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Breeze2 User Guide - Diabetic Supplies

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1. ner Service 800 348 8100 Your test result then appears on the screen O Helpful Hint The number displayed in the upper left cor f cae ner is the number of test strips 7 remaining in your 10 test disc P GU UE J IMPORTANT If you want to iM mark this result as a deleted blood test you must do that now while the result is still be ing displayed See Marking a Deleted Blood Test on page 18 11 To release the used test strip hold the meter with the test strip pointing down over a waste container Press the release button Be sure the heel of your hand is not against the meter handle NOTE If you block the meter handle with your hand the test strip may not release properly 12 Press the button to turn the meter off NOTE If you forget to turn your meter off it will turn off automatically after three minutes This will save battery power www bayerdiabetes com Us E 5 Remove the used lancet 1 In one hand hold the lanc ing device with your thumb on the grip indent with your other hand hold the gray endcap dial as shown and gently snap off the endcap 2 Place the round protective lancet cap on a flat surface with the Bayer logo facing down With the used lancet still in the lancing device push the lancet needle completely into the middle of the exposed side of the cap 3 While a pressing the blue release button b pull the blue cocking handle and the lance
2. an equivalent or current version of the owner s model Limitations of the Warranty This warranty is subject to the following exceptions and limitations 1 A 90 day warranty only will be extended for consumable parts and or accessories 2 This warranty is limited to replacement due to defects in parts or workmanship Bayer shall not be required to replace any units which malfunction or are damaged due to abuse accidents alteration misuse neglect maintenance by other than Bayer or failure to operate the instrument in accordance with instructions Further Bayer assumes no liability for malfunction or damage to Bayer instruments caused by the use of reagents other than reagents i e BREEZE Z or AUTODISC test strip discs manufactured or recommended by Bayer 3 Bayer reserves the right to make changes in design of this instrument without obligation to incorporate such changes into previously manufactured instruments www bayerdiabetes com us E 9 4 Bayer has no knowledge of the performance of the BREEZEZ meter when used with any test strip discs other than BREEZEZ or AUTODISC test strip discs and therefore makes no warranty of the performance of the BREEZEZ meter when used with any test strips or test strip discs other than BREEZEZ or AUTODISC test strips or when the BREEZEZ or AUTODISC test strip is altered or modified in any manner BAYER MAKES NO OTHER EXPRESS WARRANTY FOR THIS PRODUCT THE OPTION OF REPLACEMENT DESCR
3. are continuously lit for about 3 seconds If you change your mind and do not want to clear results simply let go of the buttons before all three dashes have been lit stomer Service 800 348 8100 SETUP FUNCTION Helpful Hint You can press the button at any time during Setup to turn the meter off Just remember to press the button first to store your changes Setting the Time 1 Open the button door see page 3 2 Press 3 Press a or v as needed to change the hour When the correct hour is being displayed press 3 to accept it and move on 4 Press a or v to change the minutes Press to accept and move on Helpful Hint You may want to change the time when you travel to a different time zone or when the time changes with daylight savings time www bayerdiabetes com us a 5 Press a or v to select AM or PM Press to accept and move on Setting the Date NOTE If you have just set the time skip ahead to step 4 1 Open the button door 2 Press 3 Press until you see the day display flashing 4 Press a or v to change the day Press to accept and move on stomer Service 800 348 8100 Press a or v to change the month Press to accept and move on Press a or v to change the year Press to accept and move on www bayerdiabetes com us Setting the Buzzer Level Your BREEZEZ meter has an easy to use
