Lifescan UltraSmart Instrukcja Użytkownika

Blood Glucose Monitoring SystemMeter and Electronic Logbook In OneOwner’s BookletDCO_06158108A_OUS_OBC_GB 5/6/03 1:13 PM Page i

1THE OneTouch®UltraSmart™SYSTEMThe OneTouch®UltraSmart™System uses the latest blood glucosemonitoring technology. It measures the glucose content of a

91The medication menu reflects your inputin the Set-up mode. (See pages 64–68.) If you entered diabetes pills, insulin,and/or insulin pump information

92The logbook entry will be saved this wayin your meter logbook.Diabetes PillsTo enter your diabetes pills, select thepill you have taken and press OK

93The insulin dosage will be saved this wayin your meter logbook.Insulin DosagesEnter an insulin dosage by highlightingan insulin type and press OK .

94Then enter the units in 0.1 steps andpress OK . When entering data, thevalue will start at the value you lastsaved.OKInsulin PumpYou can enter insu

95To enter your pump total for the day,scroll to “Pump Daily Total” and pressOK .OKIf you have completed your medicationlogbook entry, select “Exit Me

96Your daily pump total will be saved thisway in your meter logbook.Use the Arrow button to scroll to thenumber of units you have taken over thepast

97Then enter the type of meal from the mealmenu. You may also record alcoholusage.FOOD LOGBOOK ENTRIESFood and blood glucose levels are closely linked

Your food logbook entry will be saved thisway in the meter logbook. 98You may enter carbohydrates (carbs),fats, and proteins in the range of 0 to 250i

99To edit or delete a comment, be sure thehighlight is on the glucose test result towhich the comment is attached. Press theOK button . (See page 101

You may edit other comments at thistime. To delete a comment, scroll to - - -and press OK . When you havecompleted editing the comments, scroll to “S

OneTouch®UltraSmart™Meter2TEST PORTThe meter turns on whenyou insert test strip here.DATA PORTUsed to download logbookmemory to a computer.DISPLAY WIT

101Press OK to edit.OKYour edited comment will appear thisway in your meter logbook.EDITING OR DELETING LOGBOOK ENTRY (Example)All logbook entries ar

102To change the entry, use the Arrow button and press OK .OKMake sure the icon, date and time, anddescription are correct. (If you make anerror, pr

103Your entry will be deleted from the logbook.The edited entry will appear this way inyour meter logbook.To delete an entry, highlight the entry andp

104FastFacts™SmartButton™OneTouch®UltraSmart™FastFacts™FEATUREFastFacts™MenuThe FastFacts™menu lists several choices.See next page for a description o

105FastFacts™MenuLogbook Glucose test results with comments and logbookentries by date and time.Glucose by Meals Glucose test results by date befo

LOGBOOK MEMORYTo review the details of each glucose test, comments,and logbook entries, select “Logbook.” The logbookis the meter memory. You may revi

107GLUCOSE ANALYSISWhen you select “Glucose Analysis” on the FastFacts™menu, an additional menu of choices appears. Use the Arrow button to move to th

108Graph by Time of DayYou may view test results on a graph by time periodwhen you select “Graph by Time of Day.”Logbook21 Nov 02 19:20Glucose

109Results by time period are shown day by day, oneweek at a time. Each time you reach the end of thegraph, it will move by one day. Weekends are note

110Average by ExerciseTest result averages before, during, and after exerciseare available for the last 7, 14, 30, 60, and 90 days.The number of tests

3Navigation ButtonsBACK BUTTON (OFF BUTTON)Goes back to previous display on certainscreens. Press and hold for two seconds toturn off the meter.ARROW

111Glucose Range InfoIf you entered your before- and after-meal glucoseranges in the Set-up mode, you may review thepercentage of your test results th

112In this example, the average intake ofRegular insulin over the past 14 days isdisplayed. The number in parenthesesbefore the time segment is the nu

