OneTouch ULTRASMART - REV 04-2006 User Manual

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Page 1

AW 06078802A

LifeScan Customer Service toll-free numbers:

English 1 800 227-8862 Español 1 800 381-7226

Visit the LifeScan Web site at

www.LifeScan.com

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Meter and Electronic Logbook In One

Owner’s

Booklet

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Dear OneTouch®UltraSmart®System Owner:

You have chosen one of the best blood glucose monitoring systems available. This booklet has important information you must know about the OneTouch

UltraSmart®Blood Glucose

Monitoring System. Read it carefully.

Blood glucose monitoring plays an important role in diabetes control. A long-term study showed that keeping blood glucose levels close to normal can reduce the risk of diabetes complications by up to 60%.*The results you get with the OneTouch

UltraSmart®System can help you and your healthcare professional monitor and adjust your treatment plan to gain better control of your diabetes.

Your OneTouch

UltraSmart®System requires a small drop of blood, at least 1μL (microliter), and five seconds to provide you with an accurate plasma-calibrated test result.

The OneTouch

UltraSmart®Meter also has a memory that allows it to function as an “electronic logbook.” Now you can store vital everyday information such as insulin and oral medication doses, food intake, amount of exercise, illnesses, and other pertinent data. You can use your OneTouch

UltraSmart®System simply to test or to serve as a complete storehouse of information regarding your diabetes treatment plan.

A warranty registration card is included with your system. If you complete it and mail it to us, we will send you a gift. If you prefer to fill out a warranty card online, please visit www.LifeScan.com.

*American Diabetes Association position statement on the Diabetes Control and Complications Trial (1993).

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INTENDED USE: The OneTouch®UltraSmart®Blood Glucose

Monitoring System is intended to be used for the quantitative measurement of glucose in fresh capillary whole blood. The OneTouch

UltraSmart®System is intended for use outside the body (for in vitro diagnostic use) by people with diabetes at home and healthcare professionals in a clinical setting as an aid to monitor the effectiveness of diabetes control. The OneTouch

UltraSmart®System should not be used for the diagnosis of diabetes or testing of newborns.

The OneTouch

UltraSmart® Blood Glucose Monitoring System provides the user with electronic logbook functions, which serve to store such data as insulin and oral medication doses, food intake, amount of exercise, health information such as illnesses, and other pertinent data. The meter includes a data port that enables the user to download logbook data to a personal computer.

CAUTION: Before using any product to test your blood glucose,

read all instructions and practice the test. Do all quality control checks as directed and consult with a diabetes healthcare professional. These recommendations apply to all blood glucose

monitoring systems and are supported by the American Association of Diabetes Educators, the U.S. Food and Drug

Administration, and

the Advanced Medical Technology Association

WARNING: Keep the meter and testing supplies away from

young children. Small items such as the battery door, battery, test strips, lancets, protective disks on the lancets, stereo jack cover and the control solution vial cap are choking hazards.

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Important Information

• Dehydration: Severe dehydration and excessive water loss may

cause false low results. If you believe you are suffering from dehydration, consult a healthcare professional immediately.

• 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). This may require immediate treatment

according to your healthcare professional’s recommendations.

Although this result could be due to a test error, it is safer to treat first and then repeat the test.

• High glucose results: If your test result is greater than

180 mg/dL or is shown as “HIGH GLUCOSE”, it may mean hyperglycemia (high blood glucose). If you do not have symptoms, first repeat the test. Your healthcare professional can work with you to decide what actions, if any, you should take if you continue to get results higher than 180 mg/dL or if you have symptoms.

• Repeated unexpected results: If you continue to get

unexpected results, check your system with control solution. See Checking the System with Control Solution on page 12. If you are experiencing symptoms that are not consistent with your blood glucose results and you have followed all instructions in this booklet, call your healthcare professional. Never ignore symptoms or make significant changes to your diabetes control program without speaking to your healthcare professional.

• Hematocrit: 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.

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THE OneTouch®UltraSmart®SYSTEM . . . . . . . . . . . . . . 1

OneTouch®UltraSmart®Meter . . . . . . . . . . . . . . . . . 2

Navigation Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . 3

SmartButtons® . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Display Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

Display Contrast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

OneTouch®Ultra®Test Strips . . . . . . . . . . . . . . . . . . 7

BEFORE TESTING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Checking the Display . . . . . . . . . . . . . . . . . . . . . . . . . 9

Setting the Meter . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Coding the Meter . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

Checking the System with Control Solution . . . . . 12

TESTING YOUR BLOOD . . . . . . . . . . . . . . . . . . . . . . . . . 19

Preparing the OneTouch®UltraSoft

Adjustable Blood Sampler . . . . . . . . . . . . . . . . . . . .20

Lancing and Sampling from Your Fingertip . . . . . 23

Lancing and Sampling from an Alternate Site . . . 27

Step-by-Step Test Procedure . . . . . . . . . . . . . . . . . .31

Discarding Used Test Strips and Lancets . . . . . . . 37

Special Messages . . . . . . . . . . . . . . . . . . . . . . . . . . 38

COMPARING METER AND LABORATORY RESULTS . . 40

CARING FOR YOUR SYSTEM . . . . . . . . . . . . . . . . . . . . . 42

Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

Cleaning the OneTouch®UltraSoft

Adjustable Blood Sampler . . . . . . . . . . . . . . . . . . . 42

Table of ContentsTable of Contents

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vii

Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

DISPLAY MESSAGES . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

WARNINGS AND ERROR MESSAGES . . . . . . . . . . . . . 51

PROBLEMS AND POSSIBLE CAUSES . . . . . . . . . . . . . .56

METER SET-UP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

Entering Basic Set-up Mode . . . . . . . . . . . . . . . . . 58

Selecting Display Language . . . . . . . . . . . . . . . . . 59

Setting Date and Time . . . . . . . . . . . . . . . . . . . . . . 60

CUSTOM METER SET-UP SEQUENCE . . . . . . . . . . . . . . 62

Set-up Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62

Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66

Diabetes Pill Set-up . . . . . . . . . . . . . . . . . . . . . .68

Insulin Set-up . . . . . . . . . . . . . . . . . . . . . . . . . . .70

Insulin Pump Set-up . . . . . . . . . . . . . . . . . . . . . .72

Advanced Feature Set-up . . . . . . . . . . . . . . . . .72

YOUR ELECTRONIC LOGBOOK . . . . . . . . . . . . . . . . . . . 77

Comments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77

Rules for Adding Comments . . . . . . . . . . . . . . . . . . 78

How to Add a Comment . . . . . . . . . . . . . . . . . . . . . 78

Logbook Entries . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82

Using the SmartButtons® . . . . . . . . . . . . . . . . . . . . 82

Rules for Logbook Entries . . . . . . . . . . . . . . . . . . . 84

Entering the Date and Time . . . . . . . . . . . . . . . . . . 85

Exercise Logbook Entries . . . . . . . . . . . . . . . . . . . . .86

Health Logbook Entries . . . . . . . . . . . . . . . . . . . . . .87

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Table of Contents (continued)

Ketones . . . . . . . . . . . . . . . . . . . . . . . . . . . . .89

HbA1c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91

Microalbumin . . . . . . . . . . . . . . . . . . . . . . . .91

Cholesterol . . . . . . . . . . . . . . . . . . . . . . . . . .92

Blood Pressure . . . . . . . . . . . . . . . . . . . . . . .92

Eye Exam . . . . . . . . . . . . . . . . . . . . . . . . . . . .93

Foot Exam . . . . . . . . . . . . . . . . . . . . . . . . . . .93

Weight/Height . . . . . . . . . . . . . . . . . . . . . . .94

Doctor Visit . . . . . . . . . . . . . . . . . . . . . . . . . .94

Medication Logbook Entries . . . . . . . . . . . . . . .95

Food Logbook Entries . . . . . . . . . . . . . . . . . . . .101

Adding, Changing, or Deleting

Logbook Information . . . . . . . . . . . . . . . . . . . . . . . . . . . 103

OneTouch

UltraSmart®FastFacts®FEATURE . . . . . .108

FastFacts®Menu . . . . . . . . . . . . . . . . . . . . . . . . . . 109

Logbook Memory . . . . . . . . . . . . . . . . . . . . . . .110

Glucose by Meals . . . . . . . . . . . . . . . . . . . . . . .110

Glucose Analysis . . . . . . . . . . . . . . . . . . . . . . . .111

Interactive Graph of All Results . . . . . . . . .111

Graph by Time of Day . . . . . . . . . . . . . . . . .112

Average of All Results . . . . . . . . . . . . . . . . .113

Average by Time of Day . . . . . . . . . . . . . . .114

Average by Exercise . . . . . . . . . . . . . . . . . .114

Glucose Range Info . . . . . . . . . . . . . . . . . . .115

Insulin Intake . . . . . . . . . . . . . . . . . . . . . . . . . . .116

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Hypoglycemia Information . . . . . . . . . . . . . . .120

Food Averages . . . . . . . . . . . . . . . . . . . . . . . . . .121

Health Checks . . . . . . . . . . . . . . . . . . . . . . . . . .121

Data Downloading . . . . . . . . . . . . . . . . . . . . . . . . 122

SPECIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125

PRODUCT SAFETY INFORMATION . . . . . . . . . . . . . . . 126

EXPLANATION OF SYMBOLS ON THE METER . . . . . . 127

GUARANTEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127

INDEX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 128

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THE OneTouch®UltraSmart®SYSTEM

The OneTouch®UltraSmart®System uses the latest blood glucose monitoring technology. It measures the glucose content of a blood sample by means of an electrical current produced in the test strip and is measured by the meter. Test results are “plasma-calibrated.” This makes it easier for you and your diabetes-care team to compare your meter results with laboratory tests. If you have been using another type of meter—one that provides whole-blood results—you may notice that your test results with the OneTouch®UltraSmart

System are about 12% higher.

