Rahul Surgicals KNOW SUGAR User manual

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Thank you for selecting KNOW SUGAR Blood Glucose Monitoring System. The system was produced
in close association with diabetes healthcare professionals, most importantly, people with diabetes.
This manual contains important information you must know about the system. Please read it thoroughly
and carefully. For short simple instructions, a quick reference card is provided for your convenient
use. If you have any questions or enquiries, please contact your local distributor or us for help.
The KNOW SUGAR is designed to help you and your healthcare professionals monitor your blood
glucose levels. All questions about interpreting the results should be directed to your healthcare
professionals.
The KNOW SUGAR is the latest technology for blood glucose monitoring, easy to use and will give
you fast and accurate results with a minimal sample of blood.
The KNOW SUGAR Meter :
Allows you to perform test with capillary whole blood or venous whole blood.
Allows you to perform Alternative Site Testing (capillary whole blood from palm and forearm).
Has memory and data management capabilities. It gives you and your healthcare professional
powerful graphic tools to manage your diabetes.
INTRODUCTION
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IMPORTANT SAFETY INSTRUCTIONS
READ THIS BEFORE USING.
The following basic safety precautions should always be taken.
1. Close supervision is necessary when the device is used by, on, or near children, handicapped
persons or invalids.
2. Use the device only for the intended use described in this manual.
3. Do not use test strips and control solutions which are not supplied by the manufacturer.
4. Do not use the device if it is not working properly, or if it has suffered any damage.
5. Before using any product to test your blood glucose, read all instructions thoroughly and
practice the test. Do all quality control checks as directed and consult with a diabetes healthcare
professional.
KEEP THESE INSTRUCTIONS WITH YOU.
Warning: Keep the test strips vial away from children; the vial cap and the test strips
can be a potential choking hazard. Never chew or swallow a test strip. If this occurs,
please seek medical assistance immediately.

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INTRODUCTION ..................................................... 1
TABLE OF CONTENTS .......................................... 3
ABOUT ALTERNATIVE SITE TESTING(AST) ........ 7
ABOUT OKMETER OPTIMA SYSTEM ................... 9
CONTENTS OF THE SYSTEM ..............................11
KEY FUNCTIONS OF THE METER .......................12
METER DISPLAY ...................................................14
KEY FUNCTIONS OF THE TEST STRIP .............. 15
SETTING YOUR METER ...................................... 17
CONTROL SOLUTION TEST ................................ 21
PREPARE FOR BLOOD SAMPLING .................... 26
PERFORMING BLOOD TEST ............................... 28
UNDERSTANDING YOUR TEST RESULT ........... 31
TABLE OF CONTENTS
COMPARING WITH LABORATORY RESULTS......32
MEMORY RECALL ................................................ 34
REVIEWING RESULTS ON A PERSONAL
COMPUTER........................................................... 36
REPLACING THE BATTERY ................................ 37
CARING FOR YOUR METER AND TEST STRIP... 39
PERFORMANCE CHARACTERISTIC .................. 41
DISPLAY MESSAGES AND
PROBLEM-SOLVING GUIDE ................................ 43
SYMBOLS DESCRIPTION..................................... 46
CONTACT INFORMATION .................................... 47
LIMITED WARRANTY ........................................... 48
WARRANTY REGISTRATION CARD ................... 51

