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Lifescan UltraSmart User's Manual

1. 0000 56 CUSTOM METER SET UP SEQUENCE 58 Set up Menu 0 6 cee ence cece tene 58 SEINES ce seoie aid arasia naa erdumiard oes r 62 YOUR METER LOGBOOK 2 005 73 COMMENTS 4 0 heccewswse dane i eaer aE 73 Rules for Adding Comments 74 How to Adda Comment 06 74 Logbook Entries eee ee eee ee eee 78 Using the SmartButtons 78 Rules for Logbook Entries 205 80 Entering the Date and Time 81 Adding Changing or Deleting Logbook Information ce cece eens 99 OneTouch UltraSmart FastFacts FEATURE 104 FastFacts Menu cee eee eee ee eee 105 Data Downloading 000s 118 SPECIFICATIONS s 0 0 vd aGd tad eee et e es oa ee 121 GUARANTEE s s s 0s c s see reiri kinarir tai 122 vii viii THE OneTouch UltraSmart SYSTEM The OneTouch UltraSmart System uses the latest blood glucose monitoring technology It measures the glucose content of a blood sample by means of an electrical current produced in the test strip and sent to the meter for measurement Test results are plasma calibrated This makes it easier for you and your diabetes care team to compare your meter results with laboratory tests If you have been using another type of meter one that provides whole blood results you may notice that your test results with the OneTouc
2. ONE OUCH UltraSmart Blood Glucose Monitoring System Meter and Electronic Logbook In One Owner s Booklet e a O TERNE LIFESCAN A afohmon fohmon company ONE TOUCH UltraSmart Blood Glucose Monitoring System Owner s Booklet Symbols SN LOT IVD 2 seme Serial Number Lot Number In Vitro Diagnostic Medical Device Expiration Date Symbol Sterilized by irradiation Symbol Dear OneTouch UltraSmart System Owner You have chosen one of the best blood glucose monitoring systems available This booklet has important information you must know about the OneTouch UltraSmart Blood Glucose Monitoring System Read it carefully 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 with the OneTouch UltraSmart System can help you and your healthcare professional monitor and adjust your treatment plan to gain better control of your diabetes Your OneTouch UltraSmart System requires a small drop of blood at least 1 microlitre and five seconds to provide you with an accurate plasma calibrated test result The OneTouch UltraSmart Meter also has a memory that allows it to function as an electronic logbook Now you can store such vital everyday information as insulin and oral medication doses food in
3. Factors such as the amount of red blood cells in the blood a high or low haematocrit 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 37 CARING FOR YOUR SYSTEM Maintenance Your OneTouch UltraSmart Meter does not require special maintenance or cleaning Take care to avoid getting dirt dust blood control solution or liquids inside the meter through the test port or data port LifeScan recommends that you 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 OneTouch UltraSmart Meter is a precision instrument Please handle it with care OneTouch UltraSoft Sampler Clean the sampler and caps with soap and water as needed To disinfect the sampler prepare a disinfectant solution of one part household bleach to 10 parts water Dampen a cloth with this solution and wipe the sampler thoroughly Soak only the cap or caps for at least 30 minutes in the disinfectant solution Do not soak the sampler in liquid Rinse the sampler and cap with water and dry thoroughly 38 Batteries Your One
4. HYPOGLYCAEMIA INFORMATION If you select Hypo Info from the FastFacts menu the meter will display the actual number of hypoglycaemic events defined by the level set in Advanced Features see page 72 The number of events before and after meals and during the night for the last 7 14 30 60 and 90 days is displayed Use the Arrow button to view the other time periods Hypo Info Hypo Info 3 9 mmol or less 3 9 mmol L or less Total 14 Days Before Breakfast Days After Breakfast Before Lunch After Lunch 116 FOOD AVERAGES Select Food Averages to view average daily intake of carbohydrates fats calories and proteins over the last 7 14 30 60 and 90 days Food Averages Food Averages Breakfast 14 Day Avg Calories Proteins HEALTH CHECKS To view results and dates of various check ups select Health Checks Scroll to the type of health check using the Arrow button and press OK The entries for each will appear on the display Health Health Checks trace HbAtc 120 80 3 Sep 02 68 0 cP 14 Jul 02 170 0 done 5 2 T7 SOURCES FOR HELP Information This choice prompts you to call your Contact local LifeScan Customer Service office or iteocan Tor H G asismer Servie visit our Web site when you need help 7 with testing See back cover for contact visit the We
5. Logbook 8 Sep 02 21 20 InsulinA 10 0 4 Insulin Pump You can enter insulin pump information as bolus entries or as a daily total 5 8Sep 02 21 20 Meds Entry Pill A If you are entering bolus information insu select Pump Bolus and press OK InsulinB Pump Bolus Pump Daily Total wv 8Sep02 21 20 Meds Entry Then enter the units in 0 1 steps and Pump Bolus press OK When entering data the value will start at the value you last saved 94 If you have completed your medication logbook entry select Exit Meds Entry The dosage will be saved this way in your meter logbook To enter your pump total for the day scroll to Pump Daily Total and press OK 95 8 Sep 02 21 20 Meds Entry PillA Pill B InsulinA InsulinB Pump Daily Total Exit Meds Enty g Logbook 8 Sep 02 21 20 amp Bolus 0 1 6 8 Sep 02 21 20 Meds Entry PillA PillB InsulinA InsulinB Pump Bolus Pump Daily Total xd o 8 Hee Use the Arrow button to scroll to the number of units you have taken over the Pump Daily Total past 24 hours and press OK When entering data the value will start at the value you last saved 5D 8 Sep 02 21 20 Meds Entry PillA When you have completed your ine medication logbook entries select InsulinB Exit Meds Entry Pump Bolus Exit Meds Entry xg Logbook 21 20 A Your daily pump total will be saved this way in y
6. cover for contact information TESTING YOUR BLOOD Read this section and the test strip package insert carefully before testing Make sure you have all items needed to test e OneTouch UltraSmart Meter e OneTouch Ultra Test Strips e OneTouch UltraSoft Adjustable Blood Sampler e OneTouch UltraClear Cap for arm sampling e OneTouch UltraSoft Sterile Lancet CAUTION It is important to learn the correct blood application technique see page 30 If you do not apply blood to the test strip correctly you may get an inaccurately low or high test result or an error message LifeScan recommends that you develop good technique by practicing with control solution prior to using the OneTouch UltraSmart Meter for the first time 19 Preparing the OneTouch UltraSoft Sampler Depth Adjustment Knob Lancet with Ejection Cocking Control Protective Disk OneTouch UltraClear Cap for Release Button Arm Sampling Depth Indicator Puncture Settings Lancet Point Protective Disk CAUTION To reduce the chance of infection e Never share a lancet or the OneTouch UltraSoft Sampler with anyone e Always use a new sterile lancet Lancets are for single use only e Keep the OneTouch UltraSoft Sampler clean 20 Sia Insert a Lancet Turn the cap anti clockwise to remove it Insert the lancet into the lancet holder and push down firmly until it is fully seated Do not twist
7. factory settings of Insulin A and Insulin B will appear on your medication entry display Scroll to the number of insulin types you use and press OK You can choose up to three types of insulin If you do not insulin do you take wish to use this feature enter 0 If you select 0 no insulin names will appear on the display when you press the medication SmartButton 66 To enter your first insulin type review the menu choices Rapid Premixed Regular Other Lente InsulinA NPH InsulinB Ultralente Ultralen InsulinC Use the Arrow button B to scroll through the menu Press OK on your selection Repeat these steps until all of your insulin types have been selected To save your insulin choices use the Arrow button 8 to scroll to Save and press OK 67 Insulin Set up Select insulin s nsulin 1 Regular Lente Insulin 2 NPH Ultralen Insulin Set up Select insulin s Insulin Set up Insulin 1 Rapid Insulin 2 NPH Insulin Pump Set up If you are using an insulin pump the OneTouch UltraSmart Meter allows you to store current information about your pump The factory setting will be set as if you do not use a pump Set up Menu __ Settings Diabetes Pill Set up Select Insulin Pump on the Set up menu Insulin Set up Insulin Pump and press OK Advanced Features Exit Set up Select Yes to use this feature and press OK You can then use this feature to en
8. or you may get an error message see page 50 or an inaccurate test result Do not smear the blood sample Proceed with your blood glucose test 23 Arm Blood Sampling Alternate Site The arm has fewer nerve endings than the fingertip so you may find that obtaining a blood sample from the arm may be much less painful than using the fingertip The technique for arm sampling is different from fingertip sampling Also there are differences between arm samples and fingertip samples that you should understand Important Information About Arm Testing e Under certain conditions blood glucose test results obtained using samples taken from your arm may differ significantly from fingertip samples e The conditions in which these differences are more likely to occur are when your blood glucose is changing rapidly such as following a meal an insulin dose or associated with physical exercise e When blood glucose is changing rapidly fingertip samples show these changes more quickly than arm samples e When your blood glucose is falling testing with a fingertip sample may identify a hypoglycaemic low blood sugar level sooner than a test with an arm sample e Use arm samples only for testing prior to or more than two hours after meals insulin doses or physical exercise e Testing performed within two hours after meals insulin doses or physical exercise or whenever you feel that your glucose levels may be changing rapidl
9. professional and wish to enter it use the Arrow button to scroll to your target numbers and press OK The factory set hypoglycaemia level is 3 9 mmol L If your healthcare professional has advised you to use a different level scroll to the correct number and press OK To exit Set up mode choose Exit Set up and press OK 72 YOUR METER LOGBOOK The OneTouch UltraSmart Meter logbook is the meter memory It stores over 3 000 records The SmartButtons allow you to enter information about your diabetes management plan including exercise health medication and food Comments Information that you store in your meter logbook along with a test result is called a comment Following is a list of comments that you may store DEFINITION COMMENTS ON GLUCOSE RESULTS Exercise Before During After Health Stress Feel Hypo Illness Menses Vacation Other Medication None Food Before Breakfast After Breakfast Before Lunch After Lunch Before Dinner After Dinner Night 73 Rules for Adding Comments Following are rules for adding comments in your logbook e If you wish to add a comment to a test result press OK while viewing the test result e Use the Arrow button to scroll up and down through the various menus and choices e Use the OK button to make a selection e You must save your selections by using the Arrow button to highlight Save and pressing OK e Prior to seein
