Lifescan One Touch ll User's Manual
Contents
1. Vf Carry the Meter in the Carry Case at all times to protect it and keep it clean V Do not drop the Meter or toss it casually onto a table The Meter s elec tronics could be damaged by such treatment If you drop the Meter make sure the Test Strip Holder is still securely in place and check the Meter with the Check Strip before doing a blood glucose test W Avoid exposing the Meter or the Test Strips to extremes of temperature or humidity for extended periods of time For example avoid leaving the Meter or Test Strips in your car for long periods W Never let your Meter get wet The Meter could be permanently damaged if water or other liquids get inside it Do not take the Meter apart Sensitive compo nents could be damaged and cause inaccurate results If you take the Meter apart your warranty will no longer be in effect How to do a daily check 1 Look through the small hole in Test Strip Holder to make sure there is no lint dirt or blood blocking any part of the hole e426 2 If there is anything blocking the hole or if the Test Area has dirt lint or blood on it remove the Test Strip Holder and clean the Test Area by following the instructions in the pages that follow 3 Perform a Check Strip test by following the instructions in Chapter 3 Checking the System Cleaning the Meter The Test Strip Holder must be removed for a complete cleaning e2. Another reason for variation may be that the Meter test was not done within 10 or 15 minutes of the laboratory test Because blood glucose levels can change rapidly especially if you ve re cently eaten the two tests could have very different results Wickham NWR et al Practical Diabetes 1986 3 2 100 Cohen FE et al Diabetes Care 1986 9 3 320 322 Skyler JS et al Postgraduate Medicine 1987 81 6 163 174 Skyler JS et al Diabetes Care 1981 4 311 318 Clarke WL et al Diabetes Care 1987 10 622 628 Gadsen RH Challenges in Diabetes Management Milpitas CA LifeScan Inc 1988 63 66 Caraway WT Carbohydrates in Tietz NW ed Fundamentals of Clinical Chemistry Philadelphia WB Saunders Company 1976 242 244 Surwit RS and Feinglos MN Diabetes Forecast 1988 April 49 51 Nelson RL Diabetes Spectrum 1989 2 219 223 e 83 o 13 SPECIFICATIONS Performance Characteristics See ONE TOUCH Test Strip package insert for ONE TOUCH II System accuracy and precision Power Supply One Duracell brand alkaline battery J size 6 volts part 7K67 included with Meter Use only a Duracell battery for replacement Battery Life Approximately one year at two tests per day Result Range 0 33 3 mmol L 0 600 mg dL Higher values displayed as HIGH Display Type Alphanumeric 6 character 14 segment LCD Dimensions Length 12 07 cm 4 3 4
3. Display On Off Button Data Port s Test Area with Protective Coating Code Button C Test Strip ON OFF BUTTON This button turns the Meter on and off DISPLAY This is where you read your test results and the simple messages that help guide you through the test procedure BATTERY COMPARTMENT Holds one J size battery The battery is already installed in your Meter Replacement instructions are provided in Chapter 8 Cleaning and Maintaining the Meter MEMORY BUTTON M The ONE TOUCH II Meter automatically stores your test results You push this button when you want to recall past test results See Chapter 10 Recalling Tests from Meter Memory CODE BUTTON C Each package of Test Strips has a code number on the label You will use the Code Button to set the Meter code to match the code number on the Test Strip package See Chapter 4 Coding the Meter LANGUAGE CONVERSION The ONE TOUCH II Meter can display messages in nineteen languages English Spanish French Italian Dutch Portuguese Swedish German Danish Finnish Norwegian Polish Hungarian Turkish Czech Greek Russian Japanese and a Symbolic language Your Meter is set at the factory in English By using the Code Button and Memory Button you can set the Meter in the language of your choice See Chapter 9 Setting Date Time and Other Special Functions for instructions For further information regardi
4. Width 6 33 cm 2 3 8 Height 2 7 cm 1 1 16 Weight Approx 135 g 4 8 oz including battery Operating Temperature Range 15 C 35 C 59 F 95 F e 84 o Operating Humidity Range 0 90 relative humidity non condensing Memory Storage capacity 250 test results including Check Strip and Control Solution results oldest test deleted first Code Numbers 1 16 Data Port Communicates with Data Manager unit and other data management systems 14 GUARANTEE AND WARRANTY 30 Day Money Back Guarantee If you are not fully satisfied with the ONE TOUCH II System a full refund may be obtained by calling a LifeScan Technical Representative at the toll free number within 30 days after purchase You must return the ONE TOUCH II Meter and a copy of your receipt to receive a refund Five Year Warranty The following warranty policy applies only to the original purchaser of this Meter and does not include the battery supplied with the Meter 1 Please complete the warranty card and mail it to LifeScan 2 The ONE TOUCH II Meter has a full five year warranty from the original date of purchase Write your date of purchase here 85 o If at any time during the first five years after you buy the Meter it does not work for any reason except for obvious abuse LifeScan will replace it with a new Meter or equivalent product free of any charge 3 If the ONE TOUCH II
5. e 63 4 Press M again and the date of your most recent test appears for example b 1 184 June 11 1994 5 Press M again and the time of your most recent test appears for example asia cane 6 Press M again and the result of your most recent test appears for example yo 39 example indicates a Check Strip result L 5 4 example indicates a Control Solution result 7 Press M again and appears indicating the end of the test result record date time and result 8 Each time you press the M Button the date time and result of the previous tests will appear in sequence example e 64 11 06 94 11 June 1994 will appear if you have selected the Day Month Year format in Chapter 9 Setting Date Time and Other Special Functions If you wish to scroll quickly through the results press and hold the M Button To go back to the most recent result it may be quickest to turn the Meter off then turn it on and press M again Selecting Event numbers You may choose to mark the blood glucose reading with an Event number 1 9 This allows you or your healthcare professional to analyze the trends in your blood glucose readings more easily You can set up the Event categories to meet your own needs For instance to highlight Particular times of the day readings taken when you are fasting before or after a meal or at
6. has been used by someone else 25 e V If the PENLET II is being shared with another person always use a new sterile Lancet and a new or properly disinfected PENLET II cap for each person Cleaning the PENLET II Clean the PENLET II and PENLET II cap with soap and water as needed For use in hospitals or institutions with multiple patients consult your institution s infection control procedure and the ONE TOUCH II Hospital Manual 6 TESTING YOUR BLOOD You can test your blood glucose by following these three simple steps Step 1 Step 2 Press Insert Test On Off a Strip Button Step 3 Apply blood sample Be sure to read the following section carefully for detailed step by step instructions and important additional information e 26 Step by step instructions Choose a clean dry work surface Gather together all the materials you will need for a test ONE TOUCH II Meter ONE TOUCH Test Strips PENLET II Automatic Blood Sampler with choice of caps Sterile Lancet M Button C Button One TOUCH WI Deep Cap Regular Cap e 27e IMPORTANT Before testing the Test Strip Holder and Test Area of the Meter must be clean and lint free See Chapter 8 Cleaning and Maintaining the Meter for more information Check the expiration date on the Test
