iSens CareSens N Voice User manual

©2016 i-SENS, Inc. All Rights Reserved PGJ5E3056 REV1 08/2016
i-SENS, Inc.
43, Banpo-daero 28-gil,
Seocho-gu, Seoul 06646, Korea
www.i-sens.com
Australian Distributor:
Pharmaco (Australia) Ltd
Gordon, NSW 2072
Phone: [phone]
Website: www.caresens.com.au
NZ Distributor:
Pharmaco (NZ) Ltd
Auckland
Phone: 0800 GLUCOSE (0800 458267)
Website: www.caresens.co.nz

Thank you for choosing the CareSens N Voice Blood Glucose
Monitoring System. The system provides you with rapid and
convenient blood glucose in vitro (i.e., outside the body)
diagnostic monitoring. The bilingual talking function of
CareSens N Voice Meter can be used as an aid for using the
meter. The CareSens N Voice Meter is also designed to
minimise code related errors in monitoring by using the
auto coding function. You’ll receive an accurate result in five
seconds with a small 0.5 μL blood sample. This booklet
contains important information about the CareSens N Voice
Glucose Monitoring System. Please read it carefully before
testing your blood glucose.
Welcome to the CareSens N Voice
Blood Glucose Monitoring System
• No part of this document may be reproduced in any form or by any
means without the prior written consent of i-SENS.
• The information in this manual is correct at the time of printing.
However, i-SENS reserves the right to make any necessary changes at
any time without notice as our policy is one of continuous
improvement.

Information
Important Information: Read This First! 4
Specifications 6
CareSens N Voice Blood Glucose Monitoring System 7
Inserting or Replacing Batteries 8
Caring for Your System 9
CareSens N Blood Glucose Test Strip 10
CareSens N Voice Blood Glucose Meter 12
CareSens N Voice Blood Glucose Meter Display 13
Preparation
Setting Up Your System 14
Adjusting Date, Time and Sound 14
Setting the Hypoglycemia Indicator 18
Checking the System 20
Control Solution Testing 21
Comparing the Control Solution Test Results 24
Blood Glucose Testing
Using the Lancing Device 25
Preparing the Lancing Device 26
Preparing the Meter and Test Strip 28
Flagging Post-meal Test Results 29
Applying Blood Sample 30
Discarding Used Lancets 32
Alternate Site Testing 33
HI and Lo Messages 36
Target Blood Glucose Ranges 37
Transferring Test Results 38
Additional Functions
Meter Memory 39
Viewing Averages Stored in the Memory 39
Viewing Test Results 41
Setting the Alarm Function 42
Setting the Post-meal Alarm (PP2 Alarm) 42
Setting the Time Alarms (Alarm 1-3) 43
Maintenance
Understanding Error Messages 45
Other Important Messages 47
General Troubleshooting 48
Performance Characteristics 49
Warranty Information 53
Table of Contents

4www.i-sens.com www.i-sens.com 5
Important Information: Read This First!
For optimum system benefits, please read the entire manual
contents before using the system.
Intended use:
CareSens N Voice Blood Glucose Monitoring System is used
for the quantitative measurement of the glucose level
in capillary whole blood as an aid in managing diabetes
effectively at home or in clinical settings. CareSens N Voice
Blood Glucose Monitoring System should be used only for
self-testing outside the body (in vitro diagnostic use only).
CareSens N Voice Blood Glucose Monitoring System should
not be used for the diagnosis of diabetes or for testing
newborns. Testing sites include the traditional fingertip
testing along with alternate site testing on forearm and palm.
• Glucoseinbloodsamplesreactswiththechemicalinthe
test strip to produce a small electrical current. The CareSens
N Voice Meter detects this electrical current and measures
the amount of glucose in the blood sample.
• TheCareSensNVoiceBloodGlucoseMeterisdesignedto
minimise code related errors in monitoring by using the
auto-coding function.
• TheCareSensNVoiceBloodGlucoseMetershouldbeused
only with the CareSens N Test Strips.
• Anabnormallyhighorlowredbloodcellcount(hematocrit
level over 65% or below 15%) may produce inaccurate
results.
• Ifyourtestresultisbelow3.3mmol/Lorabove13.3mmol/L,
consult a healthcare professional immediately.
• 
Inaccurate results may occur in severely hypotensive
individuals or patients in shock. Inaccurate low results
may occur for individuals experiencing a hyperglycemic-
hyperosmolar state, with or without ketosis. Critically ill
patients should not be tested with blood glucose meters.
•  Inaccurate results may occur in patients undergoing
oxygen therapy.
If you need assistance, please contact your authorised i-SENS
sales representative or visit www.i-sens.com for more information.
For in vitro diagnostic use
ThisproductfulfillstherequirementsforDirective98/79/EC
on in vitro diagnostic medical devices
Cautions for safety and optimum product use
Use by (unopened or opened test strip vial)
Do not discard this product with other household-type
waste
Do not reuse Batch code
Consult instructions for use Manufacturer
Temperature limitation Serial number
Meaning of Symbols Used:

6www.i-sens.com www.i-sens.com 7
Specifications CareSens N Voice Blood Glucose Monitoring System
Product specifications
Operating ranges
Measurement range  1.1-33.3mmol/L
Sample size Minimum 0.5 μL
Test time 5 seconds
Sample type Fresh capillary whole blood
Calibration Plasma-equivalent
Assay method Electrochemical
Battery life 1,000 tests
Power Two alkaline AAA batteries
Memory 500 test results
Size 100 x 56 x 19 (mm)
Weight 70 g (with batteries)
Temperature 5-50˚C
Relative humidity 10-90%
Hematocrit 15-65% • CheckallthecomponentsafteropeningtheCareSensN
Voice Blood Glucose Monitoring System package. The exact
contents are listed on the main box.
• Thecablefordatamanagementsoftwarecanbeordered
separately. Please contact your authorised i-SENS sales
representative.
04
05
06
07
08
09 03
01
02
10
Components
CareSens N Voice Blood Glucose Meter
CareLance (Lancing Device)
Lancets (50)
Owner’s Booklet
Quick Reference Guide
Logbook
01
02
03
04
05
06
Registration Card
Carrying Case
CareSens N Blood Glucose
Test Strips (10)
Batteries (2)
07
08
09
10

8www.i-sens.com www.i-sens.com 9
The CareSens N Voice Meter uses two AAA alkaline batteries.
Before using the meter, check the battery compartment and
insert batteries if empty.
When the symbol appears on the display while the meter
is in use, the batteries should be replaced as soon as possible.
The test results may not be saved if the batteries run out.
Inserting or Replacing Batteries
Step 1
Make sure the meter is turned off. Press
firmly on the battery cover and slide in the
direction of the arrow. And then swing it
open.
Step 2
Remove the used batteries and insert two
new batteries. Close the battery cover
firmly.
Note: Removing the meter batteries will not affect your
stored results. However you may need to reset your meter
settings. See pages 14-18.
Caring for Your System
Use a soft cloth or tissue to wipe the meter exterior.
If necessary, dip the soft cloth or tissue in a small amount of
alcohol.
Do not use organic solvents such as benzene or acetone, or
household and industrial cleaners that may cause irreparable
damage to the meter.
Caution:
•Do not expose the meter to direct sunlight, heat, or excessive
humidity for an extended period of time.
•Do not let dirt, dust, blood, or water enter into the meter’s test
strip port.
•Do not drop the meter or submit it to strong shock.
•Do not try to fix or alter the meter in any way.
•Strong electromagnetic radiation may interfere with the
proper operation of this device. Keep the device away from
sources of strong electromagnetic radiation, especially when
measuring your blood glucose.
•Store all the meter components in the portable case to
prevent loss and help keep the meter clean.

10 www.i-sens.com www.i-sens.com 11
Warning!
• TheCareSensNTestStripsshouldbeusedonlywithfresh
capillary whole blood samples.
• Donotreuseteststrips.
• Donotuseteststripspasttheexpirationdate.
• Teststripsinnew,unopenedvialsandteststripsinvialsthat
have been opened can be used up until the expiration date
printed on the test strip box and vial label if the test strips
are used and stored according to its storage and handling
methods.
• Storeteststripsinacoolanddryplaceatatemperature
between 1-30˚C.
• Keepteststripsawayfromdirectsunlightorheatanddonot
freeze.
• Storeteststripsonlyintheiroriginalvial.
• Closethevialtightlyaftertakingoutateststripfortestingand
use the strip immediately.
• Handleteststripsonlywithcleananddryhands.
• Donotbend,cut,oralterteststripsinanyway.
• Fordetailedstorageandusageinformation,refertothe
CareSens N test strip package insert.
Caution:
•Keepthemeterandtestingsuppliesawayfromyoung
children.
•Dryingagentsinthevialcapmaybeharmfulifinhaledor
swallowed and may cause skin or eye irritation.
Insert
CareSens N Blood Glucose Test Strip
The CareSens N Voice Blood Glucose Monitoring System
measures blood glucose quickly and accurately. It automatically
absorbs the small blood sample applied to the narrow edge of
the strip.
Contact bars
Gently push the test strip, with its
contact bars facing up, into the test
strip port of meter
Confirmation window
Check here to see whether sufficient
blood sample has been applied
Edge to apply blood sample
Apply blood sample here for testing

