Abbott Diabetes Care Abbott Laboratories (N. Z.

) Ltd, National Phytopharma Joint-Stock Company User’s Manual

666 Doncaster Road Ground Floor Bldg. D, 4 Pacific Rise, 24 Nguyen Thi Nghia, District 1
Doncaster 3108 Mount Wellington, P.O. Box 22-801 Otahuhu, Ho Chi Minh City
Victoria, Australia Auckland, New Zealand Vietnam
ABN 95000 180 389 0800 106 100 08-910-6640 ext 849
1800-801-478
Abbott Laboratories Pakistan Ltd. Abbott Laboratories
Abbott Laboratories (M) Sdn Bhd Abbott Diabetes Care Abbott Diabetes Care
Abbott Diabetes Care Opposite Radio Pakistan Transmission, 102 E.De Los Santos Ave.
No.22,Jalan Pemaju U1/15, Hyderabad Road, Landhi Madison Street
HICOM-Glenmarie Ind.Park Karachi, Pakistan 1554 Mandaluyong, Metro Manila
40150 Shah Alam, Selangor 021-35100321 Philippines
Malaysia 02-7028577
03-5569-1919 Abbott Laboratories (Singapore) Pte Ltd 02-7028578
Abbott Diabetes Care
1 Maritime Square #12-09
Harbour Front Centre
Singapore 099253
1800-272-2881

Blood Glucose Monitoring System

FreeStyle and other brand marks are trademarks of Abbott Diabetes Care Inc.
in various jurisdictions. ©2010 Abbott­
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 Definition of Symbols
These symbols are associated with your meter.

The European Battery Directive requires separate

Batch code collection of spent batteries, aiming to facilitate
recycling and to protect the environment. The
batteries in this product should be removed and
Catalogue number disposed in accordance with local regulations for
separate collection of spent batteries.

Caution This packaging is capable of being recycled

Consult instructions for use Manufacturer

Date of manufacture Sterilised using irradiation (lancets only)

Do not drink Temperature limitation

Do not reuse Use by

In vitro diagnostic medical

Serial number
device

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 Table of Contents
Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 MediSense or Optium Glucose and Ketone Control Solutions. . . . . . . . . . . . . . 23
Important Control Solution Testing Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Monitoring System Kit Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Performing a Control Solution Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
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Setting Up the Meter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Managing Your Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

Enter Setup Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 Viewing Test Results in Memory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Beeper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 Viewing Blood Glucose Averages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 Transferring Results to a Computer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5
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Time Format . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Error Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

Date Format . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 E-1 to E-9, What It Means, What To Do . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Measurement Units . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Testing Your Blood Glucose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Important Testing Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 Maintaining the Meter. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Replacing the Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
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Test Site . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Alternative Sites . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Cleaning the Meter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Performing a Blood Glucose Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Storing the Meter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

Understanding Blood Glucose Test Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

Low and High Blood Glucose Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
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Testing Your Blood β-Ketone. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

Important Testing Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Test Site . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Performing a Blood β-Ketone Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

Understanding Blood β-Ketone Test Results. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

High Blood β-Ketone Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

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 Intended Use IMPORTANT: See test strip instructions for use for more information about sample
types.
Use outside the body only (in vitro diagnostic use) for self testing or professional use in the
management of diabetes. Potential infection risk: Healthcare professionals performing blood tests with this
system on multiple patients must always wear gloves and should follow the infection
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Use for measuring blood glucose from samples taken from the forearm, upper arm, base of the
control policies and procedures approved by their facility.
thumb, or fingers.
• Test blood glucose in fresh whole blood samples Read the instructions in this user’s manual. Failure to follow instructions will cause
incorrect results. Practise the testing procedures before using the meter. Follow
• Test blood β-Ketone (β-hydroxybutyrate) in fresh whole blood samples from fingers only your healthcare professional’s advice when testing blood glucose levels and blood
β-Ketone levels.

