OneTouch ONETOUCH ULTRASMART User manual

©2006 LifeScan,Inc. Milpitas,CA 95035
Rev date: 04/2006 AW 060-788-02A
AW 06078802A
LifeScan Customer Service toll-free numbers:
English 1 800 227-8862
Español 1 800 381-7226
Visit the LifeScan Web site at
www.LifeScan.com
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Meter and Electronic Logbook In One
Owner’s
Booklet
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Dear OneTouch®UltraSmart®System Owner:
You have chosen one of the best blood glucose monitoring
systems available. This booklet has important information you
must know about the OneTouch®UltraSmart®Blood Glucose
Monitoring System. Read it carefully.
Blood glucose monitoring plays an important role in diabetes
control. A long-term study showed that keeping blood glucose
levels close to normal can reduce the risk of diabetes
complications by up to 60%.
*The results you get with the
OneTouch®UltraSmart®System can help you and your healthcare
professional monitor and adjust your treatment plan to gain
better control of your diabetes.
Your OneTouch®UltraSmart®System requires a small drop of
blood, at least 1μL (microliter), and five seconds to provide you
with an accurate plasma-calibrated test result.
The OneTouch®UltraSmart®Meter also has a memory that allows
it to function as an “electronic logbook.” Now you can store vital
everyday information such as insulin and oral medication doses,
food intake, amount of exercise, illnesses, and other pertinent
data. You can use your OneTouch®UltraSmart®System simply to
test or to serve as a complete storehouse of information
regarding your diabetes treatment plan.
A warranty registration card is included with your system. If you
complete it and mail it to us, we will send you a gift. If you prefer
to fill out a warranty card online, please visit www.LifeScan.com.
*American Diabetes Association position statement on the Diabetes Control and Complications Trial (1993).
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INTENDED USE: The OneTouch®UltraSmart®Blood Glucose
Monitoring System is intended to be used for the quantitative
measurement of glucose in fresh capillary whole blood. The
OneTouch®UltraSmart®System is intended for use outside the
body (for in vitro diagnostic use) by people with diabetes at home
and healthcare professionals in a clinical setting as an aid to
monitor the effectiveness of diabetes control. The OneTouch®
UltraSmart®System should not be used for the diagnosis of
diabetes or testing of newborns.
The OneTouch®UltraSmart® Blood Glucose Monitoring System
provides the user with electronic logbook functions, which serve
to store such data as insulin and oral medication doses, food
intake, amount of exercise, health information such as illnesses,
and other pertinent data. The meter includes a data port that
enables the user to download logbook data to a personal computer.
CAUTION: Before using any product to test your blood glucose,
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 U.S. Food and Drug
Administration, and
the Advanced Medical Technology Association.
WARNING: Keep the meter and testing supplies away from
young children. Small items such as the battery door, battery,
test strips, lancets, protective disks on the lancets, stereo jack
cover and the control solution vial cap are choking hazards.
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Important Information
•Dehydration: Severe dehydration and excessive water loss may
cause false low results. If you believe you are suffering from
dehydration, consult a healthcare professional immediately.
•Low glucose results: If your test result is lower than 70 mg/dL
or is shown as “LOW GLUCOSE”, it may mean hypoglycemia
(low blood glucose). This may require immediate treatment
according to your healthcare professional’s recommendations.
Although this result could be due to a test error, it is safer to
treat first and then repeat the test.
•High glucose results: If your test result is greater than
180 mg/dL or is shown as “HIGH GLUCOSE”, it may mean
hyperglycemia (high blood glucose). If you do not have
symptoms, first repeat the test. Your healthcare professional
can work with you to decide what actions, if any, you should
take if you continue to get results higher than 180 mg/dL or if
you have symptoms.
• Repeated unexpected results: If you continue to get
unexpected results, check your system with control solution.
See Checking the System with Control Solution on page 12.
If you are experiencing symptoms that are not consistent with
your blood glucose results and you have followed all instructions
in this booklet, call your healthcare professional. Never ignore
symptoms or make significant changes to your diabetes control
program without speaking to your healthcare professional.