7. At least once a week Whenever the Test Area looks dirty and Whenever LLEHN LEST ARER appears on the display Step 1 Remove Test Strip Holder 1 As you hold the Meter place your thumbs on the two raised dots on the Test Strip Holder 2 Slide the Test Strip Holder toward you to remove e 43 e 3 Remove the Test Strip Holder to expose the Test Area You are now ready for cleaning Step 3 Clean Test Area While the Test Strip Holder is still removed clean the surface of the Test Area normally covered by the Test Strip Holder This area may not look dirty to you but it still needs to be Step 2 Clean Test Strip Holder 1 Wash the Test Strip Holder with soap and water cleaned 2 Clean the underside of the Test Strip Holder and check the small hole for any debris 3 Dry completely with a soft cloth or tissue Remove any lint e 44 1 Check the clear protective coating over the Meter optics to make sure it is not scratched or damaged 2 Use a cotton swab or soft cloth dampened with water to remove all blood dirt or lint from the Test Area If necessary a mild liquid dishwashing detergent mixed with water may also be used Do not apply full strength detergent to the Test Area e 45 e The following cleaning agents will damage the Meter DO NOT USE Alcohol Cleansers with ammonia or p
8. Testing Your Blood Usually indicates a test L 3H done with Control EDNTRI Solution However if this UNI L message appears after a example blood test it means that your blood sample was PERRO All segments on the display will appear when the On Off Button is pressed and held If any part of the display does not appear call the LifeScan Technical Service Department Canada 1 800 663 5521 U S A 1 800 227 8862 37 What to do if you feel your test result may be wrong If you follow the instructions in this booklet you will find that it is easy to get accurate results If you suspect that you are not getting accurate results you should do a Check Strip Test and a Control Solution Test to check the Meter operation Test Strips and your procedure See Chapter 3 Checking the System for more information If after performing these checks your results still are not consistent with how you feel contact your physician or healthcare professional There are a number of reasons why your test result may be wrong W You may not have ES applied enough blood Look at the Test Spot where you applied the NEN blood sample it should still have a wet shiny drop which completely fills the circle If the blood sample has a dull dry appearance you may have smeared the sample or not applied enough blood this could cause an inaccurately low re
9. a blood glucose test See Chapter 3 Checking the System example appears when a Check Strip reading is outside the acceptable range and prompts you to repeat the Check Strip test See Chapter 3 Checking the System e 74 5 REDD v appears each time the Meter is turned on if the last Check Strip reading was outside the acceptable range It will continue to appear until the Check Strip result which is automati cally detected by the Meter falls within the acceptable range The range is also printed on the back of the Meter See Chapter 3 Checking the System 12 QUESTIONS AND ANSWERS In the following pages we ve provided answers to some of the most common questions people have about home blood glucose monitoring and the ONE TOUCH II Meter If you have a question that isn t covered here consult your healthcare professional or call the LifeScan Technical Service Department Canada 1 800 663 5521 U S A 1 800 227 8862 Caution A blood glucose monitoring program should be conducted under the guidance of a healthcare pro fessional Always consult your healthcare professional before making changes in your diabetes control plan e 75 e Q What clinical information should a healthcare professional be aware of when using the ONE TOUCH II Meter A For use in hospitals institutions and clinics refer to the ONE TOUCH II Blood Glucose Monitoring System Manual Hospital Programs The
10. bedtime Physical activity readings taken before or after exercise Information about your condition readings taken during illness or when symptoms of high or low blood sugar occur Information about the circumstances a larger or smaller meal than usual snacks missed meals missed medication Some examples of Event categories you might choose to use are e 65e Event 1 Event 2 Event 3 Event 4 Event 5 Event 6 Fasting blood glucose readings Before lunch glucose readings Before dinner glucose readings Before bedtime glucose readings 3 00 AM blood glucose readings Readings after exercise Event 7 Readings during illness Event 8 Readings during hypoglycemia symptoms Event 9 Readings during hyperglycemia symptoms You may select an Event number After doing a blood test While reviewing your results from the memory To enter an Event number Suppose you want to mark a high test result of 19 2 mmol L as EVENTS With MN MM 183 2 on the display press C Button example appears alternating with the result for several seconds Continue pressing the C Button to advance the Event e 66 number from 1 to 9 until the desired number is selected You can also hold down the C Button to scroll through the numbers EVENTS chosen for hyperglycemia as an example is selected s Event numbers can be changed
11. format for example 20 00 hours by following the instructions on the chart on page 60 e 58 Selecting the data management interface Data Management Mode The ONE TOUCH II Meter has the ability to commu nicate with several types of data management systems which makes it easier for you and or your healthcare professional to review and analyze your results On the side of the Meter there is a port marked Data which allows you to connect to various data management systems To communicate with these systems you will need to select the correct mode for the kind of data man agement system you are using The Meter is set at the factory in the RS 232 Data Manage ment Mode In the RS 232 mode you may also select the baud rate the data communi cations rate for a specific application 300 1200 2400 or 9600 You may connect the ONE TOUCH II Meter to the Data Manager from LifeScan by using the DTA MGR mode For information on other data management options call the LifeScan Technical Service Department Canada 1 800 663 5521 U S A 1800 227 8862 To enter the beeper international options and data management interface mode e 59 e 1 With the Meter turned off press and hold Memory Button M at the top of the Meter 2 Press and release On Off Button to turn the Meter on 3 Release M Button The display should read JEEP Co
12. may vary according to your age the type of diabetes you have any medication you are using whether you are ill and any physical or emo tional changes in your life Q Should my test results always be the same A No Results will vary somewhat from test to test depending on diet activity level and time of day These variations provide useful clues about your condition and how well your treatment program is working With your healthcare professional determine your own personal target blood glucose values as e 77 well as what an unusually high or low test result is for you In most cases your test results should stay within that range Q What can I do to be sure I get accurate test results A Make sure that you do the following Keep your Meter clean at all times Refer to Chapter 8 Cleaning and Maintaining the Meter Use enough blood The entire Test Spot must be completely covered with blood Touch the drop of blood lightly to the middle of the Test Spot to fill the entire spot The drop of blood should have a shiny surface over the entire spot Do not smear the blood or touch the Test Spot with your finger Do not use expired Test Strips Never use Test Strips after the expiration date on the package label has passed Make sure your Meter code is set to match the code number on the package of Test Strips you are using Do not use ONE TOUCH Test Strips that are discol
13. medical literature for leading blood glucose monitoring products Severe dehydration can lead to many serious medical complications One complication which is of particular importance in diabetes management is a hyperglycemic hyperosmolar state with or without ketosis which may be life threatening if left untreated The fol lowing are some of the factors which could lead to severe dehydration Vomiting and diarrhea Prescription drugs e g diuretics e Inability to recognize or respond to thirst sensations e Sustained uncontrolled diabetes Whenever inadequate fluid intake or excessive water loss occurs CONSULT A PHYSICIAN IMMEDIATELY Remember if you ever experience symptoms which are not consistent with your blood glucose monitoring results and you have eliminated common procedural errors described in this Owner s Booklet as the cause you should contact a physician immediately Never make significant changes to your medication program or ignore physical symptoms without con sulting a physician or other diabetes healthcare professional 81 IMPORTANT When the message HIDH appears on the Meter display this indicates severe hyper glycemia blood sugar too high contact your physician immediately Q What should I do if my blood glucose test results are consistently hish for my own diabetes control plan A The goal of diabetes management is to maintain a n
