AgaMatrix Presto User manual

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Key Feature in the meter
No Coding Required -
The meter doesn’t require you to enter
a code. Insert a test strip and you are
ready to test.
Manufacturer:
AgaMatrix, Inc.
7C Raymond Avenue
Salem, NH 03079 USA
©2009-2014 AgaMatrix, Inc. Meter Firmware ©2004-2014 AgaMatrix, Inc.
For patent information, see www.agamatrix.com/patents
All rights reserved. All trademarks and copyrights are the property of their
respective owners.
8100-07060 Rev B

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Getting Started
Important Information About Your System
About the System
Important Cleaning Procedures
Meter Basics
Important Health-related Information
Performing a Control Solution Test
How To Test Your Blood Glucose Level
Testing on Your Palm or Forearm
View 14, 30, and 90 Day Averages and Graphs
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TITLE
Contents

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Time-of-Day Averages and Individual Results
Display Messages
Setting Alarms
Setting Meter Volume and Backlight
Setting Time Format, Time, and Date
Setting Hypoglycemic and Hyperglycemic
Warning Alarms
Error Messages and Troubleshooting
Batteries
Meter Specifications
Warranty
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TITLE

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Unpack your blood glucose monitoring system. Dispose of
the packing material properly.
IMPORTANT: To ensure accurate use of meter, verify the
time, date and units of measure.
For step-by-step instructions on setting the time and date set-
tings, please refer to Chapter 15 “Setting Time Format, Time,
and Date.”
The system should be used:
[1] For measuring blood glucose levels from fresh capillary
whole blood samples taken from the fingertip, palms (at the
base of the thumb), or forearms.
[2] For in vitro (i.e. outside of the body) diagnostic use only.
[3] With the test strips specified on the inside front cover of
this owner’s guide and AgaMatrix Control solution only. Do
not use other brands of test strips and control solution with
this meter. This may produce inaccurate results.
[4] For use at home (over the counter (OTC)) by persons with
diabetes, or in a clinical setting by healthcare professionals, as
an aid to monitor the effectiveness of diabetes control.
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Getting Started
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Important Information about
Your System

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Do not use the system for:
[1] The diagnosis of diabetes.
[2] Testing the glucose levels of neonates (children under 4
weeks).
[3] Testing glucose levels of arterial or venous blood.
[4] Testing glucose from sites other than the fingertip, palm
(at the base of the thumb), or forearm.
Possible test sites:
The system requires only 0.5 μL of
blood to perform a glucose test.
For the best results, test glucose
from the tips of any finger. The
palm (at the base of the thumb)
and forearm are alternate, but less
accurate, test sites. Only select soft
and fleshy areas to lance. Avoid lancing any bony
areas, obvious veins and moles.
Physiological differences in circulation between
the fingertip, palm (at the base of the thumb),
and forearm may result in differences in blood
glucose measurements between these sites.
Differences in glucose concentrations may be
observed after eating, taking insulin medication, or exercise.
Changes in blood glucose may be detected in the fingertips
before the palm (at the base of the thumb) and forearm.

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It is recommended that you use a ngertip sample if:
[1] You are testing for hypoglycemia or if you suffer from
hypoglycemia unawareness,
[2] You are testing your blood glucose within 2 hours of
eating, taking insulin, medication, exercise, or
[3] Your blood glucose results obtained from the palm (at the
base of the thumb) or forearm are not consistent with the way
you feel.
CAUTION: Please read all the instructions provided in
this owner’s guide and practice the testing procedures
before using the blood glucose monitoring system. Blood
glucose monitoring should be done under the guidance of a
healthcare professional.
CAUTION: To ensure accurate results, wash your hands and
the test site with warm, soapy water and dry before and
after every test. Unwashed hands and test sites may lead
to inaccurate results. Make sure there is no grease, oil or
lotion on the test site. Use lancets only once. Do not use
any lancet or lancing device that has been used by another
person.

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About the Test Strip
With your system, you can
test your blood glucose
on your fingertips, palms
(at the base of the thumb)
and forearms. Testing
with the system requires
a small sample size; 0.5 μL
of blood, about the size of
a pinhead.
CAUTION: Discard used
test strips properly.
IMPORTANT: Use test strips only once.
IMPORTANT: Only use the test strips specied on the inside
front cover with this system.
Contact Bars:
Insert this end, facing
up, into the meter’s test
strip port.
Visual Fill Window:
The window will turn
red when enough blood
has been applied or blue
when enough control
solution has been applied.
Sample Area:
Apply blood or control
solution to the tip of the
test strip here.
About the System
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Important Test Strip Information:
[1] Store the test strip vial in a cool, dry place at 46 °F to 86 °F
(8 °C to 30 °C).
[2] Use test strips only within the system operating tempera-
ture range of 50 °F to 104 °F (10 °C to 40 °C).
[3] Keep away from direct sunlight and heat.
[4] Store your test strips in their original vial only; never store
them in another vial, any other container or outside the vial.
[5] After removing a test strip from the vial, immediately close
the vial cap tightly.
[6] With clean, dry hands you may gently handle the test strip
when removing it from the vial or inserting it into the meter.
[7] Do not use test strips beyond the expiration date or 90
days after first opening the vial. This may cause inaccurate
results. Write the discard date (90 days from the first opening)
on the test strip vial.
[8] Do not bend, cut or alter test strips.
[9] Apply only fresh capillary blood or control solution to the
sample area of the test strip.