4. of this feature you need Bayer s diabetes management software and data cable CAUTION The BREEZEZ meter has not been tested or certified by Bayer for use with any software other than Bayer s diabetes management software Bayer is not responsible for any erroneous results from the use of other software For more information call Customer Service or visit our website see the bottom of the page Wvw bayerdiabetes com Us CLEANING YOUR METER Your BREEZEZ meter can be cleaned using a moist not wet lint free tissue with a mild detergent or disinfecting solution 1 part bleach mixed with 9 parts water Do not use alcohol Wipe the outside of the meter taking care to keep detergent or disinfecting solution from running down into the test strip slot Wipe dry with a lint free tissue after cleaning If you do get moisture in the test strip slot wick it away with a corner of a tissue as shown Inspect the test strip slot from both the inside and outside for debris and foil Gently remove if found WARNING Potential Biohazard Healthcare professionals should be aware of the following and should follow the infection control procedure approved by their facility All products or objects that come into contact with human blood even after cleaning should be handled as if capable of transmitting viral diseases The user should follow the recommendations for prevention of blood borne transmissible dis
5. test The meter was open when the meter handle was pulled www bay rdiabetes com us What You Should Do Replace the battery CR2032 within 20 readings or one week Replace the battery CR2032 Allow the meter to reach room temperature Remove the test disc and inspect the meter for foreign material Rotate the disc and reinstall it If error repeats try inserting a new disc If error continues contact Bayer Customer Service Take care to not press the release button or remove the test strip during the test Release the used test strip and repeat the test see page 10 If the error continues contact Bayer Customer Service Close the meter and push the handle in What You See What It Means You may have applied blood too early to the test strip There may be moisture in the test strip slot What You Should Do 1 Repeat the test and wait until you see the apply blood prompts before you touch the strip to the blood drop 2 Wick the moisture away see page 36 then repeat the test Release the used test strip and repeat the test with a new strip see page 10 There was a problem completely filling the test strip accurate test result is not possible Meter has detected an error accurate result is not possible The 10 test disc may be past its expiration 1 Release the used test strip and repeat the test with a new strip see page 10 2 Replace t
6. B A BAYER E R Breeze BLOOD GLUCOSE MONITORING SYSTEM CODING USER GUIDE Smaller Blood Drop Faster Test Results and Open meter insert 10 test disc close meter EI pull a and push gt handle to expose test strip Apply sample ice 800 348 8100 TABLE OF CONTENTS INTRODUCTION INTRODUCTION A LOOK AT YOUR METER EXPLANATION OF DISPLAY SYMBOLS TESTING MATERIALS EVERYDAY USE o M 1 2 4 6 INSERTING A 10 TEST DISC 7 RUNNING A BLOOD GLUCOSE TEST 10 MARKING A DELETED BLOOD TEST 18 UNDERSTANDING YOUR TEST RESULTS 19 ALTERNATIVE SITE TESTING 20 RUNNING A CONTROL TEST oa MARKING A CONTROL TEST BEYOND EVERYDAY Use RECALLING TEST RESULTS VIEWING YOUR AVERAGES 27 CLEARING STORED TEST RESULTS 28 SETUP FUNCTION 29 SETTING THE TIME 29 SETTING THE DATE 30 SETTING THE BUZZER LEVEL 32 SETTING THE TIME FORMAT 33 SETTING THE DATE FORMAT 34 TRANSFERRING RESULTS TO A COMPUTER 35 CLEANING YOUR METER 36 REPLACING THE BATTERY 37 www bayerdiabetes com us E OF CONTENTS TECHNICAL INFORMATION SPECIFICATIONS 0 PERFORMANCE EVALUATIONS SOLVING PROBLEMS CO SOLVING PROBLEMS TROUBLESHOOTING AND ERROR CODES p CUSTOMER SERVICE 47 REPLACEMENT ITEMS 48 WARRANTY INFORMATION 49 The BREEZE Z blood glucose monitoring system meter test strips and controls is intended for self testing by persons with diabetes and by healthcare professionals to monitor the level
7. E Z User Guide 50184413 BREEZE Z Quick Reference Guide You can obtain these parts in the United States by calling 800 348 8100 or by writing Bayer HealthCare LLC Customer Service Department P O Box 2004 Mishawaka Indiana 46546 If you call or write for supplies please include the number with the name of the replacement part or product Replacement Products Number Product Name 1465A BREEZE Z Test Strip Discs box of 50 tests 1466A BREEZE Z Test Strip Discs box of 100 tests 1489A BREEZE Z Normal Control Solution 1490A BREEZE Z Low Control Solution 1491A BREEZE Z High Control Solution 6606 MICROLET 2 Lancing Device 6546R MICROLET Lancets box of 100 3416A MICROLET VACULANCE Lancing Device Replacement products can be obtained from retail pharmacies and home healthcare distributors Part numbers are subject to change without notice Customer Service 800 348 8100 WARRANTY INFORMATION Please be sure to register your meter either by returning the completed warranty card registering on line at www bayerdiabetes com us or calling Customer Service at 800 348 8100 Manufacturer s Warranty Bayer HealthCare LLC Bayer warrants to the original purchaser that this instrument will be free from defects in materials and workmanship for 5 years from the date of original purchase except as noted below During the stated 5 year period Bayer shall at no charge replace a unit found to be defective with
