FOR-A DM40 User manual

FORA iDiamond Blood
Glucose Monitoring
System
Dear FORA iDiamond System Owner:
IMPORTANT SAFETY
PRECAUTIONS
READ BEFORE USE
Owner’s Manual Version 1.0 2013-02
With iFORA
Thank you for purchasing the FORA iDiamond
Blood Glucose Monitoring System. This manual
provides important information to help you to use
the system properly. Before using this product,
please read the following contents thoroughly
and carefully.
Regular monitoring of your blood glucose levels
can help you and your doctor gain better control
of your diabetes. Due to its compact size and
easy operation, you can use the FORA iDiamond
Blood Glucose Monitoring System to easily
monitor your blood glucose levels by yourself
anywhere, any time.
If you have other questions regarding this
product, please contact the place of purchase.
1. Use this device ONLY for the intended use
described in this manual.
2. Do NOT use accessories which are not
specied by the manufacturer.
3. Do NOT use the device if it is not working
properly or if it is damaged.
4. Do NOT use the equipment in places where
aerosol sprays are being used or where
oxygen is being administered.
5. Do NOT under any circumstances use the
device on newborns or infants.
6. This device does NOT serve as a cure for any
symptoms or diseases. The data measured is
for reference only.

7. Before using this device to test blood glucose,
read all instructions thoroughly and practice
the test. Carry out all the quality control
checks as directed.
8. Keep the device and testing equipment away
from young children. Small items such as the
battery cover, batteries, test strips, lancets
and vial caps are choking hazards.
9. Use of this instrument in a dry environment,
especially if synthetic material are present
(synthetic clothing, carpets etc.) may cause
damaging static discharges that may cause
erroneous results.
10.Do NOT use this instrument in close proximity
to sources of strong electromagnetic
radiation, as these may interfere with the
accurate operation.
1. Getting Started
● About the FORA iDiamond Blood Glucose
Monitoring System
● Test Strip
● How to Install and Update the FORA
iDiamond Diabetes Manager App
● Important Health-related Information
● Intended Use
● Test Principle
2. Important Information About Performing
Control Solution Tests
● How to Perform a Control Solution Test
3. Important Information About Testing Your Blood
Glucose Level
● How to Test Your Blood Glucose Level
4. Obtaining a Blood Sample From Alternative Sites
Data Transmission Via Bluetooth
5. Viewing Test Results
● DATA
► Reviewing Data Record
► Reviewing Record List
► Reviewing Logbook
► Reviewing Trend Graph
► Reviewing Target Pie Charts
● PLAN
► Current Plan
► Diary Management
● FAQ
► Medicine, Diabetes 101 and Tutorial
KEEP THESE INSTRUCTIONS IN A SAFE
PLACE
Contents

● SETTING
► Uploading Results onto TeleHealth
System
► Data Transmission Via Bluetooth
6. Error Messages and Troubleshooting
7. Reference Plasma Glucose Range
8. Caring for Your FORA iDiamond Meter Set
9. FORA iDiamond Meter Specications
10.Symbols
Getting Started
Dock Connector
Test Strip Slot
About the FORA iDiamond Blood
Glucose Monitoring System
Test Strip
Test Strip
Apply a drop of blood here.
The blood will be automatically
absorbed.
Conrmation Window
This is where you conrm if
enough blood has been applied
to the absorbent hole in the strip.
Test Strip Handle
Hold this part to insert
the test strip into the slot
Contact Bars
Insert this end of the test
strip into the meter. Push
it in rmly until it will go
no further.

The front side of test strip
should face up when inserting
test strip.
Test results might be wrong
if the contact bar is not fully
inserted into the test slot.
ATTENTION:
NOTE:
The FORA iDiamond monitor should only be used
with FORA iDiamond Test Strips. Using other
test strips with this meter can produce inaccurate
results.
How to Install and Update the
iFORA Diabetes Manager App
FORA iDiamond is designed to be used in
conjunction with the iFORA App, available on
iTunes or the App Store for free download. You
must be connected to the internet to download
the App. The App Store can be accessed through
the iTunes or by tapping the App Store icon on
your iOS devices.
iFORA is designed to assist you in easy
blood glucose testing, recording, tracking and
monitoring.
It is simple and intuitive to use, for better
understanding of your current condition and to
achieve better diabetes control.
System Requirement
● iOS version 5.0.1 or higher.
To nd more product information about FORA
Diamond Series please visit our website: www.
foraminisite.com/diamond.
Updating
When new features are added to the iFORA App,
the App Store will notify you automatically. Please
perform the updates accordingly to provide you
with the latest features that we have developed in
your best interest.

