OneTouch ULTRA2 User manual

USER GUIDE
Blood Glucose Monitoring System
Replaces Owner’s Booklet
AW 06650003A
Rev. date: 06/2010

Contents:
Getting to know your system 1
Setting up your meter 4
Testing your blood glucose 8
Attaching flags or comments to your results 16
Reviewing past results and averages 18
Control solution testing 20
Caring for your system 22
8Troubleshooting and
detailed information about your system 24
Symbols
Cautions andWarnings: Refer to safety-related notes in this User Guide
and inserts that came with your meter and testing supplies.
Low battery
Direct current
The system described herein is covered by one or more of the following U.S.
patents: 5,708,247, 5,951,836, 6,241,862, 6,284,125, 7,112,265, D522,656
and D542,681. Use of the monitoring device included herein is protected
under one or more of the following U.S. patents: 6,413,410, 6,733,655,
7,250,105, 7,468,125. Purchase of this device does not act to grant a use
license under these patents. Such a license is granted only when the device
is used with OneTouch® Ultra®Test Strips. No test strip supplier other
than LifeScan is authorized to grant such a license.The accuracy of results
generated with LifeScan meters using test strips manufactured by anyone
other than LifeScan has not been evaluated by LifeScan.
Distributed by:
LifeScan, Inc.
Milpitas, CA 95035
Version G
As your partner in diabetes care, we oer
valuable diabetes-related knowledge, tools
and special oers online.
www.OneTouchDiabetes.com
www.OneTouchEnEspanol.com
Should you need additional assistance, we
welcome you to contact us
7 days a week, 8 a.m. – 10 p.m. Eastern Time.
1 800 227-8862 (English)
1 800 381-7226 (Español)
For assistance outside of these hours, please
contact your healthcare professional.
© 2009 LifeScan, Inc.
For:
LifeScan Europe
Division of Cilag GmbH
International
6300 Zug
Switzerland

Before you begin
Before using this product to test your blood glucose, carefully read this User Guide and the inserts that come with the OneTouch® Ultra®
Test Strips and OneTouch® Ultra® Control Solution. Take note of warnings and cautions throughout this User Guide, which are identied
with . Many people nd it helpful to practice the test with control solution before testing with blood for the rst time. See Section 6,
Control solution testing.
Intended use
The OneTouch® Ultra® 2 Blood Glucose Monitoring System is intended to be used for the quantitative measurement of glucose (sugar) in
fresh capillary whole blood. The OneTouch® Ultra® 2 System is intended for use outside the body (in vitro diagnostic use) by people with
diabetes at home and by health care professionals in a clinical setting as an aid to monitor the eectiveness of diabetes control. It should
not be used for the diagnosis of diabetes or for testing newborns.
Test principle
Glucose in the blood sample mixes with special chemicals in the test strip and a small electric current is produced. The strength of this
current changes with the amount of glucose in the blood sample. Your meter measures the current, calculates your blood glucose level,
displays the result, and stores it in its memory.
NOTE: If you have any questions about your OneTouch® Ultra® 2 Blood Glucose Monitoring System, contact LifeScan Customer Service at
1 800 227-8862 (7 days a week, 8 a.m. - 10 p.m. Eastern Time).

1
GETTING TO KNOW YOUR SYSTEM
Getting to know your system
The OneTouch® Ultra® 2 Blood Glucose Monitoring System
INCLUDED WITH YOUR KIT:
a. OneTouch® Ultra® 2 Meter (batteries included)
b. Lancing Device
If another type of lancing device was included, see the separate
instructions that came with that lancing device.
c. Sterile Lancet
d. Carrying Case
If any of these items are missing from your kit, contact
LifeScan Customer Service at 1 800 227-8862
(7 days a week, 8 a.m. - 10 p.m. Eastern Time).
AVAILABLE SEPARATELY:
e. Clear Cap
f. OneTouch® Ultra® Test Strips
g. OneTouch® Ultra® Control Solution
a
b
c
d
WARNING: Keep the meter and testing supplies away from young children. Small items such as the battery door,
batteries, test strips, lancets, protective covers on the lancets, and control solution vial cap are choking hazards.
e
fgAsk for control solution where you
obtain your test strips.

