TELCARE TCTM0001 User Manual

TELCARE™ Blood Glucose Monitoring System

TELCARE™ Blood Glucose

Monitoring System

User Manual

TELCARE™ Blood Glucose Monitoring System

e TELCARE™ Blood Glucose Monitoring system is intended
for the quantitative measurement of glucose in fresh capillary
whole blood samples drawn from the ngertips, forearm, or
palm. It is intended for lay use by persons with diabetes to
aid in diabetes management. It is indicated for use at home
(over the counter [OTC]) and should be used only by a single
patient and should not be shared. Test results are plasma­calibrated for easy comparison to clinical laboratory methods.
Testing is done outside the body (in vitro diagnostic use).
e TELCARE™ Blood Glucose Monitoring System consists
of the Telcare BGM™ Blood Glucose Meter, TELCARE™
Blood Glucose Test Strips, and TELCARE™ Glucose Control
Solutions. e TELCARE™ Blood Glucose Monitoring system
is not indicated for the diagnosis or screening of diabetes or
for neonatal use. Palm and forearm testing should be done
only during steady-state times when glucose is not changing
rapidly. e Telcare BGM™ Blood Glucose Meter uses cellular
data transmission to send test results to TELCARE™’s remote
database, Telserve, and to receive messages from Telserve. e
TELCARE™ Blood Glucose Monitoring System is not intended
to provide automated treatment guidance or decisions, nor is it
to be used as a substitute for professional healthcare judgment.

Intended Use

(i)

TELCARE™ Blood Glucose Monitoring System

e TELCARE™ Blood Glucose Monitoring System and
lancing device is for single patient use. Do not share it with
anyone, including family members! Do not use on multiple
patients!

Because all parts of the kit may come in contact with your
blood, all parts are considered biohazardous. Kit parts can
potentially transmit infectious diseases, even aer cleaning
and disinfection.

Users should wash hands thoroughly with soap and water
and dry thoroughly aer handling the meter, test strips, and
any lancing device.

For Cleaning and Disinfecting procedures to prevent the
spread of diseases such as Hepatitis B, see Cleaning and
Disinfecting Your Meter (pg. 31).

For Technical Support contact TELCARE™ at [phone].
Hours of Operation: Monday - Friday, 9AM - 5PM EST

References

“FDA Public Health Notication: Use of Fingerstick Devices on More than One Person Poses Risk for Transmitting Blood­borne Pathogens: Initial Communication” (2010)

http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ucm224025.htm

“CDC Clinical Reminder: Use of Fingerstick Devices on More than One Person Poses Risk for Transmitting Bloodborne
Pathogens” (2010)

http://www.cdc.gov/injectionsafety/Fingerstick-DevicesBGM.html

“Protection of Laboratory Workers from Occupationally Acquired Infections; Approved Guideline–ird Edition. Clinical
and Laboratory Standards Institute (CLSI), document M29-A3, (ISBN 1-56238-567-4).

Important Safety Instructions

(ii)

TELCARE™ Blood Glucose Monitoring System

(iii)

Your Telcare Blood Glucose Meter

The Telcare BGM

™

Device 2
Telcare Test Strips 3
The Display Screen 4
Setting Up Your Telcare BGM 5
Settings Options 6

Control Solution Modes

Step by Step Guide to Control Testing 8

Testing Your Blood Sugar

Preparation and Safety 14
Prepare Your Lancing Device 17
Understanding Your Blood Glucose Test Results 28

Viewing Your Meter’s Memory 29

Maintenance of Your Telcare BGM and Lancing Device

Cleaning and Disinfecting Your Meter 31
Cleaning and Disinfecting Your Lancing Device 33
Charging Your Telcare Blood Glucose Meter 35

Storing Your Meter and Test Strips 36

Troubleshooting 37

Terms of Warranty 40

Specifications 41

About Telcare 42

Contact Telcare 43

Table of Contents

TELCARE™ Blood Glucose Monitoring System

1

Unboxing the Telcare BGM

™

for the first time

Before we begin, take a moment to go over the contents of your Telcare
BGM kit. Your kit should include:

n Telcare BGM

™

Blood Glucose Meter (battery included)

n AC Charger

n Instruction Manual
n Telcare Test Strips (10)
n Telcare Glucose Control Solution
n Lancing Device
n Lancets

Make sure you charge your glucose meter for at least 12 hours before first
use. To charge your glucose meter, use the AC Charger included in your kit.

You should use the Telcare BGM for:

n Testing blood glucose.

n Testing only with fresh capillary whole blood samples.

You should NOT use the Telcare BGM for:

n The diagnosis of diabetes.

n Testing blood glucose on newborns.

n Testing of arterial blood.

n Testing of venous blood.

Your Telcare Blood Glucose Meter

TELCARE™ Blood Glucose Monitoring System

2

The Telcare BGM™ Device

2

6

5

7

1

1 Power Button

2 UP / DOWN Keys

3 Enter Button

4 Display Screen

5 Insert Test Strip

(white side up)

6 Charging Port

(do not attempt to

insert strip here)

7 Wireless Signal

Indicator

2

3

4

TELCARE™ Blood Glucose Monitoring System

3

Telcare Test Strips

Blood Sample End

Contact End

(put into device)

IMPORTANT NOTES ON TEST STRIPS:

n Because of the autocoding feature of this meter, the strip insertion will be

snug. This is to be expected and users find it easy after a few attempts.

n Check the expiration date printed on the test strip bottle and its package.

