I-QARE DS-WALKIE User manual

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Introduction
Thank you for choosing i-QARE DS-W Blood Glucose
Monitoring System. The DS-W Glucose Monitoring
System is easy, comfortable, and convenient to operate,
which helps you monitor your blood glucose levels on a
regular basis.
Please read this manual thoroughly before testing. This
manual provides you and your healthcare provider with
important information and step-by-step direction to use
the DS-W Blood Glucose Monitoring System.
The i-QARE DS-W Blood Glucose Meter utilizes the latest
electrochemical biosensor technology to measure blood
glucose level by recording a current between two
electrodes.
The i-QARE DS-W Blood Glucose Meter:
•coding free, allowing you to save time and avoid
forgetting insert code card;
•allows you to perform Alternative Site Testing (AST);
If you have any questions about your meter, lancing device, test
strips, or controls, please call Alliance International customer
service toll-free at 1-866-400-3336 Mon - Fri 9:00 am –5:00 pm,
EST. At all other times, please contact your healthcare provider
for assistance.
Thanks again for choosing i-QARE DS-W Blood Glucose
Monitoring System.

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Important Safety Instructions
Read this carefully before using.
The following basic safety precautions should always be
taken:
The meter is for single patient use. Do not share it
with anyone including other family members! Do not
use on multiple patients!
All parts of the kits are considered biohazardous and
can potentially transmit infectious diseases, even
after you have performed cleaning and disinfection.
Close supervision is necessary when the device is
used near children or persons with disabilities.
Use the device only for the intended use described in
this manual.
Do not use test strip and control solutions, which are
not supplied by the manufacturer.
Do not use the device if it is not working properly, or
if it has suffered any damage.
Before testing your blood glucose, read all
instructions thoroughly and practices the test first.
Do all quality control checks as directed and consult
with a diabetes healthcare provider.
“FDA Public Health Notification: Use of Fingerstick
Devices on More than One Person Poses Risk
Transmitting Bloodborne Pathogens: Initial
Communication”(2010).
http://www.fda.gov/Medicaldevices/safety/Alertsan

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dNotices/ucm224025.htm
“CDC Clinical Reminder: Use of Fingerstick Devices on
More than One Person Poses Risk for Transmitting
Bloodborne Pathogens”(2010).
http://www.cdc.gov/injectionsafety/Fingerstick-Devi
cesBGM.html
KEEP THESE INSTRUCTIONS WITH YOU.
Warning: Keep the test Strip vial away from
children; the vial cap and the test Strip can be a
potential choking hazard. Never chew or swallow a
test strip. If this occurs, please seek medical
assistance immediately.

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Indications for Use
The i-QARE DS-W Blood Glucose Monitoring System is intended
to be used for the quantitative measurement of glucose (sugar)
in fresh capillary whole blood samples drawn from the fingertips,
forearm or palm. The i-QARE DS-W Blood Glucose Monitoring
System is intended to be used by a single person and should not
be shared. The i-QARE DS-W Blood Glucose Monitoring System
is intended for self testing outside the body (in vitro diagnostic
use) by people with diabetes at home as an aid to monitor the
effectiveness of diabetes control. The i-QARE DS-W Blood
Glucose Monitoring System should not be used for the diagnosis
of or screening of diabetes or for neonatal use. Alternative site
testing should be done only during steady-state times (when
glucose is not changing rapidly). The i-QARE DS-W Draw-in
Blood Glucose Test Strip are for us with the i-QARE DS-W Blood
Glucose Meter to quantitatively measure glucose (sugar) in fresh
capillary whole blood samples drawn from the fingertips,
forearm or palm.

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Table of Content
Important Safety Instructions
2
Indication for Use
4
Signs and Symbols
4
Limitations
6
Standard Accessories
8
Important Information about Your New Meter
9
About Alternative Site testing (AST)
10
Understanding Your Meter & Strip
12
Control Solution Test
15
How to Obtain a Blood Sample
18
Performing Blood Test
21
Understanding Your Test Result
24
Comparing Your Meter with Lab Results
25
Memory Setup and Recall
27
Changing the Battery
28
Cleaning and Disinfecting your Meter
29
Meter Specifications
33
Message Description and Proceeding Solution
34
Troubleshooting
37
Limited Warranty
38