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IMPORTANT: Use only FreeStyle Optium blood glucose test strips Observe caution when using around children. Small parts may constitute a choking
and FreeStyle Optium blood β-Ketone test strips. Other test strips hazard.
may produce inaccurate results.

How Your FreeStyle Optium Blood Glucose Monitoring System Works

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When you insert a test strip into your meter, the Apply Sample message shows on your meter’s display
window. When a blood sample or control solution sample is applied to the test strip, the glucose or
β-Ketone reacts with the chemicals on the test strip. This reaction produces a small electrical current
that is measured. The result shows on your meter’s display window.
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IMPORTANT: Avoid getting dust, dirt, blood, control solution, water or
any other substance in the meter’s test strip port.

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 Monitoring System Kit Contents Setting Up the Meter
Monitoring System Kit contains: Enter Setup Mode
Commands
• Press to move between setup displays
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• Meter • Logbook Start with the meter off (no test
• Press to move forward
strip inserted).
• User’s Manual • Warranty Card • Press to go back
• Carrying Case • Press to turn display light On and Off

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Your Kit may also contain:

• Blood Glucose Test Strips • Lancets Press and hold until and appear. This indicates the beeper is turned on.
• Lancing Device
and indicate the beeper is turned off.

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Items not included:

Beeper
• Blood β-Ketone Test Strips • Data Management System The beeper sounds when:
• Control Solutions Press or to change the beeper setting. • The test countdown starts
Press to save the beeper setting and move • The test countdown ends
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to set time.

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 Time Date Format

The hour flashes. Press or until the correct hour appears. Press to save The date format flashes. Press or to change the date format. Press to
the hour and to move to set minutes. save the date format and to move to the measurement units.
Month – Day
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The minutes flash. Press or until the correct minutes appear. Press to
save the minutes and to move to set date.

Day.Month
Date

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The year flashes. Press or until the correct year appears. Press to save the
IMPORTANT: Please check that the correct time and date is set before
year and to move to set month.
Year you use the meter for the first time. This will help you keep records of
The month flashes. Press or until the correct month appears. Press to when you monitor and will help you and your healthcare professional
save the month and to move to set day. make informed decisions about your care. You must set the time and

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The day flashes. Press or until the correct day appears. Press to save the date to review averages.
Month – Day day and to move to set time format.
Measurement Units
The unit of measurement set by the factory appears. You cannot change this
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Time Format setting. Contact Customer Service for more information.
Press to return to set beeper, or press and hold to turn off the meter.
Note: If using the 12-hour time format, AM and PM appear.
24 Hour Format The time format flashes. Press or to change the time format. Press to
save the time format and to move to set date format.

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 Testing Your Blood Glucose D5

45001 A138
Do not use expired test strips; they may produce inaccurate results.
2012/03

The expiry date is the last day of the month if only the month and year
Important Testing Notes E.g. Expiry date: are shown.
March 31, 2012
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Do not use a wet, bent, scratched or damaged test strip.
This display always appears when the meter is turned on. Do not use the test strip if its foil packet has a puncture or tear in it.
You should check that your meter matches the example you
see here exactly every time your meter turns on.
Note: See test strip instructions for use for operating range and more information
Do not use the meter if the display check screen does not
on limitations of use.
exactly match the example.

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If the screen does not match, the meter may show an incorrect
result. Please contact Customer Service. Test Site IMPORTANT: Wash your hands and the test site with warm soapy
water to ensure accurate results. Thoroughly dry your hands and the
test site. To warm the site, apply a warm dry pad or rub vigorously for a

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few seconds.

