Roche Diabetes Care 126 blood glucose meter User Manual UserManual newTeil1

Roche Diagnostics Operations, Inc. blood glucose meter UserManual newTeil1

UserManual_newTeil1.pdf

User’s Manualfor Single Patient Use OnlyBlood Glucose MeterThis file may not print or view at 100%.Die lines and color breaks do not print.“Holding Area” text, box and rules do not print.Roche USA –52926 V2/1 – 07414587001 – Black Roche USA – 52926 V2/2 – 07414587001 – PMS 307Blood Glucose Monitoring System52926_07414587001_EN.indb 1 6/2/16 2:52 PM
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This file may not print or view at 100%.Die lines and color breaks do not print.“Holding Area” text, box and rules do not print.Roche USA –52926 V2/1 – 07414587001 – Black Roche USA – 52926 V2/2 – 07414587001 – PMS 307ContentsImportant Safety Information ..................................................................................................3Chapter 1: Your New System ..................................................................................................9Chapter 2: The Accu‑Chek FastClix Lancing Device ..............................................................19Chapter 3: Blood Glucose Tests .............................................................................................23Chapter 4: Control Tests ........................................................................................................37Chapter 5: Meter Settings ..................................................................................................... 43Chapter 6: Review Your Data.................................................................................................63Chapter 7: Wireless Communication and Meter Pairing .........................................................81Chapter 8: Meter and Lancing Device Cleaning and Disinfecting...........................................95Chapter 9: Meter Maintenance and Troubleshooting ...........................................................103Chapter 10: Technical Information ......................................................................................113Chapter 11: License and Warranty ......................................................................................121Index ..................................................................................................................................12552926_07414587001_EN.indb 3 6/2/16 2:52 PM
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3Important Safety InformationThe Accu‑Chek Guide SystemThe Accu‑Chek Guide blood glucose monitoring system is comprised of the Accu‑Chek Guide meter and Accu‑Chek Guide test strips. The Accu‑Chek Guide blood glucose monitoring system is intended to quantitatively measure glucose in fresh capillary whole blood from the finger, palm, and upper arm as an aid in monitoring the eectiveness of glucose control. The Accu‑Chek Guide blood glucose monitoring system is intended for in vitro diagnostic single‑patient use by people with diabetes. The Accu‑Chek Guide blood glucose monitoring system is intended to be used by a single person and should not be shared. This system is not for use in diagnosis or screening of diabetes mellitus, nor for neonatal use.The system includes: Accu‑Chek Guide meter with batteries, Accu‑Chek Guide test strips,* Accu‑Chek Guide control solutions,* Accu‑Chek FastClix lancing device,* Accu‑Chek FastClix lancet drums.* *Some items may not be included in the kit. They are a separate purchase. WARNINGChoking hazard. Small parts. Keep away from children under the age of 3years. NOTE• The term “blood glucose” is used when referring to “blood sugar.” • Sample data screens are shown throughout the manual. Your data will dier. Important Safety Information52926_07414587001_EN.indb 3 6/2/16 2:52 PM
4Important Safety InformationLimitations• The Accu‑Chek Guide test strips are for testing fresh capillary whole blood.• Hematocrit should be between 10–65%.• Not for use in diagnosis or screening of diabetes mellitus.• Not for neonatal use.• Do not use this system if you are taking a high dose of vitamin C (ascorbic acid) in excess of 5 mg/dL.• Do not use the meter system to measure blood glucose in people who are experiencing cardiovascular collapse (severe shock) or decreased peripheral blood flow. • Not for use by patients undergoing xylose absorption testing.• Not for use on critically ill patients, patients in shock, dehydrated patients, or hyperosmolar patients.• This system has not been tested at altitudes higher than 10,150 feet.52926_07414587001_EN.indb 4 6/2/16 2:52 PM
