Lifescan SureStep blood glucose monitoring system User manual

Owner’s
Booklet
LSI-98-090 SS booklet.B 7/13/98 11:41 AM Page T1

The SURESTEP®System is intended for use
outside the body (in vitro diagnostic use). It
should be used only for testing purposes and
only with fresh whole blood samples. It should
not be used for the diagnosis of diabetes.
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Welcome to LifeScan
Congratulations! You’ve chosen a product
made by LifeScan, a leading company in
providing products to help you manage
your diabetes. SURESTEP®blood glucose
monitoring products are widely available
without a prescription.
Blood glucose monitoring plays an important
role in controlling your diabetes. A recent
study showed that keeping blood glucose
levels close to normal can reduce the risk
of complications by up to 60%. The results
you get with the SURESTEP®System can
help you and your healthcare professional
monitor and adjust your treatment plan to
gain better control of your diabetes.
Everything you need to know about using
the SURESTEP System is included in this
booklet. A free instructional videotape is
also available by calling LifeScan
Customer Services. If you have any ques-
tions, please feel free to call the toll-free
numbers to speak with our Customer
Services Department.
Remember to complete and mail the
Warranty Registration Card. A complimen-
tary gift is sent when we receive your
Warranty Registration Card.
Important phone numbers: Meter Serial Number _______________
LifeScan Customer Services (24 hours a day, 7 days a week):
USA English 1 800 227-8862 Español 1 800 381-7226
Healthcare professional ________________________ Pharmacist _________________________
Diabetes educator _____________________________ Other ______________________________
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CAUTION: Before using any product to test your blood glucose (blood
sugar), read all instructions and practice the test. Do all quality control
checks as directed and consult with a diabetes healthcare professional.
These recommendations apply to all blood glucose monitoring systems
and are supported by the American Association of Diabetes Educators,
the American Diabetes Association, the U.S. Food and Drug Adminis-
tration, and the Health Industry Manufacturers Association.
IMPORTANT: If you have followed the tips to ensure accuracy and
your blood glucose results are still out-of-range, call your healthcare
professional.
The SURESTEP®System contains many small parts: test strip holder,
battery door, batteries, PENLET®II Cap, lancets, control solution vial,
test strips, test strip bottle cap, etc. Keep the system out of the reach of
small children because these parts may be dangerous if swallowed.
If using a 10% bleach solution to disinfect the meter, be sure to completely
remove any bleach from the meter and test strip holder with a cloth damp-
ened with water. Bleach will react with the test strips and cause inaccurate
results.
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LEARNING THE SYSTEM 1
SURESTEP®Blood Glucose Meter 3
SURESTEP®Test Strips 4
Display Symbols 6
CODING THE METER
Three Easy Steps to Coding 10
CHECKING THE SYSTEM
SURESTEP®Glucose Control Solution 12
Control Solution Test 12
Control Solution Range 17
TESTING YOUR BLOOD
Getting a Drop of Blood 18
Step-by-Step Test Procedure 24
Optional Color Chart 32
TABLE OF CONTENTS
Glucos
Shake befor
Not Intende
Discard 3 m
Discard date
Lot No.
Exp. Date
© LIFESCAN I
LifeScan Customer Services (24 hours a day, 7 days a week):
USA English 1 800 227-8862 Español 1 800 381-7226
LSI-98-090 SS booklet.B 7/13/98 11:41 AM Page T7

UNDERSTANDING
YOUR RESULTS Overview 34
Comparing Meter and Laboratory Results 35
Expected Test Results (Target Range) 36
Testing Tips to Ensure Accuracy 38
Health Conditions Causing
Out-of-Range Results 39
Recommendations for Better
Diabetes Control 41
RECALLING RESULTS
FROM METER MEMORY Using the Meter for the First Time 42
Recalling All Results in Meter Memory 43
Recalling Your Last Result 44
CARING FOR YOUR METER General Care 45
Cleaning the Meter 45
Changing the Batteries 49
LifeScan Customer Services (24 hours a day, 7 days a week):
USA English 1 800 227-8862 Español 1 800 381-7226
LSI-98-090 SS booklet.B 7/13/98 11:41 AM Page T8

CHANGING METER SETTINGS 52
(Set-Up Mode) Entering Set-Up Mode 53
Display of Last Result 53
Unit of Measurement (mg/dL or mmol/L) 54
Beep Signals 55
SOLVING PROBLEMS
Helpful Messages 57
Error Messages 59
SPECIFICATIONS
Performance Characteristics 64
Guarantee and Warranty 65
QUICK REFERENCE GUIDE 67
LifeScan Customer Services (24 hours a day, 7 days a week):
USA English 1 800 227-8862 Español 1 800 381-7226
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1
The SURESTEP®Blood Glucose
Monitoring System is the next
advance in the self-monitoring of
blood glucose. The SURESTEP
System is for people with diabetes
who need to check the level of sugar
(glucose) in their blood. A drop of
blood is taken from the finger and
placed on a SURESTEP®Test Strip,
which is then inserted into the
SURESTEP®Blood Glucose Meter.
