Bayer HealthCare CONTOUR User manual

BLOOD GLUCOSE MONITORING SYSTEM
USER GUIDE
USES BAYER’S CONTOUR®BLOOD GLUCOSE TEST STRIPS
www.bayerdiabetes.com/us
1600 Sherwin Ave.
Des Plaines, IL 60018
T 847.296.6000
July 27, 2009
Bayer Health Care
Contour USB User Guide - US
474752A15
82286110 Rev. 7/09
N/A
6.0" (H) x 4.5" (W)
N/A
New Layout - Contour USB User Guide - US
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DATE:
CLIENT:
PROJECT NAME:
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V-12 ENGLISH
PROCESS CYAN
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COLORS
Frutiger, Helvetica,
Zaph Dingbats
FONTS

Your CONTOUR
®
USB Blood Glucose Monitoring System 2
Meter Overview 4
GLUCOFACTS
®
Deluxe Data Management Software 7
Initial Startup 8
Important Things to Know 12
Before You Begin Testing 13
TABLE OF CONTENTS
Bayer is committed to providing tools and services
to make life simpler for people with diabetes.
GLUCOFACTS® Deluxe software is installed on your
CONTOUR®USB meter. Plug your meter into
your computer for access to helpful reports of your
stored data. You can change your meter settings to
personalize the way you test, record and view your
blood glucose results. Easy accuracy and helpful
reports provided by Bayer with the CONTOUR USB
meter and GLUCOFACTS® Deluxe software are
simple. With diabetes, simple wins.
Error Detection and Battery Status/Charging/Removal 50
System Performance Information 55
Service Information 58
Specifications 59
Caring for Your Meter 60
Supplies/References/Warranty 61
Getting Ready to Test 14
Getting the Blood Drop 17
Fingertip Testing 17
Alternative Site Testing (Forearm or Palm) 18
Testing Your Blood 22
Test Results 26
Symptoms of High and Low Blood Sugar 29
Performing a Control Test 30
Menu Button/Logbook 40
Trends 41
Setup: Date, Time and Sound 43
AutoLog On/Off 47
Target Range 48
Language 49
Setting a Reminder After Testing 32
Setting a Reminder From the Setup Menu 34
Turning Off a Reminder 36
Getting a Reminder 38
Adding Notes 39
Main Menu
Functions
Technical,
Service & Care
Reminders
and Notes Testing Getting
Started

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Getting Started
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Getting Started
The CONTOUR USB
blood glucose monitoring
system (meter, test strips
and controls) is intended
for self-testing by people
with diabetes to monitor
glucose concentrations
in whole blood. The
CONTOUR USB system
is not intended for the
diagnosis of or screening
for diabetes mellitus and is
not intended for use on
neonates.
Rechargeable Battery:
Your meter has a permanent
rechargeable battery.
Before you do anything
else, charge your battery by
using the provided wall
charger or by plugging your
CONTOUR USB meter into
your computer. Be sure your
computer is turned on and not in sleep, hibernate or
power saving mode. Your meter will briefly display “Do
Not Test-Charging” and the test strip port light will
flash. For more details see page 52.
Your CONTOUR®USB Blood Glucose Monitoring System:
You cannot do a blood sugar test while the
battery is charging. When charging is finished,
the test strip port light will turn off. Unplug your
CONTOUR®USB meter to test.
A USB extension cable
is included for your
convenience.
For more information on
Battery Status Displays
and Charging see pages
50-53.
Your CONTOUR
®
USB Blood Glucose Monitoring System
Your CONTOUR
®
USB Blood Glucose Monitoring System
Test Strip Meter Front
Test Strip Port:
Insert the test strip
here. To turn on the
port light, see page 11.
Display
Screen
Menu Button:
Provides access
to features.
See page 4.
Selection/Scrolling
Buttons:
See page 4.
Gray Electrode End:
Insert this end into
test strip port with
gray end face up.
Sample
Tip:
Blood is
drawn in here.
NOTE: Your
CONTOUR USB
meter only works with
CONTOUR test strips!
Protective USB Cap
CAUTION: Keep out of reach of
children. Accidental swallowing
could cause suffocation.
USB Connector

