Lifescan Ultra 2 User Manual

Blood Glucose Monitoring System

Link the Effects of Food to Glucose Results

Owner’s Booklet

Welcome to the OneTouch® family!

We know diabetes can be difficult to understand and manage. The right products and services can help make life with diabetes just a little bit easier. We hope the OneTouch®Ultra® 2 System works well for you.

We designed this product to make testing easy and to help you manage your diabetes. You can use the meter for fast and simple tests. You can also use it to record information to go with your results.

This owner’s booklet is designed to provide the information that you are looking for, when you need it. We hope you keep it handy.

Of course, you may still have questions. If you do, our Customer Service representatives would be happy to answer your call. You can reach them at 1 800 227-8862, anytime—24 hours a day. You can also obtain information at www.LifeScan.com.

Table of contents

Starting the test process pg. 10

Setting up pg. 2 your system

• Getting to know your OneTouch Glucose Meter and Test Strips

• Turning your meter on and off

• Using the meter display backlight

• Setting up your meter

NOTE: Before testing, read this owner’s booklet carefully.

Ultra® 2 Blood

Insert a test strip

Check the code on the test strip vial before inserting the strip. Make sure the three contact bars are facing you. Push the strip in as far as it will go. Do not bend the strip.

The meter will turn on, show a black start-up screen and then a code number. The first time you use the meter, the CAL CODE screen will display “––” instead of a number.

Match the code displayed on the meter with the code on the test strip vial

If the code on the meter does not match the code on the vial, press or to change the code. If the display changes to the

APPLY BLOOD screen before

you are ready, remove the strip and re-start the test process.

Press when the numbers match.

The meter is ready for testing when the appears.

APPLY BLOOD screen

Getting a blood sample pg. 14

Prepare the OneTouch

UltraSoft®Blood Sampler

Remove the blue cap and put a new lancet in the sampler. Twist off the protective disk. Replace the cap and cock the sampler.

iii

Get a drop of blood

Hold the OneTouch

UltraSoft

Blood Sampler firmly against your finger. Press the release button.

Gently squeeze and/or massage your fingertip until a round drop of blood of at least one microliter ( actual size) forms on your fingertip.

Applying blood pg. 25 and reading results

Touch and hold the drop of blood to the narrow channel in the top edge of the test strip

Blood will be drawn into the strip. Keep holding the drop of blood to the top edge of the strip until the confirmation window is full. The meter will begin to count down from 5 to 1. Then, your blood glucose level appears on the display along with the unit of measure, and the date and time of the test.

If the test results are lower than, higher than, or not what you expect, see pages 28–29.

Attaching flags or comments to your results pg. 32

Add a meal flag to track different types of averages

While viewing your test result, press to get the screen.

MEAL FLAG

Add a comment

While viewing a test result, press to get the screen.

COMMENT

Reviewing past pg. 36 results and averages

• Last result

• All results

• Result averages

• Downloading results

Press or to highlight

BEFORE MEAL or AFTER MEAL.

To confirm your selection, press .

The meal flag you chose will appear above the result.

If you do not wish to add a meal flag, select NO FLAG and press

. This will return you to the

glucose result screen.

Press or to highlight an appropriate comment.

To confirm your selection, press .

The comment you chose appears below the result.

Meal flag

Comment

Control solution pg. 42 testing

Caring for your pg. 47 system

Understanding error pg. 53 and other messages

Detailed information pg. 60 about your system

Index pg. 65

Before you begin

Before using this product to test your blood glucose, carefully read this booklet and the inserts that come with the OneTouch® Ultra®Test Strips and OneTouch Ultra® Control Solution. Take note of warnings and cautions throughout this booklet, which are identified with . Many people find it helpful to practice the test with control solution before testing with blood for the first time. See page 42 in the Control solution testing section.

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 healthcare professionals in a clinical setting as an aid to monitor the effectiveness 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.