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About the Meter Display Segments
(1) Date and Time: Appears here, including when the meter
is deactivated.
(2) Glucose Test Results
(3) Low Battery: Appears when the batteries in your meter
are running low.
(4) Temperature Symbol: Appears when the meter is
outside its operating temperature range of 50 °F to 104 °F
(10 °C to 40 °C ).
(5) Ketone Symbol: Appears when your glucose test results
are higher than 240 mg/dL.
(6) Control Solution Symbol: Appears after you have per-
formed a control solution test.
(7) Units of Measurement: Results will be displayed in mg/dL.
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(8) Apply Sample to Test Strip: The test strip symbol and
flashing droplet symbol will signal you to apply sample to the
test strip.
(9) Sample Entering Test Strip: The three droplet symbols
will appear within the test strip symbol when blood or control
solution enters the test strip.
(10) High Volume: Large bell indicates high volume.
(11) Low Volume: Small bell indicates low volume.
(12) Volume OFF: Small bell with a line across it indicates the
volume is muted.
(13) 14, 30, and 90 Day Indicators: The appropriate number
of days will appear when viewing graphical averages.
(14) 1,2,3 Countdown: The 1, 2 and 3 symbols will appear
during a test.
(15) Graphing Area: Areas of the dot matrix will appear
during a test and when displaying graphs.
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About the Lancing System
Note: Lancing devices and Lancets are only intended for a single
user and should not be shared between users.
(1) Cocking Handle: Cocks the device so
it is ready to lance.
(2) Depth Adjustment Dial: Adjusts how
deep the lancet will lance the skin.
(3) Depth Indicator Window: Displays
the depth setting of the lancing device.
(4) Release Button: Fires the lancet.
(5) Lancet: Lances the skin to produce a
drop of blood.
(6) Lancet Cover: Covers the lancet for
safety.
(7) Lancing Device Cap: Covers the lancet
when in lancing device.
(8) Alternate Site Testing Cap: An AST clear lancing device
cap used for obtaining a blood sample on the palm (at the
base of the thumb) or forearm.
(9) Lancet Holder Cup: Holds the lancet into place inside the
lancing device.
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When using your meter, avoid getting dirt, dust, blood,
control solution, water, or any other liquid into the test strip
port, or data port. You should wash your hands thoroughly
after handling the meter, lancing device, or test strips. Your
meter and lancing device should be cleaned periodically.
Cleaning will remove visible dirt and blood.
Cleaning your Meter and Lancing Device
CAUTION: Never immerse the meter or the body of the
lancing device in water or any other liquid. Be careful when
cleaning your meter. Avoid getting liquid into your meter’s
test strip port or data port.
When should you clean your meter and lancing device?
You should clean them whenever visibly dirty.
What can you use to clean your meter and lancing device?
You can use a cloth dampened with mild detergent or mild
soap. Do not immerse meter or body of the lancing device in
liquid.
How do you clean your meter and lancing device?
1. Clean the outside of the meter or lancing device using a
cloth dampened with mild detergent or mild soap. Avoid
getting liquid inside the test strip port, and the data port.
2. If you wish to clean the lancing device cap only, remove
the cap. Wash it in warm water, rinse well, and dry.
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Important Cleaning Procedures

