Glucometru Ultrasmart Eng 06078803a Ous Ob Us Web1

©2006 LifeScan,Inc. Milpitas,CA 95035 Rev date: 06/2007 AW 06078803A

AW 06078803A

LifeScan Customer Service toll-free numbers:

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

Visit the LifeScan Web site at

www.LifeScan.com

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Meter and Electronic Logbook In One

Owner’sBooklet


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Dear OneTouch® UltraSmart® System Owner:

You have chosen one of the best blood glucose monitoringsystems available. This booklet has important information youmust know about the OneTouch® UltraSmart® Blood GlucoseMonitoring System. Read it carefully.

Blood glucose monitoring plays an important role in diabetescontrol. A long-term study showed that keeping blood glucoselevels close to normal can reduce the risk of diabetescomplications by up to 60%.* The results you get with theOneTouch® UltraSmart® System can help you and yourhealthcare professional monitor and adjust your treatment planto gain better control of your diabetes.

Your OneTouch® UltraSmart® System requires a small drop ofblood, 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 allowsit to function as an “electronic logbook.” Now you can store vitaleveryday information such as insulin and oral medication doses,food intake, amount of exercise, illnesses, and other pertinentdata. You can use your OneTouch® UltraSmart® System simply totest or to serve as a complete storehouse of informationregarding your diabetes treatment plan.

A warranty registration card is included with your system. If youcomplete it and mail it to us, we will send you a gift. If you preferto 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 GlucoseMonitoring System is intended to be used for the quantitativemeasurement of glucose in fresh capillary whole blood. TheOneTouch® UltraSmart® System is intended for use outside thebody (for in vitro diagnostic use) by people with diabetes athome and healthcare professionals in a clinical setting as an aidto monitor the effectiveness of diabetes control. The OneTouch® UltraSmart® System should not be used for thediagnosis of diabetes or testing of newborns.

The OneTouch® UltraSmart® Blood Glucose Monitoring Systemprovides the user with electronic logbook functions, whichserve to store such data as insulin and oral medication doses,food intake, amount of exercise, health information such asillnesses, and other pertinent data. The meter includes a dataport that enables the user to download logbook data to apersonal computer.

CAUTION: Before using any product to test your blood glucose,read all instructions and practice the test. Do all quality controlchecks as directed and consult with a diabetes healthcareprofessional. These recommendations apply to all blood glucosemonitoring systems and are supported by the American Associationof Diabetes Educators, the U.S. Food and Drug Administration, andthe Advanced Medical Technology Association.

WARNING: Keep the meter and testing supplies away fromyoung children. Small items such as the battery door, battery,test strips, lancets, protective disks on the lancets, stereo jackcover 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 fromdehydration, consult a healthcare professional immediately.

• Low glucose results: If your test result is lower than 70 mg/dLor is shown as “LOW GLUCOSE”, it may mean hypoglycemia(low blood glucose). This may require immediate treatmentaccording to your healthcare professional’srecommendations. Although this result could be due to a testerror, 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 meanhyperglycemia (high blood glucose). If you do not havesymptoms, first repeat the test. Your healthcare professionalcan work with you to decide what actions, if any, you shouldtake if you continue to get results higher than 180 mg/dL or ifyou have symptoms.

• Repeated unexpected results: If you continue to getunexpected 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 withyour blood glucose results and you have followed allinstructions in this booklet, call your healthcare professional.Never ignore symptoms or make significant changes to yourdiabetes control program without speaking to your healthcareprofessional.

• Hematocrit: A hematocrit (percentage of your blood that is redblood 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 . . . . . . . . . . . . . . 1OneTouch® UltraSmart® Meter . . . . . . . . . . . . . . . . . 2Navigation Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . 3SmartButtons® . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4Display Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6Display Contrast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6OneTouch® Ultra® Test Strips . . . . . . . . . . . . . . . . . . 7

BEFORE TESTING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9Checking the Display . . . . . . . . . . . . . . . . . . . . . . . . . 9Setting the Meter . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9Coding the Meter . . . . . . . . . . . . . . . . . . . . . . . . . . . 10Checking the System with Control Solution . . . . . 12

TESTING YOUR BLOOD . . . . . . . . . . . . . . . . . . . . . . . . . 19Preparing the OneTouch® UltraSoft®

Adjustable Blood Sampler . . . . . . . . . . . . . . . . . . . .20Lancing and Sampling from Your Fingertip . . . . . 23Lancing and Sampling from an Alternate Site . . . 27Step-by-Step Test Procedure . . . . . . . . . . . . . . . . . .31Discarding Used Test Strips and Lancets . . . . . . . 37Special Messages . . . . . . . . . . . . . . . . . . . . . . . . . . 38

COMPARING METER AND LABORATORY RESULTS . . 40CARING FOR YOUR SYSTEM . . . . . . . . . . . . . . . . . . . . . 42

Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42Cleaning the OneTouch® UltraSoft®

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

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Table of ContentsTable of Contents

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Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43DISPLAY MESSAGES . . . . . . . . . . . . . . . . . . . . . . . . . . . 46WARNINGS AND ERROR MESSAGES . . . . . . . . . . . . . 51PROBLEMS AND POSSIBLE CAUSES . . . . . . . . . . . . . .56METER SET-UP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

Entering Basic Set-up Mode . . . . . . . . . . . . . . . . . 58Selecting Display Language . . . . . . . . . . . . . . . . . 59Setting Date and Time . . . . . . . . . . . . . . . . . . . . . . 60

CUSTOM METER SET-UP SEQUENCE . . . . . . . . . . . . . . 62Set-up Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66

Diabetes Pill Set-up . . . . . . . . . . . . . . . . . . . . . .68Insulin Set-up . . . . . . . . . . . . . . . . . . . . . . . . . . .70Insulin Pump Set-up . . . . . . . . . . . . . . . . . . . . . .72Advanced Feature Set-up . . . . . . . . . . . . . . . . .72

YOUR ELECTRONIC LOGBOOK . . . . . . . . . . . . . . . . . . . 77Comments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77Rules for Adding Comments . . . . . . . . . . . . . . . . . . 78How to Add a Comment . . . . . . . . . . . . . . . . . . . . . 78Logbook Entries . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82Using the SmartButtons® . . . . . . . . . . . . . . . . . . . . 82Rules for Logbook Entries . . . . . . . . . . . . . . . . . . . 84Entering the Date and Time . . . . . . . . . . . . . . . . . . 85Exercise Logbook Entries . . . . . . . . . . . . . . . . . . . . .86Health Logbook Entries . . . . . . . . . . . . . . . . . . . . . .87

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Table of Contents (continued)

Ketones . . . . . . . . . . . . . . . . . . . . . . . . . . . . .89HbA1c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91Microalbumin . . . . . . . . . . . . . . . . . . . . . . . .91Cholesterol . . . . . . . . . . . . . . . . . . . . . . . . . .92Blood Pressure . . . . . . . . . . . . . . . . . . . . . . .92Eye Exam . . . . . . . . . . . . . . . . . . . . . . . . . . . .93Foot Exam . . . . . . . . . . . . . . . . . . . . . . . . . . .93Weight/Height . . . . . . . . . . . . . . . . . . . . . . .94Doctor Visit . . . . . . . . . . . . . . . . . . . . . . . . . .94

Medication Logbook Entries . . . . . . . . . . . . . . .95Food Logbook Entries . . . . . . . . . . . . . . . . . . . .101

Adding, Changing, or Deleting Logbook Information . . . . . . . . . . . . . . . . . . . . . . . . . . . 103

OneTouch® UltraSmart® FastFacts® FEATURE . . . . . .108FastFacts® Menu . . . . . . . . . . . . . . . . . . . . . . . . . . 109

Logbook Memory . . . . . . . . . . . . . . . . . . . . . . .110Glucose by Meals . . . . . . . . . . . . . . . . . . . . . . .110Glucose Analysis . . . . . . . . . . . . . . . . . . . . . . . .111

Interactive Graph of All Results . . . . . . . . .111Graph by Time of Day . . . . . . . . . . . . . . . . .112Average of All Results . . . . . . . . . . . . . . . . .113Average by Time of Day . . . . . . . . . . . . . . .114Average by Exercise . . . . . . . . . . . . . . . . . .114Glucose Range Info . . . . . . . . . . . . . . . . . . .115

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

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Hypoglycemia Information . . . . . . . . . . . . . . .120Food Averages . . . . . . . . . . . . . . . . . . . . . . . . . .121Health Checks . . . . . . . . . . . . . . . . . . . . . . . . . .121

Data Downloading . . . . . . . . . . . . . . . . . . . . . . . . 122SPECIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125PRODUCT SAFETY INFORMATION . . . . . . . . . . . . . . . 126EXPLANATION OF SYMBOLS ON THE METER . . . . . . 127GUARANTEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127INDEX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 128

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THE OneTouch® UltraSmart® SYSTEMThe OneTouch® UltraSmart® System uses the latest blood glucosemonitoring technology. It measures the glucose content of ablood sample by means of an electrical current produced in thetest strip and is measured by the meter. Test results are “plasma-calibrated.” This makes it easier for you and your diabetes-careteam to compare your meter results with laboratory tests. If youhave been using another type of meter—one that provides whole-blood results—you may notice that your test results with theOneTouch® UltraSmart® System are about 12% higher.

The OneTouch® UltraSmart® Blood Glucose Monitoring Systemconsists of three main products: the OneTouch® UltraSmart®

Meter, OneTouch® Ultra® Test Strips, and OneTouch® Ultra® ControlSolution.These products have been designed, tested, and provento work together as a system to produce accurate blood glucosetest results. Use no other test strips or control solution otherthan 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

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Test PortThe meter turns on whenyou insert the OneTouch® Ultra®

Test Strip here.

Data PortUsed to download logbookmemory to a computer.

Display with BacklightTest results, messages,symbols, and other dataappear here.

SmartButtons®

(See pages 4–5 fordescription and use.)

OneTouch® Ultra® Test Strip


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Navigation Buttons

Back Button (Off Button)Go back to previous display on certainscreens. Press and hold for two seconds toturn off the meter.

Arrow ButtonScroll through menus, code numbers, andlogbook.

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 holdbuttons down for an extended period of time.


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The SmartButtons® are your keys to getting themost out of your OneTouch® UltraSmart® Meter.They allow you to enter information about yourdiabetes management plan into the large logbookmemory. There are SmartButtons® for exercise,health, medication, and food. The FastFacts®

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

to turn on the meter and move directly to thecategory.

SmartButtons®


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Health SmartButton®

Enter information onhealth.

Exercise SmartButton®

Enter exercise amount andlevel.

MedicationSmartButton®

Enter insulin anddiabetes pill information.

Food SmartButton®

Enter meal and snackinformation.

FastFacts® SmartButton®

Review test results andlogbook memory.

Note: For complete information on using the Exercise, Health,Medication, and Food SmartButtons®, please see pages82–107. See pages 108–122 for more information on theFastFacts® Feature and the FastFacts® SmartButton®.


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Display Contrast

You can change the contrast of the meter display. Tomake 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.

Scroll up or down.

No entry.

Shows where you are on thedisplay. Press the OK button

to accept highlighted area.OK

Symbol Meaning

Display Symbols

These symbols guide you while using your meter:

– – –

▲

▼

HIGHLIGHT

▲▼

▲▼


OneTouch® Ultra® Test Strips

The OneTouch® UltraSmart® System measures theamount of glucose in whole blood. Blood is appliedto the Top Edge of the OneTouch® Ultra® Test Stripand is automatically drawn into the reaction cellwhere the reaction takes place.

See pages 19–39, Testing Your Blood, forcomplete instructions.

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

Top EdgeApply a drop of blood to thenarrow channel here in the topedge of the test strip.

Confirmation WindowCheck here to confirm if enoughblood has been applied.

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WARNING: Do Not swallow test strips. The test strip vial maycontain drying agents that are harmful if swallowed andmay cause skin or eye irritation.


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 remainingOneTouch® Ultra® Test Strips after the discard date.

• Do Not use test strips beyond the expiration (printed on thepackage) or discard date, whichever comes first, because theymay 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 anyway.

• OneTouch® Ultra® Test Strips are for single use only. Never reuse a test strip that has had either blood or control solutionapplied to it.

