Bayer HealthCare Ascensia Elite XL User manual

THE NEW FACE of Glucometer
®
Diabetes Care System
U SER G UIDE
For Use With
Ascensia
E LITE
™
XL
Blood Glucose Meter
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2The Meter
ii
Test
end
Meter
end
Test
Strip
Icon
Button
Display
Test slot

Testing Materials 2
iii
• Ascensia E LITE ™Test Strip –
use for blood or control testing.
Insert into Meter before drawing
in blood or control sample.
• Ascensia E LITE ™Check Strip
–use to check if the Meter is
working properly before running
a blood glucose test.
• Ascensia E LITE ™Code Strip
– use to set the Meter (calibrate)
to match the box of Test Strips.
• MICROLET®Adjustable
Lancing Device – use for finger
puncture with a MICROLET®
Lancet.
• NORMAL CONTROL
SOLUTION – use to confirm
system is working correctly.
• BATTERIES – replace when
necessary.
test end meter end

iv
• Two-step testing process:
1. Insert Test Strip in Meter
2. Touch TEST END to blood
• Test results are displayed in 30
seconds.
• Meter turns on when inserting a
strip and turns off when remov-
ing the strip.
• Up to 120 test results may be
stored in the Meter and can be
recalled when necessary.
• Stored results may be transferred
to a computer and analyzed with
WinGlucofacts™XL software.
• Agrees with laboratory serum/
plasma glucose results (values
10–15% higher than whole
blood glucose results).
• Capillary action at the end of the
Test Strip automatically draws a
small amount of blood into the
reaction chamber.
The Ascensia E LITE ™ XL Diabetes Care System
is a blood glucose monitoring system for diabetes
management in home or professional use.
The system is based on electrode sensor technology. Convenient
features of the system are:
Automatic Strip-filling Action

1
What do I do first?
If needed, install batteries and set the time—test the Meter
electronics with a Check Strip—code the Meter to match
Ascensia E LITE Test Strips—and then run a control test to test
the whole system before running a blood glucose test.
What does blood glucose monitoring do for me?
Blood glucose levels change during the day due to medication,
exercise, diet, insulins or hypoglycemics (oral agents) or possibly
stress and illness. Blood glucose testing provides information that
will help you understand the changes. This information can help
you manage your diabetes to keep your blood sugar levels within
your target range.
Do I need to read this book?
This instruction guide is provided as a reference as you operate
the system. It is important for you to read through the User
Guide to understand how the whole system operates and
what information is available for your needs.
For short simple instructions, a quick reference guide is also pro-
vided for your convenience with procedures and information
most often needed. It can be useful when traveling.
If you have any concerns or questions as you learn how
to use the system, please call our Customer Service
Dept. 1-800-348-8100 or visit our website at
www.ascensia.com or www.bayercarediabetes.com
Frequently Asked Questions 2

2Important Information
2
• The Ascensia E LITE ™ XL Blood Glucose Meter has been
designed for use with Ascensia E LITE ™ Test Strips. The perfor-
mance characteristics of the Meter may not be valid for any
other brand of Test Strips. The use of other Test Strips may
cause erroneous results. Bayer Corporation does not warrant
the use of the Ascensia E LITE XL Blood Glucose Meter with any
Test Strip other than Ascensia E LITE Test Strips.
• Glucose levels below 50 or above 250 mg/dL (below 2.8 or
above 13.9 mmol/L) may indicate a potentially serious medical
condition. If your glucose is below 50 mg/dL or above
250 mg/dL, contact your healthcare professional immediately.
CAUTION: Before using any product to test your blood glucose
(sugar), read all instructions and practice the test. Do all quality
control checks as directed and consult with a diabetes health
professional. These recommendations apply to all blood glucose
monitoring systems and are supported by the American
Association of Diabetes Educators,* the American Diabetes
Association, the Food and Drug Administration and Health
Industry Manufacturers Association.
*You may call the American Association of
Diabetes Educators for the location of a
Certified Diabetes Educator (CDE) near you
1-800-338-DMED.

User Guide Contents 2
3
SECTION PAGE
Set Up For Testing
1Install Batteries 4
2Set the Alarm, Time and Units 5
3Check Strip Test 6
4Code the Meter 7
5Control Test 8
Testing
6Blood Glucose Test 11
7Important to Remember 15
Test Result Management
8Stored Test Results 17
9Data Management 18
Taking Care
10 Meter and Test Strip Care 19
11 Meter and Test Strip Problems 21
Technical Support Information
12 Service 25
13 Limitations of the Procedure 27
14 Specifications 28
15 Supplies 29
16 Warranty 31

SECTION
1Install Batteries
4
1. Press firmly on “open” arrow
and slide forward in the direc-
tion of the arrow. The lid
releases.
2. Place new batteries into the bat-
tery compartment with the “+”
side up. Slide lid back into place,
lining up with open slots, and
close firmly. Test results stored in
the memory are not erased
when batteries are changed, but
time must be reset.
NOTE: Two 3 volt (CR2032) lithium batteries
are furnished with the Meter.
WARNING: Keep batteries
away from children. Lithium
batteries are poisonous.
If swallowed, immediately
contact your physician or
poison control center.
Discard batteries according
to your local environmental
regulations.
Install batteries when the Meter is new if
needed. Replace batteries when the Meter
displays the battery symbol .