2
GETTING TO KNOW YOUR SYSTEM
Getting to know your system
TEST STRIP
Edge to
apply sample
Conrmation
window
Contact bars
Insert into test port
METER
Display
mg/dL is the pre-set
unit of measure
Up and down buttons
Select or change information
Indicates selection available
using up or down button
Test port
Insert test strip here to
turn meter on for testing
OK button
Turns the meter on/o
Turns the backlight on/o
Conrms menu selections

3
GETTING TO KNOW YOUR SYSTEM
Turning your meter on
To perform a test, insert a test strip as far as it will go. The meter will briey perform system checks, then the display will
turn on.
or,
With the meter turned o, press and hold for two seconds
to access MAIN MENU. Check that the screen shows solid black
for two seconds. If it does, the display is working properly. If
the meter does not power on, try changing the meter battery.
See Replacing the batteries in Section 7.
Using the meter display backlight
When the meter is already on, press and hold for two seconds to turn the backlight on or o.
Turning your meter o
There are several ways to turn your meter o:
• Press and hold for ve seconds.
• Your meter will turn o by itself if left alone for two minutes.
• Go to MAIN MENU and press or to highlight METER OFF, then press .
• Before or after completing a test, remove the test strip. If you advance from the test result screen to the MAIN MENU by
pressing , removing the test strip will not turn the meter o. Use one of the three methods above.
CAUTION: If you see any light areas within the black
start-up screen, there may be a problem with the meter.
Contact LifeScan Customer Service at 1 800 227-8862
(7 days a week, 8 a.m. - 10 p.m. Eastern Time).

4
SETTING UP YOUR METER
Setting up your meter
Setting the meter language, date and time
You can change many of the settings that came pre-set with your meter. Before using your meter for the rst time or if you change the meter
battery, you should check and update these settings. Make sure you complete steps 1 through 8 below to ensure your desired settings are saved.
 Turn the meter on
With the meter turned o, press and hold for two seconds to access MAIN MENU.
 Get to the LANGUAGE screen
When using the meter for the rst time, or after changing the meter battery, you will automatically
start in the LANGUAGE screen.
In other cases, from the MAIN MENU, press or to select SET UP and press .
Then, press or to select METER SETTINGS and press .
 Choose a language
Now press or to highlight the language of your choice and press .
NOTE: If you select the wrong language, press and hold for ve seconds to turn the meter o.
Then, turn the meter back on and re-start from step 1.
 Set the date format
Press or to highlight the date format—choose month rst (MM-DD-YYYY) or day rst
(DD-MM-YYYY). To conrm your selection, press .

5
SETTING UP YOUR METER
 Set the date
In the DATE SET UP screen, press or to change the rst value and press .
Press or to change the second value and press .
Press or to change the year and press .
 Set the time format
Press or to select the time format you prefer—AM/PM or 24 HR, and press .
 Set the time
Press or to set the hour and press . Press or to set the minutes and press .
If you selected the AM/PM time format, press or to select AM or PM. To conrm your selection,
press .
8 Confirm your settings
The choice YES will be highlighted at the bottom of the screen. If your settings are correct, press to
conrm and save the settings and return to the MAIN MENU.
WARNING: The unit of measure mg/dL must be displayed here. If your display shows mmol/L rather than mg/dL,
contact LifeScan Customer Service at 1 800 227-8862 (7 days a week, 8 a.m. - 10 p.m. Eastern Time). You cannot change
the unit of measure. Use of the wrong unit of measure may cause you to misinterpret your blood glucose level, and may
lead to incorrect treatment.

6
SETTING UP YOUR METER
Check the code on the test strip vial before inserting the test strip
Code numbers are used to calibrate your meter with the test strips you are using.
Coding your meter
Your OneTouch® Ultra® 2 Meter allows you to attach optional notes to any blood glucose test result. See Section 4 Attaching ags or comments
to your results for the types of meal ags and comments you can attach to a result, and the reasons for using this feature.
If you do not wish to track separate result averages for before and after meals, nor attach comments to any test result, you may turn this
feature o. If you turn o the ags/comments feature, you will not see on the test result screen after you complete a blood glucose
test. You will be able to review the ALL RESULTS AVG screen, but not before - or after-meal averages. See Section 5, Reviewing past results
and averages, for more information about result averages.
To turn the flags/comments feature off or on:
 From MAIN MENU, press or to select SET UP and press
 From the SET UP screen, select FLAGS/COMMENTS and press
 Press or to highlight your response
Select YES if you wish to change the setting, or NO if you wish to leave it as it is.
Press to conrm your selection and return to MAIN MENU.
Turning the ags/comments feature o or on
If you want to cancel your settings and start the settings process over again, press or to highlight NO and press .You will be
returned to the LANGUAGE screen. Note that none of the settings you entered will be saved.