• Apply only OneTouch® Ultra® Control Solution or a bloodsample to the test strip.

• Refer to additional information in the OneTouch® Ultra® TestStrip package.

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BEFORE TESTINGChecking the Meter Display

Each time you turn the meter on, thedisplay background will quickly changefrom dark to light and form the words“OneTouch UltraSmart”. This tells youthat the system is performing severalself-checks to confirm that the meter isworking properly. If, at any time duringthe life of the meter, these graphicsappear to be different, call LifeScanCustomer Service at 1 800 227-8862.

Setting the Meter

The OneTouch® UltraSmart® Meter is set at thefactory to display results in the English languageusing milligrams per deciliter (mg/dL) as the unit ofmeasure. The time and date are also factory-set inPacific Standard Time. If you are using the meter forthe first time and simply wish to test, insert a teststrip into the test port and begin by coding the meter.If you wish to change the date, time, or language, seeMeter 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 iscorrect and that your medication set-up andmealtimes are set according to your personaldaily 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. Youmust code the meter before using it for the first timeand then every time you change to another vial oftest strips.

Insert a OneTouch® Ultra® Test Strip toturn on the meter. Push it all the way inuntil it will go no further. “OneTouchUltraSmart” will appear on the displaybriefly. The first time you turn the meteron, three dashes [---] will appear,showing that there is no code stored inthe memory. Follow Step 4 to code themeter.

CAUTION: Matching the code on the meter and the code onthe test strip vial is essential to obtain accurate results. Eachtime you test, check to make sure the code numbers match.

Enter the Code Mode.STEP 1


The code number will appear on thedisplay. (After every 25 tests the meterwill display the code number and willprompt “Check Code Press OK”. Pressthe OK button if the code number isstill correct.)

Compare the code number on the meterdisplay with the code number on thetest strip vial. If the two code numbersmatch, you may begin testing. If they donot match, follow Step 4.

Match the Code Numbers.STEP 3

OK

See the Code Number.STEP 2

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Note: The code number appears on the displaybriefly. If you were unable to change the code intime or entered a code number in error, pressthe Back button to return to Step 3.

(Example)

(Example)


Move up or down using the Arrow buttonto the code number that matches the

code number on the test strip vial. The new code number will flash on thedisplay for about three seconds, afterwhich the meter will prompt you to“Apply Blood”.

Code the Meter.STEP 4

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Why you should do a controlsolution test:

• OneTouch® Ultra® Control Solutionis used to check that the meterand the test strips are workingtogether as a system and that youare performing the test correctly.

• It is very important that you dothis simple check routinely tomake sure you get an accurateresult.

Checking the System with Control Solution

(Example)


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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 maycause irritation.


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When you should do a control solution test:

• To practice the test process instead of usingblood.

• When you open a new vial of test strips.

• Once a week.

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

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

• After dropping the meter.

Note: Refer to additional information in theOneTouch® Ultra® Control Solution package.


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

“OneTouch UltraSmart” will appear brieflyon the display.

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

Insert a Test Strip into the Meter.STEP 1

(Example)

Apply Blood

Control Solution

“Apply Blood” will appear on the displayfirst. Use the Arrow button to select“Control Solution”. The meter willautomatically identify the test as a controlsolution test in the logbook.

Select “Control Solution”.STEP 2

There are three choices in test mode. Use the Arrow button to select one. Do Notapply a sample until your choice appears onthe display.

• “Apply Blood” for fingertip blood sample.• “Alternate Site” for forearm and palm

blood samples.• “Control Solution” for checking the system.


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Note: If you do not apply the control solution within threeminutes, the meter will turn itself off. Remove the test strip andinsert it back into the test port to restart the test procedure.

Note: You must select “Control Solution” to distinguishcontrol solution tests from blood glucose tests. Markedcontrol solution tests will not be included in your averages.Do Not use Control Solution mode for testing blood.

Touch and hold a drop ofcontrol solution wherethe narrow channel meetsthe TOP EDGE of the strip.

To ensure an accurate control solution test, shake the vial, discard the first drop and wipethe dispenser tip before you begin.

Apply Control Solution to the Test Strip.STEP 3

NARROW CHANNEL

ApplyDrop HereTOP EDGE

➧


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STEP 4

(Example)

The control solution willbe drawn into the narrowchannel. When theconfirmation window isfull, the meter will countdown from 5 to 1.

The control solutiontest result will appearon the display.

CONFIRMATION WINDOW

CONTROLRANGE

➧

CAUTION: The controlsolution range printed onthe test strip vial is forOneTouch® Ultra® ControlSolution only. It is not arecommended range foryour blood glucose level.

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

WARNING:If mg/dL does notappear with theControl Solutionresult, callLifeScan CustomerService at1 800 227-8862.

(Example)


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

• Incorrect unit ofmeasure.

• Error in performing the test.

• Failure to shake thecontrol solution vialwell.

• Improper meter coding.

• Test strip deterioration.

• Meter malfunction.

• Failure to discard thefirst drop of controlsolution and wipe thedispenser tip clean.

• Expired orcontaminated controlsolution.

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

• Testing blood inControl Solution mode.

CAUTION: If you continue to get control solution test resultsthat fall outside of the range printed on the test strip vial,the system may not be working properly. Do Not use themeter. Call LifeScan Customer Service at 1 800 227-8862.

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


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

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CAUTION: If you cannot test due to a problem with yourtesting supplies, contact your healthcare professional orLifeScan Customer Service at 1 800 227-8862. Failure to testcould delay treatment decisions and lead to a serious medicalcondition.

CAUTION: It is important to learn the correct blood applicationtechnique (see pages 33–35). If you do not apply blood to thetest strip correctly you may get an inaccurately low or high testresult or an error message. LifeScan recommends that youdevelop good technique by practicing with control solutionprior to using the OneTouch® UltraSmart® Meter for the firsttime.


OneTouch® UltraSoft® Adjustable Blood Sampler

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Release Button

Ejection/Cocking Control

Depth Adjustment Knob

OneTouch® UltraSoft®

Cap

OneTouch®

UltraClear® Cap (for Alternate SiteSampling)

Protective Disk

Lancet Point

Lancet with Protective Disk

DepthIndicator

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® AdjustableBlood Sampler (Sampler)

Note: If you Do Not have a OneTouch® UltraSoft® AdjustableBlood Sampler, please refer to the instructions that camewith your lancing device.


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Choosing the right sampling site at the right time:The OneTouch® UltraSmart® Meter allows you tosample blood from your fingertip, forearm or palm.At times, results obtained at the forearm or palmmay be different from a fingertip measurement.Talk to your healthcare professional before youbegin using your forearm or palm for sampling.

If you are testing:

Routinely before meals Prior to or more than two hoursafter:

• a meal• a rapid-acting insulin injection

or insulin pump bolus• exercise

When your blood glucose ischanging rapidly, such as:

• within two hours after a meal• within two hours after a

rapid-acting insulin injectionor insulin pump bolus, or

• during or within two hoursafter exercise

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

Use blood samplefrom 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 insulininjection or insulin pump bolus. Testing with a fingertipsample may identify hypoglycemia or an insulin reactionsooner than testing with a forearm or palm sample.

• It has been less than two hours after a meal, a rapid-actinginsulin 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 isespecially important if you suffer from hypoglycemiaunawareness (lack of symptoms to indicate an insulinreaction).

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


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Preparing Your Sample Site

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

Choose a different puncture site each time you test.Repeated punctures in the same spot may causesoreness and calluses.

If bruising occurs at an alternate site or you havedifficulty getting a sample, consider sampling from a fingertip instead. You may want to review thechoice of sites with your healthcare professional.

Lancing and Sampling from Your Fingertip

Remove the OneTouch® UltraSoft®

Cap by Twisting it Off.STEP 1

Preparing Your Sample Site

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


24

Insert a Sterile Lancet Into theSampler.

STEP 2

Replace the OneTouch® UltraSoft® Cap byTwisting it Back On Until it isSnug.

STEP 3

Adjust the Depth Setting.STEP 4

Insert the lancet into the holder and pushin firmly. Twist the protective disk until itseparates from the lancet and save thedisk for later use. Do Not twist the lancet.

If necessary, twist the depth adjustmentknob toward the smaller dots on theSampler for a shallow puncture or towardthe larger dots for a deeper puncture.


25

Cock the Sampler.STEP 5

Slide the ejection/cocking control backuntil it clicks. If it does not click, it mayhave been cocked when you inserted thelancet.

Puncture Your Finger.STEP 6

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

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


26

Get a Round Drop of Blood.STEP 7

Gently squeeze and/or massage yourfingertip until a round drop of blood atleast 1μL ( actual size) forms on yourfingertip. Do Not squeeze excessively onthe puncture site.

If the blood smears or runs, Do Notuse that sample. Dry the area and gentlysqueeze another drop of blood orpuncture a new site.


27

Lancing and Sampling From an Alternate Site

Sampling from your forearm or palmallows you to use your fingertips lessoften. You may find that obtaining a bloodsample from an alternate site is lesspainful than using a fingertip. Getting ablood sample from your forearm or palm isdifferent than getting a sample from yourfingertips.

Forearm samplingChoose a fleshy area of the forearm awayfrom bone, visible veins and hair.Sometimes there is less blood flow to theforearm than to the fingertips. To help youget a large enough drop of blood, you maygently massage or apply warmth to thesite to increase blood flow.

Palm samplingChoose a fleshy area on the palm belowyour thumb or pinky finger. Select a spotwith no visible veins and away from deeplines which may cause your blood sampleto smear.

Forearm

Palm


28

OneTouch® UltraClear® Cap is used for forearm and palmsampling only. Replace theblue OneTouch® UltraSoft® Capwith the OneTouch® UltraClear®

Cap.Blue cap for fingertip sampling only

Remove the OneTouch® UltraSoft® Cap byTwisting it Off.

STEP 1

Insert a Sterile Lancet Into the Sampler.

STEP 2

Insert the lancet into the holder andpush in firmly. Twist the protective diskuntil it separates from the lancet andsave the disk for later use. Do Nottwist the lancet.


29

Twist On the OneTouch®

UltraClear® Cap Until it is Snug.STEP 3

Adjust the Depth Setting.STEP 4

You may have to adjust the Sampler to adeeper setting to get a large enough dropof blood from your forearm or palm. Twistthe depth adjustment knob toward thelarger dots to increase the depth.

Cock the Sampler.STEP 5

Slide the ejection/cocking control backuntil it clicks. If it does not click, it mayhave been cocked when you inserted thelancet.


30

Puncture Your Forearm or Palm.

STEP 6

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

Keep holding the Sampler andOneTouch® UltraClear® Cap against yourskin until a round drop of blood formsunder the cap. Maintain pressure untilthe drop of blood is at least 1μL( actual size).

Remove the Sampler.STEP 7

Carefully lift the sampler away fromyour skin. Do Not smear the bloodsample.

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 thesite excessively.

• If the sample drop of blood runs or spreads due to contactwith 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 deepersetting to get a large enough drop of blood ( actual size).


31

Insert a test strip, contact bars endfirst and facing up, into the test port.Push it all the way in until it will go no further. The meter will turn onautomatically. “OneTouch UltraSmart”will appear briefly on the display. Thenthe code number will appear. Be surethe 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


Alternate Site

Apply Blood“Apply Blood” will appear on thedisplay first. If you are testing with afingertip blood sample, proceed toStep 3.

If you are testing with a blood samplefrom the forearm or palm, use theArrow button to scroll to “AlternateSite”.

Before you test with blood, make sure “Apply Blood” or “AlternateSite” is displayed on the screen. Correct test mode selection isimportant to ensure all blood and control solution tests areproperly included or excluded from averages. Failure to select thecorrect 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.

32


33

Prepare to Apply Sample.STEP 3

The drop of blood should be next to the topedge of the test strip. Blood should not beapplied to the flat surface of the test strip.

When applying a drop of blood from yourforearm or palm, keep your forearm or palmsteady and bring the top edge of the test stripto the drop of blood with your other hand.

ForearmFingertip

Palm


34

Obtain a round drop of blood using theSampler. The blood sample must be atleast 1μL in volume ( actual size) to fillthe confirmation window.

Apply Sample.STEP 4

Hold the blood drop to the top edge ofthe test strip until the confirmationwindow 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.