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The OneTouch® Ultra® 2 Blood Glucose Monitoring System

Your new OneTouch® Ultra® 2 System Kit includes: a OneTouch® Ultra® 2 Meter (batteries included) b OneTouch® Ultra® Control Solution c OneTouch® UltraSoft®Blood Sampler

If another type of lancing device was included,

see the separate instructions that came with

that lancing device.

d OneTouch® UltraClear® Cap e OneTouch® UltraSoft®Sterile Lancets f Carrying Case

g You will also need OneTouch® Ultra® Test Strips.

Some kits do not include strips. Strips are sold separately.

Documents in your kit include this owner’s booklet, a quick reference guide,

a control solution insert and a warranty registration card.

If any items are missing from your kit, call Customer Service.

 WARNING: Keep the meter and testing supplies away from young children.

Small items such as the battery door, batteries, test strips, lancets, protective disks on the lancets, and control solution vial cap are choking hazards.

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Setting up your system

Getting to know your OneTouch® Ultra® 2 Blood Glucose Meter and test strips

Front

Test port

Insert test strip here to

Display

OK button

Up and down buttons

Select or change information

turn meter on for testing

Turns the meter on/off Turns the backlight on/off Confirms menu selections

Indicates selection available using up or down button

mg/dL is the pre-set unit of measure

Back

with battery door open

Meter battery

Backlight battery

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Data port

Battery

door

Test strip

Edge to apply sample

Confirmation window

Contact bars

Insert into test port

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 off, 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 page 51.

Using the meter display backlight

When the meter is already on, press and hold for two seconds to turn the backlight on or off.

Turning your meter off

There are several ways to turn your meter off:

• Press and hold for five seconds.

• Your meter will turn off 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 strip will not turn the meter off. 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. Call Customer Service.

Setting up your system

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Setting up your system

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 9 below to ensure your desired settings are saved.

1. Turn the meter on, see page 3

2. 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. To confirm your selection, press . Then, press or to select

METER SETTINGS. To confirm your selection,

press .

The display now shows the LANGUAGE screen.

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3. Choose a language

Now press or to highlight the language of your choice. To confirm your selection, press .

The display now shows the DATE FORMAT screen.

NOTE: If you select the wrong language, press and hold for five seconds to turn the meter off. Then, turn the meter back on and re-start from step 1.

4. 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 . The display now shows the DATE SET UP screen.

Setting up your system

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5. Set the date

In the DATE SET UP screen, press or to change the first value. To confirm your selection, press .

Press or to change the second value. To confirm your selection, press .

Press or to change the year. To confirm your selection, press .

The display now shows the TIME FORMAT screen.

Setting up your system

6. Set the time format

Press or to select the time format you prefer—AM/PM or 24 HR. To confirm your selection, press .

The display now shows the TIME SET UP screen.

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7. Set the hour and “AM” or “PM”

Press or to set the hour.

Check AM/PM. If not correct, continue to press or until the hour and

You can ONLY change “AM” and “PM” when you pass 12:00. Make sure “AM” or “PM” is correct while you are setting the hour.

“AM” or “PM” are correct.

Press to confirm your selection.

8. Set the minutes

Press or to set the minutes. Press to confirm your selection.

The display now shows the SETTINGS screen.

If “AM” or “PM” is not correct, press or to highlight “NO” and press to start over (Step 3 on page 5).

Setting up your system

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9. 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

Setting up your system

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Customer Service. 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.

Turning the flags/comments feature off or on

Your OneTouch® Ultra® 2 Meter allows you to attach optional notes to any blood glucose test result. See pages 32–35 for the types of meal flags and comments you can attach to a result, and the reasons for using this feature. We suggest you talk to your healthcare professional to see how meal flags and comments may help you manage your diabetes.

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 off.

If you turn off 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 page 38 for more information about result averages.

To turn the flags/comments feature off or on:

1. From MAIN MENU, press or to select

SET UP

To confirm your selection, press .

