Optium Xceed User manual

Table of Contents
Welcome 1
1 Important Things to Know about Your
Optium Xceed Diabetes Monitoring System 3
Intended Use 3
How Your Optium Xceed Diabetes
Monitoring System Works 4
Optium Xceed Kit Contents 4
Getting to Know Your Meter’s Features 5
2 Setting Up Your Optium Xceed Meter 7
Buttons to Use 7
Setup Options 7
How to Set the Beeper, Date, Time, & View
Measurement Units 8
Set Beeper 8
Set Time 9
Set Date 10
Set Time Format 12
Set Date Format 12
Blood Glucose Measurement Units 13
3 Calibrating Your Optium Xceed Meter 14
Why Calibrate Your Meter? 14
When to Calibrate Your Meter 14
What You Will Need 14
How to Calibrate Your Meter 14
How to Recall the LOT Number 17
4 Monitoring Your Blood Glucose 18
What You Will Need 18
Important Information about Monitoring
Your Blood Glucose 18
How to Monitor Your Blood Glucose 19
Understanding Your Result 24
5 Monitoring Your Blood β-Ketone 27
What You Will Need 27
Important Information about Monitoring
Your Blood β-Ketone 27
How to Monitor Your Blood β-Ketone 29
Understanding Your Result 33
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6 Doing A Control Solution Test 36
Why Do A Control Solution Test? 36
When Is Doing A Control Solution Test Recommended? 36
Important Information about Control Solution Testing 36
What You Will Need 37
How to Do Control Solution Testing 37
Understanding Your Result 41
7 Reviewing & Using Your Results 42
What Can Your Meter Show You? 42
How to See Results in Memory 43
How to See Averages 45
Transferring Your Results to A Computer 46
8 Understanding & Troubleshooting
Error Messages 47
What An Error Message Means & 47
What You Need to Do
9 Your Meter’s Specifications & Limitations 51
Important Information about Using Blood 53
Samples from the Forearm, Upper Arm,
or Base of the Thumb
10 Caring For Your Meter 54
Cleaning Your Meter 54
Replacing Your Meter’s Battery 54
11 Support & Guarantee 57
References 60
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Please contact your local Abbott Diabetes Care office or
distributor with any questions you may have about the
Optium Xceed Diabetes Monitoring System (please see
page 57 for Customer Support phone numbers). If you
cannot reach your local office or distributor, contact your
healthcare professional.
Please read the following items before using your Optium
Xceed Diabetes Monitoring System:
•User guide
•Blood glucose test strip instructions for use
•Blood β-Ketone test strip instructions for use
•Lancing device instructions for use and other information
•Warranty card
Welcome
Thank you for choosing the Optium™ Xceed™Diabetes
Monitoring System.
Important steps for using the System are inside this guide.
Please read it carefully.
Your new Optium Xceed Diabetes Monitoring System is
an important tool that can help you better manage your
diabetes. The System measures both blood glucose (sugar)
and blood β-Ketone. Blood glucose and blood β-Ketone
results can help you understand your diabetes and what
happens with:
•Food
•Exercise
•Stress and illness
•Diabetes medications
Always monitor your blood glucose and blood β-Ketone
according to your healthcare professional’s recommendations.
IMPORTANT:
Any user guide text shown in a shaded box like this one
is important information. Please pay special attention to
these boxes.
21
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How Your Optium Xceed Diabetes Monitoring
System Works
When you insert a test strip into your meter, the Apply
Sample message shows on your meter’s display window.
When a blood sample or control solution sample is
applied to the test strip, the glucose or β-Ketone reacts
with the chemicals on the test strip. This reaction produces
a small electrical current that is measured. The result
shows on your meter’s display window.
Optium Xceed Kit Contents
Optium Xceed Meter
Optium Xceed User’s Guide
– Contains system information and directions.
Carrying Case
– Use this to store and carry your meter and other monitoring
supplies.