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IMPORTANT HEALTH-RELATED INFORMATION
1. Apply only fresh, capillary or venous whole blood sample to test your blood glucose. Applying
other substances or plasma, serum will cause wrong results.
2. Severe dehydration and excessive water loss may cause false low results. If you believe you are
suffering from severe dehydration, consult your healthcare professional immediately.
3. If you are experiencing symptoms that are not consistent with your blood glucose test results and
you have followed all instructions described in this user s manual, consult your healthcare
professional.
4. Test results below 60 mg/dL (3.3mmol/L)*1 indicates low blood glucose (hypoglycemia). Test
results greater than 240 mg/dL (13.3mmol/L)*2 indicates high blood glucose (hyperglycemia).If
your results are below 60 mg/dL(3.3mmol/L) or above 240 mg/dL(13.3mmol/L), repeat the test,
and if the results are still below 60 mg/dL(3.3mmol/L) or above 240 mg/dL(13.3mmol/L), consult
your healthcare professional immediately.
5. Inaccurate results may occur in severely hypotensive individuals or patients in shock. Inaccurate
low results may occur for individuals experiencing a hyperglycemic-hyperosmolar state, with or
without ketosis. Critically ill patients should not be tested with blood glucose meters.
6. Below 35% or above 55% hematocrit levels can cause false results. Please consult your adviser
if you do not know your level.
7. Interference: Reducing substances occurring in the blood naturally (uric acid, bilirubin) or from
therapeutic treatments (ascorbic acid, acetaminophen) will not significantly affect OKmeter Optima
test results. However, the limiting concentrations of several compounds are listed below:
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Compounds Uric Acid Gentisic Acid Acetaminophen Hydroxyurea Ascorbic Acid
8. Please refer to your test strip package insert for additional important information.
Lowest
concentrations
tested at which no
interference
occurred
0.48 mmol/L
(8 mg/dL)
0.28 mmol/L
(5.0 mg/dL)
0.53 mmol/L
(8.0 mg/dL)
0.39 mmol/L
(3 mg/dL)
0.28 mmol/L
(5.0 mg/dL)
0.11 mmol/L
(2 mg/dL)
0.51 mmol/L
(10 mg/dL)
0.13 mmol/L
(3.0 mg/dL)
14.8 mmol/L
(400 mg/dL)
22.6 mmol/L
(2000 mg/dL)
3.33 mmol/L
(60 mg/dL)
1.54 mmol/L
(90 mg/dL)
12.9 mmol/L
(500 mg/dL)
0.44 mmol/L
(5 mg/dL)
50 mmol/L
(900 mg/dL)
26.3 mmol/L
(900 mg/dL)
Lowest
concentrations
tested at which no
interference
occurred
Lowest
concentrations
tested at which no
interference
occurred
Compounds Dopamine Levodopa Methyldopa Tolbutamide Triglycerides
Compounds Dopamine Levodopa Cholesterol Creatinine Galactose Maltose

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REFERENCE:
*1: Kahn, R. and Weir, G.: Joslinis Diabetes Mellitus, 13thed Philadelphia : Lea and
Febiger (1994), 489.
* 2: Krall, L.P. and Beaser, R. S.: Joslin Diabetes Manual. Philadelphia : Lea and Febiger
(1989), 261-263.

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ABOUT ALTERNATIVE SITE TESTING(AST)
There are important limitations for doing AST. Please consult your healthcare professional before
you perform AST.
What is AST?
Alternative Site Testing (AST) means you can use parts of the body
other than your fingertips to check your blood glucose levels. The
OKmeter Optima allows you to test your palm and forearm with
equivalent results to fingertip testing.
What is the advantage?
Fingertips feel pain more readily because they are full of nerve
endings (receptors). At other body sites, nerve endings are not so
numerous and you will not feel as much pain as you will experience
at the fingertip.
What to use AST?
Food, medication, illness, stress and exercise can affect blood
glucose levels. Capillary blood at fingertip reflects these changes
faster than capillary blood at other sites. Therefore, if you are testing
blood glucose level during or immediately after meal, physical

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exercise or stressful event, take the blood sample from your fingertip only.
Use AST only:
 In a pre-meal or fasting state (more than 2 hours since the last meal).
 Two hours or more after taking insulin.
 Two hours or more after exercise.
 During steady state blood glucose conditions.
Do NOT use AST if:
 You have reason to believe you have hypoglycemia or hyperglycemia.
 Your routine glucose results are often fluctuating.
 You are pregnant.
How to increase the accuracy?
Stimulating blood perfusion by rubbing the puncture site prior to blood extraction has a significant
influence on the glucose value obtained.
Blood from the site without rubbing exhibits a measurably different glucose concentration than
blood from the fingertip. When the puncture site was rubbed prior to blood extraction, the difference
was significantly reduced.
Important: To increase the accuracy when using AST, rub the puncture site more than 20
seconds before extracting blood.

