DCO_06344502A_OU2_OB_USe.qxd

3/13/07

11:52 AM

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Blood Glucose Monitoring System
Link the Effects of Food to Glucose Results

Owners Booklet

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Welcome to the OneTouch family!
We know diabetes can be difficult to understand and manage. The right products and services can help make life with diabetes just a little bit easier. We hope the OneTouch Ultra 2 System works well for you. We designed this product to make testing easy and to help you manage your diabetes. You can use the meter for fast and simple tests. You can also use it to record information to go with your results. This owners booklet is designed to provide the information that you are looking for, when you need it. We hope you keep it handy. Of course, you may still have questions. If you do, our Customer Service representatives would be happy to answer your call. You can reach them at 227-8862, anytime24 hours a day. You can also obtain information at www.LifeScan.com.

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Table of contents
Starting the test process
Insert a test strip Check the code on the test strip vial before inserting the strip. Make sure the three contact bars are facing you. Push the strip in as far as it will go. Do not bend the strip.

pg. 10

Match the code displayed on the meter with the code on the test strip vial If the code on the meter does not match the code on the vial, press or to change the code. If the display changes to the APPLY BLOOD screen before you are ready, remove the strip and re-start the test process.

Setting up your system

Getting to know your OneTouch Ultra 2 Blood Glucose Meter and Test Strips Turning your meter on and off Using the meter display backlight Setting up your meter NOTE: Before testing, read this owners booklet carefully.
The meter will turn on, show a black start-up screen and then a code number. The first time you use the meter, the CAL CODE screen will display instead of a number.

Press match.

when the numbers
The meter is ready for testing when the APPLY BLOOD screen appears.

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Getting a blood sample
Prepare the OneTouch UltraSoft Blood Sampler Remove the blue cap and put a new lancet in the sampler. Twist off the protective disk. Replace the cap and cock the sampler.

pg. 14

Get a drop of blood Hold the OneTouch UltraSoft Blood Sampler firmly against your finger. Press the release button.
Applying blood pg. 25 and reading results
Touch and hold the drop of blood to the narrow channel in the top edge of the test strip Blood will be drawn into the strip. Keep holding the drop of blood to the top edge of the strip until the confirmation window is full. The meter will begin to count down from 5 to 1. Then, your blood glucose level appears on the display along with the unit of measure, and the date and time of the test.
Gently squeeze and/or massage your fingertip until a round drop of blood of at least one microliter ( actual size) forms on your fingertip.
If the test results are lower than, higher than, or not what you expect, see pages 2829. iii

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Attaching flags or comments to your results
Add a meal flag to track different types of averages While viewing your test result, press to get the MEAL FLAG screen.
pg. 32 Reviewing past pg. 36 results and averages
Last result All results Result averages Downloading results
Add a comment While viewing a test result, press to get the COMMENT screen.
to highlight BEFORE MEAL or AFTER MEAL. To confirm your selection, press. The meal flag you chose will appear above the result. If you do not wish to add a meal flag, select NO FLAG and press. This will return you to the glucose result screen. iv
Press or to highlight an appropriate comment. To confirm your selection, press. The comment you chose appears below the result.

Meal flag

Control solution testing Caring for your system

pg. 42 pg. 47

Understanding error pg. 53 and other messages Detailed information pg. 60 about your system

Comment

pg. 65

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Before you begin Before using this product to test your blood glucose, carefully read this booklet and the inserts that come with the OneTouch Ultra Test Strips and OneTouch Ultra Control Solution. Take note of warnings and cautions throughout this booklet, which are identified with. Many people find it helpful to practice the test with control solution before testing with blood for the first time. See page 42 in the Control solution testing section. Intended use The OneTouch Ultra 2 Blood Glucose Monitoring System is intended to be used for the quantitative measurement of glucose (sugar) in fresh capillary whole blood. The OneTouch Ultra 2 System is intended for use outside the body (in vitro diagnostic use) by people with diabetes at home and by healthcare professionals in a clinical setting as an aid to monitor the effectiveness of diabetes control. It should not be used for the diagnosis of diabetes or for testing newborns. Test principle Glucose in the blood sample mixes with special chemicals in the test strip and a small electric current is produced. The strength of this current changes with the amount of glucose in the blood sample. Your meter measures the current, calculates your blood glucose level, displays the result, and stores it in its memory.
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The OneTouch Ultra 2 Blood Glucose Monitoring System
a b c Your new OneTouch Ultra 2 System Kit includes: f OneTouch Ultra 2 Meter (batteries included) OneTouch Ultra Control Solution OneTouch UltraSoft Blood Sampler If another type of lancing device was included, a see the separate instructions that came with that lancing device. e OneTouch UltraClear Cap OneTouch UltraSoft Sterile Lancets c Carrying Case d g You will also need OneTouch Ultra Test Strips. Some kits do not include strips. Strips are sold separately. Documents in your kit include this owners booklet, a quick reference guide, a control solution insert and a warranty registration card. If any items are missing from your kit, call Customer Service.

d e f g

Customer Service 227-8862 3

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Setting the meter language, date and time You can change many of the settings that came pre-set with your meter. Before using your meter for the first time or if you change the meter battery, you should check and update these settings. Make sure you complete steps 1 through 8 below to ensure your desired settings are saved. 1. Turn the meter on, see page 3 2. Get to the LANGUAGE screen When using the meter for the first time, or after changing the meter battery, you will automatically start in the LANGUAGE screen. In other cases, from the MAIN MENU, press or to select SET UP. To confirm your selection, press. Then, press or to select METER SETTINGS. To confirm your selection, press. The display now shows the LANGUAGE screen.

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3. Choose a language Now press or to highlight the language of your choice. To confirm your selection, press. The display now shows the DATE FORMAT screen. NOTE: If you select the wrong language, press and hold for five seconds to turn the meter off. Then, turn the meter back on and re-start from step 1. 4. Set the date format Press or to highlight the date format choose month first (MM-DD-YYYY) or day first (DD-MM-YYYY). To confirm your selection, press. The display now shows the DATE SET UP screen.

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5. Set the date In the DATE SET UP screen, press or to change the first value. To confirm your selection, press. Press or to change the second value. To confirm your selection, press. Press or to change the year. To confirm your selection, press. The display now shows the TIME FORMAT screen. 6. Set the time format Press or to select the time format you preferAM/PM or 24 HR. To confirm your selection, press. The display now shows the TIME SET UP screen.

