Lifescan InDuo blood glucose meter User's Manual

Lifescan InDuo blood glucose meter User's Manual
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Page 1
2
For assistance or further
information please call InDuo™
Customer Services at our toll free
number:
(English) 1-877-520-9056
(Español) 1-800-381-7226
Diagram of the InDuo™ system
Look at the diagram inside this cover for the names of the different parts of
the InDuo™ system. You can unfold the diagram to help you while you follow
the instructions.
The InDuo™ system should be used only in combination with products that are
compatible with it and allow the InDuo™ system to function safely and effectively.
OneTouch® Ultra test strips are designed to be used with the InDuo™ blood
glucose meter.
Distributed by:
LifeScan Inc.
Milpitas, California 95035, U.S.A.
In partnership with
User’s Manual
PenFill® and NovoFine® are trademarks of Novo Nordisk A/S.
IN TOUCH® and OneTouch® are trademarks of LifeScan, Inc.
InDuo™ is a trademark of Johnson and Johnson Co.
© LifeScan/Novo Nordisk 2001
Revision date: August 2004
Protected by US Patent Nos. 5,957,889; 5,961,496; and 6,045,537.
Additional patents pending.
www.InDuo.com
InDuo™
Blood Glucose Meter
OneTouch® Ultra
Control Solution
OneTouch® UltraClear™
cap for alternate
puncture site
OneTouch® UltraSoft™
Sterile Lancet
OneTouch® Ultra
Test Strips
OneTouch® UltraSoft™
Adjustable blood sampler
PenFill® 3 mL cartridges and NovoFine® needles are designed to be used with the
InDuo™ insulin doser. PenFill® not included.
Novo Nordisk A/S
2880 Bagsvaerd, Denmark
AW 06084101C
InDuo™ SYSTEM AND ACCESSORIES
The CE-mark on the InDuo™ doser indicates that the product conforms with the provisions in the
EC Directive for Medical Devices 93/42/EEC. The InDuo™ insulin doser fulfils the specification limits for dose
accuracy according to ISO 11608-1. Pen-Injectors for Medical use, Part 1: Requirements and test methods.
InDuo™
Insulin Doser
NovoFine®
Needles 10-pack
PenFill® 3 mL
Insulin Cartridge
DCO_06084101C_InDuo_OBCVR_US
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Page 1
2
For assistance or further
information please call InDuo™
Customer Services at our toll free
number:
(English) 1-877-520-9056
(Español) 1-800-381-7226
Diagram of the InDuo™ system
Look at the diagram inside this cover for the names of the different parts of
the InDuo™ system. You can unfold the diagram to help you while you follow
the instructions.
The InDuo™ system should be used only in combination with products that are
compatible with it and allow the InDuo™ system to function safely and effectively.
OneTouch® Ultra test strips are designed to be used with the InDuo™ blood
glucose meter.
Distributed by:
LifeScan Inc.
Milpitas, California 95035, U.S.A.
In partnership with
User’s Manual
PenFill® and NovoFine® are trademarks of Novo Nordisk A/S.
IN TOUCH® and OneTouch® are trademarks of LifeScan, Inc.
InDuo™ is a trademark of Johnson and Johnson Co.
© LifeScan/Novo Nordisk 2001
Revision date: August 2004
Protected by US Patent Nos. 5,957,889; 5,961,496; and 6,045,537.
Additional patents pending.
www.InDuo.com
InDuo™
Blood Glucose Meter
OneTouch® Ultra
Control Solution
OneTouch® UltraClear™
cap for alternate
puncture site
OneTouch® UltraSoft™
Sterile Lancet
OneTouch® Ultra
Test Strips
OneTouch® UltraSoft™
Adjustable blood sampler
PenFill® 3 mL cartridges and NovoFine® needles are designed to be used with the
InDuo™ insulin doser. PenFill® not included.
Novo Nordisk A/S
2880 Bagsvaerd, Denmark
AW 06084101C
InDuo™ SYSTEM AND ACCESSORIES
The CE-mark on the InDuo™ doser indicates that the product conforms with the provisions in the
EC Directive for Medical Devices 93/42/EEC. The InDuo™ insulin doser fulfils the specification limits for dose
accuracy according to ISO 11608-1. Pen-Injectors for Medical use, Part 1: Requirements and test methods.