•Hematocrit: A hematocrit (percentage of your blood that is red
blood cells) that is either very high (above 55%) or very low
(below 30%) can cause false results.
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THE OneTouch®UltraSmart®SYSTEM . . . . . . . . . . . . . . 1
OneTouch®UltraSmart®Meter . . . . . . . . . . . . . . . . . 2
Navigation Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . 3
SmartButtons®. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Display Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Display Contrast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
OneTouch®Ultra®Test Strips . . . . . . . . . . . . . . . . . . 7
BEFORE TESTING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Checking the Display . . . . . . . . . . . . . . . . . . . . . . . . . 9
Setting the Meter . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Coding the Meter . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Checking the System with Control Solution . . . . . 12
TESTING YOUR BLOOD . . . . . . . . . . . . . . . . . . . . . . . . . 19
Preparing the OneTouch®UltraSoft®
Adjustable Blood Sampler . . . . . . . . . . . . . . . . . . . .20
Lancing and Sampling from Your Fingertip . . . . . 23
Lancing and Sampling from an Alternate Site . . . 27
Step-by-Step Test Procedure . . . . . . . . . . . . . . . . . .31
Discarding Used Test Strips and Lancets . . . . . . . 37
Special Messages . . . . . . . . . . . . . . . . . . . . . . . . . . 38
COMPARING METER AND LABORATORY RESULTS . . 40
CARING FOR YOUR SYSTEM . . . . . . . . . . . . . . . . . . . . . 42
Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Cleaning the OneTouch®UltraSoft®
Adjustable Blood Sampler . . . . . . . . . . . . . . . . . . . 42
vi
Table of ContentsTable of Contents
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Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
DISPLAY MESSAGES . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
WARNINGS AND ERROR MESSAGES . . . . . . . . . . . . . 51
PROBLEMS AND POSSIBLE CAUSES . . . . . . . . . . . . . .56
METER SET-UP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Entering Basic Set-up Mode . . . . . . . . . . . . . . . . . 58
Selecting Display Language . . . . . . . . . . . . . . . . . 59
Setting Date and Time . . . . . . . . . . . . . . . . . . . . . . 60
CUSTOM METER SET-UP SEQUENCE . . . . . . . . . . . . . . 62
Set-up Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Diabetes Pill Set-up . . . . . . . . . . . . . . . . . . . . . .68
Insulin Set-up . . . . . . . . . . . . . . . . . . . . . . . . . . .70
Insulin Pump Set-up . . . . . . . . . . . . . . . . . . . . . .72
Advanced Feature Set-up . . . . . . . . . . . . . . . . .72
YOUR ELECTRONIC LOGBOOK . . . . . . . . . . . . . . . . . . . 77
Comments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
Rules for Adding Comments . . . . . . . . . . . . . . . . . . 78
How to Add a Comment . . . . . . . . . . . . . . . . . . . . . 78
Logbook Entries . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
Using the SmartButtons®. . . . . . . . . . . . . . . . . . . . 82
Rules for Logbook Entries . . . . . . . . . . . . . . . . . . . 84
Entering the Date and Time . . . . . . . . . . . . . . . . . . 85
Exercise Logbook Entries . . . . . . . . . . . . . . . . . . . . .86
Health Logbook Entries . . . . . . . . . . . . . . . . . . . . . .87
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Table of Contents (continued)
Ketones . . . . . . . . . . . . . . . . . . . . . . . . . . . . .89
HbA1c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91
Microalbumin . . . . . . . . . . . . . . . . . . . . . . . .91
Cholesterol . . . . . . . . . . . . . . . . . . . . . . . . . .92
Blood Pressure . . . . . . . . . . . . . . . . . . . . . . .92
Eye Exam . . . . . . . . . . . . . . . . . . . . . . . . . . . .93
Foot Exam . . . . . . . . . . . . . . . . . . . . . . . . . . .93
Weight/Height . . . . . . . . . . . . . . . . . . . . . . .94
Doctor Visit . . . . . . . . . . . . . . . . . . . . . . . . . .94
Medication Logbook Entries . . . . . . . . . . . . . . .95
Food Logbook Entries . . . . . . . . . . . . . . . . . . . .101
Adding, Changing, or Deleting