Your kit may also contain:
Optium Xceed Quick Reference Guide
– Gives the basic steps to calibrate your meter and monitor
your blood glucose.
Logbook
– Use this to record your test results, activities, and medications.
Limited Warranty Card
– Please fill this out and return to the address provided to start
your warranty. Filling out this card helps to ensure that you
receive any updates regarding your Optium Xceed meter.
Lancing Device, Lancets, Instructions for Use and
Other Information.
Blood Glucose Test Strips and Instructions for Use.
Items not included:
MediSense Control Solutions.
Blood β-Ketone Test Strips and Instructions for Use.
Data Management System.
Important
Information
▼
4
CHAPTER 1
Important Things
to Know about Your
Optium Xceed Diabetes
Monitoring System
Intended Use –
Your Optium Xceed System:
•Is indicated for home (lay user) or professional use in the
management of patients with diabetes.
•Is for self testing or healthcare professional
use outside the body (in vitro diagnostic use).
•Is for monitoring glucose in fresh whole
blood (for example, from the fingertip).
•Is for monitoring β-Ketone in fresh whole
blood from the fingertip.
•Measures β-hydroxybutyrate (β-Ketone), the
most important of the three ketone bodies
circulating in the bloodstream.
• Is for use only with Optium™ Blood Glucose Test Strips and
Optium™ Blood β-Ketone Test Strips.
• Optium™ and Optium™ POC Blood Glucose Test Strips are
different. Please refer to your test strip instructions for use
for important information about sample types that may be
used with these test strips.
• Optium™ POC Blood Glucose Test Strips are for use by
healthcare professionals only.
Healthcare professionals:
Please refer to the test strip instructions for use for more
information about sample types.
Potential Infection Risk:
Healthcare professionals performing blood tests with
this system on multiple patients must always wear
gloves and should follow the infection control policies
and procedures approved by their facility.
Questions? Call
Customer Support:
See page 57.
Important
Information
▼
▼
3
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Important
Information
65
Strip Port
This is where you insert:
•A blood glucose test strip.
•A blood β-Ketone test strip.
•A glucose calibrator.
•A ketone calibrator.
•Data cable (not included) for uploading
results to a computer.
Mode Button
Use this button to:
•Turn meter ON and OFF.
•Access meter setup options.
•Access and save meter settings.
•Access previous results and averages.
Forward Button
Back Button
Use these buttons to:
•Review and select meter settings.
•Review results and averages.
Backlight Button
Use this button to:
•Turn backlight ON and OFF.
Battery Compartment
This is where the battery is installed.
•If your meter does not turn on, check that
your battery is installed properly.
•For new battery installation, see Chapter 10.
Important
Information
Getting to Know Your Meter’s Features
Display Window
This shows:
•Blood glucose and blood
β-Ketone results.
•Glucose and β-Ketone
LOT numbers.
•Previous test results and
error messages.
•Blood glucose averages.
IMPORTANT:
Each time you turn your meter on,
a full display shows. This is called a
Display Check. Look at the Display
Check each time it appears on your
meter’s display window, especially
before you monitor your blood glucose
or blood β-Ketone. The Display Check
shows on the display window briefly.
Do not use the meter if the meter
Display Check does not exactly match
the picture here (for example, if you
see a "3" instead of an "8"). The meter
may show an incorrect result when
you use it. Please call Customer
Support for assistance.
Back
Button
Backlight
Button
Display
Window
Strip
Port
Mode
Button
Forward
Button
▼
Display Check
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CHAPTER 2
Set Date Format
In "Set Date Format", you choose how the month and
day show on the meter’s display window.
Measurement Units
Blood glucose measurement units are factory-set in mg/dL
or mmol/L.
Blood β-Ketone measurement units are in mmol/L only.
Setting Up Your Optium
Xceed Meter
Buttons to Use
Mode Button.
Forward Button.
Back Button.