14. the LifeScan Technical Service Department via the toll free numbers listed below Canada 1 800 663 5521 U S A 1 800 227 8862 IMPORTANT The expected range for the ONE TOUCH Normal Glucose Control Solution Blue Formula is printed on the Test Strip package Note The control range is shown in two different units of measure mmol L used in Canada and European countries and mg dL used widely in the U S This range is for the Glucose Control Solution only it is not intended as a recom mended range for your blood glucose test results e 125 Checking your ONE TOUCH II System with Glucose Control Solution ONE TOUCH Normal Glucose Control Solution Blue Formula should be used instead of blood to practice the test procedure or to make sure your Meter and Test Strips are functioning properly Use only ONE TOUCH Normal Glucose Control Solution Blue Formula Do not use ONE TOUCH Glucose Control Solution clear formula with the ONE TOUCH II Meter You can purchase ONE TOUCH Normal Glucose Control Solution Blue Formula from your Authorized LifeScan Distributor or retail pharmacy To do a Control Solution test follow the same procedure you would if you were testing your blood as described in Chapter 6 Testing Your Blood using Control Solution instead of blood Your Control Solution results will appear on the Meter display as follows Before you use the Meter to test your bl
15. unit of measurement to mg dL or an electronic malfunction may have occurred See Chapter 9 Setting Date Time and Other Special Functions to reset the unit of measurement to mmol L The Meter reads results which are between 0 and 33 3 mmol L indicated with MM before the result or 0 600 mg dL the unit of measure used in the United States Results above 33 3 mmol L 600 mg dL are displayed as HIDH To select an Event number now follow the instructions in Chapter 10 Recalling Tests from Meter Memory 3 Press the On Off Button to turn Meter off Check the Amount of Blood on the Test Strip Although the ONE TOUCH II requires only a small drop of blood it is very important that the drop be of adequate size and distributed completely over the Test Spot In many cases the ONE TOUCH II can detect if the drop of blood was too small to give an accurate reading If appears it indicates that your drop of blood was too small or it was smeared e 32 o rather than dropped onto the Test Spot Repeat the test with a new Test Strip and a larger drop of blood Because the Meter cannot detect all incorrectly applied samples it is also important to visually inspect the used Test Strip to make sure that you applied enough blood 1 After the test remove the Test Strip from the Meter 2 Look at the Test Front Side Spot where you applied the blood e sample It should s
16. you gain control Please make sure that you review this Owner s Booklet thoroughly before testing your blood glucose If after reviewing the Owner s Booklet you still have questions please feel free to call our toll free number and speak with our Technical Service Department Thank you for choosing ONE TOUCH II Sincerely Zoo Jackie Graham Customer Service Manager LifeScan Canada Ltd P S Don t forget to complete and mail the warranty registration card When we receive your warranty card we ll send you a handy carrying case to hold your Meter and testing supplies CAUTION Before using any product to test your blood glucose sugar read all instructions and practice the test Consult your diabetes healthcare professional for advice regarding selection of equipment testing times and procedures These recommendations apply to all blood glucose monitoring systems and are supported by the Diabetes Educator section of the Canadian Diabetes Association The ONE TOUCH II System is intended for in vitro diagnostic use only This legally required statement simply means that the Meter should be used only for testing purposes and only outside the body TABLE OF CONTENTS 1 Tips for Getting Good Results 6 2 Getting Started 7 3 Checking the System 11 4 Coding the Meter 19 5 Getting a Drop of Blood 21 6 Testing Your Blood 26 7 Troubleshooting 34 8 Cleaning and Mai
17. D di Front Back How to use the Check Strip Step 1 Press On Off Button CODE 1 example will appear on the display The code number does not need to be set to do a Check Strip test m Step 2 INSERT GIRIP When appears JD v Slide the Un Check ee Strip into appears the Test pull out Strip the Check Holder Strip from with the the Test notched Strip end first Holder Side 1 purple facing up IIDTT WILI appears for a few moments 15 appears turn the Check Strip over and with Side 2 white facing up insert it back into the Test Strip Holder notched end first The Meter counts down from 4 to 0 then dd nu y Lin example appears if the number falls within the acceptable Check Strip range The Meter automatically tells you if the reading falls within the correct Check Strip range The range is also printed on the back of the Meter in both mmol L and mg dL You may now proceed with a blood glucose test These messages will continue to display until the Meter is e 16 turned off or for 2 minutes when the Meter automa tically turns off If the reading is not within the acceptable Check Strip range the Meter display will read example Go back to Step 1 and repeat the Check Strip test If this message appears again clean your M
18. Meter does not work and is returned by the original owner for service after the five year period a replace ment Meter will be sent to the original owner 4 The warranty policy does This warranty is in lieu not apply to the performance of all other warranties of the ONE TOUCH II express or implied Meter when used with including any implied any test strip other than warranty of merchant ONE TOUCH Test Strips ability or fitness for a or when the ONE TOUCH II particular purpose Meter or Test Strips are changed or modified in any way 5 Before you return your Meter for warranty replacement call your LifeScan Technical Representative at the toll free number listed on the back of this booklet for detailed instructions AW 051 568 53A e 86 o
19. ONE TOUCH II Meter is not intended for monitoring neonatal whole blood samples ONE TOUCH Test Strips should not be used with plasma or serum samples results will be inaccurate ONE TOUCH Test Strips are intended for use with fresh whole blood or ONE TOUCH Glucose Control Solution Reducing substances such as ascorbic acid do not significantly affect blood glucose results when occurring in normal blood concentrations However abnormally high concentra tions of reducing substances in blood will cause inac curately low blood glucose results Samples with preservatives that contain fluoride gray e 76 top tubes should not be used The results will be inaccurately low Q Why should I test my blood glucose sugar A No doubt your health care professional has explained the importance of keeping your diabetes under control Your ONE TOUCH II System helps you check whether or not you are under control by monitoring your blood glucose levels The test results provide a good picture of how diet exercise and medication are affecting your diabetes Test results can also indicate whether your diabetes is changing in ways that might require an adjustment in your treatment program Always consult your healthcare professional before making changes in your diabetes control plan Q How often should I test my blood glucose A This is best decided by you and your healthcare professional It