35

GoodSample

Note: If you do not apply a blood sample within three minutes,the meter will turn off automatically. Remove the test strip andthen insert it back into the meter to turn the meter back on.

104mg/dL

Sep 8-02 10:30 am

Plasma-Calibrated Result(Example)

Accurate Results in Just 5 Seconds.STEP 5

Your blood glucose test result will appearafter the meter counts down from 5 to 1. The test results are automatically stored inthe electronic logbook (memory). You maynow: • Use the Arrow button to compare

results (see “Additional Feature” whichfollows).

• Add comments to your result.• Remove the test strip to turn off the meter.

SampleToo Small

If the confirmation window does not fillcompletely before the meter begins tocount down, Do Not add more blood tothe test strip; discard the test strip andretest. If you have trouble filling the teststrip, call LifeScan Customer Service at 1 800-227-8862 for assistance.

If the confirmation window is not full, youmay get an error message or aninaccurate test result.


Your Result:104Bef Brkft

Avg.14 days

114 95

PreviousSep 13-029:55 pm

36

(Example)

WARNING: If mg/dL does not appear with the test result,call LifeScan Customer Service at 1 800-227-8862.

Additional FeatureAfter you complete a blood glucose test,you can compare the result with your lasttest and your average for this time of dayby pressing the “down” Arrow button .

Note: If “Comment? Press OK” appears at the bottom of thedisplay, your test result is outside the range of 90–130 mg/dLor a personal glucose range you set (see pages 62–76, CustomMeter 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), thereading on your meter may be lower than your actual glucose.In this situation, repeat the test in a warmer environment witha new test strip as soon as possible.


37

Point the Sampler down and away. Pushthe release button to ensure that theSampler is not cocked. Push forward onthe ejection/cocking control and eject thelancet directly into a container for sharpobjects. Used test strips can go into thesame container. Return theejection/cocking control to the middleposition. Replace the OneTouch® UltraSoft® Cap.

Discarding Used Test Strips and Lancets

CAUTION: It is important to discard the used lancet carefullyafter each use to avoid unintended lancet stick injuries. Usedtest strips and lancets may be considered biohazardous wastein your area. Be sure to follow your local regulations for properdisposal.

Twist the OneTouch® UltraSoft® Capcounterclockwise. (Optional: Replace theprotective disk on the used lancet byplacing it on a hard surface and pushingthe lancet tip into the disk.)

Eject the Lancet.STEP 2

Remove the OneTouch® UltraSoft® Cap from the Sampler.

STEP 1


38

If your blood glucose test result isabove 600 mg/dL, “HIGH GLUCOSE”will appear on the meter display. Thismay mean severe hyperglycemia (highblood glucose). You should recheckyour blood glucose level. If “HIGHGLUCOSE” again appears on thedisplay, call your healthcareprofessional immediately.

WARNING

Below 20 mg/dL

LOW

GLUCOSE

WARNING

Above 600 mg/dL

HIGH

GLUCOSE

Special Messages

The OneTouch® UltraSmart® Meterdisplays results between 20 mg/dL and600 mg/dL. If your test result is lowerthan 20 mg/dL, “LOW GLUCOSE” willappear on the meter display. This maymean severe hypoglycemia (low bloodglucose) that requires immediatetreatment according to yourhealthcare professional’srecommendations. Although thismessage could be due to a test error, itis safer to treat first and then repeatthe test.


39

35mg/dL

Sep 14-02 9:30 am

Comment? Press OKDo you need a snack?

Comment? Press OK

414mg/dL

Sep 14-02 9:45 am

Check Ketones

Comment? Press OK

160mg/dL

Sep 14-02 8:30 am

When your blood glucose test result isoutside the range of 90–130 mg/dL or thepersonal glucose range you set inCustom Meter Set-up Sequence, themeter will prompt you to add a comment.

When your blood glucose test result is in the range of 240 mg/dL to 600mg/dL, “Check Ketones” will appear onthe meter display. This message doesnot mean that the system detectedketones but that testing with a ketonetest strip may be advisable. Consultyour healthcare professional aboutwhen and how to test for ketones.“Comment? Press OK” will also appear.

(Example)

(Example)

(Example)

When your blood glucose result is from20 mg/dL through 59 mg/dL, “Do youneed a snack?” will appear on the displaywith the test result, reminding you that ameal or snack may be necessary.


40

COMPARING METER ANDLABORATORY RESULTSOneTouch® UltraSmart® Meter test results and laboratory testresults are both expressed in plasma-equivalent units.However, your meter result may differ somewhat from yourlaboratory result due to normal variation. Meter results can beaffected by factors and conditions that do not affect laboratoryresults in the same way. Your OneTouch® UltraSmart® Meterglucose value should agree with a laboratory measurementwithin ±20% most of the time under normal conditions. Aresult within that range is considered accurate when testingwith the OneTouch® UltraSmart® Meter. However, results candiffer by more than ±20% in some situations. See theOneTouch® Ultra® Test Strip package insert for typical accuracyand precision data and for important information on“Limitations of Procedure.”

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

Before you go to the lab:

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

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

• Take your meter with you to the lab.


41

While 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 blood sample.• Use only fresh capillary blood.

You may still have a variation between the results becauseblood glucose levels can change significantly over shortperiods, especially if you have recently eaten, exercised, takenmedication, or experienced stress.1 In addition, if you haveeaten recently, the blood glucose level from a fingerstick canbe up to 70 mg/dL higher than blood drawn from a vein(venous sample) used for a lab test.2 Therefore, it is best tofast for eight hours before doing comparison tests. Factorssuch as the amount of red blood cells in the blood (a high orlow hematocrit) or the loss of body fluid (severe dehydration)may also cause a meter result to be different from a laboratoryresult.

References1. 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. SaundersCompany (1994), 959.


42

CARING FOR YOUR SYSTEMMaintenance

Your OneTouch® UltraSmart® Meter does not requirespecial maintenance or cleaning. Take care to avoidgetting dirt, dust, blood, control solution, or liquidsinside the meter through the test port or data port.LifeScan recommends that you store the meter inits carrying case after each use.

A cloth dampened with water and mild detergentcan be used to wipe down the outside of the meter.Your OneTouch® UltraSmart® Meter is a precisioninstrument. Please handle it with care.

Do Not use alcohol or any other solvent to cleanyour meter.

Cleaning the OneTouch® UltraSoft® Adjustable Blood Sampler

Clean the Sampler and OneTouch® UltraSoft® andOneTouch® UltraClear® Caps with soap and water. To disinfect the Sampler, prepare a disinfectantsolution of one part household bleach to 10 partswater. Dampen a cloth with this solution and wipethe Sampler thoroughly. Soak only the cap or capsfor at least 30 minutes in the disinfectant solution.Do Not soak the Sampler in liquid. Rinse theSampler and cap with water and dry thoroughly.


2. When this message appears on thedisplay, you cannot test, enter data in your electronic logbook, or use theFastFacts® feature until you change the batteries.

43

Batteries

Your OneTouch® UltraSmart® Meter comes with twoAAA alkaline batteries already installed. The batterieswill provide you with enough power to perform up to540 tests, depending on backlight use. Whenreplacing the batteries, use only two AAA alkalinebatteries.

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

WARNING

See Owner’s Booklet

Low Batteries!

You should replacethe batteries soon

+

WARNING


Batteries!

You MUST replacethe batteries now

+

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


44

1. Open the battery compartment bypressing the tab to the left and liftingthe battery compartment cover toremove it.

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

2. Remove the old batteries by pulling theblack ribbon upward. Insert two AAAalkaline batteries on top of the blackribbon. Plus (+) and minus (–) signs willguide you in placing the batteries.

3. Insert the tabs of the battery cover intothe slots on the left hand side of thebattery compartment. Push down onthe battery cover until you hear the tabclick into place.


45

Note:• Replacing the batteries does not affect the

electronic logbook. However, the date andtime settings may need to be updated.

• The first time you turn on the meter afterreplacing the batteries, the meter will gointo the Set-up mode (see pages 58–61). Atthis time, you may update the date andtime settings.


DISPLAY MESSAGESFollowing is a summary of screen messages and symbols.

46

MESSAGE WHAT IT MEANS

Initial display thatappears wheneverthe meter is turnedon. It indicatesthat the systemhas performedseveral self-checksto confirm that themeter is workingproperly.

New meter not coded or meter lostpower briefly andentered Set-upmode.

ACTION

If, at any timeduring the life of themeter, thesegraphics appear tobe different, callLifeScan CustomerService at1 800 227-8862.

See Coding theMeter, pages 10–12.

Code

---Check Code

UltraSmart


47


This is the codenumber stored inthe meter.

The meter isprompting you toconfirm that thecode number on themeter displaymatches the codenumber on the vialof test strips you arecurrently using.

ACTION

Make sure that this code numbermatches the codenumber on the vial of the test strips you are using.

Check to be sure thecode number on thedisplay matches thecode number on thetest strip vial. If theymatch, press the OKbutton to confirmthe code number. Ifthey do not match,scroll to the correctnumber using theArrow button .

OK

(Example)

(Example)

Code

9Check Code

Code

9Check CodePress OK

CAUTION: Matching the code on the meter and the codeon the test strip vial is essential to obtain accurate results.Each time you test, check to make sure the code numbersmatch.


48


The system is readyto accept a bloodsample from thefingertip.

The system is readyto accept a bloodsample from theforearm or palm.

The system is readyto accept a controlsolution sample.

ACTION

You may now applythe fingertip bloodsample.

You may now applythe forearm orpalm bloodsample.

You may now applythe controlsolution.

Control Solution

Alternate Site

Apply Blood


49


Five-secondcountdown. Afterthe countdown, themeter will displaythe test result.

A test result inmg/dL.

A test result outside of your target rangewith a messageprompting you toadd a comment.

ACTION

None required.

None required.

If you wish to add acomment, press theOK button (seepage 78).

OK

5

104mg/dL

Sep 8-02 10:30 am

(Example)

(Example)

WARNING: If mg/dL does not appear with the test result,call LifeScan Customer Service at 1 800 227-8862.

135mg/dL

Sep 8-02 10:30 am

Comment? Press OK


50


A blood glucose testresult in the rangeof 240 mg/dL to 600mg/dL with asuggestion to checkyour ketone levels.

When your bloodglucose result isfrom 20 mg/dLthrough 59 mg/dL, “Do youneed a snack?” willappear on thedisplay with the testresult, remindingyou that a meal orsnack may benecessary.

ACTION

Follow theinstructions of yourhealthcareprofessionalregarding ketonetesting.

Follow theinstructions of yourhealthcareprofessional.35

mg/dLDo you need a snack?Comment? Press OK

Sep 14-02 9:30 am

Comment? Press OK

414mg/dL

Sep 14-02 9:45 am

Check Ketones

(Example)

(Example)


WARNINGS AND ERROR MESSAGESThese messages help to identify certain problems but do notappear in all cases when a problem has occurred. Improper usemay cause an inaccurate result without producing a warning or anerror message. In the event of a problem, refer to the informationunder ACTION. Assistance is available from LifeScan CustomerService 24 hours a day, seven days a week at 1 800 227-8862.

51


You may have a verylow blood glucoselevel, lower than 20mg/dL.

You may have a veryhigh blood glucoselevel, exceeding 600 mg/dL.

ACTION

Treat this conditionimmediatelyaccording to yourhealthcareprofessional’srecommendations.Although thismessage could bedue to a test error, itis safer to treat firstand then repeat thetest.

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

WARNING

Below 20 mg/dL

LOW

GLUCOSE

WARNING

Above 600 mg/dL

HIGH

GLUCOSE


52


There may be aproblem with themeter or the metermay need to bereset.

Error message thatcould be caused byeither a used teststrip or a problemwith the meter.

ACTION

To reset the meter,you must turn themeter off and enterSet-up mode (seepages 58–61). Resetthe language, time,and date. You mustalso reset the metercode to match thecode on the teststrip vial. If youcontinue to get anError 1 message, DoNot use the meter.Call LifeScanCustomer Service at 1 800 227-8862 for a replacementmeter.

Repeat the test witha new test strip.Refer to pages 7–8for test stripinformation. If theerror messagepersists, callLifeScan CustomerService at1 800 227-8862.