Setup Options
Set Beeper
If the beeper is set ON, it will beep when:
•The calibrator is fully inserted.
•The test countdown starts.
•The test countdown finishes.
Set Time, Set Date
IMPORTANT: Set the correct time and date before you
use the meter for the first time.
This will help you keep records of when you monitor
and will help you and your healthcare professional make
informed decisions about your care.
You must set the time and date to review averages.
You may need to re-set the time and date:
•After you replace the battery.
•When you travel between time zones or when the time
zone you are in changes.
In "Set Date", you set the year, month, and day.
Set Time Format
In "Set Time Format", you choose how the time shows on
the meter’s display window.
▼ ▼
Questions? Call
Customer Support:
See page 57.
How to Set the Beeper, Date, Time, &
View Measurement Units
To begin, pull the battery tab out. Your
meter should be turned OFF. You will
automatically be prompted to set the
time and date the first time you press the
button to turn your meter on (see Set Time
and Set Date sections in this chapter).
Before you start, please note: "Press and
Hold" means that you press the button in
for at least 2 seconds. "Press and Release"
means that you press the button and let it
go quickly.
Press and Hold the button to turn the
meter off and save your settings at any
time. The meter automatically turns off after
30 seconds of no action.
If you like the setting that you see on your
meter and do not want to change it, Press
and Release the button to move to the
next setup option.
Set Beeper
The means the beeper is ON.
The means the beeper is OFF.
▼
Beeper OFF
Setting Up
Your Meter
8
Beeper ON
Setting Up
Your Meter
7
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9
Setting Up
Your Meter
1To turn your meter ON, Press and
Hold the button.
The beeper ON message shows on
the display window. The musical
notes flash on and off, and the
meter beeps.
2To change the beeper setting, Press
and Release the button or the
button once.
3Press and Release the button to
save the beeper setting and to move
to Set Time (Hour).
10
Setting Up
Your Meter
Set Time
Hour:
The Hour flashes on and off.
1Press and Release the button to
move the hour forward.
2If you go past the correct hour, Press
and Release the button to move
the hour back.
3Press and Release the button to
save the hour and to move to
Set Minutes.
Minutes:
The Minutes flash on and off.
1Press and Release the button to
move the minutes forward.
2If you go past the correct minute, Press
and Release the button to move the
minutes back.
3Press and Release the button to save
the minutes and to move to Set Date.
Set Date
Year:
The Year flashes on and off.
1Press and Release the button to
move the year forward.
2If you go past the correct year, Press
and Release the button to move the
year back.
3Press and Release the button to save
the year and to move to Set Month.
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Setting Up
Your Meter
11
Choice #1
Choice #2
Month:
The Month flashes on and off.
1Press and Release the button to
move the month forward.
2If you go past the correct month,
Press and Release the button to
move the month back.
3Press and Release the button to save
the month and to move to Set Day.
Day:
The Day flashes on and off.
1Press and Release the button to
move the day forward.
2If you go past the correct day, Press
and Release the button to move
the day back.
3Press and Release the button to
save the day and to move to Set
Time Format.
Set Time Format
You have two choices:
Choice #1: For the 12-hour format, AM
or PM shows.
Choice #2:For the 24-hour format, AM
or PM does not show.
1To change the Time Format, Press
and Release the button or the
button once.
2Press and Release the button to
save the Time Format and to move
to Set Date Format.
Set Date Format
You have two choices:
Choice #1: For the month-day format,
"-" shows with the date.
Example: "25 May" shows as "5-25".
Choice #2: For the day.month format,
"•" shows with the date.
Example: "25 May" shows as "25.5".
1To change the Date Format, Press
and Release the button or the
button once.
2Press and Release the button to
save the Date Format and to move
to Measurement Units.
Choice #1
Choice #2
Setting Up
Your Meter
12
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Setting Up
Your Meter
13
Blood Glucose
Measurement Units
Consult your healthcare professional
if you have any questions about the
blood glucose measurement units.