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Getting Started
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Getting Started
Meter Overview:
Using the Buttons –
Bayer’s CONTOUR®
USB meter is simple to
use. Every screen gives
you choices. The three
buttons next to the screen
allow you to make your
selection by pressing
the button next to your
choice.
Using the Selection/Scrolling Buttons –
When the ▲or ▼ arrows appear on the screen,
the buttons are used for scrolling. When your
choice is highlighted, make a selection by
pressing the OK button. Pressing and holding the
▲or ▼buttons will scroll through the list faster.
▲Button
(Selection/Scrolling)
▼Button
(Selection/
Scrolling)
OK Button
Meter Overview
Meter Overview
Using the Menu Button –
•To turn on the meter,
press and hold the
Menu button until
the meter turns on.
The Main Menu has 3 choices: Logbook, Trends
and Setup.
•Select one by pressing
the button next to your
choice.
•To go back to the
previous screen,
press the Menu
button once.
•To turn the meter off,
press and hold the Menu
button for 2 seconds.
•To turn on the test strip port light with the meter
off, press the Menu button twice with one second
between each press. Press the Menu button
twice to turn the light off.

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Getting Started
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Getting Started
Meter Overview
Introducing AutoLog –
Your meter comes with a
simple AutoLog feature
that lets you mark your
test result as Before
Meal or After Meal during the 5 second test
countdown. You can select No Mark if you are
testing at times other than before or after a meal.
Your meter comes with AutoLog turned on.
We recommend that you keep this feature turned
on to get the most benefit from your meter features.
AutoLog can be turned off in Setup.
To Run a Blood Sugar Test –
Read user guide and all instructional materials
provided in your meter kit before testing.
To test, insert the CONTOUR®test strip and the
meter will turn on.
Follow the on-screen prompts.
Remove the test strip to turn the meter off.
Extra Memory –
Your meter contains 500 MB extra memory.
GLUCOFACTS®Deluxe software and extra
memory require a high-power USB port.
For more details see page 53.
GLUCOFACTS®Deluxe Data Management Software
GLUCOFACTS®Deluxe Data
Management Software:
When you plug your CONTOUR®USB meter
into your computer’s USB port, follow your
computer specific prompts to initiate
GLUCOFACTS Deluxe software.
For more information see the GLUCOFACTS
Deluxe User Guide or Quick Start Guide.
We encourage you to plug your meter into com-
puters with current anti-virus software installed
and running.
NOTE: Computer viruses cannot affect the blood
sugar data on your CONTOUR USB meter.

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Getting Started
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Getting Started
Initial Startup:
First charge your meter. Your computer can be used
to perform initial startup while your meter is charging.
You can also initiate setup directly on your meter
once it is fully charged. When you first turn on your
CONTOUR®USB meter, a setup sequence begins.
•Press and hold the Menu button until the
meter turns on. After a welcome screen, you
will see the Select Language screen.
•Press the ▲or ▼button to select your desired
language. When highlighted, press the OK button.
A screen confirms
your language.
On the next screen choose:
Quickstart (see page 9),
Customize (see page 10),
or
?
Help.
Quickstart – is set to the default settings. You will
need to confirm the date and time, then you can
immediately begin testing. You can also change
these settings later.
Customize – allows you to adjust settings.
By default:
AutoLog is on;
Target is set to: Before Meal, 70–130 mg/dL
After Meal, 70–180 mg/dL
These settings can be changed in Setup.
?
Help – provides additional information.
Initial Startup Using Quickstart:
•Press the Quickstart button.
A screen confirms
your choice.
•The next screen has the current date and time.
If it is correct press the Accept button. If incorrect,
press the Change button (see pages 43–45).
Setup is complete. You may now check your
blood sugar.
Initial Startup
Initial Startup Using Quickstart