20. One TOUCH IT urescan BLOOD GLUCOSE MONITORING SYSTEM SYST ME DE CONTR LE DE LA GLYC MIE afehmsonafehmon company company une filiale une fiale de Golmren Gohmren OWNER S BOOKLET MANUEL DU PROPRIETAIRE ONE TOUCH II Blood Glucose Monitoring System OWNER S BOOKLET J size Battery installed Memory Button M Code Button C Check Strip PENLET II with Cap Z Test Strip 6 VOLT H LE Hx s u i Display I w unm On Off Button i Data Port Im Test Area NY i J ONE TOUCH a Normal Glucose EH Control Solution Blue Formula Test Strip Holder Dear ONE TOUCH II Owner Congratulations You ve selected a very sophisticated yet easy to use blood glucose monitoring system for home testing Your ONE TOUCH II System will give you the accurate test results you need when you follow a few simple steps Everything you need to know about using the ONE TOUCH II System is included in this booklet If you would like a helpful instructional audio cassette tape of the ONE TOUCH II test procedure please call LifeScan Canada Customer Service at 1 800 663 5521 Blood glucose monitoring plays an important part in controlling your diabetes The results you obtain with the ONE TOUCH II System can help you and your healthcare professional monitor and adjust your treatment plan diet exercise and medication to help
21. Strip package If the date has passed discard the Test Strips and use a new package of Test Strips Step 1 Press On Off Button cre r LUE FL example appears on the display for several seconds followed by INSERT STRIP 28 Make sure that the code number on the Meter display matches the code number on the Test Strip package If they don t match you will get an inaccurate result Before doing a blood glucose test for the first time or when you open a new package of Test Strips you must match the code number on the Meter display to the number on the Test Strip package by following the instructions in Chapter 4 Coding the Meter Step 2 Insert Test Strip 1 Remove a Test Strip from the package Do not touch the white Test Spot a small white circle in the center of the Strip If using Strips from a vial replace the vial cap immediately If using foil wrapped Test Strips be careful not to tear the Strip when opening the foil The Test Spot should be white or ivory colored and free of tears or wrinkles Do not apply blood to the Test Spot yet Test Spot e 29 appears on the display slide the Test Strip into the Holder notched end first Test Spot side up Make sure you push the Test Strip all the way into the Holder until it stops 3 WALT will appear on the display for a few moments Then 4 APPL Y SAMPLE a
22. Test Strip again There may be an electronic NOT OK problem with your Meter Call the LifeScan Technical Service Department Canada 1 800 663 5521 U S A 1 800 227 8862 The Test Strip was inserted before the Meter was ready for it Remove the Strip from the Test RESET The Meter has lost some 3E important information ED TE including the current code number mmol L unit setting date time and other special functions which you may have selected To reset the code number to match your test strips see Chapter 4 Coding the Meter To reset the unit of measurement to mmol L and other special functions see Chapter 9 Setting Date Time and Other Special Functions If the message RESET COTE appears again contact LifeScan Technical Services e 36 o ru Lhe last Check Strip v NOTOR reading was outside the PEII v acceptable range of EUU V results The Check Strip test must be repeated See Chapter 3 Checking the System If the message continues clean the Meter See Chapter 8 Cleaning and Maintaining the Meter For further assistance call the LifeScan Technical Service Department for more information too small smeared or a second drop was applied after the test began Your test Tesult will not be accurate Repeat the test using a larger drop of blood See Check the Amount of Blood on the Test Strip in Chapter 6
23. e 2 of the Check Strip See Chapter 6 Testing Your Blood or Chapter 3 Checking the System e 68 o Ri appears when there are no blood glucose results in the Meter s memory or the results in the memory are more than two weeks old However there may be Control Solution results and Check Strip results stored in the memory AY 55 example is the average of the past 14 days of blood glucose results See Chapter 10 Recalling Tests from Meter Memory BATTRY appears when the battery is too low to perform another test See Battery Replace ment in Chapter 8 Cleaning and Maintaining the Meter LLEHN TEST AREA appears when the Meter detects that there is dirt lint or blood on the Test Area indicating that it must be cleaned See Chapter 8 Cleaning and Maintaining the Meter This message may also appear if your hand or any other surface is placed above the Test Area immediately after the Meter is turned on or if the Test Strip is partially or fully inserted before INSERT STRIP appears See Chapter 6 Testing Your Blood COIE 9 example appears when the Meter is first turned on The code number is between 1 and 16 and must match the code number on the Test e 69 Strip package to ensure accurate results See Chapter 4 Coding the Meter L a CON UNT pa appears when a Glucose Control Solution test is performed This message may also appear after a blood t
24. e Meter is turned on A partially or fully inserted Test Strip can also cause this message to appear Do not insert a Test Strip until INSERT STRIP appears on the display LLERN e 34 e The sample was applied ERRORI before APPLY SAMPLE RETEST appeared on the display ETEST See Chapter 6 Testing Your Blood x P There has been an error in DDr J ERRORE the test procedure Some RETEGT examples are 1 The Test Strip moved out of the correct position during the test and was not repositioned before the end of the test 2 The Test Strip was not inserted correctly The Test Strip must be inserted notched end first Test Spot side up and pushed all the way into the Test Strip Holder 3 The Test Strip was removed before the test was completed 4 You may not have applied enough blood See Check the Amount of Blood on the Test Strip in Chapter 6 Testing Your Blood for more information 5 The Meter was turned on in very bright light Move out of direct light and repeat the test 6 The Check Strip procedure was incorrect See Chapter 3 Checking the System 7 The Meter may not be operating correctly e 35 e Go Back to Step 1 in Chapter 6 Testing Your Blood and start over with a new Test Strip Make sure you are following the instructions carefully Strip Holder wait for INSERT STRIP to appear then insert the
25. ear normal amount of glucose in the blood Normal low and high blood glucose values for your individual treatment plan should be determined with your healthcare professional If your blood glucose test results remain consistently high contact your health care professional Q What are the expected blood glucose values associated with well controlled diabetes A Fasting 3 3 7 2 mmol L 60 130 mg dL After meals 1 hour Less than 10 0 mmol L 180 mg dL After meals 2 hours Less than 8 3 mmol L 150 mg dL Q Why don t my Meter results exactly match the results that I got from my doctor s laboratory A Many healthcare professionals believe that the result that you get on your Meter should fall within 1596 to 2096 of the result obtained on labora tory equipment when whole blood is tested However there are a number of reasons why the blood glucose result from your Meter may vary even more 82 o than 20 from a laboratory result One of the most common reasons is that laboratories use serum or plasma samples while home blood glucose monitors use whole blood Whole blood results are approximately 1096 1296 lower than serum or plasma results from the same blood sample at average hemat ocrit levels of 41 45 To adjust for this difference divide the laboratory value by 112 or 1 12 Example a serum value of 8 3 mmol L is comparable to 7 4 mmol L whole blood value
26. est if the sample was too small See Check the Amount of Blood on the Test Strip in Chapter 6 Testing Your Blood ERROR 5 RETE appears if the sample was applied before APPL Y SHMPLE appeared on the display See Chapter 6 Testing Your Blood ERRORE RETEST appears if you made a mistake in the test procedure or if there is a problem with the Meter See Chapter 7 Troubleshooting I T I appears if your blood or Control Solution sample was too small or smeared See Check the Amount of Blood on the Test Strip in Chapter 6 Testing Your Blood MM 15 EVENTD example will appear alternating back and forth when you select 70 an Event marker For further information see Selecting Event Numbers in Chapter 10 Recalling Tests from Meter Memory Ig v Coe Hr I RPPL 1 Dno Hr I L l L L When the battery is getting low display messages flash continuously The Meter will still provide accurate test results See Battery Replacement in Chapter 8 Cleaning and Maintaining the Meter HIGH appears when a test result is above 33 3 mmol L or 600 mg dL See Chapter 12 Questions and Answers Important a HIGH result indicates severe hyper glycemia blood sugar too high contact your physician immediately INSERT STRIP appears on the display when the Meter is ready for you to insert a Test Strip See Chapter 6 Testing Your Blood appears when the Check Str