Do Not use expired test strips.

n Use each test strip immediately after removing it from the bottle.

n Do not use wet or damaged test strips.

n Keep away from direct sunlight and heat. Store the test strip bottle in a dry,

cool place.

n Record the “date opened” on the bottle label. Discard the bottle and any

remaining test strips 3 months after the date of opening.

n Do not operate the meter outside the temperature range of 50˚F to 104˚F.

TELCARE™ Blood Glucose Monitoring System

The Display Screen

4

From the Display screen, you can see the following things:

n Wireless Signal Strength
n Current Time
n Battery Level
n Last Test Reading
n Time of Last Reading

In this Display screen, use the UP/DOWN buttons (located on the left of your
meter) to access the meter’s options:

n Test Mode
n L1 Control Solution Mode (Low)
n L2 Control Solution Mode (High)
n Settings Menu

The Display Screen

1 Wireless Signal Strength

2 Current Time

3 Battery Level

4 Last Test Reading

5 Time of Last Reading

3 2

1

4

5

TELCARE™ Blood Glucose Monitoring System

Setting Up Your Telcare BGM

™

5

Your Telcare BGM is preset with your information, including your time zone.
During each cellular connection, Telserve will validate the time displayed is
accurate. Telserve will automatically update your BGM clock, if appropriate.
Also, if your physical location changes, Telserve will recognize your time zone
change and update your meter.

If you would like to view your meter’s preset settings, navigate to the
Settings screen.

Getting to the Settings Screen

1 Power (PWR) your Telcare BGM device on.

2 Use the UP/DOWN buttons to reach the “Settings” screen.

IMPORTANT: Slight delays occur when meter powers on. If delay is greater than
20 seconds, do not use meter. Contact technical support at [phone].

TELCARE™ Blood Glucose Monitoring System

6

Settings Options

Alarms

Create up to 3 alarms to help remind yourself when to test next.

Date and Time

This page allows you to view the Date and Time settings of your device.

Volume

This page allows you to select the volume of your meter. Use the UP/DOWN
keys to select the appropriate volume. There are six possible volumes you
may select from.

Mobile Network

This is an advanced feature. This page allows you to view the details of the
mobile network your device uses for communication to the MyTelcare.com
Web Portal. We recommend you do not change the factory settings.

Auto-Sync

Disabling Auto-sync will prevent the meter from communicating with the
MyTelcare.com Web Portal (Not Recommended). Readings will still be stored
in the meter.

TELCARE™ Blood Glucose Monitoring System

7

Memory Recall

Your last 300 glucose and control test readings are stored within the meter.
Please see “Viewing Your Meter’s Memory” (page 29) for further details. To
send a reading to MyTelcare.com, highlight it and push the Enter button. If a
reading has already been stored on MyTelcare.com and you attempt to send
it, an error will appear on screen.

Airplane Mode

Turning on Airplane Mode disables cellular network access. You will not
be able to transmit your readings while Airplane Mode is turned on. Your
meter’s clock will continue to work properly while in this mode.

If a time zone change occurs, your meter will not automatically update to
the new time until Airplane Mode has been disabled. The meter will reset the
time from the new network.

About

This screen provides a listing of current software and related information
about your meter. This is helpful if you need technical support.

TELCARE™ Blood Glucose Monitoring System

Control Solution Modes

8

Control solution testing is to make sure your Telcare BGM™ and Test Strips are
working properly. You should perform control solution testing when:

n Using the meter for the first time.
n Using a new bottle of Telcare Test Strips.
n You left the test strip bottle cap open.
n You dropped the meter.
n You suspect the meter and test strips are not working properly.
n The test results do not reflect how you feel.
n Practicing the testing.
n The test strips are exposed to extreme environmental conditions.

Purchase additional control solution by calling Telcare at [phone]
(9AM - 5PM EST, M-F).

Step by Step Guide to Control Testing

Power on the Telcare BGM device with the

PWR button on the right side of the BGM.

The device will automatically start in

“Normal Test Mode,” ready to check blood

glucose. You will see the “Insert test strip”

screen as shown.

1
2

TELCARE™ Blood Glucose Monitoring System

9

3

Use the UP / DOWN keys on the left side of

the BGM to access the main menu. Switch

modes from “Normal Test Mode” to

L1 Control Solution Mode.

To test Level 1 (L1) control solution, use the

UP/DOWN buttons to highlight L1 mode.

Press the middle (ENTER) button to select

L1 mode.

Upon successful completion of Level 1

(L1), test Level 2 (L2) control solution.

Use the UP / DOWN keys on the left side of

the BGM to access the main menu. Switch

modes from “Normal Test Mode” to

L2 Control Solution Mode.

To test Level 2 (L2) control solution, use the

UP/DOWN buttons to highlight L2 mode.

Press the middle (ENTER) button to select

L2 mode.