Important Health-related Information
● Severe dehydration and excessive water loss
may cause readings which are lower than
actual values. If you believe you are suffering
from severe dehydration, consult a healthcare
professional immediately.
● If your blood glucose results are lower or higher
than usual, and you do not have any symptoms
of illness, rst repeat the test. If you have
symptoms or continue to get results which are
higher or lower than usual, follow the treatment
advice of your healthcare professional.
● Use only fresh whole blood samples to test
your blood glucose. Using other substances will
lead to incorrect results.
● If you are experiencing symptoms that are
inconsistent with your blood glucose test results
and you have followed all the instructions given
in this owner’s manual, contact your healthcare
professional.
● We do not recommend using this product on
severely hypotensive individuals or patients in
shock. Readings which are lower than actual
values may occur for individuals experiencing
a hyperglycaemic-hyperosmolar state, with or
without ketosis. Please consult the healthcare
professional before use.
● The measurement unit used for indicating the
concentration of blood or plasma glucose can
either have a weight dimension (mg/dL) or a
molarity (mmol/L). The approximate calculation
rule for conversion of mg/dL in mmol/L is:
mg/dL Divided by 18 = mmol/L
mmol/L Times 18 = mg/dL
For example;
1) 120 mg/dL ÷ 18 = 6.6 mmol/L
2) 7.2 mmol/L x 18 = 129 mg/dL approximately.

Intended Use
This system is intended for use outside the body
(in vitro diagnostic use) by people with diabetes
at home and by health care professionals
in clinical setting as an aid to monitoring the
effectiveness of diabetes control. It is intended
to be used for the quantitative measurement of
glucose (sugar) in fresh whole blood samples
(from the nger, palm, forearm, upper arm, calf
and thigh). It should not be used for the diagnosis
of diabetes, or testing on newborns.
Professionals may test with capillary and venous
blood sample; home use is limited to capillary
whole blood testing. Venous blood must be
collected only in heparin blood collection tube.
Test Principle
Your system measures the amount of sugar
(glucose) in whole blood. The glucose testing is
based on the measurement of electrical current
generated by the reaction of glucose with the
reagent of the strip. The meter measures the
current, calculates the blood glucose level, and
displays the result. The strength of the current
produced by the reaction depends on the amount
of glucose in the blood sample.
Important Information about
Performing Control Solution
Tests
Our Control Solution contains a known amount
of glucose that reacts with test strips and is used
to ensure your meter and test strips are working
together correctly.
Test strips, control solutions, or sterile lancets
may not be included in the kit (please check
the contents on your product box). They can be
purchased separately. Please make sure you
have those items needed for a blood glucose test
beforehand.
Do a control solution test when:
● you rst receive the meter,
● at least once a week to routinely check the
meter and test strips,

How to Perform a Control Solution Test
● you begin using a new vial of test strips,
● you suspect the meter or test strips are not
working properly,
● your blood glucose test results are not
consistent with how you feel, or if you think the
results are not accurate,
● practicing the testing process, or
● you have dropped or think you may have
damaged the meter.
You will need:
1. Meter
2. Test Strip
3. Control Solution
Connecting
1. Plug in FORA iDiamond
Connect FORA iDiamond with the iOS device, a
“connecting” message will appear on the screen
and follows by the message “insert the test strip
into the meter”. Please follow the instruction and
insert the test strip into FORA iDiamond.
2. Select the QC option on the screen to mark
this test as s control solution test.
● The meter provides you with ve measurement
modes, each are:

You can select the required mode by:
selecting between , , , and QC mode.
QC
When “QC” is selected, the control solution test
result will appear on the screen however the meter
will not store the test result in the memory of the
iOS device.
WARNING:
When doing the control solution test, you have to
mark it so that the test result will not be stored in
the memory. Failure to do so will mix up the blood
glucose test results with the control solution test
results in memory.
3. Apply Control Solution
Shake the control solution vial thoroughly before
use.
Squeeze out a drop and wipe it off, then squeeze
out another drop and place it on the tip of the
vial cap. Hold the meter to move the absorbent
hole of the test strip to touch the drop. Once the
conrmation window lls completely, the meter will
start processing. To avoid contaminating the control
solution, do not directly apply control solution onto a
strip.