10. 3 9 6 9 v 106 GLUCOSE ANALYSIS When you select Glucose Analysis on the FastFacts menu an additional menu of choices appears Use the Arrow button to move to the desired menu and press OK Glucose Analysis Graph of All Results Graph by Time of Day Average of All Results Average by Time of Day Average by Exercise Glucose Range Info Interactive Graph of All Results The interactive graph displays three days of test results at a time with the most recent test result flashing A bold bar above the dates indicates a weekend The two dotted lines indicate the lowest and highest values of your before and after meal glucose ranges see Advanced Feature Set up pages 68 72 If you have not selected an after meal range only the before meal range will appear Results above 16 7 mmol L or below 2 8 mmol L are indicated by an arrow at the top or bottom edge of the graph Interactive Glucose Graph Graph shows all results Use arrows to scroll OK for details eet AV 22Nov 23Nov 24Nov 107 You may scroll backward or forward in time using the Arrow button B to move from one point to another Individual test results will flash as you scroll To view the details of a test press OK while that test result is flashing Press the Back button to return to the graph You may move back and forth between the graph and the logbook as often as you wi
11. GLUCOSE again appears on the display call your doctor immediately 34 When your blood glucose test result is outside the range of 5 0 7 2 mmol L or the personal glucose range you Set in custom meter set up the meter will prompt you to add a comment When your blood glucose test result is in the range of 13 3 mmol L to 33 3 mmol L Check 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 Consult your healthcare professional about when and how to test for ketones Comment Press OK will also appear When your blood glucose result is between 1 1 mmol L and 3 9 mmol L Do you need a snack will appear on the display with the test result reminding you that a meal or snack may be necessary 35 14 Sep 02 8 30 mmol L Comment Press OK PNA Example 14 Sep 02 9 45 23 0 mmol L Check Ketones Comment Press OK PNA Example 14 Sep 02 9 30 mmol L Do you need a snack Comment Press OK a y Example COMPARING METER AND LABORATORY RESULTS OneTouch UltraSmart Meter test results and laboratory test results are both expressed in plasma equivalent units However your meter result 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 Your On
12. facing up into the test port Push it all the way in until it will go no further OneTouch UltraSmart will appear briefly on the display b Example Then Code 9 example Check Code is displayed Be sure the meter and test strip codes match If they do not code the meter correctly see page 10 15 Apply Blood oy Control Solution 4 S132 Select Control Solution Apply Blood will appear on the display first Use the Arrow button to select Control Solution The meter will automatically identify the test as a control solution test in the logbook There are three choices in test mode Use the Arrow button to select one Do not apply a sample until your choice appears on the display e Apply Blood for fingertip blood sample e Alternate Site for arm blood sample e Control Solution for checking the system Note You must select Control Solution to distinguish control solution tests from blood glucose tests Marked control solution tests will not be included in your averages Do not use the Control Solution mode for testing blood Apply Control Solution To ensure an accurate result e Shake the bottle well e Discard the first drop e Wipe the dispenser tip Hold the drop to the narrow channel in the TOP EDGE of the test strip When the confirmation window is full the meter will begin to count down from 5 to 1 Note If you
13. first time and simply wish to test insert a test strip into the test port and begin by coding the meter If you wish to change the date time or language see Meter Set up pages 54 57 To customize your meter see Custom Meter Set up pages 58 72 Note It is important that the time of day is correct and that your medication set up and mealtimes are set according to your personal daily schedule Otherwise some FastFacts information will not be correct Coding the Meter Code numbers are used to calibrate the OneTouch UltraSmart Meter with the OneTouch Ultra Test Strips 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 test strips Each time you test check to be sure that the code number on the meter display matches the code number on the test strip vial CAUTION Failure to code the meter correctly will cause inaccurate test results Enter the Code Mode Insert a OneTouch Ultra Test Strip to turn on the meter Push it all the way in until it will go no further OneTouch UltraSmart will appear on the display briefly 10 See the Code Number The code number will appear on the display After every 25 tests the meter will display the correct code number and will prompt Check Code Press OK Press the OK button if the code number is still correct Match the Code Numbers Compare the code number on t
14. of Contents THE OneTouch UltraSmart SYSTEM OneTouch UltraSmart Meter Navigation Buttons 00 e eee ee eee SmartButtons ccc cece eee e ees Display Symbols ee eee eee eee eee Display Contrast cece eee eee eee OneTouch Ultra Test Strips 0 BEFORE TESTING ccc cece eee eee e ences Checking the Display 0 eee eee Setting the Meter cece eee eee ee Coding the Meter cece eee eee eee 10 Checking the System eee eee eens 12 TESTING YOUR BLOOD 0c eee e neues 19 Preparing the OneTouch UltraSoft Sampler 20 Fingertip Blood Sampling 23 Arm Blood Sampling Alternate Site 24 Step by Step Test Procedure 28 Used Lancet Disposal 0 33 Special Messages eee eee eee 34 COMPARING METER AND LABORATORY RESULTS 36 CARING FOR YOUR SYSTEM 00ee eee 38 Maintenance cece e eee e eee 38 OneTouch UltraSoft Sampler 38 Batteries cawcevacs soaiure sed vamos EEEk 39 vi DISPLAY MESSAGES 2205 5 055 6 2 8 0 0 8 pen cde pS dinate 42 WARNINGS AND ERROR MESSAGES 47 METER SET UP si2 s02 cacdie 8 eadidatda awa sees 54 Entering Basic Set up Mode 54 Selecting Display Language 55 Setting Date and Time
15. press OK Pump Insulin Intake Regular Choose the number of days you would like to review in your average by using the Arrow button to scroll through choices Press OK to proceed In this example the average intake of Regular Insulin Regular insulin over the past 14 days is aa A O displayed The number in parentheses a 800S before the time segment is the number of 14 Lunch 10 5 logbook entries for that time period Note 11 00 17 00 that each time period includes the before and after period for that meal See pages 70 71 to change your schedule 112 Syringe Totals Insulin Intake To view the total of all individual insulins z Regular taken by syringe or insulin pen that you Np have previously stored in the logbook select Syringe Totals and press OK Pump Insulin Intake Syringe Totals You may view the daily average of your insulin intake over the last 7 14 30 60 and 90 days example 14 days Daily Totals In this example the average number of insulin units taken over the last 14 days Insulin Intake appears The number shown in Syringe Totals parentheses is the number of syringe insulin entries over the time period An asterisk after the number means there has been at least one day in the time 18 period without an entry 14 Day Avg Total Daily Insulin 24 6 113 Insulin Intake Syringe Totals To view your total syrin
16. press and hold the Back button to turn off the meter To learn more about OneTouch Diabetes Management Software or to purchase a LifeScan Interface Cable separately contact your local LifeScan Customer Service office See back cover for contact information 120 SPECIFICATIONS Result Range 1 1 to 33 3 mmol L Calibration Plasma equivalent Sample Fresh capillary whole blood Sample Size Minimum 1 microlitre Test Time 5 seconds Assay Method Glucose oxidase biosensor Power Source Two AAA alkaline batteries Battery Life About six months at three tests per day one test using backlight Glucose Units mmol L Memory Over 3 000 records Automatic Shutoff Three minutes after inserting a test strip if sample has not been applied one minute after all other user actions Size Approx 97mm L x 58mm W x 23mm H 3 8in L x 2 3in W x 0 9in H Weight 75 grams with batteries Operating Ranges Temperature 6 44 C Relative humidity 10 90 Haematocrit 30 55 121 GUARANTEE The makers guarantee that the OneTouch UltraSmart Meter shall be free of defects in material and 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 Authorised Representative LifeScan Regulatory Affairs Europe Division of O
17. pressing the Arrow button 8 AY Example 32 Used Lancet Disposal CAUTION It is important to discard the used lancet carefully to avoid injury or illness Follow proper precautions in accordance with local regulations when disposing of all materials Remove the Sampler Cap Twist the cap counterclockwise Optional Replace the protective disk on the used lancet by placing it on a hard surface and pushing the lancet tip into the disk KAA Eject the Lancet Point the sampler down and away Push forward on the ejection cocking control and eject the lancet directly into a container for sharp objects Used test strips can go into the same container Return the ejection cocking control to the middle position Replace the cap 33 Special Messages A WARNING A LOW GLUCOSE Below 1 1 mmol L A WARNING A HIGH GLUCOSE Above 33 3 mmol L The OneTouch UltraSmart Meter displays results between 1 1 mmol L and 33 3 mmol L If your test result is lower than 1 1 mmol L LOW GLUCOSE will appear on the meter display This indicates severe hypoglycaemia low blood glucose You should immediately treat this condition as recommended by your healthcare professional If your blood glucose test result is above 33 3 mmol L HIGH GLUCOSE will appear on the meter display This indicates severe hyperglycaemia high blood glucose You should recheck your blood glucose level If HIGH
18. the lancet Twist the protective disk until it separates from the lancet Replace the OneTouch UltraSoft Cap Turn it clockwise until it is snug Adjust the puncture depth setting if necessary Twist the depth adjustment knob toward the smaller bumps for a shallower puncture or toward the larger bumps for a deeper puncture 21 Cock the Sampler Slide the ejection cocking control back until it clicks If it does not click the sampler may have been cocked when the lancet was inserted The sampler is now ready for use Gia Wash Your Hands and the Puncture Site Use warm soapy water Rinse and dry thoroughly 22 Fingertip Blood Sampling The OneTouch UltraSmart System requires a very small blood drop to perform a test You may obtain it from a fingertip or arm There are important differences in the procedures for fingertip testing and arm testing See page 24 for information on obtaining a blood sample from the arm Choose a different puncture site each time you test Repeated punctures in the same spot may cause soreness and calluses DUE Position the Sampler Hold the OneTouch UltraSoft Sampler firmly against the side of your finger Press the release button Massage the Fingertip Massaging the fingertip gently will help you obtain a round drop of blood Do not squeeze excessively on the puncture site The blood sample must be at least one microlitre 1 uL in volume actual size