InDuo™
Insulin Doser
NovoFine®
Needles 10-pack
PenFill® 3 mL
Insulin Cartridge
DCO_06084101C_InDuo_OBCVR_US
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Page 1
2
For assistance or further
information please call InDuo™
Customer Services at our toll free
number:
(English) 1-877-520-9056
(Español) 1-800-381-7226
Diagram of the InDuo™ system
Look at the diagram inside this cover for the names of the different parts of
the InDuo™ system. You can unfold the diagram to help you while you follow
the instructions.
The InDuo™ system should be used only in combination with products that are
compatible with it and allow the InDuo™ system to function safely and effectively.
OneTouch® Ultra test strips are designed to be used with the InDuo™ blood
glucose meter.
Distributed by:
LifeScan Inc.
Milpitas, California 95035, U.S.A.
In partnership with
User’s Manual
PenFill® and NovoFine® are trademarks of Novo Nordisk A/S.
IN TOUCH® and OneTouch® are trademarks of LifeScan, Inc.
InDuo™ is a trademark of Johnson and Johnson Co.
© LifeScan/Novo Nordisk 2001
Revision date: August 2004
Protected by US Patent Nos. 5,957,889; 5,961,496; and 6,045,537.
Additional patents pending.
www.InDuo.com
InDuo™
Blood Glucose Meter
OneTouch® Ultra
Control Solution
OneTouch® UltraClear™
cap for alternate
puncture site
OneTouch® UltraSoft™
Sterile Lancet
OneTouch® Ultra
Test Strips
OneTouch® UltraSoft™
Adjustable blood sampler
PenFill® 3 mL cartridges and NovoFine® needles are designed to be used with the
InDuo™ insulin doser. PenFill® not included.
Novo Nordisk A/S
2880 Bagsvaerd, Denmark
AW 06084101C
InDuo™ SYSTEM AND ACCESSORIES
The CE-mark on the InDuo™ doser indicates that the product conforms with the provisions in the
EC Directive for Medical Devices 93/42/EEC. The InDuo™ insulin doser fulfils the specification limits for dose
accuracy according to ISO 11608-1. Pen-Injectors for Medical use, Part 1: Requirements and test methods.
InDuo™
Insulin Doser
NovoFine®
Needles 10-pack
PenFill® 3 mL
Insulin Cartridge
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InDuo™ BLOOD GLUCOSE METER AND INSULIN DOSER
InDuo™ METER AND INSULIN DOSER DISPLAY SYMBOLS
Data port
Ctl
Ketones?
OneTouch® UltraSoft™ Adjustable blood sampler
Test port
Indicates a control solution
test result.
Appears when a blood glucose test
result falls above 240 mg/dL.
Release button
Code
Mem
Cap
Indicates a test result stored in the
memory.
LOT number
Appears with the
code number of the
OneTouch® Ultra Test
strip currently in use.
Residual scale
Apply symbol
Meter display
M button
Dose selector
Window
Slide
C button
Deep puncture
Indicator mark
Puncture depth
setting knob
Unit of measurement
Month Day Hour Minutes
The meter has been pre-set in either
mg/dL or mmol/L. Confirm that the
unit of measurement is correct when
the apply symbol appears during
blood application.
The segments indicate the
time passed since delivery.
1 segment represents 1 hour.
Confirms that the delivery has been
completed.
Dose
Shows the number of insulin units
dialed.
OneTouch®
Ultra Test strip
Top edge
Confirmation
window
Shallow puncture
OneTouch® Lancet
Contact bars
Protective disk
NovoFine®
PenFill® 3 mL
6 mm or 8 mm
Front rubber stopper
White bar code band
Rear
rubber
stopper
Circle
Time segment
Push button
Release button
Test results are displayed here.
(A decimal point appears when the unit
of measurement is millimoles per liter.)
Battery symbol
Insulin doser
display
Ejection / Cocking control
Test result area
Tells when to apply
the sample.
Appears when the meter
battery power is low or
must be replaced.