SECTION
Set the Alarm, Time and Units 2
5
Some Meter options may need to be reset
when the Meter is new and when batteries
are changed. The options may be changed any
time to fit your needs.
How do I set the Meter?
Hold the button for five seconds to
place Meter in “set up” mode. Press
the button to change item as it
flashes (you have five seconds to
make a change).
Display 1. Press button to
switch: Beeper on to beeper off
if you wish to turn off the sound.
Display 2. Press button to set:
• Minute • Day
• Hour* • Month
• Year
Display 3. Press button to for-
mat (preset at factory to match country) :
• Clock (12- or 24-hour day)
• Date (day/month or month/day)
• Units (mg/dL or mmol/L)
Meter returns to full display and
turns off automatically.
*Note am (A) or pm (P) if clock is formatted
for a 12-hour day.

SECTION
3Check Strip Test
6
Check your Meter when new or any time after use,
to make sure that electronics are working properly.
HOW:
1. Remove the Check Strip from
the package (save the package).
2. Insert the Check Strip (“check”
side up) fully into the Meter
until you hear a beep. A full
display* shows, followed by
another beep and then the
Check Strip result.
3. The Check Strip result must be
within the range listed on the
Check Strip package insert. If
not, see the problem solving
chart in Section 11.
4. At the end of the test, carefully
remove the Check Strip from the
Meter and return it to its
package.
*A full display, as shown here, indi-
cates that all characters are working.
If ever all the display segments do
not appear, see Section 11.

SECTION
Code the Meter 4
7
Code the Meter whenever a new box of Test Strips
is opened.* This will match the Meter to the Test
Strip reactivity.
HOW:
You will need the Code Strip found
in the new box of strips.
1. Tear open the packet found in
the new carton of Test Strips
and remove the Code Strip (save
the packet).
2. Insert the Code Strip into the
test slot as shown. A beep
sounds and a full display appears
briefly. Another beep sounds and
the Code Number (for example
F-5) appears in the display.
3. Remove the Code Strip and
store in packet.
*You do not need to code the Meter if
the new Code Strip number matches
the previous Code Strip number.

SECTION
5Control Test
8
Prepare for the Test:
1. To open the Test Strip foil packet,
carefully peel the foil back until
the Test Strip is completely
exposed (as shown). Save the
foil packet.
Note: Numbers printed on each Test Strip
are manufacturing numbers and are not to
be confused with Code Numbers (F#).
2. Holding the round end of the
Test Strip, insert the strip into the
Meter until it stops.
3. A beep sounds. A full display, fol-
lowed by the Code Number (F#)
and previous test result, appears.
The Code Number and previous
test result flash alternately.
4. To mark a Control Test, pull the
Test Strip out and reinsert quickly
(within 2 seconds).When the “C-”
and Code Number (F#) begin
flashing, you know the test will
be marked.
A Control Test is run to find out if the whole system
is working correctly (Test Strip and Meter) and to
practice good technique before blood glucose testing.

SECTION
Control Test 5
9
Take the Test:
5. Squeeze a small drop of Control
Solution onto the inside of the
foil packet you saved.
6. Touch and hold the TEST END of
the Test Strip to the drop until the
Meter beeps (the Control Solution
has now been drawn into the
Test Strip). The timer begins to
count down from 29 seconds.
The test result appears with
“CONT” in the display (if marked)
when the countdown is com-
plete. Compare result to range on
end flap of Test Strip carton.
7. If you did not mark control in #4
or want to delete the test result,
see page 10—if you did mark
and do not want to delete,
record the test result/date in
your Clinilog Diary.
8. Remove the Test Strip. The Meter
turns off and the result is stored
as a Control.

SECTION
5Control Test
10
If you did not mark your control or want to delete the
test result, do one of the following options before
removing the strip. Remember, after marking or
deleting, the test result will then not be a part of the
blood glucose test average and will be stored in the
memory and displayed with “CONT” or “DEL”.
Mark the Result: Hold the
button until “CONT” appears at the
top of the display. Release the but-
ton and “CONT” begins flashing.
Remove the Test Strip while
“CONT” is flashing.
Delete the Result: Hold the
button until “CONT” appears at the
top of the display. Release the but-
ton and “CONT” begins flashing.
Push the button again, “DEL”
begins flashing above the date.
Remove the Test Strip while “DEL”
is flashing.