19. 3 3 mmol Lwith a suggestion to check your ketone levels When your blood glucose result is between 1 1 mmol L and 3 9 mmol L Do you need a snack will appear on the display with the test result reminding you that a meal or snack may be necessary ACTION Follow the instructions of your healthcare professional regarding ketone testing Follow the instructions of your healthcare professional WARNINGS AND ERROR MESSAGES 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 a warning or an error message In the event of a problem refer to the information under ACTION Assistance is available from your local LifeScan Customer Service office See back cover for contact information MESSAGE A WARNING AV LOW GLUCOSE Below 1 1 mmol L A WARNING A HIGH GLUCOSE Above 33 3 mmol L WHAT IT MEANS You may have a very low blood glucose level lower than 1 1 mmol L You may have a very high blood glucose level exceeding 33 3 mmol L ACTION You should treat this condition according to the recommendations of your healthcare professional You should recheck your blood glucose level If HIGH GLUCOSE appears again on the display call your doctor immediately MESSAGE A WARNING A Meter is outside of operating temper
20. Bef Brkft Aft Brkft Bef Lunch Bef Dinner Aft Dinner Night Average by Exercise Test result averages before during and after exercise are available for the last 7 14 30 60 and 90 days The number of tests used for each average are shown to the left in parentheses Average by Exercise 7 30 60 90 Avg by Exercise 14 Days 14 Before exercise 6 9 3 During exercise 5 7 14 After exercise 6 1 110 Glucose Range Info If you entered your before and after meal glucose ranges in the Set up mode you may review the percentage of your test results that are above below and within your target ranges Otherwise before meal ranges are factory set at 5 0 7 2 mmol L After meal target ranges must be set by the user see pages 71 72 Glucose Range Info Before Meal Glucose H A V _ Range 5 0 7 2 Breakfast Before Meal Lunch Dinner After Meal Night Total Bef Brkft Glucose Bef Brkft Glucose Range 5 0 7 2 Range 5 0 7 2 7 Above 20 30 Days 60 90 Below 10 In Range 70 INSULIN INTAKE Choose insulin intake from the FastFacts Menu Insulin Intake The individual insulins in this example Regular and NPH are based on insulins NPH selected in the Set up mode See pages 66 and 67 Use the Arrow button to move Syringe Totals to your selection and
21. Check the expiration date on the control solution bottle Record the discard date date opened plus three months on the bottle label Do not use after expiration or discard date whichever comes first e Control solution meter and test strips should be at room temperature between 20 and 25 C before testing e Shake the bottle discard the first drop of control solution and wipe off the dispenser tip to ensure a good sample and an accurate result e Store the control solution tightly closed at temperatures below 30 C Do not refrigerate CAUTION The control solution range printed on the test strip vial is for OneTouch Ultra Control Solution only It is not a recommended range for your blood glucose level 13 Before you use the OneTouch UltraSmart Meter to test your blood for the first time practice the procedure using control solution When you can do three tests in a row and obtain a result within the expected range each time you are performing the test correctly and you are ready to test your blood When to do a control solution test e Once a week e When you open a new vial of test strips e Whenever you suspect that the meter or test strips are not working properly e If your blood glucose test results are not consistent with how you feel e After dropping the meter How to do a control solution test S459 Insert Test Strip To turn on the meter insert a test strip contact bars end first and
22. Touch UltraSmart Meter comes with two AAA alkaline batteries already installed The batteries will provide you with enough power to perform up to 540 tests depending on backlight use When replacing the batteries use only two AAA alkaline batteries The meter will alert you when the power is getting low by displaying two different messages A WARNING A Low Batteries 1 When this message appears on the display the batteries are low and should be replaced as soon as possible The backlight will no longer You should replace turn on the batteries soon See Owner s Booklet A WARNING A 2 When this message appears on the Batteries display you cannot test enter data in your meter logbook or use the FastFacts feature until you change the batteries You MUST replace the batteries now See Owner s Booklet 39 To replace the batteries first turn off the meter Turn the meter over and locate the battery compartment 1 Open the battery compartment by pressing the tab to the left and lifting the battery compartment cover to remove it 2 Remove the old batteries Insert two AAA alkaline batteries Plus and minus signs will guide you in placing the batteries 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 40 Note e Replacing the batteries does not affect the mete
23. amp button to turn off the meter 80 Entering the Date and Time t Exercise Entry If the logbook entry is for the current Se Et date and time press OK 15 Sep 02 15 30 Other Time t Exercise Entry If the entry is for a previous date and Add New Entry for e time select Other Time and press 15 Sep 02 15 30 OK Other Time Select Entry Date A calendar will appear on the display Scroll to the correct month and day and press OK Record the time in hours and minutes and press OK Then make your logbook entry 22 El What time 81 EXERCISE LOGBOOK ENTRIES t Exercise Entry Add New Entry for 15 Sep 02 15 30 Other Time 15 Sep 02 15 30 Exercise Entry Exercise Duration 15 Sep 02 15 30 Exercise Entry Exercise Hard Duration 00 10 With the meter turned off press the Exercise SmartButton These choices will appear on the display Select the current date and time to add an exercise logbook entry at this time Select Other Time if the logbook entry is for some time in the past and press OK Note that the date and time is correct for your entry You may rate the exercise you performed as mild moderate or hard Press OK Then record the duration of the exercise to the nearest five minutes Press OK to save the logbook entry 82 The exercise logbook entry you recorded will be saved this way in your meter e
24. any Health Checks allow you to input numeric values In order to adjust the number use the Arrow button 8 to scroll up and down Press OK to save your selection and return to the Health Checks menu Following are sample entries under Health Checks When you have completed your Health Check entries scroll to Exit Health Checks and press OK Your Health Check entry will be saved in the meter logbook Ketones When you check ketones you can enter 15 Sep 02 15 30 the results in your logbook Results may ca Heals ___ be Negative Moderate Ketones Trace Large Small 15Sep 02 15 30 Health Checks Scroll to your selection and press OK ae Trace Small Moderate w 85 You will return to the Health Checks i Sep 02 15 30 menu with Exit Health Checks ealth Checks i oi 5 Blood Pressure A highlighted If you are finished with your Eye Exam entries press OK with Exit Health gee Checks highlighted If you wish to enter Dr Visit other Health Checks use the Arrow E HEA Checks 4 button B to scroll to the additional menu choice and press OK Logbook 15 Sep 02 15 30 Seemee Meek Your entry will be saved this way in the logbook 86 HbAic Tests for haemoglobin Aic also known as HbAic or Aic can be recorded from 4 to 15 in 1 steps When entering data the value will start at the value you last saved Scroll to your selection and press OK Microalbumin You can
25. atch press OK to confirm the code number If they do not match scroll to the correct number using the Arrow button 8 MESSAGE Apply Blood bi O av Alternate Site O av Control Solution ey O Av WHAT IT MEANS The system is ready to accept a blood sample from the fingertip The system is ready to accept a blood sample from the arm The system is ready to accept a control solution sample ACTION You may now apply the fingertip blood sample You may now apply the arm blood sample You may now apply the control solution MESSAGE 5 8Sep02 10 30 mmol L av Example 8Sep02 10 30 1 9 mmol L Comment Press OK PMA Example WHAT IT MEANS Five second countdown After the countdown the meter will display the test result A blood glucose test result in mmol L A test result outside of your target range with a message prompting you to add a comment ACTION None required None required If you wish to adda comment press OK See page 74 MESSAGE 14 Sep 02 9 45 23 0 mmol L Check Ketones Comment Press OK PNA Example 14Sep02 9 30 mmol L Do you need a snack Comment Press OK ay Example WHAT IT MEANS A blood glucose test result in the range of 13 3 mmol Lto 3
26. ature range Test not possible See Owner s Booklet A WARNING A Error 1 Call customer service See Owner s Booklet WHAT IT MEANS The meter has detected that the temperature is outside the system operating range Do not perform a test until the meter and test strips reach a temperature within the operating range of 6 44 C There may bea problem with the meter or the meter may need to be reset ACTION Perform the test after the meter and test strips have reached a temperature within the operating range To reset the meter you must turn the meter off and enter set up mode see pages 54 57 Reset the language time and date You must also reset the meter code to match the code on the test strip vial If you continue to get an Error 1 message do not use the meter Call your local LifeScan Customer Service office See back cover for contact information MESSAGE A WARNING A Error 2 Meter or strip problem Please repeat test See Owner s Booklet A WARNING A Error 3 Meter not ready Please repeat test See Owner s Booklet WHAT IT MEANS Error message that could be caused by either a used test strip or a problem with the meter Error message that indicates that the blood or control solution sample was applied before Apply Blood Alternate Site or Control Solution appeared on the display ACTION Rep