5Important Safety InformationNeed Help?For questions, contact the Accu‑Chek Customer Care Service Center toll‑free at 1‑800‑858‑8072. Hours of operation are Monday through Friday between 8:00 am and 8:00 pm eastern standard time (EST). We oer assistance in many languages. You can also visit accu‑chek.com for diabetes management tools and product demonstrations. Please complete the warranty card and mail it, so you receive the best customer service possible and product update news. Or register your warranty online at accu‑chek.com.About Testing Yourself or OthersWARNING• DO NOT CHANGE YOUR THERAPY BASED ON A TEST RESULT THAT DOES NOT MATCH HOW YOU FEEL OR IF YOU BELIEVE THAT YOUR TEST RESULT COULD BE INCORRECT. • It is always a good idea to have a back‑up testing method available. Failure to test could cause a delay in therapy decisions and lead to a serious medical condition. Examples of back‑up testing methods include a back‑up meter or testing by a laboratory. Ask your healthcare professional or pharmacist about other possible back‑up methods. • If your blood glucose result does not match how you feel and you have followed the instructions in this User’s Manual, follow your healthcare professional’s instructions, or contact your healthcare professional. 52926_07414587001_EN.indb 5 6/2/16 2:52 PM
6Important Safety InformationWARNING• During normal testing, any blood glucose meter or lancing device may come in contact with blood. All parts of the kit are considered biohazardous and can potentially transmit infectious diseases from bloodborne pathogens, even after you have performed cleaning and disinfecting.1,2 • The meter and lancing device should never be used by more than one person. Do not share the meter and lancing device with anyone, including family members, due to the risk of infection from bloodborne pathogens.1,2 Do not use on multiple patients!• Cleaning and disinfecting the meter and lancing device destroys most, but not necessarily all, bloodborne pathogens.3 • If the meter is being operated by a second person who is providing testing assistance to the user, the meter and lancing device should be cleaned and disinfected prior to use by the second person. • Disinfect the meter and lancing device before allowing anyone else to handle them. Do not allow anyone else to test with the meter or lancing device. • It is important to keep the meter and lancing device clean and disinfected. For instructions on how to clean and disinfect the meter and lancing device, see the chapter Meter and Lancing Device Cleaning and Disinfecting. • Wash hands thoroughly before and after handling the meter, lancing device, or test strips. 52926_07414587001_EN.indb 6 6/2/16 2:52 PM
7Important Safety InformationNOTE• Perform a control test when you open a new test strip box or if you think that a test result is incorrect. Performing a control test lets you know that the meter and test strips are working properly. • Refer to the test strip and control solution package inserts for additional health‑related information. • Blood glucose and BG are interchangeable and mean the same thing. Special Information for Caregivers• Consult your healthcare professional to determine if it is appropriate for your child to be taught how to use the meter system or any other medical products. • Some people with diabetes do not experience symptoms of low blood glucose (hypoglycemia). Others, such as children or people who are unconscious or have certain disabilities, may not be able to communicate their symptoms to caregivers. For these reasons, do not change any therapy without first talking to a healthcare professional. 52926_07414587001_EN.indb 7 6/2/16 2:52 PM
8Important Safety InformationBefore You Start TestingWARNING• Carefully read and follow the instructions in the User’s Manual and package inserts for the test strips and control solutions. It is very important to follow the instructions in order to avoid an incorrect test result that leads to improper therapy. • Inspect the test strip container before using the test strips for the first time. If you see any damage to the container cap or if anything prevents the cap from closing properly, do not use the test strips. Contact the Accu‑Chek Customer Care Service Center. Damaged test strips can cause inaccurate results, which could lead to improper therapy. • The meter, test strips, and control solution are only for use outside the body (in vitro). Do not eat the test strips. Do not swallow or inject the control solution or use the control solution for any purpose other than testing the Accu‑Chek Guide system.NOTE• The meter may prompt you to choose a language the first time you turn it on. • Check the time and date on the meter before you begin testing. Adjust the time and date if necessary. 52926_07414587001_EN.indb 8 6/2/16 2:52 PM