WARNING


Error 1

Call customer service

WARNING


Error 2

Meter or strip problem

Please repeat test


53


Error message thatindicates that theblood or controlsolution sample wasapplied before“Apply Blood”,“Alternate Site”, or“Control Solution”appeared on thedisplay.

1)You may havehigh glucose andhave tested in anenvironment nearthe low end of thesystem’soperatingtemperaturerange (43–111°F/6–44°C).

ACTION

Repeat the test witha new test strip.Apply the blood orcontrol solutionsample only after“Apply Blood”,“Alternate Site”, or“Control Solution”appears on thedisplay. Refer topages 33–35 forinformation onsample application.

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

If you weretesting in anormal or warmenvironment,repeat the testwith a new teststrip (see pages7–8 for test stripinformation).

WARNING


Error 4

Strip problem

Please repeat test

WARNING


Error 3

Meter not ready

Please repeat test


54

MESSAGE ACTION

2)If you applied theblood incorrectly,review pages33–35 on bloodapplication andrepeat the testwith a new teststrip.

3)If the errormessage appearsagain, callLifeScan CustomerService at1 800 227-8862.

1)Repeat the testwith a new teststrip. Refer topages 33–35 forinformation on sampleapplication.

2)If the errormessage appearsagain, call LifeScanCustomer Serviceat 1 800 227-8862.

WARNING


Error 5

Invalid test

Please repeat test

WARNING


Error 4

Strip problem

Please repeat test

WHAT IT MEANS

2)The sample wasimproperly applied.

3)There may be aproblem with the teststrip. For example, itmay have beendamaged or movedduring testing.

1)Error message thatindicates the meterhas detected aproblem with the teststrip. Possible causesare test strip damageor an incompletelyfilled confirmationwindow.

2)There may be aproblem with themeter.


55

MESSAGE ACTION

Test results willstill be accurate,but replace thebatteries assoon as possible.

Replace thebatteries atonce.

Perform the testafter the meterand test stripshave reached a temperaturewithin theoperating range.

WARNING


Meter is outside ofoperating

temperature range

Test not possible

WARNING


Low Batteries!

You should replacethe batteries soon

+

WARNING


Batteries!

You MUST replacethe batteries now

+

WHAT IT MEANS

The battery sign appearson the display. Thepower of the batteries isgetting low. Thebacklight will bedisabled when thebattery sign is displayed.You can complete about100 more tests from thetime this symbol firstappears.

Battery power is too lowto run a test.

The meter has detectedthat the temperature is outside the systemoperating range. Do Notperform a test until themeter and test stripsreach a temperaturewithin the operatingrange(43–111°F/6–44°C).


56

POSSIBLE CAUSES WHAT TO DO

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

No power. Replace the batteries.

Defective meter or test strip. Call LifeScan CustomerService at 1 800 227-8862.

No batteries or batteriesincorrectly installed.

Check that the batteries arecorrectly installed.

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

Insert the test strip correctlywith the contact bars endfirst and facing up. Push it inuntil it will go no further.

PROBLEMS AND POSSIBLE CAUSES


57

If the test does not start after applying the sample:

POSSIBLE CAUSES WHAT TO DO

Insufficient blood sample. Repeat the test with a newtest strip and a larger sample,making sure blood is placedto the narrow channel in thetop edge of the test strip.

Defective meter. Call LifeScan CustomerService at 1 800 227-8862.

Defective test strip. Repeat the test with a newtest strip.

Sample applied afterautomatic shutoff (threeminutes after inserting a teststrip).

Repeat the test with a newtest strip; apply sample onlyafter “Apply Blood”, “AlternateSite”, or “Control Solution”appears on the display.


METER SET-UP

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

• Change the date, time, or display language. (Glucose unitscannot be changed.)

• Customize the meter features that allow you to trackdiabetes pills, insulin doses, and insulin pumpinformation.

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

Entering Basic Set-up Mode

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

OK

58

Note:• It is important that the time of day is correct and that your

medication set-up and mealtimes are set according toyour 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 onthe meter and proceed with the test (see pages 19–39).


59

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

Set up in?

English

Francais

ItalianoDeutsch

Español

PortuguêsNederlands

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

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

¿Configurar en?

English

Francais

ItalianoDeutsch

Español

PortuguêsNederlands

To use English, press the OK button .OK

Selecting Display Language

The meter is set at the factory to use English.

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

UltraSmart

This message will appear briefly. Thelanguage menu will follow immediately.The meter is now in Set-up mode. TheSmartButtons® cannot be used while youare in Set-up mode. (You may still test atany time simply by inserting a test strip.)


60

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

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

OK

Setting Date and Time

After the language has been set, the meter willdisplay 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-upMode).

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

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

Basic Set-up

Date Sep 15-02

Time 12:00 am

Basic Set-up

Date Sep 15-02

Time 112:00 am

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


61

The meter will ask you if you wish tocustomize it. Select “Yes” (press the OKbutton ) if you wish to customize othermeter settings (see Custom Meter Set-upSequence, pages 62–76).

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

Then select the correct year and press theOK button . Repeat these steps toselect the month and day.

OK

Note: It is important to select the correct dateand time or your logbook may not show themost recent result first.

Basic Set-up

Date

Time 12:00 am

Sep 15-02

Do you want to customizeyour meter now?

YesNo

YesNo


OK

OK


CUSTOM METER SET-UP SEQUENCEThe OneTouch® UltraSmart® Meter has a number ofoptional features that you may use to track all yourdiabetes information. The Set-up Menu allows you to customize the meter with your personal diabetesmanagement plan including the type and amount ofmedication 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.

62

Note: If you are starting the custom set-upsequence with the meter off, you must pressthe Back button and the OK button atthe same time to turn on the meter. To accessthe Set-up Menu, you must go through BasicSet-up first (see pages 58–61).

OK


YesNo


63

“Set-up Menu” will appear on the displaywith a list of options. “Settings” will behighlighted.

Please use your Owner'sBooklet to help you set

up yourOneTouchUltraSmart

Set-up Menu

Advanced FeaturesExit Set-up

Insulin Set-upInsulin Pump

Diabetes Pill Set-upSettings

You should have your OneTouch® UltraSmart® Owner’s Bookletavailable to refer to while customizingthe meter.


64

Following is a summary of meter settings:

OPTION

Settings:Time FormatDate FormatBegin of WeekCholesterol UnitsBeep

Diabetes Pill Set-Up:

Insulin Set-Up:

FACTORY SETTINGS

am/pmMM/DD/YYSundaymg/dLON

Pill APill B

InsulinAInsulinB

CUSTOM SETTINGS

24-hourDD/MM/YYMondaymmol/LOFF

Pill A to Eor Customize with OneTouch®

DiabetesManagementSoftware

Rapid, Regular,Lente, NPH,Ultralen (Ultralente),Premixed, Other,InsulinA, InsulinB,InsulinC, orCustomize withOneTouch®

DiabetesManagementSoftware

Meter Settings


65

Meter Settings (continued)

OPTION

Insulin Pump:

Advanced Features:Averages

Schedule

Glucose RangeBefore Meal

After Meal

Hypo Level

FACTORY SETTINGS

No

14 days

Pre-set (see pages74–75)

90–130 mg/dL

—

70 mg/dL

CUSTOM SETTINGS

Yes

7, 30, 60, 90 days

Personal

Personal

Personal

Personal


66

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 OKbutton with “Settings” highlighted on the Set-up Menu. Each setting has a pop-up menu of available choices. You must review all fivesettings and choose one for each. Press the OKbutton to save them. After setting the lastsetting, the Beep, press the OK button to saveyour settings before turning off the meter orallowing it to turn off automatically.

You may set your meter to use a 12-houram/pm time format or a 24-hourmilitary time format (24:00). Use theArrow button to view the choices.Highlight your choice and press the OKbutton .

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

Settings

Begin of week

Time Format am/pmDate Format

Beep ONCholesterol Units mg/dL

MM/DD/YYDD/MM/YY

Settings

Begin of week Sunday

Time FormatDate Format

Beep ONCholesterol Units mg/dL

24 houram/pm

OK

OK

OK

OK

OK


67

Settings


Time Format am/pmDate Format MM/DD/YY

BeepOFFON

Cholesterol Units mg/dL

Settings


Time Format am/pm

Cholesterol Units

Date Format MM/DD/YY

mmol/Lmg/dL

Beep

Cholesterol Units

Settings

Time Format am/pm

Beep

Date FormatBegin of week

MM/DD/YY

MondaySunday

ON

The meter was set at the factory to giveaudio signals (“beeps”) at key points inthe 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 maybegin your week on Sunday or Monday.Use the Arrow button to highlight yourchoice and press the OK button .

The cholesterol unit of measure may beeither mg/dL (used in the U.S. and someEuropean countries) or mmol/L (used inCanada and many other countries).Highlight your choice and press the OKbutton .

OK

OK

OK

OK


Diabetes Pill Set-up

You may record up to five types of diabetes pills.This feature helps you track when you have takeneach of your medications. The names of themedications may be chosen from a menu (Pills Athrough E) or the brand or generic names enteredusing a personal computer and OneTouch® DiabetesManagement Software. If you do not customize yourpill names, the factory settings of Pill A and Pill Bwill appear on your pill entry display.

68

Set-up Menu





How many types ofpills do you take?

2

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

Enter the number of pill types you aretaking (not the number of tablets youtake each time). Scroll to the correctnumber and press the OK button .You can enter up to five types of pills. Ifyou do not take pills or do not wish touse this feature, enter “0”. If you enter“0”, the diabetes pill choices will notappear on the display when you pressthe Medication SmartButton®.

OK


69

A 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 label them as “Pill A”. You can enter the actual pill names usingOneTouch® Diabetes ManagementSoftware. Using the Arrow button , scroll down to your choice and press theOK button .

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

OK

OK


Pill B

Pill DPill C

Pill EPill 2:

Pill 1:

Select Pills


Save

Pill 1: Pill A

Pill 2: Pill B


Pill A

Pill CPill B

Pill DPill E

Pill 1:

Pill 2:

Select Pills

If you have completed your diabetes pillchoices, select “Save” and press the OKbutton . If necessary, press the Backbutton to re-enter pill types.

OK


Insulin Set-up

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

Diabetes Management Software. If you do notcustomize your insulin names, the factory settingsof InsulinA and InsulinB will appear on yourmedication entry display.

70

Set-up Menu




Insulin Set-up

How many types ofinsulin do you take?

2

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

Scroll to the number of insulin typesyou use and press the OK button .You can choose up to three types ofinsulin. If you do not wish to use thisfeature, enter “0”. If you select “0”, noinsulin names will appear on thedisplay when you press the MedicationSmartButton®.

OK


71

To enter your first insulin type, review themenu choices:

Insulin Set-up

Select insulin(s)

Insulin 2:

Insulin 1:

Ultralen

LenteNPH

Regular

Premixed

Insulin Set-up

Save

Insulin 2: Regular

Insulin 1: Rapid

Insulin Set-upSelect insulin(s)

RegularLente

Rapid

Insulin 2:

Insulin 1:

NPHUltralen

Use the Arrow button to scroll throughthe menu. Press the OK button on yourselection. Repeat these steps until all ofyour insulin types have been selected.

To save your insulin choices, use theArrow button to scroll to “Save” andpress the OK button .

RapidRegularLenteNPHUltralen (Ultralente)

PremixedOtherInsulinAInsulinBInsulinC

OK

OK


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 yourglucose test averages

• Input your usual meal schedule• Include your target glucose range• Customize your hypoglycemic level

72

Set-up Menu




Insulin Pump

Do you use an insulinpump?

YesNo

Insulin Pump Set-up

If you are using an insulin pump, the OneTouch® UltraSmart® Meter allows you to storecurrent information about your pump. The factorysetting will be set as if you do not use a pump.

Select “Yes” to use this feature andpress the OK button . You can thenuse this feature to enter your bolusdoses and total insulin amounts. If youdo not use an insulin pump or you donot wish to set up this feature now,select “No” and press the OK button

. After choosing “Yes” or “No”, themeter will return you to the Set-upMenu.

OK

OK

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


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 result. You canchange the number of days that make upthis average to the last 7, 30, 60, or 90days. Scroll to the number of days youwant to include in your test displayaverage and press the OK button . You can still look at averages for all fivetime periods by reviewing your electroniclogbook.