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7. Set the time Press or to set the hour. To confirm your selection, press.
Press or to set the minutes. To confirm your selection, press.
If you have selected the AM/PM time format, AM or PM will be displayed next to the minutes. Press or to set AM or PM. To confirm your selection, press. The display now shows the SETTINGS screen.
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8. Confirm your settings The choice YES will be highlighted at the bottom of the screen. If your settings are correct, press to confirm and save the settings and return to the MAIN MENU.
WARNING: The unit of measure mg/dL must be displayed
here. If your display shows mmol/L rather than mg/dL, contact Customer Service. You cannot change the unit of measure. Use of the wrong unit of measure may cause you to misinterpret your blood glucose level, and may lead to incorrect treatment. If you want to cancel your settings and start the settings process over again, press or to highlight NO and press. You will be returned to the LANGUAGE screen. Note that none of the settings you entered will be saved. Turning the flags/comments feature off or on Your OneTouch Ultra 2 Meter allows you to attach optional notes to any blood glucose test result. See pages 3235 for the types of meal flags and comments you can attach to a result, and the reasons for using this feature. We suggest you talk to your healthcare professional to see how meal flags and comments may help you manage your diabetes.
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If you do not wish to track separate result averages for before and after meals, nor attach comments to any test result, you may turn this feature off. If you turn off the flags/comments feature, you will not see on the test result screen after you complete a blood glucose test. You will be able to review the ALL RESULTS AVG screen, but not before- or after-meal averages. See page 38 for more information about result averages. To turn the flags/comments feature off or on: 1. From MAIN MENU, press

SET UP

to select.
To confirm your selection, press 2. From the SET UP screen, select

FLAGS/COMMENTS

To confirm your selection, press
3. Press or to highlight your response Select YES if you wish to change the setting, or NO if you wish to leave it as it is. Press to confirm your selection and return to MAIN MENU.
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Have these things ready when you test your blood glucose level: OneTouch Ultra 2 Meter OneTouch Ultra Test Strips Lancing device Sterile lancets with protective disks OneTouch Ultra Control Solution NOTE: Use only OneTouch Ultra Test Strips with your OneTouch Ultra 2 Meter. Make sure your meter and test strips are about the same temperature before you test. Testing must be done within the operating temperature range (43111F ). For the most accurate results, try to test as close to room temperature (6877F ) as you can. OneTouch Ultra Test Strips are for single use only. Never re-use a test strip that had either blood or control solution applied to it.

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CAUTION: If you

cannot test due to a problem with your testing supplies, contact your healthcare professional or Customer Service. Failure to test could delay treatment decisions and lead to a serious medical condition.

CAUTION: The

test strip vial contains drying agents that are harmful if inhaled or swallowed and may cause skin or eye irritation.

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1. Check the code on the test strip vial before inserting the strip Code numbers are used to calibrate your meter with the test strips you are using. 2. Insert a test strip to turn on the meter Start with the meter off. If you have turned the meter on to change settings or review past results, turn it off. Remove a test strip from its vial. With clean, dry hands, you may touch the test strip anywhere on its surface. Do not bend, cut or modify the test strips in any way. Use each test strip immediately after removing it from the vial. Insert the test strip into the test port as shown. Make sure the three contact bars are facing you. Push the strip in as far as it will go. Do not bend the strip. After the black start-up screen appears, the meter will display the code from your last test. If a flashing appears instead of a code number, such as when you are first using the meter, follow the instructions on the next page to change to a numerical code.

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3. Match the code on the meter with the code on the test strip vial If the code on the meter does not match the code on the test strip vial, press or to match the code number on the test strip vial. The new code number will flash on the display for three seconds, then briefly stop flashing, after which the display will advance to the APPLY BLOOD screen. If the codes already match, press to go to the APPLY BLOOD screen. When you do not make a change after five seconds, the display will advance to the APPLY BLOOD screen. The meter is now ready to perform a blood glucose test.
CAUTION: Matching the code on the meter and the code on the
test strip vial is essential to obtaining accurate results. Each time you test, check to make sure the code numbers match.
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NOTE: If the APPLY BLOOD screen appears before you are sure the codes match, remove the test strip, and re-start from step 1, see page 11. If you change APPLY BLOOD to APPLY CONTROL by mistake, press to change it back to APPLY BLOOD.

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Overview of the OneTouch UltraSoft Blood Sampler
Depth adjustment Puncture settings knob Ejection/Cocking control Release button OneTouch UltraSoft Sterile Lancet OneTouch UltraClear Cap (for alternate site sampling)

Depth indicator

Lancet holder Lancet point Protective disk
Blue cap (for fingertip sampling)
CAUTION: To reduce the chance of infection:
Make sure to wash the puncture site with soap and water before sampling. Never share a lancet or a lancing device with anyone. Always use a new, sterile lancetlancets are for single use only. Keep your meter and lancing device clean. See pages 4849. NOTE: If you do not have a OneTouch UltraSoft Blood Sampler, please refer to the instructions that came with your lancing device.
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Choosing the right sampling site at the right time The OneTouch Ultra 2 Meter allows you to sample blood from your fingertip, forearm or palm. At times, results obtained at the forearm or palm may be different from a fingertip measurement. Talk to your healthcare professional before you begin using your forearm or palm for sampling. Getting a blood sample If you are testing: Routinely before meals Use blood sample from your: Fingertip, forearm, or palm Fingertip, forearm, or palm
Prior to or more than two hours after: a meal a rapid-acting insulin injection or insulin pump bolus exercise When your blood glucose is changing rapidly, such as: within two hours after a meal within two hours after a rapid-acting insulin injection or insulin pump bolus, or during or within two hours after exercise When you are concerned about the possibility of hypoglycemia (low blood sugar)

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 insulin injection or insulin pump bolus. Testing with a fingertip sample may identify hypoglycemia or an insulin reaction sooner than testing with a forearm or palm sample. It has been less than two hours after a meal, a rapid-acting insulin 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 is especially important if you suffer from hypoglycemia unawareness (lack of symptoms to indicate an insulin reaction).

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

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Choose a different puncture site each time you test. Repeated punctures in the same spot may cause soreness and calluses. If bruising occurs at an alternate site or you have difficulty getting a sample, consider sampling from a fingertip instead. You may want to review the choice of sites with your healthcare professional. Preparing your sample site Before you test your blood glucose, wash your hands and forearm (if applicable) thoroughly with warm, soapy water. Rinse and dry.
Lancing and sampling from your fingertip 1. Remove the blue cap by twisting it off

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2. Insert a sterile lancet into the OneTouch UltraSoft Blood Sampler Insert the lancet into the holder and push in firmly. Twist the protective disk until it separates from the lancet and save the disk for later use. Do not twist the lancet. Getting a blood sample
3. Replace the blue cap by twisting it back on until it is snug 4. Adjust the depth setting If necessary, twist the depth adjustment knob toward the smaller dots on the OneTouch UltraSoft Blood Sampler for a shallow puncture or toward the larger dots for a deeper puncture.
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5. Cock the OneTouch UltraSoft Blood Sampler Slide the ejection/cocking control back until it clicks. If it does not click, it may have been cocked when you inserted the lancet. Getting a blood sample
6. Puncture your finger Hold the OneTouch UltraSoft Blood Sampler firmly against the side of your finger. Press the release button. Remove the OneTouch UltraSoft Blood Sampler from your finger.