This screen shows the blood glucose
measurement units (mg/dL or mmol/L).
Press and Release the button to
return to Set Beeper.
Press and Hold the button to turn
your meter off.
You have successfully set up your meter.
Calibrating
Your Meter
CHAPTER 3
Why Calibrate Your Meter?
Your Optium Xceed meter must be calibrated so that it can
recognize the test strip you are using. Calibration ensures
that your results are accurate.
When to Calibrate Your Meter
•When you use the meter for the first time.
•EACH time you open and use a new box of blood glucose
or blood β-Ketone test strips.
What You Will Need
•Optium Xceed meter.
•For glucose calibration:
- Blood glucose test strip.
- Blood glucose test strip instructions for use.
- Blood glucose test strip calibrator.
•For β-Ketone calibration:
- Blood β-Ketone test strip.
- Blood β-Ketone test strip instructions for use.
- Blood β-Ketone test strip calibrator.
How to Calibrate Your Meter
When you insert a test strip for the
first time, the display window shows:
This means the meter is not calibrated
for blood glucose monitoring.
This means the meter is not calibrated
for blood β-Ketone monitoring.
▼
▼
Questions? Call
Customer Support:
See page 57.
▼
▼
Calibrating Your Optium
Xceed Meter
14
➡
➡
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Calibrating
Your Meter
Calibrating
Your Meter
IMPORTANT: Use only the calibrator that is packaged in
the box of test strips you are using.
Do not use test strips that have expired. Check the
expiration date on the test strip foil packet and test strip
box. If only the year and month are shown, the expiration
date is the last day of the month.
15
5Check that the LOT number on all these items matches:
✓ Display window ✓ Test strip calibrator
✓ Test strip instructions for use ✓ Test strip foil packet
When the LOT number on all these
items matches:
What It Means:
Calibration is complete.
What to Do:
You may now monitor your blood glucose or
blood β-Ketone.
When the LOT number on all these items
DOES NOT match:
What It Means:
Your meter may not be calibrated for the box of test strips
you are using.
What to Do:
• Check that you are using the calibrator that came in the
box of test strips you are using.
• Try to calibrate again.
IMPORTANT: If the LOT number still does not match,
contact Customer Support. Do not attempt to monitor
your blood glucose or blood β-Ketone. Your meter may
show an incorrect result.
6Remove the calibrator from the meter and store it in your
meter’s carrying case.
IMPORTANT: Do not throw the calibrator away until you
have used all of the test strips in the box.
If you have any trouble calibrating your system, please
contact Customer Support.
1Remove the glucose or β-Ketone calibrator package
from the new box of test strips.
2Open the calibrator package. Find the
three raised bumps on the calibrator
package. Peel the clear cover away from
the three raised bumps.
3Hold the calibrator (white for glucose
and purple for blood β-Ketone) with the
LOT number facing you.
4Insert the calibrator into the strip
port. Push it in until it stops.
The Display Check shows on the
display window, followed by the
time, month, and day.
Next, the LOT number shows on the
display window.
a. Example of glucose LOT number:
LOT 13758
b. Example of β-Ketone LOT number:
CODE 12345
Then you hear the beeper, if the
beeper is ON.
Glucose
β-Ketone
16
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Calibrating
Your Meter
17
How to Recall the LOT Number
1To recall the glucose LOT number, Press and Hold the button. While holding the button, Press and Hold
the button.
The Display Check shows on the
display window, then the glucose
LOT number shows with the
time, month, and day of the most
recent glucose calibration.
2After the glucose LOT number is displayed, you can
recall the β-Ketone LOT number. Press and Release the
button or the button.
The β-Ketone LOT number shows
"CODE", the time, month, and day
of the most recent blood
β-Ketone calibration.