27. bsite at www LifeScan com information Data Downloading Transferring test results to your personal computer for home viewing requires OneTouch Diabetes Management Software from LifeScan and a LifeScan Interface Cable OneTouch Software which includes the LifeScan Interface Cable is not included with your OneTouch UltraSmart System and must be purchased separately 118 Install OneTouch Software Install OneTouch Software on your computer following the instructions provided in the OneTouch Diabetes Management Software User s Manual Connect the LifeScan Interface Cable Connect the LifeScan Interface Cable to a serial port on the back of your computer With the meter turned on connect the LifeScan Interface Cable to the data port located on the upper left side of the meter Be sure the cable plug is inserted all the way PE 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 the meter memory to your computer Note While in the communication mode you will be unable to perform a blood glucose test 119 Klar Transfer Data Follow the instructions in the OneTouch Diabetes Management Software User s Manual to initiate the data transfer command If the command is not received within one minute the meter will turn itself off You may also
28. d Features Exit Set up Advanced Features Before Meal After Meal Hypo Level Advanced Features Next the meter will prompt you to select Averages 14 Day time periods for your usual meal eI schedule When you set this feature all of Before Meal 5 0 7 2 your test results will be tagged with the After Meal c mealtime To view a pre set meal schedule isis 34 select Pre set and press OK preet Schone The pre set schedule will appear on the Bef Brkft 6 00 9 00 display Both before and after mealtimes Aft Brkft 9 00 11 00 Sano ie AAi are pre Set Whenever you test these Aft Lunch 14 00 17 00 mealtimes will be recorded in the logbook Bef Dinner 17 00 20 00 whether or not you are eating on Aft Dinner 20 00 23 00 Night 23 00 6 00 schedule To use the pre set schedule press OK Personal Schedule To personalize your schedule press the Berar EON bee Back button choose Personal and Bef Lunch 14 00 14 00 press OK To change all or some of the Aft Lunch 14 00 17 personal meal schedule Bef Dinner 17 00 i Dane 20 00 lt 29 e Scroll through each mealtime Night 23 00 e Select the correct hours and minutes in 15 minute steps e Press OK e If you make a mistake press the Back button amp to return to the top of the schedule and make corrections 70 You will only be able to set beginning or Personal Schedule start times for each mealtime End times Por DiN ae will change
29. do not apply the control solution within three minutes the meter will turn itself off Remove the test strip and insert it back into the test port to restart the test procedure MUA Result Appears in 5 Seconds Compare the control solution result with the range printed on the test strip vial The result should fall within this range ie Example 17 Comparing Control Solution Results If test results fall outside the range printed on the test strip vial repeat the test When using control solution mode very high or very low readings will be displayed as a number rather than a HIGH or LOW warning screen and stored in the logbook as Control Solution High or Control Solution Low Out of range results may be caused by one or more of the following e Error in performing the test e Failure to shake the control solution bottle well e Expired or contaminated control solution e Meter test strips or control solution that are too warm or too cold e Failure to discard the first drop of control solution and wipe the dispenser tip clean e Improper meter coding e Test strip deterioration e Meter malfunction e Testing blood in Control Solution mode CAUTION If you continue to get control solution test results that fall outside of the range printed on the test strip vial the system may not be working properly Do not use the meter Call your local LifeScan Customer Service office See back
30. e logbook You may also scroll through the nae a logbook to view previous entries Press Hard 00 10 OK while you are in the logbook to edit or delete the highlighted entry see pages 101 103 HEALTH LOGBOOK ENTRIES After selecting the date and time two menu choices will appear You may make health logbook entries for the current time or another time see page 81 Health Notes allow you to enter information about your day 15Sep02 15 30 Health Entry Health Checks Select Health Notes and press OK Choose from this menu 15 Sep 02 15 30 Stress Menses Health Notes Feel Hypo Vacation Illness Other Ea Illness Menses Press OK to save and view the Vacation logbook entry 83 Logbook 15 Sep02 15 30 The logbook entry with your Health Note will be saved this way in the logbook Health Checks are another type of health logbook entry that you can record Health Checks include home and laboratory tests as well as doctors examinations All of this information is vital to a good diabetes management plan Health Checks may be stored in your meter logbook at the time they occur or at some later time 15 Sep 02 15 30 Health Entry Health Notes To record check up information select Health Checks and press OK Health Checks Choose from this menu Ketones Eye Exam HbAic Foot Exam Microalbumin Weight Height Cholesterol Dr Visit Blood Pressure 84 M
31. e last 7 14 30 60 and 90 days Hypo Info Incidents of hypoglycaemia blood glucose of 3 9 mmol L or less before and after meals for the last 7 14 30 60 and 90 days Food Averages Average daily intake of carbohydrates fats calories and proteins for the last 7 14 30 60 and 90 days Health Checks m Dates and results of medical tests Help m LifeScan Web site address 105 LOGBOOK MEMORY To review the details of each glucose test comments and logbook entries select Logbook The logbook is the meter memory You may review all entries in your meter logbook by date and time by pressing the Arrow button In addition to reviewing records you may also edit the records See pages 99 103 Following are sample records Comments are attached to a test result logbook entries are not Logbook Logbook 8 Sep 02 10 30 15Sep02 15 30 Glucose 6 9 mmol L a lExercise a Bef Lunch Hard 00 10 Before Exer Test results with comments Logbook Entry GLUCOSE BY MEALS To review test results before and after meals select Glucose by Meals Highlight the desired mealtime and press OK A summary of all test results by date before and after the chosen meal or at night will appear Use Arrow button to view more entries Glucose by Meals Glucose by Meals Bef Brkft Aft Brkft Breakfast 12 Dec 44 6 7 Lunch 11 Dec 5 6 6 4 Dinner 10 Dec 3 9 6 9 l 10 Dec 7 8 Night 9Dec
32. eTouch UltraSmart Meter glucose value should agree with a laboratory measurement within 20 most of the time under normal conditions A result within that range is considered accurate when testing with the OneTouch UltraSmart Meter However results can differ by more than 20 in some situations See the OneTouch Ultra Test Strip package insert for typical accuracy and precision data and for important information on Limitations of Procedure To make an accurate comparison between meter and laboratory results follow these guidelines Before you go to the lab Perform a control solution test to make sure the meter is working properly It is best to fast for at least eight hours before doing comparison tests Take your meter with you to the lab 36 While at the lab e Make sure that the meter test and the lab test are performed within 15 minutes of each other e Wash your hands before obtaining a blood sample e Use only fresh capillary blood 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 3 9 mmol L higher than blood drawn from a vein venous sample used for a lab test Therefore it is best to fast for eight hours before doing comparison tests
33. ease button 26 Allow Blood Drop to Form Continue holding the sampler against the skin for a few seconds until the blood drop forms Allow enough blood to form under the cap until you have a blood sample that is sufficient to fill the confirmation window of the test strip e actual size If you must massage the area to obtain more blood do not squeeze the site excessively Note Blood is applied to the test strip in the same manner as described on page 30 However you may find it more convenient to hold the arm still and bring the meter and test strip to the blood sample If bruising occurs you may choose to lance a fingertip instead If you are having difficulty obtaining blood from the arm call your local LifeScan Customer Service office for assistance See back cover for contact information 27 Step by Step Test Procedure C349 Insert Test Strip Insert a test strip contact bars end first and facing up into the test port Push it all the way in until it will go no further The meter will turn on automatically OneTouch UltraSmart will appear briefly on the display Then the code number will appear Be sure the meter and test strip codes match If they do not code the meter correctly 28 Select Test Mode Note There are three choices in test mode For blood testing use the Arrow button to select e Apply Blood for fingertip blood sample or e Alternate Site for arm blo
34. ease repeat test See Owner s Booklet ZA WARNING A Low Batteries You should replace the batteries soon See Owner s Booklet A WARNING A Batteries You MUST replace the batteries now See Owner s Booklet WHAT IT MEANS Error message that indicates the meter has detected a problem with the test strip Possible causes are test strip damage or an incompletely filled confirmation window The battery sign appears on the display The power of the batteries is getting low The backlight will be disabled when the battery sign is displayed You can complete about 100 more tests from the time this symbol first appears The power of the batteries is too low to run a test ACTION Repeat the test with a new test strip Refer to pages 30 31 for information on sample application Test results will still be accurate but replace the batteries as soon as possible Replace the batteries at once If the meter does not turn on after inserting a test strip or the display is not active POSSIBLE CAUSES WHAT TO DO Need batteries Replace the batteries No batteries or batteries Check that the batteries are incorrectly installed correctly installed Test strip inserted incorrectly Insert the test strip correctly For example upside down with the contact bars end first backward or incompletely and facing up Push it in until it will go no fu
35. eat the test with a new test strip Refer to page 7 8 for test strip information If the error message persists contact your local LifeScan Customer Service office See back cover for contact information Repeat the test with a new test strip Apply the blood or control solution sample only after Apply Blood Alternate Site or Control Solution appears on the display Refer to pages 30 31 for information on sample application MESSAGE A WARNING A Error 4 Strip problem Please repeat test See Owner s Booklet WHAT IT MEANS 1 You may have high glucose and have tested in an environment near the low end of the system s operating temperature range 6 44 C 2 There may be a problem with the test strip For example it may have been damaged or moved during testing 3 The sample was improperly applied ACTION If you tested in a cool environment repeat the test in a warmer environment with a new test strip If you were testing in a normal or warm environment repeat the test with a new test strip See pages 7 8 for test strip information If you applied the blood incorrectly review pages 30 31 on blood application and repeat the test with a new test strip If the error message appears again contact your local LifeScan Customer Service office See back cover for contact information MESSAGE A WARNING A Error 5 Invalid test Pl