113In this example, the average number ofinsulin units taken over the last 14 daysappears. The number shown inparentheses is the number of syringeinsu

114Select “Pump” to view bolus intake, dailyaverages, and daily totals. You can reviewthe last 7, 14, 30, 60, or 90 days.To view your total syringe in

115“Daily Average” displays the average ofthe total daily pump insulin. This exampleis for the last 14 days. The number ofentries is listed in parenth

HYPOGLYCAEMIA INFORMATIONIf you select “Hypo Info” from the FastFacts™menu,the meter will display the actual number ofhypoglycaemic events defined by

117HEALTH CHECKSTo view results and dates of various check-ups, select“Health Checks.” Scroll to the type of health checkusing the Arrow button and p

This choice prompts you to call yourlocal LifeScan Customer Service office orvisit our Web site when you need helpwith testing. See back cover for con

119Connect the LifeScan Interface Cable to aserial port on the back of your computer.With the meter turned on, connect theLifeScan Interface Cable to

To learn more about OneTouch™DiabetesManagement Software or to purchase a LifeScanInterface Cable separately, contact your local LifeScan Customer Ser

4The SmartButtons™are your keys to getting the mostout of your OneTouch®UltraSmart™Meter. They allowyou to enter information about your diabetesmanage

121SPECIFICATIONSResult Range: 1.1 to 33.3 mmol/LCalibration: Plasma-equivalentSample: Fresh capillary whole bloodSample Size: Minimum 1 microlitreT

122GUARANTEEThe makers guarantee that the OneTouch®UltraSmart™Meter shall be free of defects in materialand workmanship for a period of three years. T

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AW 06158108ACustomer Care Freephone: UK 0800 121 200Ireland 1800 535 676www.LifeScan.co.ukDistributed by:LifeScan UKA Division of Ortho-Clinical Diagn

5HEALTH SmartButton™Enter information on health.EXERCISE SmartButton™Enter exercise amount and level.MEDICATIONSmartButton™Enter insulin anddiabetes p

6Display ContrastYou can change the contrast of the meter display. Tomake it darker, press and hold the Back buttonand the “up” Arrow button . To mak

OneTouch®Ultra™Test Strips The OneTouch®UltraSmart™System measures theamount of glucose in whole blood. Blood is applied tothe TOP EDGE of the OneTouc

Important Test Strip Information• Store test strip vials in a cool, dry place below 30°C. Keep awayfrom direct sunlight and heat. Do not refrigerate.•

9BEFORE TESTINGChecking the DisplayEach time you turn the meter on, the displaybackground will quickly change from dark tolight and form the words “On

10Coding the MeterCode numbers are used to calibrate the OneTouch®UltraSmart™Meter with the OneTouch®Ultra™TestStrips for accurate results. You must c

Owner’s BookletUltraSmart®™Blood Glucose Monitoring SystemDCO_06158108A_OUS_OB_GB 5/6/03 1:24 PM Page i

Compare the code number on the meterdisplay with the code number on the teststrip vial. If the two code numbers match,you may begin testing. If they d

Move up or down using the Arrow buttonto the code number that matches thecode number on the test strip vial. The new code number will flash on thedisp

13Important Control Solution Test Information• Use only OneTouch®Ultra™Control Solution.• Check the expiration date on the control solution bottle. Re

14When to do a control solution test:• Once a week.• When you open a new vial of test strips.• Whenever you suspect that the meter or test strips are

15To turn on the meter, insert a test strip,contact bars end first and facing up, into thetest port. Push it all the way in until it willgo no further

16Note: You must select “Control Solution” todistinguish control solution tests from bloodglucose tests. Marked control solution tests willnot be incl

17Compare the control solution result withthe range printed on the test strip vial.The result should fall within this range.Result Appears in 5 Second

18If test results fall outside the range printed on thetest strip vial, repeat the test. When using controlsolution mode, very high or very low readin