The OneTouch®UltraSmart®Blood Glucose Monitoring System consists of three main products: the OneTouch®UltraSmart®Meter, OneTouch®Ultra®Test Strips, and OneTouch®Ultra®Control Solution. These products have been designed, tested, and proven to work together as a system to produce accurate blood glucose test results.

Use no other test strips or control solution other than the OneTouch

Ultra®brand with your meter.

Your system kit includes:

• OneTouch®UltraSmart®Meter

• OneTouch®Ultra®Control Solution

• OneTouch®UltraSoft

Adjustable Blood Sampler

• OneTouch®UltraClear®Cap

• OneTouch®UltraSoft

Sterile Lancets

• Owner’s Booklet

• Carrying Case

• Quick Reference Guide

• Quick Start Guide

• Warranty Registration Card

• Two AAA Alkaline Batteries (Installed)

OneTouch

Ultra®Test Strips sold separately

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OneTouch®UltraSmart®Meter

Test Port

The meter turns on when you insert the OneTouch

Ultra®Test Strip here.

Data Port

Used to download logbook memory to a computer.

Display with Backlight

Test results, messages, symbols, and other data appear here.

SmartButtons

(See pages 4–5 for description and use.)

OneTouch

Ultra®Test Strip

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Navigation Buttons

Back Button (Off Button)

Go back to previous display on certain screens. Press and hold for two seconds to turn off the meter.

Arrow Button

Scroll through menus, code numbers, and logbook.

OK Button (Backlight Button)

Accept entries and move to next display. Press and hold for two seconds to turn on backlight.

Note: Press and release buttons. Do Not hold

buttons down for an extended period of time.

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The SmartButtons®are your keys to getting the most out of your OneTouch

UltraSmart®Meter. They allow you to enter information about your diabetes management plan into the large logbook memory. There are SmartButtons

for exercise, health,

medication, and food. The FastFacts

SmartButton®is used to view the records in the logbook memory. You may press any SmartButton

to turn on the meter and

move directly to the category.

SmartButtons

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Health SmartButton

Enter information on health.

Exercise SmartButton

Enter exercise amount and level.

Medication SmartButton

Enter insulin and diabetes pill information.

Food SmartButton

Enter meal and snack information.

FastFacts

SmartButton

Review test results and logbook memory.

Note: For complete information on using the Exercise, Health, Medication, and Food SmartButtons

, please see pages 82–107.

See pages 108–122 for more information on the FastFacts

Feature

and the FastFacts

SmartButton®.

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Display Contrast

You can change the contrast of the meter display. To make it darker, press and hold both the Back button

and the “up” Arrow button . To make it lighter, press and hold both the Back button and the “down” Arrow button .

Scroll (move) up only.

Scroll down only.

Scroll up or down.

No entry.

Shows where you are on the display. Press the OK button

to accept highlighted area.

Symbol Meaning

Display Symbols

These symbols guide you while using your meter:

– – –

▲

▼

HIGHLIGHT

▲ ▼

▲▼

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OneTouch®Ultra®Test Strips

The OneTouch

UltraSmart®System measures the

amount of glucose in whole blood. Blood is applied to the Top Edge of the OneTouch

Ultra®Test Strip and is automatically drawn into the reaction cell where the reaction takes place.

See pages 19–39, Testing Your Blood, for complete instructions.

Contact Bars

Insert this end of the test strip, contact bars facing up, into the meter. Push it all the way in until it will go no further.

Top Edge

Apply a drop of blood to the narrow channel here in the top edge of the test strip.

Confirmation Window

Check here to confirm if enough blood has been applied.

WARNING: Do Not swallow test strips. The test strip vial may

contain drying agents that are harmful if swallowed and may cause skin or eye irritation.

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Important Test Strip Information

• Store test strip vials in a cool, dry place below 86˚F (30˚C).

Keep away from direct sunlight and heat. Do Not refrigerate.

• Store test strips in their original vial only. To avoid damage or contamination, Do Not transfer test strips to any other place.

• After removing a test strip from the vial, replace the vial cap immediately and close it tightly.

• Use each test strip immediately after removing it from the vial.

• Do Not use test strips from any vial that is damaged or left open to air.

• Write the discard date (3 months after first opening the vial) on the vial label when you first open it. Discard remaining OneTouch

Ultra®Test Strips after the discard date.

• Do Not use test strips beyond the expiration (printed on the package) or discard date, whichever comes first, because they may cause inaccurate results.

• Avoid getting dirt, food or liquids on the test strip. With clean, dry hands you may touch the test strip anywhere on its surface.

• Do Not bend, cut, or alter OneTouch

Ultra®Test Strips in any way.

• OneTouch

Ultra®Test Strips are for single use only. Never

reuse a test strip that has had either blood or control solution applied to it.

• Apply only OneTouch

Ultra®Control Solution or a blood

sample to the test strip.

• Refer to additional information in the OneTouch

Ultra®Test

Strip package.

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BEFORE TESTING

Checking the Meter Display

Each time you turn the meter on, the display background will quickly change from dark to light and form the words “OneTouch UltraSmart”. This tells you that the system is performing several self-checks to confirm that the meter is working properly. If, at any time during the life of the meter, these graphics appear to be different, call LifeScan

Customer Service at 1 800 227-8862.

Setting the Meter

The OneTouch

UltraSmart®Meter is set at the factory to display results in the English language using milligrams per deciliter (mg/dL) as the unit of measure. The time and date are also factory-set in Pacific Standard Time. If you are using the meter for the first time and simply wish to test, insert a test strip into the test port and begin by coding the meter. If you wish to change the date, time, or language, see Meter Set-up, pages 58–61. To customize your meter, see Custom Meter Set-up Sequence, pages 62–76.

UltraSmart

Note: It is important that the time of day is

correct and that your medication set-up and mealtimes are set according to your personal daily schedule. Otherwise, some FastFacts

information will not be correct.

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Coding the Meter

Code numbers are used to calibrate the OneTouch

UltraSmart®Meter with the OneTouch®Ultra®Test Strips for accurate results. You must code the meter before using it for the first time and then every time you change to another vial of test strips.

Insert a OneTouch®Ultra®Test Strip to turn on the meter. Push it all the way in until it will go no further. “OneTouch UltraSmart” will appear on the display briefly. The first time you turn the meter on, three dashes [---] will appear, showing that there is no code stored in the memory. Follow Step 4 to code the meter.

CAUTION: Matching the code on the meter and the code on the

test strip vial is essential to obtain accurate results. Each time you test, check to make sure the code numbers match.

Enter the Code Mode.

STEP 1

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The code number will appear on the display. (After every 25 tests the meter will display the code number and will prompt “Check Code Press OK”. Press the OK button if the code number is still correct.)

Compare the code number on the meter display with the code number on the test strip vial. If the two code numbers match, you may begin testing. If they do not match, follow Step 4.

Match the Code Numbers.

See the Code Number.

STEP 2

Note: The code number appears on the display

briefly. If you were unable to change the code in time or entered a code number in error, press the Back button to return to Step 3.

(Example)

STEP 3

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Move up or down using the Arrow button

to the code number that matches the code number on the test strip vial. The new code number will flash on the display for about three seconds, after which the meter will prompt you to “Apply Blood”.

Code the Meter.

Why you should do a control solution test:

• OneTouch

Ultra®Control Solution

is used to check that the meter and the test strips are working together as a system and that you are performing the test correctly.

• It is very important that you do this simple check routinely to make sure you get an accurate result.

Checking the System with Control Solution

(Example)

STEP 4

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Before you begin:

• Use only OneTouch®Ultra®Control Solution.

• Check the expiration date on the control solution vial. Record the discard date (date opened plus three months) on the vial label. Do Not use after expiration or discard date, whichever comes first.

• Control solution, meter, and test strips should be at room temperature (between 68° and 77°F/between 20° and 25°C) before testing with control solution (see Specifications section on page 125 for blood testing temperature ranges).

• Shake the vial, discard the first drop of control solution, and wipe off the dispenser tip to ensure a good sample and an accurate result.

• Store the control solution tightly closed at temperatures below 86°F (30°C). Do Not refrigerate.

WARNING:

• Do Not swallow control solution; it is not for human consumption.

• Do Not apply control solution to the skin or eyes as it may cause irritation.

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When you should do a control solution test:

• To practice the test process instead of using blood.