8. IBED ABOVE IS BAYER S ONLY OBLIGATION UNDER THIS WARRANTY IN NO EVENT SHALL BAYER BE LIABLE FOR INDIRECT SPECIAL OR CONSEQUENTIAL DAMAGES EVEN IF BAYER HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES Some states do not allow the inclusion or limitation of incidental or consequential damages so the above limitation or exclusion may not apply to you This warranty gives you a specific legal right and you may also have other rights which vary from state to state For Warranty Service Purchaser must contact the Customer Service Department of Bayer HealthCare LLC by calling toll free 800 348 8100 for assistance and or instructions for obtain ing service of this instrument Customer Service 800 348 8100 Bayer HealthCare Bayer HealthCare LLC Mishawaka IN 46544 USA www bayerdiabetes com us Bayer the Bayer Cross BREEZE AUTODISC Ascensia MICROLET No Coding and the No Coding logo are trademarks of Bayer 99C14409 2008 Bayer Rev 2 08
9. ON e Your meter is designed to push out one test strip at a time Do not attempt to push out a new test strip with one already showing e Discard any test strip that has been removed from the meter Never re insert a test strip into the meter Get the Blood Drop Fingertip Testing setho The puncture depth depends Gray on the endcap setting and the endcap amount of pressure applied to the puncture site You will quickly determine which combi nation works best for you 6 Press the endcap firmly against the puncture site and press the blue release button with your thumb r ustomer Service 800 348 8 100 7 Stroke your hand and finger towards the puncture site to form a drop of blood Do not squeeze around the puncture site 8 Test immediately after a good blood drop has formed Test 9 Your test strip is like a straw it sips in a sample of blood Move the entire front edge of the test strip until it touches the edge of the blood drop The blood is automatically pulled into the test strip and fills the test strip Hold the test strip in place until the meter beeps then move the meter away fire bayerdiabetsercanan US E 3 For best results e Blood is pulled IN the test strip not dropped ON e Do not allow blood to run down into the meter e Do not add more blood to the test strip after the meter beeps 10 After the beep the display counts down from 5 TO q
10. a deleted blood test excludes it from all of the averages that are calculated by your meter You must mark the result immediately after the test is performed while the result is still displayed on the screen To do this follow these steps 1 Open the button door see page 3 2 Press the v button to mark as deleted 3 The X symbol indicates a deleted result 4 Press to accept 5 Press to turn your meter off ustomer Service 800 348 8100 Understanding Your Test Results Expected Blood Glucose Values Blood glucose values will vary from time to time depending on food intake medication dosages health stress or exercise Consult your physician or healthcare professional for the target glucose values appropriate for you Standard medical practice goals for a typical non pregnant individual with diabetes are e Before a meal 90 to 130 mg dL e 2 hours after a meal less than 180 mg dL Symptoms of High or Low Blood Glucose You can better understand your test results by being aware of the symptoms of high or low blood glucose this will also help you decide what to do if your results seem unusual Some of the most common symptoms are High blood glucose hyperglycemia frequent urination excessive thirst blurred vision increased fatigue extreme hunger and irritability Ketones ketoacidosis from untreated hyperglycemia shortness of breath nausea and vomiting very dry mouth L
11. ater Rinse and dry thoroughly NOTE For testing sites other than fingertips see page 20 Prepare Lancing Device Refer to the package insert for your lancing device for com plete instructions 2 Remove the endcap from the MICROLET2 lancing device with your thumb on the grip indent as shown 3 Loosen the round protective cap on a lancet by rotating it turn but do not remove it Always use MICROLET lancets for best operation Insert the lancet firmly into the lancing device until it comes to a full stop This will cock the device You can also pull and release the cocking handle 10 Twist off the lancet cap Be sure to save it for disposing of the used lancet 4 Replace the gray endcap prior to getting your blood drop Push Out Test Strip 5 Your BREEZEZ meter uses a special easy to use Pull and Push design Here s how it works Hold the meter comfortably in one hand Firmly grasp the me ter handle with the other hand shown here Now just Pull and Push Pull the handle out until it stops and Push it back in until it stops again Helpful Hint There is no need to turn the meter on just Pull and Push fiw bayerdiabetes cantt Us E A NOTE After the meter handle is pushed in the release button is UP a test strip is pushed out and a series of apply blood prompts appears The meter is now ready to run a blood glucose test CAUTI