Logbook Information . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
OneTouch®UltraSmart®FastFacts®FEATURE . . . . . .108
FastFacts®Menu . . . . . . . . . . . . . . . . . . . . . . . . . . 109
Logbook Memory . . . . . . . . . . . . . . . . . . . . . . .110
Glucose by Meals . . . . . . . . . . . . . . . . . . . . . . .110
Glucose Analysis . . . . . . . . . . . . . . . . . . . . . . . .111
Interactive Graph of All Results . . . . . . . . .111
Graph by Time of Day . . . . . . . . . . . . . . . . .112
Average of All Results . . . . . . . . . . . . . . . . .113
Average by Time of Day . . . . . . . . . . . . . . .114
Average by Exercise . . . . . . . . . . . . . . . . . .114
Glucose Range Info . . . . . . . . . . . . . . . . . . .115
Insulin Intake . . . . . . . . . . . . . . . . . . . . . . . . . . .116
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Hypoglycemia Information . . . . . . . . . . . . . . .120
Food Averages . . . . . . . . . . . . . . . . . . . . . . . . . .121
Health Checks . . . . . . . . . . . . . . . . . . . . . . . . . .121
Data Downloading . . . . . . . . . . . . . . . . . . . . . . . . 122
SPECIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125
PRODUCT SAFETY INFORMATION . . . . . . . . . . . . . . . 126
EXPLANATION OF SYMBOLS ON THE METER . . . . . . 127
GUARANTEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127
INDEX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 128
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1
THE OneTouch®UltraSmart®SYSTEM
The OneTouch®UltraSmart®System uses the latest blood glucose
monitoring technology. It measures the glucose content of a blood
sample by means of an electrical current produced in the test strip
and is measured by the meter. Test results are “plasma-calibrated.”
This makes it easier for you and your diabetes-care team to compare
your meter results with laboratory tests. If you have been using
another type of meter—one that provides whole-blood results—you
may notice that your test results with the OneTouch®UltraSmart®
System are about 12% higher.
The OneTouch®UltraSmart®Blood Glucose Monitoring System
consists of three main products: the OneTouch®UltraSmart®Meter,
OneTouch®Ultra®Test Strips, and OneTouch®Ultra®Control Solution.
These products have been designed, tested, and proven to work
together as a system to produce accurate blood glucose test results.
Use no other test strips or control solution other than the OneTouch®
Ultra®brand with your meter.
Your system kit includes:
• OneTouch®UltraSmart®Meter
• OneTouch®Ultra®Control
Solution
• OneTouch®UltraSoft®
Adjustable Blood Sampler
• OneTouch®UltraClear®Cap
• OneTouch®UltraSoft®
Sterile Lancets
• Owner’s Booklet
• Carrying Case
• Quick Reference Guide
• Quick Start Guide
• Warranty Registration Card
• Two AAA Alkaline Batteries
(Installed)
OneTouch®Ultra®Test Strips sold separately
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OneTouch®UltraSmart®Meter
2
Test Port
The meter turns on when
you insert the OneTouch®
Ultra®Test Strip here.
Data Port
Used to download logbook
memory to a computer.
Display with Backlight
Test results, messages,
symbols, and other data
appear here.
SmartButtons®
(See pages 4–5 for
description and use.)
OneTouch®Ultra®Test Strip
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Navigation Buttons
Back Button (Off Button)
Go back to previous display on certain
screens. Press and hold for two seconds to
turn off the meter.
Arrow Button
Scroll through menus, code numbers, and
logbook.
OK Button (Backlight Button)
Accept entries and move to next display.
Press and hold for two seconds to turn
on backlight.
Note: Press and release buttons. Do Not hold
buttons down for an extended period of time.
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The SmartButtons®are your keys to getting the most
out of your OneTouch®UltraSmart®Meter. They allow
you to enter information about your diabetes
management plan into the large logbook memory.
There are SmartButtons®for exercise, health,
medication, and food. The FastFacts®SmartButton®is
used to view the records in the logbook memory. You
may press any SmartButton®to turn on the meter and
move directly to the category.