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7. Get a round drop of blood Gently squeeze and/or massage your fingertip until a round drop of blood of at least one microliter ( actual size) forms on your fingertip. Getting a blood sample
If the blood smears or runs, do not use that sample. Dry the area and gently squeeze another drop of blood or puncture a new site.

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Lancing and sampling from an alternate site Sampling from your palm or forearm allows you to use your fingertips less often. You may find that obtaining a blood sample from an alternate site is less painful than using a fingertip. Getting a blood sample from your forearm or palm is different than getting a sample from your fingertips. Forearm sampling Choose a fleshy area of the forearm away from bone, visible veins and hair. Sometimes there is less blood flow to the forearm than to the fingertips. To help you get a large enough drop of blood, you may gently massage or apply warmth to the site to increase blood flow. Palm sampling Choose a fleshy area on the palm below your thumb or pinky finger. Select a spot with no visible veins and away from deep lines which may cause your blood sample to smear.

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Your meter allows you to attach optional notes to your blood glucose result. There are two kinds of notes and different reasons to apply them.
Note type Recommendation Meal flag Add a meal flag to every blood glucose result.
Benefit Allows you to link the effects of food to your blood glucose results. Provides you with separate averages for before-meal and after-meal tests.
Select an appropriate Helps track possible reasons comment whenever you for test results. test under conditions that you or your healthcare professional feel are worth noting.

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You can attach these notes just after a blood glucose test before you remove your used test strip from your meter. You can also modify notes when reviewing a past result. You will not be able to add a meal flag or comment to a result marked as a control solution test. You can choose not to attach a meal flag or comment after a blood glucose test. If you do not want to use this feature at all, you can turn it off so the meter will not prompt you to add notes or to select a type of result average to review. See page 9 for instructions.

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Add or change a meal flag If the flags/comments feature is turned on, the up arrow at the bottom right corner of the result screen will flash when a result is first displayed to remind you to enter a meal flag. To add or change a meal flag: 1. While viewing a result, press the MEAL FLAG screen 2. Press Attaching flags or comments to your results

AFTER MEAL

to display
to highlight BEFORE MEAL or
If you decide not to assign a flag to this result, select NO FLAG. 3. To confirm your selection, press The meal flag you chose will appear above the result on the result screen.
NOTE: Testing after a meal can show how the food you ate affects your blood glucose. These results can be flagged as AFTER MEAL and are usually obtained two hours after the start of the meal. Your healthcare professional may suggest another time period or other use for this feature.
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Add or change a comment The down arrow at the bottom right corner of the result screen will flash after you enter a meal flag for a new result to remind you to consider entering a comment. To add or change a comment: 1. While viewing a result, press to display the COMMENT screen 2. Press or to highlight an appropriate comment The available choices are:
NO COMMENT NOT ENOUGH FOOD TOO MUCH FOOD MILD EXERCISE HARD EXERCISE MEDICATION STRESS ILLNESS FEEL HYPO MENSES (period) VACATION OTHER
Highlight NO COMMENT if you decide not to add a comment, or if you want to erase a previously entered comment from the result. Use OTHER when the available choices do not apply. You may want to write down what OTHER means to you so you can discuss it with your healthcare professional. 3. To confirm your selection, press The comment you chose will appear below the result.

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Reviewing past results and averages
If you have just completed a test, press to get to the MAIN MENU screen. If your meter is off, press and hold to turn it on. From the MAIN MENU screen you can choose: LAST RESULT to view your most recent result, ALL RESULTS to review up to 500 of your most recent results four at a time, or RESULT AVG to select one of three types of result averages. Press or to highlight LAST RESULT, ALL RESULTS, or RESULT AVG. To confirm your selection, press.

Last result

The meter will display your most recent result. This result will include the unit of measure and the date and time of the test. If the result was marked as CONTROL SOLUTION or with either a meal flag or comment, these notes will be shown as well. Press to return to MAIN MENU. If you wish to add or change a meal flag or comment for this result, see pages 3435.

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All results The meter will display four results at a time, in the order the tests were done, starting with the most recent. For each test result, the meter will display the date and time of the test. Results may also contain the following symbols: HI if the result was above 600 mg/dL, LO if the result was below 20 mg/dL, if a comment has been chosen for the result, C if the result is from a control solution test, if the result is flagged BEFORE MEAL, and + if the result is flagged AFTER MEAL. The meter stores a maximum of 500 blood glucose or control solution test results. When the memory is full, the oldest result is dropped as the newest is added. To view details of an individual result, press or to highlight the result you want, then press. If you wish to add or change a meal flag or comment for this result, see pages 3435. To return to the list of all results from an individual result, press. To view more recent results, continue to press after the top result on the display is highlighted. If you press when the most recent result is highlighted, you will see the oldest stored results.
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To view older results, press after MENU is highlighted. Pressing and holding or allows you to move more quickly through the results. To return to the main menu, highlight MENU, then press. Result averages If the flags/comments feature is on, the meter will display the three types of averages you can access: the average of all test results, the average of before-meal results, and the average of after-meal results. To select the type of result average you want to see, press or to highlight your choice, then press. If you have turned the flags/comments feature off, selecting RESULT AVG from the MAIN MENU will lead directly to the ALL RESULTS AVG screen. The meter will display each of your 7-, 14-, and 30-day averages. The top of the display shows which type of average you are looking at. For each of the 7-, 14-, and 30-day periods leading up to the current date, the meter will display the number of results obtained (NUM) and the average of those results (AVG).

Cleaning your meter To clean your meter, wipe the outside with a soft cloth dampened with water and mild detergent. Do not use alcohol or another solvent to clean your meter.

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Do not get any liquids, dirt, dust, blood, or control solution inside the meter through the test port or the data port. Never spray cleaning solution on the meter or immerse it in any liquid. Cleaning your OneTouch UltraSoft Blood Sampler and OneTouch UltraClear Cap To clean these items, wipe them with a soft cloth dampened with water and mild detergent. Do not immerse the OneTouch UltraSoft Blood Sampler in any liquid. To disinfect these items, prepare a solution of one part household bleach to ten parts water. Wipe the OneTouch UltraSoft Blood Sampler with a soft cloth dampened with this solution. Immerse the caps only in this solution for 30 minutes. After disinfecting, rinse briefly with water and allow both to air dry.

