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1. and Blood glucose values change very rapidly over time Self tests are usually done before meals and or at bedtime Ask your healthcare professional to set a suitable testing regimen that is appropriate for you fasting is about 2 5 mg dL 0 1 0 3 mmol L After meals venous blood glucose is less than results from the Q STEPS system finger blood may be different from the laboratory results capillary blood value by approximately 10 50 mg dL 0 55 2 78 mmol L T 1 Krall LP and Beaser RS Joslin Diabetes Manual Lea and Febiger 1989 138 2 Skyler JS et al Postgraduate Medicine 1987 81 6 163 174 3 Skyler JS et al Diabetes Cae 1981 4 311 318 4 Caraway WT cArbohydrates in Tietz NW ed Fundamentals of Clinical Chemistry Philadelphia WB Saunders Company 1976 242 244 Further Information For further information concerning advice on cholesterol and its affects you can visit or contact us at any of the following www americanscreeningcorp com 1 866 526 2873 Clinical Information eThe Q STEPS 6 6 ADMS is not designed to monitor newborn whole blood samples eThe Q STEPS 6 6 ADMS is intended for use with fresh whole blood capillary venous samples eThe Biometer will not give accurate results for plasma or serum samples eVery high hematocrits may falsely decrease test results eVery low hematocrits may falsely increase test results eReducing compounds such as ascorbic acid do not significantly affect blo
2. direct sunlight or heat e Only use the Q G C test strips with the Q G C ADMS to obtain reliable results Before you Start Inserting Replacing Batteries Remove the cover on the back of the Monitor Insert 2x AAA batteries not included Replace the cover e Non rechargeable batteries are not to be recharged e Always remove exhausted batteries from the monitor e The supply terminals are not to be short circuited e Do not mix old and new batteries or different types of batteries e Do not use rechargeable batteries e Only batteries of the same or equivalent type as recommended are to be used e Batteries must be handled with care under adult supervision e If batteries leak and come into contact with skin or eyes wash immediately with copious amounts of water Before you Start Setting the Date and Time 1 Press and hold the on off button for approx 15 seconds until you see the y09 year sign flash on the display Release the on off button 2 Press the set button to select the desired year For instance y10 means 2010 3 Press the on off button to confirm the year then the month The month will flash on the display Repeat the procedure pressing the set button to change and the on off button to confirm at each stage Do this for the month day hour and minute in sequence 4 There is one Beep after the minutes are confirmed The Monitor will automatically return to the InS display InS Insert Strip B
3. e National Cholesterol Education Program NIH publication NO 90 2964 Feb 1990 Condition mg dL mmol L Desirable lt 200 lt 5 17 Borderline 200 240 5 17 6 18 Undesirable gt 240 gt 6 21 Page 54 of 44637 27 Frequently Asked Questions Q Why test my blood glucose A It is important to keep your diabetes under control Our monitoring system can help you do this by providing you with accurate readings of your blood glucose levels The results can also help you see how other factors such as diet exercise and medication can affect your diabetes your diabetes changes Q How often should check my blood glucose A You and your healthcare professional should decide this according to your personal case Your age diet condition physical condition and type of diabetes are some factors important in determining how often you should test your blood glucose levels Frequently Asked Questions Q What should do if my test results are consistently high A You want to keep your blood glucose or cholesterol levels near normal levels determined by you and your healthcare professional Contact your healthcare professional if your test results show consistently high levels Q What are the acceptable values for blood glucose if my diabetes is under control should consult with their healthcare professional to see what range they fall under ranges provided are for the general population of Diabetics however every person varies