▼
Note: If the LOT number that shows on your meter’s
display window is not correct:
What It Means:
Your meter may not be calibrated for the box of test strips
you are using.
What To Do:
•Re-calibrate your meter.
• Check that you are using the calibrator that came in
the box of test strips you are using.
Remember, improper calibration will cause
incorrect results.
3Press and Hold the button to
turn your meter off.
CHAPTER 4
Monitoring Your Blood Glucose
What You Will Need
•Blood glucose test strip with its instructions for use.
•Optium Xceed meter calibrated to match the LOT number
of the blood glucose test strip you are using.
•Lancing device and a new, sterile lancet.
Important Information about Monitoring Your
Blood Glucose
•Do not use out-of-date test strips. Check the expiration
date printed on the test strip box and on each test strip foil
packet. If only the month and year
are printed on the test strip, then
the expiration date is the last day
of that month.
•For more detailed information
about your test strip, please read
its instructions for use before
monitoring.
•Use the test strip immediately when you take it out of its
foil packet.
•Do not use a wet, bent, scratched, or damaged test strip.
•Do not use the test strip if its foil packet has a puncture or
tear in it.
•Before you monitor, allow your meter and test strip to
reach the recommended operating range of the test
strip. The test strip operating range is in the “What else do
I need to know?”section of your blood glucose test strip
instructions for use.
•Read the lancing device instructions for use.
Questions? Call
Customer Service.
See page 57.
▼▼
L O T 13758
EXP 2008/03
C5
Example:
Expiration date
March 31, 2008
Monitoring
Blood Glucose
18
L O T 13758
EXP 2008/03
C5
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Monitoring
Blood Glucose
19
Monitoring
Blood Glucose
20
How to Monitor Your Blood Glucose
Getting Started
1Prepare your lancing device.
2Wash your hands using warm soapy
water and dry them completely.
3Remove the test strip from its foil packet.
Note: For pictures that show how to open the blood
glucose test strip foil packet, please see the information
card in the box of blood glucose test strips.
4Insert the three black lines at the end
of the test strip into the strip port.
5Push the test strip in until it stops.
The meter turns on automatically.
These items show on the display
window, one after the other:
•Display Check – Remember to make
sure that all items in the picture
here show on the display window.
(See Chapter 1 for more information
about the Display Check.)
▼
•Time, month, and day (if set)
If date and time are not set, dashes
will show instead of numbers.
•LOT number for the box of blood
glucose test strips you are using.
• Apply Sample message, which tells
you that the meter is ready for you to
apply blood to the blood glucose
test strip.
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21
Monitoring
Blood Glucose
Monitoring
Blood Glucose
22
Obtaining A Blood Drop
Use your lancing device to obtain a blood drop.
Recommendations for Obtaining a Blood Drop
•To obtain a sample from an alternative site (forearm,
upper arm, or base of the thumb), use an
appropriate alternative site lancing device.
•Before you obtain a blood sample from the fingertip,
forearm, upper arm, or base of the
thumb, make sure the sample site is
clean, dry, and warm. To warm the
sample site, wash it in warm water, rub
the skin vigorously for a few seconds, or
apply a warm pad to it.
•Hang your arm down before pricking
your finger or the base of the thumb to
help blood flow.
• To obtain a blood sample from the arm, use a fleshy area
away from bone. Avoid areas where there
is a lot of hair.
•Avoid squeezing the puncture site.
•Apply the blood sample to the test strip
immediately.
Lancets and Lancing Device
•Lancets are for one-time use only. Use a new lancet
each time you monitor.
•Discard your used lancet properly. Put it in an
empty puncture-resistant container, such as a
plastic milk carton or detergent bottle.
•Never share your lancing device or lancet with
another person.
Applying the Blood Drop to the Test Strip
1Touch the blood drop to the white area
at the end of the test strip. The blood is
drawn into the test strip.
Note: If the meter shuts off before you apply
blood to the test strip, remove the test strip from
the meter and try again.