36. ely and close it tightly e With clean dry hands you may touch the test strip anywhere on its surface e Use each test strip immediately after removing it from the vial e Count three months from the date you first open a new vial of test strips and write this date on the vial label Throw test strips and vial away after this discard date e Apply only OneTouch Ultra Control Solution or a blood sample to the test strip e Do not bend cut or modify test strips in any way e OneTouch Ultra Test Strips are for single use only Never reuse a test strip that has had either blood or control solution applied to it Refer to additional information in the OneTouch Ultra Test Strip package BEFORE TESTING Checking the Display Each time you turn the meter on the display background will quickly change from dark to light and form the words OneTouch UltraSmart This tells you that the system is performing several self checks to confirm ONETOUCH that the meter is working properly If at any UltraSmart time during the life of the meter these graphics appear to be different call your local LifeScan Customer Service office See back cover for contact information Setting the Meter The OneTouch UltraSmart Meter is set at the factory to display results in the English language using millimole per litre mmol L as the unit of measure The time and date are also factory set If you are using the meter for the
37. enter your test results for microalbumin as normal positive or a numeric value from 1 to gt 1000 When entering data the value will start at the value you last saved Scroll to your selection and press OK 87 15Sep02 15 30 Health Checks HbA1c 15Sep 02 15 30 Health Checks Microalbumin Cholesterol You may enter cholesterol test results in 1 mg dL 0 1 mmol L steps for 15 Sep 02 15 30 e Total up to gt 25 9 mmol L Health Checks e LDL up to gt 13 0 mmol L Cholesterol e HDL up to gt 13 0 mmol L a e Triglycerides up to gt 33 9 mmol L HDL E Trig ue ve To advance to the next cholesterol entry press OK To return to a previous cholesterol entry on this display press the Back button Note When entering data the value will start at the value you last saved Blood Pressure The logbook range for the first number systolic is 80 200 mmHg The range for the second number diastolic is 40 150 mmHg Both are in 1 mmHg steps Blood pressure B P above or below these ranges will appear on the display as and will not be recorded in the logbook 15Sep 02 15 30 Health Checks Blood Pressure When entering data the value will start 120 EJ at the value you last saved 88 Eye Exam 15Sep 02 15 30 Health Checks To record an eye examination select Enter Eye Exam and press OK Foot Exam 15Sep 02 15 30 Health Checks To record a foot examinati
38. et up first See page 54 57 Set up Menu Do you want to customize your meter now After completing Basic Set up choose Yes Yes to customize your meter 58 You should have your OneTouch UltraSmart Owners Booklet available to refer to while customizing the meter Set up Menu will appear on the display with a list of options Settings will be highlighted 59 Please use your Owner s Booklet to help you set up your OneTouch UltraSmart Set up Menu Settings Diabetes Pill Set up Insulin Set up Insulin Pump Advanced Features Exit Set up Following is a summary of meter settings Meter Settings OPTION FACTORY CUSTOM Settings Time Format 24 hour AM PM Date Format DD MM YY MM DD YY Begin Week Monday Monday Cholesterol Units mmol L mg dL Beep ON OFF Diabetes Pill Set Up Pill A Pill A to E Pill B or Customize with OneTouch Software Insulin Set Up InsulinA Rapid Regular InsulinB Lente NPH Ultralente Premixed Other InsulinA InsulinB InsulinC Customize with OneTouch Software Insulin Pump 60 Meter Settings continued OPTION Advanced Features Averages Schedule Glucose Range Before Meal After Meal Hypo Level FACTORY CUSTOM 14 days 7 30 60 90 days Pre set Personal see pages 70 71 5 0 7 2 mmol L Personal Personal 3 9 mmol L Personal 61 Settings Settings include e Time format e Date f
39. g the logbook display you may press the Back button and return to the previous display to review or edit the information you have stored e To remove an entry select from the menu e Press and hold the Back button amp to turn off the meter e After one minute of no activity the meter will turn off automatically To go back into the logbook press the FastFacts Smartbutton With Logbook highlighted press the OK button You can comment on a test as occurring before or after a meal how you are feeling at the time of the test and if there was any exercise involved In all you may add one food comment one exercise comment and up to six health comments to a test result How to Add a Comment Following are the steps you take to comment ona test result The meter will automatically prompt you 74 to add a comment when you have a test result outside of your glucose target range You can however add a comment to a test result whether or not Comment Press OK appears In this example we will comment on a test result with food exercise and health information 8Sep02 10 30 With any test result or test result with average on the display press the OK button You will be able to add E comments for food health and exercise mmol L Comment Press a y Health is always highlighted first since alue 5 Comment the food comment is automatically Food Aft Brkft added based on yo
40. ge insulin intake for each day scroll to Daily Totals and press OK Daily Average Insulin Intake Daily Totals pele If you did not record a syringe insulin intake for a particular day will 12 Sep 02 appear in both columns 11 Sep 02 10 Sep 02 Insulin Pump Insulin Intake Regular Select Pump to view bolus intake daily NPH averages and daily totals You can review Syringe Totals the last 7 14 30 60 or 90 days 114 Insulin Intake Bolus will display your average bolus DOR intake for each mealtime Breakfast SSeS Lunch Dinner Night based on your Daily Average schedule see pages 70 71 Daily Totals O Pump Bolus 14 Day Avg This example shows the average bolus 14 Breakfast 60 intake in units by time The number of E logbook entries appears in parentheses A nh aag to Daily Average displays the average of Insulin Intake the total daily pump insulin This example Pump is for the last 14 days The number of Da entries is listed in parentheses An Pump Insulin asterisk means there are days with 52 3 no entries 12 115 Insulin Intake Pump Daily Totals Pump Daily Totals gives the pump totals you have entered for each day If you did not enter a pump total for a day will appear Insulin Intake Pump Daily Totals 15 Sep 02 85 0 14 Sep 02 92 0 13 Sep 02 82 5 12 Sep 02 76 5 10 Sep 02 84 0 v
41. h UltraSmart System are about 12 higher The OneTouch UltraSmart Blood Glucose Monitoring System consists of three main products the OneTouch UltraSmart Meter OneTouch Ultra Test Strips and OneTouch 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 no other test strips or control solution with your meter Your system includes e OneTouch UltraSmart 10 OneTouch UltraSoft Meter Sterile Lancets e 10 OneTouch Ultra e Owners Booklet Test Strips e Carrying Case e OneTouch Ultra e Quick Reference Guide Control Solution e Warranty Registration Card e OneTouch UltraSoft e Two AAA Alkaline Batteries Adjustable Blood Sampler Installed e OneTouch UltraClear Cap OneTouch UltraSmart Meter OneTouch Ultra TEST STRIP TEST PORT N The meter turns on when you insert test strip here DATA PORT _____ Used to download logbook memory to a computer DISPLAY WITH BACKLIGHT Test results messages symbols and other data appear here SmartButtons See pages 4 5 for description and use Navigation Buttons Note Press and release buttons Do not hold buttons down for an extended period of time BACK BUTTON OFF BUTTON Goes back to previous display on certain screens Press and hold for two seconds to turn off the
42. he FastFacts button to enter the FastFacts menu Step 2 Select Logbook from the FastFacts menu and press OK The most recent entry in your logbook will appear on the display Step 3 Use the Arrow button to scroll through your logbook entries Note the location of the highlight in the ae logbook display Note also on the right ee hand margin the arrows 4 Y They Aft Brkft indicate the direction you may scroll through your logbook Step 4 Press OK to edit add to or change or delete logbook information EDITING OR DELETING TEST COMMENTS Example To edit or delete a comment be sure the a highlight is on the glucose test result to ae oe which the comment is attached Press the Aft Brkft OK button See page 101 for logbook entry example 99 8 Sep 02 10 30 Gluc 6 9 Comment Foe Can To change the mealtime scroll to Food Health and press OK Exer Save 8 Sep 02 10 30 Gluc 6 9 Comment Scroll to the desired mealtime and press Health OK again Exer Bef Lunch Save AftLunch wy 8 Sep 02 10 30 r Glue 69 Comment You may edit other comments at this Food Bef Lunch time To delete a comment scroll to Health and press OK When you have Exer completed editing the comments scroll to Save and press OK 100 Your edited comment will appear this way in your meter logbook EDITING OR DELETING LOGBOOK ENTRY Example All logbook entries a
43. he 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 4 The first time you turn the meter on three dashes will appear showing that there is no code stored in the memory Note The code number appears on the display briefly If you were unable to change the code in time or entered a code number in error press the Back button to return to Step 3 11 Code the Meter Move up or down using the Arrow button B to the code number that matches the code number on the test strip vial The new code number will flash on the display for about three seconds after which the meter will prompt you to Apply Blood Checking the System Note Refer to additional information in the OneTouch Ultra Control Solution package OneTouch 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 OneTouch Ultra Control Solution contains a measured amount of glucose that reacts with OneTouch Ultra Test Strips Compare your control solution test results with the range printed on the test strip vial label It is very important that you do this simple check routinely to make sure you get accurate results 12 Important Control Solution Test Information e Use only OneTouch Ultra Control Solution e