12 www.i-sens.com www.i-sens.com 13
Note:
•Itisrecommendedtocheckifthedisplayscreenonthemeter
matches the illustration above every time the meter turns on.
Do not use the meter if the display screen does not exactly
match the illustration as the meter may show incorrect results.
•Theunitofmeasurementisfixedinmmol/Landitcannotbe
changed by the user.
CareSens N Voice Blood Glucose Meter Display
Temperature symbol : displays recorded temperature when
blood glucose levels are tested
Post-meal test flag : appears when post-meal testing and
when post-meal test results are displayed
Hypoglycemia symbol : appears when the test result is below
the hypoglycemic level
Post-meal alarm symbol : appears when the post-meal alarm
has been set.
Mute symbol : appears only when the sound is set to OFF
Battery symbol : indicates meter batteries are running low and
needs to be placed
mg/dL, mmol/L : unit for measuring blood glucose
Date / temperature Time
alarm : appears when the time alarm
has been set
mem : appears when test results
stored in the memory are displayed
ctl : appears during the control
solution testing and when the control
solution test results are displayed
Test results : test results displaying
panel
Blood insertion symbol: indicates
meter is ready for the application of a
drop of blood or control solution
10
12
1
2
3
4
5
6
7
8
9
11
13 14
1 2 3
4
12
78910
5
6
11
14
13
Note: The cable for data management software can be
ordered separately. Please contact your authorised i-SENS
sales representative.
CareSens N Voice Blood Glucose Meter
Data Port
Used to transfer data
from the meter to a
computer with a cable
S Button
Turns the meter
on/off,confirms
menu selections
▲Button
Turns the meter
on, selects
or changes
information
Display
Shows results
and messages
Speaker
Announces each
step
Test Strip Ejector
Slide down to discard
the used strips
Test Strip Port
Insert test strip here
▼Button
Selects or
changes
information

14 www.i-sens.com www.i-sens.com 15
Step 4 Setting the Month
A number indicating the month will blink
on the bottom left corner of the screen. If
the talking function is on, the meter will say
“Set month.” Press the ▲or ▼button until
the correct month appears. Press the
Sbutton to confirm your selection and to go
to the next step.
Step 5 Setting the Date
The meter will say“Set date” when the talking
function is on. Press the ▲or ▼button until
blinking number shows the correct date. Press
the Sbutton to set the date and to go to the
next step.
Setting Up Your System
You should check and update the meter-settings such as time
and date before using your meter or after changing the meter
batteries.
Press and hold the Sbutton for 3 seconds to enter the SET mode.
While you are setting the meter, current settings will appear on
the display. The meter will also announce each function when
the talking function is on. Press and hold ▲or ▼to scroll faster.
Whenever you want to complete the settings and exit from the
SET mode, press and hold the Sbutton for 3 seconds again.
Adjusting Date, Time and Sound
Step 1 Entering the SET Mode
Press and hold Sbutton for 3 seconds. After all
the segments flash across the screen, “SET” is
displayed on the screen. If the talking function
is on, the meter will say“Set meter.” Press the S
button again to go to the next step.
Step 3 Setting the Year
If the talking function is on, the meter will
say “Set year.” Press the ▲or ▼button until
correct year appears. After setting the year,
press the Sbutton to confirm your selection
and to go to the next step.
Step 2 Selecting a Language
The meter has a bilingual talking
function that can be used as a
verbal aid for using the meter and
hearing test results. When you enter
the language selection mode for
the first time, L1 will be blinking and
the meter will announce "Language
Selection" in the default language
(English). To select another
language (L2, Spanish), press the
▲or ▼button. Press the Sbutton
to confirm the language and to go
to the next step.