2. From the SET UP screen, select

FLAGS/COMMENTS

To confirm your selection, press .

3. 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.

Setting up your system

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Starting the test process

Have these things ready when you test your blood glucose level:

• OneTouch® Ultra® 2 Meter

• OneTouch® Ultra® Test Strips

• Lancing device

• Sterile lancets with protective disks

• OneTouch® Ultra® Control Solution

NOTE:

• Use only OneTouch® Ultra® Test Strips with your OneTouch® Ultra® 2 Meter.

• 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.

• OneTouch® Ultra® Test Strips are for single use only. Never re-use a test strip that had either blood or control solution applied to it.

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 CAUTION: If you

cannot test due to a problem with your testing supplies, contact your healthcare professional or Customer Service. Failure to test could delay treatment decisions and lead to a serious medical condition.

 CAUTION: The

test strip vial contains drying agents that are harmful if inhaled or swallowed and may cause skin or eye irritation.

1. Check the code on the test strip vial before inserting the strip

Code numbers are used to calibrate your meter with the test strips you are using.

2. Insert a test strip to turn on the meter

Start with the meter off. If you have turned the meter on to change settings or review past results, turn it off. 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. Make sure the three contact bars are facing you. Push the strip in as far as it will go. Do not bend the strip.

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 on the next page to change to a numerical code.

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Starting the test process

3. 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

Starting the test process

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.

 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.

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NOTE:

• If the APPLY BLOOD screen appears before you are sure the codes

match, remove the test strip, and re-start from step 1, see page 11.

• If you change APPLY BLOOD to APPLY CONTROL by mistake, press to change it back to APPLY BLOOD.

Starting the test process

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Getting a blood sample

Overview of the OneTouch® UltraSoft®Blood Sampler

Depth adjustment knob

Depth indicator

Puncture settings

Ejection/Cocking control

Release button

OneTouch®UltraSoft Sterile Lancet

OneTouch UltraClear®Cap

(for alternate site sampling)

Lancet holder

Lancet point

Protective disk

CAUTION: To reduce the chance of infection:



Blue cap

(for fingertip sampling)

• Make sure to wash the puncture site with soap and water before sampling.

• Never share a lancet or a lancing device with anyone.

• Always use a new, sterile lancet—lancets are for single use only.

• Keep your meter and lancing device clean. See pages 48–49.

NOTE: If you do not have a OneTouch

UltraSoft®Blood Sampler, please refer to the

instructions that came with your lancing device.

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Choosing the right sampling site at the right time

The OneTouch® Ultra® 2 Meter allows you to sample blood from your fingertip, forearm or palm. At times, results obtained at the forearm or palm may be different from a fingertip measurement. Talk to your healthcare professional before you begin using your forearm or palm for sampling.

Use blood

If you are testing: sample from your:

Routinely before meals

Fingertip, forearm, or palm

Getting a blood sample

Prior to or more than two hours after:

• a meal

• a rapid-acting insulin injection or insulin pump bolus

• exercise

When your blood glucose is changing rapidly, such as:

• within two hours after a meal

• within two hours after a rapid-acting insulin injection or insulin pump bolus, or

• during or within two hours after exercise

When you are concerned about the possibility of hypoglycemia (low blood sugar)

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Fingertip, forearm, or palm

Fingertip

æ 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 fingertip 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

Getting a blood sample

insulin reaction, such as when driving a car. This is especially important if you suffer from hypoglycemia unawareness (lack of symptoms to indicate an insulin reaction).

Remember: Consult with your healthcare professional before using your forearm or palm for testing.

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Choose a different 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 difficulty getting a sample, consider sampling from a fingertip instead. You may want to review the choice of sites with your healthcare professional.

Preparing your sample site

Before you test your blood glucose, wash your hands and forearm (if applicable) thoroughly with warm, soapy water. Rinse and dry.

Lancing and sampling from your fingertip

1. Remove the blue cap by twisting it off

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Getting a blood sample

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