• When you open a new vial of test strips.

• Once a week.

• Whenever you suspect that the meter or test strips are not working properly.

• If you have had repeated unexpected blood glucose results (as described on page v).

• After dropping the meter.

Note: Refer to additional information in the

OneTouch

Ultra®Control Solution package.

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To turn on the meter, insert a test strip, contact bars end first and facing up, into the test port. Push it all the way in until it will go no further.

“OneTouch UltraSmart” will appear briefly on the display.

Then “Code 9 (Example), Check Code” is displayed. Be sure the meter and test strip codes match. If they do not, code the meter correctly (see pages 10–12).

Insert a Test Strip into the Meter.

STEP 1

(Example)

“Apply Blood” will appear on the display first. Use the Arrow button to select “Control Solution”. The meter will automatically identify the test as a control solution test in the logbook.

Select “Control Solution”.

There are three choices in test mode. Use the Arrow button to select one. Do Not apply a sample until your choice appears on the display.

• “Apply Blood” for fingertip blood sample.

• “Alternate Site” for forearm and palm blood samples.

• “Control Solution” for checking the system.

STEP 2

Apply Blood

Control Solution

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Note: If you do not apply the control solution within three

minutes, the meter will turn itself off. Remove the test strip and insert it back into the test port to restart the test procedure.

Note: You must select “Control Solution” to distinguish control

solution tests from blood glucose tests. Marked control solution tests will not be included in your averages. Do Not use Control Solution mode for testing blood.

Touch and hold a drop of control solution where the narrow channel meets the TOP EDGE of the strip.

To ensure an accurate control solution test, shake the vial, discard the ﬁrst drop and wipe

the dispenser tip before you begin.

Apply Control Solution to the Test Strip.

NARROW CHANNEL

Apply Drop Here

TOP EDGE

➧

STEP 3

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(Example)

The control solution will be drawn into the narrow channel. When the confirmation window is full, the meter will count down from 5 to 1.

The control solution test result will appear on the display.

CONFIRMATION WINDOW

CONTROL RANGE

➧

CAUTION: The control

solution range printed on the test strip vial is for OneTouch

Ultra®Control Solution only. It is not a recommended range for your blood glucose level.

Compare Control Solution Result to the Control Range Printed on the TEST STRIP VIAL.

WARNING:

If mg/dL does not appear with the

Control Solution result, call LifeScan Customer Service at 1 800 227-8862.

(Example)

STEP 4

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If the results are not within the control range printed on the test strip vial, the meter and strips may not be working properly. Repeat the control solution test. When using Control Solution mode, very high or very low readings will be displayed as a number rather than a “HIGH” or “LOW” warning screen.

• Incorrect unit of measure.

• Error in performing the test.

• Failure to shake the control solution vial well.

• Improper meter coding.

• Test strip deterioration.

• Meter malfunction.

• Failure to discard the first drop of control solution and wipe the dispenser tip clean.

• Expired or contaminated control solution.

• The meter, test strips, or control solution are too warm or too cold.

• Testing blood in Control Solution mode.

CAUTION: If you continue to get control solution test results

that fall outside of the range printed on the test strip vial, the system may not be working properly. Do Not use the meter. Call

LifeScan Customer Service at 1 800 227-8862.

Control solution out-of-range results may be due to:

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TESTING YOUR BLOOD

Read this section and the test strip package insert carefully before testing. Make sure you have all items needed to test.

• OneTouch

UltraSmart®Meter

• OneTouch

Ultra®Test Strips

• OneTouch

UltraSoft®Adjustable

Blood Sampler

• OneTouch

UltraClear®Cap

(for forearm and palm sampling)

• OneTouch

UltraSoft®Sterile Lancets

CAUTION: If you cannot test due to a problem with your testing

supplies, contact your healthcare professional or LifeScan Customer Service at 1 800 227-8862. Failure to test could delay

treatment decisions and lead to a serious medical condition.

CAUTION: It is important to learn the correct blood application

technique (see pages 33–35). If you do not apply blood to the test strip correctly you may get an inaccurately low or high test result or an error message. LifeScan recommends that you develop good technique by practicing with control solution prior to using the OneTouch

UltraSmart®Meter for the first time.

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OneTouch®UltraSoft®Adjustable Blood Sampler

Release Button

Ejection/Cocking Control

Depth Adjustment Knob

OneTouch

UltraSoft®Cap

OneTouch

UltraClear® Cap

(for Alternate Site Sampling)

Protective Disk

Lancet Point

Lancet with Protective Disk

Depth Indicator

Puncture Settings

CAUTION: To reduce the chance of infection:

• Never share a lancet or the Sampler with anyone.

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

• Keep the OneTouch

UltraSmart®Meter and Sampler clean.

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

Preparing the OneTouch®UltraSoft®Adjustable Blood Sampler (Sampler)

Note: If you Do Not have a OneTouch®UltraSoft®Adjustable

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

UltraSmart® 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.

If you are testing:

Routinely before meals 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)

Use blood sample

from your:

Fingertip,

forearm, or

palm

Fingertip

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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 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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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 thoroughly.

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.

Lancing and Sampling from Your Fingertip

Remove the OneTouch

UltraSoft®Cap by Twisting it Off.

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 thoroughly.

STEP 1

Page 35

Insert a Sterile Lancet Into the Sampler.

STEP 2

Replace the OneTouch

UltraSoft®Cap by Twisting it Back On Until it is Snug.

Adjust the Depth Setting.

Insert the lancet into the holder and push in firmly. Twist the protective disk until it separates from the lancet and save the disk for later use. Do Not twist the lancet.

If necessary, twist the depth adjustment knob toward the smaller dots on the Sampler for a shallow puncture or toward the larger dots for a deeper puncture.

STEP 3

STEP 4

Page 36

Cock the Sampler.

STEP 5

Slide the ejection/cocking control back until it clicks. If it does not click, it may have been cocked when you inserted the lancet.

Puncture Your Finger.

Hold the Sampler firmly against the side of your finger. Press the release button. Remove the Sampler from your finger.

Note: Do Not use the OneTouch®UltraClear®Cap on your finger.

STEP 6

Page 37

Get a Round Drop of Blood.

STEP 7

Gently squeeze and/or massage your fingertip until a round drop of blood at least 1μL ( actual size) forms on your fingertip. Do Not squeeze excessively on the puncture site.

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.

Page 38

Lancing and Sampling From an Alternate Site

Sampling from your forearm or palm allows you to use your fingertips less often. You may find that obtaining a blood sample from an alternate site is less painful than using a fingertip. Getting a blood sample from your forearm or palm is different than getting a sample from your fingertips.

Forearm sampling

Choose a fleshy area of the forearm away from bone, visible veins and hair. Sometimes there is less blood flow to the forearm than to the fingertips. To help you get a large enough drop of blood, you may gently massage or apply warmth to the site to increase blood flow.

Palm sampling

Choose a fleshy area on the palm below your thumb or pinky finger. Select a spot with no visible veins and away from deep lines which may cause your blood sample to smear.

Forearm

Palm

Page 39

OneTouch®UltraClear®Cap is used for forearm and palm sampling only. Replace the blue OneTouch

UltraSoft

Cap with the OneTouch

UltraClear®Cap.

Blue cap for fingertip sampling only

Remove the OneTouch

UltraSoft®Cap by Twisting it Off.

Insert a Sterile Lancet Into the Sampler.

Insert the lancet into the holder and push in firmly. Twist the protective disk until it separates from the lancet and save the disk for later use. Do Not twist the lancet.

STEP 1

STEP 2

Page 40

Twist On the OneTouch

UltraClear®Cap Until it is Snug.

STEP 3

Adjust the Depth Setting.

You may have to adjust the Sampler to a deeper setting to get a large enough drop of blood from your forearm or palm. Twist the depth adjustment knob toward the larger dots to increase the depth.

Cock the Sampler.

Slide the ejection/cocking control back until it clicks. If it does not click, it may have been cocked when you inserted the lancet.

STEP 4

STEP 5

Page 41

Puncture Your Forearm or Palm.

STEP 6

Press and hold the Sampler against your forearm or palm for a few seconds, then press the release button.

Keep holding the Sampler and OneTouch

UltraClear®Cap against your skin until a round drop of blood forms under the cap. Maintain pressure until the drop of blood is at least 1μL

( actual size).

Remove the Sampler.

Carefully lift the sampler away from your skin. Do Not smear the blood sample.

Note:

• You may need to wait a little longer to get a large enough

drop of blood from the forearm or palm. Do Not squeeze the site excessively.

• If the sample drop of blood runs or spreads due to contact

with hair or with a line in your palm, Do Not use that sample. Try puncturing again in a smoother area.

• Remember: You may have to adjust the Sampler to a deeper

setting to get a large enough drop of blood ( actual size).

STEP 7

Page 42

Insert a test strip, contact bars end first and facing up, into the test port. Push it all the way in until it will go no further. The meter will turn on automatically. “OneTouch UltraSmart” will appear briefly on the display. Then the code number will appear. Be sure the meter and test strip codes match. If they do not, code the meter correctly (see pages 10-12 for Coding the Meter).