44. ilent meter operation highlight OFF and press OK 63 Settings 24 hour DD MMIYY Begin of week Cholesterol Units Monday Beep ON Settings Time Format 24 hour Date Format DD MM YY Begin of week Monday Cholesterol Units mg dL Beep mmol L Settings Time Format 24 hour Date Format DD MM YY Begin of week Monday Cholesterol Units mmol L ON Diabetes Pill Set up You may record up to five types of diabetes pills This feature helps you track when you have taken each of your medications The names of the medications may be chosen from a menu Pills A through E or the brand or generic names entered using a personal computer and OneTouch Software If you do not customize your pill names the factory settings of Pill A and Pill B will appear on your pill entry display Set up Menu Settings Insulin Set up Insulin Pump Advanced Features Exit Set up Diabetes Pill Set up How many types of pills do you take Using the Arrow button 8 scroll to Diabetes Pill Set up and press OK Enter the number of pill types you are taking not the number of tablets you take each time Scroll to the correct number and press OK You can enter up to five types of pills If you do not take pills or do not wish to use this feature enter 0 If you enter 0 the diabetes pill choices will not appear on the display when you press the medication SmartButton You can download OneTouch Sof
45. king comments scroll to Save and press OK If you do not press OK your entries will not be saved EXERCISE COMMENTS You can comment on a test result as occurring before during or after exercise After you add the exercise comment Save will automatically be highlighted If you press OK all of the comments you have entered will appear with the test result in the logbook 77 8 Sep 02 10 30 Gluc 7 5 Comment Food Bef Lunch Health 1 Stress Health 2 Exer 8 Sep 02 10 30 Gluc 7 5 Comment Food Health 1 Health 2 Save 8 Sep 02 10 30 Gluc 7 5 Comment Food Bef Lunch Health1 Stress Health 2 Exer Logbook Entries Logbook entries are activities concerning exercise health medication and food that are not associated with a test You do not have to perform a blood glucose test in order to add valuable diabetes information to your meter logbook Using the SmartButtons The SmartButtons allow you to enter information about your diabetes management plan There are SmartButtons for exercise health medication and food To make a logbook entry press the appropriate SmartButton to turn on the meter and enter the menu for the type of entry Note You may press any SmartButton to turn on the meter and move directly to the category So Food RITOS Exercise Health FastFacts Medication 78 Following is a list of logbook entries yo
46. les the user to download logbook data to a personal computer CAUTION Before using any product to test your 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 U S Food and Drug Administration and the Advanced Medical Technology Association Important Information e Severe dehydration and excessive water loss may cause false low results If you believe you are suffering from dehydration consult a healthcare professional immediately e Test results below 3 9 mmol L mean low blood glucose hypoglycaemia Test results greater than 13 3 mmol L mean high blood glucose hyperglycaemia If you get results below 3 9 mmol L or above 13 3 mmol L and do not have symptoms first repeat the test If you have symptoms or continue to get results that fall below 3 9 mmol L or above 13 3 mmol L follow the treatment advice of your healthcare professional e If you are experiencing symptoms that are not consistent with your blood glucose test results and you have followed all instructions described in the OneTouch UltraSmart Owner s Booklet call your healthcare professional e A red blood cell count haematocrit that is very high above 55 or very low below 30 can cause false results Table
47. meter ARROW BUTTON Scroll through menus code numbers and logbook 0k BUTTON BACKLIGHT BUTTON Accept entries and move to next display Press and hold for two seconds to turn on backlight SmartButtons The SmartButtons are your keys to getting the most out of your OneTouch UltraSmart Meter They allow you to enter information about your diabetes management plan into the large logbook memory There are SmartButtons for exercise health medication and food The FastFacts SmartButtons is used to view the records in the logbook memory You may press any SmartButtons to turn on the meter and move directly to the category EXERCISE SmartButton FOOD SmartButton Enter exercise amount Enter meal and snack and level information HEALTH SmartButton MEDICATION Enter information SmartButton on health Enter insulin and diabetes pill information FastFacts SmartButton Review test results and logbook memory Note For complete information on using the Exercise Health Medication and Food SmartButtons please see pages 78 103 See pages 104 117 for more information on the FastFacts feature and the FastFacts SmartButton Display Symbols These symbols guide you while using your meter SYMBOL MEANING A Scroll move up only v Scroll down only Scroll up or down Scroll up or down No entry Shows where you are o
48. n by setting the hour Use the Arrow Wo button to scroll to the correct hour 15 Sep 02 Press OK Basic Set up 0 Use the Arrow button to scroll to the 15 Sep 02 correct minutes and press OK Basic Set up Then select the correct year and press i OK Repeat these steps to select the 15 Sep H month and day 56 Note It is important to select the correct date and time or your logbook may not show the most recent result first Do you want to customize The meter will ask you if you wish to your meter now customize it Select Yes press OK if you wish to customize other meter Yes settings See Custom Meter Set Up page 58 Do you want to customize If you select No use Arrow button 8 yourmerarnew and press OK the meter will turn off Yes and continue to use the factory settings No 57 CUSTOM METER SET UP The OneTouch UltraSmart Meter has a number of optional features that you may use to track all your diabetes information The Set up menu allows you to customize the meter with your personal diabetes management plan including the type and amount of medication you take your target glucose range your usual meal times and much more information Note If you are starting the custom set up sequence with the meter off you must press the Back button and the OK button at the same time to turn on the meter To access the Set up menu you must go through Basic S
49. n the HIGHLIGHT display Press OK to accept highlighted area Display Contrast You can change the contrast of the meter display To make it darker press and hold the Back button and the up Arrow button B To make it lighter press and hold the Back button and down Arrow button 8 OneTouch Ultra Test Strips The OneTouch UltraSmart System measures the amount of glucose in whole blood Blood is applied to the TOP EDGE of the OneTouch Ultra Test Strip and is automatically drawn into the reaction cell where the reaction takes place Top Edge _S Apply a drop of blood to the narrow channel here in the top edge of the test strip Confirmation Window Check here to confirm if enough blood has been applied Contact Bars Insert this end of the test strip contact bars facing up into the meter Push it all the way in until it will go no further oo See pages 19 35 Testing Your Blood for complete instructions Important Test Strip Information e Store test strip vials in a cool dry place below 30 C Keep away from direct sunlight and heat Do not refrigerate e Store test strips in their original vial only To avoid damage or contamination do not transfer test strips to any other place e Do not use test strips beyond the expiration date printed on the package since they may provide inaccurate results e After removing a test strip from the vial replace the vial cap immediat
50. od sample Do not use the Control Solution mode when testing blood e Control Solution is for checking the system Apply Blood Apply Blood will appear on the display g first If you are testing with a fingertip 0 blood sample proceed to Step 3 Alternate Site If you are testing with a blood sample ss from the arm use the Arrow button 8 to 0 scroll to Alternate Site Before you test with blood make sure Apply Blood or Alternate Site is displayed on the screen Correct test mode selection is important to ensure all blood and control solution tests are properly included or excluded from averages Failure to select the correct test mode may cause blood averages to be incorrect Apply Sample Obtain a round drop of blood using the OneTouch UltraSoft Adjustable Blood Sampler The blood sample must be at least 1 pLin volume e actual size to fill the confirmation window Touch and hold the drop of blood to the narrow channel in the top edge of the test strip Incorrect DO NOT e Apply sample to the front or back of the test strip e Push your finger against the test strip e Apply a smeared sample 30 Hold the blood drop to the top edge of the test strip until the confirmation window is full 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 di
51. on select Enter Foot Exam and press OK FETES 89 Weight Height 15Sep02 15 30 Health Checks Enter your weight in 0 5 kg steps and Weight 68 0 your height in 0 5 cm steps When entering data the value will start at the Height value you last saved Doctor Visit 15 Sep 02 15 30 Health Checks To record the date of your last visit to the _ doctor select Enter Dr Visit 90 MEDICATION LOGBOOK ENTRIES Press the Medication SmartButton to access the menu You may track your diabetes pills insulin types and dosages and insulin pump information Select the current date and time or Other Time See page 81 If you entered 0 pills 0 insulin and No for pump in the Set up mode this message will appear To select your medications return to Set up mode See Custom Meter Set up Sequence pages 58 72 Medication Menu The medication menu reflects your input in the Set up mode See pages 64 68 If you entered diabetes pills insulin and or insulin pump information it will appear on the display as in this example 91 Oo Meds Entry Add New Entry for 8 Sep 02 21 20 Other Time Please use Set up mode to select pills insulin or pump functions G 8Sep02 21 20 Meds Entry Pill A a Pill B InsulinA InsulinB Pump Bolus Pump Daily Total Y Diabetes Pills 5 8Sep 02 21 20 Meds Entry PillA a Pill B InsulinA InsulinB Pump Bolus P
52. ormat e Beginning of the week e Cholesterol unit of measure e Beep on or off To change any of these settings press OK with Settings highlighted on the Set up Menu Each setting has a pop up menu of available choices You must review all five settings and choose one for each Press OK to save them After setting the last setting the Beep press OK to save your settings before turning off the meter or allowing it to turn off automatically Settings You may set your meter to use a 12 hour am pm time format or a 24 hour pa ronal 2 naur military time format 24 00 Use the Begin of week Monday A Cholesterol Units mmol L Arrow button to view the choices Beep ON Highlight your choice and press OK Settings You may choose between the Month Time Format 24 hour Day Year date format e g July 5 2002 or the Day Month Year format Cholesterol Units mmol L e g 5 July 2002 Highlight your Beep ON choice and press OK 62 For record keeping purposes you may begin your week on Sunday or Monday Use the Arrow button to highlight your choice and press OK The cholesterol unit of measure may be either mg dL used in the U S and some European countries or mmol L used in Canada and many other countries Highlight your choice and press OK The meter was set at the factory to give audio signals beeps at key points in the test procedure To keep the beeps highlight ON and press OK For s
