Solution and wipe off the dispenser tip to ensure a good sample and an accurate
16. g but not too tight Adjust the puncture depth setting if necessary Twist the knob toward the smaller bumps for a shallower puncture or toward the larger bumps for a deeper puncture STEP 2 Cock the ONE TOUCH UltraSoft Sampler Slide the ejection cocking control back until it clicks If it does not click the ONE TOUCH UltraSoft Sampler may have been cocked when the lancet was inserted 19 STEP 3 Wash Your Hands and the Note Consult your healthcare professional before you begin using the arm Puncture Site for testing You may obtain glucose values from the arm that differ from the fingertip This is a physiological difference that varies by individual Use warm soapy water Rinse and ap SOAPY as a result of factors like food intake health state and medication dry thoroughly Select a soft fleshy area away from bone free of visible veins or STEP 4 excess hair To increase blood flow to the site you Select and Lance a Puncture Site may wish to gently massage or apply heat to the area for a short time If necessary set the sampler for a deeper puncture Press and hold the sampler to the site for a few seconds Then press the release button and continue to hold the sampler against the site for a few more seconds Allow Note The ONE TOUCH Ultra System requires a very small blood drop to perform a test You may obtain it from a fingertip or arm The arm has fewer nerve endings than
17. he 12 hour format AM PM setting will start flashing STEP 3 Set the Time Format The meter can display the time in either a 12 hour format AM PM or a 24 hour format 00 00 to 23 59 The 12 hour format is preset in the meter If you wish to display the time in the 24 hour format press the C button With the preferred time format on the display press the M button and the year setting will start flashing 35 Before setting the date you must have first set the time STEP 4 Set the Year Press and release the C button to advance one year To move faster hold the C button down With the correct year on the display press the M button and the date will appear on the display with the month segment flashing STEP 5 Set the Month Press and release the C button until the correct month appears To move faster hold the C button down With the correct month on the display press the M button and the day segment will start flashing STEP 6 Set the Day Press and release the C button until the cor rect day appears To move faster hold the C button down With the correct day on the display press the M button and the current unit of measurement will start flashing Note Your ONE TOUCH Ultra Meter displays 14 and 30 day averages which you can access from the meter memory These averages are calculated from results obtained during the 14 and 30 days preceding the current date and time setting
18. ill appear after the meter counts down from 5 to i Blood glucose test results are automatically stored in the meter memory Turn the meter off by removing the test strip The ONE TOUCH Ultra Meter provides accurate plasma calibrated test results that can be compared directly with labo ratory results wi Record all test results in the logbook This helps you keep track of test results m L i0 30 KG a Plasma Calibrated Result Example 25 26 305 0 30 33 Ao Example Special Messages The ONE TOUCH Ultra Meter displays results between 20 and 600 mg dL 1 1 to 33 3 mmol L If your test result is lower than 20 mg dL 1 1 mmol L L L will appear on the meter display This indicates severe hypoglycemia low blood glucose You should immediately treat hypoglycemia as recommended by your healthcare professional If your blood glucose test result is above 600 mg dL 33 3 mmol L H i will appear on the meter display This indi cates severe hyperglycemia high blood glucose You should seek immediate medical assistance When your blood glucose test result is above 240 mg dL 13 3 mmol L or reads iii ketones will appear on the meter display This message does not mean that the system detected ketones but that testing with a ketone test strip may be advisable Your ONE TOUCH Ultra Meter stores the 150 most rece
19. ith the ONE TOUCH Ultra System can help you and your healthcare professional monitor and adjust your treatment plan to gain better control of your diabetes A warranty registration card is included with your system If you complete it and mail it to us we will send you a gift If you prefer to fill out a warranty card online please visit LifeScan com American Diabetes Association position statement on the Diabetes Control and Complications Trial 1993 iii The ONE TOUCH Ultra System is intended for use outside the body in vitro diagnostic use It should be used only for testing glucose sugar and only with fresh capillary whole blood samples It should not be used for the diagnosis of diabetes or for the testing of newborns CAUTION Before using any product to test your blood sugar blood glucose read all instructions and practice the test Do all quality control checks as directed and consult with a diabetes healthcare professional These recommendations apply to all blood glucose monitoring systems and are supported by the American Association of Diabetes Educators the American Diabetes Association the U S Food and Drug Administration and Advamed Important Information Severe dehydration and excessive water loss may cause false low results If you believe you are suffering from severe dehydration consult a healthcare professional immediately Test results below 60 mg dL 3 3 mmol L mean