9Your New System 11. Display Shows results, messages, and test results stored in memory. 2. Back Button Returns to a previous display or field. 3. Up Arrow and Down Arrow Buttons Press to move between menu options or to increase or decrease numbers. 4. Power/Set/OK Button Turns meter on or o and sets options. 5. Test Strip Slot with Light Insert test strip here. 6. Battery Door Flip open to replace batteries. 7. Micro USB Port Transfers data from the meter to a computer (PC). 8. Test Strip Ejector Press to remove test strip. The Accu‑Chek Guide MeterFront View 2Chapter 1: Your New SystemBack View Side View 316784552926_07414587001_EN.indb 9 6/2/16 2:52 PM
10Your New System1 9. Test Strip Container* 10. Metallic End Insert this end into meter. 11. Yellow Edge Touch blood drop or control solution here. 12. Control Solution Bottle* 13. Batteries 14. USB Cable* Connects the meter to a PC. *Some items may not be included in the kit. They are a separate purchase. (for example) Test Strip9101112141352926_07414587001_EN.indb 10 6/2/16 2:52 PM
11Your New System 1The Accu‑Chek FastClix Lancing Device1. Cap For fingertip testing. 2. Comfort Dial with Depth Selection Select penetration depth. 3. Penetration Depth Indicator Points to depth setting. 4. Lever Advance to a new lancet. 5. Lancet Counter Window Shows number of available lancets. 6. Release Button Press to prime and prick. 7. Lancet Drum Contains 6lancets. NOTESome items may be sold separately. 127564352926_07414587001_EN.indb 11 6/2/16 2:52 PM
12Your New System1Button FunctionsHere are the functions of the back, arrow, and Power/Set/OK buttons on the meter. These functions are used throughout this manual. See the chapter Meter Settings for specific instructions on setting up the meter. Button Function Back Button Return to the previous display. Return to the previous field. Up Arrow and Down Arrow Buttons Navigate up and down in a menu. Increase or decrease a number. Power/Set/OK Button Press briefly to turn the meter on. Press and hold to turn the meter o. Press to select an option. Press to move to the next field or display. Press to save an option. With the meter o, press and hold to check the meter display. 52926_07414587001_EN.indb 12 6/2/16 2:52 PM
13Your New System 1Meter Menus1 Title of display or menu2 Menu options3 Scroll down4 Scroll upDisplay Description There are more menu options listed beneath the last option. Press on the meter to view the options.There are more menu options listed above the first option. Press on the meter to view the options.There are more menu options listed above and below the options. Press or on the meter to view the options.123452926_07414587001_EN.indb 13 6/2/16 2:52 PM
14Your New System1Display Description Highlighted option (Test) Press to enter the Test menu.Highlighted field (Hour) Press or to increase or decrease the hour. Press to set the hour and move to the minutes field. 52926_07414587001_EN.indb 14 6/2/16 2:52 PM
15Your New System 1SymbolsHere is a list of the symbols on the meter display.Symbols Description Above target range After meal Bedtime Before meal Below target range Blood glucose test Checkmark / Control test OK / Selected option or settingControl bottle Control test not OK Edit Error Fasting 52926_07414587001_EN.indb 15 6/2/16 2:52 PM
16Your New System1Symbols Description Flight mode Help Low battery My data No comment Other Overall Settings Test reminder Warning Within target range 52926_07414587001_EN.indb 16 6/2/16 2:52 PM
17Your New System 1Set the LanguageThe meter may prompt you to choose a language the first time you turn it on. Turn the meter on by briefly pressing . Language appears.Press or to highlight the language. 1Press to set the desired language and return to Main Menu. 2NOTEIf you select the wrong language and cannot correct it, contact the Accu‑Chek Customer Care Service Center at 1‑800‑858‑8072. 52926_07414587001_EN.indb 17 6/2/16 2:52 PM
18Your New System152926_07414587001_EN.indb 18 6/2/16 2:52 PM
19The Accu-Chek FastClix Lancing Device 2Using the Accu‑Chek FastClix Lancing Device• The black cap is for fingertip testing only. • Remember that the opening where the lancet comes out is not in the center of the cap. • Remove the cap by pulling it straight o. Do not twist the cap. • A new lancet drum is dark gray with a white end. • A used lancet drum has a visible red stripe on the white end. • You cannot reuse a used lancet drum. • Do not remove the lancet drum until you have used all 6 lancets. • The penetration depth indicator on the comfort dial shows the current depth setting. The higher the number, the deeper the penetration. The best depth setting is the lowest number that lets you get enough blood for a test. Try dierent depth settings to find the one that is right for you. • For soft skin, we suggest a depth setting of2. For thick skin, try a higher depth setting. Chapter 2: The Accu‑Chek FastClix Lancing Device52926_07414587001_EN.indb 19 6/2/16 2:52 PM
