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

WARNING: Keep the meter and testing supplies away from young children. Small items such as the battery door, batteries, test strips, lancets, protective disks on the lancets, and control solution vial cap are choking hazards.
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Getting to know your OneTouch Ultra 2 Blood Glucose Meter and test strips Front

Test port Display

Insert test strip here to turn meter on for testing

with battery door open

Test strip

Edge to apply sample

Meter battery

Confirmation window

OK button
Turns the meter on/off Turns the backlight on/off Confirms menu selections

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.

Forearm

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OneTouch UltraClear Cap is used for forearm and palm sampling only. Replace the blue OneTouch UltraSoft Blood Sampler cap with the OneTouch UltraClear Cap.
Blue cap for fingertip sampling only
1. Remove the blue cap by twisting it off
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.
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3. Twist on the OneTouch UltraClear Cap until it is snug
4. Adjust the depth setting You may have to adjust the OneTouch UltraSoft Blood Sampler to a deeper setting to get a large enough drop of blood from your forearm or palm. Twist the depth adjustment knob toward the larger dots to increase the depth.
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.

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6. Puncture your forearm or palm Press and hold the OneTouch UltraSoft Blood Sampler against your forearm or palm for a few seconds, then press the release button. Keep holding the sampler and cap against your skin until a round drop of blood forms under the cap. Maintain pressure until the drop of blood is of at least one microliter ( actual size).

7. Remove the OneTouch UltraSoft Blood Sampler Carefully lift the sampler away from your skin. Do not smear the blood sample. NOTE: You may need to wait a little longer to get a Palm 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 sampler to a deeper setting to get a large enough drop of blood ( actual size).
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Applying blood and reading results
Once you have a blood sample and your meter shows the APPLY BLOOD screen, you are ready to obtain a blood glucose result. If your meter does not show the APPLY BLOOD screen, remove the unused test strip and re-start the test process. See page 10. 1. Prepare to apply the sample The drop of blood should be next to the top edge of the test strip. Blood should not be applied to the flat face of the test strip. 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.
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2. Apply the sample 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 test strip until the confirmation window is full. Applying blood and reading results
NOTE: Do not smear or scrape the drop of blood with the test strip. Do not press the test strip too firmly against your puncture site. 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 ERROR 5 message or an inaccurate result if the blood sample does not fill the confirmation window completely. See page 58. Discard the strip and re-start the test process.
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3. Read your result When the meter detects blood in the test strip, it begins 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. Blood glucose results are automatically stored in the meters memory.
WARNING: If mg/dL does not appear with the test result, call Customer Service. Use of the wrong unit of measure may cause you to misinterpret your blood glucose level, and may lead to incorrect treatment. CAUTION: If you test at the low end of the operating range (43F) and
your glucose is high (over 180 mg/dL), the reading on your meter may be lower than your actual glucose. In this situation, repeat the test in a warmer environment with a new test strip as soon as possible. Error messages If you get an ERROR message on your screen rather than a result, see pages 5359.

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Unexpected test results Refer to these cautions whenever your test results are lower than,
higher than, or not what you expect.
CAUTION: Dehydration and low glucose results
Applying blood and reading results You may get false low glucose results if you are severely dehydrated. If you think you are severely dehydrated, contact your healthcare professional immediately.
CAUTION: Low glucose results
If your test result is lower than 70 mg/dL or is shown as LOW GLUCOSE, it may mean hypoglycemia (low blood glucose). This may require immediate treatment according to your healthcare professionals recommendations. Although this result could be due to a test error, it is safer to treat first, then do another test.

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CAUTION: High glucose results
If your test result is higher than 180 mg/dL, it may mean hyperglycemia (high blood glucose). If you are uncertain about this test result, consider re-testing. Your healthcare professional can work with you to decide what actions, if any, you should take if your results are higher than 180 mg/dL. If your meter displays HIGH GLUCOSE, you may have a very high blood glucose level (severe hyperglycemia) exceeding 600 mg/dL. Re-check your glucose level. If the result is HIGH GLUCOSE again, this may indicate a severe problem with your blood glucose control and it is important you obtain and follow instructions from your healthcare professional without delay.
CAUTION: Repeated unexpected glucose results
If you continue to get unexpected results, check your system with control solution. See Control solution testing, pages 4246. If you are experiencing symptoms that are not consistent with your blood glucose results and you have followed all instructions in this booklet, call your healthcare professional. Never ignore symptoms or make significant changes to your diabetes control program without speaking to your healthcare professional.
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.