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Batteries Your OneTouch Ultra 2 Meter uses two 3.0 Volt CR 2032 lithium batteries (or equivalent). Replacement batteries can be found in most stores where batteries are sold. Your meter comes with two batteries already installed one that powers the meter only and one that powers the backlight.
Meter battery Backlight battery
Low meter battery The meter shows a battery icon ( ) in the upper right corner of the display or a low battery message to indicate the condition of the meter battery only. When the battery icon first appears, there is enough power for a minimum of 100 more tests. You should replace the meter battery as soon as possible. When your meter displays the LOW BATTERY screen message, there is not enough battery power remaining to perform a test. You must install a new battery before using your meter.
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Low backlight battery Replace the backlight battery when you can no longer see the backlight coming on. There will not be any icon on the meter display to indicate a low backlight battery. Note that the meter will provide accurate blood glucose results even when the backlight battery needs to be replaced. Replacing batteries 1. Remove the old battery Start with the meter off. Open the battery door and pull up on the battery ribbon. The white ribbon is for the meter battery, and the black ribbon is for the backlight battery. Caring for your system

Sacks, D.B.: "Carbohydrates." Burtis, C.A., and Ashwood, E.R. (ed.), Tietz Textbook of Clinical Chemistry. Philadelphia: W.B. Saunders Company (1994), 959.

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Your hematocrit (percentage of your blood that is red blood cells)
is high (above 55%) or low (below 30%).
You are severely dehydrated. You tested at a temperature near the low end of the operating
range (43F ) and you get a high glucose result (i.e., greater than 180 mg/dL). In this situation, repeat the test in a warmer environment with a new test strip as soon as possible. For accuracy and precision data and for important information on limitations, see the insert that comes with your test strips. To maximize your chances of an accurate comparison between meter and laboratory results, follow a few basic guidelines: Before going to the lab Perform a control solution test to make sure the meter is working properly. Do not eat for at least eight hours before you test your blood. Take your meter with you to the lab. While at the lab Conduct your meter test within 15 minutes of the lab test. Use only fresh, capillary blood obtained from the fingertip. Follow all instructions in this owners booklet for performing a blood glucose test with your meter.

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Technical specifications Reported result range 20600 mg/dL Calibration Sample Sample size Test time Assay method Meter power source Backlight power source Unit of measure Detailed information about your system Memory Automatic shutoff Size Weight Plasma-equivalent Fresh capillary whole blood Minimum 1 microliter 5 seconds Glucose oxidase biosensor One replaceable 3.0 Volt CR 2032 lithium battery (or equivalent) One replaceable 3.0 Volt CR 2032 lithium battery (or equivalent) mg/dL
500 blood glucose or control solution test results
2 minutes after last action 3.12 x 2.25 x 0.90 inches Approximately 1.5 ounces, with batteries

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Operating ranges
Temperature: 43111F Relative humidity: 1090% Altitude: up to 10,000 feet Hematocrit: 3055% 2 x 3.0 V d.c., 60 mA (2 x CR 2032 batteries) direct current

Battery ratings

Symbols Cautions and Warnings. Refer to safety-related notes in the owners booklet and inserts that came with your meter and testing supplies. Low battery Direct current Detailed information about your system

Guarantee

LifeScan guarantees that the OneTouch Ultra 2 Meter will be free of defects in material and workmanship for three years, valid from the date of purchase. The guarantee extends only to the original purchaser and is not transferable.

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Electrical and safety standards This meter complies with CISPR 11: 2003, Class B (Radiated Only). Emissions of the energy used are low and not likely to cause interference in nearby electronic equipment. The meter has been tested for immunity to Level 3 electrostatic discharge as specified in IEC 61000-4-2. This meter has been tested for immunity to radio frequency interference over the frequency range 80MHz to 2.5GHz at 3V/m as specified in IEC 61000-4-3. Degree of protection rating: IP32

Sampler, UltraClear Cap. 1, 14, 22, 49 Set up. 4 Software, OneTouch Diabetes Management. 40 Start-up screen. ii, 3, 11 Storing your control solution. 47 Storing your meter. 47 Storing your test strips. 47 Symbols. 2, 37, 63 Technical specifications. 62 Temperature. 10, 42, 47, 54, 61, 63 TEMPERATURE ERROR message. 54 Testing procedure. 11 Test strip, applying drop of blood. iii, 25 Test strip, confirmation window. iii, 2, 26, 45 Test strip, contact bars. ii, 2, 11, 43 Test strip, disposal. 31 Time format. 6 Time setting. 7 Turning meter off. 3 Turning meter on for reviewing results. 3, 36 Turning meter on for testing. ii, 3, 11 Unexpected test results. 28 Unit of measure. 8, 27, 62

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Reminders
Time of day Before breakfast Before lunch or dinner 1 hour after meals 2 hours after meals Between 2 a.m. and 4 a.m. Your target ranges from your healthcare professional
Patent information The system described herein is covered by one or more of the following U.S. patents: 5,708,247, 5,951,836, 6,045,567, 6,156,051, 6,197,040, 6,241,862, 6,284,125, and D 428,150. Use of the monitoring device described herein is protected under one or more of the following U.S. patents: 6,413,410, 6,733,655. Purchase of the monitoring device described herein does not act to grant a use license under these patents. Such a license is granted only when the device is used with OneTouch Ultra Test Strips. No test strip supplier other than LifeScan, Inc. is authorized to grant such a license. The accuracy of results generated with LifeScan meters using test strips manufactured by anyone other than LifeScan has not been evaluated by LifeScan.

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Call Customer Service toll-free, 24 hours a day, 7 days a week English 227-8862 Espaol 381-7226 Or Visit us at www.LifeScan.com

AW 06344502A

2005 LifeScan, Inc., Milpitas, CA 95035 Rev. date: 01/2007

DCO_06397302A_OTUM_OBC_US_es

9/7/07

12:59 PM

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Blood Glucose Monitoring System Sistema de supervisin de glucosa en sangre
Just the Basics of Testing Slo lo bsico para la realizacin de pruebas
Owners Booklet Manual del propietario
DCO_06397302A_OTUM_OB_US_e

9/11/07

5:52 PM

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OneTouch UltraMini Blood Glucose Monitoring System Owners Booklet

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Welcome to the OneTouch family! OneTouch is committed to creating a world without limits for people with diabetes. The OneTouch UltraMini Meter makes it simple to get a test result and review past results. This owners booklet will help you learn how to use your meter properly. Please read it carefully. If you need assistance, please contact LifeScan Customer Service at 227-8862 (available 24 hours a day, seven days a week). Please also visit www.LifeScan.com for more information.