27. eter by following the steps in Chapter 8 Cleaning and Maintaining the Meter For further assistance call the LifeScan Technical Service Department toll free Canada 1 800 663 5521 U S A 1 800 227 8862 The next time you turn on your Meter example will appear indicating your Check Strip was out of range at the last reading This message will continue to appear each time the Meter is turned on until you perform a Check Strip reading that falls in the acceptable range CAUTION Your blood glucose test result may be inaccurate if your Check Strip reading does not fall in the acceptable range Cleaning and Maintaining the Check Strip V Check that the white and purple surfaces of the Check Strip are clean if needed wipe with a soft cloth or tissue dampened with water Dry thoroughly V Do not put blood alcohol Control Solution or any other fluid except water on your Check Strip e 17 W Avoid scratching the white and purple surfaces of the Check Strip W Do not expose the Check Strip to direct sunlight for extended periods of time vf If you lose or damage the Check Strip call the LifeScan Technical Service Department for a free replacement e 18 o 4 CODING THE METER CAUTION You must match the code number on the Meter display to the code number on the Test Strip package you re using If the code number on the Meter display does not match
28. eter operation using the Check Strip supplied with the Meter V Perform a test with Glucose Control Solution to verify that the Test Strip e 79 and the Meter are working properly and that you are performing the test correctly After troubleshooting repeat the blood test with a new Test Strip Q What do I do if test results still seem too low or too high A Remember the test results you obtain will vary from time to time depending on food intake insulin dose exercise etc Ask yourself the following questions How do I feel Do I have symptoms of low blood sugar hypoglycemia or high blood sugar hyperglycemia What have I eaten How much exercise have I had Am I ill i e common cold flu etc In addition to the common factors listed above which cause real variations in blood glucose results there are certain abnormal conditions which will interfere with the accuracy of your blood glucose monitoring results These limitations are described below and should be discussed with your physician Extremes in hematocrit the amount of red blood cells in the blood can affect test results High hematocrits above 60 cause inac curately low results Very low hematocrits below 25 can also cause inaccurately low results e 80 gt Severe dehydration and excessive water loss may cause inaccurately low results This has been reported in the
29. forming some internal checks Wait until APPL Y SHMPLE appears to continue See Chapter 6 Testing Your Blood ums MM 5 3 example The Meter counts down from 45 seconds until your result appears Meters intended for use in Canada and other countries show test results in mmol L with the letters MM for mil limole and a decimal point or comma for example MM 5 3 or MM 5 3 Note mmol L results for Check Strip Control Solution and average blood glucose will not include the letters MM in the display To change the unit of measure see Chapter 9 Setting Date Time and Other Special Functions LIH example In Meters intended for use in the U S test results e 73e appear with no decimal point 114 for example The unit of measure is mg dL To change the unit of measure to millimoles per liter mmol L see Chapter 9 Setting Date Time and Other Special Functions example This is an example of a result stored in memory The first message is the date of the test March 30 1994 The second message is the time the test was done 3 21PM The third message is the result 5 9 mmol L MM 5 9 as shown here in mmol L The fourth message means an Event number was selected for this particular result Event 6 See Chapter 10 Recalling Tests from Meter Memory iB ru y Lin example appears when a Check Strip reading is within the accept able range You may proceed with
30. henol Windex or other glass cleaners Abrasive cleansers CAUTION Be careful not to scratch this area or get water inside the Meter 3 Dry the Test Area with a soft dry tissue or cloth Remove any lint Step 4 Replace Test Strip Holder 1 Hook the bottom of the Test Strip Holder onto the square notch on the Meter 2 Place each thumb on the raised dots and push down on top of the Holder until it snaps firmly into place You are now ready to do a Check Strip test If the Check Strip will not slide into the Test Strip Holder repeat this procedure e 46 Battery Replacement The Meter ZA comes with one J size 6v Duracell WEF brand alkaline battery already installed The battery should last about one year with typical home use When the battery needs to be replaced use only a Duracell brand alkaline battery J size 6 volts part 7K67 This will ensure that you get the best performance from your ONE TOUCH II Meter Duracell J size batteries are available from most retail pharmacies and hardware stores e 47 e LUGE 5 rr nr G ee ES LUGE 9 When the battery is getting low the display will flash on and off continuously while the Meter is on The Meter will still provide accurate test results with a low battery but you should replace it as soon as possible When BATTRY appears on the display the Me
31. ip is removed from the Test Strip Holder See Chapter 3 Checking the System It also appears if you mistakenly remove the Test Strip from the Meter DO NOT remove the Test Strip from the Meter to apply the blood sample 71 appears when you press the Memory M Button See Chapter 10 Recalling Tests from Meter Memory N gg5 example indicates the total number o readings stored in the memory including Check Strip and Control Solution tests NODATH appears if you press the Memory M Button when there are no results stored appears when there is an electronic problem with your Meter Call the LifeScan Technical Service Department Canada 1 800 663 5521 U S A 1 800 227 8862 REMOVE STRIP appears if you mistakenly insert a Test Strip before you turn the Meter on Remove the Strip and wait until the Meter display says INSERT STRIP See Chapter 6 Testing Your Blood RESET CODE appears if the Meter has lost important information including code number mmol L unit setting date 72 o time and other special functions which you may have selected To reset the code number to match your test strips see Chapter 4 Coding the Meter To reset the unit of measurement to mmol L and other special functions see Chapter 9 Setting Date Time and Other Special Functions If the message RESET COIE appears again contact LifeScan Technical Services WALT appears while the Meter is per
32. it of measurement to mmol L e 39 o W You may have a special physical condition such as extreme dehydration which is affecting your results See Chapter 12 Questions and Answers for more information W The Test Strips were stored in an extremely high temperature above 30 C or 86 F e 40 8 CLEANING AND MAINTAINING THE METER IMPORTANT Infection Control Information to reduce the risk of infection If the ONE TOUCH II Meter is being shared with another person always use a new or properly disinfected Test Strip Holder for each person If the PENLET II is being shared with another person always use a new sterile lancet and a new or properly disinfected PENLET II cap for each person For disinfecting information or an additional Test Strip Holder or PENLET II cap please call the LifeScan Technical Service Department Canada 1 800 663 5521 U S A 1 800 227 8862 Your ONE TOUCH II Meter is simple to use and easy to maintain However like all precision instruments it must be handled carefully and cleaned frequently to remain in peak operating condition You should observe these precautions at all times Keep the Test Strip Holder and Test Area clean Dirt blood or lint in these areas will cause inaccurate results Do not use alcohol to clean the Meter Clean the Meter regularly e 4 according to the instructions on the following pages