SECTION
Blood Glucose Test 6
11
What does blood glucose monitoring do for me?
Blood glucose levels change during the day due to medication,
exercise, diet, insulins or hypoglycemics (oral agents) or possibly
stress and illness. Blood glucose testing provides information that
will help you understand the changes. This information can help
you manage your diabetes to keep your blood sugar levels within
your target range.
Prepare for the Test:
You will need a Microlet Lancing
Device and Lancet to stick your fin-
ger, then cotton or tissue for wiping
the finger after testing.
1. Wash your hands with warm,
soapy water. Rinse and dry
thoroughly.
2. Pull the endcap from the
Microlet Device.
3. Push Microlet Lancet all the
way in.
4. Twist off Lancet cap.
5. Snap the endcap back on.
See Microlet package insert for
more details on how to use the
Microlet Device.

SECTION
6Blood Glucose Test
12
You need a Meter and Test Strip.
Take the Test:
1. After washing your hands with
warm soapy water and drying
thoroughly, open a foil packet
and remove the Test Strip.
2. With the Meter off, hold the
round end and insert the Test
Strip fully into the Meter. You
will hear a beep.
2. After a full display, the Code
Number (F#) and previous test
result begin flashing alternately.
3. Press Microlet firmly against
puncture site and push button
to release. Form a small, round
drop of blood.

SECTION
Blood Glucose Test 6
13
Note: Multiple Site Testing
Consult with your healthcare professional prior to testing from a site
other than your fingertips.
Blood glucose testing results from sites other than your fingertip
could be significantly different. These differences may vary from indi-
vidual to individual, and are physiological differences caused by fac-
tors such as food intake, health state and medication being used.
If you perform testing other than from a fingertip:
A. Select a soft, fleshy area of skin that is free from hair and visible
veins.
B. Wash the puncture site with soap and warm water. Rinse and dry
thoroughly. This ensures cleanliness and increases blood flow to
the puncture site.
C. After you have determined
the proper depth of your
selected site, set the lancing
device for that depth of punc-
ture. Firmly press the lancing
device against the skin at the
selected lancing site, then
press the button to lance the
skin. When a drop of blood forms on the surface of your skin,
bring the meter and test strip up to touch the drop.
4. Touch and hold the TEST END
(tip) of the Test Strip to the drop
of blood until the Meter beeps.
The Test Strip is filled, and the
timer begins counting down
from 29 seconds.

SECTION
6Blood Glucose Test
14
Test Results:
After 29 seconds, your test result is
displayed. Do not remove strip until
results are displayed.
Record the test result/date in your
Clinilog Diary.*
Remove the Test Strip. The Meter
turns off and the test result is stored.
*If you do not want to store
the test result—before remov-
ing Test Strip, press the button
and hold until “CONT” appears.
Release the button and “CONT”
begins flashing. Press the button
again,“DEL” begins flashing. Remove
the Test Strip while “DEL” is flashing.
Remember this: test result will
display with “DEL” when stored
test results are reviewed.
NOTE: If you do not remove the Test Strip,
the Meter will turn off automatically after
3 minutes.
CAUTION: Dispose of the used Test
Strip and Lancet carefully to pre-
vent injury or contamination to
others. You may use the empty foil
packet to dispose of the Test Strip.

SECTION
Important to Remember 7
15
DON’T FORGET—when using the Meter:
• Insert the Check Strip, Code Strip or Test Strip with a firm
motion until it comes to a full stop.
• The tab on the strip can no longer be seen if the Test Strip has
been inserted fully into the Meter.
• The Meter turns off automatically after 3 minutes if strip is left
in the Meter.
• The Code Number (F#) appearing in the Display must
match the number appearing on the:
----- Code Strip
----- Code Strip packet
----- Back of Test Strip packet
• To mark your Control Test at the beginning or end of the test
(before removing Test Strip from the Meter). The “marking”
prevents the Control Test result from being averaged with the
blood glucose test results.
• You can recall all stored test results, which includes Control
Tests and deleted tests.

SECTION
7Important to Remember
16
DON’T FORGET—when using the Meter (cont.):
• When the Meter memory is full and a new test result is
entered, the oldest result is deleted (i.e., #1).
• Teach another person how to use the system, so you will have
someone to help if you ever need assistance.
DON’T FORGET—when using a Test Strip:
• Always check the expiration date on the Test Strip foil packet or
carton. If date is passed, replace with unexpired Test Strips.
• Use the Test Strip immediately after removing from the packet.
• To be sure the Test Strip fills, hold the TEST END of Test Strip in
the blood drop until the beep.
• Test Strips cannot be reused.
• Remove the Test Strip from the Meter immediately after use.