TELCARE™ Blood Glucose Monitoring System

10

You can select any Mode you want by

pushing the ENTER button.

Take out a Telcare Test Strip from the test

strip bottle. Close the bottle immediately.

IMPORTANT:

- Insert the strip into the strip port at a

slight downward angle for it to properly

seat in the meter.

- The word “Telcare” should be facing up.

- The sample tip should be facing up.

- Continue to push the strip in until Apply

Blood appears.

Sample Tip

4
5

6

TELCARE™ Blood Glucose Monitoring System

11

Squeeze a drop of control solution onto a

clean, dry, non-absorbing surface. Use Level

1 solution for L1 mode. Use Level 2 solution

for L2 mode. Do not apply control solution

to the test strip directly from the bottle.

Immediately replace the bottle cap on the

control solution bottle.

Gently touch the tip of the test strip to the

drop of control solution. You should see the

blood sample end of the test strip fill.

The screen will start to count down. After

6 seconds, the control test result will appear

on the meter’s display screen.

7

8

9

TELCARE™ Blood Glucose Monitoring System

12

Compare the reading on the screen to

the “L1 Control Solution” or “L2 Control

Solution” range printed on the test strip

bottle or package. If the reading on the

meter falls within the appropriate range,

select the YES tag. If not, select the NO

tag. If the reading falls outside the level

printed on the bottle or package that

you used, please see Control Solution

Troubleshooting on page 13.

10

IMPORTANT TIPS:

1. Only use Telcare Glucose Control Solution with the Telcare Test Strips. Other

brands of control solution or test strips may produce inaccurate results.

2. Always check the expiration date. DO NOT use expired control solution.

3. DO NOT FREEZE. Store the control solution at room temperature.

4. Never touch the tip of the control solution bottle to the test strip.

It will damage all remaining solution in the bottle.

Control
Solution
Range

TELCARE™ Blood Glucose Monitoring System

13

Control Solution Troubleshooting

If your control solution testing is out of range (too high or too low),
it may be caused by the following:

n Wrong brand of control solution.

n Control solution not at room temperature.

n Expired or contaminated control solution.

n Damaged test strip.

n Touched the tip of solution bottle to test strip.

n Meter malfunction.

n Wrong ambient temperature (should be between 50˚F and 104˚F).

n Check the expiration date and open bottle date on the control solution

and on the test strips. Repeat testing using a new test strip. If the result is
still out of range, use a new bottle of control solution and retest.

If the problem persists, turn your meter off and then call TELCARE™
at [phone]. Do not perform any blood glucose tests until you
resolve this issue.

TELCARE™ Blood Glucose Monitoring System

Testing Your Blood Sugar

14

n Set up your Telcare BGM

™

Blood Glucose Meter properly. Run a control test

before first use. (See Step by Step Guide to Control Testing on page 8.)

n Wash your hands and testing site thoroughly with warm

water and soap. Dry your hands well.

n Test in a place where the temperature range is between

50˚F and 104˚F. (See Troubleshooting on page 37 for more information.)

You will need:

n Your Telcare BGM

™

Blood Glucose Meter

n A new Telcare Test Strip

n A lancing device with a clean, unused lancet (or safety lancets)

IMPORTANT:

Inaccurate results may occur in severely hypotensive individuals or patients

in shock. Inaccurate low results may occur for individuals experiencing a

hyperglycemic hyperosmolar state, with or without ketosis. Critically ill

patients should not be tested with blood glucose meters.

Before you begin, make sure to:

TELCARE™ Blood Glucose Monitoring System

Important Safety Information Before Testing

15

n Please follow cleaning and disinfecting instructions for the meter

(page 31) and lancing device (page 33) to prevent the risk of
blood-borne pathogen transmission!

n Follow any cleaning/disinfection instructions that may come with

the lancing device you use.

n The meter and lancing device are intended for a single user and

should not be shared.

n Make sure you wash and dry hands thoroughly with soap and

water before and after handling the meter, lancing device, or test
strips.

TELCARE™ Blood Glucose Monitoring System

16

Step by Step Blood Sugar Testing

Power on the Telcare BGM™ device with

the PWR button on right side of meter.

The device will automatically start in

“Normal Test Mode.” When ready to

check blood, “Insert test strip” will be

displayed.

Take out a Telcare Test Strip from the

bottle, and close the bottle immediately.

(Some meters require the user to enter a

code from the vial. Telcare’s strips do not

require a code.)

Firmly insert the test strip into your Telcare

BGM device until it is fully seated.

1

2

3

TELCARE™ Blood Glucose Monitoring System

Inserting a Lancet

Wash your hands and puncture
site with soap and warm water.
Rinse and dry thoroughly.

Twist off the Lancing Device
Cover

Insert a new Lance firmly into the
Lancet Carrier

Hold the Lancet Needle Cover
and gently twist off of the Lancet

The Adjustable Tip offers 5 levels of
skin penetration. To select the
desired depth, twist the Adjustable
Tip in either direction until the
number line up with the Arrow.

Replace the Lancing Device
Cover

3

6

17

Prepare Your Lancing Device

4

Twist off the Lancing Device
Cover

Insert a new Lance firmly into the
Lancet Carrier

3

A Twist off the lancing device cover.