InDuo™ COMPONENTS
Outer needle
cap
Inner
needle
cap
Needle
Protective
tab
Threaded
plastic cap
Glass ball
(for insulin
suspensions only)
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InDuo™ BLOOD GLUCOSE METER AND INSULIN DOSER
InDuo™ METER AND INSULIN DOSER DISPLAY SYMBOLS
Data port
Ctl
Ketones?
OneTouch® UltraSoft™ Adjustable blood sampler
Test port
Indicates a control solution
test result.
Appears when a blood glucose test
result falls above 240 mg/dL.
Release button
Code
Mem
Cap
Indicates a test result stored in the
memory.
LOT number
Appears with the
code number of the
OneTouch® Ultra Test
strip currently in use.
Residual scale
Apply symbol
Meter display
M button
Dose selector
Window
Slide
C button
Deep puncture
Indicator mark
Puncture depth
setting knob
Unit of measurement
Month Day Hour Minutes
The meter has been pre-set in either
mg/dL or mmol/L. Confirm that the
unit of measurement is correct when
the apply symbol appears during
blood application.
The segments indicate the
time passed since delivery.
1 segment represents 1 hour.
Confirms that the delivery has been
completed.
Dose
Shows the number of insulin units
dialed.
OneTouch®
Ultra Test strip
Top edge
Confirmation
window
Shallow puncture
OneTouch® Lancet
Contact bars
Protective disk
NovoFine®
PenFill® 3 mL
6 mm or 8 mm
Front rubber stopper
White bar code band
Rear
rubber
stopper
Circle
Time segment
Push button
Release button
Test results are displayed here.
(A decimal point appears when the unit
of measurement is millimoles per liter.)
Battery symbol
Insulin doser
display
Ejection / Cocking control
Test result area
Tells when to apply
the sample.
Appears when the meter
battery power is low or
must be replaced.
InDuo™ COMPONENTS
Outer needle
cap
Inner
needle
cap
Needle
Protective
tab
Threaded
plastic cap
Glass ball
(for insulin
suspensions only)
DCO_06084101C_InDuo_OBCVR_US
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InDuo™ BLOOD GLUCOSE METER AND INSULIN DOSER
InDuo™ METER AND INSULIN DOSER DISPLAY SYMBOLS
Data port
Ctl
Ketones?
OneTouch® UltraSoft™ Adjustable blood sampler
Test port
Indicates a control solution
test result.
Appears when a blood glucose test
result falls above 240 mg/dL.
Release button
Code
Mem
Cap
Indicates a test result stored in the
memory.
LOT number
Appears with the
code number of the
OneTouch® Ultra Test
strip currently in use.
Residual scale
Apply symbol
Meter display
M button
Dose selector
Window
Slide
C button
Deep puncture
Indicator mark
Puncture depth
setting knob
Unit of measurement
Month Day Hour Minutes
The meter has been pre-set in either
mg/dL or mmol/L. Confirm that the
unit of measurement is correct when
the apply symbol appears during
blood application.
The segments indicate the
time passed since delivery.
1 segment represents 1 hour.
Confirms that the delivery has been
completed.
Dose
Shows the number of insulin units
dialed.
OneTouch®
Ultra Test strip
Top edge
Confirmation
window
Shallow puncture
OneTouch® Lancet
Contact bars
Protective disk
NovoFine®
PenFill® 3 mL
6 mm or 8 mm
Front rubber stopper
White bar code band
Rear
rubber
stopper
Circle
Time segment
Push button
Release button
Test results are displayed here.
(A decimal point appears when the unit
of measurement is millimoles per liter.)
Battery symbol
Insulin doser
display
Ejection / Cocking control
Test result area
Tells when to apply
the sample.
Appears when the meter
battery power is low or
must be replaced.