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ABOUT OKMETER OPTIMA SYSTEM
Intended Use
The system is intended for use outside the body (in vitro diagnostic use only). It should be used
only for self-testing blood glucose (blood sugar) by people with diabetes and by healthcare professionals
to monitor glucose concentrations in whole blood. The system should not be used for the diagnosis of
diabetes or for the testing of newborns.
Test Principle
Blood glucose is measured by an electrical current that is produced when a blood samples mixes with
the reagent (special chemicals) of the test strip. The electrical current changes with the amount of
glucose in the blood sample. The KNOW SUGAR Meter measures the strength of the electrical
current, calculates your blood glucose level and then displays your result in either mg/dL or mmol/L.
About the System
The KNOW SUGAR Meter system uses the latest technology to provide you with easy and comfortable
testing. The system requires only a 0.7¼L of blood sample to complete the testing in only 6 seconds.
The KNOW SUGAR system consists of
1. KNOW SUGAR blood glucose meter
2. KNOW SUGAR blood glucose test strips
3. KNOW SUGAR solution
These products have been designed, tested and proven to work together as a system to produce
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accurate blood glucose test results.
Caution
1. The user should not take any decision of medical relevance without first consulting his or her
medical practitioner.
2. Call your doctor immediately if you experience symptoms that are not consistent with your
blood glucose test results.
3. A sample with large amount of reducing substances such as ascorbic acid and uric acid may
cause result slightly higher than the actual glucose level.
4. High altitudes above than 3,402 meter (11,158 feet) may affect the test results.
5. Temperatures outside the range of 10°C to 40°C (50°F to 104°F) may affect the test results. Do
not test beyond of temperature range.
Important : Use only KNOW SUGAR test strips and control solutions with your KNOW SUGAR
meter. Use other test strips and control solutions with this meter can produce inaccurate results.

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CONTENTS OF THE SYSTEM
The KNOW SUGAR complete kit includes:
KNOW SUGAR blood glucose meter X 1
KNOW SUGAR blood glucose test strips X 10*
KNOW SUGAR control solution (normal) X 1 *
Lancing device X 1
Lancets X 10*
Carrying bag X 1
User s manual X 1
Quick reference guide X 1
Strip instruction X 1*
Control solution instruction X 1*
Battery (CR2032) -preinstall in the meter X 1
NOTE : The KNOW SUGAR meter is available as a meter only or as a complete kit. Contents
might vary by different package. For meter only, products with * mark are excluded. Please review
the contents of your purchase. If any items are missing, please return your meter to the place of
purchase.

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Study this diagram and become familiar with all the parts of your OKmeter Optima.
1. LCD DISPLAY: The large, easy to read display shows test results, messages, test results
stored in memory.
2. M BUTTON: Main button, press button to turn the meter on or perform other functions
KEY FUNCTIONS OF THE METER
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1
6
2
7
5
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described in this manual.
3. STRIP SLOT: Insert the test strip here. The meter will turn on automatically.
4. SET BUTTON: Located in the battery compartment; press button to enter meter setting. Refer
to “SETTING YOUR METER” section of this user s manual for details.
5. BATTERY COMPARTMENT: Holds ONE 3v Lithium battery (battery type CR2032). The battery
is pre-installed into meter when new purchasing.
6. DATA PORT: RS232 port, allows you to transfer the information stored in the meter to a
computer to view, analyze and print. Refer to “REVIEWING RESULTS ON A PERSONAL
COMPUTER” Section of this user s manual for details.
7. METER LABEL: Each meter has its unique number on it. It can be used when you want to
obtain warranty service. Please do not alter or tear the label off.