33. ng language displays contact the LifeScan Technical Service Department via the toll free numbers listed below Canada 1 00 663 5521 U S A 1 800 227 8862 MEASUREMENT CONVERSION The ONE TOUCH II Meter can display units either in mmol L or mg dL To select the unit measurement of your choice see Chapter 9 Setting Date Time and Other Special Functions for instructions All example results in this Owner s Booklet appear in mmol L Verify which unit of measure you are using before you begin testing TEST STRIP HOLDER The dark gray Test Strip Holder holds the Test Strip in place The Meter reads the color of the reacted Test Strip through the small hole in the Test Strip Holder The Test Strip Holder needs to be removed from the Meter for cleaning See the instructions in Chapter 8 Cleaning and Maintaining the Meter TEST AREA When the Test Strip Holder is removed the Test Area is exposed The Test Area has a clear protective coating over the Meter optics that must be kept clean and lint free for accurate results Be careful not to scratch or damage this coating See Chapter 8 Cleaning and Maintaining the Meter DATA PORT This port lets you access the information stored in the Meter s memory with a Data Manager from LifeScan or other data management systems See Chapter 9 Setting Date Time and Other Special Functions TEST STRIPS ONE TOUCH Test Strips come ina moisture p
34. nr 9600 BAUD RATE DISPLAYS AM PM 12 HR DISPLAY 61 RETURNS TO JEEP 10 RECALLING TESTS FROM METER MEMORY Your ONE TOUCH II Meter automatically stores up to 250 test results the date and time of those results plus an Event code if selected The Meter will not display correct date and time until you set the clock Refer to the chart Setting Date and Time in Chapter 9 Test results can be deleted from the memory by using a data management system When you have done more than 250 tests the oldest test is dropped from the memory as a new one is added The most recent test result appears first To recall test results 1 Press the On Off Button e626 2 After appear on the display press the M Button at the top of the Meter 3 The word MEMORY appears briefly followed by AY b e example This number is the average of your blood glucose results for the past 14 days Check Strip and Control Solution results are NOT included in the average Results above 33 3 mmol L will read as HIGH and will be calculated into the average as 33 3 mmol L If you wish to know the number of results in the memory press the C Button N dd example will appear This indicates the total number of readings stored in the memory including Check Strip and Control Solution results will appear if no results are stored in the Meter memory
35. ntaining the Meter 41 9 Setting Date Time and Other Special Functions 51 10 Recalling Tests from Meter Memory 62 11 Summary of Display Messages 68 12 Questions and Answers 75 13 Specifications 84 14 Guarantee and Warranty 85 1 TIPS FOR GETTING GOOD RESULTS Carefully read this Owner s Booklet and all other instructional material provided with your blood glucose monitoring system and test supplies Clean your Meter regularly at lease once a week by following the instructions in Chapter 8 Cleaning and Maintaining the Meter W Use the Check Strip daily to check the Meter and use Control Solution periodically to test the system and your procedure See Chapter 3 Checking the System W Periodically review your use of the Meter with your healthcare professional W Never make any significant changes to your medication program without consulting your doctor or other healthcare professional W If the way you feel is not consistent with your blood glucose monitoring results contact your physician or healthcare professional immediately V Do not store ONE TOUCH Test Strips outside of the vial Only foil wrapped Test Strips can be stored in your carry case 2 GETTING STARTED Before you read about the test procedure please study this diagram to become familiar with the various parts of your ONE TOUCH II Meter Memory Button M Battery Compartment on back
36. ntinue with chart instructions on page 60 Using the M and C Buttons located on top of your meter Selecting Beeps International follow the directional arrows through the following chart How the Chart Works The M Button advances you from one mode to the next For example press M to advance from the Beep Mode to the Language Mode Use the M button to ENG M move across the page The C Button changes settings within a mode For example press C to change from ENGL English to 3 ZET C ESPHN Spanish in the language mode As long as you SPANISH keep pressing the C button you will continue cycling FRANC c through the language settings Use the C Button to move up and down the page JEEP To hold or save a setting press M while the desired setting is P S onos on the display For instance to select the NG JEEP setting press ec M while the words NL HEEP appear in the display I Press either button once to advance one step press and hold to continue advancing or to go back to the beginning HEED mn NU BEE JEUTS POLSKI a At any time you may press the On Off Button to hold DISPLAYS E your selection and exit Note Once a language other than English is chosen all messages TANGI CUOI will appear in that language FINNISH e 60 gt Options and Data Management Interface MMOL L DISPLAYS At 0m MD Jit DISPLAYS JUNT Bul 24 HR DISPLAY
37. ood glucose practice using the Control Solution until you can do three tests in a row that are within the expected glucose control range Then you will know that you have mastered the test procedure e 13 Thereafter you should test the Meter with the Control Solution W At least once a week jv When you begin using a new package of Test Strips W Whenever you suspect the Meter or Test Strips may not be functioning properly e g whenever your results are not consistent with how you feel Checking the Meter with the Check Strip A plastic purple and white Check Strip is included with your ONE TOUCH II Meter The Check Strip is used to check that your Meter is operating properly You must use the Check Strip W At least once a day After cleaning the meter W Before adjusting your medication based on your Meter result V Whenever your results are not consistent with how you feel or when you sus pect that your results are not accurate W Whenever this message appears Before doing a Check Strip test make sure the Test Strip Holder and the Test Area are clean dry and lint free Check that the white and purple surfaces of the Check Strip are clean and e 14 5 dry For cleaning information see Cleaning and Maintaining the Check Strip in this chapter Do Check Strip tests at room temperature between 18 C and 26 C 64 F 79 F m
38. or cancelled at any time To cancel an Event number J An IHE DC M TE HENTE LENIE E ENTE example MM EL MM rue b d will alternate in the display Press C Button repeatedly until EVENTS is reached Press C again the next display is the test result MM bg example The Event number for this result has now been cancelled When you are finished using the memory function press the On Off Button ONE TOUCH Test Strips include a log sheet that you can use to keep a permanent record of your test results along with information on diet and medication A LifeScan Logbook can be obtained from your Authorized LifeScan Distributor retail pharmacy or directly from LifeScan e 67 11 SUMMARY OF DISPLAY MESSAGES The following are messages that may appear on the Meter display If you get a message that is not listed below it is likely that the Meter was accidentally switched to another lang uage or that another special function was accidentally changed For more infor mation see Chapter 9 Setting Date Time and Other Special Functions gm mmm W W UN WW W appears when the On Off Button is pressed and held All segments of the display should appear If any por tion is missing call the LifeScan Technical Service Department Canada 1 800 663 5521 U S A 1800 227 8862 APPL Y SAMPLE appears when the Meter is ready for your blood sample or Sid