16 www.i-sens.com www.i-sens.com 17
Step 9 Turning the Sound On/Off
A number showing the sound volume will blink and the meter
will say “Set volume.”Press the ▲or ▼button to adjust the
volume from 1 (lowest) to 3 (highest) or to turn the sound off or
the beep sound on. When you select “On”, the meter will beep
instead of announcing messages. To turn off the sound, press
the Sbutton when “OFF”blinks on the display. Then the
symbol will appear on the display and the meter will be muted.
Press the Sbutton to save the setting and to go to the next
step.
Note:
• symbol is displayed only when the sound is set to OFF.
• At any stage, press the S button for 3 seconds to exit SET
mode and turn off the meter. Press and hold the ▼button
to quickly scroll through the numbers.
If the sound is set to OFF, none of the sound functions will work.
Step 7 Setting the Hour
If the talking function is on, the meter will
say “Set hour.” Press the▲or ▼button until
the correct hour appears. After the hour is set,
press the Sbutton to go to the next step.
Step 8 Setting the Minute
If the talking function is on, the meter will
say “Set minute.”Press the ▲or ▼button
until the correct minute appears. After
setting the minute, press the Sbutton to
go to the next step.
Step 6 Setting the Time Format
ThemetercanbesetintheAM/PM(12-hour)
or 24-hour clock format. If the talking
function is on, the meter will say “Set time
12-hour(24 hour)”. Press the ▲or ▼button
toselectaformat.TheAM/PMsymbolis
not displayed in the 24-hour format. After
selecting the format, press the Sbutton to go
to the next step.

18 www.i-sens.com www.i-sens.com 19
Step 11 Setting Your Hypoglycemic Level
The hypoglycemic level can be set
from5.0to1.1mmol/L.Tosetyour
hypoglycemic level, press the ▲or ▼
button until the level you want appears.
Press the Sbutton to confirm. Then the
screen will return to step 2, language
selection mode. See page 14.
Step 12 Exiting from Set Mode
After completing the meter settings, press and hold the S
button for 3 seconds to confirm all your selections and exit
from SET mode. If the talking function is on, the meter will
announce the set date and time for your confirmation.
Caution: Ask your healthcare professional to help you
decide what your hypoglycemia level is before setting your
hypoglycemic level.
Note:
If the test result is lower than the pre-
set hypoglycemia level, the meter will
display the following.
You can set the meter to let you know when your test result
indicates a possible low blood glucose (hypoglycemia). You can
also select the hypoglycemia level.
Setting the Hypoglycemia Indicator
Step 10 Turning on the Hypoglycemia Indicator
When you enter the hypoglycemia
indicator setting mode, the symbol
and HYPo will blink. If the talking
function is on, the meter will say "Set
hypoglycemia indicator." On pressing
▲or ▼, the screen will display "On" or
"OFF". Press the S button to set your
hypoglycemia level if you choose "On".
The screen will return to step 3, year
setting mode, if you choose "OFF".

20 www.i-sens.com www.i-sens.com 21
Step 2
While the symbol blinks, press and hold the
▲button for 3 seconds till the "ctl" appears
on the display. If the talking function is on, the
meter will say“Control solution test. Please
apply control solution onto the test strip.”
Step 1
Insert a test strip into the meter’s test strip port,
with the contact bars facing upwards. Gently
push the test strip into the port.
The symbol will blink on the screen.
If the talking function is on, the meter will say
“Blood glucose test. Please apply blood onto
the test strip.”
You may do a control solution test:
•When you want to practice the test procedure using the
control solution instead of blood
•When using the meter for the first time
•Whenever you open a new vial of test strips
•If the meter or test strips do not function properly
•If your symptoms are inconsistent with the blood glucose
test results and you feel that the meter or test strips are not
working properly
•If you drop or damage the meter
Control Solution Testing
Checking the System
You may check your meter and test strips using the
CareSensControlSolution(controlA,Band/orC).
The CareSens Control Solution contains a known
amount of glucose and is used to check that the meter
and the test strips are working properly.
The test strip vials have CareSens Control Solution
ranges printed on their labels. Compare the result
displayed on the meter to the CareSens Control
Solution range printed on the test strip vial.
Before using a new meter or a new vial of test strips,
you may conduct a control solution test following the
procedure on pages 21–23.
Notes:
•Use only the CareSens Control Solutions.
•Check the expiration dates printed on the bottle. When you
first open a control solution bottle, record the discard date
(date opened plus three (3) months) in the space provided on
the label.
•Make sure your meter, test strips and control solution are at
room temperature before testing. Control solution tests must
be done at room temperature 20-25˚C.
•Before using the control solution, shake the bottle, discard the
first few drops and wipe the tip clean.
•Close the control solution bottle tightly and store at a
temperature between 8-30˚C.