7
SETTING UP YOUR METER
CAUTION: Matching the code on the meter and the code on the test strip vial is essential to obtaining accurate
results. Each time you test, check to make sure the code numbers match.
Insert a test strip to turn on the meter
Remove a test strip from its vial. With clean, dry hands, you may touch the test strip anywhere on
its surface. Do Not bend, cut or modify the test strips in any way. Use each test strip immediately
after removing it from the vial. Insert the test strip into the test port as shown, with the three
contact bars facing you. Push the test strip in as far as it will go.
After the black start-up screen appears, the meter will display the code from your last
test. If a ashing “– –” appears instead of a code number, such as when you are rst
using the meter, follow the instructions in step 3 to change to a numerical code.
Match the code on the meter with the code on the test strip vial
If the code on the meter does not match the code on the test strip vial, press or to match
the code number on the test strip vial. The new code number will ash on the display for three
seconds, then briey stop ashing, after which the display will advance to the APPLY BLOOD
screen.
If the codes already match, press to go to the APPLY BLOOD screen. When you do not
make a change after ve seconds, the display will advance to the APPLY BLOOD screen.
The meter is now ready to perform a blood glucose test.
NOTE:
• If the APPLY BLOOD screen appears before you are sure the codes match, remove the test strip, and re-start from step 1.
• If you change APPLY BLOOD to APPLY CONTROL by mistake, press to change it back to APPLY BLOOD.

8
TESTING YOUR BLOOD GLUCOSE
Testing your blood glucose
Preparing for a test
Have these things ready when you test:
OneTouch® Ultra® 2 Meter
OneTouch® Ultra® Test Strips
Lancing device
Sterile lancets
NOTE:
• Use only OneTouch® Ultra® Test Strips.
• Make sure your meter and test strips are about the same temperature before you test.
• Testing must be done within the operating temperature range (43–111°F). For the most accurate results, try to test as close to room
temperature (68–77°F) as you can (see Detailed information about your system in Section 8).
• Tightly close the cap on the vial immediately after use to avoid contamination and damage.
• Store unused test strips only in their original vial.
• Do Not open the test strip vial until you are ready to remove a test strip and perform a test. Use the test strip immediately after removing
it from the vial.
• Do Not return the used test strip to the vial after performing a test.
• Do Not re-use a test strip that had blood or control solution applied to it. Test strips are for single use only.
• Write the discard date (6 months after rst opening the vial) on the vial label when you rst open it.
Testing with a ngertip sample
CAUTION:
• Do Not use your test strips if your vial is damaged or left open to air. This could lead to error messages or inaccurate results.
Contact LifeScan Customer Service at 1 800 227-8862 (7 days a week, 8 a.m. - 10 p.m. Eastern Time) immediately if the test strip
vial is damaged.
• If you cannot test due to a problem with your testing supplies, contact your health care professional. Failure to test could delay
treatment decisions and lead to a serious medical condition.
• The test strip vial contains drying agents that are harmful if inhaled or swallowed and may cause skin or eye irritation.
• Do Not use test strips after the expiration date (printed on the vial) or the discard date, whichever comes rst, or your results may
be inaccurate.
LANCING DEVICE
If the lancing device shown here is not included with your kit, see the user instructions for that lancing device.
Cocking control
Lancing device cap
(for ngertip sampling) Sterile lancet Lancet point
Protective cover
Release button
Depth indicator
Clear cap
(for alternate site sampling) See Testing with a
forearm or palm sample in Section 3.