12. ce in your meter s display and the one shown on page 5 contact Bayer Customer Service ustomer Service 800 348 8100 CUSTOMER SERVICE If a problem arises work through the Solving Problems section see page 41 You will probably find your solution there If you are still having trouble please call our Customer Service Department We have friendly knowledgeable people who are there to help 24 hours a day In the U S A call toll free 800 348 8100 24 Hours a day Important e Always speak with a customer service representative before returning your meter for any reason They will be able to provide information that may help solve your problem quickly e Have your BREEZEZ meter ready for testing when you phone It would also be helpful to have a bottle of BREEZEZ normal control solution with you e Fill out the following check list before you call Check List 1 The meter serial number 2 Date and time the problem occurred 3 have tested with Normal Control Yes_____ No The Normal Control result was Lot Number Expiration Date 4 Please also give the Lot Number and Expiration Date of the test strip disc currently being used This information is printed on the test strip disc and the test strip disc box Lot Number Expiration Date www bayerdiabetes com us E 7 REPLACEMENT ITEMS Replacement Parts Part Number Item 40030030 1 lithium battery CR2032 also available at most stores 99C14409 BREEZ
13. eases in healthcare settings as recommended for potentially infectious human blood specimens in National Committee for Clinical Laboratory Standards Protection of Laboratory Workers from Occupationally Acquired Infections Approved Guideline Second Edition NCCLS Document M29 A2 ISBN 1 56238 453 8 NCCLS 940 West Valley Road Suite 1400 Wayne Pennsylvania 19087 1898 USA 2001 This document has complete information on the topic of user protection and can be used as background material for instruction ustomer Service 800 348 8100 REPLACING THE BATTERY Your BREEZEZ meter uses one 3 volt lithium battery CR2032 A battery will already be installed in the meter when you buy it A flashing battery on the screen means that it is time to put a new battery in the meter You will not erase test results in the meter s memory when you change the battery You may need to reset the time 4 30 UA E o Madi M CAUTION If you have a low battery in your meter you should replace the battery within approximately 20 readings or one week NOTE When the battery life is too low to perform a test the display will show only a battery symbol When this occurs the meter will not allow you to run a test until the battery is changed When the battery life has completely ended nothing will show on the display and the meter will not respond WARNING KEEP BATTERY AWAY FROM CHILDREN LITHIUM BATTERIES ARE POISONOUS If swallowed
14. ed out Open Meter Turn the meter over so the display screen is facing down Open the meter by pressing in on the back edge of the open latch and then pulling up on the base Open Test Disc Package 2 Open a new 10 test disc package Check the expiration date on the disc www bayerdiabetes com Us 7 Insert Disc 3 Insert a new 10 test disc with the bumpy side up aligning the 5 notches in the disc with the tabs on the meter Close Meter 4 Close the meter and snap it shut Keep the meter flat when closing it O Helpful Hint The meter must be kept flat when closing If the meter is not kept flat the disc may move and become damaged and you may waste test strips tomer Service 800 348 81 00 Counting the Number of Strips mil Your BREEZEZ meter will automatically count down the number of test strips you have left The number is shown with your test result To see the count when the meter is off press the 0 button a en ie NOTE This count is reset to 10 every time you open the meter To keep an accurate count open the meter only when all 10 of the test strips have been used in the 10 test disc Your meter will also tell you when you need to insert a new 10 test disc It will do this by showing a picture of a disc being inserted into the meter fire bayerdiabete Cai US me RUNNING A BLOOD GLUCOSE TEST 1 Wash your hands well with soap and warm w
15. he 10 test disc using a new box if necessary date or may have been damaged due to intense heat or moisture exposure Turn the meter off then on using Retest If the error appears again call your physician or healthcare professional Your blood glucose may be above 1500 mg dL If the problem is with the meter contact Bayer Customer Service Your blood glucose level is very high or the meter has detected an error accurate test result is not possible stomer Service 800 348 8100 What You See or higher The display goes blank when the meter is turned on Meter will not turn on Meter fails to start countdown after blood is applied What It Means Meter has detected an error accurate result is not possible You may have accidentally pressed the button Meter has turned off after 3 minutes without use or after 10 minutes of no use while waiting for you to apply blood or control solution Battery life has ended Battery holder is loose or battery is installed with the side down Not enough blood in test strip There may be debris inside the meter Meter failure www bay rdiabetes com us What You Should Do Turn the meter off then on using then retest If the error remains contact Bayer Customer Service 1 Press the button again 2 This is a normal expected action that saves battery life Press to turn on again Rep