22 www.i-sens.com www.i-sens.com 23
Step 5
Compare the result displayed on the
meter to the range printed on the test
strip vial. The result should fall within the
range.
Step 6
Slide the test strip ejector button to
discard the used test strip safely in
appropriate containers.
Caution: The range printed on the test strip vial is for the
CareSens Control Solution only. It has nothing to do with your
blood glucose level.
Note: The CareSens Control Solution can be purchased
separately. Please contact your authorised i-SENS sales
representative.
Control Solution Range
Control A:5.6~8.4mmol/L
Control B: 10.2~15.3mmol/L
Control C: 2.0-3.8mmol/L
Note: The meter may switch off if the control solution is not
applied within 2 minutes of the symbol appearing on the
screen. If the meter turns off, remove the strip, reinsert, and
start from step 2.
Step 3
Shake the bottle well before each
test. Remove the cap and squeeze
the bottle to discard the first drop.
Then wipe the tip with a clean tissue
or cloth. Dispense a drop of control
solution onto a clean non-absorbent
surface. It helps to squeeze a drop
onto the top of the cap as shown.
While the symbol blinks, apply the control solution to the
narrow edge of the test strip until the meter beeps. Make sure
the confirmation window of test strip fills completely.
Step 4
The display segments will rotate clockwise on the
meter display and a test result will appear after
the meter counts down from 5 to 1. If the talking
function is on, the test result will be announced.
If you missed step 2, you can mark the test result
as a control solution test result by pressing and
holding the ▲button for 3 seconds until the
"ctl" appears on the display. When the "ctl" is
displayed, the result is stored in the meter's
memory but is not included in the averages.

24 www.i-sens.com www.i-sens.com 25
Caution: To avoid infection when drawing a sample, do not
use a lancet more than once, and:
• Donotusealancetthathasbeenusedbyothers.
• Alwaysuseanewsterilelancet.
• Keepthelancingdeviceclean.
Note: Repeated puncturing at the same sample site may
cause pain or skin calluses (thick hard skin). Choose a
different site each time you test.
Using the Lancing Device
You will need a lancing device in order to collect a blood
sample.
You may use the lancing device that is included in the CareSens
N Voice Blood Glucose Monitoring System or any other
medically approved lancing device.
• Thelancingdeviceisforusebyasingleuseronlyandshould
not be shared with anyone.
• Useasoftclothortissuetowipethelancingdevice.
If necessary, a small amount of alcohol on a soft cloth or
tissue may be used.
Adjustable Tip Lancet Holder
Sliding Barrel
Release Button
Load Confirmation
Window
Ejection System
Lancet
Comparing the Control Solution Test Results
The test result of each control solution should be within the
range printed on the label of the test strip vial. Repeat the
control solution test if the test result falls outside of this range.
Out of range results may occur in following situations:
If results continue to fall outside the range printed on the test
strip vial, the test strip and meter may not be working properly.
Do not use your system and contact your authorised i-SENS
sales representative.
Situations
•Whenthecontrolsolutionbottle
was not shaken well,
•Whenthemeter,teststrip,orthe
control solution were exposed to
high or low temperatures,
•Whenthefirstdropofthecontrol
solution was not discarded or the tip
of the bottle was not wiped clean,
•Whenthemeterisnotfunctioning
properly.
•Whenthecontrolsolutionispastthe
expiration date printed on the bottle,
•Whenthecontrolsolutionispastits
discard date (the date the bottle was
opened plus three (3) months),
•Whenthecontrolsolutionis
contaminated.
Do This
Repeat the
control solution
test by referring
to the “Notes”
on page 20.
Discard the used
control solution
and repeat the
test using a new
bottle of control
solution.