4. Read and Compare the Result
After “Processing” message appears, the control
solution test result will then show on the display.
Compare this result with the range printed on the
test strip vial and it should fall within this range. If
not, please read the instructions again and repeat
the control solution test.
An example: (136mg/dL = 7.5 mmol/L; 109-165 mg/
dL =6.0-9.1 mmol/L)
109~165
Normal
109
~
165
Out-of-range results
If you continue to have test results fall outside the
range printed on the test strip vial, the meter and
strips may not be working properly. Do NOT test
your blood. Contact the local customer service or
place of purchase for help.
NOTE:
● The control solution range printed on the test
strip vial is for control solution use only. It is not a
recommended range for your blood glucose level.
● See the Caring for Your FORA iDiamond Meter
Set section for important information about your
control solutions.
WARNING:
To reduce the chance of infection:
● Never share a lancet or the lancing device.
● Always use a new, sterile lancet. Lancets are for
single use only.
● Avoid getting hand lotion, oils, dirt, or debris in or
on the lancets and the lancing device.
Preparing the Lancing Device for Blood Testing
Please follow the instructions in the lancing device
insert for collecting a blood sample.
Preparing the Puncture Site
Stimulate blood perfusion by rubbing the puncture
site before blood extraction has a signicant
inuence on the glucose value obtained.
Important Information about
Testing Your Blood Glucose
Level

Blood from a site that has not been rubbed exhibits
a measurably different glucose concentration than
blood from the nger. When the puncture site was
rubbed prior to blood extraction, the difference was
signicantly reduced.
Please follow the suggestions below before
obtaining a drop of blood:
● Wash and dry your hands before starting.
● Select the puncture site either at ngertips or
another body parts (please see section “Obtaining
a Blood Sample from Alternative Sites” (AST) on
how to select the appropriate sites).
● Clean the puncture site using cotton moistened
with 70% alcohol and let it air dry.
● Rub the puncture site for about 20 seconds
before penetration.
● Use a clear cap (included in the kit) while setting
up the lancing device.
Press the lancing device’s tip rmly against the
lower side of your ngertip. Press the release
button to prick your nger, then a click indicates that
the puncture is complete.
Blood from sites other than the ngertip
Replace the lancing device cap with the clear cap
for AST. Pull the cocking control back until it clicks.
When lancing the forearm, upper arm, hand, thigh,
or calf, avoid lancing the areas with obvious veins
because of excessive bleeding.
Fingertip testing

NOTE:
● Choose a different spot each time you test.
Repeated punctures at the same spot may cause
soreness and calluses.
● Please consult your health care professional
before you begin AST.
● It is recommended that you discard the rst drop
of blood as it might contain tissue uid, which
may affect the test result.
You will need:
1. Meter
2. Test Strip
3. Lancing Device
4. Lancet
How to Test Your Blood Glucose Level
1. Insert the test strip in to the meter
Connect FORA iDiamond with the iOS device, a
“connecting” message will appear on the screen
and follows by the message “insert the test strip into
the meter”. Please follow the instruction and insert
the test strip into FORA iDiamond.
2. Select the appropriate measuring mode by
touching the screen.
The meter provides you with ve measurement
modes, each are:
Connecting

3. Obtaining a blood sample
Use the pre-set lancing device to puncture the
desired site. Wipe off the rst appeared drop of
blood with a clean cotton swab. The size of the drop
should be at least as actual size of the blood drop,
0.5 (μL), which is 0.5 microliter (μL) of volume. After
penetration, discard the rst drop of blood with a
clean cotton swab. Gently squeeze the punctured
area to obtain another drop of blood. Be careful
NOT to smear the blood sample.
4. Apply the sample
Gently apply the drop of blood to the absorbent hole
of the test strip at a tilted angle. When the required
amount of blood sample has been absorbed the
conrmation window will be lled*. Do NOT remove
your nger until the “processing” message appears
on the screen.
QC
before meal
about 2 hours after a meal
wake up in the morning
in the late evening or before going
to bed
testing with the control solution
Correct Incorrect
NOTE:
● Do not press the punctured site against the test
strip or try to smear the blood.
● If you do not apply any blood samples to the
test strip within a period, the screen will still keep
waiting until any action is taken.
● The meter will begin to process once the required
amount of blood sample has been absorbed.
** If you have not successfully lled the test strip
with enough blood samples, the system will
appear with an error message. Please discard the
used test strip and retest with a new one.