Insert a new lancet firmly into the

lancet carrier.

B Hold the lancet needle cover and

gently twist it off of the lancet.

Continued on next page

IMPORTANT SAFETY PROCEDURES:

Use a new lancet every time you test to avoid contamination. It is important

to discard the used lancet carefully after each use to avoid unintended lancet

stick injuries. Used lancets may be considered biohazardous waste in your

area. Be sure to follow your local regulations for proper disposal.

If alcohol wipes are used to clean your finger or palm, make sure your skin is

dry before the blood sample is obtained.

Lancing devices should NEVER be used by more than one person.

A

B

TELCARE™ Blood Glucose Monitoring System

18

C Replace the lancing device cover.

The adjustable tip offers 5 levels of skin

penetration. To select the desired depth,

twist the adjustable tip in either direction

until the number lines up with the arrow.

To select the best depth:

1-2 for soft or thin skin

3 for average skin

4-5 for thick or callused skin

D Hold the lancing device cover in one

hand. Using the other hand, slowly

pull the sliding barrel away from the

lancing device cover. You will hear a click,

indicating that the lancet carrier is locked

into position. Release the sliding barrel to

return it to its original position.

NOTE:

• For ngertip testing, use the blue or grey cap included on the lancing device.

• For alternate site testing on your palm, use the clear cap.

Twist off the Lancing Device
Cover

Insert a new Lance firmly into the
Lancet Carrier

The Adjustable Tip offers 5 levels of
skin penetration. To select the
desired depth, twist the Adjustable
Tip in either direction until the
number line up with the Arrow.

Replace the Lancing Device
Cover

3

6

Hold the Lancet Needle Cover
and gently twist off of the Lancet

The Adjustable Tip offers 5 levels of
skin penetration. To select the
desired depth, twist the Adjustable
Tip in either direction until the
number line up with the Arrow.

Replace the Lancing Device
Cover

To select the best depth:
1-2 for soft or think skin
3 for average skin
4-5 for thick or calloused skin

6

Place the Lancing Device aside
and wait a few seconds for a blood
drop to form. To help form a blood
drop, lower the hand to waist level
and gently massage the finger from
palm to fingertip.

Position the end of the Adjust-
able Comfort Tip against the
side-tip of the finger. Press the
Trigger Button, and then lift the
Lancing Device away from the
finger after the puncture is
complete.

Hold the Lancing Device Cover in
one hand. Using the other hand,
slowly pull the Sliding Barrel
away from the Lancing Device
Cover. You will hear a click,
indicating that the Lancet Carrier
is locked into position. Release
the Sliding Barrel to return it to its
original position.

C

D

TELCARE™ Blood Glucose Monitoring System

19

5

Fingertip Testing

Position the end of the adjustable

comfort tip against the side of the

fingertip. Press the trigger button,

and then lift the lancing device away

from the finger after the puncture is

complete.

TIPS FOR FINGERTIP TESTING

• Gently massage your hand and nger toward the puncture site to form

a drop of blood. Do not “milk” or squeeze around the puncture site.

• Lance the side of your ngertip to avoid soreness. To avoid calluses,

choose a different lancing site each time.

Note:

DO NOT re-use the Lancet

The Adjustable Tip offers 5 levels of
skin penetration. To select the
desired depth, twist the Adjustable
Tip in either direction until the
number line up with the Arrow.

Replace the Lancing Device
Cover

To select the best depth:
1-2 for soft or think skin
3 for average skin
4-5 for thick or calloused skin

6

Place the Lancing Device aside
and wait a few seconds for a blood
drop to form. To help form a blood
drop, lower the hand to waist level
and gently massage the finger from
palm to fingertip.

Position the end of the Adjust-
able Comfort Tip against the
side-tip of the finger. Press the
Trigger Button, and then lift the
Lancing Device away from the
finger after the puncture is
complete.

Note:

DO NOT re-use the Lancet

The Adjustable Tip offers 5 levels of
skin penetration. To select the
desired depth, twist the Adjustable
Tip in either direction until the
number line up with the Arrow.

To select the best depth:
1-2 for soft or think skin
3 for average skin
4-5 for thick or calloused skin

6

Place the Lancing Device aside
and wait a few seconds for a blood
drop to form. To help form a blood
drop, lower the hand to waist level
and gently massage the finger from
palm to fingertip.

TELCARE™ Blood Glucose Monitoring System

20

Testing Using an Alternate Test Site

Your Telcare BGM™ is capable of testing

your blood glucose from your palm,

usually referred to as an alternate site

test, or AST.

Alternate site testing can be less painful

than fingertip testing. However, because

of the physiological differences between

your fingertip and palm, AST results may

be significantly different.

You should consult with your doctor

before using alternate site testing.

Important Information
on Alternate Site Testing

TELCARE™ Blood Glucose Monitoring System

21

Testing on Your Palm

Prepare the lancing device with a new lancet and clear cap. Cock the lancing

device so that it is ready to use. Select a site on your palm that does not have

veins, moles, excessive hair, or bone. Vigorously rub the side of your palm with

your other hand for at least 10 seconds. You should feel it get quite warm.