16. immediately contact your physician or poison control center Dispose of old batteries properly Wvw bayerdiabetes com Us 37 To replace the battery follow these steps NOTE A replacement battery CR2032 can be found at most stores or can be ordered from Bayer Customer Service free of charge for meter owners in the U S A 1 Hold the meter with the display screen down Open the meter by pressing in on the open latch and pulling up 2 Slide out the battery holder NOTE You must open the meter first in order to remove the battery holder DO NOT PRY the battery holder out 3 Remove the old battery by pushing it out from the back side with your thumb stomer Service 800 348 8100 4 Snap 1 new battery CR2032 firmly in the holder with the side up 5 Gently slide the battery holder back into the battery compartment Make sure the battery holder is pushed all the way in 6 Close the meter 7 Check the meter s time and reset if needed see page 29 You are now ready to resume testing www bayerdiabetes com us E SPECIFICATIONS Test Calibration Sample Size Units of Measure Test Range Results Memory Feature Normal Operating Temperature Humidity Power Source CAL INFORMATION Capillary blood glucose referenced to plasma serum glucose values Meter is automatically coded each time a new 10 test disc is inserted Approximately 1 uL mg dL 20 600 mg dL 5 sec
17. lace the battery see page 37 Check the battery and battery holder to be sure they are tightly in place and correctly installed see page 39 If the display is still blank replace the battery CR2032 Discard the used test strip Retest using a round drop of blood Inspect the inside of the meter see page 36 and remove debris if present Retest 3 Contact Bayer Customer Service What You See Control Test result is out of range too high or too low Meter begins countdown before blood is applied Some display segments do not appear to be showing when is held in or the meter handle is all the way out What It Means Control solution is past its expiration date or is past the 6 month open use life date 10 test disc is past its expiration date Deteriorated test strip due to heat or exposure to moisture Control solution is not at room temperature Not enough control solution drawn into test strip The inside of your meter may be wet This may affect the way you see your results What You Should Do Run another control test If the result is still out of range retest with a new 10 test disc and control solution with an acceptable expiration date and open use life date If still out of range contact Bayer Customer Service Wick the moisture away see page 36 If you continue to experience difficulty contact Bayer Customer Service If there is a differen
18. ll the meter handle all the way out Compare your meter to the display shown here before you run each test If there is a difference please see Troubleshooting and Error Codes on page 42 The number of test strips left in the disc Additional results and options are available by pressing the and buttons Test result and error codes are displayed here Where the time date and AM PM are displayed also the type of average tomer Service 800 348 81 00 The units of measure mg dL or mmol L for your blood glucose result Apply blood to Temperature is the test strip too high or too low Insert a new Sag lt a S i Battery is test disc low or dead The result 4X is not to be included in the averages The volume of The result is a the buzzer control test www bayerdiabetes com us BREEZE Z 10 test disc Breeze Disc contains ten test strips ae ey Included with some kits BREEZE Z normal control Included with some kits MICROLET 2 lancing device and lancets Included with some kits OR Ascensia MICROLET adjust able lancing device and lancets Included with some kits Please refer to the Ascensia MICROLET device package insert for complete instructions on using this lancing device a E Bayer Customer Service 800 348 8100 EVERYDAY USE INSERTING A 10 TEST DISC WARNING Never open the meter with the meter handle pull