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Table of contents
Setting up your system...pg. 2 Starting the test process...pg. 7 Getting a blood sample...pg. 10 Applying blood and reading results..pg. 22 Reviewing past results..pg. 29 Downloading results to a computer..pg. 30 Control solution testing...pg. 32 Caring for your system..pg. 37 Understanding error and other messages..pg. 42 Detailed information about your system..pg. 48 Index...pg. 52

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Before you begin Before using this product to test your blood glucose, carefully read this booklet and the inserts that come with the OneTouch Ultra Test Strips and OneTouch Ultra Control Solution. Take note of warnings and cautions throughout this booklet, which are identified with. Many people find it helpful to practice the test with control solution before testing with blood for the first time. See pages 3236 in the Control solution testing section. Intended use The OneTouch UltraMini Blood Glucose Monitoring System is intended to be used for the quantitative measurement of glucose (sugar) in fresh capillary whole blood. The OneTouch UltraMini System is intended for self-testing outside the body (in vitro diagnostic use) by people with diabetes at home and by health care professionals in a clinical setting as an aid to monitor the effectiveness of diabetes control. It should not be used for the diagnosis of diabetes or for testing newborns. Test principle Glucose in the blood sample mixes with special chemicals in the test strip and a small electric current is produced. The strength of this current changes with the amount of glucose in the blood sample. Your meter measures the current, calculates your blood glucose level, displays the result, and stores it in its memory.

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The OneTouch UltraMini Blood Glucose Monitoring System
To test with the OneTouch UltraMini System, you will need the following: a. OneTouch UltraMini Meter (battery included) b. OneTouch Ultra Control Solution c. OneTouch Lancing Device If another type of lancing device was included, see the separate instructions that came with that lancing device. d. OneTouch AST Clear Cap e. OneTouch UltraSoft Sterile Lancets f. Carrying Case g. You will also need OneTouch Ultra Test Strips. Some kits do not include test strips. Test strips are sold separately. Documents in your kit include this owners booklet, a quick start guide, a quick reference guide, a control solution insert and a warranty registration card. If any items are missing from your kit, call LifeScan Customer Service at 227-8862.

g f c d

WARNING: Keep the meter and testing
supplies away from young children. Small items such as the battery door, battery, test strips, lancets, protective disks on the lancets and control solution vial cap are choking hazards.

Page 2

Setting up your system
Getting to know your OneTouch UltraMini Blood Glucose Meter and test strips

FRONT Display

mg/dL is the pre-set unit of measure
Edge to apply sample Confirmation window Up and down buttons Turns the meter on or off Select or change information
Test port Insert test strip here to turn meter on for testing

with battery door open

Battery door Meter battery Contact bars Insert into test port

TEST STRIP

Data port

Page 3

Turning your meter on To perform a test, insert a test strip as far as it will go. The display will turn on and the meter will briefly perform system checks. Or, to change the time and date, start with the meter off, then press and hold for five seconds until the start-up test screen appears. After the test screen, the pre-set time and date will appear on the display. Or, if you want to turn the meter on to review past results, start with the meter off, then press and release.

CAUTION: If any information is missing from the start-up test screen, there may be a problem with the meter. Call LifeScan Customer Service at 227-8862.
Every time you turn your meter on, a start-up test screen will appear for two seconds. All segments of the display should appear briefly on the test screen to tell you that the meter is working properly. To check that all display segments are working, as soon as the start-up test screen appears, press and hold to keep the test screen display on. Release to proceed to the next step. If the meter does not power on, try changing the meter battery. See pages 3940. Turning your meter off There are several ways to turn your meter off: Press and hold for two seconds, when reviewing past results. Your meter will turn off by itself if left alone for two minutes. Before or after completing a test, remove the test strip.

Page 4

Setting the time and date Your OneTouch UltraMini Meter comes with the time, date and unit of measure pre-set. Before using your meter for the first time or if you change the meter battery, you should check and update the time and date. Make sure you complete steps 1 to 7 below to ensure your desired settings are saved.
WARNING: If your display shows mmol/L rather than mg/dL, contact LifeScan Customer Service at 227-8862. You cannot change the unit of measure. Use of the wrong unit of measure may cause you to misinterpret your blood glucose level, and may lead to incorrect treatment.

Step 1

Turn the meter on, see page 3 After the test screen, the pre-set time and date will appear on the display for five seconds. The hour will now start flashing. NOTE: If a setting does not need to be updated, simply wait five seconds. The meter display will automatically advance to the next setting.

Step 2

Set the hour With the hour flashing on the display, press and release or to go forward or backward one hour. To 4 move faster, hold the or buttons down.

Page 5

When the correct hour appears on the display, wait five seconds. Your entry will be saved and you will move to the next setting. The minutes will now start flashing.

Step 3

Set the minutes Press or to change the minutes. When you have the correct minutes on the display, wait five seconds to move to the next setting. AM or PM will now start flashing.

Step 4

Set AM or PM AM or PM will be displayed next to the minutes. Press or to set AM or PM, then wait five seconds to move to the next setting. The year (last two digits only), month and day appear on the display and the year flashes.

CAUTION: OneTouch Ultra Test Strips are for single use only. Never
re-use a test strip that had either blood or control solution applied to it.
After the start-up test screen appears, the meter will display the code from your last test. If a constant and a flashing appear instead of a code number, such as when you are first using the meter, follow the 8 instructions on the next page to change to a numerical code.

Page 9

Match the code on the meter with the code on the test strip vial If the code on the meter does not match the code on the test strip vial, press or to match the code number on the test strip vial. The new code number will flash on the display for three seconds, and then stay constant for three seconds. The display will advance to the screen with the flashing blood drop icon R. If the codes already match, wait three seconds. The display will advance to the screen with the flashing blood drop icon R. The meter is now ready to perform a blood glucose test. NOTE: If the screen with the flashing blood drop icon R appears before you are sure the codes match, remove the test strip, wait until the meter turns off, then re-start from step 1, see page 7.
If you press by mistake so that the control solution test symbol CtL appears on the display, press again to change it back to the screen with the flashing blood drop icon R.
CAUTION: Matching the code on the meter and the code on the test strip vial is essential to obtain accurate results. Each time you test, check to make sure the code numbers match.

Page 10

Getting a blood sample Overview of the OneTouch Lancing Device
Release button Cocking control Depth indicator OneTouch AST Clear Cap* (for alternate site sampling)
Protective disk Blue (or black) cap* (for fingertip sampling) OneTouch UltraSoft Sterile Lancet

Lancet point

*The blue (or black) cap and OneTouch AST Clear Cap are also used for depth adjustment
NOTE: If you do not have a OneTouch Lancing Device, please refer to the instructions that came with your lancing device.
CAUTION: To reduce the chance of infection:
Make sure to wash the puncture site with soap and water before sampling. Never share a lancet or a lancing device with anyone. Always use a new, sterile lancetlancets are for single use only. Keep your meter and lancing device clean. See page 38.