TESTING YOUR BLOODRead this section and the test strip package insertcarefully before testing. Make sure you have all itemsneeded to test.• OneTouch®U

Preparing the OneTouch®UltraSoft™ Sampler20Release ButtonEjection/Cocking ControlDepth Adjustment KnobCapOneTouch®UltraClearTM Cap forArm SamplingProt

iiSerial NumberLot NumberIn Vitro Diagnostic Medical DeviceExpiration Date SymbolSterilized by irradiation SymbolSNLOTIVDSymbolsDCO_06158108A_OUS_OB_G

Insert the lancet into the lancet holder andpush down firmly until it is fully seated. Donot twist the lancet. Twist the protectivedisk until it separ

22Slide the ejection/cocking control backuntil it clicks. If it does not click, thesampler may have been cocked when thelancet was inserted. The sampl

Massaging the fingertip gently will helpyou obtain a round drop of blood. Do notsqueeze excessively on the puncture site.The blood sample must be at l

Arm Blood Sampling (“Alternate Site”)The arm has fewer nerve endings than the fingertipso you may find that obtaining a blood sample fromthe arm may b

25Important Information About Arm Testing (continued)• You should also use fingertip testing whenever you have a concernabout hypoglycaemia (insulin r

26To increase blood flow to the puncture site,massage the area gently. For individualswho experience difficulty in gettingsufficient blood for a test,

27Continue holding the sampler against theskin for a few seconds until the blood dropforms. Allow enough blood to form underthe cap until you have a b

28Insert a test strip, contact bars endfirst and facing up, into the test port.Push it all the way in until it will go nofurther. The meter will turn

29STEP 2Note: There are three choices in test mode. For blood testinguse the Arrow button to select:• “Apply Blood” for fingertip blood sample or•

30Obtain a round drop of blood using theOneTouch®UltraSoft™Adjustable BloodSampler. The blood sample must be atleast 1 µL in volume ( actual size) to

iiiDear OneTouch®UltraSmart™System Owner:You have chosen one of the best blood glucose monitoringsystems available. This booklet has important informa

31If the confirmation window does not fillcompletely before the meter begins tocount down, do not add more blood to thetest strip; discard the test st

Your blood glucose test result will appearafter the meter counts down from 5 to 1. The test results are automatically stored inthe meter logbook (memo

33Point the sampler down and away. Pushforward on the ejection/cocking controland eject the lancet directly into acontainer for sharp objects. Used te

34If your blood glucose test result is above33.3 mmol/L, “HIGH GLUCOSE” willappear on the meter display. Thisindicates severe hyperglycaemia (highbloo

35When your blood glucose result isbetween 1.1 mmol/L and 3.9 mmol/L, “Do you need a snack?” will appear onthe display with the test result, reminding

36COMPARING METER ANDLABORATORY RESULTSOneTouch®UltraSmart™Meter test results and laboratory testresults are both expressed in plasma-equivalent units

37While at the lab:• Make sure that the meter test and the lab test areperformed within 15 minutes of each other.• Wash your hands before obtaining a

38CARING FOR YOUR SYSTEMMaintenanceYour OneTouch®UltraSmart™Meter does not requirespecial maintenance or cleaning. Take care to avoidgetting dirt, dus

2. When this message appears on thedisplay, you cannot test, enter data inyour meter logbook, or use theFastFacts™feature until you changethe batterie

401. Open the battery compartment bypressing the tab to the left and lifting thebattery compartment cover to remove it.To replace the batteries, first

ivINTENDED USE: The OneTouch®UltraSmart™Blood GlucoseMonitoring System is intended to be used for the quantitativemeasurement of glucose in fresh capi

41Note:• Replacing the batteries does not affect themeter logbook. However, the date and timesettings may need to be updated.• The first time you turn