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1. DATE: Display Year, month and date.
2. TIME: The meter is programmed for a 12 hour period format.
3. AVERAGE: Appears when the meter is in the memory
mode while recalling 7/14/28 day test averages.
4. MEMORY SYMBOL: Appears when in the memory mode.
5. THERMOMETER SYMBOL: Appears when ambient
temperature is above or below the acceptable range
needed for testing.
6. CONTROL SOLUTION TEST SYMBOL: Appears when
you are in Control Solution Mode. Your test result will not
be stored in meter memory.
7. UNIT OF MEASURE: Appears with the test result either in
mg/dL or mmol/L.
8. BATTERY SYMBOL: Appears when battery is weak.
9. BLOOD DROP SYMBOL: Flashes when sample should be applied.
10. STRIP SYMBOL: Appears when the meter is turned on and waiting for inserting a test strip.
METER DISPLAY
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4
5
6
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89
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Important Test Strip Information
1. Test strips are for single use only.
2. Store the vial in a cool, dry place below to 40°C/104°F and above 4°C/39°F. Do not refrigerate.
3. Store your test strip in their original vial only. Do not transfer them to a new vial or any other
container.
4. With clean, dry hands, you may touch the test strip anywhere on its surface when removing it
from the vial or inserting it into the meter.
5. Immediate use a test strip after removing it from the vial, replace the vial cap and close it tightly.
6. Only apply a blood sample or a control solution sample to the test strip s absorbent channel.
Applying other substances to the test strip s absorbent channel will cause inaccurate results.
1. ABSORBENT CHANNEL: apply a drop of blood here, the
blood will be drawn in automatically.
2. CONFIRMATION WINDOW: this is where you confirm if
enough blood has been drawn into the test strip s
absorbent channel.
3. TEST STRIP HANDLE: hold this part to insert the test
strip into the meter slot.
4. CONTACT BARS: Insert this end of the test strip into the
meter until it will go no further.
KEY FUNCTIONS OF THE TEST STRIP
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7. Do not use test strips beyond the expiration date indicated on the strip vial label.
8. Do not place in direct heat or sunlight.
9. Do not carry loose glucose strips in your carrying case.
10. Do not use damaged test strips or test strips changed in any way.
Warning : Keep the test strips vial away from children; the vial cap and the test strips can be a
potential choking hazard. Never chew or swallow a test strip. If this occurs, please seek medical
assistance immediately.

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Your KNOW SUGAR meter comes with the date, time, and unit of measurement preset. However, if
you change the time or replace the battery, you should check and update the time and date.
STEP 1. Enter Setting Mode Start with the meter off. Open the battery cover.
Press SET BUTTON located at the right side of battery
compartment. The meter will turn on and enter the setting mode.
STEP 2. Set the Year The year appears with the number flashing.
Press and release the M BUTTON to obtain the desired year.
Press SET BUTTON to confirm and move to next MONTH setting.
STEP 3. Set the Month The month appears with the number flashing.
Press and release the M BUTTON to obtain the desired month.
Press SET BUTTON to confirm and move to next DATE setting.
SETTING YOUR METER

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STEP 4. Set the Date The date appears with the number flashing. Press
and release the M BUTTON to obtain the desired date. Press
SET BUTTON to confirm and move to next HOUR setting.
STEP 5. Set the Hour The hour appears with the number flashing. Press
and release the M BUTTON to obtain the desired hour. Press
SET BUTTON to confirm and move to next minutes setting.
STEP 6. Set the Minutes The minute appears with the number flashing.
Press and release the M BUTTON to obtain the desired minute.
Press SET BUTTON to confirm and the meter will enter to next
unit setting.
STEP 7. Set the Unit of Measurement The existing unit (for example,
mg/dL) will appear and flashing. Press and hold the M BUTTON
for 3 seconds to change the unit to mmol/L. Press SET
BUTTON to confirm and the meter will enter to next delete all
memory setting.

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STEP 8. Delete Memory When the dEL symbol and the flashing memory
symbol appear on the display, you can choose to clear the memory. If you do
not want to clear the memory, press the SET BUTTON again to skip this step.
If you want to clear ALL memory, press and hold M BUTTON for 4 seconds.
The “—-” image will appear on the LCD screen to indicate that all memory
has been deleted.
STEP 9.Complete Setting After delete memory, the meter will display “OFF”
before shut down. The meter setting is now completed.

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IMPORTANT :
1. The time, date and unit of measurement can ONLY be changed in the setting mode. Therefore,
when you perform a blood glucose testing, it is not possible to change those parameters.
2. Your meter displays 7, 14 and 28-day averages which you can access from the meter memory.
These averages are calculated from your latest result obtained during the last 7, 14 and 28 days.
3. Your meter can display test result in milligram per deciliter (mg/dL) or millimoles per liter (mmol/L).
The mg/dL unit is standard in the United States. The mmol/L unit is standard in Canada and
European countries. Your meter has been preset at the factory with the standard unit measurement
used where you live. When you turn off the meter or replace the battery, the unit will not be
changed.
4. Use of the wrong unit of measure may cause you to misinterpret your blood glucose level, and
may lead to incorrect treatment. Please always consult with your healthcare professionals before
you reset the unit of measure.