NEVER try to add more blood samples to the test
strip after the blood absorption process has been
completed. Discard the used test strip and retest
with a new one.
● If you are experiencing trouble with lling the
conrmation window, please contact your health
care professional or the local customer service for
more assistance.
5. Read Your Result
The result of your blood glucose test will appear
after the meter shows the “Processing” message.
The blood glucose result will be stored in the
memory automatically.
An example:
(68 mg/dL = 3.7 mmol/L)
6. Pull out the used test strip
Pull out the used test strip. Use a sharp bin to
dispose of used test strips.
Always follow the instructions in the lancing device
insert when removing the lancet.
WARNING:
The used lancet and test strip may be bio
hazardous. Please discard them carefully according
to your local regulations.
Obtaining a Blood Sample from
Alternative Sites
You can test on a variety of locations on your body.
Important: There are limitations with AST
(Alternative Site Testing).
Please consult your health care professional before
you perform AST.

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. Thus, when testing
blood glucose during or immediately after a meal,
physical exercise, or any other event, take a blood
sample from your nger only.
We strongly recommend that you perform AST
ONLY at the following times:
● In a pre-meal or fasting state (more than 2 hours
since the last meal).
● Two hours or more after taking insulin.
● Two hours or more after exercise.
Do NOT use AST if:
● You think your blood glucose is low.
● You are unaware of hypoglycemia
● You are testing for hyperglycemia
● Your AST results do not match the way you feel.
● Your routine glucose results often uctuate.
Alternative Site Testing (AST)
AST function can provide you to test the
blood glucose other than the fingertips.
AST
Viewing Past Test Results
Data Navigation Guide
Navigate between different functions simply by
selecting the desired function from the Floating
Menu.
By selecting different
functions on the Floating
Menu you can navigate
between them much efciently.

Data Navigation Guide (Motion) -
Navigate between different functions simply by
swiping up, down, left and right.
Data Record—by swiping left or right
of the data you can switch between
current and previous data.
Swipe up to see the next function—Record List
Record List—by swiping left or
right of the log you can switch
between all the data recorded
from different times.
Swipe up to see the next function— Logbook

Logbook—by swiping left or right of
the log you can switch between
current 7 days of glucose testing data to the
previous weekly log records.
Swipe up to see the next function- Trend Graph
Trend Graph—select the enlarge button
on the top right corner to switch between
7-14-30 days view.
To see different times, simply slide to the
left or right.
Swipe up to see the next function- Target Pie Chart

By swiping to the left or right you can
switch between the glucose control ratio
pie charts of current 7 days, 14 days and 30
days under 4 measuring modes.
DATA
If using the meter for the rst time, a message will
appear reminding the user to connect the device
with the application to start recording. You will be
limited to see only the reminding message until a
test has been taken.
The meter stores the blood glucose test results
along with respective dates and times in memory
under the mobile device. To review the data, press
Data on the main menu bar, next you can select the
desired function by tapping the icon on the Floating
Menu, or alternatively by swiping upwards for
different functions.
Reviewing Data Record

Blood Glucose
Test Result Result
Symbol indication of time
Blood glucose unit
Delete notes
To add notes
Note displays
Help
Data Record Screen
1.Select the Data Record mode from the Main
Menu Bar.
Select Data in the main menu bar to enter. The
rst reading you see is the last blood glucose
result along with the reading, date, time and the
measurement mode.
2.Swipe left or right to recall the individual test
results stored in the memory.
3. Note by Category
3-1 Add Notes:
You can select different categories or type in
personal note to add new ones for that individual
measurement. You also can add new one as a
frequent-used canned message for adding notes
more convenient.

3-2 Delete Notes:
You also can delete the note if needed.
(a) In canned message management page

(b) In data record page
Reviewing Record List
Record Titles
Enlarge to see each
entry in detail
1.Select the Record List mode from the Floating
Menu.
Select Record List in the Floating Menu to enter.
You will see the recent individual measurement
data, and you can switch to all Record List from
different times by swiping left or right.