Page 11

Choosing the right sampling site at the right time The OneTouch UltraMini Meter allows you to sample blood from your fingertip, forearm or palm. Forearm and palm sampling is also referred to as alternate site testing (AST). At times, results obtained at the forearm or palm may be different from a fingertip measurement. Talk to your health care professional before you begin using your forearm or palm for sampling.

Page 15

NOTE: A shallower puncture may be less painful. Try a shallower setting first and increase the depth until you find the one deep enough to get a blood sample of at least one microliter ( actual size).
Cock the OneTouch Lancing Device Slide the cocking control back until it clicks. If it does not click, it may have been cocked when you inserted the lancet.
Puncture your finger Hold the OneTouch Lancing Device firmly against the side of your finger. Press the release button. Remove the OneTouch Lancing Device from your finger.

Page 16

Get a round drop of blood Gently squeeze and/or massage your fingertip until a round drop of blood of at least one microliter ( actual size) forms on your fingertip.
If the blood smears or runs, Do Not use that sample. Wipe the area and gently squeeze another drop of blood or puncture a new site.
Lancing and sampling from an alternate site Sampling from your palm or forearm allows you to use your fingertips less often. You may find that obtaining a blood sample from an alternate site is less painful than using a fingertip. Getting a blood sample from your forearm or palm is different than getting a sample from your fingertips.

Page 17

Forearm sampling Choose a fleshy area of the forearm away from bone, visible veins and hair. Sometimes there is less blood flow to the forearm than to the fingertips. To help you get a large enough drop of blood, you may gently massage or apply warmth to the site to increase blood flow.

Forearm

Palm sampling Choose a fleshy area on the palm below your thumb or little pinky finger. Select a spot with no visible veins and away from deep lines, which may cause your blood sample to smear.

Page 18

Blue (or black) cap for fingertip sampling only
The OneTouch AST Clear Cap is used for forearm and palm sampling only. Replace the blue (or black) cap with the OneTouch AST Clear Cap.

Page 19

Install the OneTouch AST Clear Cap on the OneTouch Lancing Device by snapping it on
Adjust the depth setting You may have to adjust the OneTouch Lancing Device to a deeper setting to get a large enough drop of blood from your forearm or palm. Twist the OneTouch AST Clear Cap toward the larger numbers to increase the depth.

Page 20

Puncture your forearm or palm Firmly press and hold the lancing device against your forearm or palm for a few seconds. Wait until the skin surface under the OneTouch AST Clear Cap changes color (as blood collects beneath the skin). This tells you there is enough blood flow for a good sample. Then press the release button while continuing to apply pressure. Keep holding the lancing device against your skin until a round drop of blood forms under the cap. When sampling blood from your forearm or palm, make sure the drop of blood is of at least one microliter ( actual size) before you release pressure and remove the lancing device.

Remove the OneTouch Lancing Device Carefully lift the lancing device away from your skin. Do Not smear the blood sample.

Page 21

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 the site excessively. If the sample drop of blood runs or spreads due to contact with 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 lancing device to a deeper setting to get a large enough drop of blood ( actual size).

Page 22

Applying blood and reading results
Once you have a blood sample and your meter shows the screen with the flashing blood drop icon R, you are ready to obtain a blood glucose result. If your meter does not show the screen with the flashing blood drop icon R, remove the unused test strip and re-start the test process. See page 7.
Prepare to apply the sample Keeping your finger extended and steady, move the meter and test strip toward the blood drop.
Do Not apply blood on the top of the test strip.
Do Not hold the meter and test strip underneath the blood drop. This may cause blood to run into the test port and damage the meter.

Page 23

When applying a drop of blood from your forearm or palm, keep your palm or forearm steady and bring the top edge of the test strip to the drop of blood with your other hand.
Apply the sample Line up the test strip with the blood drop so that the narrow channel on the edge of the test strip is almost touching the edge of the blood drop.

Narrow Channel

Page 24
Gently touch the channel to the edge of the blood drop.
Be careful not to push the test strip against your fingertip or the test strip may not fill completely. NOTE: Do Not smear or scrape the drop of blood with the test strip. Do Not apply more blood to the test strip after you have moved the drop of blood away. Do Not move the test strip in the meter during a test.
CAUTION: You may get an Er 5 message or an inaccurate result if the blood sample does
not fill the confirmation window completely. See page 47. Discard the test strip and re-start the test process.

Page 25

Wait for the confirmation window to fill completely The blood drop will be drawn into the narrow channel and the confirmation window should fill completely.

Confirmation Window

CAUTION: Unusual red blood cell count
A hematocrit (percentage of your blood that is red blood cells) that is either very high (above 55%) or very low (below 30%) can cause false results.

Page 28

After getting a result
Once you have read your result, you may: Review your meter memory by pressing to enter memory mode, see page 29, or Turn the meter off by removing the test strip. Removing the used lancet Remove the lancing device cap by snapping it off. Cover the exposed lancet tip before removing the lancet. Place the lancet protective disk on a hard surface. Push the lancet tip into the disk. Remove the lancet and place it in a container for sharp objects. Replace the cap. Disposing of the used lancet and test strip It is important to discard the used lancet carefully after each use to avoid unintended lancet stick injuries. Used test strips and lancets may be considered biohazardous waste in your area. Be sure to follow your local regulations for proper disposal.

Page 29

Reviewing past results
The meter stores a maximum of 500 blood glucose test results. When the meter memory is full, the oldest result is dropped as the newest is added. Results are stored automatically when you test, along with the time, date and unit of measure. You can review the results stored in the meter memory, starting with the most recent. If your meter is off, press and release to turn it on. After the start-up test screen, your most recent test result will appear on the display. M also appears to indicate memory mode. If you have just completed a test, leave the test strip in the meter and press to enter the memory mode. Your most recent blood glucose test result appears along with M. Press to move to the previous result stored in the meter. Then, press or to move forward or backward through all of your results. When youre finished reviewing past results, press and hold for two seconds until the meter turns off. NOTE: If no results are currently stored in the meter, will appear on the display.

Page 30

Downloading results to a computer
You can use your meter with OneTouch Diabetes Management Software (DMS) for storing your records and to help you spot patterns for planning meals, exercise, and medication. OneTouch DMS puts information downloaded from the meter into charts and graphs. If you are a current OneTouch DMS user, additional software updates may be required for use with the OneTouch UltraMini meter. Please visit www.OneTouchDiabetesSoftware.com.
Obtain the required software and cable For order information and to learn more about OneTouch Diabetes Management Software visit www.OneTouchDiabetesSoftware.com.
Install the software on a computer Follow the installation instructions provided with the Software. If using a OneTouch Interface Cable (USB format), install the software driver.
WARNING: To avoid a possible shock, Do Not insert a test strip when the meter is connected to a computer with the OneTouch Interface Cable.