53. our meter logbook p Daily Total 25 2 96 FOOD LOGBOOK ENTRIES Food and blood glucose levels are closely linked Logbook entries allow you to keep track of important nutritional information for each meal or snack by type of nutrient Press the Food SmartButton and select either the current date and time or Other Time Then enter the type of meal from the meal menu You may also record alcohol usage 97 Food Entry Add New Entry for 8 Sep 02 17 26 Other Time 8 Sep 02 17 26 Food Entry Breakfast Lunch Snack Alcohol Dinner Information y Dinner Information Carbs 60 Fats 15 Calories Proteins Logbook 8 Sep 02 17 26 Carbs 60 Fats 15 Calories 375 You may enter carbohydrates carbs fats and proteins in the range of 0 to 250 in 1 unit steps Carbohydrates may be entered as units or grams whichever you prefer Calories may be entered in 5 unit steps in the range of 0 to 2550 Use the Arrow button 8 to change the units for each item If you do not wish to enter units for an item select and press OK Do not enter 0 because it will be included in your FastFacts averages See page 104 Press OK to advance to the next nutrient To return to a previous nutrient press the Back button amp Your food logbook entry will be saved this way in the meter logbook 98 Adding Changing or Deleting Logbook Information Step 1 Press t
54. r logbook However the date and time settings may need to be updated The first time you turn on the meter after replacing the batteries the meter will go into the Set up mode At this time you may update the date and time settings 41 DISPLAY MESSAGES Following is a summary of display messages and symbols MESSAGE ONETOUCH UltraSmart WHAT IT MEANS Initial display that appears whenever the meter is turned on It indicates that the system has performed several self checks to confirm that the meter is working properly ACTION If at any time during the life of the meter these graphics appear to be different call your local LifeScan Customer Service office See back cover for contact information MESSAGE Check Code 9 Check Code Example 9 Check Code PressOK aY Example WHAT IT MEANS New meter not coded or meter lost power briefly and entered set up mode This is the code number stored in the meter The meter is prompting you to confirm that the code number on the meter display matches the code number on the vial of test strips you are currently using ACTION See Coding the Meter pages 10 12 Make sure that this code number matches the code number on the vial of the test strips you are using Check to be sure the code number on the display matches the code number on the test strip vial If they m
55. re edited or deleted in the same way Use the Arrow button 8 to highlight the logbook entry you wish to change and press OK Press OK to edit 101 Logbook 8 Sep 02 10 30 amp lucose 6 9 mmol L Bef Lunch Logbook 15 Sep 02 17 26 Carbs 60 Fats 15 4 15 Sep 02 17 26 Food Entry Edit Make sure the icon date and time and 4 15 Sep 02 17 26 descripti Food Entry escription are correct If you make an error press the Back button to return eee to the menu Press OK on the selected mealtime If you wish to change Snack heal the entry to another mealtime scroll to the mealtime and press OK 4 Dinner Information Carbs 6o Fats 15 To keep the entry as it is press OK Calories Proteins 4 Dinner Information To change the entry use the Arrow Carbs button and press OK Fats 15 Calories Proteins 102 The edited entry will appear this way in your meter logbook To delete an entry highlight the entry and press OK Use the Arrow button B to select Delete and press OK Your entry will be deleted from the logbook 103 Logbook 15 Sep 02 17 26 Carbs 45 Fats 15 Logbook 15 Sep 02 15 30 Exeroise ON Hard 00 10 15 Sep 02 15 30 Exercise Entry Delete 15 Sep 02 15 30 Exercise Entry Entry removed OneTouch UltraSmart FastFacts FEATURE FastFacts Menu Enter Fas
56. rther Defective meter or test strip Call your local LifeScan Customer Service office See back panel for contact information 52 If the test does not start after applying the sample POSSIBLE CAUSES Insufficient blood sample Defective test strip Sample applied after automatic shutoff three minutes after inserting a test strip Defective meter WHAT TO DO Repeat the test with a new test strip and a larger sample Repeat the test with a new test strip Repeat the test with a new test strip apply sample only after Apply Blood Alternate Site or Control Solution appears on the display Call your local LifeScan Customer Service office See back panel for contact information METER SET UP Note e You need not change any of the meter settings in order to begin testing Simply insert a test strip to turn on the meter and proceed with the test See pages 19 35 e t is important that the time of day is correct and that your medication set up and mealtimes are set according to your personal daily schedule Otherwise some FastFacts information will not be correct The OneTouch UltraSmart Meter was preset at the factory with the date time and display language The glucose units are preset at the factory and cannot be changed You must enter Set up mode to e Change the date time or display language Glucose units cannot be changed e Customize the meter features
57. rtho Clinical Diagnostics France 1 rue Camille Desmoulins 92787 Issy les Moulineaux Cedex 9 France LifeScan Inc 1000 Gibraltar Drive Milpitas CA 95035 U S A LifeScan self test blood glucose monitoring device conform to the following EU Directives IVDD 98 79 EQ Blood Glucose Meter Test Strips and Control 0336 Solution MDD 93 42 EQ C Lancets 0120 C Blood Sampler 122 Customer Care Freephone UK 0800 121 200 Ireland 1800 535 676 www LifeScan co uk Distributed by LifeScan UK A Division of Ortho Clinical Diagnostics Enterprise House Station Road Loudwater High Wycombe Buckinghamshire HP10 9UF United Kingdom LifeScan Inc 2003 Milpitas CA 95035 Rev 04 2003 U S and foreign patents other patents pending GiresaN AL afolmon folmen company ONETOUCH UltraSmart AW 06158108A
58. scard the test strip and retest If you have trouble filling the test strip contact your local LifeScan Customer Service office See back cover for contact information If the confirmation window is not full you may get an error message or an inaccurate test result Good Sample Note If you do not apply a blood sample within three minutes the meter will turn off automatically Remove the test strip and then insert it back into the meter to turn the meter back on 31 Sample Too Small 8Sep02 10 30 13 74 Accurate Results in Just 5 Seconds Your blood glucose test result will appear after the meter counts down from 5 to 1 mmol L The test results are automatically stored in av the meter logbook memory You may now Plasma Calibrated Result Use the Arrow button to compare Example results see Additional Feature which follows or e Add comments to your result or e Remove the test strip to turn off the meter Note If Comment Press OK appears at the bottom of the display your test result is outside the range of 5 0 7 2 mmol L or a personal glucose range you set see pages 58 72 Custom Meter Set up To add a comment to the test result see pages 73 77 Your Meter Logbook Additional Feature Yourresut 5 8 _____ __ _ After you complete a blood glucose test you eee cone can compare the result with your last test 21 55 14 days and your average for this time of day by 6 3 53
59. sh Note If you press OK while in the logbook you will begin to edit or delete test comments and will not be able to use the Back button to return to the graph Logbook 21 Nov 02 19 20 Glucose 7 5 mmol L A Aft Dinner Dinner Carbs f tii AY Ei Nov 22 Nev 25 Nov Graph by Time of Day You may view test results on a graph by time period when you select Graph by Time of Day Graph daily results by time period Before Breakfast A After Breakfast Before Lunch After Lunch Before Dinner After Dinner 108 Results by time period are shown day by day one week at a time Each time you reach the end of the graph it will move by one day Weekends are noted by a bold bar above the dates Graph daily results by time period Before Breakfast Glucose Results Average of All Results Test result averages are available for the last 7 14 30 60 and 90 days with the number of tests completed during that time period included in parentheses Average of all Results Number of Days Avg f 6 7 8 2 10 4 11 1 11 2 109 Average by Time of Day Test averages by time of day are available for the last 7 14 30 60 and 90 days The number of tests that make up each average are shown on the left in parentheses Average by time of Day 7 30 60 90 Avg by time of Day 14 Days
60. tFacts by pressing the FastFacts SmartButton This will put you in the meter memory The FastFacts feature allows you to view charts and graphs of your test results and other logbook information you have entered FastFacts SmartButton Note The meter will turn itself off after one minute of inactivity Press any SmartButton to turn the meter back on FastFacts Logbook a ea Glucose by Meals The FastFacts menu lists several choices Guear Annie See next page for a description of what is Hypo Info available under each choice Food Averages Health Checks v 104 FastFacts Menu Logbook m Glucose test results with comments and logbook Meter Memory entries by date and time Glucose by Meals m Glucose test results by date before and after meals Glucose Analysis m Graph of All Results Interactive graph of all glucose test results by date Graph by Time of Day Graph of glucose results by time of day Average of All Results Average of all results taken for the last 7 14 30 60 and 90 days Average by Time of Day Averages by time of day for the last 7 14 30 60 and 90 days Averages by Exercise Glucose averages before during and after exercise Glucose Range Info Percent of glucose test results within above and below target range before and after meals for the last 7 14 30 60 and 90 days Insulin Intake Average insulin doses by insulin type before and after meals for th
61. take amount of exercise illnesses and other pertinent data You can use your OneTouch UltraSmart System simply to test or to serve as a complete storehouse of information regarding your diabetes treatment plan The makers guarantee that the OneTouch UltraSmart Meter Shall be free of defects in material and 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 American Diabetes Association position statement on the Diabetes Control and Complications Trial 1993 iti INTENDED USE The OneTouch UltraSmart Blood Glucose Monitoring System is intended to be used for the quantitative measurement of glucose in fresh capillary whole blood The OneTouch UltraSmart System is intended for self test use outside the body for in vitro diagnostic use by people with diabetes at home and health care professionals in a clinical setting as an aid to monitor the effectiveness of diabetes control The OneTouch UltraSmart System should not be used for the diagnosis of diabetes or testing of newborns The OneTouch UltraSmart Blood Glucose Monitoring System provides the user with electronic logbook functions which serve to store such data as insulin and oral medication doses food intake amount of exercise health information such as illnesses and other pertinent data The meter includes a data port that enab