20The Accu-Chek FastClix Lancing Device2Inserting a Lancet DrumYou must first load the lancet drum into the lancing device to get it ready for use.Remove the cap.Insert a new lancet drum, white end first, until it clicks firmly into place.1Slide the cap on until it stops by aligning the notch on the cap with the notch on the lancing device.2You are now ready to use the first lancet.The lancet counter shows a number6, meaning you have 6new lancets remaining.3NOTEOnce the lancet drum is inserted into the lancing device, do not remove the lancet drum until completely used. The lancet drum cannot be reused once it has been removed from the lancing device.WARNINGYou must not insert the lancet drum into the lancing device and simultaneously press the release button or hold the lancing device with the release button resting on a surface such as a table top. This could release a lancet and inadvertently cause injury.52926_07414587001_EN.indb 20 6/2/16 2:52 PM
21The Accu-Chek FastClix Lancing Device 2Using the Accu‑Chek FastClix Lancing DeviceAdjust the lancet depth by turning the comfort dial. 1Obtain a blood drop. See the chapter Blood Glucose Tests. 2Advance to the next lancet by sliding the lever forward and back all the way. The number in the lancet counter decreases by1. The lancet counter window shows the number of remaining lancets. 3NOTE• ALWAYS use a new, sterile lancet each time you test to avoid infection. • For safety reasons, once you advance to a new lancet, you cannot go back to a used lancet. • NEVER reuse a lancet. • NEVER share your lancing device with anyone. 52926_07414587001_EN.indb 21 6/2/16 2:52 PM
22The Accu-Chek FastClix Lancing Device2Remove the cap.Hold the lancet drum between your thumb and index finger and pull it straight out.A red stripe is visible on the white part, indicating that the lancet drum has been used.Throw the old lancet drum away.Always discard according to local regulations.12Insert a new lancet drum, white end first, until it clicks firmly into place.Slide the cap back on until it stops by aligning the notch on the cap with the notch on the lancing device.3Changing the Lancet DrumWhen you have used the sixth and last lancet, change the lancet drum.52926_07414587001_EN.indb 22 6/2/16 2:52 PM
23Blood Glucose Tests 3WARNING• The meter and lancing device should never be used by more than one person. Do not share the meter and lancing device with anyone, including family members, due to the risk of infection from bloodborne pathogens.1,2 Do not use on multiple patients!• Blood glucose results can be displayed in either mg/dL or mmol/L. The back label of the meter shows the unit of measurement. If the meter shows the wrong unit, contact the Accu‑Chek Customer Care Service Center at 1‑800‑858‑8072. If you do not know which unit of measurement is correct for you, contact your healthcare professional. Using the wrong unit of measurement may cause misinterpretation of your actual blood glucose level and may lead to improper therapy.Chapter 3: Blood Glucose Testsmg/dL or mmol/L is printed here 52926_07414587001_EN.indb 23 6/2/16 2:52 PM
24Blood Glucose Tests3Using the Accu‑Chek Guide System• Use only Accu‑Chek Guide test strips.• Use the test strip immediately after removing it from the test strip container.• Do not apply blood or control solution to the test strip before inserting it into the meter. If you applied blood or control solution before inserting the test strip into the meter, retest with a new test strip. If a result appears before applying blood or control solution, do not act on that result. • Close the test strip container tightly immediately after removing a test strip. Moisture can damage the test strips and produce incorrect results.• Store the unused test strips in their original container with the cap tightly closed.• Discard the test strips if they are past the Use By date printed on the test strip container. If the Use By date is missing or cannot be read, do not use the test strips. Contact the Accu‑Chek Customer Care Service Center at 1‑800‑858‑8072.• Refer to the test strip package insert for test strip storage and system operating conditions.• Do not remove test strips from the test strip container and put them into another container, such as a plastic bag, pocket, purse, wallet, etc.• Do not reuse test strips. Once control solution or blood has been applied to a test strip, discard it. If a retest is necessary, use a new test strip.• Perform a control test every time you open a new test strip box.52926_07414587001_EN.indb 24 6/2/16 2:52 PM