2
Continue to touch the blood drop to the end of
the test strip until the meter begins the test. The
meter begins the test when:
• You hear the beeper, if the beeper is ON.
•The display window shows the status bar.
•Then the display window shows the
countdown.
Note: Do not remove the test strip
from the meter or disturb it during the
countdown.
Countdown
Status bar
Fingertip sampling
Upper arm sampling
Forearm sampling
Base of thumb
sampling
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23 24
Monitoring
Blood Glucose
Monitoring
Blood Glucose
Correct
✔
IMPORTANT:
If the countdown does not start:
What It Means:
You might not have applied
enough blood to the test strip.
What to Do:
•Apply a second drop of blood to
the test strip. Refer to your test strip
instructions for use for the number
of seconds you have to apply a
second drop.
•If the countdown still does not start,
or if the number of seconds you
have to apply a second drop have
passed, discard the test strip, turn
off your meter, and try again with
a new test strip.
3
At the end of the countdown:
•If the beeper is ON, listen for
the beeper.
•The blood glucose result shows
on the display window.
•The result is stored in your meter’s
memory. You may also write the
result in your logbook.
Shutting Off Your Meter
1Removing the test strip from the strip port turns off the
meter. You can use the opened foil packet to remove
and discard your used test strip.
2Discard the test strip properly.
Note: You may also turn the meter off by Pressing
and Holding the button. If you do not turn your
meter off or pull the test strip out, the meter shuts off
automatically after 60 seconds.
▼
Understanding Your Result
"LO" Result
What It Means:
Your meter has determined that your blood
glucose result is lower than 20 mg/dL (1.1 mmol/L)
or there may be a problem with the test strip.
What to Do:
Monitor your blood glucose again with a
new test strip. If LO shows on the display
window again, contact your healthcare
professional immediately.
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25
Monitoring
Blood Glucose
26
Result 300 mg/dL or Higher
When your blood glucose result is 300 mg/dL
(16.7 mmol/L) or higher, KETONES? flashes on
and off on the display window.
What to Do:
If you check your ketones as part of your
diabetes management program, it is
recommended that you check your
blood β-Ketone.
"HI" Result
What It Means:
Your meter has determined that your
blood glucose result is higher than
500 mg/dL (27.8 mmol/L) or there
may be a problem with the test strip.
What to Do:
Monitor your blood glucose again with a
new test strip. If HI shows on the display
window again, contact your healthcare
professional immediately.
If you check your ketones as part of your diabetes
management program, it is recommended that you
check your blood β-Ketone.
"E4" Result
What It Means:
Your meter has determined that your
blood glucose may be too high to be read
by the system, or there may be a problem
with the test strip.
What to Do:
Monitor your blood glucose again with a new
test strip. If E4 shows on the display window again,
contact your healthcare professional immediately.
IMPORTANT:
It is recommended that you repeat the blood glucose test
with a new test strip when:
• LO shows on the display window.
• You obtain a low blood glucose result, but you do not have
symptoms of low blood glucose.
• Your meter displays a blood glucose result that is unusually
low, lower than 50 mg/dL (2.8 mmol/L).
• HI shows on the display window.
• You obtain a high blood glucose result, but you do not have
symptoms of high blood glucose.
• Your meter displays a result that is unusually high, higher
than 300 mg/dL (16.7 mmol/L).
• You question your result.
• Your monitor displays an error message (for example, E-4).
IMPORTANT:
A result that is incorrect may have a serious medical outcome.
Consult your healthcare professional before changing your
diabetes medication program.
Monitoring
Blood Glucose
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CHAPTER 5
Monitoring
Blood β-Ketone
28
Monitoring Blood
β-Ketone
27
Monitoring Your
Blood β-Ketone
It is important to
check your ketones when:
•You have an illness.
•Your blood glucose is
higher than 300 mg/dL (16.7 mmol/L).