Note: Avoid areas near bones, areas with lots of hair, and squeezing the puncture site.
Bruising may occur at alternate sites, but will disappear quickly. If bruising occurs,
consider selecting another site.
• Use the meter within the test strip operating range
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D5
A138
Finger tip testing is different to alternative site testing. (Adjust the lancing device
45001

2012/03
• Use the test strip immediately after removing it from its foil packet Fingertips
accordingly for testing site. See lancing device instructions for use for more
E.g. Expiry date: • Use each test strip only once information.)
March 31, 2012

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 Alternative Sites Performing a Blood Glucose Test
Obtaining a blood sample from alternative sites – forearm, upper arm, and base of Open the foil test strip packet at the notch and tear down to remove the

Abbott Diabetes Care Ltd.

Witney, Oxon, OX29 0YL

Range Road

Made in UK.
2
the thumb – is subject to limitation. Contact your healthcare professional before test strip.
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beginning alternative site testing.

4˚C
Abbott Diabetes Care Ltd.

Witney, Oxon, OX29 0YL

Sensor Electrode
Blood Glucose

Range Road
Made in UK.
• Alternative site results may differ from fingertip results when blood glucose
Base of thumb
levels change rapidly (e.g. after eating a meal or taking insulin, or during or
after exercise)
• Use alternative sites before, or more than two hours after, you eat a meal, take Insert the Test Strip
With the contact bars (3 black lines) facing up, insert the test strip into the meter

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insulin, or exercise
2

until it stops. This turns on the meter.

Note: The meter turns off after 3 minutes of inactivity. Remove and reinsert the unused
Do not use blood samples from alternative sites when: test strip to restart the meter.
Upper arm
• You think your blood glucose is low or changing rapidly
• You have been diagnosed with hypoglycaemic unawareness

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• Alternative site results do not match the way you feel

• You are within two hours of eating a meal, taking insulin, or exercising
2

This display always appears when the meter is turned on.

Forearm Do not use the meter if the display check screen does not exactly match the
example. Contact Customer Service.
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See “Testing Your Blood Glucose” section for more information.

Time and date (if set) appear next.

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 Hold the blood drop to the white area until the meter beeps (if sound is on) and
The Apply Sample symbols and appear next, indicating the meter is ready for
you to apply a sample to the test strip. the status bar appears on the display. This indicates the test strip has obtained
enough blood.
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Obtain a Blood Sample
Select a test site. Use the lancing device to obtain a blood sample. (See lancing The countdown appears on the display as the meter checks your glucose level.
device instructions for use for more information.)
Note: Do not remove the test strip from the meter or disturb the test strip during the

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countdown.
2

Apply Blood to the Test Strip

Bring the blood drop to the white area at the end of the test strip. The blood is View the Result

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drawn into the test strip. The meter beeps (if sound is on) when the result appears on the display. The test is
complete (example shown). The result is stored in memory or you can write it in a
IMPORTANT: If the countdown does not start, you may not logbook.
have applied enough blood to the test strip. See test strip Turn Off the Meter
instructions for use for re-application instructions. If the Use the opened foil packet to remove the used test strip. This turns off the meter.
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countdown still does not start, remove the used strip and Discard the used test strip correctly.
discard it correctly. Start a new test with a new test strip. Note: You can also press and hold for at least 2 seconds to turn off the meter. The
meter also turns off after 60 seconds of inactivity.

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 Understanding Blood Glucose Test Results Meter:
Display What It Means What To Do
Low and High Blood Glucose Results
Severe low blood Repeat the test with a new test strip. If
The meter displays results in mmol/L or mg/dL. The unit of measurement is preset. You cannot change
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glucose the result is LO, contact your healthcare
this setting. or professional immediately.
Appears when result is:
Lower than 1.1 mmol/L There may be a problem
IMPORTANT: The meter displays results from 1.1–27.8 mmol/L (Lower than 20 mg/dL)) with the test strip
(20–500 mg/dL). Low or high blood glucose results can indicate a
potentially serious medical condition.