26 www.i-sens.com www.i-sens.com 27
Step 5
The lancing device has seven puncture
depth settings, numbered 1 through 7
(1 for a shallow puncture, 7 for a deeper
puncture).
Choose a depth by rotating the top
portion of the adjustable tip until the
desired number aligns with the arrow.
Note:
1 = a shallow puncture for softer skin
7 = a deeper puncture for thick or calloused skin
1234 5 6 7
Step 6
To cock the lancing device, hold the
body of lancing device in one hand and
pull the sliding barrel with the other
hand. The device is loaded when you
feel a click and the load confirmation
window turns red.
3
4
5
6
7
Note: The skin depth to get blood samples will vary for
various people at different sample sites. The lancing device's
adjustable tip allows the best depth of skin penetration to
get an adequate sample size.
Step 1
Wash hands and sample site with
soap and warm water. Rinse and dry
thoroughly.
Step 2
Unscrew and remove the
lancing device tip.
Step 3
Firmly insert a new lancet into the
lancet holder. Hold the lancet firmly.
Gently twist to pull off protective disk.
Save disk to recap lancet after use.
Replace lancing device tip.
Step 4
Turn the adjustable tip until it is aligned
with the load confirmation window and
release button as shown in the diagram.
Preparing the Lancing Device
3
4
5
6
7

28 www.i-sens.com www.i-sens.com 29
Flagging Post-meal Test Results
The CareSens N Voice meter allows you to flag a result of a
post-meal test with the symbol. The post-meal test flag ( )
can be attached just before applying the blood sample.
Once the test results are saved with the post-meal flag ( ),
you cannot delete the flag from the test results.
Step 8
If you want to attach a post-meal flag ( ) to
a test result, press and hold the ▼button for
3 seconds after inserting the test strip. The
post-meal flag ( ) and the symbol will
appear on the screen. If the talking function is
on, the meter will say“Post-meal test. Please
apply blood onto the test strip.”The test result
will also be displayed with the post-meal flag
().
If you change your mind about flagging the test result and you
want to remove the post-meal flag ( ) that you have attached,
press and hold the ▼button for 3 seconds again before
applying the blood sample or when the test result is displayed
just after testing.
Step 7
Insert a test strip with the contact bars facing upwards into the
meter’s test strip port. Push the strip in gently until the meter
automatically turns on and the symbol appears. Be careful
not to bend the test strip. If the talking function is on, the meter
will say "Blood glucose test. Please apply blood onto the test
strip."
If you want to flag a test result as a post-meal test, move on to
Step 8. Otherwise, move on to Step 9.
Preparing the Meter and Test Strip

30 www.i-sens.com www.i-sens.com 31
Step 11
Apply the blood sample to the narrow end
of the test strip until you hear a `beep'. At
this time, the display segments will rotate
clockwise on the meter display implying that
the blood sample is being inserted.
The test result will appear after the meter
counts down from 5 to 1. If the talking function
is on, the result will be announced. The result
will be automatically stored in the meter
memory.
Step 12
Discard the used test strip safely in a
disposable container by sliding the
test strip ejector. If the test strip
is removed after the test result is
displayed, the meter will automatically
turn off after 3 seconds.
Note: The meter may switch off, if the blood sample is not
applied within 2 minutes of the symbol appearing on the
screen. If the meter turns off, remove the strip, reinsert, and
start from step 2.
Step 10
After the symbol appears on the screen, apply the blood
sample to the narrow end of the test strip. If the confirmation
window is not filled in time because of abnormal viscosity
(thickness and stickiness) or insufficient volume, the Er4
message may appear. If the talking function is on, the meter
will say “Error four. The sample was not enough or too thick.”
Then discard the test strip, insert a new one, and apply the
blood sample again after the symbol appears on the screen.
It is recommended to place the test strip vertically into the
blood sample site as shown below.
Good Sample Insufficient
Sample
Step 9
Obtain a blood sample using the
lancing device. Place the device against
the pad of the finger. The best puncture
sites are on the middle or ring fingers.
Press the release button. Remove the
lancing device from the finger. Wait a
few seconds for a blood drop to form. A
minimum volume of 0.5 microliter is needed to
fill the confirmation window. (actual size of 0.5 μL: )
Applying Blood Sample
3
4
5
6
7