Press the opening of the clear cap against a fleshy area of the palm. Press the

lancing device up and down in a slow pumping motion for several seconds to

help the flow of blood.

Keep steady pressure on the area and press the release button. Do not be afraid

to apply pressure to the area with the lancing device to assist the flow of blood.

Continue to press the cap against the area for a few seconds to allow blood to

come to the surface. You can see the blood drop through the clear cap. Do not

smear the blood when removing the lancing device. If the blood drop is too

small, the meter will show “Error: Not Enough Blood.” Insert a new strip and

obtain a new blood drop.

If the results from alternate site testing differ from how you feel, use
fingertip testing instead.

user tip

Telcare users have found that a 26 gauge lancet or thicker (a number lower

than 26) is needed in order to obtain an adequate blood drop for palm testing.

Ultra-fine lancets that are adequate for finger testing will often fail to yield

enough blood for palm testing.

TELCARE™ Blood Glucose Monitoring System

22

IMPORTANT INFORMATION FOR LANCING DEVICE

A Use the TELCARE

™

Lancing Device included in your TELCARE™ Blood

Glucose Monitoring System to obtain a blood sample. The minimum

blood sample volume is 0.8 microliters.

B Purchase an additional TELCARE™ Lancing Device by calling

TELCARE™ at [phone] (9AM - 5PM EST, M-F).

C If using another type of lancing device, please refer to its user

manual.

IMPORTANT SAFETY PROCEDURES:

Use a new lancet every time you test to avoid contamination.

It is important to discard the used lancet carefully after each use to avoid

unintended lancet stick injuries. Used lancets may be considered biohazardous

waste in your area. Be sure to follow your local regulations for proper disposal.

Lancing devices should NEVER be used by more than one person.

Please see your lancing device’s user manual for further instructions.

TELCARE™ Blood Glucose Monitoring System

23

Important Information on Alternate Site Testing

We recommend that Alternate Site Testing SHOULD NOT BE USED WHEN:

n You have hypoglycemic unawareness (not able to tell if you have low

blood sugar).

n You are within 2 hours of eating a meal, exercising, or taking medication.

n You will be operating machinery or driving a car.

n You are sick.

n You think your blood glucose is low.

n Your Alternate Site Testing results do not match the way you feel.

n You are testing for hyperglycemia.

n Your routine blood glucose results are fluctuating often.

n Alternate Site Testing should not be used for patients who are dehydrated,

hypotensive, in shock, critically ill, or in a hyperosmolar state.

n Alternate Site Testing measurements should never be used to calibrate a

continuous glucose monitor (CGM).

n Alternate Site Testing measurements should never be used for insulin dose

calculations.

Please see your lancing device’s user manual for further instructions.

TELCARE™ Blood Glucose Monitoring System

24

Applying Blood to the Test Strip

Gently touch the test strip to the drop of

blood. The test strip will absorb the blood.

Keep the test strip in the blood drop until

you see the blood sample end of the test

strip fill.

Tagging Your Data

The screen will start to count down. After

6 seconds, your glucose level will appear

on the display screen. You will then have

time to select a Reading Tag (e.g., Before

Breakfast) from the list displayed. Use the

DOWN button to scroll to the correct tag.

Press the ENTER button to select that tag.

Your test result will be automatically stored

into the meter memory. If a reading tag

is not selected in the allotted time, it will

automatically be tagged as “No Selection.”

Remove the Test Strip

In order to send results to the Telcare server,

remove the test strip from the meter when

you see the screen shown here.

6

7

8

TELCARE™ Blood Glucose Monitoring System

25

IMPORTANT

If you see “High” or “Low” displayed, your blood glucose level may be above

600 mg/dL or below 20 mg/dL. Wash your hands. Dry your hands completely.

Test again using fingertip testing, DO NOT test on your palm or forearm. If you

still receive the same message, call your caregiver immediately.

Sending Your Results

As soon as you remove the test strip, your

BGM™ will send the results to Telserve,

Telcare’s secure server. Results can be sent to

your caregiver’s electronic medical records

and to other locations. Other locations could

be your cell phone or computer, depending

on the setup instructions you gave Telcare.

Telserve data can be viewed at MyTelcare.com.

TWO BARS OR LESS OF WIRELESS SIGNAL

STRENGTH MAY RESULT IN UNRELIABLE

TRANSMISSION AND RECEPTION OF DATA. THE

STRENGTH INDICATOR IS LOCATED AT THE TOP

LEFT OF THE METER’S SCREEN.

9

TELCARE™ Blood Glucose Monitoring System

26

OPTIONAL: After successful data

transmissions to Telserve, you may receive a

multiple choice question to answer. This may

be a question from your caregiver or relate

to reordering supplies. Use the UP/DOWN

buttons to select the appropriate answer.

Press the ENTER button to transmit.

CLINICAL RESPONSE SCREEN: After

data transmission, you will see a graph

that compares your reading to your set

target. To change your set target, go to

MyTelcare.com or call Customer Support.

You may also see helpful guidance from your

caregiver regarding this reading to manage

your diabetes.