39. ored Periodically review your use of the Meter with your healthcare professional Q How can I verify that my test results are accurate A There are two very important checks that you should perform routinely to verify that your test results are accurate You should use the Check Strip every day to verify correct Meter operation ONE TOUCH e 78 Normal Glucose Control Solution Blue Formula should be used at least once a week or more often as needed to verify that the entire system Meter and Test Strips is working properly and that you are performing the test correctly Instructions for performing both of these checks are provided in Chapter 3 Checking the System DO NOT use the system if either the Check Strip or the Control Solution results are outside of the expected ranges Q What should I do if test results seem unusually low or high A First troubleshoot by eliminating any of these potential problems Clean your Meter Test Strip Holder and most importantly the Test Area See Chapter 8 Cleaning and Maintaining the Meter Inspect the Test Spot on the Test Strip to be sure the drop of blood covered it completely W Check the expiration date on the Test Strip package If it has passed discard the package and use strips from a new package V Be sure the code number on the Meter matches the code number on your Test Strip package W Perform a check of the M
40. ppears on the display and remains for five minutes or until you apply blood to the Test Spot on the Test Strip Step 3 Apply blood sample 1 With the Test Strip in the Meter and APPL Y SAMPLE on the display apply a drop of blood to the Test Spot To learn how to obtain a drop of blood see Chapter 5 Getting a Drop of Blood e 30 gt Make sure that you W Apply enough blood to form a round shiny drop which covers the Test m completely and stays wet during the entire test W Do not move the Test Strip as you are applying blood If the Test Strip moves during blood application make sure that it is pushed back to its original position as quickly as possible W Do not smear the blood on the Test Spot or apply a second drop after the test has begun V Do not remove the Test Strip from the Meter to apply blood drop of blood to the Test Strip The Meter will beep when it detects that a sample of Touch only the tip of the blood has been applied to the Test Spot 2 The Meter then counts down from 45 to 0 seconds and you will hear a series of beeps when your result is displayed MM 5 9 example Be sure to wait for the beeps before you note your result 31 CAUTION Always check that MM and a decimal point or comma are displayed with your blood glucose result If not you may have accidentally changed the
41. r stimulates the flow of blood to the fingers making it easier to obtain a sample for the test Letting your arm hang down at your side for e 23 e 10 15 seconds before the fingerstick will make it easier too If you use alcohol to clean your finger make sure you let it dry before you lance your finger Choose a spot on the side of a different finger each time you take a blood sample Repeated punctures in the same spot can make your finger sore and calloused 2 Hold the PENLET II firmly on the side of the finger to be punctured with the cap resting on the finger The greater the pressure of the PENLET II against the finger the deeper the puncture 3 Push the dark gray Release Button e 24 e 4 Gently squeeze the finger to obtain a large hanging drop of blood Proceed with the blood glucose test Chapter 6 Testing Your Blood Step 4 Remove the Lancet Always use caution when re Inoving the Lancet After the blood glu cose test remove the PENLET II cap Grip the dark gray T shaped prongs Point the Lancet downward and away from you Pull back on the dark gray sliding barrel until the Lancet drops out CAUTION W Dispose of the Lancet in an appropriate container for sharp objects W To reduce the chance of infection always use a new sterile Lancet Lancets are intended for single use only W Never use a Lancet that
42. roof light protected vial or foil package Because the Test Strips are sensitive to moisture and light it s important to keep them sealed until you re ready to use them DO NOT put unwrapped Test Strips in your Carry Case e 10 ONE TOUCH I i 3 CHECKING THE SYSTEM idi T 5 m fa u Lu v v a Check Strip EM Solution There are two ways to make sure your ONE TOUCH II System is working properly The Check Strip is used to check that the Meter is operating properly ONE TOUCH Normal Glucose Control Solution Blue Formula is used to check that both the Meter and the Test Strips are working together as a system and that you are performing the test procedure correctly These checks are simple but very important quality control steps that you must perform routinely to make sure you get accurate results elle CAUTION If your Control Solution or Check Strip results fall outside of their expected ranges the system is not functioning properly DO NOT use the system to test your blood glucose until you get both a Control Solution and a Check Strip reading that falls within the expected ranges If either of these problems occur you should first attempt to determine the cause of the problem by reviewing the instructions in this Owner s Booklet If you cannot resolve the problem contact
43. se result The PENLET II Automatic Blood Sampler is an easy safe way to get a good drop oie Step 1 Insert a Lancet Lancet Holder more easily sssi if you DO NOT line up the e 1 Remove the PENLET II ridges on the Lancet with ay ES cap by pulling it straight off the slots in the Lancet Holder Note inserting the asa Se 2 Insert a sterile Lancet into Lancet may automatically PENLET II the Lancet Holder The cock the PENLET II Lancet will slide into the 21 p x i W Regular x i W Deep Penetration 3 Remove the Lancet Protective Disk by holding the Lancet firmly and gently twisting off the Disk 4 Replace the PENLET II cap Note The PENLET II includes two caps so that you may control the punc ture depth The cap which comes attached to the PENLET II has a single line 22 o and works well for children and most adults The other cap has a double line and works well for people with very thick or calloused skin or where a deeper puncture is needed Step 2 Cock the PENLET II Holding the lower portion of the body of the PENLET II pull out the dark gray sliding barrel until a click is heard If you do not hear a click the PENLET II may have been cocked when the Lancet was inserted Step 3 Get a drop of blood 1 Wash your hands with soap and warm water and dry thoroughly Warm wate
44. ssages in English If you wish to change the display to another language follow the instructions on the chart on page 60 Once a language is selected all of the Meter messages will be displayed in that language Selecting the unit of measure Unit of Measure Mode The Meter is set at the factory to give results in mmol L millimoles per liter which is the unit of measure used in Canada If you wish to set your Meter to mg dL milligrams per deciliter which is the unit of measure used in the United States follow the instructions on the chart on page 60 e 57 o Selecting decimal point or comma Decimal Point Comma Mode If you choose to have results displayed in mmol L you may also want to display the results with a comma 6 4 mmol L rather than a decimal point 6 4 mmol L Select this option by following the instructions on the chart on page 60 Setting the date format Date Format Mode Your Meter is set at the factory to display the month day and year in that order with each blood glucose result stored in the Meter memory for example 9 23 54 You can set the Meter to display the day month and year 23 09 94 as is commonly read in Europe by following the instructions on the chart on page 60 Selecting AM PM or 24 00 time AM PM 24 00 Mode Your Meter is set at the factory to display time in AM and PM for example 8 00 PM You may set the time to read in European military
45. sult See Check the Amount of Blood on the Test Strip in Chapter 6 Testing Your Blood The code number on the Meter display doesn t match the code on the Test Strip package Reset the code e 38 o number displayed on the Meter by repeatedly pressing Code Button C or holding it down until the correct code appears in the display See Chapter 4 Coding the Meter for more information W The Test Strips have expired Check the expiration date on the Test Strip package If the expiration date has passed discard the package and repeat the test with a Strip from a new package being sure to reset the code number on the Meter W The Test Strip vial was opened for the first time more than 4 months ago Discard Strips and open a new vial or purchase individually foil wrapped Test Strips W The Test Strip Holder and Test Area are dirty See Chapter 8 Cleaning and Maintaining the Meter V The test was performed outside of the acceptable operating conditions for testing The ONE TOUCH II Meter may be used between 15 C and 35 C 59 F 95 F with relative humidity under 9096 W The test result number is higher than 33 3 and the letters M do not appear before the result This means you may have accidentally changed the unit of measurement or an electronic malfunc tion may have caused the Meter to reset to mg dL See Chapter 9 Setting Date Time and Other Special Functions to reset the un