4. efore you Start Setting the Calibration Code Cholesterol Our Q G C ADMS has the built in codeless or one code only for cholesterol There is no need to reset its calibration code it should always be set to 7 Glucose Our Q G C ADMS also has simplified the built in code calibration for glucose using the following steps eWhile the device is in its off state hold the on off button until the Cod symbol appears on the LCD then release your finger ePress the set button until the correct code number found on vial is shown on the LCD Press on off button to confirm this change the meter will go back to InS with the correct code number shown on right hand side of the LCD Press and hold the on off button for approx 20 seconds until the concentration sign appears mg dL or mmol L then release the off button Press the set button to switch the unit of concentration mg dL or mmol L Press the on off to confirm the change the beeper sound and the meter will automatically return to the InS display Using your Monitor Finger Blood Testing Procedure This method of home testing requires you to follow the instructions below in detail If you have difficulty obtaining a reading at first do not worry the more familiar you are with this method of testing the more confident you will become eSelect a clean dry work surface einsert a cholesterol strip while the monitor is turned off it will automat
5. erica creeni Cos rpor rate ion Q STEPS G C ADMS User s Manual Dear Q STEPS System User Congratulations You have selected a very reliable and accurate blood cholesterol and glucose advanced dual monitoring system The system is easy to use and will provide you with the test results you need in just two simple steps You will find everything you need to know about this system in this manual Our Customer Service Department will also be happy to help if you have any further questions Blood cholesterol monitoring will play an important role for you in preventing cardiovascular disease Using the results from our Q STEPS System can help you manage your cardiovascular assessment program In addition blood glucose monitoring plays a crucial role in controlling your diabetes Using the results from our Q STEPS System can help you and your healthcare professional manage your diabetes Please feel free to call our toll free number at 1 866 526 2873 to speak to our Customer Representatives if you have any questions Thank you for selecting the Q STEPS Biometer G C Advanced Dual Monitoring System IMPORTANT Please carefully read this User s manual before using the product to test your blood Follow all the instructions practicing the tests and performing all the quality control checks In addition talk with your diabetes healthcare professional These suggestions apply to all blood glucose and cholesterol monitoring syste
6. ess this button to recall past test results See Recalling Test Results page 16 Beeper The Monitor will Beep as an alert Battery Compartment This compartment holds 2x AAA batteries not included See page 10 on how to install them Test Strip Platform Insert the test strip here for blood testing see Finger Blood Testing Procedure page 13 on off Button This button turns the Digital G C Monitor on and off LCD Display This is where the message and test results are displayed General Warnings and Safety Please carefully read and understand the following warnings and cautions to ensure the safe and correct use of this device in order to prevent injuries This device should not be used by anybody under 18 years of age unless directed by his or her healthcare professional DO NOT make any significant changes to your medication program without consulting your healthcare professional Cleaning the Q G C ADMS is essential for reliable test results see page 19 PLEASE NOTE e DO NOT use the test strips beyond the expiration date e DO NOT use test strips that have been damaged in any way e g bent or creased Ensure that the silver contact bars are intact e The test strips must be kept in the vial with the cap in place e Keep the test strips in a cool dry place between 1056 to 302C 502F to 862F and discard any unused test strips 10 months after first opening the vial e DO NOT freeze or expose the test strips to
7. heart disease should not be made until you have consulted with your healthcare provider If your cholesterol reading is high you may like to test your HDL High Density Lipoprotein Good Cholesterol or LDL Low Density Lipoprotein Bad Cholesterol Cholesterol levels It is possible to have a high Total Cholesterol reading but still have a low LDL Cholesterol reading Q What can I do to ensure will obtain an accurate reading with the Q G C ADMS A Follow all of the directions in this manual carefully Q Do I need to fast before take the test or perform it at a specific time of day A No you can test yourself at any time so fasting is not necessary If you repeat the test try to do so under the same conditions Frequently Asked Questions Q How do know if my cholesterol is too high or normal A The National Cholesterol Education Program NCEP has established guidelines to identify risk groups in adults associated with various cholesterol levels in blood However you should discuss cholesterol results with your healthcare professional Classification for Total Cholesterol 1 Current status of Blood Cholesterol Measurement in Clinical Laboratories in the United States A report from Laboratory standardization Panel of the National Cholesterol Education Program Clinical chem 34 1 1998 193 201 2 Recommendations for Improving Cholesterol Measurement A report from the Laboratory standardization panel of th