9
TESTING YOUR BLOOD GLUCOSE
Getting a blood sample from the ngertip
Before testing, wash your hands thoroughly with warm, soapy water. Rinse and dry.
Snap o the lancing
device cap
 Insert a sterile lancet
Firmly push the lancet into the
holder.
 Twist o the protective
cover and save it for later use
Replace the lancing device cap.
 Adjust the depth setting
Twist the lancing device cap until the desired setting appears. Smaller numbers are for shallower punctures,
which may be less painful.
NOTE: A shallower puncture may be less painful. Try a shallower setting rst and increase the depth until you
nd the one deep enough to get a sucient blood drop for testing.
CAUTION: To reduce the chance of infection:
• Never share a lancet or a lancing device with anyone.
• Always use a new, sterile lancet each time you test – lancets are for single use only.
• Always keep your meter and lancing device clean (see Caring for your system in Section 7).
Cock the lancing device
Slide the cocking control back until it clicks.
If it does not click, that’s okay. It may have been cocked when you inserted the lancet.

10
TESTING YOUR BLOOD GLUCOSE
Insert a test strip to turn the meter on
Insert a test strip into the test strip port as shown, with the three contact bars facing you.
If the code on the meter does not match the code on the test strip vial, see Coding your meter in Section 2.
When the APPLY BLOOD screen appears on the display, you can apply your blood sample.
Lance your finger
Hold the lancing device firmly against the side of your finger. Press the release button.
8Get a round drop of blood
Gently squeeze your nger until you get a round drop of blood. If the blood smears or
runs, Do Not use that sample. Wipe the area and gently squeeze another drop of blood
or puncture a new site.
Approximate size

11
TESTING YOUR BLOOD GLUCOSE
Applying blood and reading results
Once you have a blood sample and your meter shows the APPLY BLOOD screen, you are ready to obtain a blood glucose result. If your meter
does not show the APPLY BLOOD screen, remove the unused test strip and re-start the test process. See Getting a blood sample from the ngertip
in Section 3.
Prepare to apply the sample
Keeping your nger extended and steady, move the meter and test strip toward the blood drop.
Do Not apply blood on the top of the test strip.
Do Not hold the meter and test strip underneath the blood drop. This may cause blood to run into the test port and
damage the meter.
Apply the sample
Line up the test strip with the blood drop so that the narrow channel on the edge of the
test strip is almost touching the edge of the blood drop.
Gently touch the channel to the edge of the blood drop.
Be careful not to push the test strip against your ngertip or the test strip may not ll
completely.
• Do Not smear or scrape the drop of blood with the test strip.
• Do Not apply more blood to the test strip after you have moved the drop of blood away.
• Do Not move the test strip in the meter during a test.
Wait for the confirmation window to fill completely
The blood drop will be drawn into the narrow channel and the conrmation window should ll completely.
When the conrmation window is full, this means you have applied enough blood. Now you can move the test strip
away from the blood drop and wait for the meter to count down from 5 to 1.
CAUTION: You may get an ERROR 5 message or an inaccurate result if the blood sample does not ll the conrmation window completely.
See Troubleshooting in Section 8. Discard the test strip and re-start the test process.
Fingertip
Narrow channel
Full Not full
Conrmation
window full

12
TESTING YOUR BLOOD GLUCOSE
Read your result on the meter
Your blood glucose level appears on the display, along with the unit of measure, and the date and time of
the test. Blood glucose results are automatically stored in the meter’s memory.
Error messages
If you get an ERROR message on your screen rather than a result, see Troubleshooting in Section 8.
After getting a result
Once you have read your result, you may:
• Attach notes to this result if the ags/comments feature is on, see Section 4, Attaching ags or comments to your results, or
• Review your meter memory by pressing to go to MAIN MENU, see Section 5, Reviewing past results and averages, or
• Turn the meter o by removing the test strip.
Removing the used lancet
Remove the lancing device cap. Place the lancet protective cover on a hard surface and push the
lancet tip into the cover. Remove the lancet and place it in a container for sharp objects. Replace the lancing
device cap.
Disposing of the used lancet and test strip
It is important to discard the used lancet carefully after each use to avoid unintended lancet stick injuries. Used
test strips and lancets may be considered biohazardous waste in your area. Be sure to follow your health care
professional’s recommendations or local regulations for proper disposal.
CAUTION: If you test at the low end of the operating range (43°F) and your glucose is high (over
180 mg/dL), the reading on your meter may be lower than your actual glucose. In this situation, repeat
the test in a warmer environment with a new test strip as soon as possible.
WARNING: If mg/dL does not appear with the test result, contact LifeScan Customer
Service at 1 800 227-8862 (7 days a week, 8 a.m. - 10 p.m. Eastern Time). Use of the wrong
unit of measure may cause you to misinterpret your blood glucose level, and may lead to
incorrect treatment.
(Example)