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Limitations
1. Apply only capillary whole blood sample to test your
blood glucose level.
2. Not for use on patients in shock, hypotensive
patients, dehydrated patients or hyper-osmolar
patients.
3. If you have followed all instructions described in this
user’s manual and you are still getting results that do
not agree with how you feel, please contact your
healthcare provider.
4. When the result is LO –“Your blood glucose level
may be extremely low. Contact your healthcare
provider immediately.
5. When the result is <50 mg/dL –“Your blood glucose
level may be low. In this situation, follow your
healthcare provider’s instructions.”
6. When the result is >300 mg/dL –“Your blood glucose
level may be high. In this situation, follow your
healthcare provider’s instructions.”
7. When the result is HI –“Your blood glucose level may
be extremely high. Test your glucose level again with
a new blood sample. If the reading is still HI, contact
your healthcare provider immediately.”
8. Please notice the following:
•For over-the-counter use
•Not for screening or diagnosis of diabetes mellitus

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•Alternative site testing (AST) testing should only be
done during steady-state times (when glucose us
not changing rapidly)
•AST should not be used to calibrate continuous
glucose monitors (CGMs)
•AST should not be used for insulin dose calculations
•Not for neonatal use
•For single-patient use only
•The Blood Glucose Monitoring System is not for use
in the critically ill.
9. Elevated levels of Ascorbic Acid (Vitamin C),
Dopamine, L-Dopa, Uric Acid, Methyldopa and
Triglycerides in the blood sample may cause
inaccurate results.
10.The acceptable hematocrit range is 20-60%. If your
hematocrit is outside of this range, your blood
glucose result may not be accurate.
11.Please read your test strip instructions carefully for
additional health-related information.

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Standard Accessories
Your new DS-W Blood Glucose meter and accessories
work together to measure your blood glucose level. The
starter meter kit includes:
DS-W Blood Glucose Meter × 1
Lancing Device × 1
3V CR2032 Battery × 1
Carrying Case × 1
User’s Manual × 1
DS-W Draw-in Blood Glucose Test Strip × 10* (or 25*)
Alliance Blood Glucose Control Solution (Level I) × 1 *
Lancets × 10* (or 25*)
Strip instruction × 1*
Control solution instruction × 1*
NOTE: The DS-W meter is available as a meter only or a
starter kit. Contents might vary from different packages.
For starter kit, products with * mark are excluded. For
purchasing accessories, please call customer service if you
have questions or need assistance.

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Important Information about Your New Meter
Use only DS-W Draw-in Blood Glucose Test Strip with
DS-W Blood Glucose Meter. Other test Strip will get
inaccurate results.
Store in a safe place out of direct sunlight at
temperatures between 39.2℉- 89.6℉(4℃- 32℃).
Altitude up to 8,563 ft. (2,610 meters) above sea
level has no effect on readings.
DO NOT store the meter and test Strip in a car,
bathroom, or refrigerator.
Keep the meter, test Strip, lancing device, and
lancets away from children and pets.
Remove battery if the meter will not be used for 1
month or more.
Dispose of all components of your blood glucose
monitoring system according to your healthcare
provider’s recommendations.

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About Alternative Site Testing (AST)
Understanding Alternative Site Testing
What is AST?
Besides the fingertip, you can test your palm or forearm
instead.
What is the advantage of AST?
You have different options of testing other places on
your body besides the fingertip.
You should perform AST only at the following times:
Do AST ONLY in the following intervals:
In a pre-meal or fasting state (more than 2 hours
from last meal).
Two hours or more after taking insulin.
Two hours or more after exercising.
Do NOT use AST if:
You think your blood glucose is low.
You often do not notice when your blood glucose
level is low (hypoglycemia unawareness).
Your AST results do not match the way you feel.
Your routine glucose results are often fluctuating.

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Fingertip test only:
If you are sick
After exercising
Less than 2 hours after exercising
Within 2 hours of taking or injecting insulin
AST Results
If the blood glucose test result from the AST does
not match how you feel, DO a fingertip test to
check the result again.
Do NOT change your treatment because of an
alternative site result, do a fingertip test to check
the result.
NOTE:
Talk with your healthcare provider before you test with
samples from your forearm or palm.
Do NOT ignore symptoms of high or low blood glucose.
Fingertip samples are able to show the rapid change of
glucose faster than forearm samples.