46. t clock setting e546 Setting Date and Time e 55 o There are several special features you may choose to personalize your ONE TOUCHE II Meter The following section will tell you how to set the beep feature the international options including language unit of measure and date format and the data management interface Turning the beeps on and off Beep Mode The beeper provides audio cues that the Meter has performed a function for instance detecting the blood on the Test Strip or to alert you to a special message for example that the Meter needs to be cleaned Beeps are set on at the factory However after you are comfortable with the procedure you may decide to turn the beeps off for more privacy To turn the beeper on or off follow the chart on page 60 Selecting the display language Language Mode The ONE TOUCH II Meter can display messages in nineteen languages English ENGL Spanish ESPAN e 56 French FRANC Italian ITAL I Dutch NE IER Portuguese PURT Swedish SENS German JIEUT5 Danish JHN5H Finnish SUOMI Norwegian NORSK Polish POLSK T Hungarian MAGYAR Turkish TURKCE Czech LESKY Greek E44 R Russian P rr un Japanese 74J and a Symbolic language 40051 For more information about the symbolic language call toll free Canada 1 800 663 5521 U S A 1800 227 8862 The Meter is set at the factory to display me
47. ter will no longer give results and you must replace the battery before you can perform another test A dead battery or battery removal will not affect the information stored in the Meter s memory as long as the battery is replaced within 30 days 48 o To replace the battery 1 Make sure the Meter is turned off before you remove the battery 2 Turn the Meter upside down gt 3 With your thumb firmly 4 Completely remove the 5 Remove the old battery push the left side of the battery door and discard properly Insert battery door to the right a new J size battery in the until it is released from the battery compartment as clasp as indicated on the indicated door e 49 e by 6 To replace the battery door insert the tab on the right side of the door into the slot in the battery compartment 7 Swing the left side of the door over the battery and insert the tab on the left side of the battery door into the slot by applying pressure with your thumb until it snaps shut e 50 e 9 SETTING DATE TIME AND OTHER SPECIAL FUNCTIONS Your ONE TOUCH II Meter has special functions which enable you to customize the Meter to meet your own special needs The Meter allows you to e Set the clock in your Meter so that your blood glucose results will be stored in memory along with the date and time they were taken Turn the beeper on or off
48. the Meter is set at the factory with the beeper turned on e Select the language in which the display messages appear English Spanish French Italian Dutch Portuguese Swedish German Danish Finnish Norwegian Polish 51 Hungarian Turkish Czech Greek Russian Japanese and a Symbolic language are available The Meter is set at the factory in English Select the unit of measure of blood glucose results millimoles per liter mmol L or milligrams per deciliter mg dL The Meter is set at the factory in mmol L Select the date format Month Day Year or Day Month Year The Meter is set at the factory for Month Day Year e Select AM PM or 24 00 time The Meter is set at the factory in AM PM time e Select the type of data management system that the Meter will communicate with described on the fol lowing pages The Meter is set at the factory to com municate in the RS 232 Data Management Mode Around the clock The Meter has an internal clock that will record the date and time with each test you perform You must set the clock to have the cor rect date and time appear with each test result that you recall from the Meter memory However your test results will not be affected if you don t set the clock 52 o You will need to reset the date and time whenever there is a change to or from Daylight Savings Time The date and time of test re sults stored in the memory before yo
49. the number on the Test Strip package you will get an inaccurate result Set the code before using the Meter for the first time and every time you open a new package or change to a different package of Test Strips Step 1 Press On Off Button Push the On Off Button to turn the Meter on appears on the display for several seconds then e196 The code numbers on Test Strip packages range between 1 and 16 If the number on the Meter display is the same as the code number on your new Test Strip package you may proceed with a blood test See Chapter 6 Testing Your Blood If it is not the same go on to Step 2 Step 2 Match the code number Press the Code Button C ONE TOUCHII will reappear on the display or several seconds With CODE 1 example on the display press and release the Code Button again and the number will advance by one Continue pressing until the number on the display matches the code number on your Test Strip package Prone irm L LLHU TL example The Meter is now properly coded and you may proceed with the test From now on the Meter will remember that code until you change the code for a new package of Test Strips 20 5 GETTING A DROP OF BLOOD z How to use the PENLET II IMPORTANT Getting a good drop of blood is one of the most important steps in getting an accurate blood gluco
50. till have So 9 a wet P shiny drop which completely fills the circle If the blood sample has a dull dry appearance you may have smeared the sample or not applied enough blood 3 Look at the back of the Strip you should see a full dark circle The white portion on the back of the Test Strip may also appear Back as a small square due to different manufacturing processes This difference will not affect your blood glucose results If there are any white patches or streaks you may have smeared the blood sample or not applied enough blood In either case the drop of blood was too small and may give you an inaccu rately low result Repeat the test with a new Test Strip 7 TROUBLESHOOTING Special display messages during testing If at any time during the test procedure the display reads ERROR or NUT DK there is a problem which needs to be corrected Your blood or Control Solution sample was too small or smeared Repeat the test using a larger round and shiny drop See Check the Amount of Blood on the Test Strip in Chapter 6 Testing Your Blood The Test Strip Holder and Test Area need to be TEST cleaned See Chapter 8 Cleaning and Maintaining z the Meter NOTE This ARER message may inadver tently appear if your hand or any other object is placed above the Test Area immediately after th
51. u set the clock will not change if you reset the date and time You may also want to customize some of the other features mentioned above based on your own needs The following pages de scribe how to set the date and time as well as other custom features To enter 3 Release C Button The the date year should be flashing and time Continue with chart mode instructions on page 54 1 With the Meter turned off press and hold Code Button C at the top of the Meter 2 Press and release On Off Button to turn the Meter on e 53 e Using the M and C Buttons on the top of your Meter follow the instructions in the chart to set the clock in your Meter How the Chart Works The C Button changes settings For example press C to change the year from 6 11 93 to 6 11 94 selected press M to hold and advance to the month selection 6 11 94 O C C The M Button holds your setting selection and advances you to the next mode For example when the year 6 11 94 is M Press either button once to advance one step press and hold to continue advancing or to go back to the beginning aA At any time you may press the On Off Button to hold your selection and exit Note When the date and time are changed the average blood glucose value may also change See Chapter 10 Recalling Tests from Meter Memory The average is calculated from the 14 days preceding the curren
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