DISPLAY MESSAGESFollowing is a summary of display messages and symbols.42MESSAGE WHAT IT MEANSInitial display thatappears wheneverthe meter is turnedo

43MESSAGE WHAT IT MEANSNew meter not codedor meter lost powerbriefly and enteredset-up mode.This is the codenumber stored in the meter.The meter ispro

44MESSAGE WHAT IT MEANSThe system is readyto accept a bloodsample from thefingertip.The system is readyto accept a bloodsample from the arm.The system

45MESSAGE WHAT IT MEANSFive-secondcountdown. After the countdown, themeter will display the test result.A blood glucose testresult in mmol/L.A test re

46MESSAGE WHAT IT MEANSA blood glucose testresult in the range of13.3 mmol/L to 33.3 mmol/L with asuggestion to checkyour ketone levels.When your bloo

WARNINGS AND ERROR MESSAGESThese messages help to identify certain problems but do not appearin all cases when a problem has occurred. Improper use ma

48MESSAGE WHAT IT MEANSThe meter hasdetected that thetemperature isoutside the systemoperating range. Donot perform a testuntil the meter andtest stri

49MESSAGE WHAT IT MEANSError message thatcould be caused byeither a used teststrip or a problemwith the meter.Error message thatindicates that thebloo

50MESSAGE WHAT IT MEANS1) You may have highglucose and havetested in anenvironment nearthe low end of thesystem’s operatingtemperature range6–44°C.2)

vImportant Information• Severe dehydration and excessive water loss may cause falselow results. If you believe you are suffering from dehydration,cons

51MESSAGE WHAT IT MEANSError message thatindicates the meterhas detected aproblem with the teststrip. Possiblecauses are test stripdamage or anincompl

52POSSIBLE CAUSESNeed batteries.No batteries or batteriesincorrectly installed.Test strip inserted incorrectly.(For example, upside down,backward, or

53If the test does not start after applying the sample:POSSIBLE CAUSESInsufficient blood sample.Defective test strip.Sample applied after automaticshu

METER SET-UPThe OneTouch®UltraSmart™Meter was preset at the factory withthe date, time and display language. The glucose units are presetat the factor

55To change the language, use the Arrowbutton to scroll to the language.With your language choice highlighted, press OK .OKSpanish (Español)French (

56Begin by setting the hour. Use the Arrowbutton to scroll to the correct hour.Press OK . OKSetting Date and TimeAfter the language has been set, the

57The meter will ask you if you wish tocustomize it. Select “Yes” (press OK )if you wish to customize other metersettings. (See Custom Meter Set-Up,pa

CUSTOM METER SET-UPThe OneTouch®UltraSmart™Meter has a number ofoptional features that you may use to track all yourdiabetes information. The Set-up m

59“Set-up Menu” will appear on the displaywith a list of options. “Settings” will behighlighted.You should have your OneTouch®UltraSmart™Owner’s Bookl

60Following is a summary of meter settings:OPTIONSettings:Time FormatDate FormatBegin WeekCholesterol UnitsBeepDiabetes Pill Set-Up:Insulin Set-Up:Ins

THE OneTouch®UltraSmart™SYSTEM . . . . . . . . . . . . . 1OneTouch®UltraSmart™Meter . . . . . . . . . . . . . . . . 2Navigation Buttons . . . . . .

61Meter Settings (continued)OPTIONAdvanced Features:AveragesScheduleGlucose RangeBefore MealAfter MealHypo LevelFACTORY14 daysPre-set (see pages 70–71

62Settings“Settings” include:• Time format• Date format• Beginning of the week• Cholesterol unit of measure• Beep on or offTo change any of these sett

63SettingsBegin of week MondayTime Format 24 hourDate Format DD/MM/YYBeepOFFONCholesterol Units mmol/LSettingsBegin of week MondayTime Format 24 hourC

Diabetes Pill Set-upYou may record up to five types of diabetes pills.This feature helps you track when you have takeneach of your medications. The na