Insert This End

Step-by-Step Test Procedure

Insert Test Strip.

STEP 1

Page 43

“Apply Blood” will appear on the display first. If you are testing with a fingertip blood sample, proceed to Step 3.

If you are testing with a blood sample from the forearm or palm, use the Arrow button to scroll to “Alternate Site”.

Before you test with blood, make sure “Apply Blood” or “Alternate Site” is displayed on the screen. Correct test mode selection is important to ensure all blood and control solution tests are properly included or excluded from averages. Failure to select the correct test mode may cause blood averages to be incorrect.

STEP 2

Note: There are three choices in test mode. For blood testing,

use the Arrow button to select:

• “Apply Blood” for fingertip blood sample

• “Alternate Site” for forearm and palm blood samples

Do Not use Control Solution mode when testing blood.

• “Control Solution” is for checking the system

Select Test Mode.

Apply Blood

Alternate Site

Page 44

Prepare to Apply Sample.

STEP 3

The drop of blood should be next to the top edge of the test strip. Blood should not be

applied to the flat surface of the test strip.

When applying a drop of blood from your forearm or palm, keep your forearm or palm steady and bring the top edge of the test strip to the drop of blood with your other hand.

Forearm

Fingertip

Palm

Page 45

Obtain a round drop of blood using the

Sampler. The blood sample must be at least 1μL in volume ( actual size) to fill

the confirmation window.

Apply Sample.

STEP 4

Hold the blood drop to the top edge of the test strip until the confirmation

window is full before the meter begins to count down.

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

• Do Not apply sample to the front or back of the test strip.

• Do Not push your finger against the test strip.

• Do Not apply a smeared sample.

Page 46

Good

Sample

Note: If you do not apply a blood sample within three minutes,

the meter will turn off automatically. Remove the test strip and then insert it back into the meter to turn the meter back on.

Plasma-Calibrated Result

(Example)

Accurate Results in Just 5 Seconds.

STEP 5

Your blood glucose test result will appear after the meter counts down from 5 to 1.

The test results are automatically stored in the electronic logbook (memory). You may now:

• Use the Arrow button to compare results (see “Additional Feature” which follows).

• Add comments to your result.

• Remove the test strip to turn off the meter.

Sample

Too Small

If the confirmation window does not fill completely before the meter begins to count down, Do Not add more blood to the test strip; discard the test strip and retest. If you have trouble filling the test strip, call LifeScan Customer Service at 1 800-227-8862 for assistance.

If the confirmation window is not full, you may get an error message or an inaccurate test result.

Sep 8-02 10:30 am

104

mg/dL

Page 47

(Example)

WARNING: If mg/dL does not appear with the test result, call

LifeScan Customer Service at 1 800-227-8862.

Additional Feature

After you complete a blood glucose test, you can compare the result with your last test and your average for this time of day by pressing the “down” Arrow button

Note: If “Comment? Press OK” appears at the bottom of the

display, your test result is outside the range of 90–130 mg/dL or a personal glucose range you set (see pages 62–76, Custom Meter Set-up Sequence). To add a comment to the test result, see pages 77–81, Your Electronic Logbook.

CAUTION: If you test at the low end of the operating range

(43°F/6°C) 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.

Your Result:

Sep 13-02

9:55 pm

104

Bef Brkft

Avg.

14 days

114 95

Page 48

Point the Sampler down and away. Push the release button to ensure that the Sampler is not cocked. Push forward on the ejection/cocking control and eject the lancet directly into a container for sharp objects. Used test strips can go into the same container. Return the ejection/cocking control to the middle position. Replace the OneTouch

UltraSoft®Cap.

Discarding Used Test Strips and Lancets

CAUTION: 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 local regulations for proper disposal.

Twist the OneTouch®UltraSoft®Cap counterclockwise. (Optional: Replace the protective disk on the used lancet by placing it on a hard surface and pushing the lancet tip into the disk.)

Eject the Lancet.

Remove the OneTouch

UltraSoft®Cap from the Sampler.

STEP 1

STEP 2

Page 49

If your blood glucose test result is above 600 mg/dL, “HIGH GLUCOSE” will appear on the meter display. This may mean

severe hyperglycemia (high blood glucose). You should recheck your blood glucose level. If “HIGH GLUCOSE” again appears on the display, call your healthcare professional immediately.

WARNING

Special Messages

The OneTouch®UltraSmart®Meter displays results between 20 mg/dL and 600 mg/dL. If your test result is lower than 20 mg/dL, “LOW GLUCOSE” will appear on the meter display. This may mean severe

hypoglycemia (low blood glucose) that requires immediate treatment according to your healthcare professional’s recommendations. Although this message

could be due to a test error, it is safer to treat first and then repeat the test.

LOW

GLUCOSE

Below 20 mg/dL

WARNING

HIGH

GLUCOSE

Above 600 mg/dL

Page 50

When your blood glucose test result is outside the range of 90–130 mg/dL or the personal glucose range you set in Custom Meter Set-up Sequence, the meter will prompt you to add a comment.

When your blood glucose test result is in the range of 240 mg/dL to 600 mg/dL, “Check Ketones” will appear on the meter display. This message does

not mean that the system detected ketones but that testing with a ketone test strip may be advisable. Consult your healthcare professional about when and how to test for ketones.

“Comment? Press OK” will also appear.

(Example)

When your blood glucose result is from 20 mg/dL through 59 mg/dL, “Do you need a snack?” will appear on the display with the test result, reminding you that a meal or snack may be necessary.

Sep 14-02 8:30 am

160

mg/dL

Comment? Press OK

Sep 14-02 9:45 am

414

mg/dL

Check Ketones

Comment? Press OK

Sep 14-02 9:30 am

mg/dL

Do you need a snack?

Comment? Press OK

Page 51

COMPARING METER AND LABORATORY RESULTS

OneTouch®UltraSmart®Meter test results and laboratory test results are both expressed in plasma-equivalent units. However, your meter result may differ somewhat from your laboratory result due to normal variation. Meter results can be affected by factors and conditions that do not affect laboratory results in the same way. Your OneTouch

UltraSmart®Meter glucose value should agree with a laboratory measurement within ±20% most of the time under normal conditions. A result within that range is considered accurate when testing with the OneTouch

UltraSmart®Meter. However, results can differ by more than ±20% in some situations. See the OneTouch

Ultra®Test Strip package insert for typical accuracy and precision data and for important information on “Limitations of Procedure.”

To make an accurate comparison between meter and laboratory results, follow these guidelines:

Before you go to the lab:

• Perform a control solution test to make sure the meter is working properly.

• It is best to fast for at least eight hours before doing comparison tests.

• Take your meter with you to the lab.

Page 52

While at the lab:

• Make sure that the meter test and the lab test are performed within 15 minutes of each other.

• Wash your hands before obtaining a blood sample.

• Use only fresh capillary blood.

You may still have a variation between the results because blood glucose levels can change significantly over short periods, especially if you have recently eaten, exercised, taken medication, or experienced stress.

In addition, if you have eaten recently, the blood glucose level from a fingerstick can be up to 70 mg/dL higher than blood drawn from a vein (venous sample) used for a lab test.

Therefore, it is best to fast for eight hours before doing comparison tests. Factors such as the amount of red blood cells in the blood (a high or low hematocrit) or the loss of body fluid (severe dehydration) may also cause a meter result to be different from a laboratory result.

References

1. Surwit, R.S., and Feinglos, M.N.: Diabetes Forecast (1988), April, 49–51.

2. Sacks, D.B.: “Carbohydrates.” Burtis, C.A., and Ashwood, E.R. (ed.),

Tietz Textbook of Clinical Chemistry. Philadelphia: W.B. Saunders Company (1994), 959.

Page 53

CARING FOR YOUR SYSTEM

Maintenance

Your OneTouch

UltraSmart®Meter does not require special maintenance or cleaning. Take care to avoid getting dirt, dust, blood, control solution, or liquids inside the meter through the test port or data port. LifeScan recommends that you store the meter in its carrying case after each use.

A cloth dampened with water and mild detergent can be used to wipe down the outside of the meter. Your OneTouch

UltraSmart®Meter is a precision

instrument. Please handle it with care.

Do Not use alcohol or any other solvent to clean your meter.

Cleaning the OneTouch

UltraSoft®Adjustable

Blood Sampler

Clean the Sampler and OneTouch

UltraSoft®and

OneTouch

UltraClear®Caps with soap and water.

To disinfect the Sampler, prepare a disinfectant solution of one part household bleach to 10 parts water. Dampen a cloth with this solution and wipe the Sampler thoroughly. Soak only the cap or caps for at least 30 minutes in the disinfectant solution.

Do Not soak the Sampler in liquid. Rinse the Sampler and cap with water and dry thoroughly.

Page 54

2. When this message appears on the display, you cannot test, enter data in your electronic logbook, or use the FastFacts

feature until you change

the batteries

Batteries

Your OneTouch

UltraSmart®Meter comes with two AAA alkaline batteries already installed. The batteries will provide you with enough power to perform up to 540 tests, depending on backlight use. When replacing the batteries, use only two AAA alkaline batteries.