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METER SYSTEM CHECK
Each time your meter is first activated, the
meter will perform a meter system check.
All display segments and the backlight will
briefly flash ON.
IMPORTANT: If all the display segments
DO NOT ash ON (each time your meter is
rst activated), do not use the meter. Call
customer service immediately.
HOW TO ACTIVATE THE METER AND
View Individual Results:
[1] When your meter is deactivated, press any button once.
The display shows the most recent test result with time and
date. [2] Press the LEFT arrow button repeatedly to scroll thru
every test result, starting from the most recent and ending
with the oldest.
View Time-of- Day Averages:
[1] When your meter is deactivated, press any button once. The
display shows the most recent test result with time and date.
[2] Press the RIGHT arrow button repeatedly to scroll thru
your Breakfast, Lunch, Dinner, and Bedtime Averages.
Enter MENU Mode:
[1] When your meter is deactivated, press and hold any
button for 2 seconds to enter the MENU mode.
Meter Basics
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[2] Press the RIGHT or LEFT arrow buttons to view the options:
MEM (14, 30, and 90 Day Averages and Graphs), SET (meter
settings), and AL1 to AL6 (reminder alarms 1 thru 6).
Enter MEM (Memory) Mode to view 14, 30, and 90 Day
Averages and Graphs:
[1] Enter the MENU mode.
[2] Press the RIGHT or LEFT arrow buttons until the MEM
symbol is displayed.
[3] When the MEM symbol is displayed, press the CENTER
button.
Enter SET (Settings) Mode:
[1] Enter the MENU mode.
[2] Press the RIGHT or LEFT arrow buttons until the SET
symbol is displayed.
[3] When the SET symbol is displayed, press the CENTER
button.
HOW TO DEACTIVATE THE METER
To deactivate the meter, press and hold the CENTER button
for 2 seconds. If left inactive for 3 minutes, the meter will be
deactivated automatically.
HOW TO ACCELERATE THRU OPTIONS
Hold down the RIGHT or LEFT arrow buttons to accelerate
thru options or results.

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Please Read the Following:
[1] Inaccurate results may occur in severely hypotensive
individuals or patients in shock. Inaccurate low results
may occur for individuals experiencing a hyperglycemic-
hyperosmolar state, with or without ketosis. Critically ill
patients should not be tested with blood glucose meters.
[2] Severe dehydration and excessive water loss may yield
inaccurate results. If you believe you are suffering from severe
dehydration, consult your healthcare professional immediately.
[3] Patients undergoing oxygen therapy may receive
inaccurate results.
[4] Results below 70 mg/dL may mean low blood glucose levels
(hypoglycemia).
[5] Results over 240 mg/dL may mean high blood glucose
levels (hyperglycemia). Checking ketones may be advisable.
[6] If you get results below 70 mg/dL or above 240 mg/dL and
do not have symptoms of hypoglycemia or hyperglycemia,
repeat the test. If you have symptoms, or continue to get
results that fall below 70 mg/dL or rise above 240 mg/dL,
follow the treatment plan recommended by your healthcare
team or contact your healthcare professional immediately.
[7] If you are experiencing symptoms that are not consistent
with your blood glucose test and you have followed all
Important Health-related
Information
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instructions described in this Owner’s Guide, follow your
healthcare professional’s recommendations.
[8] If you get repeated error messages and are experiencing
symptoms of hypo or hyperglycemia, contact your healthcare
professional immediately as this may indicate low or high
glucose. If this error code persists on retesting, consult your
healthcare professional.
[9] Do not use test strips that are expired or appear to be
damaged as they may return inaccurate results.
[10] Healthcare professionals should follow their institution’s
infection control protocols.
[11] Always follow your healthcare professional’s
recommendations.
The normal fasting adult blood glucose range for a person
without diabetes is 70-99 mg/dL.1
Treatment goals are individualized for each patient. Speak
with your healthcare provider about the target blood glucose
ranges that are right for you.
1American Diabetes Association; Standards of Medical Care in Diabetes
(Position Statement); Diabetes Care. 2011;34 (suppl 1):S11-S61.

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The meter can be used with AgaMatrix Control Solution.
There are two Control Solutions available - Normal and High.
If you would like to use either a Normal or High Control
Solution, please contact Customer Service at the number
listed on the front cover of this Owner’s Guide.
Control solution should only be used for 90 days after first
opening the bottle or until the expiration date printed on the
label, whichever comes first.
IMPORTANT: Count forward 90 days from the date you
open a new bottle of AgaMatrix Control Solution. This is
your discard date. Write the discard date on the AgaMatrix
Control Solution bottle.
CAUTION: Results from control solution tests do not reect
your blood glucose level. The control solution range is a
target range for control solution only. It is not a target
range for your blood glucose level.
The control solution is used to:
[1] Ensure that your meter and test strips are working
together properly.
[2] Practice testing without having to use your own blood.
Performing a Control Solution Test
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Control solution tests should be performed when you:
[1] First get your meter.
[2] Suspect that your meter or test strips are not working
properly.
[3] Think your test results are not accurate.
[4] Have dropped or damaged your meter or exposed your
meter to liquids.
[5] Are advised by your healthcare professional to do so.
Important AgaMatrix Control Solution information:
[1] Use only AgaMatrix Control Solution with your system.
[2] Always replace the cap on the control solution bottle
immediately after use.
[3] Do not add water or any other liquid to control solution.
[4] Control solution tests should be performed within the
system operating temperature range of 50 °F to 104 °F (10 °C
to 40 °C).