The meter measures the blood
glucose level and displays the result
on average in 30 seconds. The system
is calibrated to give a plasma value,
the measurement used by most
clinical laboratories. Easy-to-under-
stand symbols guide you through
the test procedure and help you if
any problems arise.
SURESTEP Test Strips are the only
test strips that have been specifical-
ly designed, developed, and tested
for use with the SURESTEP Meter
to ensure consistent quality and
accuracy. For reliable results and
to maintain the manufacturer’s
complete service, support, and
warranty, use only SURESTEP Test
Strips made by LifeScan.
LEARNING THE SYSTEM
LEARNING
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2
Glucose Shake before Not Intended Discard 3 mo Discard date: Lot No. Exp. Date © LIFESCAN IN
Color Chart
Lancets
Inside
Tray
Extra Space for Diabetes Supplies
and Syringes
BEFORE TESTING:
See inside for instructions on
proper blood application
and coding the meter.
*IMPORTANT: Read detailed instructions in your
SureStep®Owner’s Booklet before doing a test.
QUICK
REFERENCE*
LEARNING
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3
SURESTEP®Blood Glucose Meter
POWER BUTTON (Blue)
Turns the meter on and off.
BATTERY
COMPARTMENT
Holds two AAA alkaline
batteries.
C BUTTON (Green)
Codes the meter, changes the
meter settings, and scrolls
through the memory.
LENS AREA
Contains the meter optics
that read the glucose level.
Test strip holder covers
the lens area.
DISPLAY
Shows your test results
and symbols that guide
you through the test.
L 5037 ZG 00171
Toll-free customer service:
UNITED STATES:
English
1 800 227-8862
Español
1 800 381-7226
CANADA:
1 800 663-5521
Milpitas, CA 95035
C22.2 No. 125; Risk Class 2
ÿLIFESCAN INC. 1995
AW 052-178-01A Made in U.S.A.
BLOOD GLUCOSE METER
®
Front
Back
CONTACT POINTS
Sense the position and orientation
of the SURESTEP®Test Strip.
LEARNING
SERIAL NUMBER
(Example)
The cover protects the lens area
and the base holds the SURESTEP
Test Strip.
TEST STRIP HOLDER
Cover
Base
Opened
Closed
Test Strip
Insertion
Point
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4
LEARNING
SURESTEP®Test Strips
When blood is applied to the pink
test square, it is absorbed and a
chemical reaction takes place. A
blue color forms in the confirmation
dot on the back of the test strip and
is read by the meter to determine
the blood glucose level; the darker
the color, the higher the blood
glucose level.
White Tip is inserted
into the meter. The
side where you apply
blood must be face up
when you insert the
test strip.
Pink Test Square is
where you apply a
drop of blood.
White Pad absorbs the
excess blood that may
extend beyond the
pink test square. Do
not apply blood
directly onto the
white pad.
Pink Test
Square
White Pad
FRONT BACK Black Tip helps the
meter detect that
the strip has been
inserted properly.
Confirmation Dot on the
back of the test strip
is where you check to
confirm proper blood
application. When it
turns completely
blue, enough blood
has been applied for
an accurate test.
White Tip
Confirmation
Dot
Black Tip
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5
IMPORTANT TEST STRIP INFORMATION
■Contact with air, moisture, and light can cause false results. Keep test
strips sealed in the original moisture-resistant, light-protected package
and store in a cool, dry place not above 86° F (30° C). Do not refrigerate,
place in direct heat or sunlight, or leave bottle open.
■DO NOT use SURESTEP®Test Strips beyond the expiration date.
■If using test strips from a bottle, write the discard date on the bottle
label. Discard unused test strips 4 months after first opening the bottle.
■DO NOT use SURESTEP Test Strips that are bent, torn, cut, or changed
in any way.