The meter will alert you when the power is getting low by displaying two different messages:

1. When this message appears on the display, the batteries are low and should be replaced as soon as possible. The backlight will no longer turn on.

WARNING

Low Batteries!

You should replace

the batteries soon

See Owner’s Booklet

WARNING

Batteries!

You MUST replace

the batteries now

See Owner’s Booklet

Page 55

1. Open the battery compartment by pressing the tab to the left and lifting the battery compartment cover to remove it.

To replace the batteries, first turn off the meter. Turn the meter over and locate the battery compartment.

2. Remove the old batteries by pulling the black ribbon upward. Insert two AAA alkaline batteries on top of the black ribbon. Plus (+) and minus (–) signs will guide you in placing the batteries.

3. Insert the tabs of the battery cover into the slots on the left hand side of the battery compartment. Push down on the battery cover until you hear the tab click into place.

Page 56

Note:

• Replacing the batteries does not affect the electronic logbook. However, the date and time settings may need to be updated.

• The first time you turn on the meter after replacing the batteries, the meter will go into the Set-up mode (see pages 58–61). At this time, you may update the date and time settings.

Page 57

DISPLAY MESSAGES

Following is a summary of screen messages and symbols.

MESSAGE WHAT IT MEANS

Initial display that appears whenever the meter is turned on. It indicates that the system has performed several self-checks to confirm that the meter is working properly.

New meter not coded or meter lost power briefly and entered Set-up mode.

ACTION

If, at any time during the life of the meter, these graphics appear to be different, call

LifeScan Customer Service at 1 800 227-8862.

See Coding the Meter, pages 10–12.

UltraSmart

Code

---

Check Code

Page 58

MESSAGE WHAT IT MEANS

This is the code number stored in the meter.

The meter is prompting you to confirm that the code number on the meter display matches the code number on the vial of test strips you are currently using.

ACTION

Make sure that this code number matches the code number on the vial of the test strips you are using.

Check to be sure the code number on the display matches the code number on the test strip vial. If they match, press the OK button to confirm the code number. If they do not match, scroll to the correct number using the Arrow button .

(Example)

CAUTION: Matching the code on the meter and the code on

the test strip vial is essential to obtain accurate results. Each time you test, check to make sure the code numbers match.

Code

Check Code

Code

Check Code

Press OK

Page 59

MESSAGE WHAT IT MEANS

The system is ready to accept a blood sample from the fingertip.

The system is ready to accept a blood sample from the forearm or palm.

The system is ready to accept a control solution sample.

ACTION

You may now apply the fingertip blood sample.

You may now apply the forearm or palm blood sample.

You may now apply the control solution.

Apply Blood

Alternate Site

Control Solution

Page 60

MESSAGE WHAT IT MEANS

Five-second countdown. After the countdown, the meter will display the test result.

A test result in mg/dL.

A test result outside of your target range with a message prompting you to add a comment.

ACTION

None required.

If you wish to add a comment, press the OK button (see page 78).

(Example)

WARNING: If mg/dL does not appear with the test result, call

LifeScan Customer Service at 1 800 227-8868.

Sep 8-02 10:30 am

104

mg/dL

Sep 8-02 10:30 am

135

mg/dL

Comment? Press OK

Page 61

MESSAGE WHAT IT MEANS

A blood glucose test result in the range of 240 mg/dL to 600 mg/dL with a suggestion to check your ketone levels.

When your blood glucose result is from 20 mg/dL through 59 mg/dL, “Do you need a snack?” will appear on the display with the test result, reminding you that a meal or snack may be necessary.

ACTION

Follow the instructions of your healthcare professional regarding ketone testing.

Follow the instructions of your healthcare professional.

(Example)

Sep 14-02 9:45 am

414

mg/dL

Check Ketones

Comment? Press OK

Sep 14-02 9:30 am

mg/dL

Do you need a snack?

Comment? Press OK

Page 62

WARNINGS AND ERROR MESSAGES

These messages help to identify certain problems but do not appear in all cases when a problem has occurred. Improper use may cause an inaccurate result without producing a warning or an error message. In the event of a problem, refer to the information under ACTION. Assistance is available from LifeScan Customer Service 24 hours a

day, seven days a week at

1 800 227-8862.

MESSAGE WHAT IT MEANS

You may have a very low blood glucose level, lower than 20 mg/dL.

You may have a very high blood glucose level, exceeding 600 mg/dL.

ACTION

Treat this condition immediately according to your healthcare professional’s recommendations.

Although this message could be due to a test error, it is safer to treat first and then repeat the test.

You should retest your blood glucose level and if “HIGH GLUCOSE” appears again, call your healthcare professional immediately.

WARNING

LOW

GLUCOSE

Below 20 mg/dL

WARNING

HIGH

GLUCOSE

Above 600 mg/dL

Page 63

MESSAGE WHAT IT MEANS

There may be a problem with the meter or the meter may need to be reset.

Error message that could be caused by either a used test strip or a problem with the meter.

ACTION

To reset the meter, you must turn the meter off and enter Set-up mode (see pages 58–61). Reset the language, time, and date. You must also reset the meter code to match the code on the test strip vial. If you continue to get an Error 1 message, Do Not use the meter. Call

LifeScan Customer Service at 1 800 227-8862 for

a replacement meter.

Repeat the test with a new test strip. Refer to pages 7–8 for test strip information. If the error message persists, call LifeScan

Customer Service at 1 800 227-8862.

WARNING

Error 1

Call customer service

See Owner’s Booklet

WARNING

Error 2

Meter or strip problem

Please repeat test

See Owner’s Booklet

Page 64

MESSAGE WHAT IT MEANS

Error message that indicates that the blood or control solution sample was applied before “Apply Blood”, “Alternate Site”, or “Control Solution” appeared on the display.

1)You may have high glucose and have tested in an environment near the low end of the system’s operating temperature range (43–111°F/6–44°C).

ACTION

Repeat the test with a new test strip. Apply the blood or control solution sample only after “Apply Blood”, “Alternate Site”, or “Control Solution” appears on the display. Refer to pages 33–35 for information on sample application.

1)If you tested in a cool environment, repeat the test in a warmer environment with a new test strip.

If you were testing in a normal or warm environment, repeat the test with a new test strip (see pages 7–8 for test strip information).

WARNING

Error 3

Meter not ready

Please repeat test

See Owner’s Booklet

WARNING

Error 4

Strip problem

Please repeat test

See Owner’s Booklet

Page 65

MESSAGE

ACTION

2)If you applied the blood incorrectly, review pages 33–35 on blood application and repeat the test with a new test strip.

3)If the error message appears again, call

LifeScan Customer Service at 1 800 227-8862.

1)Repeat the test

with a new test strip. Refer to pages 33–35 for information on sample application.

2)If the error message

appears again, call

LifeScan Customer Service at 1 800 227-8862.

WHAT IT MEANS

2)The sample was improperly applied.

3)There may be a problem with the test strip. For example, it may have been damaged or moved during testing.

1)Error message that

indicates the meter has detected a problem with the test strip. Possible causes are test strip damage or an incompletely filled confirmation window.

2)There may be a problem with the meter.

WARNING

Error 4

Strip problem

Please repeat test

See Owner’s Booklet

WARNING

Error 5

Invalid test

Please repeat test

See Owner’s Booklet

Page 66

MESSAGE

ACTION

Test results will still be accurate, but replace the batteries as soon as possible.

Replace the batteries at once.

Perform the test after the meter and test strips have reached a temperature within the operating range.

WHAT IT MEANS

The battery sign appears on the display. The power of the batteries is getting low. The backlight will be disabled when the battery sign is displayed. You can complete about 100 more tests from the time this symbol first appears.

Battery power is too low to run a test.

The meter has detected that the temperature is outside the system operating range. Do Not perform a test until the meter and test strips reach a temperature within the operating range (43–111°F/6–44°C).

WARNING

Low Batteries!

You should replace

the batteries soon

See Owner’s Booklet

WARNING

Batteries!

You MUST replace

the batteries now

See Owner’s Booklet

WARNING

Meter is outside of

operating

temperature range

Test not possible

See Owner’s Booklet

Page 67

POSSIBLE CAUSES WHAT TO DO

If the meter does not turn on after inserting a test strip or the display is not active:

No power. Replace the batteries.

Defective meter or test strip. Call LifeScan Customer

Service at 1 800 227-8862.

No batteries or batteries incorrectly installed.

Check that the batteries are correctly installed.

Test strip inserted incorrectly. (For example, upside down, backward, or incompletely.)

Insert the test strip correctly with the contact bars end first and facing up. Push it in until it will go no further.

PROBLEMS AND POSSIBLE CAUSES

Page 68

If the test does not start after applying the sample:

POSSIBLE CAUSES WHAT TO DO

Insufficient blood sample. Repeat the test with a new test

strip and a larger sample, making sure blood is placed to the narrow channel in the top edge of the test strip.

Defective meter. Call LifeScan Customer

Service at 1 800 227-8862.

Defective test strip. Repeat the test with a new test

strip.