25Blood Glucose Tests 3WARNINGTo prevent inaccurate results:• DO NOT expose test strips to heat, moisture, or humidity. Temperatures outside the required range, as well as moisture and humidity, can damage the test strips and lead to inaccurate results.• DO NOT bend, cut, or alter the test strips.• DO NOT get dirt, food, or other material on the test strip.Performing a Blood Glucose Test with Blood from Your FingertipRefer to the Important Safety Information section at the beginning of this manual.NOTE• Before you perform your first blood glucose test, set up the meter correctly. • You need the meter, a test strip, and a lancing device with a lancet drum loaded to perform a blood test. • A blood glucose test cannot be performed while the meter is connected to a PC with a USB cable. • There are 2ways to start a blood glucose test. • Insert a test strip into the meter. • Turn the meter on by briefly pressing . Select Test > . 52926_07414587001_EN.indb 25 6/2/16 2:52 PM
26Blood Glucose Tests3Wash your hands with warm soapy water and dry thoroughly. Dirty or wet hands could affect test results.1Adjust the comfort dial. Check the Use By date on the test strip container. Do not use test strips past the Use By date. Remove a test strip from the test strip container. Close the cap tightly.2 34Insert the metallic end of the test strip into the meter. The meter turns on. Preparing to test appears. 552926_07414587001_EN.indb 26 6/2/16 2:52 PM
27Blood Glucose Tests 3Press the lancing device firmly against the side of your fingertip.Press the release button all the way down to prick your finger.Gently squeeze your finger to assist the blood flow. This helps you get a blood drop. 7 8Touch the yellow edge of the test strip to the blood drop. Remove your finger from the test strip when Analyzing appears. Do not put blood on top of the test strip. 9The test result appears on the display.You have the option of adding a comment to the test result by pressing OR proceed to Step 13 to complete the test. 10When Apply drop appears, obtain a blood drop. 652926_07414587001_EN.indb 27 6/2/16 2:52 PM
28Blood Glucose Tests3Add Comment appears. Press to highlight a comment. Press to set the comment for the result. See the Adding Comments to Blood Glucose Results section of this chapter for details. The final result appears. Press or to set the comment and return to Main Menu. Or to change the comment, press to select the comment. Press to return to Add Comment.11 12Remove and discard the used test strip by pulling the test strip out of the meter or by pushing the test strip ejector on the side of the meter. 13Press here to eject test stripAdvance to the next lancet. Wash hands thoroughly with soap and water.14 1552926_07414587001_EN.indb 28 6/2/16 2:52 PM
29Blood Glucose Tests 3Blood glucose may be lower than the measurement range of the system. See the Unusual Blood Glucose Results section of this chapter. Blood glucose may be higher than the measurement range of the system. See the Unusual Blood Glucose Results section of this chapter. Blood Glucose WarningsIf your blood glucose result is outside the measurement range of the meter, a warning is displayed. Press to acknowledge the LO or HI warning, OR the meter automatically moves to the LO or HI result display. 52926_07414587001_EN.indb 29 6/2/16 2:52 PM
30Blood Glucose Tests3Adding Comments to Blood Glucose ResultsNOTEAnalyzing your blood glucose results stored in the meter is an eective way for you and your healthcare professional to determine how well you are controlling your diabetes. This analysis is a valuable tool for making improvements to your diabetes management. Use care when adding comments to blood glucose results. Incorrect comments can cause inaccurate patterns to be detected by the meter if Patterns is On. Overview It is very important to have the correct time and date set in the meter. Having the correct time and date setting helps ensure accurate interpretation of information by you and your healthcare professional. • You may add comments to blood glucose results to help you and your healthcare professional analyze patterns detected by the meter (see the Patterns section in the chapter Meter Settings for details). • If Patterns is set to On, once a pattern is detected you may NOT change the comment attached to a blood glucose result (see the Patterns section in the chapter Meter Settings for details). • Adding a comment saves the comment and the symbol with the blood glucose results. 52926_07414587001_EN.indb 30 6/2/16 2:52 PM
31Blood Glucose Tests 3Here is a list of comment symbols that can be added to a blood glucose result.Symbols Name Description Before meal If Patterns is On, select Before breakfast, lunch, dinner, or snack (see the following page for adding comments with Patterns On). After meal If Patterns is On, select After breakfast, lunch, dinner, or snack (see the following page for adding comments with Patterns On). Fasting Select Fasting for no caloric intake for at least 8 hours.* Bedtime Other comment You can use this comment to mark an event such as an AST result or exercise. No entry 1. You do not want to add a comment. 2. You want to remove a comment for the current blood glucose result. * American Diabetes Association: Standards of Medical Care in Diabetes‑2013. 52926_07414587001_EN.indb 31 6/2/16 2:53 PM