65A pop-up menu of pill choices will appearon the display. Use Pills A-E to label up tofive pills. For example, if you take glipizidepills you could l

Insulin Set-upYou can record your daily insulin usage by type ofinsulin and number of units for up to three differentinsulin types. Insulin types may

67To enter your first insulin type, review the menu choices:Use the Arrow button to scroll throughthe menu. Press OK on your selection.Repeat these

Advanced Feature Set-upThe final item on the Set-up menu is called“Advanced Features.” These features allow you to:• Choose the number of days include

The first advanced feature is averages.Each time you test, the meter is set todisplay a 14-day average of your glucosetests along with your test resul

To personalize your schedule, press theBack button , choose “Personal,” andpress OK . To change all or some of thepersonal meal schedule:• Scroll th

viiDISPLAY MESSAGES . . . . . . . . . . . . . . . . . . . . . . . . . . 42WARNINGS AND ERROR MESSAGES . . . . . . . . . . . . . 47METER SET-UP . . .

71Next, the meter will prompt you to set a before-meal blood glucose range. The meter is pre-setto 5.0–7.2 mmol/L. To use this range, press OK twice.

72To exit Set-up mode, choose “Exit Set-up”and press OK .OKIf you have an after-meal glucose rangerecommended by your healthcareprofessional and wish

73YOUR METER LOGBOOKThe OneTouch®UltraSmart™Meter logbook is themeter memory. It stores over 3,000 records. TheSmartButtons™allow you to enter informa

74Rules for Adding CommentsFollowing are rules for adding comments in your logbook.• If you wish to add a comment to a test result, press OK while vie

75FOOD COMMENTSIn this example we’ll use food. If you wishto change the food comment to adifferent mealtime, use the Arrow buttonto select “Food” and

76After adding your first health comment,“Health 2” will automatically appear onthe display. To add additional healthcomments, press OK and select th

77After you add the exercise comment,“Save” will automatically behighlighted. If you press OK , all ofthe comments you have entered willappear with t

78Logbook Entries“Logbook entries” are activities concerning exercise,health, medication, and food that are not associatedwith a test. You do not have

79Following is a list of logbook entries you can make.SmartButton™LOGBOOK ENTRIESPills (1–5 and how many of each)Insulin (1–3 and units)Insulin PumpHe

80Rules for Logbook Entries• If you wish to add a logbook entry, press aSmartButton™to turn on the meter. The icon forthe category you are choosing wi

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81A calendar will appear on the display.Scroll to the correct month and day andpress OK .OKEntering the Date and TimeIf the logbook entry is for the

EXERCISE LOGBOOK ENTRIES82With the meter turned off, press theExercise SmartButton™. These choiceswill appear on the display. Select thecurrent date a

83HEALTH LOGBOOK ENTRIESAfter selecting the date and time, two menu choiceswill appear. You may make health logbook entries forthe current time or ano

84The logbook entry with your Health Notewill be saved this way in the logbook.To record check-up information, select“Health Checks” and press OK .OK

85Many Health Checks allow you to input numericvalues. In order to adjust the number, use the Arrowbutton to scroll up and down. Press OK tosave you

You will return to the Health Checksmenu with “Exit Health Checks”highlighted. If you are finished with yourentries, press OK with “Exit HealthChecks

87MicroalbuminYou can enter your test results formicroalbumin as normal, positive, or anumeric value from 1 to >1000. Whenentering data, the value

Blood PressureThe logbook range for the first number (systolic) is80–200 mmHg. The range for the second number(diastolic) is 40–150 mmHg. Both are in

89To record a foot examination, select“Enter Foot Exam” and press OK .OKFoot ExamTo record an eye examination, select“Enter Eye Exam” and press OK .

90To record the date of your last visit to thedoctor, select “Enter Dr. Visit.”Enter your weight in 0.5 kg steps andyour height in 0.5 cm steps. Whene