19. ncluded in your averages Marking a Control Test Marking a test result as a control test excludes it from being included in your test averages You must mark the result immediately after the test is performed while the result is still displayed on the screen To do this follow these steps 5 Open the button door Press the button to mark as a control The y symbol indicates a control result Press to accept tomer Service 800 348 8100 6 To release the used test strip hold the meter with the test strip pointing down over a waste container Press the release button Be sure the heel of your hand is not against the meter handle NOTE If you block the meter handle with your hand the test strip may not release properly 7 Press to turn your meter off www bayerdiabetes com US RECALLING TEST RESULTS Your BREEZEZ meter can store up to 420 test results in its memory This makes it easy to see your previous blood glucose test results To view those results 1 Open the button door 2 Press the 3 button The meter shows you the most recent test result 3 Press the v button to see each of your stored results Helpful Hint When only W is shown on the display p y y you are seeing the most recent result when only A is shown you are seeing the oldest result Helpful Hint Your meter can store up to 420 test results If there are no stored test results in memor
20. of glucose in whole blood The BREEZEZ system is specific for glucose and has been referenced to plasma serum glucose stomer Service 800 348 8100 INTRODUCTION Thank you for choosing the BREEZE Z blood glucose monitoring system We are proud to be your partner in helping you manage your diabetes We understand that people who regularly check their blood glucose levels want a meter that is simple straightforward and easy to use As you use your BREEZEZ system you will appreciate the e No Coding technology of the test strips small sample volume fast reading time convenience of a 10 test disc simple Pull and Push step to begin testing user friendly design This ease of use comes with the added bonus of the reliability that you count on from Bayer This user guide shows you how to use your BREEZEZ system It will answer any questions you might have and guide you through the testing process It is here to help you The user guide is divided into color coded sections to help you easily find the information you need See the Table of Contents for a complete list of topics CAUTION Before using any product to test your blood glucose sugar read all instructions carefully and practice the test www bayerdiabetes com Us E j Release Button Press to release and discard the used test strip Screen This is where your test results Data Port will be displayed side of meter Insert cable here to all
21. ond countdown Meter stores 420 test results 50 to 113 F 10 to 45 C 10 to 80 RH One 3 volt lithium battery CR2032 PERFORMANCE EVALUATIONS Refer to the direction insert for the BREEZEZ test strips for performance information stomer Service 800 348 8100 SOLVING PROBLEMS SOLVING PROBLEMS You can solve many of the problems you might have by working through this section 1 2 ey Do you need to replace the battery Yes No Do you have a 10 test disc in the meter Yes No If No see page 7 Does it contain new test strips Yes No If No see page 7 Is the 10 test disc within its expiration date Yes No If No see page 7 When you Pull and Push the meter handle are you making sure you Pull all the way out and Push all the way in Yes No If No see page 11 If Yes see page 37 Is the battery holder pushed all the way into the battery compartment Yes No If No see page 39 For additional help see Troubleshooting and Error Codes on the next page Kaw bayerdiabeie A US D TROUBLESHOOTING AND ERROR CODES When you have a problem or a question concerning what you see on your screen the following may be helpful What You See What It Means Test result is below 10 mg dL Test result is above 600 mg dL You have not pushed the meter handle all the way in e The 10 test disc is out of test strips e There is no disc in the mete
22. ow Battery Holder communication side of meter between the Holds one meter and CR2032 lithium a personal battery included computer Tab to Open On Off Button Door Button Used to manually turn the meter on or off check the number of strips and check the date time Meter Handle Button Door Open to expose meter buttons Use this handle to push out a test strip and automatically turn on the meter mer Service 800 348 8100 Release Button Test Strip Slot On Off Button Used to manually turn the meter on or off check the number of strips and check the date time Memory Button Used to view your blood glucose results stored in memory and to view your test result averages Setup Button Used to enter the Setup mode and easily change the time date or other features Up Down Buttons Used to display additional results or options oK Accept Button Used to accept changes made in the Setup mode Tab to Open Button Door Simply place the easy reference sticker on the Button Door as shown See the sheet of stickers provided in your meter package and select the language of your choice Open Latch Press in and pull up on the base to open the meter www bayerdiabetes com us E A full display as shown here indicates that all elements in the display are working properly To view the full display press and hold the On Off button or pu