8. human body High total blood cholesterol has been established as one of the key factors associated with the occurrence of CHD Lower blood levels of cholesterol are linked with a decreased incidence of CHD Blood glucose monitoring also plays a crucial role in controlling your diabetes Using the results from our Q G C ADMS can help you and your healthcare professional manage your diabetes Features Q G C ADMS is designed for home users to measure the amount of Cholesterol Glucose CHO GLU in whole blood When blood is applied to the test strip a current is formed and the magnitude of the current produced is proportional to the concentration of CHO GLU The Q G C ADMS is intended for use with fresh whole blood samples The Q G C ADMS will not Some people with very high hematocrit levels can obtain falsely decreased test results Hematocrit is the percentage of blood volume that is occupied by red blood cells The package contains Digital G C Monitor See the diagrams on page 8 showing all the parts of the Digital G C Monitor User s Manual An illustrated booklet describing the product and its operations Quick Start Guide This lists the basic operation steps for easy reference Storage Case A handy case for storing the Digital G C Monitor there is also a section for storing the test strips and lancet devices Features Parts description Set Button This button is used to switch from one mode to another For example you can pr
9. ically turn the system on eThe strip must be flat against the test strip platform with the letter C facing up and the two green stripes visible eThe display will show CHO with an image of one blood drop Wash your hands using warm and soapy water then rinse thoroughly Warm water is preferable because it will stimulate blood flow to your fingers It may also help to hang your arm down by your side for 10 15 seconds prior to testing Dry your hands thoroughly Using your Monitor Using the conventional Lancet and Lancet Device eUnscrew the cap of the Lancet Device eTurn the ridged part of the cap to the desired penetration level the higher the number the deeper the Lancet punctures the skin the setting for most people is 3 5 eFit a new sterile Lancet into the Lancet Holder pushing in the Lancet might cock the Lancet Device so use caution eTwist off the Lancet Protective Disk to expose the needle of the Lancet eSave the Lancet Protective Disk do not throw it away eScrew the cap back onto the Lancet Device ePull out the sliding barrel from the bottom of the Lancet Device until it clicks the device may not click if pushing the Lancet into the device has already done so ePlace the Lancet Device at the apex of finger or side of finger by nail and press the blue button to prick eWhen finished remove the Lancet carefully place the Lancet Protective Disk back on and dispose of properly Using your Monitor Obtaini
10. l matches the code number displayed on the Biometer Make sure the Biometer LCD display shows whether the test is for Glucose GLU or Cholesterol CHO For the cholesterol test make sure that you have used enough blood A wet round and shiny drop of blood should form over the semicircle test spot and remain there during the countdown Do not smear blood on the reaction area or apply more than one drop eDo not touch the reaction area with your finger not use test strips more than once eDo not use test strips that have expired Q What is cholesterol A Cholesterol is a lipid fat and steroid naturally produced by your liver and is essential for the body to function When your cholesterol rises above the desirable level it may build up in your body and put you at an increased risk for heart disease or stroke Cholesterol levels can be high due to diet lack of exercise or family history Frequently Asked Questions Q If choose to repeat the test on the same day what does it mean if my cholesterol level is different A Cholesterol levels can vary day to day within each person so you should average your results Q From one cholesterol test result is there a chance may be placed in the wrong cholesterol group for example slightly raised instead of high risk A Yes especially if your result placed you on the border of two groups Because cholesterol does vary from day to day it is recommended that at