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General:
Result What It Means What To Do
Blood glucose level is Check blood β-Ketone, if checking ketones
Lower than 2.8 mmol/L Low (hypoglycaemic) Repeat the test with a new test strip, even Appears with result high is part of your diabetes management

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(Lower than 50 mg/dL) if you do not feel that you have low blood which is: programme.
glucose. Higher than or equal to
16.7 mmol/L
(Higher than or equal to
300 mg/dL)
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Higher than 16.7 mmol/L High (hyperglycaemic) Repeat the test with a new test strip, even
(Higher than 300 mg/dL) if you do not feel that you have high blood
glucose.

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 Meter: Testing Your Blood β-Ketone
Display What It Means What To Do
Important Testing Notes
Severe high blood glucose Repeat the test with a new test strip. If the
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Appears when result is: or result is HI, contact your healthcare professional D5

75001 A17 • Use the meter within the test strip operating range
Higher than There may be a problem immediately. 2012/ 03
• Use the test strip immediately after removing it from the foil packet
27.8 mmol/L with the test strip Check blood β-Ketone, if checking ketones is part E.g. Expiry date: • Use each test strip only once
of your diabetes management programme. March 31, 2012
(Higher than
500 mg/dL) Do not use expired test strips; they may produce inaccurate results.

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The expiry date is the last day of the month if only the month and
year are shown.
Note: If you see the error messages E-3 or E-4, consult
the Error Messages section in this user’s manual. Do not put urine on the test strip.
Do not use a wet, bent, scratched or damaged test strip.
Do not use the test strip if its foil packet has a puncture or tear in it.

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IMPORTANT: Contact your healthcare professional if you have

symptoms that do not match your test result, and you have followed Note: See test strip instructions for use for operating range and more information on
the instructions in this user’s manual. limitations of use.
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Check your ketones:
• When you have an illness
• When your blood glucose is above 16.7 mmol/L (300 mg/dL)
• When you are experiencing unusual blood glucose results
• When you and your healthcare professional feel it is necessary
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 Test Site IMPORTANT: Wash your hands with warm soapy water to ensure This display always appears when the meter is turned on.
accurate results. Thoroughly dry your hands. To warm the site, apply a Do not use the meter if the display check screen does not exactly match the
warm dry pad or rub vigorously for a few seconds. example. Contact Customer Service.
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See “Testing Your Blood Glucose” section for more information.

Note: Avoid squeezing the puncture site.

Use only fingertip blood samples for blood β-Ketone testing. Time and date (if set) appear next.
Fingertips

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Performing a Blood β-Ketone Test and the Apply Sample symbols appear, indicating the meter is
ready for you to apply a sample to the test strip.
Open the foil test strip packet at the notch and tear down to remove
Abbott Diabetes Care Ltd.
Witney, Oxon, OX29 0YL
Range Road

Made in UK.

the test strip.

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4˚C
Abbott Diabetes Care Ltd.

Witney, Oxon, OX29 0YL

Sensor Electrode
Blood Glucose

Range Road
Made in UK.

Obtain a Blood Sample

Select a test site. Use the lancing device to obtain a blood sample. (See lancing
device instructions for use for more information.)

Insert the Test Strip

2
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With the contact bars (3 black lines) facing up, insert the test strip into the meter
until it stops. This turns on the meter.
Note: The meter turns off after 3 minutes of inactivity. Remove and reinsert the unused
test strip to restart the meter.

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 Apply Blood to the Test Strip View the Result
Bring the blood drop to the white area at the end of the test strip. The blood is The meter beeps (if sound is on) when the result and appears on the
drawn into the test strip. display. The test is complete (example shown). The result is stored in memory or
you can write it in a logbook.
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IMPORTANT: If the countdown does not start, you may not have Turn Off the Meter
applied enough blood to the test strip. See test strip instructions for Use the opened foil packet to remove the used test strip. This turns off the meter.
use for re-application instructions. If the countdown still does not Discard the used test strip correctly.
start, remove the used strip and discard it correctly. Start a new test
Note: You can also press and hold for at least 2 seconds to turn off the meter. The
with a new test strip.
meter also turns off after 60 seconds of inactivity.