SmartButtons®
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Health SmartButton®
Enter information on
health.
Exercise SmartButton®
Enter exercise amount and
level.
Medication
SmartButton®
Enter insulin and
diabetes pill information.
Food SmartButton®
Enter meal and snack
information.
FastFacts®SmartButton®
Review test results and
logbook memory.
Note: For complete information on using the Exercise, Health,
Medication, and Food SmartButtons®, please see pages 82–107.
See pages 108–122 for more information on the FastFacts®Feature
and the FastFacts®SmartButton®.
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Display Contrast
You can change the contrast of the meter display. To
make it darker, press and hold both the Back button
and the “up” Arrow button . To make it lighter,
press and hold both the Back button and the
“down” Arrow button .
Scroll (move) up only.
Scroll down only.
Scroll up or down.
Scroll up or down.
No entry.
Shows where you are on the
display. Press the OK button
to accept highlighted area.
OK
Symbol Meaning
Display Symbols
These symbols guide you while using your meter:
– – –
▲
▼
HIGHLIGHT
▲
▼
▲▼
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OneTouch®Ultra®Test Strips
The OneTouch®UltraSmart®System measures the
amount of glucose in whole blood. Blood is applied to
the Top Edge of the OneTouch®Ultra®Test Strip and is
automatically drawn into the reaction cell where the
reaction takes place.
See pages 19–39, Testing Your Blood, for
complete instructions.
Contact Bars
Insert this end of the test strip,
contact bars facing up, into the
meter. Push it all the way in until
it will go no further.
Top Edge
Apply a drop of blood to the
narrow channel here in the top
edge of the test strip.
Confirmation Window
Check here to confirm if enough
blood has been applied.
7
WARNING: Do Not swallow test strips. The test strip vial may
contain drying agents that are harmful if swallowed and may
cause skin or eye irritation.
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Important Test Strip Information
• Store test strip vials in a cool, dry place below 86˚F (30˚C).
Keep away from direct sunlight and heat. Do Not refrigerate.
• Store test strips in their original vial only. To avoid damage or
contamination, Do Not transfer test strips to any other place.
• After removing a test strip from the vial, replace the vial cap
immediately and close it tightly.
• Use each test strip immediately after removing it from the vial.
• Do Not use test strips from any vial that is damaged or left
open to air.
• Write the discard date (3 months after first opening the vial)
on the vial label when you first open it. Discard remaining
OneTouch®Ultra®Test Strips after the discard date.
• Do Not use test strips beyond the expiration (printed on the
package) or discard date, whichever comes first, because they
may cause inaccurate results.
• Avoid getting dirt, food or liquids on the test strip. With clean,
dry hands you may touch the test strip anywhere on its surface.
•Do Not bend, cut, or alter OneTouch®Ultra®Test Strips in any way.
• OneTouch®Ultra®Test Strips are for single use only. Never
reuse a test strip that has had either blood or control solution
applied to it.
• Apply only OneTouch®Ultra®Control Solution or a blood
sample to the test strip.
• Refer to additional information in the OneTouch®Ultra®Test
Strip package.
8
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BEFORE TESTING
Checking the Meter Display
Each time you turn the meter on, the
display background will quickly change
from dark to light and form the words
“OneTouch UltraSmart”. This tells you
that the system is performing several
self-checks to confirm that the meter is
working properly. If, at any time during
the life of the meter, these graphics
appear to be different, call LifeScan
Customer Service at 1 800 227-8862.
Setting the Meter
The OneTouch®UltraSmart®Meter is set at the
factory to display results in the English language
using milligrams per deciliter (mg/dL) as the unit of
measure. The time and date are also factory-set in
Pacific Standard Time. If you are using the meter for
the first time and simply wish to test, insert a test
strip into the test port and begin by coding the meter.
If you wish to change the date, time, or language, see
Meter Set-up, pages 58–61. To customize your meter,
see Custom Meter Set-up Sequence, pages 62–76.
UltraSmart
Note: It is important that the time of day is
correct and that your medication set-up and
mealtimes are set according to your personal
daily schedule. Otherwise, some FastFacts®
information will not be correct.
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