32Blood Glucose Tests3The final result appears with the comment symbol. Press or to set the comment and return to Main Menu.To change the comment, press to select the comment. Press to return to Add Comment.After performing a blood glucose test, the test result is displayed on the screen with Add Comment highlighted. Press to add a comment. The Add Comment menu appears. Press to highlight the desired comment. (The example here is Before meal.) Press to select the comment. If Patterns feature is On:If Patterns is On and you select Before meal or After meal, press to select a specific meal (Breakfast, Lunch, Dinner, or Snack). Press to set the selected meal for the test result. 1 2352926_07414587001_EN.indb 32 6/2/16 2:53 PM
33Blood Glucose Tests 3Performing a Blood Glucose Test with Blood from Your Palm or Upper Arm (Alternate Site Testing)WARNING• Do not use Alternate Site Testing to calibrate a continuous glucose monitoring system or to make insulin dosing calculations. • Alternate site testing should be done only during steady‑state times (when glucose is not changing rapidly).You have the option of obtaining a blood sample from other sites on your body besides the fingertip. Alternate sites include the palm and upper arm. Blood obtained from the fingertip can be used at any time to test blood glucose. If blood from an alternate site is used, there are certain times when testing is not appropriate. This is because your blood glucose level changes faster in your fingertip than in the alternate sites. These dierences may cause you to misinterpret your actual blood glucose level, leading to improper therapy and potential adverse health eects. Read the next section before you try testing from alternate sites. You may perform a palm or upper arm test • immediately before a meal. • while fasting. You may NOT perform a palm or upper arm test • up to 2hours following a meal, when blood glucose values can rise quickly. • after injecting bolus insulin, when blood glucose values can decrease rapidly. • after exercise. • if you are sick. • if you think your blood glucose is low (hypoglycemia). • if you sometimes do not notice when your blood glucose is low. If you are interested in AST, talk to your healthcare professional first. To obtain an AST cap and detailed AST instructions, contact the Accu‑Chek Customer Care Service Center at 1‑800‑858‑8072. 52926_07414587001_EN.indb 33 6/2/16 2:53 PM
34Blood Glucose Tests3Unusual Blood Glucose ResultsIf your blood glucose result does not match how you feel, follow these steps:1. Perform a control test. See the chapter Control Tests.2. Repeat the blood glucose test. If your blood glucose result still does not match how you feel, follow your healthcare professional’s instructions or call your healthcare professional immediately.NOTEAlways follow your healthcare professional's instructions. For example, if your healthcare professional has advised you to immediately treat a low blood glucose result (such as by eating something), then do that first.WARNING• Do not change your treatment because of one blood glucose result.• NEVER ignore symptoms of low or high blood glucose.52926_07414587001_EN.indb 34 6/2/16 2:53 PM
35Blood Glucose Tests 3Symptoms of Low or High Blood GlucoseWARNINGThe meter is designed to provide a numerical value for blood glucose in the range of 20–600mg/dL. If you receive a numerical value below 20mg/dL or above 600mg/dL and it does not match how you feel, contact the Accu‑Chek Customer Care Service Center toll‑free at 1‑800‑858‑8072.Being aware of the symptoms of low or high blood glucose can help you understand your test results and decide what to do if they seem unusual.Low blood glucose (hypoglycemia): Symptoms of hypoglycemia may include, but are not limited to, anxiety, shakiness, sweating, headache, increased hunger, dizziness, pale skin color, sudden change in mood or irritability, fatigue, diculty concentrating, clumsiness, palpitations, and/or confusion.High blood glucose (hyperglycemia): Symptoms of hyperglycemia may include, but are not limited to, increased thirst, frequent urination, blurred vision, drowsiness, and/or unexplained weight loss.If you are experiencing any of these symptoms, or other unusual symptoms, test your blood glucose from the fingertip. If your blood glucose result is displayed as LO or HI, follow your healthcare professional’s instructions or contact your healthcare professional immediately. If your blood glucose result does not match how you feel, follow the steps in Unusual Blood Glucose Results. Comparing Your Meter Result to a Laboratory ResultA common question is how the blood glucose results on the meter compare to the laboratory results. Your blood glucose can change quickly, especially