Sample applied after automatic shutoff (three minutes after inserting a test strip).

Repeat the test with a new test strip; apply sample only after “Apply Blood”, “Alternate Site”, or “Control Solution” appears on the display.

Page 69

METER SET-UP

The OneTouch®UltraSmart®Meter was pre-set at the factory with the date and Pacific Standard Time, and display language. The glucose units are pre-set at the factory and cannot be changed. You must enter Set-up mode to:

• Change the date, time, or display language. (Glucose units cannot be changed.)

• Customize the meter features that allow you to track diabetes pills, insulin doses, and insulin pump information.

• Customize advanced features such as averages, meal schedule, target glucose range, and hypoglycemia level.

Entering Basic Set-up Mode

To enter Set-up mode, press and hold down BOTH the Back button and the OK button at the same time for at least two seconds.

Note:

• It is important that the time of day is correct and that your medication set-up and mealtimes are set according to your personal daily schedule. Otherwise, some FastFacts

information will not be correct.

• You do not need to change any of the meter settings in order to begin testing. Simply insert a test strip to turn on the meter and proceed with the test (see pages 19–39).

Page 70

To change the language, use the Arrow button to scroll to the language. With your language choice highlighted, press the OK button .

Spanish (Español) French (Français) German (Deutsch)

Italian (Italiano) Portuguese (Português) Dutch (Nederlands)

To use English, press the OK button .

Selecting Display Language

The meter is set at the factory to use English.

You may choose one of up to six other languages in Set-up mode.

UltraSmart

This message will appear briefly. The language menu will follow immediately. The meter is now in Set-up mode. The SmartButtons

cannot be used while you are in Set-up mode. (You may still test at any time simply by inserting a test strip.)

Set up in?

English

Español

Francais

Deutsch Italiano

Português

Nederlands

¿Configurar en?

English

Español

Francais

Deutsch Italiano

Português

Nederlands

Page 71

Begin by setting the hour and “am” or “pm” if using 12-hour format. Use the Arrow button to scroll to the correct hour.

Check am/pm if applicable. If incorrect, continue to press the Arrow button until the hour and “am” or “pm” are correct. Press the OK button to continue.

Setting Date and Time

After the language has been set, the meter will display the factory-set time and date. If the date and/or time are incorrect, follow these steps in Set-up mode (see page 58, Entering Basic Set-up Mode).

Use the Arrow button to scroll to the correct minutes and press the OK button .

If “am” or “pm” is not correct, press the Back button to go back to the previous display and reset to the desired hour and “am” or “pm” setting.

You can ONLY change “am” and “pm” when you pass 12:00. If you use the 12-hour format, make sure “am” or “pm” is correct when setting the hour.

Basic Set-up

Time 1

12:00 am

Date

Sep 15-02

Basic Set-up

Time

12: 00 am

Date

Sep 15-02

Page 72

The meter will ask you if you wish to customize it. Select “Yes” (press the OK button ) if you wish to customize other meter settings (see Custom Meter Set-up Sequence, pages 62–76).

If you select “No” (use Arrow button and press the OK button ), the meter will turn off and continue to use the factory settings.

Then select the correct year and press the OK button . Repeat these steps to select the month and day.

Note: It is important to select the correct date

and time or your logbook may not show the most recent result first.

Basic Set-up

Time 12:00 am

Date

Do you want to customize

your meter now?

Sep 15-02

Ye s

Do you want to customize

your meter now?

Ye s

Page 73

CUSTOM METER SET-UP SEQUENCE

The OneTouch®UltraSmart®Meter has a number of optional features that you may use to track all your diabetes information. The Set-up Menu allows you to customize the meter with your personal diabetes management plan including the type and amount of medication you take, your target glucose range, your usual meal times, and much more information.

Set-up Menu

After completing Basic Set-up, choose “Yes” to customize your meter.

Note: If you are starting the custom set-up

sequence with the meter off, you must press the Back button and the OK button at the same time to turn on the meter. To access the Set-up Menu, you must go through Basic Set-up first (see pages 58–61).

Do you want to customize

your meter now?

Ye s

Page 74

“Set-up Menu” will appear on the display with a list of options. “Settings” will be highlighted.

You should have your OneTouch

UltraSmart®Owner’s Booklet available to refer to while customizing the meter.

Please use your Owner's

Booklet to help you set

up your OneTouch UltraSmart

Set-up Menu

Settings

Diabetes Pill Set-up

Insulin Set-up

Insulin Pump

Advanced Features

Exit Set-up

Page 75

Following is a summary of meter settings:

OPTION

Settings:

Time Format Date Format Begin of Week Cholesterol Units Beep

Diabetes Pill Set-Up:

Insulin Set-Up:

ACT

ORY SETTINGS

am/pm MM/DD/YY Sunday mg/dL ON

Pill A Pill B

InsulinA InsulinB

CUS

TOM SET

TINGS

24-hour DD/MM/YY Monday mmol/L OFF

Pill A to E or Customize with OneTouch

Diabetes Management Software

Rapid, Regular, Lente, NPH, Ultralen (Ultralente), Premixed, Other, InsulinA, InsulinB, InsulinC, or Customize with OneTouch

Diabetes Management Software

Meter Settings

Page 76

Meter Settings (continued)

OPT

ION

Insulin Pump:

Advanced Features:

Averages

Schedule

Glucose Range

Before Meal

After Meal

Hypo Level

CTORY SETTINGS

14 days

Pre-set (see pages 74–75)

–130 mg/dL

—

70 mg/dL

CUS

OM SETTINGS

Yes

7, 30, 60, 90 days

Personal

Page 77

Settings

“Settings” include:

• Time format

• Date format

• Beginning of the week

• Cholesterol unit of measure

• Beep on or off

To change any of these settings, press the OK button with “Settings” highlighted on the Set-up Menu. Each setting has a pop-up menu of available choices. You must review all five settings and choose one for each. Press the OK button to save them. After setting the last setting, the Beep, press the OK button to save your settings before turning off the meter or allowing it to turn off automatically.

You may set your meter to use a 12-hour am/pm time format or a 24-hour military time format (24:00). Use the Arrow button to view the choices. Highlight your choice and press the OK button .

You may choose between the MonthDay-Year date format (e.g., July 5, 2002) or the Day-Month-Year format (e.g., 5 July 2002). Highlight your choice and press the OK button .

Settings

Time Format

Date Format Begin of week Sunday

Cholesterol Units mg/dL Beep ON

Settings

Time Format am/pm

Date Format

Begin of week

Cholesterol Units mg/dL

Beep

am/pm

24 hour

MM/DD/YY

DD/MM/YY

Page 78

Settings

The meter was set at the factory to give audio signals (“beeps”) at key points in the test procedure. To keep the beeps, highlight “ON” and press the OK button

. For silent meter operation, highlight

“OFF” and press the OK button .

For record-keeping purposes you may begin your week on Sunday or Monday. Use the Arrow button to highlight your choice and press the OK button .

The cholesterol unit of measure may be either mg/dL (used in the U.S. and some European countries) or mmol/L (used in Canada and many other countries). Highlight your choice and press the OK button .

Time Format am/pm Date Format

Begin of week

Cholesterol Units Beep

Settings

Time Format am/pm Date Format MM/DD/YY

Begin of week Sunday

Cholesterol Units

Beep

MM/DD/YY

Sunday

Monday

mg/dL

mmol/L

Settings

Time Format am/pm Date Format MM/DD/YY Begin of week Sunday Cholesterol Units mg/dL

Beep

OFF

Page 79

Diabetes Pill Set-up

You may record up to five types of diabetes pills. This feature helps you track when you have taken each of your medications. The names of the medications may be chosen from a menu (Pills A through E) or the brand or generic names entered using a personal computer and OneTouch

Diabetes Management Software. If you do not customize your pill names, the factory settings of Pill A and Pill B will appear on your pill entry display.

Using the Arrow button , scroll to “Diabetes Pill Set-up” and press the OK button .

Enter the number of pill types you are taking (not the number of tablets you take each time). Scroll to the correct number and press the OK button . You can enter up to five types of pills. If you do not take pills or do not wish to use this feature, enter “

0”. If you enter “0”, the

diabetes pill choices will not appear on the display when you press the Medication SmartButton

Set-up Menu

Settings

Diabetes Pill Set-up

Insulin Set-up

Insulin Pump

Advanced Features

Exit Set-up

Diabetes Pill Set-up

How many types of

pills do you take?

Page 80

A pop-up menu of pill choices will appear on the display. Use Pills A–E to label up to five pills. For example, if you take glipizide pills you could label them as “Pill A”. You can enter the actual pill names using OneTouch

Diabetes Management Software. Using the Arrow button , scroll down to your choice and press the OK button .

“Pill 2” will be highlighted automatically. To enter a second type of diabetes pill, choose Pill B–E to describe the second pill and press the OK button . Repeat these steps to enter other pill types.

If you have completed your diabetes pill choices, select “Save” and press the OK button . If necessary, press the Back button to re-enter pill types.