InDuo™ COMPONENTS
Outer needle
cap
Inner
needle
cap
Needle
Protective
tab
Threaded
plastic cap
Glass ball
(for insulin
suspensions only)
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CONTENTS
Welcome
Getting your InDuoTM system ready for use
Preparing your InDuoTM meter
Preparing your InDuoTM insulin doser to inject insulin
Testing your blood glucose levels
Injecting your insulin
Using the InDuoTM memory functions
Checking your previous test results
Checking your previous injection
Viewing blood glucose test results on a personal computer
Comparing InDuoTM meter and laboratory results
Caring for your InDuoTM system
Important information
Display messages and problem-solving guide
The InDuoTM meter
The InDuoTM insulin doser
Specifications
Warranty
Blood value targets
4
5
5
21
27
41
51
51
54
55
58
60
65
68
69
80
86
87
88
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WELCOME
You have chosen the InDuoTM system, a
system designed to simplify the way you
manage your diabetes. Featuring an
integrated blood glucose meter and insulin
doser, InDuoTM will enable you to check
your blood glucose levels and administer
insulin using one compact system. This
manual contains instructions for using,
storing, and looking after your InDuoTM
system. Read it carefully.
Your InDuoTM meter provides you with
accurate, plasma-calibrated test results.
This feature makes it easier for you and
your doctor to compare your meter results
with laboratory results. If you have been
using another type of meter, you may notice
that the results with the InDuoTM meter are
about 12% higher than with your previous
system. The InDuoTM meter is designed for
use with OneTouch® Ultra test strips only.
Your InDuoTM insulin doser provides you
with state-of-the-art insulin delivery
including a memory to tell you how much
you injected, and how long ago you made
your injection. By combining meter and
insulin doser into one, the InDuoTM system
helps you simplify your insulin therapy and
increase your confidence in managing your
diabetes.
A warranty registration card is included
with your InDuoTM system. If you complete it
and mail it to us, we will send you a gift.
We are sure that you will find your
InDuoTM system simple and easy to use.
If you have any questions regarding your
InDuoTM system, please do not hesitate to
call InDuo Customer Services at our toll free
number 1-877-520-9056.
The InDuoTM meter is intended for use
outside the body (in vitro diagnostic use).
It should be used only for testing glucose
(sugar) and only with fresh capillary
whole blood samples. It should not be
used for the diagnosis of diabetes or for
the testing of newborns.
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GETTING YOUR InDuoTM SYSTEM READY FOR USE
GETTING YOUR InDuoTM SYSTEM
READY FOR USE
Preparing your InDuoTM meter
Setting the time, date, and unit of measurement
Your InDuoTM meter comes with pre-set values for the
time, date, and unit of measurement. However, you
can reset these if you need to change the date or
time, or if you remove the meter battery. Since the
InDuoTM meter also gives average values (14 days and
30 days) for your blood glucose tests (see page 53),
you may find that changing the date and time will
also alter the values for the 14-day and
30-day averages. To set the time, date, and unit of
measurement, you must first enter the setting mode
on the InDuoTM meter display.
Enter the setting mode
• Press and hold down ˛ for 3 seconds.
• The InDuoTM meter is now in the setting mode and
you are ready to change the time using the
meter display.
5
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GETTING YOUR InDuoTM SYSTEM READY FOR USE
Setting the hour
• The time will appear first, with the hour digits
flashing.
• Press and release Ñ until the correct hour is
displayed.
• To scroll faster, hold Ñ down.
• After setting the hour, press ˛ to set the minutes.
The minutes digits will start flashing.
Setting the minutes
• Press and release Ñ until the correct minute is
displayed.
• To scroll faster, hold Ñ down.
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GETTING YOUR InDuoTM SYSTEM READY FOR USE
Setting the time format
• Press ˛ and the 12-hour format will start flashing.
• Your InDuoTM meter can display the time in either a
12-hour format ¸ or a 24-hour format | to
‹.
• The 12-hour format is pre-set in the meter.
• If you wish to display the time in 24-hour format,
press and release Ñ. Pressing Ñ again will return
you to the 12-hour format.
Setting the year
Before setting the date you must first set the time.
• With the preferred time format on the display,
press ˛ and the year digits will start flashing.
• Press and release Ñ until the correct year is
displayed.
• To scroll faster, hold Ñ down.
7
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GETTING YOUR InDuoTM SYSTEM READY FOR USE
Setting the month
• Press ˛ and the date will appear on the display
with the month display flashing.
• Press and release Ñ until the correct month is
displayed.
• To scroll faster, hold Ñ down.
Setting the day
• Press ˛ and the day setting will start flashing.