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Getting Started
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Getting Started
Initial Startup Using Customize:
The next screen shows
that AutoLog is on.
AutoLog lets you mark
a test as Before Meal or
After Meal during the 5
second test time.
To turn AutoLog off, see page 47.
The next screen displays
the default blood sugar
target range for
(Before Meal) and
(After Meal) blood sugar.
A screen confirms
your choice.
These values can be changed to the range you
and/or your healthcare professional decide are
your personal target ranges. You can accept the
default ranges or change them by pressing the
Change button (see page 48).
A screen confirms your target is set.
Setup is complete. You may now check your
blood sugar.
•The next screen has the current date and time. If
it is correct press the Accept button. If incorrect,
press the Change button (see pages 43–45).
A screen confirms the date and time are set.
Initial Startup Using Customize
Initial Startup Using Customize
•Press the Customize button to change the
default settings.
Testing in the Dark:
Your meter has a lighted
test strip port to help you
test in the dark.
With the meter off, press
the Menu button twice
with one second between
each press to turn on the test strip port light. Insert
a test strip and the display screen will appear.
Once blood is applied to the test strip the light will
go off. Continue with your test.
Two quick presses of the Menu button will turn the
light off.

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Getting Started
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Getting Started
Important Note:
•Your meter has been preset and locked to display
results in mg/dL (milligrams of glucose per deciliter).
In some countries, the meters are preset to display
units in mmol/L (millimoles of glucose per liter);
•Results in mg/dL will never have a decimal point;
•Results in mmol/L will always have a decimal point.
Example: or
Check your screen to ensure that results are
being displayed in mg/dL. If they are not,
contact Bayer Diabetes Care Customer Service,
1-800-348-8100.
Before You Begin Testing:
1. Have your testing materials ready, including
your CONTOUR®USB meter, CONTOUR®
test strips, and the MICROLET®2 lancing
device with MICROLET®lancets. You may also
need CONTOUR®control solution to run a
quality control check.
2. Wash your hands and “puncture site”
thoroughly with warm soapy water and
dry them well before testing.
Before You Begin Testing
Important Things to Know
Important Things to Know:
Always keep the test strips in the original bottle.
Tightly close the bottle immediately after
removing a test strip. The bottle is designed to keep
the test strips dry. Exposure to room humidity from leaving
the bottle open or not storing them in the original bottle
can damage your test strips.
Do not drop blood directly on the flat surface of
the test strip. Your test strip is designed to easily “sip”
the blood into the sample tip.
Do not press the test strip against your finger.
This may block the sample tip.
Test strips are for single use only.
Do not use a test strip that appears damaged or
has been used.
Let the meter and test strips adjust to the
temperature of the location where you are testing.
Allow 20 minutes for the meter to adjust to the temperature
of that new location before performing a blood glucose test.
The products have been designed to give accurate results
at temperatures between 41°F and 113°F. Please be aware
that USB ports in some computers and self-powered USB
hubs can become much warmer than the room. A USB
cable has been provided for your convenience. If you
wish to test immediately after disconnecting from your
computer, please use the USB cable.
Check the expiration dates on your test strips
and control solution.

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Testing
15
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Testing
Getting Ready to Test
Getting Ready to Test
Getting Ready to Test:
Read the MICROLET®2 insert for complete
instructions. If you are using a different lancing
device, refer to those instructions.
For Alternative Site Testing instructions, see
page 18.
4. Twist off the round
protective lancet cap.
Save it for disposing
of the used lancet.
1. To remove the endcap,
hold the device with
your thumb on the grip
indent and hold the
endcap dial in the other
hand. Snap the endcap
off from top to bottom.
2. Loosen the round
protective cap on a
lancet by rotating it
¼ turn, but do not
remove it.
3. Insert the lancet firmly
into the lancing device
until it comes to a full
stop.
Potential Biohazard
The MICROLET®2 lancing device is designed
for self testing by a single patient. It must not
be used on more than one person due to the
risk of infection. Use a new MICROLET®lancet
each time you test because it is no longer
sterile after use.
5. Replace the solid
color endcap.