OK

73

Advanced Features

Averages

Glucose RangeBefore MealAfter Meal

70Hypo Level

Schedule7 Day14306090

Set-up Menu




Select “Advanced Features” and press the OK button .OK

ADVANCED FEATURES

AveragesSchedule

Glucose RangeBefore MealAfter Meal

Hypo Level

FACTORY SETTINGS

14 daysPre-set

(see pages 74–75)

90–130 mg/dL—

70 mg/dL

CUSTOM SETTINGS

7, 30, 60, 90 daysPersonal

PersonalPersonal

Personal

Select “Advanced Features” as follows:


To personalize your schedule, press theBack button , choose “Personal”, andpress the OK button . To change all orsome 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 ofthe schedule and make corrections.

OK

74

Advanced Features

Glucose Range

--- - ---Before MealAfter Meal

90-130

70Hypo Level

Schedule Pre-setPersonal

Averages 14 Day

Pre-set ScheduleBef Brkft 9:00 aAft BrkftBef LunchAft Lunch

Night

11:00 a

Aft Dinner

2:00 p 5:00 p

11:00 p6:00 a

Bef Dinner 8:00 p

6:00 a-9:00 a-

2:00 p-

8:00 p-5:00 p-

11:00 a-

11:00 p-

Personal ScheduleBef Brkft 9:00 aAft Brkft

Night

11:00 a

Aft Dinner

2:00 p 5:00 p

11:00 p6:00 a

Bef Dinner 8:00 p

9:00 a-11:00 a-2:00 p-

8:00 p-11:00 p-

5:00 p-

6:00 a-

Bef LunchAft Lunch

Next, the meter will prompt you to selecttime periods for your usual mealschedule. When you set this feature all ofyour test results will be tagged with themealtime. To view a pre-set mealschedule select “Pre-set” and press theOK button .OK

The pre-set schedule will appear on thedisplay. Both Before and After Mealtimesare pre-set. Whenever you test, thesemealtimes will be recorded in theelectronic logbook whether or not you areeating on schedule. To use the pre-setschedule, press the OK button . OK

OK


75

Personal ScheduleBef Brkft 8:00 aAft BrkftBef LunchAft Lunch

Night

10:00 a

Aft Dinner

12:00 p 5:00 p

11:00 p5:00 a

Bef Dinner 8:00 p

8:00 a-

12:00 p-

8:00 p-11:00 p-

5:00 p-

10:00 a-

5:00 a-

Personal ScheduleBef Brkft 8:00 aAft BrkftBef LunchAft Lunch

Night

10:00 a

Aft Dinner

12:00 p 5:00 p

11:00 p5:00 a

Bef Dinner 8:00 p

8:00 a-

12:00 p-

8:00 p-11:00 p-

5:00 p-

10:00 a-

5:00 a-

Note:• It is important that the time of day is correct and

that your medication set-up and mealtimes areset according to your personal daily schedule.Otherwise, some FastFacts® information will notbe correct.

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

You will only be able to set beginning orstart times for each mealtime. End timeswill change to match the start time ofthe next time period. For example, ifyour lunch is usually at 12:00 noon, “BefLunch” could be 10:00am to 12:00pm.

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

OK


76

Glucose Range

70

ScheduleAverages 14 Day

Advanced Features

Pre-set


90-130

Hypo Level

Set-up Menu




Advanced Features

Glucose Range


90-130

70Hypo Level

ScheduleAverages

Pre-set14 Day

If you have an after-meal glucose rangerecommended by your healthcareprofessional and wish to enter it, use theArrow button to scroll to your targetnumbers and press the OK button .

The factory-set hypoglycemia level is70 mg/dL. If your healthcare professionalhas advised you to use a differentlevel, scroll to the correct number andpress the OK button .OK

Next, the meter will prompt you to set abefore-meal blood glucose range. Themeter is pre-set to 90–130 mg/dL. To usethis range, press the OK button twice.You may change this range to onerecommended by your healthcareprofessional. To change the lower andupper ends of the range in 1-mg/dL steps,scroll to the correct numbers and pressthe OK button .OK

OK

Advanced Features

Glucose Range


90-130

70Hypo Level

ScheduleAverages

Pre-set14 Day

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

. OK

OK


77

YOUR ELECTRONIC LOGBOOKThe OneTouch® UltraSmart® electronic logbook is themeter memory. It stores over 3,000 records. TheSmartButtons® allow you to enter information aboutyour diabetes management plan, including exercise,health, medication, and food.

DEFINITION COMMENTS ON GLUCOSE RESULTS

Comments

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

Exercise

Health

Medication

Food

Before

StressMenses

None

BeforeBreakfastBeforeLunch

During

Feel HypoVacation

AfterBreakfastAfter LunchAfter Dinner

After

IllnessOther

BeforeLunch

Night

Before BreakfastBefore LunchBefore DinnerNight

After BreakfastAfter LunchAfter Dinner


78

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 toreview 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 theFastFacts® 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 anyexercise involved. In all, you may add one food comment, oneexercise comment, and up to six health comments to a testresult.

OK

OK

OK

OK

How to Add a Comment

Following are the steps you take to comment on atest result.


79

FOOD COMMENTS

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

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

OK

135mg/dL

Sep 8-02 10:30 am

Comment? Press OK

Exer

Health

Gluc. 135 CommentSep 8-02 10:30 am

Save

Bef Brkft--------

Aft Lunch

Aft Brkft

Food

Bef Lunch

Exer

Aft Brkft

Save

--------

--------Health

Food

Sep 8-02 10:30 amGluc. 135 Comment

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

With any test result (or test result withaverage) on the display, press the OKbutton . You will be able to addcomments for food, health, and exercise.

OK

Health is always highlighted first sincethe food comment is automaticallyadded based on your pre-set or personalschedule (see Advanced Feature Set-up,pages 72–76).

OK

(Example)


80

After adding your first health comment,“Health 2” will automatically appear onthe display. To add additional healthcomments, press the OK button andselect the comment from the menu. Notethat your previous comment is no longeravailable.

OK

Bef Lunch

Save

Food

ExerHealth --------

--------



Exer

Food

Save

Feel HypoIllnessMenses

--------

HealthStress


IllnessMensesVacation

--------Feel Hypo

FoodHealth 1Health 2ExerSave

Once you select your mealtime, “Health”is automatically highlighted. If you arethrough commenting, scroll to “Save”and press the OK button . If you donot press the OK button , yourentries will not be saved.

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

Stress MensesFeel Hypo VacationIllness Other

OK

HEALTH COMMENTS

OK

OK


81

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

OK

----------------


Exer

Health 1Health 2

Food

Save

Bef LunchStress

Bef Lunch

Exer

Health 1Health 2

FoodStress--------After

Save


Food

DuringBefore--------Bef Lunch

SaveExer

After

Health 1Health 2


When you have completed makingcomments, scroll to “Save” and pressthe OK button . If you do not pressthe OK button , your entries will notbe saved.

You can comment on a test result asoccurring before, during, or afterexercise.

EXERCISE COMMENTS

OK

OK


82

Logbook Entries

“Logbook entries” are activities concerning exercise,health, medication, and food that are not associatedwith a test. You do not have to perform a bloodglucose test in order to add valuable diabetesinformation to your electronic logbook.

Using the SmartButtons®

The SmartButtons® allow you to enter informationabout your diabetes management plan. There areSmartButtons® for exercise, health, medication, andfood. To make a logbook entry, press theappropriate SmartButton® to turn on the meter andenter the menu for the type of entry.

Exercise

Health FastFacts® Medication

Food

Note: You may press any SmartButton® to turnon the meter and move directly to the category.


83

Following is a list of logbook entries you can make.

SmartButton® LOGBOOK ENTRIES

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

Health Notes:

Health Checks:

MildModerateHard

Duration (enterlength of time)

StressFeel HypoIllness

MensesVacationOther

CarbsCalories

FatsProteins

KetonesHbA1cMicroalbuminCholesterolBlood Pressure

Eye ExamFoot ExamWeight/HeightDr. Visit

Exercise

Health

Medication

Food


84

Rules 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 will appear in theupper-left-hand corner of the display and the titleof the category will appear at the top of thedisplay. 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 beselected. Use the Arrow button to chooseeither the date and time displayed or “OtherTime”.

• Use the OK button to confirm yourchoices. The logbook display will appear. If nologbook display appears, your entries have notbeen saved.

• It is possible to enter the same logbook entryinformation more than once for a given date andtime.

• To remove an entry, select - - - from the menu.• Prior to seeing the logbook display, you may

press the Back button and return to theprevious display to review or edit the informationyou have stored.

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

OK


85

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

Add New Entry for

Exercise Entry

Other TimeSep 15-02 3:30 pm

Exercise Entry

Add New Entry for

Sep 15-02 3:30 pmOther Time

4111825

5121926

6132027

7142128

1

152229

2

162330

3101724

Select Entry Date

Sep-02

98

What time?

pm

Sep 8-02

10: 30

Entering the Date and Time

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

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

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

OK


EXERCISE LOGBOOK ENTRIES

86

Add New Entry for

Exercise Entry

Other TimeSep 15-02 3:30 pm

Exercise

DurationModerateHard

--------

Sep 15-02 3:30 pmExercise Entry

Mild

00:10

HardExercise

Duration


With the meter turned off, press theExercise SmartButton.® These choices willappear on the display. Select the currentdate and time to add an exercise logbookentry at this time. Select “Other Time” ifthe logbook entry is for some time in thepast and press the OK button .OK

Then record the duration of the exerciseto the nearest five minutes. Press the OKbutton to save the logbook entry.OK

Note: Check that the date and timeare correct for your entry. You mayrate the exercise you performed asmild, moderate, or hard. Press theOK button .OK


87

HEALTH LOGBOOK ENTRIES

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

Logbook

Sep 15-02 3:30 pm Exercise

Hard 00:10

Feel HypoIllness

MensesVacation

Stress--------

Sep 15-02 3:30 pmHealth Notes

Health Notes

Health Checks

Sep 15-02 3:30 pmHealth Entry

The exercise logbook entry you recordedwill be saved this way in yourelectronic logbook. You may also scrollthrough the logbook to view previousentries. Press the OK button whileyou are in the logbook to edit or deletethe highlighted entry (see pages105–107).

OK

Select “Health Notes” and press the OK button .OK

Choose from this menu:Stress MensesFeel Hypo VacationIllness Other

Press the OK button to save andview the logbook entry.

OK


88

Logbook

Sep 15-02 3:30 pmStress

Health Checks

Health Notes

Sep 15-02 3:30 pmHealth Entry

The logbook entry with your Health Notewill be saved this way in the electroniclogbook.

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

Choose from this menu:Ketones Eye ExamHbA1c Foot ExamMicroalbumin Weight/HeightCholesterol Dr. VisitBlood Pressure

“Health Checks” are another type of health logbookentry that you can record. Health Checks includehome and laboratory tests as well as doctors’examinations. All of this information is vital to agood diabetes management plan. Health Checksmay be stored in your electronic logbook at the timethey occur or at some later time.


89

Many Health Checks allow you to input numericvalues. In order to adjust the number, use the Arrow button to scroll up and down. Press the OKbutton to save your selection and return to theHealth Checks menu. Following are sample entriespossible under “Health Checks”. When you havecompleted your Health Check entries, scroll to “ExitHealth Checks” and press the OK button . YourHealth Check entry will be saved in the electroniclogbook.

OK

Ketones Negative--------

SmallTrace

Moderate

Sep 15-02 3:30 pmHealth Checks

Ketones

--------

SmallTrace

Moderate


Negative

Ketones

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

Negative ModerateTrace LargeSmall

Scroll to your selection and press the OK button .OK

OK


You will return to the Health Checks menuwith “Exit Health Checks” highlighted. Ifyou are finished with your entries, pressthe OK button with “Exit HealthChecks” highlighted. If you wish to enterother Health Checks, use the Arrow button

to scroll to the additional menu choiceand press the OK button .

OK

90

Weight/Height

Blood PressureEye ExamFoot Exam

Dr. VisitExit Health Checks


Logbook

Sep 15-02 3:30 pmKetones Negative Your entry will be saved this way in the

electronic logbook.