Diabetes Pill Set-up

Select Pills

Pill A

Pill 1:

Pill 2:

Diabetes Pill Set-up

Pill 1:

Pill 2:

Pill B Pill C Pill D

Pill E

Select Pills

Pill B

Pill C Pill D Pill E

Diabetes Pill Set-up

Pill 1: Pill A

Pill 2: Pill B

Save

Page 81

Insulin Set-up

You can record your daily insulin usage by type of insulin and number of units for up to three different insulin types. Insulin types may be chosen from a menu of ten choices. Eleven other insulin types (up to eight characters in length) may be entered using a personal computer loaded with OneTouch

Diabetes Management Software. If you do not customize your insulin names, the factory settings of InsulinA and InsulinB will appear on your medication entry display.

Choose Insulin Set-up on the Set-up Menu and press the OK button .

Scroll to the number of insulin types you use and press the OK button . You can choose up to three types of insulin. If you do not wish to use this feature, enter “

0”.

If you select “

0”, no insulin names will

appear on the display when you press the Medication SmartButton

Set-up Menu

Settings

Diabetes Pill Set-up

Insulin Set-up

Insulin Pump

Advanced Features

Exit Set-up

Insulin Set-up

How many types of

insulin do you take?

Page 82

To enter your first insulin type, review the menu choices:

Use the Arrow button to scroll through the menu. Press the OK button on your selection. Repeat these steps until all of your insulin types have been selected.

To save your insulin choices, use the Arrow button to scroll to “Save” and press the OK button .

Rapid Regular Lente NPH Ultralen (Ultralente)

Premixed Other InsulinA InsulinB InsulinC

Insulin Set-up

Select insulin(s)

Insulin 1:

Insulin 2:

Select insulin(s)

Insulin 1:

Insulin 2:

Rapid

Regular

Lente

NPH Ultralen

Insulin Set-up

Regular

Lente NPH Ultralen Premixed

Insulin Set-up

Insulin 1:

Insulin 2: Regular

Save

Rapid

Page 83

Advanced Feature Set-up

The final item on the Set-up Menu is called “Advanced Features”. These features allow you to:

• Choose the number of days included in your glucose test averages

• Input your usual meal schedule

• Include your target glucose range

• Customize your hypoglycemic level

Insulin Pump Set-up

If you are using an insulin pump, the OneTouch

UltraSmart®Meter allows you to store current information about your pump. The factory setting will be set as if you do not use a pump.

Select “Yes” to use this feature and press the OK button . You can then use this feature to enter your bolus doses and total insulin amounts. If you do not use an insulin pump or you do not wish to set up this feature now, select “No” and press the OK button . After choosing “Yes” or “No”, the meter will return you to the Set-up Menu.

Select “Insulin Pump” on the Set-up Menu and press the OK button .

Set-up Menu

Settings

Diabetes Pill Set-up

Insulin Set-up

Insulin Pump

Advanced Features

Exit Set-up

Insulin Pump

Do you use an insulin

pump?

Ye s

Page 84

The first advanced feature is averages. Each time you test, the meter is set to display a 14-day average of your glucose tests along with your test result. You can change the number of days that make up this average to the last 7, 30, 60, or 90 days. Scroll to the number of days you want to include in your test display average and press the OK button . You can still look at averages for all five time periods by reviewing your electronic logbook.

Select “Advanced Features” and press the OK button .

ADVANCED FE

ATURES

Averages Schedule

Glucose Range

Before Meal After Meal

Hypo Level

ACTOR

Y SETTINGS

14 days Pre-set

(see pages 74–75)

90–130 mg/dL —

70 mg/dL

CUS

TOM SETT

INGS

7, 30, 60, 90 days Personal

Personal Personal

Personal

Select “Advanced Features” as follows:

Set-up Menu

Settings

Diabetes Pill Set-up

Insulin Set-up

Insulin Pump

Advanced Features

Exit Set-up

Advanced Features

Averages

Schedule

Glucose Range

Before Meal After Meal

7 Day

30 60 90

70Hypo Level

Page 85

To personalize your schedule, press the Back button , choose “Personal”, and press the OK button . To change all or some of the personal meal schedule:

• Scroll through each mealtime.

• Select the correct hours and minutes (in 15-minute steps).

• Press the OK button .

• If you make a mistake, press the Back button to return to the top of the schedule and make corrections.

Advanced Features

Next, the meter will prompt you to select time periods for your usual meal schedule. When you set this feature all of your test results will be tagged with the mealtime. To view a pre-set meal schedule select “Pre-set” and press the OK button .

The pre-set schedule will appear on the display. Both Before and After Mealtimes are pre-set. Whenever you test, these mealtimes will be recorded in the electronic logbook whether or not you are eating on schedule. To use the pre-set schedule, press the OK button .

Averages

Schedule

Glucose Range

Before Meal After Meal

Pre-set Schedule

Bef Brkft Aft Brkft Bef Lunch Aft Lunch

Bef Dinner Aft Dinner Night

6:00 a9:00 a-

11:00 a-

2:00 p5:00 p8:00 p-

11:00 p-

14 Day

Pre-set

Personal

90-130

--- - --70Hypo Level

9:00 a

11:00 a

2:00 p

5:00 p

8:00 p

11:00 p

6:00 a

Personal Schedule

Bef Brkft Aft Brkft Bef Lunch Aft Lunch

Bef Dinner Aft Dinner Night

6:00 a-

9:00 a-

11:00 a-

2:00 p5:00 p8:00 p-

11:00 p-

9:00 a

11:00 a

2:00 p

5:00 p

8:00 p

11:00 p

6:00 a

Page 86

Note:

• It is important that the time of day is correct and that your medication set-up and mealtimes are set according to your personal daily schedule. Otherwise, some FastFacts

information will not

be correct.

• You have the option to modify the mealtime for any test if necessary.

You will only be able to set beginning or start times for each mealtime. End times will change to match the start time of the next time period. For example, if your lunch is usually at 12:00 noon, “Bef Lunch” could be 10:00am to 12:00pm.

After changing the times, press the OK button to save your personal schedule.

Personal Schedule

Bef Brkft Aft Brkft Bef Lunch Aft Lunch

Bef Dinner Aft Dinner Night

Personal Schedule

Bef Brkft Aft Brkft Bef Lunch Aft Lunch

Bef Dinner Aft Dinner Night

5:00 a-

8:00 a10:00 a-

12:00 p-

5:00 p-

8:00 p11:00 p-

5:00 a-

8:00 a10:00 a12:00 p-

5:00 p-

8:00 p-

11:00 p-

8:00 a 10:00 a 12:00 p

5:00 p

8:00 p 11:00 p

5:00 a

8:00 a 10:00 a 12:00 p

5:00 p

8:00 p 11:00 p

5:00 a

Page 87

If you have an after-meal glucose range recommended by your healthcare professional and wish to enter it, use the Arrow button to scroll to your target numbers and press the OK button .

The factory-set hypoglycemia level is 70 mg/dL. If your healthcare professional has advised you to use a different level, scroll to the correct number and press the OK button .

Next, the meter will prompt you to set a before-meal blood glucose range. The meter is pre-set to 90–130 mg/dL. To use this range, press the OK button twice. You may change this range to one recommended by your healthcare professional. To change the lower and upper ends of the range in 1-mg/dL steps, scroll to the correct numbers and press the OK button .

Advanced Features

To exit Set-up mode, choose “Exit Set-up” and press the OK button .

Averages

Schedule

Glucose Range

Before Meal After Meal

Advanced Features

Averages Schedule

Glucose Range

Before Meal After Meal

14 Day

Pre-set

90-130

--- - --70Hypo Level

14 Day

Pre-set

90-130

--- - ---

70Hypo Level

Advanced Features

Averages Schedule

Glucose Range

Before Meal After Meal

Hypo Level

Set-up Menu

Settings

Diabetes Pill Set-up

Insulin Set-up

Insulin Pump

Advanced Features

Exit Set-up

14 Day

Pre-set

90-130

--- - ---

Page 88

YOUR ELECTRONIC LOGBOOK

The OneTouch®UltraSmart®electronic logbook is the meter memory. It stores over 3,000 records. The SmartButtons

allow you to enter information about your diabetes management plan, including exercise, health, medication, and food.

DEFINITION

OMMENTS ON GLUCOSE RESULTS

Comments

Information that you store in your electronic logbook along with a test result is called a “comment.” Following is a list of comments that you may store.

Exercise

Health

Medication

Food

Before

Stress Menses

None

Before Breakfast Before Lunch

During

Feel Hypo Vacation

After Breakfast After Lunch After Dinner

After

Illness Other

Before Lunch

Night

Before Breakfast Before Lunch Before Dinner Night

After Breakfast After Lunch After Dinner

Page 89

Rules for Adding Comments

Following are rules for adding comments in your logbook.

• If you wish to add a comment to a test result, press the OK button while viewing the test result.

• Use the Arrow button to scroll up and down through the various menus and choices.

• Use the OK button to make a selection.

• You must save your selections by using the Arrow button

to highlight “Save” and pressing the OK button .

• Prior to seeing the logbook display, you may press the Back button and return to the previous display to review or edit the information you have stored.

• To remove an entry, select - - - from the menu.