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Testing
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Testing
Shallow
Puncture
Minimum Drop Size
Deep
Puncture
NOTE: Check the expiration date. Make sure the
test strip does not appear torn or damaged.
7. Hold the test strip with
the gray end facing up.
8. Insert the gray end into
the test strip port on
the meter.
After the meter turns
on, a solid gray screen
with a white border will
appear for one second to
show that the screen is working properly.
The CONTOUR USB logo
screen will briefly appear
before the Apply Blood
screen. The meter is now
ready to test a blood drop.
Getting the Blood Drop:
For fingertip testing
1. Rotate the endcap dial
to adjust the puncture
depth. The amount of
pressure applied to the
puncture site also af-
fects puncture depth.
2. Press the endcap firmly
against the puncture
site and press the blue
release button with the
Bayer logo.
3. Stroke your hand and
finger towards the
puncture site to form a
drop of blood. Do not
squeeze around the
puncture site.
4. Test immediately after
you have formed a
small, round blood
drop (0.6 µl).
Use the
Gray
endcap
Getting the Blood Drop
Getting Ready to Test
6. Remove a test strip
from the bottle. Tightly
close the bottle lid
immediately after
you have removed
the test strip.
NOTE: Your CONTOUR®USB meter
codes itself every time you insert a test
strip, so you do not have to worry about
getting inaccurate results due to miscoding
or forgetting to code your meter.

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Testing
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Testing
For Alternative Site Testing (AST)
Alternative Site Testing
(AST) is recommended
only when it is more than
two hours after a meal,
diabetes medication,
or exercise.
If you selected fingertip testing, turn to page
22 to continue reading testing instructions.
2. Select a puncture site from a fleshy area on
forearm or palm. Avoid veins, hair, moles, bones,
and tendons.
3. Wash your hands
and the puncture site
with soap and warm
water. Rinse and dry
thoroughly.
1. Attach the clear
AST endcap to the
MICROLET®2 lancing
device.
IMPORTANT: Do not use Alternative Site
Testing under the following conditions. Use
fingertip testing in any of these cases:
•If you think your blood glucose is low
(hypoglycemia).
•When blood glucose is changing rapidly
(after a meal, insulin dose or exercise).
•If you have hypoglycemic unawareness
(lack of symptoms).
•If you get alternative site blood glucose
results that do not agree with how you feel.
•During illness or times of stress.
•If you will be driving a car or operating
machinery.
Consult your healthcare professional to
determine if alternative site testing is right
for you.
Getting the Blood Drop
Getting the Blood Drop
Use the
Clear
endcap

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Testing
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Testing
Minimum Drop Size
Minimum Drop Size
For forearm testing:
1. Rub the testing area
vigorously until it feels
warm to increase
blood flow.
2. Press the clear
endcap firmly against
the puncture site and
then press the blue
release button. Keep
the device in constant
contact with the skin and pump (apply and release
pressure) up and down 2–3 times without
lifting the device away from the skin.
F
or pa
l
m test
i
n
g
,
i
t
i
s not necessary to ru
b
t
h
e
skin or
p
um
p
the device u
p
and down.
1.
Press the
c
lear
en
d
cap
fi
rm
l
y aga
i
nst
t
he
p
uncture site
an
d
t
h
en press t
h
e
b
lu
e
r
e
l
e
a
se
b
utt
o
n.
Do not test the blood sample from palm
or forearm if you get: Smeared blood •
Clotted blood •Runny blood •Clear fluid mixed
with the blood.
3. Maintain steady
pressure until a
small round blood
drop forms.
2. Maintain steady
pressure until a small,
round blood drop forms.
4. Lift the device straight
up and away from the
skin without smearing
the blood.
3. Lift the device straight
up and away from the
skin without smearing
the blood.
Getting the Blood Drop
Getting the Blood Drop