OK


91

You can enter your test results formicroalbumin as “Normal”, “Positive”, anumeric value from 1 to 1000 or “>1000”.When entering data, the value will startat the value you last saved. Scroll to yourselection and press the OK button .OK

HbA1c 5.2%


Microalbumin

---------


Tests for hemoglobin A1c, also known as HbA1c or A1c, can be recorded from 4% to 15% in 0.1% steps. When enteringdata, the value will start at the value youlast saved. Scroll to your selection andpress the OK button .OK

HbA1c

Microalbumin


Blood Pressure

The logbook range for the first number (systolic) is80–200 mmHg. The range for the second number(diastolic) is 40–150 mmHg. Both are in 1-mmHgsteps. Blood pressure (B.P.) above or below theseranges will appear on the display as “- - -” and willnot be recorded in the logbook.

92

Blood Pressure


120/ 80

LDL:

Cholesterol187Total:

HDL:--------

Trig: ----


Note: When entering data, the value will start atthe value you last saved.

You may enter cholesterol test results in 1-mg/dL (0.1-mmol/L) steps for:

• Total (up to >1000) (>25.9 mmol/L)• LDL (up to >500) (>13.0 mmol/L)• HDL (up to >500) (>13.0 mmol/L)• Triglycerides (Trig) (up to >3000)

(>33.9 mmol/L) To advance to the next cholesterol entry,press the OK button . To return to aprevious cholesterol entry on this display,press the Back button .

OK

When entering data, the value will start at the value you last saved.

Cholesterol


93

To record a foot examination, select“Enter Foot Exam” and press the OKbutton .OK

Foot Exam

Enter Eye Exam

--------


Enter Foot Exam

--------


To record an eye examination, select“Enter Eye Exam” and press the OKbutton .OK

Eye Exam


94

To record the date of your last visit to thedoctor, select “Enter Dr. Visit”.

Weight 150.0

Height 67.0


Enter Dr. Visit

--------


Enter your weight in 0.5-pound steps and your height in 0.5-inch steps. Whenentering data, the value will start at thevalue you last saved.

Weight/Height

Doctor Visit


95

The medication menu reflects your input in the Set-up mode (see pages 68–72). If you entered diabetes pills, insulin,and/or insulin pump information, it willappear on the display as in this example.

Sep 8-02 9:20 pmMeds Entry

Pill A

Pump Bolus

InsulinAInsulinB

Pill B

Pump Daily Total

Please use Set-up modeto select pills, insulin or

pump functions.

Add New Entry for

Meds Entry


Press the Medication SmartButton® toaccess the menu. You may track yourdiabetes pills, insulin types and dosages,and insulin pump information. Select thecurrent date and time or “Other Time”(see page 85).

If you entered “0” pills, “0” insulin, and“No” for pump in the Set-up mode, thismessage will appear. To select yourmedications return to Set-up mode (seeCustom Meter Set-up Sequence, pages62–76).

MEDICATION LOGBOOK ENTRIES

Medication Menu


96

The logbook entry will be saved this wayin your electronic logbook.

Pill A


1 .0


Pill A

Pump Bolus

InsulinAInsulinB

Pill B

Pump Daily Total


Pill B

Exit Meds EntryPump Daily Total

InsulinBInsulinA

Pump Bolus

Logbook

Sep 8-02 9:20 pmPill A 1 .0

Diabetes Pills

To enter your diabetes pills, select thepill you have taken and press the OKbutton .OK

Enter the number of pills you have taken(in 0.5 or one-half pill steps) and pressthe OK button . When entering data,the value will start at the value you lastsaved.

OK

After your medication logbook entry,select “Exit Meds Entry” and press theOK button or select another itemfrom the menu.

OK


97

The insulin dosage will be saved this wayin your electronic logbook.


InsulinA

Pump BolusInsulinB

Pill B

Pump Daily Total

Pill A

InsulinA


10.0


Pill APill B


InsulinBPump Bolus

Stress

Logbook

Sep 8-02 9:20 pmInsulinA 10.0

Insulin Dosages

Enter an insulin dosage by highlighting aninsulin type and press the OK button .OK

Then record the units of insulin. Themeter was set at the factory to recordunits in 0.1 increments. When enteringdata, the value will start at the valueyou last saved.

If you wish to record a second insulin,choose from the list, and then enter thenumber of units. Repeat these steps asneeded. After completing your insulinlogbook entry, select “Exit Meds Entry”and press the OK button .OK


98

Then enter the units in 0.1 steps and press the OK button . When enteringdata, the value will start at the value youlast saved.

OK

Pump Bolus


0.1


InsulinAInsulinB

Pill B

Pump Daily TotalPump Bolus

Pill A

Insulin Pump

You can enter insulin pump information as bolusentries or as a daily total.

If you are entering bolus information,select “Pump Bolus” and press the OKbutton .OK


99

To enter your pump total for the day,scroll to “Pump Daily Total” and press theOK button .OK

Logbook

Sep 8-02 9:20 pmPumpBolus 0.1


Pump Bolus

InsulinAInsulinB

Pill B

Pump Daily Total

Pill A


Pill BPill A


InsulinBInsulinA

If you have completed your medicationlogbook entry, select “Exit Meds Entry”.

The dosage will be saved this way in yourelectronic logbook.


100

Your daily pump total will be saved thisway in your electronic logbook.


Pill BPill A

Exit Meds Entry

InsulinBInsulinA

Pump Bolus

Logbook

Sep 8-02 9:20 pmPump

Daily Total 25.2

Pump Daily Total


25.2

Use the Arrow button to scroll to thenumber of units you have taken over thepast 24 hours and press the OK button

. When entering data, the value willstart at the value you last saved.

OK

When you have completed yourmedication logbook entries, select “Exit Meds Entry”.


101

Then enter the type of meal from themeal menu. You may also record alcoholusage.

Add New Entry for

Food Entry


LunchBreakfast

DinnerSnack

Alcohol

--------

Sep 8-02 5:26 pmFood Entry

FOOD LOGBOOK ENTRIES

Food and blood glucose levels are closely linked.Logbook entries allow you to keep track of importantnutritional information for each meal or snack bytype of nutrient.

Press the Food SmartButton® and select either the current date and time or “Other Time”.


Your food logbook entry will be savedthis way in the electronic logbook.

102

DinnerInformation

Carbs:Fats:Calories:Proteins:

37515

------

60

Logbook

DinnerCarbs: 60

Sep 8-02 5:26 pm

Fats: 15Calories: 375

DinnerInformation

Carbs:

Fats:

Calories:

Proteins:

---

---

---

---

You may enter carbohydrates (carbs),fats, and proteins in the range of 0 to250 in 1-unit steps. Carbohydrates maybe entered as units or grams, whicheveryou prefer. Calories may be entered in 5-unit steps in the range of 0 to 2550.Use the Arrow button to change theunits for each item. If you do not wish toenter units for an item, select “- - -” andpress the OK button . Do Not enter“0” because it will be included in yourFastFacts® averages (see page 108).

Press the OK button to advance tothe next nutrient. To return to a previousnutrient, press the Back button .

Note: When entering data, the value will start atthe value you last saved.

OK

OK


103

To edit or delete a comment, be sure the highlight is on the glucose test resultto which the comment is attached. Press the OK button (see page 105 for electronic logbook entry example).

OK

ess

Logbook

Sep 8-02 10:30 am

Aft BrkftGlucose 125 mg/dL

ess

Logbook

Sep 8-02 10:30 am

Aft BrkftGlucose 125 mg/dL

Adding, Changing, or Deleting Logbook Information

Step 1. Press the FastFacts® SmartButton®

to enter the FastFacts® menu.

Step 2. Select “Logbook” from theFastFacts® menu and press the OKbutton . The most recent entry inyour electronic logbook will appearon the display.

Step 3. Use the Arrow button to scrollthrough your logbook entries.

OK

Note the location of the highlight in the logbook display. Note also on theright-hand margin the arrows ( ).They indicate the direction you may scroll through your logbook.

Step 4. Press the OK button to edit(add to or change) or deletelogbook information.

OK

EDITING OR DELETING TEST COMMENTS (Example)


You may edit other comments at thistime. To delete a comment, scroll to “- - -”and press the OK button . When youhave completed editing the comments,scroll to “Save” and press the OK button .OK

OK

104

Exer

Health


Save

Bef Brkft--------

Bef LunchAft Lunch

Aft Brkft

Food

--------

--------

Bef LunchFood

Exer

Health

Save


Exer

Save

Health

Food

--------

--------

Aft Brkft


To change the mealtime, select “Food”and press the OK button .OK

Scroll to the desired mealtime and pressthe OK button again.OK


105

Press the OK button to edit.OK

Str

Logbook

Sep 8-02 10:30 am

Bef LunchGlucose 125 mg/dL

EditDelete

Food EntrySep 15-02 5:26 pm

Logbook

DinnerCarbs: 60

Sep 15-02 5:26 pm

Fats: 15

Your edited comment will appear this wayin your electronic logbook.

EDITING OR DELETING ELECTRONIC LOGBOOKENTRY (Example)

All electronic logbook entries are editedor deleted in the same way. Use the Arrow button to highlight theelectronic logbook entry you wish tochange and press the OK button .OK


106

To change the entry, use the Arrow buttonand press the OK button .OK

LunchBreakfast

DinnerSnack

Alcohol

--------

Sep 15-02 5:26 pmFood Entry

DinnerInformation

Carbs:

Fats:

Calories:

Proteins:---

---

60

15

DinnerInformation

Carbs:

Calories:

Fats:

Proteins:

45

15

---

---

Make sure the icon, date and time, anddescription are correct. (If you make anerror, press the Back button to returnto the menu.) Press the OK button on the selected mealtime. If you wish tochange the entry to another mealtime,scroll to the mealtime and press the OK button .OK

To keep the entry as it is, press the OK button .OK

OK


107

Your entry will be deleted from theelectronic logbook.

Logbook

DinnerCarbs: 45

Sep 15-02 5:26 pm

Fats: 15

EditDelete


Entryremoved


Logbook


Hard 00:10

The edited entry will appear this way inyour electronic logbook.

To delete an entry, highlight the entryand press the OK button .OK

Use the Arrow button to select“Delete” and press the OK button .OK


108

Logbook

Insulin Intake

FastFacts

Hypo Info

Health Checks

Glucose AnalysisGlucose by Meals

Food Averages

FastFacts® SmartButton®

OneTouch® UltraSmart® FastFacts®

FEATUREFastFacts® Menu

The FastFacts® menu lists several choices.See the next page for a description ofwhat is available under each choice.

Enter FastFacts® by pressing theFastFacts® SmartButton.® This will putyou in the meter memory. TheFastFacts® feature allows you to viewcharts and graphs of your test resultsand other logbook information youhave entered.

Note: The meter will turn itself off after oneminute of inactivity. Press any SmartButton® toturn the meter back on.


109

FastFacts® MenuLogbook ■ Glucose test results with comments and logbook

entries by date and time

Glucose by Meals ■ Glucose test results by date before and after meals

Glucose Analysis ■ Graph of All Results. Interactive graph of allglucose test results by date

■ Graph by Time of Day. Graph of glucose results bytime of day

■ Average of All Results. Average of all results takenfor the last 7, 14, 30, 60, and 90 days

■ Average by Time of Day. Averages by time of dayfor the last 7, 14, 30, 60, and 90 days

■ Averages by Exercise. Glucose averages before, during, and after exercise for the last 7, 14, 30, 60,and 90 days

■ Glucose Range Info. Percent of glucose test resultswithin, above, and below target range, before andafter meals, for the last 7, 14, 30, 60, and 90 days

Insulin Intake ■ Average insulin doses by insulin type, before andafter meals, for the last 7, 14, 30, 60, and 90 days

Hypo Info ■ Incidents of hypoglycemia (blood glucose of 70mg/dL or less) before and after meals for the last7, 14, 30, 60, and 90 days

Food Averages ■ Average daily intake of carbohydrates, fats,calories, and proteins for the last 7, 14, 30, 60, and90 days

Health Checks ■ Dates and results of medical tests

Help ■ LifeScan Web site address

(Meter Memory)


LOGBOOK MEMORY

To review the details of each glucose test, comments,and logbook entries, select “Logbook”. The logbookis the meter memory. You may review all entries inyour electronic logbook, by date and time, bypressing the Arrow button . In addition to reviewingrecords, you may also edit the records (see pages103-107). Following are sample records. Commentsare attached to a test result; logbook entries are not.