•You are experiencing unusual blood glucose results.
•You and your healthcare professional determine that it
is necessary.
What You Will Need
•Blood β-Ketone test strip with its instructions for use.
•Optium Xceed meter calibrated to match the LOT
number of the blood β-Ketone test strip you are using.
•Lancing device and a new, sterile lancet.
Important Information about Monitoring Your
Blood β-Ketone
•For more detailed information about your blood β-Ketone
test strip, please refer to its instructions for use
before monitoring.
•Do not use out-of-date test strips. Check the expiration
date printed on the test strip box and on each test strip
foil packet.
•Do not put urine on the
blood β-Ketone test strip.
•Use the test strip immediately
when you take it out of its foil
packet.
Questions? Call
Customer Support:
See page 57.
▼▼
•Do not use a wet, bent, scratched, or damaged
test strip.
• Do not use the test strip if its foil packet has a puncture or
tear in it.
•Use each test strip only once.
•Before you monitor your blood β-ketone, allow your meter
and test strip to reach the recommended operating range of
the test strip. The test strip operating range is in the“What else
do I need to know?”section of your blood β-Ketone test strip
instructions for use.
•Read the lancing device instructions for use.
Example:
Expiration date
March 31, 2008
L O T 13758
EXP 2008/03
C5
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Monitoring
Blood β-Ketone
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Monitoring Blood
β-Ketone
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How to Monitor Your Blood β-Ketone
Getting Started
1Prepare your lancing device.
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•Time, month, and day (if set)
If date and time are not set, dashes
will show instead of numbers.
•LOT number (CODE) for the box of blood
β-Ketone test strips you are using.
•KETONE and Apply Sample
message, which tell you that the
meter is ready for you to apply blood
to the blood β-Ketone test strip.
Obtaining A Blood Drop
Use your lancing device to obtain a blood drop.
IMPORTANT: Blood β-Ketone test strips
have not been evaluated for alternative site
monitoring. Use only fingertip blood
samples for blood β-Ketone monitoring.
Fingertip sampling
2Wash your hands using warm
soapy water and dry them
completely.
3Remove the test strip from its foil packet.
Note: For pictures that show how to open the blood
β-Ketone test strip foil packet, please see the information
card in the box of blood β-Ketone test strips.
4Insert the three black lines at the end of the test strip
into the strip port.
5Push the test strip in until it stops.
The meter turns on automatically.
These items show on the display
window, one after the other:
•Display Check – Remember to make
sure that all items in the picture
here show on the display window.
(See Chapter 1 for more information
about the Display Check.)
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Monitoring Blood
β-Ketone
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Recommendations for Obtaining A Blood Drop
•Before you obtain a blood sample from the fingertip,
make sure the sample site is clean, dry, and warm. To
warm the sample site, wash it in warm water or rub the
skin vigorously for a few seconds.
•Hang your arm down before pricking your fingertip to
help blood flow.
•Avoid squeezing the fingertip.
•Apply the blood sample to the test strip immediately.
Lancets and Lancing Device
• Lancets are for one-time use only. Use a new lancet each
time you monitor.
• Discard your used lancet properly. Put it in an empty
puncture-resistant container, such as a plastic milk
carton or detergent bottle.
•Never share your lancing device or lancet with
another person.
Applying the Blood Drop to the Test Strip
1Touch the blood drop to the white area at the end
of the test strip. The blood is drawn
into the test strip.
Monitoring
Blood β-Ketone
2Continue to touch the blood drop to the white
area at the end of the test strip until the meter
begins the test. The meter begins the test when:
You hear the beeper, if the beeper is ON.
• The display window shows the status bar.
• Then the display window shows the
countdown.
Note: Do not remove the test strip from the
meter or disturb it during the countdown.
IMPORTANT: If the countdown
does not start:
What It Means:
You might not have applied
enough blood to the test strip.