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Testing
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Testing
Forearm Palm
1. Immediately touch the
tip of the test strip to
the drop of blood.*
The blood is drawn
into the test strip tip.
2. Hold the tip of the
test strip in the
blood drop until the
meter beeps.
Do not press the tip against the
skin or place the blood on top of the test strip.
Before your test result is displayed, the AutoLog
screen appears. Select Before Meal, After
Meal or No Mark by pressing the button next
to it. Your test result will not display until
you make a selection. However, if your result is a
low blood sugar result or high blood sugar result,
you will always see your result in 5 seconds.
Collecting Your Blood Drop: Testing with AutoLog On:
Testing Your Blood
Testing Your Blood
Your test result is displayed
in large numbers for 2
seconds before changing
to the normal test result
screen. For results under
20 mg/dL or over 600 mg/dL, see page 26.
*NOTE: If you do not
apply blood to the test
strip in 1 minute, the
meter screen will dim and
the meter beeps. Press any button and the Apply
Blood screen will become active again. After a total
of 3 minutes of inactivity the meter turns off.
Your meter features a 5
second test time. If you
make your selection in
less than 5 seconds, you
will see the remainder of
the testing countdown.

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Testing
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Testing
You can now set an optional Reminder
(see page 32) or add a Note (see page 39).
Remove the test strip to turn the meter off.
Always dispose of test strip and lancet
properly. All products that come in contact
with human blood should be handled as if
capable of transmitting viral diseases.
Testing Your Blood
Testing with AutoLog Off:
After applying blood to the
test strip when AutoLog
is turned off, the testing
countdown screen
appears for the 5 second
countdown.
Your test result is
displayed.
You may add a Note or Reminder.
Testing Your Blood

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Testing
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Testing
Test Results
Test Results
•If your blood sugar
reading is under
20 mg/dL, the normal
screen sequence will
appear for 5 seconds.
The “Follow Medical Advice Immediately” screen
will then display and the meter will beep twice.
•If your blood sugar
reading is over
600 mg/dL the normal
screen sequence will
display for 5 seconds and the next screen will tell
you to retest. The meter will beep twice.
•If results are still over
600 mg/dL, “Follow
Medical Advice
Immediately” is displayed.
Expected Values: Blood sugar values will vary
depending on food intake, medication dosages,
health, stress or activity. Non diabetic expected
values are 75 to 110mg/dL fasting.1You should
consult with your healthcare provider for
expected values specific to your needs.
High and Low Blood Sugar Alert Screens:
Test Results: CAUTION:
•If your blood sugar reading is under
50 mg/dL, follow medical advice
immediately.
•If your blood sugar reading is over
250 mg/dL repeat the test. If you get
a similar result, call your healthcare
professional immediately.
•Do not change your medication based
on CONTOUR®USB blood sugar results
without the advice of your healthcare
professional.
1Harrison’s Principles of Internal Medicine - 17th Ed. (2008)

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Testing
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Testing
High and Low Blood Sugar Readings:
Your meter has been preset with a hypoglycemic
(low blood sugar) value of 70 mg/dL and a hyper-
glycemic (high blood sugar) value of 250 mg/dL.
These are the default values, but can be customized
by you and/or your healthcare professional using
the GLUCOFACTS®Deluxe software on your
computer. See the GLUCOFACTS Deluxe User
Guide for assistance.
Low Blood Sugar
If your blood sugar reading is under 70 mg/dL:
•A screen with large
orange numbers will
alert you that your blood
sugar is low.
•If AutoLog is on and you were not able to mark
it before the high or low alert appeared, press
the Notes button. You may now select Before
Meal, After Meal or No Mark by pressing the
button next to it.
High Blood Sugar
If your blood sugar reading is over 250 mg/dL:
•A screen with large
orange numbers will
alert you that your blood
sugar is high.
Test Results
Symptoms of High and Low Blood Sugar
Symptoms of High and Low Blood Sugar:
You can better understand your test results by
being aware of the symptoms of high or low blood
sugar; this will also help you decide what to do if
your results seem unusual.
Some of the most common symptoms are:1
High blood sugar
(Hyperglycemia):
•frequent urination
•excessive thirst
•blurred vision
•increased fatigue
•extreme hunger
•irritability
Ketones (Ketoacidosis):
•shortness of breath
•nausea and vomiting
•very dry mouth
CAUTION: Blood sugar levels below
50 mg/dL or above 250 mg/dL may indicate
a potentially serious medical condition.
If your test result is below 50 mg/dL or
above 250 mg/dL, consult a healthcare
professional immediately.
For additional information and a complete list of
symptoms, contact your healthcare professional
or refer to the website for the American Diabetes
Association: www.diabetes.org
Low blood sugar
(Hypoglycemia):
•shakiness
•sweating
•fast heartbeat
•blurred vision
•confusion
•passing out
•seizure