Access your readings at www.MyTelcare.com. Use the login credentials
that you can obtain by calling [phone]. For additional questions or
login support, turn your meter off and contact Telcare by phone or e-mail

[e-mail].

TELCARE™ Blood Glucose Monitoring System

27

If Your Data Transmission Is Not Successful

If the device cannot communicate with Telserve, the following
message will appear:

“No data connection, Data will be stored”

Your test results will be stored in your device. You can send
the reading on your own by going into Memory Recall within
Settings. See page 7.

IF DATA TRANSFER FAILS, YOU MAY USE THIS PRODUCT LIKE
ANY OTHER GLUCOSE METER. FOLLOW YOUR HEALTHCARE
PROFESSIONAL’S INSTRUCTIONS ON TREATMENT.

TELCARE™ Blood Glucose Monitoring System

References

1. American Diabetes Association. Standards of Medical Care in Diabetes—2008. Diabetes Care. 2008;31:S12–S54.

28

Understanding Your Blood Glucose Test Results

Blood glucose value will vary depending on food intake, medication, health,
stress, and exercise. The ideal ranges for people without diabetes are as
follows

1

:

n 70 to 100 mg/dL before meals, and
n 70 to 140 mg/dL after meals

What to do if you get a high or low reading AND you
feel ill.

If the Telcare BGM™ displays results that are “High” or “Low,” or you get a
result that is more than 250 mg/dL or below 50 mg/dL AND you feel ill:

n Treat your diabetes according to the instructions from your doctor.

If the Telcare BGM displays results that are “High” or “Low,” or you get a
result that is more than 250 mg/dL or below 50 mg/dL AND you DO NOT
feel ill:

n Test your Telcare BGM with a control solution, refer to page 8, ”Step by

Step Guide to Control Testing.”

n Wash your hands, dry thoroughly and test again using your fingertip.

If you still get a high or low reading, contact your doctor.

TELCARE™ Blood Glucose Monitoring System

Viewing Your Meter’s Memory

29

Your Telcare BGM™ Blood Glucose Meter stores up to 300 test and control
results. Each result is stored with date and time.

Power on the TELCARE BGM™ device by

using the PWR button.

Use the UP/DOWN keys to access

“Settings Mode.”

Select “Memory Recall” from the

“Settings Mode” screen.

Use the UP/DOWN keys to scroll through

the stored readings.

To exit the Memory Recall menu, you

must scroll to the bottom of your reading

history and select “BACK.”

(Shortcut: Press the UP button when your

most recent reading is highlighted. Doing

so will display the Back option.)

1
2

3

4

TELCARE™ Blood Glucose Monitoring System

Cleaning & Disinfecting

30

What is the difference between cleaning and
disinfecting?

Cleaning and disinfecting are not the same thing. Cleaning simply removes blood

and dirt. Disinfecting kills germs and provides an extra level of safety. In the following

procedure, the first disinfectant towel is used for cleaning, and the second towel

provides for disinfection.

You should disinfect areas where there are both high concentrations of germs

and a possibility that they will be spread to others. The Caltech DISPATCH Cleaner/

Disinfectant with Bleach Premoistened Towels™ have ingredients that clean and

disinfect your meter, lancing device, and endcaps. While surfaces may look clean,

many infectious germs may be lurking around. Some germs can live on surfaces for

hours and even for days! The disinfection process shown in the pages that follow is

effective in destroying dangerous Hepatitis B viruses.

If the meter or lancing device is being operated by a second person who is

providing testing assistance to the user, the meter should be decontaminated prior to

use by the second person. See your lancing device’s user manual for instructions on

decontaminating your lancing device.

To acquire canisters of Caltech DISPATCH towels, please contact:
Medex Supply - www.medexsupply.com - [phone]
Sears - www.sears.com - [phone]
Berktree - www.berktree.com - [phone]
Optics Planet - www.opticsplanet.com - [phone]
Amazon.com - www.amazon.com
A full list of authorized dealers of Caltech DISPATCH towels is at www.MyTelcare.com.

TELCARE™ Blood Glucose Monitoring System

31

Clean and disinfect your meter at least 1 time per week using Caltech
DISPATCH Cleaner/Disinfectant with Bleach Premoistened Towels

™

using the

following method:

1. Dispense the DISPATCH towel from its package or

container.

2. Clean the outside of the meter to remove any blood or

dirt.

3. Discard used towel in a sealed container where it will not

be touched by others.

4. Dispense a second DISPATCH towel from its package or

container.

6. Discard used towel in a sealed container where it will not

be touched by others.

7. Wait at least one minute and make sure device is

completely air dried before next blood test.

5. Disinfect the meter with the second towel by wiping all

outside surfaces.

Cleaning and Disinfecting Your Meter

12

6

9 3

TELCARE™ Blood Glucose Monitoring System

32

n Do not allow cleaning solution to run in or around the strip port. Doing so

may cause a malfunction.

n Do not let the meter come in contact with water.

n Do not use any glass or household cleaners on the meter.

n IMPORTANT: If the meter is being operated by a second person who

is providing testing assistance to the user, the meter should ALWAYS be
decontaminated prior to use by the second person.

n Stop using the meter and contact customer service for a replacement meter

device immediately if you notice any of the following signs of deterioration:

- The meter does not turn on.