62. ter your bolus doses and total insulin Do you use an insulin amounts If you do not use an insulin pump pump or you do not wish to set up this Yes feature now select No and press OK After choosing Yes or No the meter will return you to the Set up menu Insulin Pump Advanced Feature Set up The final item on the Set up menu is called Advanced Features These features allow you to e Choose the number of days included in your glucose test averages e Input your usual meal schedule e Include your target glucose range e Customize your hypoglycaemic level 68 ADVANCED FEATURES Averages Schedule FACTORY 14 days Pre set see pages 70 71 Glucose Range Before Meal 5 0 7 2 mmol L After Meal Hypo Level 3 9 mmol L Select Advanced Features as follows Select Advanced Features and press OK The first advanced feature is averages Each time you test the meter is set to display a 14 day average of your glucose tests along with your test result You can change the number of days that make up this average to the last 7 14 30 60 or 90 days Scroll to the number of days you want to include in your test display average and press OK You can still look at averages for all five time periods by reviewing your meter logbook 69 CUSTOM 7 30 60 90 days Personal Personal Personal Personal Set up Menu Settings Diabetes Pill Set up Insulin Set up Insulin Pump Advance
63. that allow you to track diabetes pills insulin doses and insulin pump information e Customize advanced features such as averages meal schedule target glucose range and hypoglycaemia level Entering Basic Set up Mode To enter Set up mode press and hold down the Back button amp and the OK button at the same time for three seconds 54 This message will appear briefly The language menu will follow immediately The meter is now in Basic Set up mode ONE TOUCH The SmartButtons cannot be used while UltraSmart you are in Set up mode You may still test at any time simply by inserting a test strip Selecting Display Language The meter is set at the factory to use English Set up in English A Espa ol To use English press OK Fran ais Deutsch Italiano Portugu s Nederlands You may choose one of six other languages in Set up mode Spanish Espa ol Italian Italiano French Fran ais Portuguese Portugu s German Deutsch Dutch Nederlands Configurar en To change the language use the Arrow English A button 8 to scroll to the language With your language choice highlighted Deutsch Italiano press OK Q Portugu s Nederlands 55 Setting Date and Time After the language has been set the meter will display the factory set time and date If the date and or time are incorrect follow these steps in Set up mode See page 54 Entering Basic Set up Mode Basic Set up Begi
64. to match the start time of the 12 00 next time period For example if your ia ie lunch is usually at 12 noon Bef Lunch i 1900 0 00 could be 10 00am to 12 00pm i 0 00 5 00 7 00 9 00 9 00 11 00 After changing the times press OK to 11 00 13 00 save your personal schedule P 2n 20 00 23 00 A 7 00 Note e Itis important that the time of day is correct and that your medication set up and mealtimes are set according to your personal daily schedule Otherwise some FastFacts information will not be correct e You have the option to modify the mealtime for any test if necessary See page 75 Next the meter will prompt you to set a before meal blood glucose range The meter is pre set to 5 0 7 2 mmol L To use this range press OK twice You may change this range to one recommended by your healthcare professional Before Meal To change the lower and upper ends of the ee range in 0 1 mmol L steps scroll to the correct numbers and press OK Advanced Features Hypo Level 71 Advanced Features Averages 14 Day Schedule Pre set Glucose Range Before Meal 5 0 7 2 After Meal E Hypo Level 3 9 Advanced Features Averages 14 Day Schedule Pre set Glucose Range Before Meal 5 0 7 2 After Meal Hypo Level Set up Menu Settings Diabetes Pill Set up Insulin Set up Insulin Pump Advanced Features Exit Set up If you have an after meal glucose range recommended by your healthcare
65. tware online See back cover for website address 64 A pop up menu of pill choices will appear on the display Use Pills A E to label up to Diabetes Pill Set up five pills For example if you take glipizide Select Pils pills you could label them as Pill A You can enter the actual pill names using OneTouch Diabetes Management Software Using the Arrow button 8 scroll down to your choice and press OK Pill 2 will be highlighted automatically Diabetes PiliSerup To enter a second type of diabetes pill Select Pills choose Pill B E to describe the second pill Pill B and press OK Repeat these steps to Pill C Pill D enter other pill types pile Diabetes Pill Set up If you have completed your diabetes pill choices select Save and press OK If Pill 1 PillA necessary press the Back button to Pill2 Pill B reenter pill types 65 Set up Menu Settings ee all cla Choose Insulin Set up on the Set up menu nsulin Set up Insulin Pump and press OK Advanced Features Exit Set up Insulin Set up How many types of Insulin Set up You can record your daily insulin usage by type of insulin and number of units for up to three different insulin types Insulin types may be chosen from a menu of ten choices Eleven other insulin types up to eight characters in length may be entered using a personal computer loaded with OneTouch Software If you do not customize your insulin names the
66. u can make SmartButton O LOGBOOK ENTRIES Mild Duration enter Moderate length of time Hard Health Notes Stress Menses Feel Hypo Vacation Illness Other Health Checks Ketones Eye Exam HbA1c Foot Exam Microalbumin Weight Height Cholesterol Dr Visit Blood Pressure Pills 1 5 and how many of each Insulin 1 3 and units Insulin Pump Carbs Fats Calories Proteins 79 Rules for Logbook Entries e f you wish to add a logbook entry press a SmartButton to turn on the meter The icon for the category you are choosing will appear in the upper left hand corner of the display and the title of the category will appear at the top of the display If you press a SmartButton in error either press another SmartButton or choose from the selection menu e Before making a logbook entry the time must be selected Use the Arrow button to choose either the date and time displayed or Other Time e Use the OK button to confirm your choices and the logbook display will appear If no logbook display appears your entries have not been saved e It is possible to enter the same logbook entry information more than once for a given date and time e To remove an entry select from the menu e Prior to seeing the logbook display you may press the Back button and return to the previous display to review or edit the information you have stored e Press and hold the Back
67. ump Daily Total 8 Sep 02 21 20 Meds Entry Pill A 8 Sep 02 21 20 Meds Entry Pill B InsulinA InsulinB Pump Bolus Pump Daily Total Exit Meds Entry B Logbook 8 Sep 02 21 20 Pill A m a To enter your diabetes pills select the pill you have taken and press OK Enter the number of pills you have taken in 0 5 or one half pill steps and press OK When entering data the value will start at the value you last saved After your medication logbook entry select Exit Meds Entry and press OK or select another item from the menu The logbook entry will be saved this way in your meter logbook 92 Insulin Dosages Enter an insulin dosage by highlighting an insulin type and press OK Then record the units of insulin The meter was set at the factory to record units in 0 1 increments When entering data the value will start at the value you last saved If you wish to record a second insulin choose from the list and then enter the number of units Repeat these steps as needed After completing your insulin logbook entry select Exit Meds Entry and press OK The insulin dosage will be saved this way in your meter logbook 93 5 8 Sep 02 21 20 Meds Entry PillA a Pill B InsulinB Pump Bolus Pump Daily Total Y 5 8 Sep 02 21 20 Meds Entry InsulinA D 8 Sep 02 21 20 Meds Entry Pill A Pill B InsulinB Pump Bolus Pump Daily Total Exit Meds Entry xg
68. ur preset or personal schedule See Advanced Feature Set up Exer pages 68 72 Save FOOD COMMENTS In this example we ll use food If you wish to change the food comment to a 8 Sep 02 10 30 different mealtime use the Arrow button Gluc 7 5 Comment B to select Food and press OK Use the Arrow button B to select your food Bef Brkft comment and press OK again Your choices are Bef Brkft Aft Brkft Bef Lunch AftLunch w Aft Lunch Bef Dinner Aft Dinner and Night 75 8 Sep 02 10 30 Gluc 7 5 Comment Food Bef Lunch Once you select your mealtime Health is automatically highlighted If you are through commenting scroll to Save and press OK If you do not press OK your entries will not be saved HEALTH COMMENTS 8 Sep 02 10 30 Gluc 7 5 Comment Food Health Exer 8 Sep 02 10 30 Gluc 7 5 Comment Food Health 1 Feel Hypo mA liness Exer Menses Save Vacation A You can comment on the result with notes about your overall health at the time of the test Press the OK button with Health highlighted You may add up to six comments from this menu Stress Menses Feel Hypo Vacation Illness Other After adding your first health comment Health 2 will automatically appear on the display To add additional health comments press OK and select the comment from the menu Note that your previous comment is no longer available 76 When you have completed ma
69. y should be done from the fingertip 24 Important Information About Arm Testing continued e You should also use fingertip testing whenever you have a concern about hypoglycaemia insulin reactions such as when driving a car particularly if you suffer from hypoglycaemic unawareness lack of symptoms to indicate an insulin reaction as arm testing may fail to detect hypoglycaemia What you should do e Use arm or fingertip samples for testing prior to or more than two hours after meals insulin doses or physical exercise e Routine testing before meals can be done either at the fingertip or the arm e Consult your healthcare professional before you begin using the arm for testing SIAE Install the OneTouch UltraClear Cap To aid in obtaining a blood sample from the arm replace the regular sampler cap with the OneTouch UltraClear cap If necessary set the sampler for a deeper puncture 25 kuia Choose the Puncture Site Select a soft fleshy area on your arm that is away from bone and free of visible veins and hair Wash and dry the area E Massage the Area To increase blood flow to the puncture site massage the area gently For individuals who experience difficulty in getting sufficient blood for a test rubbing the area more vigorously or applying heat briefly may be helpful EUiA Position the Sampler Press and hold the sampler against the arm for a few seconds Press the rel

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