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Testing
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Testing
Performing a Control Test:
You should perform a
control test:
•When using your meter
for the first time
•To check if you are
testing correctly
•When you open a new vial of test strips
•If you leave the test strip vial open for an extended
period of time
•If you think your meter may not be working properly
•If your test results do not match how you feel
Low, Normal and High control solutions are available.
Always use CONTOUR®control solutions, as
other brands could present incorrect results.
1. Remove a test strip from the bottle and firmly
snap the lid closed.
NOTE: Check the expiration date and discard
date on the control bottle. Make sure the test strip
does not appear torn or damaged.
2. Prepare to run a control test by inserting a test
strip into the meter.
3. Gently rock the control bottle before opening to
ensure it is mixed well.
4. Squeeze a small drop of control solution on a
clean non-absorbent surface, such as a piece
of wax paper. Do not apply control solution to
the test strip directly from the bottle.
Performing a Control Test
Performing a Control Test
Even when AutoLog is on,
there is no need to mark the
control test. In 5 seconds
the meter displays the
control test result.
6. Immediately touch the
tip of the test strip to
the drop of control
solution.
7. Hold it in the drop until
the meter beeps.
5. Replace the cap on the control solution bottle.
8. Compare your control
test result with the
Normal Control range
printed on the test
strip bottle label or on
the bottom of the test
strip box.
The Low and High control range values can be
found on the bottom of the test strip box.
If your control test result falls out of the
specified range, call Customer Service,
1-800-348-8100. Do not perform any blood
glucose tests until you resolve this issue.
The result will automatically be marked as a control
test and stored in the meter memory. Control results
will not be included in your blood sugar average.
To turn your meter off, simply remove the test strip.

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Reminders
and Notes
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Reminders
and Notes
Setting a Reminder:
A Reminder for your next test can be set after
testing or from the Setup menu.
After Testing:
1. Press the Reminder button.
2. Press the Start button to begin the countdown.
The default time is 2 hours or the last reminder
time that was set.
You can change the Reminder countdown time to
the time you wish by pressing the Change button.
1. Press the ▲or ▼
button to select the
correct hours. Press
the OK button.
2. Press the ▲or ▼
button to select the
minutes. Minutes
change in 15 minute
increments. Press the
OK button.
A screen confirms
the Reminder
countdown time.
The meter will return to
the test result screen.
When the Reminder
feature is on, the clock
symbol is in the blue
header.
3. Remove the test strip from the meter.
The meter retains the Reminder time that you set
as the default.
Setting a Reminder
Setting a Reminder

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Reminders
and Notes
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Reminders
and Notes
From the Setup Menu:
1. Go to the Main Menu. Press the Setup button.
2. If Reminder is set to off, press the OK button to
change the Reminder settings.
A screen confirms the
Reminder time set.
When the Reminder
feature is on, the clock
symbol is in the blue
header.
Setting a Reminder
Setting a Reminder
3. To start the countdown press the Start button
or press the Change button to scroll to a different
countdown time. Follow the instructions on the
previous page.

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Reminders
and Notes
37
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Reminders
and Notes
Turning Off a Reminder
Turning Off a Reminder
Turning Off a Reminder:
A Reminder can be turned off or changed after
testing or from the Setup menu.
After Testing:
1. Press the Reminder button.
A screen confirms
your choice.
The Countdown is now stopped and the clock
symbol will disappear.
From the Setup Menu:
1. Press the OK button.
A screen confirms
your choice.
If the countdown is currently on, the screen will
read “Reminder In:” with the remaining amount of
time displayed.
2. To stop the Countdown press the
Stop button.
2. Press the Stop button. The countdown is now
stopped. The Reminder screen displays the
remaining time.