OneTouch ULTRA2 User manual

AW 06650007A
Rev. date: 01/2019
AW 06650007A
USER GUIDE
Blood Glucose Monitoring System
Replaces Owner’s Booklet

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. - 8 p.m. Eastern Time).
AVAILABLE SEPARATELY:
e. OneTouch®Ultra®Test Strips
f. OneTouch®Ultra®Control Solution
a
bc
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.
efAsk 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
Confirmation
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
Confirms 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 briefly 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 five 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. - 8 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 first 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 first 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 five 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 first (MM-DD-YYYY) or
day first (DD-MM-YYYY). To confirm your selection, press .

5
SETTING UP YOUR METER
 Set the date
In the DATE SET UP screen, press or to change the first 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 confirm 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 confirm 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. - 8 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.
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.

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 flags or comments to your results for the types of meal flags 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 flags/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 confirm your selection and return to MAIN MENU.
Turning the flags/comments feature o or on

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 flashing “– –” appears instead of a code number,
such as when you are first 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
flash on the display for three seconds, then briefly stop flashing, 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 five 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 fingertip 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. - 8 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 first,
or your results may be inaccurate.
Getting to know your OneTouch®Delica®Plus Lancing Device
The OneTouch®Delica®Plus Lancing Device uses OneTouch®Delica®or OneTouch®Delica®Plus Lancets.
• If another type of lancing device was included, see the separate instructions for that lancing device.
• The OneTouch®Delica®Plus Lancing System does not include the materials needed to perform Alternate Site
Testing (AST). The OneTouch®Delica®Plus Lancing System should not be used on the forearm or palm with the
OneTouch®Ultra®2 Blood Glucose Monitoring System.
1Release button
2Slider control
3Depth indicator
4Depth wheel
5Lancing device cap
6Protective cover

9
TESTING YOUR BLOOD GLUCOSE
Getting a blood sample from the fingertip
Before testing, wash your hands thoroughly with warm, soapy water. Rinse and dry.
CAUTION: To reduce the chance of infection:
• Make sure to wash the sample site with soap and warm water, rinse and dry before sampling. Contaminants
on the skin may aect results.
• 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).
• Do Not use lancets after the expiration date printed on the lancet packaging.
Remove the lancing device cap
Remove the cap by rotating it and then pulling it straight o
the device.
 Insert a sterile lancet into the lancing device
Align the lancet as shown here, so that the lancet fits into the lancet
holder. Push the lancet into the device until it snaps into place and is
fully seated in the holder.
Twist the protective cover one full turn until it separates from the lancet. Save the protective
cover for lancet removal and disposal. See Removing the used lancet.

10
TESTING YOUR BLOOD GLUCOSE
 Adjust the depth setting
The device has 13 puncture depth settings (each dot shown between numbers 1 to 7 on the
Depth Wheel indicates an additional available depth setting). Adjust the depth by turning the
depth wheel. Smaller numbers are for a shallower puncture and larger numbers for a deeper
puncture.
NOTE: Try a shallower setting first and increase the depth until you find the one deep enough
to get a blood sample of the proper size.
Cock the lancing device
Pull the slider back until it clicks. If it does not click, it may already have been cocked when you
inserted the lancet.
 Replace the lancing device cap
Place the cap back onto the device; turn the cap or push the cap
straight on to secure it.
Ensure the cap is aligned as shown in the image.
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.

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 fingertip in Section 3.
Prepare to apply the sample
Keeping your finger 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.
Fingertip
When the APPLY BLOOD screen appears on the display, you can apply your blood
sample.
Puncture your finger
Hold the lancing device firmly against the side of your finger. Press the release button.
Remove the lancing device from your finger.
8Get a round drop of blood
Gently squeeze and/or massage your fingertip until a round drop of
blood forms.
NOTE: If the blood smears or runs, Do Not use that sample. Dry the area
and gently squeeze another drop of blood or puncture a new site.

12
TESTING YOUR BLOOD GLUCOSE
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 fingertip or the test strip
may not fill 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 confirmation window
should fill completely.
When the confirmation 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 fill the
confirmation window completely. See Troubleshooting in Section 8. Discard the test strip and re-start the
test process.
Narrow channel
Confirmation
window full
Full Not full

13
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
NOTE: This lancing device has an ejection feature, so you do not have to pull out the used lancet.
Remove the lancing device cap
Remove the cap by rotating it and then pulling it straight o the device.
Cover the exposed lancet tip
Before removing the lancet, place the lancet protective cover on a
hard surface thenpush the lancet tip into the flat side of the disk.
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. - 8 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)

14
TESTING YOUR BLOOD GLUCOSE
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.
Eject the lancet
Holding the lancing device directed downwards, push the slider forward until
the lancet comes out of the lancing device. If the lancet fails to eject properly,
cock the device then push the slider control forward until the lancet comes out.
Replace the lancing device cap
Place the cap back onto the device; turn the cap or
push the cap straight in to secure it.
Ensure the cap is aligned as shown in the image.
It is important to use a new lancet each time you obtain a blood sample. Do Not leave a lancet in
the lancing device. This will help prevent infection and sore fingertips.

15
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 first, 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 significant 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.