- The meter’s screen has been cracked or has become clouded.

- Any buttons have fallen off or stopped working.

For technical support, contact Telcare at [phone].

The Telcare BGM™ Blood Glucose Meter has been validated for 1,825
cleaning and disinfection cycles. Please obtain a new meter after cleaning
and disinfecting the meter 1,825 times or once the lifetime of the meter (5
years) has been reached, whichever comes first.

TELCARE™ Blood Glucose Monitoring System

Cleaning and disinfecting of your lancing device should be done with the Caltech

DISPATCH Cleaner/Disinfectant with Bleach Pre-moistened Towels when it appears

dirty or contaminated with blood. The lancing device should be cleaned and

disinfected daily. The Telcare Lancing Device has been validated for 1,825 cleaning

and disinfection cycles, which corresponds to daily cleaning over a five year lifetime.

Please obtain a new lancing device after five years of daily cleaning or if signs of

deterioration are seen. Please follow this cleaning method:

1. Dispense the DISPATCH towel from its

package or container.

2. Clean the outside of the lancing

device and the inside and outside of the

cap to remove any blood or dirt.

3. Discard used towel in a sealed

container where it will not be touched

by others.

33

Cleaning and Disinfecting Your Lancing Device

Continued on page 34

4. Dispense a second DISPATCH towel

from its package or container.

TELCARE™ Blood Glucose Monitoring System

34

5. Wipe all surfaces again, just as you

did in step 2, in order to disinfect

them.

6. Discard the second towel in a

sealed container where it will not be

touched by others.

7. Wait at least one minute. Then

rinse briefly with water and allow to

dry before next use.

IMPORTANT: If the lancing device is being operated by a second person who is
providing testing assistance to the user, the lancing device and endcap should
ALWAYS be decontaminated prior to use by the second person.

Stop using the lancing device and contact customer service immediately for a
replacement if you notice any of the following signs of deterioration:

-Any buttons have fallen off or stopped working.

-The device is cracked.

-The device is discolored

-The device does not yield an adequate blood drop.

TELCARE™ Blood Glucose Monitoring System

Charging Your Change to Telcare BGM™
Blood Glucose Meter

35

Your Change to Telcare BGM™ Blood Glucose Meter uses a rechargeable
battery. It can be charged and discharged hundreds of times, but eventually
the battery will lose its charge. If you notice significant reduction in the
duration of your meter’s operating time, your battery may need replacing.
Please contact Telcare technical support at [phone], or e-mail

[e-mail].

If left unused, a fully charged battery will lose its charge over time.

Always charge indoors.

To Charge Your Device

n Plug the power cord into an

electrical outlet.

n Plug the other end of the cord

into the BGM’s Charging Port.

Note:

If your device does not turn on when you switch the power button on, your

battery may be weak. Charge the battery. If after 5 hours of charging the

device does not turn on, contact Telcare technical support at [phone].

Important:
Do Not Test
Blood Glucose
While Charging
the Device or
for 30 Minutes
After Charging
Is Complete.

TELCARE™ Blood Glucose Monitoring System

Storing Your Telcare BGM™ and Test Strips

36

n Your meter is a delicate electronic device that should be handled with care.

Severe shock, such as dropping the meter, could damage it.

n The meter and test strips only work in the temperature range of 50˚F to 104˚F.

n Store the test strips between 39°F and 86°F. Do not freeze. See the test

strip instructions for more details.

n Don’t leave the meter in a place that is extremely hot or extremely cold

(e.g., anywhere near a heat source or in an extremely hot or cold car).

n Do not expose the meter or test strips to high levels of humidity, such as in

the bathroom or kitchen.

n Immediately close the bottle cap tightly after removing a test strip.

n Do not attempt to open the meter. Opening the meter will void the

warranty and may cause it to operate improperly. If you have technical
problems or questions, turn your meter off and contact Telcare at (888)
666-4530. Support is available Monday through Friday, 9AM - 5PM EST.

TELCARE™ Blood Glucose Monitoring System

Troubleshooting

37

Error Codes

In the event your device experiences an error, you will see the following
screen along with an error message.

1. Error Message: Meter Failure

What it means: As with any computer device, sometimes the meter may need to

be restarted.

Action to take: Restart meter and contact Telcare support if the problem

continues. Turn your meter off before calling Telcare at [phone].

2. Error Message: Used Strip Inserted

What it means: Your test strip may be used or damaged.

Action to take: Repeat the test with a new test strip. Remember, add the sample

only when you see the prompt on the display screen. If you believe you

received a damaged test strip, return it to Telcare for a free replacement.

TELCARE™ Blood Glucose Monitoring System

3. Error Message: Not Enough Blood

What it means: There is not enough blood or too much blood or control solution

on the test strip to give a reliable reading.

Action to take: Remove the test strip and repeat the test with a new test strip.

4. Error Message: Temp. Too Low / Temp. Too High

What it means: The meter is too hot or too cold.

Action to take: Move the meter into an area that is between 50˚F and 104˚F.