13
TESTING YOUR BLOOD GLUCOSE
CAUTION:
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). Treat this
condition immediately, according to your health care professional’s recommendations. Although this result could be due to a test
error, it is safer to treat rst, then do another test.
• If you test at the low end of the operating range (43°F) and your blood glucose is high, you may get an inaccurate low result.
Re-test in a warmer environment with a new test strip.
Dehydration and low glucose results
• You may get false low glucose results if you are severely dehydrated. If you think you are severely dehydrated, contact your
health care professional immediately.
High glucose results
• If your test result is higher than 180 mg/dL, it may mean hyperglycemia (high blood glucose) and you should consider re-testing.
Talk to your health care professional if you are concerned about hyperglycemia.
• HIGH GLUCOSE is displayed when your blood glucose level is higher than 600 mg/dL. You may have severe hyperglycemia
(very high blood glucose). Re-test your blood glucose. If the result is HIGH GLUCOSE again, this indicates a severe problem
with your blood glucose control. Obtain and follow instructions from your health care professional immediately.
Repeated unexpected glucose results
• If you continue to get unexpected results, check your system with control solution. See Section 6, Control solution testing.
• If you are experiencing symptoms that are not consistent with your blood glucose results and you have followed all instructions
in this User Guide, call your health care professional. Never ignore symptoms or make signicant changes to your diabetes control
program without speaking to your health care professional.
Unusual red blood cell count
• 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.
Interpreting unexpected test results
Refer to the following cautions whenever your test results are lower or higher than what you expect.
Testing with a forearm or palm sample
The OneTouch® Ultra® 2 Meter lets you obtain a blood sample from your
forearm or palm. Getting a drop of blood from these “alternate sites”
may be less painful than a ngertip sample.
CAUTION: Talk to your health care professional before
you begin using your forearm or palm for sampling.
If you are testing:
Before or more than two hours after:
• a meal
• a rapid-acting insulin injection or insulin pump bolus
• exercise
Use blood sample from your:
Fingertip, forearm, or palm

14
TESTING YOUR BLOOD GLUCOSE
CAUTION: Do Not test on your forearm or palm when:
• You think your blood glucose is rapidly falling, such as within two hours of exercise or a rapid-acting insulin injection
or insulin pump bolus. Testing with a ngertip sample may identify hypoglycemia or an insulin reaction sooner than
testing with a forearm or palm sample.
• It has been less than two hours after a meal, a rapid-acting insulin injection or insulin pump bolus, physical exercise, or
you think your glucose level is changing rapidly.
• You are concerned about the possibility of hypoglycemia or an insulin reaction, such as when driving a car. This is
especially important if you suer from hypoglycemia unawareness (lack of symptoms to indicate an insulin reaction).
Getting a blood sample
Getting a blood sample from your forearm or palm is dierent than getting a sample from your ngertips. Follow these
instructions to get a sucient blood drop for testing.
Rinse and dry thoroughly.
The clear cap is for forearm or palm sampling only. Replace the lancing device cap with the clear cap.
Insert a lancet and snap on clear cap
Carefully insert a new, sterile lancet. Snap on the clear cap.
Adjust the depth setting
You may need a deeper setting to get a sucient sample for testing.
Twist the cap to increase the depth.
Be sure to cock the lancing device.
Choose a sample site
• Choose a spot away from bone, veins, and hair.
Massage the site to increase blood ow.
• Select a spot with no visible veins and avoid deep lines, which may
cause your blood sample to smear.
Palm
Forearm
CAUTION: Before testing, make sure to wash the puncture site with soap and water.