Page 31

Get ready to transfer readings Connect the OneTouch Interface Cable to the COM or USB port on your computer. Make sure the meter is turned off. If you insert the cable while the meter is already on, the meter will not respond to computer commands. Then connect the other end of the OneTouch Interface Cable to the meter data port.

Interface Cable

Transfer data Follow the instructions provided with OneTouch DMS to download the results from the meter. Once the command to start the download is sent from the computer to the meter, the meter display will show PC indicating that the meter is in communication mode. You will not be able to perform a test when the meter is in communication mode.

Page 32

Control solution testing
OneTouch Ultra Control Solution contains a known amount of glucose and is used to check that the meter and the test strips are working properly. Do a control solution test: to practice the test process instead of using blood, once a week, whenever you open a new vial of test strips, if you suspect the meter or test strips are not working properly, if you have had repeated unexpected blood glucose results (as described on page 27), or if you drop or damage the meter.
NOTE: Use only OneTouch Ultra Control Solution with your OneTouch UltraMini Meter. Control solution tests must be done at room temperature (6877F). Make sure your meter, test strips, and control solution are at room temperature before testing.

Page 33

CAUTION: Do Not swallow control solution; it is not for human consumption.
Do Not apply control solution to the skin or eyes as it may cause irritation.
Performing a control solution test Start with the meter off. If you have turned the meter on to change settings or review past results, turn it off.

Check the code on the test strip vial before inserting the test strip
Insert a test strip to turn on the meter Make sure the three contact bars are facing you. Push the test strip in as far as it will go. Do Not bend the test strip.

Page 34

Match the code on the meter with the code on the test strip vial If the code on the meter does not match the code on the test strip vial, press or to match the code number on the test strip vial. The new code number will flash on the display for three seconds, and then stay constant for three seconds. The display will advance to the screen with the flashing blood drop icon R. If the codes already match, wait three seconds. The display will advance to the screen with the flashing blood drop icon R.

Step 4 (Example)

Mark the test as a control solution test IMPORTANT:
Mark all control solution tests with CtL. This will stop them from being stored as blood glucose results. Control solution results marked with CtL are not stored in the meters memory.
Press so that the control solution test symbol CtL appears in the upper right corner of the display. You must mark the test before you apply control solution. Once you have completed the test, you cannot change the marking. The meter is now ready to perform a 34 control solution test.

Page 35

If you decide not to do a control solution test, press again to remove CtL from the display.
Prepare and apply control solution Shake the control solution vial before each test. Remove the cap and squeeze the vial to discard the first drop. Then wipe the tip with a clean tissue or cloth. Hold the vial upside down and gently squeeze a hanging drop. Touch and hold the hanging drop of control solution to the narrow channel in the top edge of the test strip. Make sure the confirmation window fills completely. Control solution should not be applied to the flat face of the test strip.
Top edge Narrow channel Apply drop here
Read your result When the confirmation window is full, the meter will count down from 5 to 1. Your result will then appear on the display, along with CtL and the unit of measure.

Page 36

Check if the result is in range Compare the result displayed on the meter to the control solution range printed on the test strip vial. Each vial of test strips may have a different control solution range. If the results you get are not within this range, the meter and test strips may not be working properly. Repeat the control solution test. Out-of-range results may be due to: not following the instructions detailed on pages 3335, expired or contaminated control solution, expired or damaged test strip, use of a test strip or control solution past its discard date, or a problem with the meter.

100-135 mg/dL (Example)

CAUTION: The control solution range printed on the test strip vial is for OneTouch Ultra Control Solution only. It is not a recommended range for your blood glucose level. CAUTION: If you continue to get control solution results that fall outside the range printed on the test strip vial, Do Not use the meter, the test strips, or the control solution. Call LifeScan Customer Service at 227-8862. 36

Page 37

Caring for your system
Your OneTouch UltraMini Blood Glucose Monitoring System does not need any special maintenance. Storing your system Store your meter, test strips and control solution in your carrying case after each use. Store each item in a cool, dry place below 86F, but Do Not refrigerate. Keep all items away from direct sunlight and heat. Tightly close the cap on the test strip vial and/or control solution vial immediately after use to avoid contamination or damage. Store test strips only in their original vial. Checking for expiration or damage to test strips and control solution Test strips and control solution have expiration dates printed on their vials. When you first open a test strip or control solution vial, you must record the discard date (date opened plus three months) in the space provided on the label.
CAUTION: Do Not use the test strips or control solution after the expiration date printed on the vial or the discard date, whichever comes first, or your results may be inaccurate.

Page 38

CAUTION: Do Not use your test strips if your vial is damaged or left open to air.
This could lead to error messages or tests that read higher than the actual value. Call LifeScan Customer Service at 227-8862 immediately if the test strip vial is damaged.
Cleaning your meter To clean your meter, wipe the outside with a soft cloth dampened with water and mild detergent. Do Not use alcohol or another solvent to clean your meter.
Do Not get any liquids, dirt, dust, blood, or control solution inside the meter through the test port or the data port. Never spray cleaning solution on the meter or immerse it in any liquid. Cleaning your OneTouch Lancing Device and OneTouch AST Clear Cap To clean these items, wipe them with a soft cloth dampened with water and mild detergent. Do Not immerse the OneTouch Lancing Device in any liquid. To disinfect these items, prepare a solution of one part household bleach to ten parts water. Wipe the OneTouch Lancing Device with a soft cloth dampened with this solution. Immerse the caps only in this solution for 30 minutes. After disinfecting, rinse briefly with water and allow both to air dry.

Page 39

Battery Your OneTouch UltraMini Meter uses one 3.0 Volt CR 2032 lithium battery (or equivalent). Replacement batteries can be found in most stores where batteries are sold. Your meter comes with the battery already installed. A battery icon low battery. appears in the far right-hand side of the meter display to indicate
When there is enough power for a minimum of 100 more tests, the battery icon will appear.
After each test and when reviewing past results, the battery icon will now flash to remind you to change the battery as soon as possible.
When the battery icon is flashing by itself on the display, you cannot perform a test. You must install a new battery before using your meter.