• Press and hold the Back button to turn off the meter.

• After one minute of no activity, the meter will turn off automatically. To go back into the logbook, press the FastFacts

SmartButton®. With “Logbook” highlighted,

press the OK button .

You can comment on a test as occurring before or after a meal, how you are feeling at the time of the test, and if there was any exercise involved. In all, you may add one food comment, one exercise comment, and up to six health comments to a test result.

How to Add a Comment

Following are the steps you take to comment on a test result.

Page 90

FOOD COMMENTS

In this example we’ll use food. If you wish to change the food comment to a different mealtime, use the Arrow button to select “Food” and press the OK button . Use the Arrow button to select your food comment and press the OK button

again. Your choices are Bef Brkft, Aft Brkft, Bef Lunch, Aft Lunch, Bef Dinner, Aft Dinner, and Night.

The meter will automatically prompt you to add a comment when you have a test result outside of your glucose target range. You can, however, add a comment to a test result whether or not “Comment? Press OK” appears. In this example, we will comment on a test result with food, exercise, and health information.

With any test result (or test result with average) on the display, press the OK button . You will be able to add comments for food, health, and exercise.

Health is always highlighted first since the food comment is automatically added based on your pre-set or personal schedule (see

Advanced Feature Set-up,

pages 72–76).

(Example)

Sep 8-02 10:30 am

135

mg/dL

Comment? Press OK

Sep 8-02 10:30 am

Gluc. 135 Comment

Food

Health

Exer Save

Aft Brkft

--------

Sep 8-02 10:30 am Gluc. 135 Comment

Food

Health

Exer

Save

--------

Bef Brkft Aft Brkft

Bef Lunch

Aft Lunch

Page 91

After adding your first health comment, “Health 2” will automatically appear on the display. To add additional health comments, press the OK button and select the comment from the menu. Note that your previous comment is no longer available.

Sep 8-02 10:30 am

Once you select your mealtime, “Health” is automatically highlighted. If you are through commenting, scroll to “Save” and press the OK button .

If you do not press the OK button , your entries will not be saved.

You can comment on the result with notes about your overall health at the time of the test. Press the OK button with “Health” highlighted. You may add up to six comments from this menu:

Stress Menses Feel Hypo Vacation Illness Other

HEALTH COMMENTS

Gluc. 135 Comment

Food Health

Exer

Save

Sep 8-02 10:30 am

Gluc. 135 Comment

Food

Health

Exer

Save

Bef Lunch

--------

Stress

Feel Hypo

Illness Menses

Sep 8-02 10:30 am Gluc. 135 Comment

Food Health 1

Health 2

Exer Save

--------

Feel Hypo Illness Menses

Vacation

Page 92

After you add the exercise comment, “Save” will automatically be highlighted. If you press the OK button , all of the comments you have entered will appear with the test result in the logbook.

Sep 8-02 10:30 am

When you have completed making comments, scroll to “Save” and press the OK button .

If you do not press the OK button , your entries will not be saved.

You can comment on a test result as occurring before, during, or after exercise.

EXERCISE COMMENTS

Gluc. 135 Comment

Food

Health 1

Health 2 Exer

Save

Sep 8-02 10:30 am

Gluc. 135 Comment

Food Health 1 Health 2

Exer

Save

Bef Lunch

Stress

--------

Bef Lunch

-------Before

During

After

Sep 8-02 10:30 am Gluc. 135 Comment

Food Health 1

Health 2 Exer

Save

Bef Lunch

Stress

--------

After

Page 93

Logbook Entries

“Logbook entries” are activities concerning exercise, health, medication, and food that are not associated with a test. You do not have to perform a blood

glucose test in order to add valuable diabetes information to your electronic logbook.

Using the SmartButtons

The SmartButtons®allow you to enter information about your diabetes management plan. There are SmartButtons

for exercise, health, medication, and food. To make a logbook entry, press the appropriate SmartButton

to turn on the meter and enter the

menu for the type of entry.

Exercise

Health FastFacts

Medication

Food

Note: You may press any SmartButton®to turn

on the meter and move directly to the category.

Page 94

Following is a list of logbook entries you can make.

Smar

tButton

LOGBOOK ENTRIES

Pills (1–5 and how many of each) Insulin (1–3 and units) Insulin Pump

Health Notes:

Health Checks:

Mild Moderate Hard

Duration (enter length of time)

Stress Feel Hypo Illness

Menses Vacation Other

Carbs Calories

Fats Proteins

Ketones HbA1c Microalbumin Cholesterol Blood Pressure

Eye Exam Foot Exam Weight/Height Dr. Visit

Exercise

Health

Medication

Food

Page 95

Rules for Logbook Entries

• If you wish to add a logbook entry, press a SmartButton

to turn on the meter. The icon for the category you are choosing will appear in the upper-left-hand corner of the display and the title of the category will appear at the top of the display. If you press a SmartButton

in error,

either press another SmartButton

or choose

- - - from the selection menu.

• Before making a logbook entry, the time must be selected. Use the Arrow button to choose either the date and time displayed or “Other Time”.

• Use the OK button to confirm your choices. The logbook display will appear. If no logbook display appears, your entries have not been saved.

• It is possible to enter the same logbook entry information more than once for a given date and time.

• To remove an entry, select - - - from the menu.

• Prior to seeing the logbook display, you may press the Back button and return to the previous display to review or edit the information you have stored.

• Press and hold the Back button to turn off the meter.

Page 96

A calendar will appear on the display. Scroll to the correct month and day and press the OK button .

Entering the Date and Time

If the logbook entry is for the current date and time, press the OK button .

If the entry is for a previous date and time, select “Other Time” and press the OK button .

Record the time in hours and minutes and press the OK button . Note that “am” and “pm” change every 12 hours. Then make your logbook entry.

Exercise Entry

Add New Entry for

Sep 15-02 3:30 pm

Other Time

Exercise Entry

Add New Entry for

Sep 15-02 3:30 pm

Other Time

Select Entry Date

Sep-02

11 18 25

Sep 8-02

What time?

10: 30

14 21 28

15 22 29

9 16 23 30

10 17 24

Page 97

EXERCISE LOGBOOK ENTRIES

With the meter turned off, press the Exercise SmartButton.

These choices will appear on the display. Select the current date and time to add an exercise logbook entry at this time. Select “Other Time” if the logbook entry is for some time in the past and press the OK button .

Then record the duration of the exercise to the nearest five minutes. Press the OK button to save the logbook entry.

Note: Check that the date and time

are correct for your entry. You may rate the exercise you performed as mild, moderate, or hard. Press the OK button .

Exercise Entry

Add New Entry for

Sep 15-02 3:30 pm

Other Time

Sep 15-02 3:30 pm

Exercise Entry

Exercise

Duration

--------

Mild

Moderate

Hard

Sep 15-02 3:30 pm

Exercise Entry

Exercise

Duration

Hard

00:10

Page 98

HEALTH LOGBOOK ENTRIES

After selecting the date and time, two menu choices will appear. You may make health logbook entries for the current time or another time (see page 85). “Health Notes” allow you to enter information about your day.

The exercise logbook entry you recorded will be saved this way in your electronic logbook. You may also scroll through the logbook to view previous entries. Press the OK button while you are in the logbook to edit or delete the highlighted entry (see pages 105–107).

Select “Health Notes” and press the OK button .

Choose from this menu:

Stress Menses Feel Hypo Vacation Illness Other

Press the OK button to save and view the logbook entry.

Sep 15-02 3:30 pm

Exercise

Hard 00:10

Logbook

Sep 15-02 3:30 pm

Health Entry

Health Notes

Health Checks

Sep 15-02 3:30 pm

Health Notes

--------

Stress

Feel Hypo

Illness

Menses

Vacation

Page 99

Logbook

The logbook entry with your Health Note will be saved this way in the electronic logbook.

To record check-up information, select “Health Checks” and press the OK button .

Choose from this menu:

Ketones Eye Exam HbA

1c Foot Exam Microalbumin Weight/Height Cholesterol Dr. Visit Blood Pressure

“Health Checks” are another type of health logbook entry that you can record. Health Checks include home and laboratory tests as well as doctors’ examinations. All of this information is vital to a good diabetes management plan. Health Checks may be stored in your electronic logbook at the time they occur or at some later time.

Sep 15-02 3:30 pm

Stress

Sep 15-02 3:30 pm

Health Entry

Health Notes

Health Checks

Page 100

Many Health Checks allow you to input numeric values. In order to adjust the number, use the Arrow button to scroll up and down. Press the OK button to save your selection and return to the Health Checks menu. Following are sample entries possible under “Health Checks”. When you have completed your Health Check entries, scroll to “Exit Health Checks” and press the OK button . Your Health Check entry will be saved in the electronic logbook.

Ketones

When you check ketones, you can enter the results in your electronic logbook. Results may be:

Negative Moderate Trace Large Small

Scroll to your selection and press the OK button .

Sep 15-02 3:30 pm

Health Checks

--------

Ketones

Sep 15-02 3:30 pm

Ketones

Negative Trace Small Moderate

Health Checks

--------

Negative

Trace Small Moderate