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).
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In result averages, a HIGH GLUCOSE result is counted as 600 mg/dL, and a LOW GLUCOSE result as 20 mg/dL. Control solution results are not part of your averages. From any screen showing averages, press to go back to the previous screen. To return to the main menu from the RESULT AVG screen, press until MENU is highlighted, then press to confirm your selection. NOTE: Result averages provide information from past results. Do not use result averages to make immediate treatment decisions. If you change your date setting, your averages may change too. The meter calculates averages based on the 7-, 14-, and 30-day periods ending on the current date setting. If you do not have results in the past 7-, 14-, and 30-day periods, the NUM and AVG columns will show 0. Also, if you do not use the meal flag feature, then the NUM and AVG columns will show 0 on the BEFORE MEAL and AFTER MEAL average screens. To see averages for different parts of the day or over a different number of days, you can use OneTouch Diabetes Management Software and your home computer. See the next section, on page 40.

outside the range printed on the test strip vial, do not use the meter, the test strips, or the control solution. Call Customer Service.
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Caring for your system
Your OneTouch Ultra 2 Blood Glucose Monitoring System does not need any special maintenance. Storing your system Store your meter, strips, control solution and other items 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.

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Checking for expiration or damage to 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 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.
CAUTION: Do not use your test strips if your vial is damaged or
Caring for your system left open to air. This could lead to error messages or tests that read higher than the actual value. Call Customer Service 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.

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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

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
CAN/CSA C22.2 61010-1:04, UL 61010-1:04, IEC 61010-1 and IEC 61010-2-101.
This product contains a lithium ion battery(ies), which contains perchlorate material - special handling may apply, see www.dtsc.ca.gov/hazardouswaste/perchlorate. As always, please dispose of battery(ies) according to your local environmental regulations. California Code of Regulations Title 22, Section 67384.4

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AFTER MEAL AVG. 38 AFTER MEAL flag. iv, 34 ALL RESULTS AVG. 38 Alternate site testing procedure. 21
Backlight, display. 3 Batteries. 2, 50 Battery, icon on display. 50, 58 BEFORE MEAL AVG. 38 BEFORE MEAL flag. iv, 34 Black start-up screen. ii, 3, 11 Buttons on meter. 2 Cable, OneTouch Interface. 40, 41 Cleaning your meter and sampler. 48, 49 Code. ii, 11, 44 Comment, adding or changing. iv, 35 Comment, reason for adding. 32 Comments feature, turning off or on. 9 Confirmation window. iii, 2, 26, 45 Connecting to a computer. 40, 41 Control solution. 1, 42 Control solution, result range. 46 Control solution, storing. 47 Control solution, testing. 42 Data port. 2, 41
Date format. 5 Date setting. 6 Dehydration. 28 Discard date, control solution. 48 Discard date, test strips. 48 Display check. ii, 3, 11 Downloading results to a computer. 40 Drop of blood, proper size. iii, 20, 24 Error messages. 27, 53 Expiration date, control solution. 48 Expiration date, test strips. 48 Fingertip testing procedure. iii, 17 Flags feature, turning off or on. 9 Forearm. 15, 21, 25 Forearm or palm sampling, important information. 15, 16, 24 Guarantee. 63 HIGH GLUCOSE message. 29, 37, 54 Hyperglycemia. 29 Hypoglycemia. 15, 16, 28 Infection, reduce the risk. 14 Intended use. v Kit components. 1 Lab results, comparing with meter results. 60

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Lancet, disposal. 31 Lancet, inserting in sampler. iii, 18, 22 Lancet, protective disk. iii, 14, 18, 22, 30 Lancing. iii, 17, 21 Language, choosing in set up. 5 LOW BATTERY message. 50, 58 LOW GLUCOSE message. 28, 37, 53 MAIN MENU screen. 3, 36 Meal flag, adding or changing. iv, 34 Meal flag, reason for adding. 32 mg/dL. 8, 27, 62 mmol/L. 8 Palm. 15, 21, 25 PC communication mode. 41 Plasma calibration. 60, 62 Repeated unexpected glucose results. 29 Result averages, before or after meal. 38 Result averages, 7-, 14-, and 30-day. 38 Result, last. 36 Result screen. 27, 34, 36 Results, all. 37 Results, reviewing past. 36 Sampler and cap. iii, 14, 17, 49 Sampler, depth setting. 14, 18, 23