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Hold the blood drop to the white area until the meter beeps (if sound is on) and

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the status bar appears on the display. This indicates the test strip obtained
enough blood.
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The countdown appears on the display as the meter checks your β-Ketone level.
Note: Do not remove the test strip from the meter or disturb the test strip during the
countdown.

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 Understanding Blood β-Ketone Test Results Meter:
Display What It Means What To Do
High Blood β-Ketone Results
Result is between: High blood β-Ketone Contact your healthcare professional for
The meter displays results in mmol/L. The unit of measurement is preset. You cannot change this
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0.6 – 1.5 mmol/L and sick-day management instructions.
setting. A problem requiring
your blood glucose medical assistance may
result is: Higher than
IMPORTANT: The meter displays results from 0.0 - 8.0 mmol/L. be occurring
16.7 mmol/L
Consult your healthcare professional before changing your diabetes (Higher than 300 mg/dL)
medication programme.

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Result remains: You may be at risk of Contact your healthcare professional

Blood β-Ketone is expected to be below 0.6 mmol/L.2 High blood β-Ketone may be caused by 0.6 – 1.5 mmol/L developing diabetic immediately.
illness, fasting, vigorous exercise, or uncontrolled blood glucose levels.1-3 or becomes: Higher ketoacidosis (DKA)2-6

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Repeat a blood β-Ketone test using a new blood β-Ketone test strip when: than 1.5 mmol/L
• HI appears on the display
• Your result is unusually high
• You question your result Very high blood Repeat the test with a new test strip. If
• Your blood β-Ketone result is 0.0 mmol/L, but your blood glucose is higher than 16.7 mmol/L
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β-Ketone the result is HI, contact your healthcare
(300 mg/dL) Appears when result is: professional immediately.
Higher than 8.0 mmol/L or
There may be a problem
with the test strip

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 MediSense or Optium Glucose and Ketone Control Solutions Important Control Solution Testing Notes
• Use only MediSense or Optium Glucose and Ketone control solutions with the meter
• Replace the cap securely on the bottle immediately after use
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IMPORTANT: When you open a control solution bottle for the first
time, count forward 90 days and write this date on the control
Do not use control solution past the expiry date.
solution bottle using a pen that won’t smear or wipe off. Throw
away any remaining solution after this date. Do not add water or other liquid to control solution.
Do not swallow or inject the control solution.
Control solutions may be used with either glucose or β-Ketone test strips. Do not use the control solution as eye drops.

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Use control solution:

• To practise testing without using your own blood IMPORTANT: Control solution results should fall within the control
• To confirm that the meter and test strips work together correctly solution range printed on the test strip instructions for use. Check that
the lot number printed on the test strip packet and instructions for
• When you are unsure of your blood glucose or blood β-Ketone test results use match.

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Contact Customer Service for information on how to obtain control solutions.

• Repeat the test if control solution results are outside this range
• Stop using the meter if control solution results are continually outside the range printed on the
test strip instructions for use. Contact Customer Service
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IMPORTANT: Control solution results do not reflect your blood
glucose or blood β-Ketone level.

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 Performing a Control Solution Test
The Apply Sample symbols and also appear.
Open the foil test strip packet at the notch and tear down to remove the
Note:
Abbott Diabetes Care Ltd.

and will appear if performing a β-Ketone control solution

Witney, Oxon, OX29 0YL
Range Road

Made in UK.

test strip.
test.
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4˚C
Abbott Diabetes Care Ltd.

Witney, Oxon, OX29 0YL

Sensor Electrode
Blood Glucose

Range Road
Made in UK.

Press to mark the test as a control solution test.

The appears. The meter is now ready for you to apply control solution to the
Insert the Test Strip test strip.

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With the contact bars (3 black lines) facing up, insert the test strip into the meter
until it stops. This turns on the meter. IMPORTANT: The test result will be saved to memory as a blood
glucose or blood β-Ketone result if not marked as a control solution
Note: The meter turns off after 3 minutes of inactivity. Remove and reinsert the test. This may affect your blood glucose averages.
unused test strip to restart the meter.