20. ked as control solution will not be included in your 14 and 30 day averages Note You can enter the memory mode from the test mode After completing a blood glucose or control solution test and while the test result is still on the display press the M button This will put the meter into the memory mode STEP 2 Recall Test Results After three seconds the 30 day average will be replaced by the most recent test result with date and time Press the C but ton once and the next most recent test result will appear Each time you press and release the C button the meter will Example recall up to your last 150 test results in order When the memory is full the oldest result is dropped as the newest is added To move through the tests more quickly press and hold the C button Control solution tests will appear on the display with ctl mem Note When using the meter for the first time mem will appear showing that there are no test results in memory STEP 3 Exit the Memory Mode Press the M button to turn off the meter VIEWING TEST RESULTS ONA PERSONAL COMPUTER 30 Data Downloading Transferring test results to your personal computer for home viewing requires IN TOUCH Diabetes Manage ment Software from LifeScan and a LifeScan Interface Cable IN TOUCH Software which includes the LifeScan Interface Cable is not included with your ONE TOUCH Ultra System an
21. nt blood glucose and control solution test results with date and time in its memory It also provides you with 14 and 30 day averages of your blood glucose test results You can review the test results in memory with these easy steps STEP 1 Enter the Memory Mode With the meter turned off press the M button The 14 day average will appear indicating that you are in the memory mode After three seconds the 30 day average will appear for three seconds You can then review the last 150 tests in the memory The 14 day average is calculated from the blood glucose results obtained during the last 14 days It also indicates how many blood glucose tests have been performed within this period e g BHn 64 tests in the last 14 days When using the meter for the first time i 4 DAY AVG will appear showing that there are no test results in memory USING THE METER MEMORY Example ay 28 n The 30 day average is calculated from the blood glucose results obtained dur ing the last 30 days It too indicates how many blood glucose tests have been performed e g Jin 138 mpd tests in the last 30 days When using dee JHA the meter for the first time Ji DAY Example AVG will appear showing that there are no test results in memory Note A Hi result will be included in your 14 and 30 day averages as 600 mg dL a LL result will be included as 20 mg dL Results mar
22. on CAUTION If you continue to get control solution test results that fall outside of the range printed on the vial the system may not be working properly Do not use the system to test your blood if you continue to get test results that fall outside of the range If you are unable to resolve the problem call LifeScan Customer Services at 1 800 227 8862 Be sure to read this section and the test strip package insert found in the test strip box carefully before testing Make sure you have all items needed to test ONE TOUCH Ultra Meter ONE TOUCH Ultra Test Strips ONE TOUCH UltraSoft Adjustable Blood Sampler ONE TOUCH UltraSoft Sterile Lancet TESTING YOUR BLOOD 17 18 Getting a Drop of Blood CAUTION To reduce the chance of infection Never share a lancet or the ONE TOUCH UltraSoft Sampler with anyone Always use a new sterile lancet Lancets are for single use only Avoid getting hand lotion oils dirt or debris in or on the lancets and the ONE TOUCH UltraSoft Sampler STEP 1 Insert a Lancet in the ONE TOUCH UltraSoft Adjustable Blood Sampler Twist the ONE TOUCH UltraSoft Cap counterclockwise to remove it Insert a lancet into the lancet holder and push down firmly until it is fully seated Do not twist the lancet Twist the protective disk until it separates from the lancet Replace the ONE TOUCH UltraSoft Cap Turn the cap clockwise until it is snu