What to Do:
• Apply a second drop of blood to the test strip. Refer
to your test strip instructions for use for the number of
seconds you have to apply a second drop.
• If the countdown still does not start, or if the number of
seconds you have to apply a second drop have passed,
discard the test strip, turn off your meter, and try again
with a new test strip.
3At the end of the countdown:
•If the beeper is ON, listen for the beeper.
•The blood β-Ketone result shows on the
display window with the word KETONE.
•The result is stored in your meter’s
memory as a blood β-Ketone result. You
may also write the result in your logbook.
Countdown
Status bar
Note: If the meter shuts off before you apply blood to
the test strip, remove the test strip from the meter and
try again.
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Monitoring
Blood β-Ketone
Monitoring Blood
β-Ketone
Shutting Off Your Meter
1Removing the test strip from the strip port turns off
the meter. You can use the opened
foil packet to remove and discard
your used test strip.
2Discard the test strip properly.
Note: You may also turn the
meter off by Pressing and
Holding the button. If you do
not turn your meter off or pull the
test strip out, the meter shuts off
automatically after 60 seconds.
Understanding Your Result
Blood β-Ketone is expected to be lower than 0.6 mmol/L.2
Blood β-Ketone may be higher when a person is ill, is fasting,
exercises vigorously, or if blood glucose levels are not
controlled.1-3
When:
•Blood β-Ketone result is between 0.6 and 1.5 mmol/L and
blood glucose result is 300 mg/dL (16.7 mmol/L) or higher:
What It Means:
A problem requiring medical assistance may be occurring.
What to Do:
Contact your healthcare professional. Follow his or her
instructions for sick day management.
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When:
•Blood β-Ketone result remains high or becomes higher
than 1.5 mmol/L:
What It Means:
You may be at risk of developing diabetic ketoacidosis
(DKA).2-6
What to Do:
Contact your healthcare professional immediately.
"HI" Result
What It Means:
Your meter has determined that your blood β-Ketone
result is higher than 8.0 mmol/L, or there may be a
problem with the test strip.
What to Do:
Monitor your blood β-Ketone again with
a new test strip. If HI shows on the display
window again, contact your healthcare
professional immediately.
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Monitoring Blood
β-Ketone
"E-4" Result
What It Means:
There may be a problem with the test strip.
What to Do:
Monitor your blood β-Ketone again with a
new test strip. If E-4 shows on the display
window again, contact your healthcare
professional immediately.
IMPORTANT: It is recommended that you repeat the
blood β-Ketone test with a new test strip when:
•HI appears in the display window.
•Your result is unusually high.
•You question your result.
•You obtain a 0.0 mmol/L blood β-Ketone result BUT your
blood glucose is higher than 300 mg/dL (16.7 mmol/L).
IMPORTANT: A result that is incorrect may have a serious
medical outcome. Consult your healthcare professional
before changing your diabetes medication program.
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CHAPTER 6
Doing A Control Solution Test
Why Do A Control Solution Test?
The control solution test tells you that your meter and test
strips are working correctly. A control solution test is similar
to when you monitor your blood
glucose or blood β-Ketone, except
you use a MediSense Control Solution.
You do not use a drop of blood in
a control solution test.
When Is Doing A Control Solution
Test Recommended?
•When you question your results.
•To make sure that your meter and
test strips are working properly.
Important Information about Control Solution Testing
•For more detailed information on how to obtain control solutions,
please contact Customer Support, see page 57.
•For more detailed information about control solutions, read the
control solution instructions for use.
•MediSense Control Solutions may be used for glucose or
ketone control solution testing.
•Do not use the control solution if the expiration date has
passed. Check the expiration date printed on the control
solution bottle.
•When you open a control solution bottle for the first time,
count forward 90 days and write this date on the control
solution bottle using a pen that won’t smear or wipe off.
Throw away any remaining solution after this date.
Control
Solution Testing
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Questions? Call
Customer Support:
See page 57.
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