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Apply Control Solution to the Test Strip

This display always appears when the meter is turned on. Shake the control solution bottle to mix the solution. Apply a drop of control
Do not use the meter if the display check screen does not exactly match the solution to the white area at the end of the test strip in the area shown. The control
example. Contact Customer Service. solution is drawn into the test strip.
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See “Testing Your Blood Glucose” section for more information.
Hold the control solution drop to the white area until the meter beeps (if sound
is on) and the status bar appears on the display. This indicates the test strip has
obtained enough control solution.
Time and date (if set) appear next.
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 The countdown appears on the display as the meter checks the glucose or Compare the control solution result to the range printed on the blood glucose or
β-Ketone level. blood β-Ketone test strip instructions for use. The result should fall within the range.
Note: Do not remove the test strip from the meter or disturb the test strip during the Causes of out-of-range results include:
countdown. • The meter and test strips may not be working correctly
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If the countdown does not start, remove and discard the used test strip, turn off Repeat the test with a new test strip. Follow the testing instructions carefully.
the meter and try again with a new strip. Contact Customer Service if the result is still outside the printed range.
Turn Off the Meter
Use the opened foil packet to remove the used test strip. This turns off the meter.

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Discard the used test strip correctly.

View the Result Note: You can also press and hold for at least 2 seconds to turn off the meter. The
The meter beeps (if sound is on) when the result appears on the display. The test meter also turns off after 60 seconds of inactivity.
is complete (examples shown). The result is stored in memory as a control solution
result or you can write it in a logbook as a control result.

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Note: appears with the result if performing a β-Ketone control solution

test.
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 Managing Your Results Your most recent result, with time and date (if set) it was obtained, appears next.
The following symbols indicate the type of result:
Meter memory stores up to 450 events – control solution, blood glucose, and blood β-Ketone results,
and other meter information. The most recent events appear first. = Blood glucose result
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Viewing Test Results in Memory
= Blood β-Ketone result
Start with the meter off (no test strip inserted).
Press to turn the meter on. = Glucose control solution result

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= Ketone control solution result

Press to review the previous result. Repeat this for each result you wish
This display always appears when the meter is turned on. to review.

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Do not use the meter if the display check screen does not exactly match the Note: To exit meter memory at any time, press and hold .
example. Contact Customer Service.
See “Testing Your Blood Glucose” section for more information.
Appear on the display when there are no previous results to view.
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Press to return to a previously reviewed result. Repeat this for each result you
wish to review.
Note: To exit meter memory at any time, press and hold .

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 Viewing Blood Glucose Averages
While in memory, press . Your 7-day average appears.
Note: n = number of results included in your 7-, 14-, or 30-day average.
IMPORTANT:
• Set the date and time before testing to be able to review averages
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• Averages do not include glucose and β-Ketone control solution results, blood β-Ketone
results, and results that do not show time and date
• Control solution results not marked as control solution tests may cause averages to be Press to view the 14-day average.
inaccurate
•

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appear on the display when there are no current averages to view

• blood glucose test results appear in averages as 1.1 mmol/L (20 mg/dL)
• blood glucose test results appear in averages as 27.8 mmol/L (500 mg/dL)
Press to view the 30-day average.

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Press to return to the 7-day average, or

Press to return to the memory screen.
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Press and hold to turn off the meter. The meter turns off after 30 seconds
of inactivity.