16
ATTACHING FLAGS OR COMMENTS TO YOUR RESULTS
Attaching flags or comments to your results
Attaching flags 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 Benefit
Add a meal flag 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 flags 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 flag or comment to a result marked as a control solution test.
You can choose not to attach a meal flag 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 flags/comments feature o or on in Section 2 for instructions.
Add or change a meal flag
If the flags/comments feature is turned on, the up arrow at the bottom right corner of the result screen will
flash when a result is first displayed to remind you to enter a meal flag. To add or change a meal flag:
 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 flag to this result, select NO FLAG.
To confirm your selection, press
The meal flag 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 flagged 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 flash after you enter a meal flag 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.

18
REVIEWING PAST RESULTS AND AVERAGES
Reviewing past results and averages
Reviewing past results and averages
If you have just completed a test, press to get to the MAIN MENU screen. If your meter is o, press and hold to
turn it on. From the MAIN MENU screen you can choose:
• LAST RESULT to view your most recent result,
• ALL RESULTS to review up to 500 of your most recent results four at a time, or
• RESULT AVG to select one of three types of result averages.
Press or to highlight LAST RESULT, ALL RESULTS, or RESULT AVG and
press .
Last result
The meter will display your most recent result. Press to return to MAIN
MENU. If you wish to add or change a meal flag or comment for this result, see
Section 4, Attaching flags or comments to your results.
All results
The meter will display four results at a time, in the order the tests were done,
starting with the most recent. For each test result, the meter will display the
date and time of the test. Results may also contain the following symbols:
HI if the result was above 600 mg/dL,
LO if the result was below 20 mg/dL,
*if a comment has been chosen for the result,
Cif the result is from a control solution test,
–if the result is flagged BEFORE MEAL, and
+if the result is flagged AFTER MEAL.
The meter stores a maximum of 500 blood glucose or control solution test results. When the memory is full, the
oldest result is dropped as the newest is added.
To view details of an individual result, press or to highlight the result you want, then press . If you wish to
add or change a meal flag or comment for this result, see Section 4, Attaching flags or comments to your results.
To return to the list of all results from an individual result, press .
To view more recent results, continue to press after the top result on the display is highlighted. If you press
when the most recent result is highlighted, you will see the oldest stored results.
To view older results, press after MENU is highlighted. Pressing and holding or allows you to move more
quickly through the results. To return to the main menu, highlight MENU, then press .
Averages
If the flags/comments feature is on, the meter will display the three types of
averages you can access:
• the average of all test results,
• the average of before-meal results, and
• the average of after-meal results.
To select the type of result average you want to see, press or to highlight your choice, then press .
If you have turned the flags/comments feature o, selecting RESULT AVG from the MAIN MENU will lead directly to
the ALL RESULTS AVG screen.
Time Unit of
measure
Meal Flag
DateComment

19
REVIEWING PAST RESULTS AND AVERAGES
Downloading results to a computer
Your meter can work with diabetes management software, which provides a visual way to track key factors that aect
your blood sugar.
 Obtain the required software and cable
For order information and to learn more about diabetes management tools available to you, contact LifeScan Customer
Service at 1 800 227-8862 (7 days a week, 8 a.m. - 8 p.m. Eastern Time).
Install the software on a computer
Follow the installation instructions provided with the Software. If using a OneTouch®Interface Cable (USB format),
install the software driver.
 Get ready to transfer readings
Connect the OneTouch®Interface Cable to the COM or USB port on your computer.
Make sure the meter is turned o. If you
insert the cable while the meter is already
on, the meter will not respond to computer
commands. Then connect the other end of
the OneTouch®Interface Cable to the meter
data port.
Transfer data
Follow the instructions provided with the diabetes management software product to download the results from
the meter.
Once the command to start the download is sent from the computer to the meter, the meter display will show “PC”
indicating that the meter is in communication mode. You will not be able to perform a test when the meter is in
communication mode.
WARNING: To avoid a possible shock, Do Not insert a test strip when the meter is connected to a computer
with the OneTouch®Interface Cable.
The meter will display each of your 7-, 14-, and 30-day averages. The top of the display shows which type of average
you are looking at. For each of the 7-, 14-, and 30-day periods leading up to the current date, the meter will display the
number of results obtained (NUM) and the average of those results (AVG).
In result averages, a HIGH GLUCOSE result is counted as 600 mg/dL, and a LOW
GLUCOSE result as 20 mg/dL. Control solution results are not part of your averages.
From any screen showing averages, press to go back to the previous screen.
To return to the main menu from the RESULT AVG screen, press until MENU is
highlighted, then press .
NOTE:
• Result averages provide information from past results. Do Not use result averages
to make immediate treatment decisions.
• If you change your date setting, your averages may change too. The meter
calculates averages based on the 7-, 14-, and 30-day periods ending on the current
date setting.
• If you do not have results in the past 7-, 14-, and 30-day periods, the NUM and AVG
columns will show 0. Also, if you do not use the meal flag feature, then the NUM
and AVG columns will show 0 on the BEFORE MEAL and AFTER MEAL average screens.
To see averages for dierent parts of the day or over a dierent number of days, you can use diabetes management
software and your home computer. See Downloading results to a computer in this Section.
Interface Cable