15
TESTING YOUR BLOOD GLUCOSE
Lance your forearm or palm
• Firmly press and hold the lancing device against your forearm or palm for a few seconds.
• Wait until the skin surface under the clear cap changes color (as blood collects beneath
the skin). This tells you there is enough blood ow for a good sample.
• Then press the release button while
continuing to apply pressure.
• Keep holding the lancing device against your skin until a round drop of blood forms under
the cap.
• When sampling blood from your forearm or palm, make sure the drop of blood is sucient
(approximate size) before you release pressure and remove the lancing device.
Remove the lancing device
Carefully lift the lancing device away from your skin. Do Not smear the blood sample.
If the drop of blood runs or spreads due to contact with hair or a line in your palm, Do Not use the sample. Try lancing again in
a smoother area. Choose a dierent puncture site each time you test. Repeated punctures in the same spot may cause soreness
and calluses.
If bruising occurs at an alternate site or you have diculty getting a sample, consider sampling from a ngertip instead. You
may want to review the choice of sites with your health care professional.
Apply the sample to the test strip
Keep your forearm or palm steady and use your other hand to bring the top edge of the test strip to the drop of blood.
• See Testing with a ngertip sample in Section 3 for more information
on applying the blood sample to the test strip.
• See Interpreting unexpected test results in Section 3 for more
information on unexpected test results.
• See Testing with a ngertip sample in Section 3 for information on
disposing the used lancet.
Forearm
Palm
Forearm
Forearm or Palm
Forearm or Palm
Palm

16
ATTACHING FLAGS OR COMMENTS TO YOUR RESULTS
Attaching flags or comments to your results
Attaching ags or comments to your results
Your OneTouch® Ultra® 2 Meter allows you to attach optional notes to any blood glucose test result. There are two kinds of
notes and dierent reasons to apply them.
Note type Recommendation Benet
Add a meal ag to every blood glucose
result.
Select an appropriate comment whenever
you test under conditions that you or your
health care professional feel are worth
noting.
We suggest you talk to your health care professional to see how meal ags and comments may help you manage your diabetes.
You can attach these notes just after a blood glucose test before you remove your used test strip from your meter. You can also
modify notes when reviewing a past result.
You will not be able to add a meal ag or comment to a result marked as a control solution test.
You can choose not to attach a meal ag or comment after a blood glucose test. If you do not want to use this feature at all, you
can turn it o so the meter will not prompt you to add notes or to select a type of result average to review. See Turning the ags/
comments feature o or on in Section 2 for instructions.
Add or change a meal ag
If the ags/comments feature is turned on, the up arrow at the bottom right corner of the result screen will ash when a result
is rst displayed to remind you to enter a meal ag. To add or change a meal ag:
 While viewing a result, press to display the MEAL FLAG screen
 Press or to highlight BEFORE MEAL or AFTER MEAL
If you decide not to assign a ag to this result, select NO FLAG.
To confirm your selection, press
The meal ag you chose will appear above the result on the result screen.
NOTE: Testing after a meal can show how the food you ate aects your blood glucose. These results can be agged as AFTER
MEAL and are usually obtained two hours after the start of the meal. Your health care professional may suggest another time
period or other use for this feature.
Meal Flag
Comment
Allows you to link the eects of food to your
blood glucose result.
Provides you with separate averages for before-
meal and after-meal tests.
Helps track possible reasons for test results.

17
ATTACHING FLAGS OR COMMENTS TO YOUR RESULTS
Add or change a comment
The down arrow at the bottom right corner of the result screen will ash after you enter a meal ag for a new result to remind you to
consider entering a comment. To add or change a comment:
While viewing a result, press to display the COMMENT screen
Press or to highlight an appropriate comment
The available choices are:
NO COMMENT STRESS
NOT ENOUGH FOOD ILLNESS
TOO MUCH FOOD FEEL HYPO
MILD EXERCISE MENSES (period)
HARD EXERCISE VACATION
MEDICATION OTHER
Highlight NO COMMENT if you decide not to add a comment, or if you want to erase a previously entered comment from the result.
Use OTHER when the available choices do not apply. You may want to write down what OTHER means to you so you can discuss it with
your health care professional.
To confirm your selection, press
The comment you chose will appear below the result.