11. least two results be averaged before someone classifies themself Q Will common foods alcohol or medications affect my results A Generally no Most substances will not interfere with the test however certain medications e g Statins cholesterol lowering medicines will affect cholesterol levels Q What can I do to make drawing blood easier A Make sure your finger is warm and callous free Use the side of your fingertip it is a less sensitive area Keep your hand below your heart before testing let your arm hang down at your side for 10 15 seconds Frequently Asked Questions Q Why is cholesterol important A High cholesterol is one of the main risk factors for heart disease Other risk factors of heart disease include high blood pressure smoking being overweight and not exercising Q What if my cholesterol reading is high A If you have concerns about your result it is best to contact your healthcare professional However remember these important points eAny one cholesterol reading is never final because cholesterol can change from day to day and in response to several factors such as weight loss illness or stress Cholesterol is a risk factor that can be controlled Many studies show that cholesterol is a risk factor that may be lowered by exercise and diet eOther risk factors that you can control include high blood pressure and smoking Frequently Asked Questions Any decisions about your risk factors for
12. matic Shut Off After two minutes Dimensions 107mm length x 64mm width x 28mm height approx Weight Approx 57g Measurement Range CHO 100 mg dl 400 mg dl 2 6 10 3 mmol L Measurement Time CHO 30 sec GLU 15 seconds Memory Capacity Total of 99 readings Specifications Test Strip Performance Characteristics Calibration for Q G C ADMS This Q G C ADMS has been calibrated during production If you need to check it please use Q STEPS Control Solution which is used to check the Q G C ADMS After obtaining the Control Solution simply follow the same procedure as the Finger Blood Testing Procedure but use the Control Solution instead of a blood sample Storage Conditions 102C to 302C 502F to 862F store in capped test strip vial Operating Temperature 1856 to 3096 642F to 862F Operating Humidity 20 80 relative humidity non condensing Dimensions 49mm length x 10mm width approx Blood Source 1 15 1 12 whole blood for CHO 2pL 7L for GLU Blood Application On the left hand side of the sensor strip Troubleshooting Troubleshooting Errors Description of Error If the Q G C ADMS is still reporting an error after checking all of the above please contact us Frequently Asked Questions The cholesterol monitoring program should be conducted under the guidance of a healthcare professional Q How can be sure that my test results are accurate A Make sure that the code number on your test strip via
13. mg dL 2 6 mmol L are displayed as Lo Maintenance and Cautions eClean the Q G C ADMS test strip platform with alcohol swabs not included to prevent contamination Do not drop or throw the Q G C ADMS Device not expose the Q G C ADMS Device to extreme temperatures or humid conditions for long periods of time Do not tamper or attempt to fix the Q G C ADMS Device Do not immerse the Q G C ADMS Device in water eStore the Q G C ADMS Device in the storage case whenever possible Test Strip Information eWrite the date on the vial of strips when opening for the first time eDiscard any unused strips 10 months after first opening the vial eAlways keep the test strips stored inside the original vial eAlways ensure the cap is firmly secured back on the vial after removing your test strips eStore the test strips at a temperature between 102C and 302C 502F and 862F eAvoid direct exposure to sunlight eTest strips are usable up to the expiration date if they have not been opened eDo not use test strips beyond their expiration date eDo not use test strips that have been altered or damaged in any way eDo not use test strips more than once eDo not touch the reaction area when handling the test strips Specifications Q G C ADMS Performance Characteristics Operating Temperature 182C to 3096 642F to 802F Operating Humidity 20 80 relative humidity non condensing Power Supply 2 x AAA alkaline batteries not included Auto
