FOR-A D15 User manual

FORA D15
BLOOD GLUCOSE
PLUS BLOOD PRESSURE
MONITORING SYSTEM
English
311-0000000-005
Version 3.0 2009/08

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Thank you for choosing
D15
BLOOD GLUCOSE PLUS
BLOOD PRESSURE
MONITORING SYSTEM
Dear FORA D15 System Owner:
This manual contains important information you must know about
the system. Please read it thoroughly and carefully.
This product can assist you in monitoring your blood glucose level
as well as your blood pressure.
For other questions regarding this system, please contact our
customer service team at 1-866-469-2632. 24 hours, 7 days/week.
You can also visit www.foracare.com for helpful information.

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IMPORTANT SAFTY INSTRUCTIONS
READ THIS BEFORE USING
The following basic safety precautions should always be taken.
1. Close supervision is necessary when the device is used by, on,
or near children, handicapped persons or invalids.
2. Use the device only for the intended use described in this manual.
3. Do not use accessories which are not supplied by the manufacturer.
4. Keeptheequipmentanditsexiblecordawayfromhotsurfaces.
5. Do not use the equipment where aerosol sprays are being
 used,orwhereoxygenisbeingadministered.
6. Do not use device if it is not working properly or has been
damaged.
7. Before using product to test your blood glucose, read all
instructions thoroughly and practice the test. Do all quality control
checks as directed and consult with a diabetes healthcare
professional.
KEEP THESE INSTRUCTIONS

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TABLE OF CONTENTS
IMPORTANT INFORMATION 06
Warnings and Precautions 06
Health Information 07
ALTERNATIVE SITE TESTING (AST) 09
INTRODUCTION TO THE SYSTEM 11
Intended Use 11
Principle of Measurement 11
Major Features 12
Contents of the System 13
Appearance and Key Function of the Monitor 14
Monitor Display 15
Test Strip 16
BEFORE USE 17
Battery Replacement 17
Setting the Monitor 19
BLOOD GLUCOSE MEASUREMENT 21
Important Information 21
Coding the Monitor 22
Control Test 23
Important Control Solution Information 24
Performing a Control Solution Test 25
Test Procedure 28

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Comparing Monitor and Laboratory Results 32
Risk Message 34
BLOOD PRESSURE MEASUREMENT 35
Suggestions Before Measuring 35
Correct Application of the Pressure Cuff 35
Testing Your Blood Pressure 37
USING THE MONITOR MEMORY 39
Viewing Results on the Monitor 39
Deleting Memory 41
VIEWING RESULTS ON A PERSONAL COMPUTER 42
TAKING CARE OF YOUR MONITOR AND TEST STRIPS 48
Cleaning 48
Storage 48
TROUBLESHOOTING GUIDE 51
Error Message 52
Operating Problem 53
SPECIFICATIONS 58
FCC STATEMENT 60

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IMPORTANT INFORMATION
Warnings and Precautions
• The FORA D15 System is designed
for use on individuals age 16 and above.
It shall NOT be used under any
circumstances on newborns, infants
or persons who cannot communicate.
• ThisdevicedoesNOT serve as a cure
of any symptoms or diseases. The
data measured are for reference only.
Always consult your physician to have
the results interpreted.
• This device is NOT able to measure
in the presence of common arrhythmia,
such as arterial or ventricular premature
 beatsorarterialbrillation.Itmayproduce
reading error.
• DoNOT use the device for purposes
other than measuring blood glucose
and blood pressure for human beings.
• DoNOT wrap the pressure cuff around
anything other than your arm.

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Health Information
Blood Glucose
Blood glucose monitoring plays an important role in diabetes control.
A long-term study showed that keeping blood glucose levels
close to normal value can reduce the risk of diabetes complica-
tions by up to 60%*1. The results you get with the FORA D15 system
can help you and your healthcare professional monitor and adjust
your treatment plan to gain better control of your diabetes.
*1: American Diabetes Association position statement on the Diabetes
Control and Complications Trial (1993).
* Source:American Diabetes Association (2008). Standards of Medical Care
in Diabetes. Diabetes Care, 31 (Supplement 1): S12–S54.
Time of day
Fasting and
before meal
2 hours after
meals
Plasma glucose range (mg/dL)
for people with diabetes*
70-130 mg/dL
(3.9-7.2 mmol/L)
Less than 180mg/dL
(10 mmol/L)
Your target range
(mg/dL)
NOTE
Please work with your doctor to determine a target range that works best
for you.

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Blood Pressure
Clinical studies show that adult diabetes is often accompanied by
elevated blood pressure. People with diabetes can reduce their
heart risk by managing their blood pressure along with diabetes
treatment*2. Knowing your routine blood pressure patterns can help
determine whether or not your body is in good condition. Human
blood pressure naturally increases after reaching middle age. This
symptom is a result of continuous aging of the blood vessel. Other
causes include obesity, lack of exercise, and cholesterol (LDL)
adhering to the blood vessels. Rising of blood pressure accelerates
hardening of the arteries, making the body become more
susceptibletoapoplexyandcoronaryinfarction.TheWHO(world
health organization) published the following guideline for blood
pressure range:
Source:1999 WHO/ISH guidelines for the management of hypertension.
*2: American Diabetes Association: The Diabetes-Heart Disease Link
Surveying Attitudes, Knowledge and Risk (2002).
80
120
130
140
160
180
85 90 100 110
Optimal
High-Normal
Normal
Grade 1 Hypertension (“mild”)
Grade 2 Hypertension (“moderate”)
Grade 3 Hypertension (“severe”)
(mmHg)
Systolic
Diastolic

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ALTERNATIVE SITE TESTING (AST)
Important: There are limitations for doing AST.
Please consult your healthcare professional before you begin AST.
What is AST?
Alternative site testing (AST) refers
to when individuals check their blood
glucose levels using areas of the body
otherthanngertip.Thissystemallows
AST at the palm, the forearm, the upper
arm, the calf or the thigh with results as
reliableasthoseobtainedfromngertip
testing.
What’s the advantage?
Fingertips feel pain more readily because they are full of nerve
endings (receptors). Since nerve endings are not so condensed at
other body sites, tests performed there will be less painful.
When to use AST?
Food, medication, illness, stress and exercise can affect blood
glucoselevels.Capillarybloodatthengertipreectsthesechanges
faster than capillary blood at other sites. Therefore, when testing
bloodglucoseduringorimmediatelyafteramealorphysicalexercise,
results from AST and ngertip may be signicantly different.

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We strongly recommend you perform AST ONLY during the following
intervals:
• Inapre-mealorfastingstate(morethan2hourssincethelast
meal).
• Twoormorehoursaftertakinginsulin.
• Twoormorehoursafterexercise.
Do NOT use AST if:
• Youthinkyourbloodglucoseislow.
• Youareunawareofhypoglycemia.
• YourASTresultsdonotcorrespondthewayyoufeel.
• Youaretestingforhyperglycemia.
• Yourroutineglucoseresultsareoftenuctuating.
How to increase the accuracy?
Stimulating blood perfusion by rubbing the puncture site prior to
blood extraction has a signicant inuence on the glucose value
obtained. Blood from a site that has not been rubbed exhibits a
measurably different glucose concentration than blood from the
nger.Whenthepuncturesiteisrubbedpriortobloodextraction,
the difference is markedly reduced.
Please follow suggestions below before puncturing the skin:
• Rubthepuncturesiteapproximately20secondsbeforepenetration.
• Useaclearcap(includedinthekit)whilesettingthelancingdevice.