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Understanding Your Meter & Strip
Display –
Shows test
results, messages,
and memory
records
Function &
Power
Button
Test Strip Slot –
Insert test strip
here.
Battery Cover –
Slide cover off to
replace battery

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Meter Display
Test Strip
Reaction Zone
Electrode
Reaction Window
Sample Collection Area
Battery Status
Test Result
Message
Unit Symbol
of Test
Blood Application
Code Message
Meter Checking
Status

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1. Sample Collection Area:
Apply a drop of blood here and the blood will be
drawn in automatically.
2. Reaction Window:
This is where you confirm if enough blood has been
drawn into the test strip’s absorbent channel.
3. Electrode:
Insert this end of the test strip into the meter until it
will go no further.
NOTE:
Test strip are for single patient use only.
DO NOT apply blood to the Electrode.
Store the opened/unopened strip vial in a cool, dry place
between 39℉- 90℉(4℃- 32℃).
Store your test strip in the original vial only. Do not
transfer them to a new vial or any other container.
Wash and dry your hands before removing a strip from
the strip vial.
After taking out of the strip from the vial, close the vial
cap immediately and tightly and perform the test right
away. Avoid exposing the strip for long time; otherwise,
the moisture may affect the reading.
User must match the code number every time when open
a new box of test strips. If user gets different numbers
from displayed and vial, please DO NOT use the strip, and
contact your healthcare provider.
Record the opened date on the vial label when you first
open it. The strips may be used for 3 months past the
date you first opened the vial.

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Control Solution Test
Why Run a Control Solution Test?
To ensure that the glucose meter is operating correctly
and obtaining accurate results, it is recommended to test
with a control solution. Use of control solution is also
recommended in the following conditions:
1. For practice purpose: to the first-time users when
using new glucose meter or when using a new vial
of test Strip.
2. You think the meter or test Strip may be working
incorrectly.
3. You drop the meter.
4. You have repeated a test and the test results are
still lower or higher than expected.
5. When test Strip are exposed to extreme
environmental conditions.
NOTE:
Alliance Blood Glucose Control Solution range is printed on
the i-QARE DS-W Draw-in Blood Glucose Test Strip vial.
Control solution is used to test meter and strip performance.
It is not a recommended range for your blood glucose level.
If you need any assistance, including how to obtain control
materials, please contact us at our toll-free number
1-866-400-3336, Mon –Fri 9:00am –5:00pm, EST. At all
other times, please contact your healthcare provider for
assistance.

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Important Control Solution Information
Use only Alliance Blood Glucose Control Solutions.
Allow the control solution to come to room
temperature before use.
Shake the control solution bottle before use, and
place the drop of control solution onto a clean
nonabsorbent surface before applying the solution
to a test strip.
Do not use expired control solution, the expiration
date is printed on each container. Upon opening
the control solution, the date of opening should be
noted. The control solution is stable for 3 months
after initial opening, and can be stored at room
temperature.
How to Perform a Control Test?
You need to have the following materials available:
DS-W Blood Glucose Meter.
Fresh Blood Glucose Test Strip.
Fresh Control Solution.
Nonabsorbent plastic/surface.

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1.Take a test strip from the test strip vial
and close the cap quickly and tightly.
2.Insert the test strip into the test strip slot,
and open 1 level of Control Solution.
3.Squeeze a drop of control solution onto a
plain nonabsorbent plastic/surface, and
close the control solution vial immediately.
4.Apply the control solution drop to the
sample collection area of the test strip.
The solution is automatically drawn in
and a “beep” sound is heard for
confirming.
5.The measurement appears after 6
seconds. Compare it with the range
printed on the Strip vial.
NOTE:
DO NOT APPLY THE CONTROL SOLUTION DIRECTLY TO
THE TEST STRIP! To avoid contaminating the control
solution with the substance of the test strip.
In the case that the control measurements fall outside of
the acceptable range, please call customer service for
assistance.

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How to Obtain a Blood Sample
Warnings
All parts of the kit are considered biohazardous and
can potentially transmit infectious diseases, even
after you have performed cleaning and disinfection.
Users should always wash hands thoroughly with
soap and water before/after handling the meter,
lancet, or test strips.
Preparing the lancing device to get blood sample
1. Turn and pull off the
cap.
2. Insert the lancet firmly.
Precaution If the meter is being operated
by a second person who is providing testing
assistance to the user, the meter should be
disinfected prior to use by the second
person.

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3. Twist off the lancet’s
protective cover.
4. Snap the cap back on
and twist off the cap
to the device.
IMPORTANT:
Lancet is for single use only. Use a new and sterile lancet
to perform the test.
Keep lancing device and lancets clean.
Use caution when removing the used lancet from the
device and when disposing the used lancet.