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 Transferring Results to a Computer Message What It Means What To Do
Transferring test results to a computer requires a compatible data management system. For more The blood glucose level may 1. Review the testing instructions.
information, please go to our website or contact Customer Service. be too low to be read by the 2. Repeat the test using a new test strip.
system 3. If the error reappears, contact your healthcare
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Error Messages or professional immediately.
There may be a problem with
the test strip
Message What It Means What To Do

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The temperature is too hot 1. Move the meter and test strips to a location
or too cold for the meter to where the temperature is within the test strip
work correctly operating range. (See test strip instructions for The blood glucose level may 1. Repeat the test using a new test strip.
use for the appropriate range.) be too high to be read by the 2. If the error reappears, contact your healthcare
2. Wait for the meter and test strips to adjust to system professional immediately.
the new temperature.

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or
3. Repeat the test using a new test strip.
4. If the error reappears, contact Customer Service. There may be a problem with
the test strip
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Blood was applied to the test 1. Review the testing instructions.
strip too soon 2. Repeat the test using a new test strip.
Meter error 1. Turn off the meter. 3. If the error reappears, contact Customer Service.
2. Repeat the previous testing steps.
3. If the error reappears, contact Customer Service.

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 Message What It Means What To Do Troubleshooting
Meter error 1. Check that you are using the correct strip for
this meter. (See test strip instructions for use to
What It Means What To Do
verify your strip is compatible with this meter.)
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2. Repeat the test using a test strip for use with The meter Test strip is not inserted 1. With the contact bars (3 black lines) facing
your meter. does not enter correctly or fully into the up, insert the test strip into the meter until it
3. If the error reappears, contact Customer Service. test mode meter stops. This turns on the meter.
after inserting 2. If the meter still does not enter test mode,
a test strip. contact Customer Service.

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No coding required 1. Check that you are using the correct test strip for
or this meter. (See test strip instructions for use to
Test strip may be damaged, verify your strip is compatible with this meter.)

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used, or the meter does not 2. Repeat the test using a test strip for use with No battery is installed 1. Install battery with (+) facing up.
recognise it your meter. Battery is installed incorrectly
3. If the error reappears, contact Customer Service.
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Meter error 1. Turn off the meter. Dead battery 1. Replace battery. Reset date and time, if
2. Repeat the previous testing steps. necessary.
or 3. If the error reappears, contact Customer Service.

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 What It Means What To Do What It Means What To Do
The test does Blood sample is too small 1. See test strip instructions for use for The test does Defective meter or test strip 1. Remove the used strip and discard it
not start after re-application instructions. not start after correctly.
applying the applying the
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2. If the countdown still does not start, remove 2. Repeat the test using a new test strip.
blood sample. the used strip and discard it correctly. blood sample. 3. If the test still does not start, contact
3. Repeat the test using a new test strip. Customer Service.
4. If the test still does not start, contact
Customer Service.

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Sample applied after meter 1. Remove the used strip and discard it
turns off correctly.
2. Review the testing instructions.
3. Repeat the test using a new test strip.
4. If the test still does not start, contact
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Customer Service.

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 Maintaining the Meter 2. If the meter includes a plastic tab, pull on the tab to remove the battery.
If the meter does not include a plastic tab, push the battery upward to
Replacing the Battery remove it.
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The meter comes with a CR 2032 lithium (coin cell) battery installed. It provides
power for about 1,000 tests.
3. Insert a new CR 2032, lithium (coin cell) battery: (+) facing up.

• Appears on the display when the battery is low.

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• Causes the display light to fail to turn on.

When appears, you may still use the meter and the results will be accurate.
The display light will not work. Replace the battery immediately. 4. Slide the battery cover into place until it clicks.

Note: Dispose of used batteries correctly.

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When appears alone, the meter is not usable. The meter turns off
automatically. Replace the battery immediately.
5. Press and hold to turn the meter on. If the meter does not turn on, check to
see that the battery was installed correctly.
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If meter turns on, the meter may prompt you to reset the time and date.
(See ‘Setting Up the Meter’ in this user’s manual.)
1. Gently push the battery cover in and up to remove it. Note: Test results will be not be lost even if the meter loses its time and date
settings.