23. ow blood glucose hypoglycemia shakiness sweating fast heartbeat blurred vision strange behavior confusion passing out and seizure If you are experiencing any of these symptoms test your blood glucose If your result is below 50 mg dL or above 250 mg dL or is displayed as LO or HI contact your doctor immediately 1 American Diabetes Association Standards of Medical Care for Patients With Diabetes Mellitus Position Statement Diabetes Care 29 Suppl 1 S10 2006 2 For additional information and symptoms refer to the website for the American Diabetes Association www diabetes org www bayerdiabetes com us 9 Unusual Test Results If your blood glucose result doesn t match the way you feel follow these steps 1 run a control test see page 22 2 retest your blood glucose see page 10 3 call your doctor immediately if your result still does not agree with the way you feel Alternative Site Testing AST Use the Clear Use AST only when it has been more endcap than two hours after any one of the following a meal diabetes medication or exercise Palm testing is recommended as an alternative site when using the MICROLET2 device For forearm testing or if using AUTODISC test stip discs use the MICROLET VACULANCE lancing device IMPORTANT Do not use Alternative Site Testing under the following conditions Use fingertip testing in any of these cases e If you think your blood glucose is lo
24. r e The disc has been inserted upside down e The disc is defective The meter will mark a test result with a thermometer and an What You Should Do Repeat the test and make sure the test strip is completely filled If LO appears again contact your physician or healthcare professional Wash your hands and the test site Repeat the test If HI appears again contact your physician or healthcare professional Push the meter handle in until it clicks You must push the handle all the way in and see the apply blood prompts before you touch the strip to the blood drop Insert a new 10 test disc If a full disc is already inserted remove and inspect for foreign material Rotate the disc and reinstall it bumpy side up If error repeats try inserting a new disc If the error continues contact Bayer Customer Service Test only when the meter temperature is between 50 F and 113 F 10 C and 45 C if the meter is too cold or too hot when the test is performed The result will not be included in any averages calculated istomer Service 800 348 8100 What You See with continuous beep What It Means Low Battery symbol flashes if battery power is low Battery life has ended Temperature is outside the operating range of the meter too hot or too cold Meter does not recognize the test disc Test strip was removed during the test or the release button was pressed during the
25. steps Push Out Test Strip 1 Hold the meter comfortably in one hand Firmly grasp the meter handle with the other hand shown here Now just Pull and Push Pull the handle out until it stops and Push it back in until it stops again NOTE After the meter handle is pushed in the release button is UP a test strip is pushed out and a series of apply blood prompts appears The meter is now ready to run a control test 7 2 Squeeze a small drop of BREEZEZ control solution onto a nonabsorbent surface such as a clean piece of wax paper Do not apply control solution to the test strip directly from the bottle NOTE The control solution contains a red dye and may stain ustomer Service 800 348 8 100 Test 3 Move the entire front edge of the test strip until it touches the edge of the drop of the control solution The control solution is automatically pulled into the test strip IMPORTANT Hold the test strip in place until the meter beeps then move the meter away 4 After the beep the display counts down from 5 to 1 Your control test result then appears on the screen www bayerdiabetes com Us Compare this control test result with the control range EL RAT Gh printed on the bottom flap of mold 49 91 110 157 262 341 the carton of BREEZEZ test LOT 1AZL64AA strips NOTE You will want to mark your Control test now so that it will not be i