23. ose and con trol solution tests Automatic Shutoff Two minutes after last user action Size 3 12 X 2 25 x 85 Weight 1 5 ounces with battery Operating Ranges Temperature 43 111 F 6 44 C Relative Humidity 10 90 Hematocrit 30 55 The makers guarantee that the G u AR ONE TOUCH Ultra Meter shall be free of defects in material and A N T E E workmanship for a period of three years This guarantee is valid from the date of purchase The guarantee extends only to the original purchaser and is not transferable 59 Glucose Ranges Times of Day for People Without Diabetes mg dL Your Target Ranges mg dL Before breakfast or dinner 1 hour 2 hours Less than 120 after meals Between Greater than 70 Source Krall L P and Beaser R S Joslin Diabetes Manual Philadelphia Lea and Febiger 1989 138 Meter Serial No Important phone numbers LifeScan Customer Services 24 hours a day 7 days a week English 1 800 227 8862 Espafiol 1 800 381 7226 Healthcare Professional Pharmacist Diabetes Educator Other LifeScan Customer Services toll free numbers 24 hours a day 7 days a week U S A English 1 800 227 8862 Espanol 1 800 381 7226 Visit the LifeScan Web site www LifeScan com LifeScan Inc 2000 Milpitas CA 95035 12 00 AW 060 175 03A Patent Nos 5 708 247 and 5 951 836 AW 06017503A
24. ous test results stored in memory However the time and date settings may need to be updated The first time you turn on the meter after replacing the battery the meter may go into the setting mode At this time you may update the time and date settings 41 DISPLAY MESSAGES AND PROBLEM SOLVING GUIDE 42 Following is a summary of all display messages and symbols These messages help to identify certain problems but do not appear in all cases when a problem has occurred Improper use may cause an inaccurate result without producing an error message or a symbol In the event of a problem refer to the infor mation under ACTION MESSAGE Example WHAT IT MEANS System check Appears upon insertion of a test strip or whenever the meter is turned on Verifies that all seg ments are present on the display This message appears immediately after the system check if your meter has not been coded This is the code number stored in the meter The system is ready to accept a blood sample ACTION If segments are miss ing contact LifeScan Customer Services for further action Missing segments can lead to the wrong interpretation of the displayed test result See Coding the Meter pages 8 10 Make sure that this code number matches the code number on the vial of the test strips you are using You may now apply the blood sample 43 44 MESSAGE W isk ar
25. re is no test result stored in this place in the memory Average of the last 14 days b4nm means that 64 tests were performed within this period Average of the last 30 days iJn means that 138 tests were performed within this period ACTION No action required No action required No action required No action required MESSAGE WHAT IT MEANS Error message that indicates that there is a problem with the meter Error message could be caused by a used test strip or a temporary or permanent electronics problem occurred Error message that indicates that the blood sample was applied before amp appeared on the display ACTION Review the instructions and try again with a new test strip If the problem persists contact LifeScan Customer Services at 1 800 227 8862 Repeat the test with a new test strip If the error message appears again contact LifeScan Customer Services at 1 800 227 8862 Repeat the test with a new test strip Apply blood sample only after appears on the display 47 48 MESSAGE WHAT IT MEANS Error message that indicates that there may be a problem with the test strip e g the test strip may have been damaged moved or removed during testing or inserted improperly Error message that indicates that the meter has detected a problem with the test strip Possible causes are incorrect blood or control solution application or a
26. s When the date and time are changed the 14 and 30 day averages may change The ONE TOUCH Ultra Meter can display test results in milligrams per deciliter mg dL or in millimoles per liter mmol L The mg dL unit is standard in the United States The mmol L unit is commonly used in Canada and some European countries STEP 7 Select mg dL or mmol L Press and release the C button until the unit of measurement you are choosing appears on the display 37 STEP 8 Exit the Setting Mode After choosing your unit of measurement press the M button to turn off the meter The meter will display all test results in this unit of measurement Note You must move through the hour minutes time format year month day and unit of measurement to turn off the meter and exit the setting mode 38 Maintenance Your ONE TOUCH Ultra Meter does not require special maintenance As no blood or control solution comes in contact with the meter there is no special cleaning required Take care to avoid getting dirt dust blood control solution or water inside the meter through the test port or data port Store the meter in its carrying case after each use A cloth dampened with water and mild detergent can be used to wipe down the outside of the meter Your ONE TOUCH Ultra Meter is a precision instrument Please handle it with care CARING FOR YOUR METER 59 40 Battery Your ONE TOUCH Ultr