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 Cleaning the Meter Storing the Meter
Store the meter in the carrying case provided.
Avoid getting dirt, dust, blood, control solution, or liquid in the meter test strip port.
Clean the outside of the meter using a damp cloth and mild soap.
Specifications
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Healthcare Professionals:
Acceptable cleaning solutions include:
• 70% isopropyl alcohol, or Size
• A mixture of 1 part ammonia, 9 parts water, or
• A mixture of 1 part household bleach, 9 parts water Length 7.47 cm

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Width Top 5.33 cm

IMPORTANT:
Do not try to clean the test strip port. Bottom 4.32 cm
Do not pour liquid into the test strip port or onto the buttons.
Depth 1.63 cm
Do not immerse the meter in water or other liquid.

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Weight 40 to 46 grams

Power Source 1 CR 2032 Lithium (coin cell) battery

Battery Life Approximately 1,000 tests

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Up to 450 events, including control solution, blood glucose and
Memory
blood β-Ketone results, and other meter information.

Storage Temperature

Meter -25 ° to 55 °C (–13 ° to 131 °F)

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 Test strips See test strip instructions for use. Beeper On: When countdown starts and ends.

Control solution See control solution instructions for use. On: Stays on during countdown; turns off 30 seconds after results
Display Light
appear. Stays on while transferring results to a computer.
Assay Method Amperometric electrochemistry
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Data Port Yes
Assay Range
Operating Range
Blood glucose See blood glucose test strip instructions for use.
Meter temperature 10 ° to 50 °C (50 ° to 122 °F)
Blood β-Ketone See blood β-Ketone test strip instructions for use.

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System temperature See operating range of the test strip you are using.
Control Solution Range
See test strip instructions for use.
Blood glucose See blood glucose test strip instructions for use.
Meter relative humidity 10% to 90%, non-condensing
Blood β-Ketone See blood β-Ketone test strip instructions for use.

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System relative humidity 10% to 90%, non-condensing

Functions

Blood glucose testing Clinical testing demonstrates that altitudes up to 2,195 metres
System altitude
(7,200 feet) above sea level do not affect results
Blood β-Ketone testing
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Memory 450 events

Glucose averaging 7-, 14-, and 30-day

Control solution marking

and testing
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 References

1. S chade DS, Eaton RP. Metabolic and clinical significance of ketosis. Special Topics in
Endocrinology and Metabolism 1982; 4:1–27.
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2.  iggam MI, O’Kane MJ, Harper R, Atkinson AB, Hadden DR, Trimble ER, Bell PM. Treatment of
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diabetic ketoacidosis using normalization of blood 3-hydroxybutyrate concentration as the
endpoint of emergency management. Diabetes Care 1997; 20:1347–1352.
3. Harano Y, Kosugi K, Hyosu T, Suzuki M, Hidaka H, Kashiwagi A, Uno S, Shigeta Y. Ketone bodies as
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markers for Type 1 (insulin-dependent) diabetes and their value in the monitoring of diabetes
control. Diabetologia 1984; 26:343-348.
4. Ubukata E. Diurnal variation of blood ketone bodies in insulin-dependent diabetes mellitus
and non-insulin-dependent diabetes mellitus patients: The relationship to serum C-peptide
immunoreactivity and free insulin. Ann Nutr Metab 1990; 34:333–342.
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5. Luzi L, Barrett EJ, Groop LC, Ferrannini E, DeFronzo RA. Metabolic effects of low-dose insulin
therapy on glucose metabolism in diabetic ketoacidosis. Diabetes 1988; 37:1470–1477.
6.  ale PJ, Crase J, Nattrass M. Metabolic effects of bicarbonate in the treatment of diabetic
H
ketoacidosis. Br Med J 1984; 289; 1035–1038.
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7. Directive 1999/45/EC of the European Parliament and of the Council of 31 May 1999 concerning
the approximation of the laws, regulations and administrative provisions of the Member States
relating to the classification, packaging and labelling of dangerous preparations.

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