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

Your 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.
Understanding error and other messages
Do not use the meter. Contact Customer Service.
What it means: There is a problem with the meter.
You should wait a few minutes, insert a new test strip and test again.
What it means: Meter is too hot (above 111F) or too cold (below 43F) to work correctly.
You should re-check your glucose level. If the result is HIGH GLUCOSE again, obtain and follow instructions from your healthcare professional without delay.
What it means: You may have a very high blood glucose level, over 600 mg/dL.
This may require immediate treatment according to your healthcare professionals recommendations.
What it means: You may have a very low blood glucose level, lower than 20 mg/dL.
(Error 4 continued on next panel) You may have high glucose and have tested in an environment near the low end of the systems operating temperature range (43111F). Or, There may be a problem with the test strip. For example, it may have been damaged or moved during testing. What it means: One of the following may apply: You should repeat the test with a new test strip. Apply blood or control solution only after APPLY BLOOD or APPLY CONTROL appears on the display. If this message continues to appear, contact Customer Service. What it means: The sample was applied before the meter was ready. You should repeat the test with a new test strip. If this message continues to appear, contact Customer Service. What it means: Either a used test strip or a problem with the meter.
You can complete a minimum of 100 more tests from the time this symbol first appears. The results will still be accurate, but replace the battery as soon as possible. What it means: Meter battery is low but still has enough power to perform a test. You should repeat the test with a new test strip. Refer to your owners booklet for information on sample application. What it means: The meter has detected a problem with the test strip. Possible causes are test strip damage or an incompletely filled confirmation window. You should repeat the test with a new test strip. Make sure you are in an environment within the operating temperature range (43111F), and see the owners booklet for how to apply a sample correctly. If this error message appears again, contact Customer Service. Or, The sample was improperly applied. Or, There may be a problem with the meter.
You can still perform a blood glucose test and get an accurate result, but contact Customer Service to report this occurrence. What it means: Your meter was unable to recall this result. This result will not be included in result averages. You can still perform a blood glucose test and get an accurate result. Contact Customer Service to report this occurrence if this is not: What it means: No result in memory, such as the first time use of the meter or after a download of all data to a computer. Or, Your meter was unable to recall this result. The result will not be included in result averages. You must replace the meter battery. What it means: Meter battery does not have enough power to perform a test. 1. Your first time use of the meter, or, 2. After you just downloaded results from your meter.

If necessary, press or to change the code on the meter to match the code on your test strip vial.
Start with the meter off. 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.
CAUTION: This step is essential to obtaining
Before testing, read the OneTouch Ultra 2 Owners Booklet carefully.

accurate results.

How to test
1 Check the code on the test strip vial
3 Match the code displayed on the meter with the code on the test strip vial

2 Insert a test strip

Page 2 After your meter counts down from 5 to 1, your blood glucose level appears on the display, along with the unit of measure, and the date and time of the test. Keep holding the drop of blood to the top edge of the test strip until the confirmation window is full. If your sample does not fill the confirmation window on the first try, do not add more blood to that strip. Instead, test again with a new strip. Touch and hold the drop of blood to the narrow channel in the top edge of the test strip. Before testing, wash your hands and the puncture site. Rinse and dry. Use the lancing device and a new lancet to get a blood drop of at least one microliter ( actual size).
WARNING: If mg/dL does not appear with the
test result, contact Customer Service.
5 Apply the blood drop and read the result

4 Get a drop of blood

While viewing the result, press to display the COMMENT screen. Use or to choose a comment, then press. The comment you chose will show below your test result. Meal flag While viewing the result, press to display the MEAL or to FLAG screen. Use choose a meal flag, then press. The meal flag you chose will show above your test result. The following steps are optional. See your owners booklet for more information. 7 Select a comment, if appropriate 6 Choose a meal flag Comment
If your meter displays HIGH GLUCOSE, you may have a very high blood glucose level (severe hyperglycemia) exceeding 600 mg/dL. Re-check your glucose level. If the result is HIGH GLUCOSE again, obtain and follow instructions from your healthcare professional without delay. You may also get false low results if you are severely dehydrated.
CAUTION: Low glucose results If your test result is lower than 70 mg/dL or is shown as LOW GLUCOSE, it may mean hypoglycemia (low blood glucose). This may require immediate treatment according to your healthcare professionals recommendations. Although this result could be due to a test error, it is safer to treat first, then do another test.

CAUTION: High glucose results
If your test result is higher than 180 mg/dL, it may mean hyperglycemia (high blood glucose). If you are uncertain about this test result, consider re-testing. Your healthcare professional can work with you to decide what actions, if any, you should take if your results are higher than 180 mg/dL.
What to do if test results are too high or too low
operating range (43F) and your glucose is high (over 180 mg/dL), the reading on your meter may be lower than your actual glucose. In this situation, repeat the test in a warmer environment with a new test strip as soon as possible. Your OneTouch Ultra 2 Meter uses two 3.0 Volt CR 2032 lithium batteries (or equivalent)one for the meter and one for the backlight. Replacement batteries can be found in most stores where batteries are sold. not change either battery while the meter is connected to a computer with the OneTouch Interface Cable.
WARNING: To avoid a possible shock, do
CAUTION: If you test at the low end of the

Replacing batteries

Backlight battery

Meter battery

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. Start with the meter off. Removing the meter battery will not affect your stored results. However, you may need to re-set your meter settings. See your owners booklet. 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 the battery clasp. Insert the two battery door tabs into the matching holes on the meter and push down until you hear the door click into place. 1 Remove the old battery 3 Check your meter settings 2 Insert the new battery 4 Dispose of batteries according to your local environmental regulations