27. the fingertips and you may find it much less painful for obtaining blood Choose a different spot each time you test Repeated punctures in the same spot may cause soreness and calluses Fingertip enough time for an adequate blood Hold the ONE TOUCH UltraSoft Sampler drop to develop firmly against the side of your finger If bruising occurs you may choose to Press the release button lance a fingertip instead If you are having difficulty obtaining blood from the arm call LifeScan Customer Services at 1800 227 8862 for assistance 21 STEP 5 Gently Massage the Area Gently massage the chosen area to obtain the required blood sample 1 microliter in volume actual size Do not smear the blood sample Proceed with your blood glucose test STEP 6 Remove the Lancet Remove the cap Twist it counterclock wise Optional To replace the protective disk on the lancet place the disk on a hard surface and push the exposed tip into the protective disk Always use caution when removing the lancet Point it down and away Push forward on the ejection cocking control and eject the lancet directly into a container for sharp objects Return the ejection cocking control to the middle position Replace the cap Step by Step Test Procedure STEP 1 Insert Test Strip Insert the test strip contact bars end first and facing up into the test port The bars must be all the way into the meter to avoid an
28. tion test you must mark the test with the ctl sign so that the test will be distinguished from a blood glucose test in the meter memory and not included in the 14 and 30 day averages STEP 2 Apply Control Solution Shake the control solution vial well Remove the cap Squeeze the vial discard the first drop and wipe off the dispenser tip to ensure an accurate result Squeeze the vial again to get a hanging drop Apply the hanging drop to the TOP EDGE of the test strip where it meets the narrow channel until the drop is drawn into the test strip the confirmation window is filled and the meter begins to count down STEP 3 Result Appears in 5 Seconds The meter will count down from 4 to 1 second and the control solution test result will appear Compare the result with the range printed on the test strip vial The result should fall within this range 16 Comparing control solution results If test results fall outside the range printed on the test strip vial repeat the test Out of range results may be caused by one or more of the following Error in performing the test Failure to shake the control solution vial vigorously Expired or contaminated control solution Control solution that is too warm or too cold Failure to discard the first drop of control solution and wipe the dis penser tip clean Improper coding of the meter Test strip deterioration Meter malfuncti
29. to fast for eight hours before doing compari son tests Factors such as the amount of red blood cells in the blood a high or low hematocrit or the loss of body fluid severe dehydration may also cause a meter result to be different from a laboratory result References 1 Surwit R S and Feinglos M N Diabetes Forecast 1988 April 49 51 2 Sacks D B Carbohydrates Burtis C A and Ashwood E R ed Tietz Textbook of Clinical Chemistry Philadelphia W B Saunders Company 1994 959 33 SETTING THE METER 34 The ONE TOUCH Ultra Meter comes with the time date and unit of measure ment preset However if you need to change the time or if you remove the battery you may need to enter the setting mode and reset Setting the Time Date and Unit of Measurement To set the time you must first enter the setting mode Start with the meter off Then press and hold the M button for three seconds The meter is now in the setting mode STEP 1 Set the Hour The time will appear first with the hour setting flashing Press and release the C button to advance one hour To move faster hold the C button down With the correct hour on the display press the M button and the minutes setting will start flashing STEP 2 Set the Minutes Press and release the C button to advance one minute To move faster hold the C button down With the correct minute on the display press the M button and t
30. ve side up patine opera c Test strip inserted upside Insert the test strip correctly ing range of 43 111 F d l Jetel th th b dfi 644 C own or incompletely with the contact bars end first and facing up The temperature of Repeat he tet ater he lc the air meter or test meter and test strips have strips was above the reached a temperature If the test does not start after applying the sample system operating within the oper ating ance Vou cannel range PROBABLE CAUSE WHAT TO DO perform a test until a Insufficient blood sample Repeat the test with a new the meter and test test strip and a larger sample SAD each a or b Defective test strip Repeat the test with a new perature within the test strip operating range of 43 111 F 6 44 0 c Sample applied after auto Repeat the test with a new test matic shutoff two minutes strip apply sample only when after last user action amp appears on the display d Defective meter Call 1 800 227 8862 SPECIFI CATIONS 52 Result Range 20 to 600 mg dL 1 1 to 33 3 mmol L Calibration Plasma equivalent Sample Fresh capillary whole blood Sample Size Minimum 1 microliter Test Time 5 seconds Assay Method Glucose oxidase biosensor Power Source One replaceable 3 0 V 2032 or equivalent lithium battery Battery Life 1 000 tests or about one year at three tests per day Glucose Units Either mg dL or mmol L Memory 150 blood gluc
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