32 www.i-sens.com www.i-sens.com 33
Alternate Site Testing
What is AST (Alternate Site Testing)?
Usually, when someone tests their glucose, they take the blood
sample from the tip of the finger. However, since there are
many nerve endings in the fingertip, it can be quite painful.
When doing a glucose test, using different parts of the body
such as the forearms and palms can reduce the pain during
testing. This method of testing with different parts of the body
is called Alternate Site Testing. While AST may reduce the pain
during testing, it may not be simple for everyone and the
following precautions should be observed during testing.
Before using AST, please consult your healthcare
professional.
Alternate Sites for Testing
Alternate Site Blood Sampling (forearm, palm)
Select a clean, soft and fleshy sample site area free of visible
veins and hair and away from bones. Gently massage the
sample site to help blood circulation to minimise result
differences between fingertip and alternate site sampling.
Firmly press and hold the lancing device against site. Wait
until the skin surface under the lancing device changes color.
Then press the release button while continuing to apply
pressure. Keep holding the lancing device against your skin
until sufficient (at least 0.5 μL, actual size: ) blood is drawn.
Carefully lift the lancing device away from your skin.
Step 1
Unscrew the lancing device tip.
Step 2
Stick the lancet into the saved
protective disk.
Push the lancet ejector forward with
the thumb to dispose of the used lancet
in a proper biohazard container.
Discarding Used Lancets
Caution: The lancet is for single use only. Never share or
reuse a lancet. Always dispose of lancets properly.

34 www.i-sens.com www.i-sens.com 35
AST Precautions
• BeforeusingAST,pleaseconsultyourhealthcare
professional.
• Donotignorethesymptomsofhyperglycemiaor
hypoglycemia.
• Whentheresultsofthetestdonotreflectyouropinion,
retest using the fingertip test. If the fingertip result still does
not reflect the way you feel, please consult your healthcare
professional.
• DonotrelyontheASTresultsforchangingyourtreatment
method.
• Theamountofglucoseinalternatesitesdiffersfromperson
to person.
Note:
• Results from alternate sites and fingertip samples may differ
from each other, as there is a time lag for the glucose levels
to reach the same value. Use a fingertip sample if you suffer
from hypoglycemia or have experienced hypoglycemic
shock or symptoms.
• If the sample drop of blood runs or spreads due to contact
with hair or with lines on your palm, do not use that sample.
Try puncturing again in a smoother area.
Things to Know When Using AST
Please read the following before testing at alternate sites
(forearms and palms).
The capillary whole blood of the fingertips reflects changes in
glucose levels more rapidly than in alternate sites. The test results
from the fingertip testing and AST may differ due to factors such
as lifestyle and ingested food which affect glucose levels.
Acceptable Situations for AST
When your blood glucose levels are stable
• Fastingperiod
• Beforeameal
• Beforesleeping
Situations Requiring Fingertip Test
When your blood glucose levels are unstable
• Duringtwo(2)hoursafteramealorexercise
• Whensickorwhenglucoselevelsseemlowerthantest
value
• Whenhypoglycemiaisnotwellrecognised
• Wheninsulinhasthebiggesteffect
• Duringtwo(2)hoursafteraninsulininjection

36 www.i-sens.com www.i-sens.com 37
Target Blood Glucose Ranges
Reminders
Time of day
Before breakfast
Before lunch or dinner
1 hour after meals
2 hours after meals
Between 2 a.m. and 4 a.m.
Your target ranges
from your healthcare professional
Expected Values : The range of a normal fasting* blood glucose
levelfornon-diabeticadultsisbetween3.9-5.5mmol/L.Two(2)
hours after a meal, the range of a normal blood glucose level for
non-diabeticadultsislessthan7.8mmol/L.
*Fasting is defined as no caloric intake for at least eight (8) hours.
Reference
American Diabetes Association.“Standards of Medical Care in
Diabetes -2016.” Diabetes Care. January 2016; 39(1):S15, S100.
HI and Lo Messages
HI Message
The meter displays results between
1.1-33.3mmol/L.HIappearswhentheblood
glucoselevelisgreaterthan33.3mmol/Land
indicates severe hyperglycemia (much higher
than normal glucose levels). If the talking
function is on, the meter will say "Your blood
glucosereadingisabove33.3mmol/L."
If HI is displayed again upon retesting, please
contact your healthcare professional immediately.
Lo Message
Lo appears when a test result is less than
1.1mmol/Landindicatesseverehypoglycemia
(very low glucose levels). If the talking function
is on, the meter will say "Your blood glucose
readingisbelow1.1mmol/L."
If Lo is displayed again upon retesting,
please contact your healthcare professional
immediately.