IMPORTANT: After receiving this error, allow the meter to be at room temperature for at

least 30 minutes before testing blood or control solution.

38

If your meter displays a “Low Battery”
icon, charge the battery.

Other Messages

High / Low Displayed

If you see either High or Low displayed on

your device, your blood sugar level may be

out of range (either in excess of 600 mg/dL

[High] or lower than 20 mg/dL [Low]).

TELCARE™ Blood Glucose Monitoring System

39

Communication Errors

If you are having trouble uploading your results to Telserve, you may want to
try the following:

n If testing indoors, move closer to a window for better cellular reception.

n Test outdoors.

n Check to see if there is cellular coverage in your area. Two bars or less of

wireless signal strength may result in unreliable transmission and reception
of data.

n Restart meter and send reading within Memory Recall (see page 7).

If the above actions do not resolve your problem, turn your meter off
and then contact Telcare technical support at [phone], or e-mail

[e-mail].

5. Error Message: No data connection, Data will be stored

What it means: The meter cannot find a cellular connection.

Action to take: See “Communication Errors” below.

TELCARE™ Blood Glucose Monitoring System

Terms of Warranty

40

Telcare warrants the Telcare BGM™ Blood Glucose Meter to be free of defects
in workmanship and materials under normal use for a period of one (1) year
from the date of purchase.

The liability of Telcare is limited to repair or replacement. In no event shall
Telcare be liable for any collateral or consequential damages or loss.

Instruments subjected to misuse, abuse, neglect, exposure to water,
unauthorized repair, or modification are excluded from this warranty.

This guarantee specifically excludes expendables and consumables.

Please direct any questions or claims to the authorized dealer from whom
you purchased your system, or to:

Telcare, Inc.
Bethesda, MD 20814
USA
Phone: [phone]

This warranty applies only to the original purchaser of the system.

TELCARE™ Blood Glucose Monitoring System

Specifications

41

Test Strips: Telcare Test Strips

Minimum Sample: 0.8 microliters

Test Range: 20~600 mg/dL

Calibration: Plasma

Hematocrit Range: 30~55%

Display Type: Color LCD screen

Memory: 300 blood test results with date and time

Result Averaging: 7, 14, and 30 days averaging displayed on Telserve Data System

(not on TELCARE BGM™)

Dimension: 100L x 60W x 15H (mm)

Weight: 115g

Battery: Rechargeable, Lithium Ion 1100 mA hour battery, permanently installed

Battery Life: 3 years

Automatic Sleep Mode: After 2.0 minutes of nonuse

Operating Temperature: 50°F~104°F

Relative Humidity: Less than 85%

Storage Condition: Meter at 39°F~122°F, Test Strips at 39°F~86°F

TELCARE™ Blood Glucose Monitoring System

About Telcare

42

TELCARE™ is committed to creating the very best medical device experience for

patients and doctors. Connecting powerful hardware and innovative software via

a “no wires” approach, Telcare’s offerings aim to provide convenient and effective

disease management tools.

The TELCARE™ Blood Glucose Monitoring System won the People’s Choice Award at

CTIA Wireless 2009, Best in Show at MobiTechFest 2009, was an E-tech Finalist at

CTIA Wireless 2010, and won the First Prize 2011 CTIA E-Tech Award for Enterprise

Healthcare Solution and the First Prize 2011 CTIA E-Tech Award for Mobile Healthcare

Solution.

TELCARE™ Blood Glucose Monitoring System

43

Contact Telcare

Telcare, Inc.

Bethesda, MD 20814 USA

Phone: [phone]

Hours: M - F, 9AM - 5PM EST
E-mail: [e-mail]
Website: www.MyTelcare.com

Federal Communication Commission Interference Statement

This equipment has been tested and found to comply with the limits for a Class B digital
device, pursuant to Part 18 of the FCC Rules. These limits are designed to provide reasonable
protection against harmful interference in a residential installation. This equipment
generates, uses and can radiate radio frequency energy and, if not installed and used in
accordance with the instructions, may cause harmful interference to radio communications.
However, there is no guarantee that interference will not occur in a particular installation. If
this equipment does cause harmful interference to radio or television reception, which can
be determined by turning the equipment off and on, the user is encouraged to try to correct
the interference by one of the following measures:

• Reorient or relocate the receiving antenna.

• Increase the separation between the equipment and receiver.

• Connect the equipment into an outlet on a circuit different from that to which the

receiver is connected.

• Consult the dealer or an experienced radio/TV technician for help.

n This device complies with Part 18 of the FCC Rules. Operation is subject to the following

two conditions: (1) This device may not cause harmful interference, and (2) this device must
accept any interference received, including interference that may cause undesired operation.

n FCC Caution: Any changes or modifications not expressly approved by the party

responsible for compliance could void the user’s authority to operate this equipment.

FCC Radiation Exposure Statement

This equipment complies with FCC radiation exposure limits set forth for an uncontrolled
environment. This equipment should be installed and operated with minimum distance
20cm between the radiator & your body.

This transmitter must not be co-located or operating in conjunction with any other antenna
or transmitter.

Please contact your healthcare professional at all other times.

TELCARE™ Blood Glucose Monitoring System