26. t will drop into the con tainer you have selected Dispose of the used lancet carefully to prevent injury or contamination to others Do not reuse lancets Use a new MICROLET lancet each time you test ustomer Service 800 348 8100 PRECAUTIONS e Test your blood again if your glucose result is below 50 mg dL above 250 mg dL or if the meter shows LO or HI If your glucose level is still below 50 mg dL above 250 mg dL or if the meter again shows LO or HI it may indicate a potentially serious medical condition If this is the case Consult your physician or healthcare professional immediately e Do not change your medication based on blood glucose results with your BREEZEZ meter without the advice of a physician or healthcare professional e Your meter has been preset and locked to display results in mg dL milligrams of glucose per deciliter Test results in mg dL will never include a decimal point In some countries the meters are preset to display results in mmol L millimoles of glucose per liter Test results in mmol L will always include a decimal point Example m r mg N H mmol ew dL Or al UJ al al If your test result is displayed in the wrong unit of measure mmol L contact your authorized Bayer representative or call Customer Service see the bottom of the page www bayerdiabetes com us E 7 Marking a Deleted Blood Test NOTE Marking a test result as
27. volume control for the buzzer There are three different buzzer levels 4 high 4 low Moff NOTE If you have just set the date skip ahead to step 4 1 Open the button door 2 Press Q 3 Press until you see the buzzer symbol 4 Press or v to change the buzzer level Press to accept and move on stomer Service 800 348 8100 Setting the Time Format 12 or 24 hour Clock Your meter can display the time format as either 12 hour 47 H or 24 hour 24 4 You can change the time format as follows NOTE If you have just set the buzzer level skip ahead to step 4 1 Open the button door 2 Press Q 3 Press until you see the time format display 4 Press A or v to change the time format Press to accept and move on www bayerdiabetes com us Ia Setting the Date Format Your meter can display the date format as either month day 1 4 or as day month 4 7 You can change the date format as follows NOTE If you have just set the time format skip ahead to step 4 1 Open the button door 2 Press Q 3 Press until you see the date format display 4 Press A or v to change the date format Press to accept stomer Service 800 348 8100 TRANSFERRING RESULTS TO A COMPUTER You can transfer test results from the BREEZEZ meter to a computer where they can be summarized in a report with graphs and tables To make use
28. w hypoglycemia e When blood glucose is changing rapidly after a meal insulin dose or exercise e If you have hypoglycemic unawareness lack of symtoms e If you get alternative site blood glucose results that do not agree with how you feel e During illness or times of stress e If you will be driving a car or operating machinery Consult your healthcare professional to determine if alternative site testing is right for you Attach the clear AST endcap to the MICROLET2 lancing device NOTE If you do not have a MICROLET2 device contact Bayer Customer Service sr Customer Service 800 348 8100 Select a puncture site from a fleshy area on the palm Avoid veins moles bones and tendons For palm testing it is not neces sary to rub the skin or pump the device Press the clear endcap firmly against the puncture site and then press the blue release button Maintain steady pressure until the blood drop reaches the suggest ed size 1 0 uL Lift the device away from the skin without smearing the blood Do not test the blood sample if you get e Smeared blood e Clotted blood e Runny blood e Clear fluid mixed with the blood nw bayerdiabetsetanm Us E 2 7 RUNNING A CONTROL TEST There are times when you will want to do a quality control test so you know that your system is working properly You may also want to do a control test to check the way you do your test Simply follow these
29. y the meter will tell you this by showing three dashes When the memory is full the meter will save the newest result and discard the oldest ustomer Service 800 348 8 100 Viewing Your Averages Your BREEZEZ meter calculates several different averages of your blood glucose results You can view averages for 1 day the previous 24 hours 7 days 14 days and 30 days To see the averages simply follow these steps 1 Open the button door and press the button The meter will show you your last result 2 Press the button again to see your blood glucose average for the last 14 days 3 Press the B and v buttons to see each of your averages 30 days 1 day 24 hours 7 days and 14 days The bottom line of the display will show you which average is being displayed NOTE If there are no results in the memory for the average you have selected it will be displayed as 3 dashes Otherwise the averages will be based on the results available even if there are fewer days than the specific average 4 Press the button again to review your individual stored test results www bayerdiabetes com US Ea Clearing Stored Test Results To clear the stored results from your meter follow these simple steps 1 Open the button door 2 Press the 3 button 3 Press the button again and hold it 4 While holding the button press and hold the button 5 Hold both buttons together until all three dashes

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