after eating, taking medication, or physical activity. If you test yourself in the morning, then go to your healthcare professional’s oce for a blood glucose test, your test results will probably not match, even if you are fasting. This is typically not a problem with the meter, it just means that time has elapsed and your blood glucose level has changed.Although you always apply fresh capillary whole blood to the test strip, the system has been calibrated to deliver plasma‑like values for easier comparison to laboratory results.If you want to compare your meter result to the laboratory result, you must be fasting. Take the meter to your healthcare professional’s oce and test yourself by fingerstick within 5minutes of having blood drawn from your arm by a healthcare professional. Keep in mind that the laboratory uses dierent technology than the meter and that blood glucose meters for self‑testing generally read somewhat lower than the laboratory result.52926_07414587001_EN.indb 35 6/2/16 2:53 PM
36Blood Glucose Tests352926_07414587001_EN.indb 36 6/2/16 2:53 PM
37Control Tests 4When to Perform a Control TestPerforming a control test lets you know the meter and test strips are working properly. You should perform a control test when: • you open a new test strip box. • you left the test strip container open. • you think the test strips are damaged. • you want to check the meter and test strips. • the test strips were stored in extreme temperatures, humidity, or both. • you dropped the meter. • your test result does not match how you feel. • you want to check if you are performing the test correctly. About the Control Solutions• Use only Accu‑Chek Guide control solutions.• Close the control solution bottle tightly after use.• Write the date you open the control solution bottle on the bottle label. The control solution must be discarded 3months from the date the control solution bottle was opened (discard date) or on the Use By date on the bottle label, whichever comes first.• Do not use control solution that is past the Use By or discard date.• Refer to the control solution package insert for control solution storage conditions.• The meter automatically recognizes the dierence between the control solution and blood.• The control results are not displayed in memory.• The control solution can stain fabric. Remove stains by washing with soap and water.• Control solution is available for purchase. To order the control solution, talk to your pharmacist or visit accu‑chek.com to order online.Chapter 4: Control Tests52926_07414587001_EN.indb 37 6/2/16 2:53 PM
38Control Tests4Performing a Control TestYou need the meter, a test strip, and control solution Level 1 or Level 2. Check the Use By date on the test strip container. Do not use test strips past the Use By date. Remove a test strip from the test strip container. Close the cap tightly.1 2Insert the metallic end of the test strip into the meter. Place the meter on a flat surface. The meter turns on. Preparing to test appears.Apply drop appears.352926_07414587001_EN.indb 38 6/2/16 2:53 PM
39Control Tests 4Select the control solution to test. You will enter the level later in the test.4Remove the bottle cap. Wipe the tip of the bottle with a tissue. Squeeze the bottle until a tiny drop forms at the tip.5Touch the drop to the yellow edge of the test strip. Do not put control solution on top of the test strip. Analyzing appears when there is enough control solution in the test strip.652926_07414587001_EN.indb 39 6/2/16 2:53 PM
40Control Tests4Control Result and the control bottle symbol appear. Press or to select the control level you tested. If you do not select a level, the control result is saved without a control level. Press . 7Within range and appear if the control result is within range. Out of range and appear if the control result is out of range.8or52926_07414587001_EN.indb 40 6/2/16 2:53 PM
41Control Tests 4Wipe the tip of the bottle with a tissue. Cap the bottle tightly.Remove and discard the used test strip.9NOTE• Most people just test the Level 1 control. If you wish, you can also test a Level 2 control. A set of Level 1 and Level 2 control solutions is available for purchase.• The ranges for Level 1 and Level 2 control solutions are printed on the test strip container label.• The meter turns o 90 seconds after a successful test or 15 seconds after the test strip is removed, provided no other action is taken.52926_07414587001_EN.indb 41 6/2/16 2:53 PM