GLUCOSE BY MEALS

To review test results before and after meals, select“Glucose by Meals”. Highlight the desired mealtimeand press the OK button . A summary of all testresults by date before and after the chosen meal or atnight will appear. Use the Arrow button to viewmore entries.

OK

110

Logbook

Sep 8-02 10:30 am

Bef LunchGlucose 125 mg/dL

Before Exer

Logbook


Hard 00:10

Bef Brkft Aft Brkft Sep 80 120

140 ---70 125

100 115

Glucose by Meals

70 125

Sep 7Sep 6Sep 6Sep 5Sep 4 90 140

8

LunchDinnerNight

Glucose by Meals

Breakfast

Test Result with Comments Logbook Entry


111

GLUCOSE ANALYSIS

When you select “Glucose Analysis” on theFastFacts® menu, an additional menu of choicesappears. Use the Arrow button to move to thedesired menu and press the OK button .

Interactive Graph of All Results

The interactive graph displays three days of testresults at a time with the most recent test resultflashing. A bold bar above the dates indicates aweekend. The two dotted lines indicate the lowestand highest values of your before- and after-mealglucose ranges (see Advanced Feature Set-up, pages72–76). If you have not selected an after-meal range,only the before-meal range will appear. Resultsabove 300 mg/dL or below 50 mg/dL are indicated byan arrow at the top or bottom edge of the graph.

Glucose Analysis

Average by Time of Day

Graph of All ResultsGraph by Time of Day

Glucose Range Info

Average of All Results

Average by Exercise

Graph shows allresults

Use arrows to scrollOK for details

InteractiveGlucose Graph

Sep 22 Sep 23 Sep 24

150

50

200

250300

100

OK


112

Graph by Time of Day

You may view test results on a graph by time periodwhen you select “Graph by Time of Day”.

Graph daily results by time period

Before BreakfastAfter BreakfastBefore LunchAfter Lunch

Before DinnerAfter Dinner

LogbookSep 21-02 7:20 pmGlucose 135 mg/dL

Aft Dinner

Carbs: 45Dinner

Sep 21 Sep 22 Sep 23

150

50

200

250300

100

Note: If you press the OK button while in thelogbook, you will begin to edit or delete testcomments and will not be able to use the Backbutton to return to the graph.

OK

OK

You may scroll backward or forward in time usingthe Arrow button to move from one point toanother. Individual test results will flash as youscroll. To view the details of a test, press the OKbutton while that test result is flashing. Pressthe Back button to return to the graph. You maymove back and forth between the graph and thelogbook as often as you wish.

OK


Results 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 notedby a bold bar above the dates.

Average of All Results

Test result averages are available for the last 7, 14,30, 60, and 90 days. The number of tests that makeup each average is shown on the left in parentheses.

113

150

50

200

250300

100

Sep 21 Sep 28

Before BreakfastGlucose Results

Graph daily resultsby time period

Number of Days Avg7

14306090

120147187200201

(33)(75)(153)(202)

Average of allResults

(18)


114

Average by Exercise

Test result averages before, during, and afterexercise are available for the last 7, 14, 30, 60, and90 days. The number of tests that make up eachaverage is shown on the left in parentheses.

Avg. by Exercise14 Days

125

103

110

(14) Before exercise

( 3) During exercise

(14) After exercise

Average byExercise

Days

7

306090

14

Avg. by time ofDay - 14 Days

9513580

125

(14) Bef Brkft Aft Brkft Bef Lunch

128Bef Dinner(7) Aft Dinner

128Aft Lunch

(14)(14)(14)(14)

Average bytime of Day

7

306090

14Days

Average by Time of Day

Test averages by time of day are available for thelast 7, 14, 30, 60, and 90 days. The number of teststhat make up each average is shown on the left inparentheses.


115

Glucose Range Info

If you entered your before- and after-meal glucoseranges in the Set-up mode, you may review thepercentage of your test results that are above,below, and within your target ranges. The number oftests that make up each percentage is shown on theleft in parentheses. Otherwise, before-meal rangesare factory-set at 90–130 mg/dL. After-meal targetranges must be set by the user (see pages 75–76).

(6) Above 20%

(3) Below 10%

(5) In Range 70%

Bef Brkft GlucoseRange 90-130

Days

7

306090

14

Bef Brkft GlucoseRange 90-130

BreakfastLunchDinnerNightTotal

Bef Meal Glucose Range 90-130

Glucose Range Info

Before Meal

After Meal


116

In this example, the average intake ofRegular insulin over the past 14 days isdisplayed. The number in parenthesesbefore the time segment is the number of logbook entries for that time period.

Regular

NPHSyringe Totals

Pump

Insulin Intake

Insulin IntakeRegular

Days

7

306090

14

Regular Insulin14 Day (Avg.)

8.0

10.5

(14) Breakfast 6:00am - 11:00am

(14) Lunch11:00am - 5:00pm

INSULIN INTAKE

Choose “Insulin Intake” from the FastFacts® Menu.

The individual insulins, in this exampleRegular and NPH, are based on insulinsselected in the Set-up mode (see pages70–71). Use the Arrow button to moveto your selection and press the OKbutton .

Choose the number of days you would like to review in your average by usingthe Arrow button to scroll throughchoices. Press the OK button toproceed.

Note: Each time period includes the before andafter period for that meal (see pages 74–75 tochange your schedule).

OK

OK


117

In this example, the average number of insulin units taken over the last 14 days appears. The number shown inparentheses is the number of syringeinsulin entries over the time period. Anasterisk (*) after the number meansthere has been at least one day in thetime period without an entry.

Regular

NPH

Syringe Totals

Pump

Insulin Intake

Insulin IntakeSyringe Totals

Daily Average

Daily Totals

(18)*

14 Day (Avg.)Total Daily Insulin

24.6


Syringe Totals

To view the total of all individual insulinstaken by syringe or insulin pen that youhave previously stored in the logbook,select “Syringe Totals” and press the OKbutton .OK

You may view the daily average of yourinsulin intake over the last 7, 14, 30, 60,and 90 days (example 14 days).


118

Select “Pump” to view bolus intake,daily averages, and daily totals. You canreview the last 7, 14, 30, 60, or 90 days.

Daily Totals

Daily Average


Insulin IntakeDaily Totals

85.092.0

------76.556.084.0

Sep 15 - 02Sep 14 - 02

Sep 12 - 02Sep 11 - 02Sep 10 - 02

-----------

Premixed

Rapid

Syringe Totals

Insulin Intake

Pump

To view your total syringe insulin intakefor each day, scroll to “Daily Totals” andpress the OK button . OK

If you did not record a syringe insulinintake for a particular day, “- - -” willappear in both columns.

Insulin Pump


119

“Daily Average” displays the average ofthe total daily pump insulin. This exampleis for the last 14 days. The number ofentries is listed in parentheses. Anasterisk (*) means there are days with noentries.

Insulin IntakePump

Daily Totals

Daily Average

Bolus

Pump Bolus14 Day (Avg.)

6.0

8.0

(14) Breakfast6:00am - 11:00am

(14) Lunch11:00am - 5:00pm

14 Day (Avg.)Total Daily

Pump Insulin

52.3(12)*

Insulin IntakePump

“Bolus” will display your average bolusintake for each mealtime (Breakfast,Lunch, Dinner, Night) based on yourschedule (see pages 73–76).

This example shows the average bolusintake in units by time. The number oflogbook entries appears in parentheses.


HYPOGLYCEMIA INFORMATION

If you select “Hypo Info” from the FastFacts® menu,the meter will display the actual number ofhypoglycemic events defined by the level set inAdvanced Features (see page 76). The number ofevents before and after meals and during the nightfor the last 7, 14, 30, 60, and 90 days is displayed.Use the Arrow button to view the other timeperiods.

120

85.092.082.576.5-----84.0

Sep 14-02Sep 14-02Sep 13-02Sep 12-02

Sep 10-02

Insulin IntakePump Daily Totals

----------

Insulin Intake Pump Daily Totals

“Pump Daily Totals” gives the pump totals you haveentered for each day. If you did not enter a pumptotal for a day, “- - -” will appear.

Hypo Info (70 mg/dL or less)

5100

Bef Brkft Aft BrkftBef LunchAft Lunch

Total - 14 Days: 6

Hypo Info (70 mg/dL or less)

Days

7

306090

14


121

HEALTH CHECKS

To view results and dates of various check-ups,select “Health Checks”. Scroll to the type of HealthCheck using the Arrow button and press the OKbutton . The entries for each will appear on thedisplay.

Health Checks

Sep 3- 02Jul 14- 02

5.2%5.9%

HbA1c:B.P.WeightHeight

Chol

Ketones

Dr. Visit

120/80150.0

67.0

5.2%187

done

Sep 3- 02Sep 3- 02Sep 3- 02Sep 3- 02Sep 3- 02Sep 3- 02

Health ChecksSep 3- 02

HbA1c

trace

Days

7

306090

14

Food Averages

4514

14

(14) Carbs:(14) Fats:

(12) Proteins: 362(10) Calories:

Breakfast14 Day (Avg.)

Food Averages

FOOD AVERAGES

Select “Food Averages” to view average daily intakeof carbohydrates, fats, calories, and proteins overthe last 7, 14, 30, 60, and 90 days. The number oftests that make up each average is shown on the leftin parentheses.

OK


This choice prompts you to contactLifeScan Customer Service or visit ourWeb site when you need help withtesting. Call LifeScan Customer Service,at 1 800 227-8862, 24 hours a day,seven days a week.

122

Data Downloading

Transferring test results to your personal computerfor home viewing requires OneTouch® DiabetesManagement Software from LifeScan and aOneTouch® Interface Cable. OneTouch® DiabetesManagement Software and a OneTouch® InterfaceCable are not included with your OneTouch® UltraSmart® System. For orderinformation and to learn more about OneTouch®

Diabetes Management Software, visitwww.OneTouchDiabetesSoftware.com.

Information

ContactLifeScan

Customer Serviceor

visit the Website at:www.LifeScan.com

SOURCES FOR HELP


123

Connect the OneTouch® Interface Cable to a serial port on the back of yourcomputer. With the meter turned on,connect the OneTouch® Interface Cable tothe data port located on the upper leftside of the meter. Be sure the cable plugis inserted all the way.

Install OneTouch® Diabetes ManagementSoftware on your computer following theinstructions provided in the OneTouch®

Diabetes Management Software User Manual.

Install OneTouch® DiabetesManagement Software.

STEP 1

Note: While in the communication mode, youwill be unable to perform a blood glucose test.

Connect the OneTouch®

Interface Cable.STEP 2


For order information and to learn more aboutOneTouch® Diabetes Management Software, visitwww.OneTouchDiabetesSoftware.com or callLifeScan Data Management Line at 1 800 382-7226.

124

Follow the instructions in the OneTouch®

Diabetes Management Software UserManual to initiate the data transfercommand. “PC” will appear on thedisplay once the first command isreceived, indicating that the meter is inthe communication mode. You are nowready to transfer all test results—withdate and time—stored in the metermemory to your computer. If thecommand is not received within oneminute, the meter will turn itself off. Youmay also press and hold the Back button

to turn off the meter.

Transfer Data.STEP 3


125

SPECIFICATIONS

Result Range: 20 to 600 mg/dL

Calibration: Plasma-equivalent

Sample: Fresh capillary whole blood

Sample Size: Minimum 1 microliter (μL)

Test Time: 5 seconds

Assay Method: Glucose oxidase biosensor

Power Source: Two AAA alkaline batteriesBattery Life: About six months at three

tests per day (one test using backlight)

Glucose Units: mg/dL

Memory: Over 3,000 records

Automatic Shutoff: Three minutes after inserting a test strip if sample has not been applied; one minute after all other user actions

Size: Approx. 3.8 in. (L) x 2.3 in. (W) x 0.9 in. (H)

Weight: 2.8 ounces (with batteries)

Operating Ranges: Temperature 43–111°F/6–44°C

Relative humidity 10–90%

Hematocrit 30–55%


126

PRODUCT SAFETY INFORMATION

The OneTouch® UltraSmart® System complies with thefollowing standard:

UL (Underwriters Laboratories Standard) UL 60601-1

• Internally powered equipment. Battery operatedwith two 1.5 volt AAA alkaline batteries.