■Before testing, the confirmation dot should be off-white. DO NOT use
test strip if confirmation dot is darker than the color of an unused test
strip shown on the Color Chart included with the test strip package.
■Use each test strip immediately after removing it from the package.
■Replace the test strip bottle cap immediately after removing a test strip
and close the cap tightly.
■Never transfer test strips to a new bottle or any other container.
■DO NOT use bleach, or products containing bleach, with the test strips.
■For reliable results, use only SURESTEP Test Strips made by LifeScan.
LEARNING
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6
LEARNING
Display Symbols
The SURESTEP®Blood Glucose
Meter uses symbols to guide you
through a test and to help you
determine if something is wrong
with your test strip or meter.
To check that all display symbols
are working, press and hold
down the power button. All of
these symbols should appear.
Call LifeScan Customer Services
at 1 800 227-8862 if any segments
are missing.
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7
Meter Memory Result. Your
SURESTEP®Meter stores up to 10
blood glucose or control solution
test results in its memory. Every
time you turn the meter on, it will
automatically recall and display
your last (most recent) result.
Code Number.The number on the
display must match the code num-
ber on your SURESTEP®Test Strip
package. It must be checked every
time you use a new package of test
strips and changed if the code num-
ber is different.
(Example) (Example)
LEARNING
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8
LEARNING
Apply Blood Sample to Pink Test
Square.
Push the Test Strip, Pink Side Up,
Firmly into the Test Strip Holder
Until It Stops.
If you fail to completely insert
the test strip, the test may start.
However, you may receive an
inaccurate low result.
Meter Is Reading Your Result.
The result appears, on average, in
30 seconds. The clock may flash
longer at cooler temperatures or
shorter at warmer temperatures.
Test Result.
The meter displays results between
0–500 mg/dL (0–27.8 mmol/L).
(Example)
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(Example)
HI mg/dL.
In virtually all cases above 500 mg/dL
(27.8 mmol/L), the meter reads “.”
When proper procedures are fol-
lowed, a reading of “ ” means
very high blood glucose (severe
hyperglycemia). In extremely rare
circumstances, the meter will
read “ ” instead of “ ” above
500 mg/dL (27.8 mmol/L). Compare
the color of the test strip confirmation
dot with the Color Chart on the test
strip package (see pages 32–33).
Clean Meter and Test Strip Holder.
Replace the Two AAA Alkaline
Batteries.
LEARNING
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10
CODING
Code numbers are used to calibrate
the SURESTEP®Test Strip with
the SURESTEP®Meter for accurate
results.
You must code the meter
before using
it for the first time. You
must check the code every time you
change to another package of test
strips. Check that the code number
on the display matches the code
number on the test strip package.
Caution: If the code numbers do
not match, you may get inaccurate
results.
Three Easy Steps to Coding
Step 1: Turn on the Meter.
Press the blue power button. The
result from your last blood glucose
or control solution test will appear.
Next, the meter code will appear
for a few seconds.
CODING THE METER
(Example)
(Example)
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11
Step 2: Check the Code Numbers.
The code number on the test strip
package will range from 1 to 21. If
the number on the display matches
the code number on the SURESTEP®
Test Strip package, begin testing. If
the two code numbers do not match,
follow Step 3 to code the meter.
Step 3: Code the Meter.
After the
CODE symbol appears, press
the green C button. Continue pressing
until the code number on the display
matches the code number on the test
strip package.
The code is now set for the package
of test strips you are using. The
meter will retain this code until
you change it.
▼C Button
(Example)
(Example)
CODING
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12
CHECKING
The SURESTEP
®
System does not
require a check strip. The meter
performs an automatic check every
time you turn it on.
SURESTEP
®
Glucose Control Solution
Control solution is used instead of blood
to tell you that the SURESTEP
®
Blood
Glucose Meter and SURESTEP
®
Test
Strips are working together properly.
The control solution contains
a known amount of glucose
that reacts with a SURESTEP
Test Strip.
SURESTEP Glucose
Control Solution
Control Solution Test
Do a control solution test:
■Before testing with the SURESTEP
Blood Glucose Meter for the
first time.
■Every time you open a new pack-
age of test strips.
■Whenever you suspect that the
meter or test strips are not working
properly.
■When your results do not reflect
how you feel.
■If you drop the meter.
CHECKING THE SYSTEM
Glucos
Shake befor
Not Intende
Discard 3 m
Discard date
Lot No.
Exp. Date
© LIFESCAN I
LSI-98-090 SS booklet.B 7/13/98 11:41 AM Page 12