42Control Tests4Understanding Out‑of‑Range Control ResultsWARNINGThe control range applies only to a control result. It only indicates that the test strips and meter are working properly. Do not use a control result to interpret blood glucose results.If the control result is out of range, do not use the meter until you solve the problem. Check this list to help solve the problem.Troubleshooting Checks ActionWere the test strips or control solutions expired? Discard the test strips or control solution if either is past the Use By date. If the control solution was opened more than 3months ago, discard it. Repeat the control test with an unexpired test strip and an unexpired control solution.Did you wipe the tip of the control solution bottle before use?Wipe the tip of the bottle with a tissue. Repeat the control test with a new test strip and a fresh drop of control solution.Were the caps on the test strip container and the control solution bottle always closed tightly?Replace the test strips or control solution if you think either was uncapped for some time. Repeat the control test.Was the test strip used immediately after it was removed from the test strip container?Repeat the control test with a new test strip and a fresh drop of control solution.Were the test strips and control solutions stored in a cool, dry place?Repeat the control test with a properly stored test strip or control solution.Did you follow the directions? Read the chapter Control Tests and repeat the control test.Did you choose the correct control solution level, either 1 or 2, when you performed the test?If you chose the wrong control solution level, you can still compare the control result to the range printed on the test strip container.Are you still unsure of the problem? Contact the Accu‑Chek Customer Care Service Center at 1‑800‑858‑8072.52926_07414587001_EN.indb 42 6/2/16 2:53 PM
43Meter Settings 5OverviewYou can adjust the following settings in the meter for your personal preferences. Refer to the sections later in this chapter for details and how to set the options. Setting Options Function Time/Date Time / Date Set the time and date. Beeper On / O Select On or O. Wireless Select wireless communication settings. See the chapter Wireless Communication and Meter Pairing. Target Ranges O / Single Range / 2 Ranges Select the blood glucose target range appropriate for you. NOTEConsult your healthcare professional for the appropriate target range for you. O – no target range arrow symbols appear with blood glucose result. Patterns is O (see the Patterns section of this chapter for details).70–160mg/dL (pre‑set target range) Single Range – blood glucose results are marked as above, within, or below range based on the single target range set in the meter. Before Meal Range 70–110mg/dL (pre‑set target range) After Meal Range 70–160mg/dL (pre‑set target range)2 Ranges – set Before Meal and After Meal ranges. Blood glucose results are marked as above, within, or below range based on the 2 target ranges (Before Meal and After Meal) set in the meter. Chapter 5: Meter Settings52926_07414587001_EN.indb 43 6/2/16 2:53 PM
44Meter Settings5Setting Options Function Patterns On / O On – a pattern is detected when 2 below‑target or 3 above‑target results with the same comment are detected within a 7‑day period. Reminders On / O / Edit time On – set up to 4 reminders per day to remind you to test Post Meal On / O / Edit time On – reminds you to perform an after meal blood glucose test. Last Result On / O Select whether the previous blood glucose result (within the past 24hours) appears with the current blood glucose result. On – the previous blood glucose result appears with the current blood glucose result. O – only the current blood glucose result appears. Language Select the language for the meter. 52926_07414587001_EN.indb 44 6/2/16 2:53 PM
45Meter Settings 5Turn the meter on by briefly pressing . From Main Menu, press to highlight Settings. Press . 1Time/Date is highlighted. Press . 2Press or to adjust each field. Press to set and proceed to the next field. Set am or pm if necessary.Press to save and return to the previous menu.3Time/DateTime/Date52926_07414587001_EN.indb 45 6/2/16 2:53 PM
46Meter Settings5The beeper prompts you: • when a test strip is inserted. • to apply blood or control solution to the test strip. • when enough blood or control solution is drawn into the test strip. • when the blood glucose or control test is complete. • when the meter is turned on. • when a button is pressed. • when it is time to perform a test (if Reminders or Post Meal reminders are On).• when the batteries are inserted. • when there are no stored blood glucose results or there is an invalid record in the logbook.• when there are no errors in the error log. • if an error occurred (even if the beeper is o, it still beeps for an error). Turn the meter on by briefly pressing . From Main Menu, press to highlight Settings. Press . 1Press to highlight Beeper. Press . 2Press or to highlight On or Off. Press to move to the option. Press to set the option and return to the previous menu. 3BeeperBeeper52926_07414587001_EN.indb 46 6/2/16 2:53 PM

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