Page 40

Replacing the battery
Remove the old battery Start with the meter off. Open the battery door and pull up on the battery ribbon.
WARNING: To avoid a possible shock, Do Not change the battery while the meter is connected to a computer with the OneTouch Interface Cable.
Insert the new battery With the + side facing up toward you, place the battery in the compartment within the fold of the ribbon. Push the battery until it snaps into place. Insert the two battery door tabs into the matching holes, and push down until you hear the door click into place. If the meter does not power on after you have replaced the battery, check that the battery is correctly installed with the + side up. If the meter still does not power on, call LifeScan Customer Service at 227-8862.

Page 41

Check the time and date After replacing the battery, turn the meter on by pressing and holding the button for five seconds to access the set-up mode. The start-up test screen will be briefly displayed; then the date and time will appear in the top right corner of the display. Check that the time and date are set correctly. If they are not, use the and buttons to re-set the meter before testing. See Setting the time and date, pages 46. NOTE: Removing the meter battery will not affect your stored results. However, you may need to re-set the time and date.
Dispose of batteries according to your local environmental regulations Lithium ion battery(ies) contains perchlorate material. Special handling may apply, see www.dtsc.ca.gov/hazardouswaste/perchlorate. California Code of Regulations Title 22, Section 67384.4.

Page 42

Understanding error and other messages
The OneTouch UltraMini Meter displays messages when there are problems with the test strip, with the meter, or when your blood glucose levels are higher than 600 mg/dL or lower than 20 mg/dL. Messages do not appear in all cases when a problem has occurred. Improper use may cause an inaccurate result without producing a warning message. Message What it means You may have a very low blood glucose level (severe hypoglycemia), lower than 20 mg/dL. What to do This may require immediate treatment according to your health care professionals recommendations. Although this message could be due to a test error, it is safer to treat first and then do another test. Re-check your glucose level. If the result is HI again, obtain and follow intructions from your health care professional without delay.
You may have a very high blood glucose level (severe hyperglycemia), over 600 mg/dL.

Page 43

Message
What it means The meter has detected that the temperature is above the system operating range. Do Not perform a test until the meter and test strips reach a temperature within the operating range of 43111 F. The meter has detected that the temperature is below the system operating range. Do Not perform a test until the meter and test strips reach a temperature within the operating range of 43111 F.
What to do Repeat the test after the meter and test strips have reached a temperature within the operating range.
Repeat the test after the meter and test strips have reached a temperature within the operating range.
Understanding error messages

Page 44

What it means No result in memory, such as the first time use of the meter. or, Your meter was unable to recall this result.
What to do You can still perform a blood glucose test and get an accurate test result. Contact LifeScan Customer Service at 227-8862 to report this occurrence if this is not your first time use of the meter. Do Not use the meter. Contact LifeScan Customer Service at 227-8862. Repeat the test with a new test strip; see pages 2225. If this message continues to appear, contact LifeScan Customer Service at 227-8862.

Guarantee LifeScan guarantees that the OneTouch UltraMini Meter will be free of defects in material and workmanship for three years, valid from the date of purchase. The guarantee extends only to the original purchaser and is not transferable. 51

Page 52

Alternate site testing procedure. 16 Battery. 2, 39 Battery, icon on display. 39, 47 Buttons on meter. 2 Cable, OneTouch Interface. 30 Cleaning your meter and lancing device. 38 Code. 7, 33 Confirmation window. 2, 25, 35 Connecting to a computer. 31 Control solution. 1, 32 Control solution, result range. 36 Control solution, storing. 37 Control solution, testing. 32 Data port. 2, 31 Date setting. 5, 6 Dehydration. 26 Discard date, control solution. 37 Discard date, test strips. 37 Downloading results to a computer. 30 Drop of blood, proper size. 16, 20, 21 Er (Error) messages. 26, 42 Expiration date, control solution. 37 Expiration date, test strips. 37 Fingertip testing procedure. 13 Forearm. 11, 17, 20, 23 Forearm or palm sampling, important information. 11, 12, 21 Guarantee. 51 HI (high glucose) message. 27, 42 Hyperglycemia. 27 Hypoglycemia. 11, 12, 26 Infection, reduce the risk. 10 Intended use. iv Lab results, comparing with meter results. 48 Lancet, disposal. 28 Lancet, inserting in lancing device. 14, 18 Lancet, protective disk. 10, 14, 18, 28 Lancing device and cap. 10, 13 Lancing device, OneTouch AST Clear Cap. 10, 18, 19

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Lancing device, depth setting. 10, 14, 19 LO (low glucose) message. 26, 42 Low battery icon. 39, 47 Low battery message. 39, 47 mg/dL. 4, 26, 50 mmol/L. 4 Palm. 11, 17, 20, 23 PC communication mode. 31 Plasma calibration. 48, 50 Repeated unexpected glucose results. 27 Result screen. 25, 29 Results, reviewing past. 29 Set up. 4 Software, OneTouch Diabetes Management. 30 Start-up test screen. 3, 8 Storing your control solution. 37 Storing your meter. 37 Storing your test strips. 37 Symbols. 51 System components. 1
Technical specifications. 50 Temperature error message. 43 Temperature. 7, 26, 32, 37, 43, 45, 50 Testing procedure. 7 Test screen. 3, 8 Test strip, applying drop of blood. 2, 22, 24, 25 Test strip, confirmation window. 2, 25, 33 Test strip, contact bars. 2, 8 Test strip, disposal. 28 Time setting. 4, 5 Turning meter off. 3 Turning meter on for reviewing results. 3, 29 Turning meter on for testing. 3, 8 Unexpected test results. 26, 27 Unit of measure. 4, 26

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Reminders
Time of day Before breakfast Before lunch or dinner 1 hour after meals 2 hours after meals Between 2 a.m. and 4 a.m. Your target ranges from your health care professional
Patent information The system described herein is covered by one or more of the following U.S. patents: 5,708,247, 5,951,836, 6,241,862, and 6,284,125. Use of the monitoring device included herein is protected under one or more of the following U.S. patents: 6,413,410, 6,733,655. Purchase of this device does not act to grant a use license under these patents. Such a license is granted only when the device is used with OneTouch Ultra Test Strips. No test strip supplier other than LifeScan is authorized to grant such a license. The accuracy of results generated with LifeScan meters using test strips manufactured by anyone other than LifeScan has not been evaluated by LifeScan.

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Page C4

Call LifeScan Customer Service toll-free, 24 hours a day, 7 days a week/ Llame gratuitamente a Servicio de atencin al cliente de LifeScan, 24 horas al da, 7 das a la semana English 227-8862 Espaol 381-7226 Or/O bien, Visit us at/ Visitenos en: English www.LifeScan.com Espaol www.OneTouchEnEspanol.com
Manufactured for: LifeScan, Inc. Milpitas, CA USA LifeScan, Inc. Milpitas, CA 95035
AW 06397302A Rev. date: 8/2007