14. ms The American Association of Diabetes Educators the American Table of Contents Introduction Features Parts General Warnings and Safety Before you Start Using your Monitor Reading your Results Maintenance and Cautions Test Strip Information Specifications Calibration for Q G C ADMS Troubleshooting Frequently asked Questions Further Information Clinical Information Lancet Manufacturer Contact Information Warranty Introduction Thank you for purchasing the Q STEPS G C Advanced Dual Monitoring System Model Q G C ADMS You have selected a reliable and medically approved monitor that is easy to use In just two simple steps the Q G C ADMS will provide you with the test results you need Two thirds of people in most countries have high cholesterol Cholesterol is a type of fat that is found in the body and is vital in helping us keep healthy However elevated levels of cholesterol are a major risk factor for Coronary Heart Disease CHD Cardiovascular Disease and stroke There are two main types of cholesterol good HDL and bad LDL cholesterol This test measures total cholesterol both good and bad You will find everything you need to know about this product in this user s manual Before using this system please read the instructions included in this user s manual carefully Q G CADMS is an in vitro diagnostic device for self testing This means that the system should only be used for testing outside of the
15. ng Results Allow a large drop of blood to hang from your finger by gently squeezing it Wipe the first drop of blood away using a clean dry tissue and squeeze a second large drop about the size of a peppercorn Place the large hanging drop of blood on the semicircle which is on the left hand side of the strip see figure below Do not remove the test strip from the monitor when you apply blood to it You must ensure that you hold the large drop of blood to the strip for at least 3 5 seconds on the reaction area Do not smear the blood on the test strip or touch the reaction area with your finger If the amount of blood is sufficient the unit will beep and begin to countdown Do not apply a second drop of blood after the monitor starts to countdown as this may alter your result The cholesterol result will be shown in 30 seconds see page 16 for how to recall your test results If an insufficient amount of blood has been applied the countdown will not begin and you will have to start the testing procedure again using a new test strip Once you remove the test strip the unit will automatically turn off Reading your Results Recalling Test Results 1 With the Q G C ADMS off press and hold the on off button for approx 5 seconds to enter the memory mode You will see M flash on the upper left hand side of the display release the button CHO or GLU will appear on the screen 2 Continue pressing the set button to view pre
16. od glucose results when occurring in normal blood concentrations however abnormally high concentrations of such compounds may falsely decrease test results Too much water loss or dehydration may decrease glucose test results symptoms for severe dehydration include the following Vomiting and diarrhea Drugs such as diuretics No thirst sensations Uncontrolled diabetes over a long period of time Shock Warranty This product is guaranteed for a period of one year from the date of purchase against mechanical and electrical manufacturing defects in the U S A and Europe There are no user serviceable parts inside the instrument If the monitor becomes inoperative during this time American Screening Corporation will replace the monitor with the equivalent equipment at their option Any attempt to repair by unauthorized persons invalidates the warranty This does not affect your statutory rights The warranty policy only applies when the Q G C ADMS is used with the Q G C ADMS test strips American Screening Corporation 7607 Fern Ave Shreveport LA 71105 1 866 526 2873 www americanscreeningcorp com Q STEPS G C ADMS
17. vious test results Up to 99 readings can be stored and viewed in the device 3 To view other past test results simply continue to press the set button while in the memory mode 4 Press the on off button to return back to InS display Reading your Results Cholesterol Readings Condition Total CHO mg dL Total CHO mmol L Advice Action Desirable lt 200 lt 5 17 Re test in 3 months Borderline 200 240 5 17 6 18 Re test in a week if concerned Undesirable gt 240 gt 6 21 Contact your healthcare professional Glucose Readings for Diabetics Fasting 70 110 mg dL 3 9 6 1 mmol L 60 130 mg dL 3 33 7 2 mmol L 1 hour after meal lt 160 mg dL 8 8 mmol L lt 180 mg dL 10 mmol L 2 hours after meal N A lt 150 mg dL 8 3 mmol L Reading your Results Total cholesterol is one element of determining your risk of developing heart disease and stroke A full risk assessment available at selected drug stores is recommended to assess multiple risk factors in addition to this cholesterol test The Q G C ADMS requires at least 12 uL microlitres of whole blood for cholesterol testing If an insufficient amount of blood is used the unit will not countdown You are safe to continue applying blood until the beeper sounds and the countdown begins eThe Q G C ADMS displays results for cholesterol between 100 400 mg dL 2 6 10 3 mmol L eResults above 400 mg dL 10 3 mmol L are displayed as Hi eResults below 100
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