• This unit is not suitable for use in the presence offlammable anesthetic mixture with air, oxygen ornitrous oxide.

• Continuous mode of operation.

• IPX4 degree of protection against ingress of water.This is a level of water resistance (protectionagainst splashing water).

• Type BF applied part degree of protection againstelectrical shock. This is a level of electrical safetyprotection for the user suitable for this medicaldevice.


EXPLANATION OF SYMBOLS ON THE METER

See Accompanying Documentation. Read andunderstand your Owner’s Booklet and teststrip package insert before using this system.

This indicates type BF applied part degree ofprotection against electrical shock. This is alevel of electrical safety protection for thepatient or user suitable for this medicaldevice.

This indicates electrical safety certification by the Canadian Standards Association (CSA) inaccordance with UL 60601-1, CAN/CSA 22.2 No.601.1-94 and CAN/CSA 22.2 No. 601.1.2-94.

GUARANTEEThe makers guarantee that the OneTouch® UltraSmart® Meter shall be free ofdefects in material and workmanship for a period ofthree years. This guarantee is valid from the date ofpurchase. The guarantee extends only to the originalpurchaser and is not transferable.

127

C US


128

INDEXAdvanced Features . . . . . . . . . . . . . . . . . . . . . . . . 72–76Alternate Site Testing . . . . . . . . . . 15, 21–23, 27-30, 32Arrow Button. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Averages, All Results . . . . . . . . . . . . . . . . . . . . . 109, 113Averages, By Exercise . . . . . . . . . . . . . . . . . . . . 109, 114Averages, By Time of Day . . . . . . . . . . . . . . . . . 109, 114Averages, Food . . . . . . . . . . . . . . . . . . . . . . . . . . 109, 121Averages, Insulin Daily . . . . . . . . . . . . . . . . . . . . 117, 119Back Button. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Backlight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Backlight Button. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Basic Set-up Mode. . . . . . . . . . . . . . . . . . . . . . . . . 58–61Batteries. . . . . . . . . . . . . . . . . . . . 1, 43–45, 55, 125–126Beep . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64, 66–67Blood Glucose Testing . . . . . . . . . . . . . . . . . . . . . . 19–39Blood Sampling, Fingertip . . . . . . . . . . . . . . . . . . 23–26Blood Sampling, Forearm or Palm. . . . . . . . . . . . 27–30Carrying Case. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Checking the System with Control Solution . . . . 12–18Cholesterol Units . . . . . . . . . . . . . . . . . . . . . . . . . . 64, 67Code Numbers . . . . . . . . . . . . . . . . 10–12, 15, 31, 46–47Coding the Meter . . . . . . . . . . . . . . . . . . . . . . . . . . 10–12Comments . . . . . . . . . . . . . . . . . . . . . . . . . 36, 39, 77–81Comments, Exercise . . . . . . . . . . . . . . . . . . . . . . . . . . . 81Comments, Food . . . . . . . . . . . . . . . . . . . . . . . . . . 79–80Comments, Health . . . . . . . . . . . . . . . . . . . . . . . . . 80–81


129

Comment? Press OK. . . . . . . . . . . . . . . . . . . . . . . . . . . 36Confirmation Window . . . . . . . . . . . . . . . . . . . . 7, 34–35Contact Bars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7, 31Control Solution, Before you begin . . . . . . . . . . . . . . 13Control Solution, Checking the System with. . . . . . . 12Control Solution, OneTouch® Ultra®. . . . . . . . . . 1, 12-18Control Solution, Out-of-range results. . . . . . . . . 17–18Custom Meter Set-up Sequence . . . . . . . . . . . . . 62–76Data Downloading . . . . . . . . . . . . . . . . . . . . . . . 122–124Data Port . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2, 123Date and Time, Entering . . . . . . . . . . . . . . . . . . . . . . . 85Date and Time, Setting . . . . . . . . . . . . . . . . . . . . . 60–61Date Format . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64, 66Dehydration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v, 41Diabetes Pill Set-up. . . . . . . . . . . . . . . . . . . . . . . . 68–69Diabetes Pills . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96Display Contrast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6Display Language. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59Display, Meter. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2, 9Display Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6Editing Comments . . . . . . . . . . . . . . . . . . . . . . . 103–105Editing Logbook Entries. . . . . . . . . . . . . . . . . . . 105–107Electronic Logbook . . . . . . . . . . . . . . . . . . . . . iii, 77–107Entries, Logbook . . . . . . . . . . . . . . . . . . . . . . . . . 82–107Error Messages. . . . . . . . . . . . . . . . . . . . . . . . . . . . 51–55Exercise Comments . . . . . . . . . . . . . . . . . . . . . . . . . . . 81Exercise Logbook Entries . . . . . . . . . . . . . . . . . . . 86–87


130

Exercise SmartButton® . . . . . . . . . . 4–5, 77, 82–83, 86FastFacts® . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108–122FastFacts® Feature . . . . . . . . . . . . . . . . . . . . . . . 108–122FastFacts® Menu . . . . . . . . . . . . . . . . . . . . . . . . . 108–109FastFacts® SmartButton® . . . . . . . . . . . . . . 4–5, 82, 108Fingertip Testing Procedure . . . . . . . . . . . . . . . . . 23–26Food Averages. . . . . . . . . . . . . . . . . . . . . . . . . . . 109, 121Food Comments. . . . . . . . . . . . . . . . . . . . . . . . . . . 79–80Food Logbook Entries . . . . . . . . . . . . . . . . . . . . . 101-102Food SmartButton® . . . . . . . . . . . . . . . . . 4–5, 77, 82-83Forearm . . . . . . . . . . . . . . . . . . . . . . . . 21–22, 27, 30, 33 Forearm or Palm Sampling,

Important Information. . . . . . . . . . . . . . . . . . . . 21–22Format, Date. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64, 66Format, Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64, 66Glucose Analysis . . . . . . . . . . . . . . . . . . . . . 109, 111–115Glucose by Meals . . . . . . . . . . . . . . . . . . . . . . . . 109–110Glucose Graph, Interactive . . . . . . . . . . . . . . . . . 111–113Glucose Range . . . . . . . . . . . . . . . . . . . . . . . . 73, 76, 115Graph, All Results . . . . . . . . . . . . . . . . . . . . 109, 111–112Graph, Time of Day . . . . . . . . . . . . . . . . . . . 109, 112–113Guarantee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127Health Checks . . . . . . . . . . . . . . . . . . . . 87–94, 109, 121Health Comments. . . . . . . . . . . . . . . . . . . . . . . . . . 80–81Health Logbook Entries. . . . . . . . . . . . . . . . . . . . . 87–94Health Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87–88Health SmartButton® . . . . . . . . . . . . . . . 4–5, 77, 82–83


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High Glucose. . . . . . . . . . . . . . . . . . . . . . . . . . . . v, 38, 51Hyperglycemia . . . . . . . . . . . . . . . . . . . . v, 38–39, 50–51Hypoglycemia . . . . . . . . . . . . . . v, 21–22, 38–39, 50–51Hypoglycemia Information (Hypo Info) . . . . . . 109, 120Hypoglycemia Level. . . . . . . . . . . . . . . . . . . . . . . . 73, 76Insulin Dosages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97Insulin Intake. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116Insulin Pump. . . . . . . . . . . . . . . . . . . . . 98–100, 118–120Insulin Pump Set-up . . . . . . . . . . . . . . . . . . . . . . . . . . 72Insulin Set-up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70–71Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ivInterface Cable, OneTouch® . . . . . . . . . . . . . . . 122–124Laboratory Results . . . . . . . . . . . . . . . . . . . . . . . . . 40–41Lancets. . . . . . . . . . . . . . . . . . . . . . . 1, 19–20, 24, 28, 37Lancet Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37Logbook . . . . . . . . . . . . . . . . . . . . iii, 4, 77–107, 109–110Logbook, Electronic . . . . . . . . . . . . . . . . . . . . iii, 77–107Logbook Entries . . . . . . . . . . . . . . . . . . . . . . . . . . 82–107Logbook Entries, Editing or Deleting. . . . 103, 105–107Logbook Entries, Exercise . . . . . . . . . . . . . . . 83, 86–87Logbook Entries, Food. . . . . . . . . . . . . . . . . 83, 101–102Logbook Entries, Health. . . . . . . . . . . . . . . . . 83, 87–94Logbook Entries, Medication . . . . . . . . . . . . 83, 95–100Low Glucose . . . . . . . . . . . . . . . . . . . . . . . . . . . . v, 38, 51Maintenance, Meter. . . . . . . . . . . . . . . . . . . . . . . . . . . 42Maintenance, OneTouch® UltraSoft®

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


132

Meal Schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72–75Medication Logbook Entries . . . . . . . . . . . . 83, 95–100Medication Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95Medication SmartButton® . . . . . . . . . . . 4–5, 77, 82–83Memory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77–107Message, Check Ketones . . . . . . . . . . . . . . . . . . . 39, 50Message, Snack. . . . . . . . . . . . . . . . . . . . . . . . . . . 39, 50Messages, Display. . . . . . . . . . . . . . . . . . . . . . . . . 46–50Messages, Error . . . . . . . . . . . . . . . . . . . . . . . . . . . 51–55Messages, Special. . . . . . . . . . . . . . . . . . . . . . . . . 38–39Messages, Warning . . . . . . . . . . . . . . . . . . . . . . . . 51–55Milligrams per Deciliter . . . . . . . . . . . 9, 17, 36, 49, 125Off Button . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3OK Button . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3OneTouch® Diabetes Management

Software . . . . . . . . . . . . . . . . . . . 64, 68–70, 122–124OneTouch® Interface Cable . . . . . . . . . . . . . . . . 122–124OneTouch® Ultra® Control Solution. . . . . . . . . . 1, 12–18OneTouch® UltraClear® Cap. . . . . . . . . . . . . 1, 19, 28–30OneTouch® Ultra® Test Strips. . . . . . . . . . . . . . . . . 1, 7–8OneTouch® UltraSmart® Meter . . . . . . . . . . . . . . . . . 1–3OneTouch® UltraSmart® System . . . . . . . . . . . . . . . . 1–8OneTouch® UltraSoft® Adjustable

Blood Sampler . . . . . . . . . . . . . . . . . . 1, 19–20, 23–30Owner’s Booklet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Palm . . . . . . . . . . . . . . . . . . . . . . . . . . . 21–22, 27, 30, 33Problems and Possible Causes . . . . . . . . . . . . . . 56–57


133

Product Safety Information . . . . . . . . . . . . . . . . . . . . 126Quick Reference Guide. . . . . . . . . . . . . . . . . . . . . . . . . . 1Quick Start Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Reduce Chance of Infection . . . . . . . . . . . . . . . . . . . . 20Repeated Unexpected Results . . . . . . . . . . . . . . . . . . . vSchedule, Meal . . . . . . . . . . . . . . . . . . . . . . . . . . . 72–75Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66–67Set-up, Basic Meter . . . . . . . . . . . . . . . . . . . . . . . . 58–61Set-up, Custom Meter. . . . . . . . . . . . . . . . . . . . . . 62–76Set-up Menu. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62–63Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125Syringe Totals. . . . . . . . . . . . . . . . . . . . . . . . . . . . 117–118System Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . iii–8Temperature Range . . . . . . . . . . . 8, 13, 36, 53, 55, 125Test Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15, 32Test Port. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2, 31Test Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31–35Time Format . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64, 66Time Setting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60Unexpected Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . vUnit of Measure, mg/dL. . . . . . . . . . . 9, 17, 36, 49, 125Vial, Control Solution . . . . . . . . . . . . . . . . . 12–13, 16–18Vial, Test Strip . . . . . . . . . . . . . . . . . . . . . . . . 8, 10–12, 17Warning Messages. . . . . . . . . . . . . . . . . . . . . . . . . 51–55Warranty Registration Card . . . . . . . . . . . . . . . . . . . iii, 1Week, Beginning of. . . . . . . . . . . . . . . . . . . . . 64, 66–67


Notes


Notes


Notes



Glucometru Ultrasmart Eng 06078803a Ous Ob Us Web1

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page iiiivintended use