• Press and release Ñ until the correct day is
displayed.
• To scroll faster, hold Ñ down.
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GETTING YOUR InDuoTM SYSTEM READY FOR USE
Selecting the unit of measurement
• With the correct day on the display, press
˛ and the current unit of measurement will start
flashing.
The InDuoTM meter can display test results in
milligrams per deciliter (Á) or in millimoles per
liter (fi). The Á unit is standard in the
United States. The fi unit is commonly used in
Canada and some European countries.
• Consult your healthcare professional before you
change the unit of measure.
• If the units are incorrect or have been changed,
press Ñ to select the correct units. If the units are
correct, just press the ˛ button to exit the
setting mode.
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GETTING YOUR InDuoTM SYSTEM READY FOR USE
Top edge
Apply a sample here,
where the narrow
channel meets the
top edge of
OneTouch® Ultra
test strip.
Confirmation
window
This is where you
confirm if a large
enough sample
has been applied
to the top edge.
Contact bars
Insert this end of
OneTouch® Ultra
test strip into the
InDuoTM meter.
æ OneTouch® Ultra test strips
Your InDuoTM meter is designed for use with
OneTouch® Ultra test strips only.
• Store the OneTouch® Ultra test strip package in a
cool, dry place below 30°C (86ºF). Keep away from
direct sunlight and heat. Do not refrigerate.
• Store your OneTouch® Ultra test strips in their
original vial only; do not transfer them to a new
bottle or any other container.
• After removing a OneTouch® Ultra test strip from
the vial, immediately replace the vial cap and close
it tightly.
• With clean, dry hands, you may touch the test
strip anywhere on its surface when removing it
from the vial or inserting it into the meter.
• Use each OneTouch® Ultra test strip immediately
after removing it from the vial.
• Write the discard date on the vial label when you
open it for the first time. Discard remaining
OneTouch® Ultra test strips and the vial 3 months
after the vial was first opened.
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GETTING YOUR InDuoTM SYSTEM READY FOR USE
• Apply only control solution or a blood sample to the
top edge of the OneTouch® Ultra test strip. Applying
other substances to the top edge may cause
inaccurate results.
• Do not use OneTouch® Ultra test strips beyond the
expiration date printed on the package since using
expired OneTouch® Ultra test strips may produce
inaccurate results.
• Do not bend, cut, or alter a OneTouch® Ultra test
strip in any way.
WARNING: Keep the test strip vial away from
children; the cap is a choking hazard. Also, the cap
may contain a pouch filled with drying agents that
may be harmful if inhaled or swallowed and may
cause skin or eye irritation.
OneTouch® Ultra test strips are single use. Do not reuse a test strip that has had sample applied to it. Refer
to your OneTouch® Ultra test strip insert for additional
information.
11
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GETTING YOUR InDuoTM SYSTEM READY FOR USE
Coding your InDuoTM meter
Code numbers are used to calibrate the OneTouch®
Ultra test strips with the InDuoTM meter. You must
code the InDuoTM meter before using it for the first
time, and then every time you change to another vial
of OneTouch® Ultra test strips. Each time you do a
blood glucose test, check that the code number on
the meter display matches the code number on the
OneTouch® Ultra test strip vial.
CAUTION: If the code numbers do not match, your
blood glucose tests may be inaccurate.
(Example)
Entering the code mode
• Start with the InDuoTM meter turned off.
• Insert a OneTouch® Ultra test strip to turn on the
meter. Push the test strip in until it will go no
further.
• All segments of the meter display will appear.
When you first use the InDuoTM meter, 3 dashes Q
will appear, showing there is no code stored in the
meter memory.
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GETTING YOUR InDuoTM SYSTEM READY FOR USE
Match the code numbers
The calibration code is stored in the meter memory
until you change it. The current code number will
appear on the display for 3 seconds.
• Compare the code number on the meter display with
the code number on the OneTouch® Ultra test strip vial.
• If the 2 code numbers match, you may begin
testing.
• If the code numbers do not match, follow the next
procedure to recode the InDuoTM meter.
Code the InDuoTM meter
• Press Ñ to select the correct code.
• Each time you press and release Ñ, the number
on the display will increase by one.
• To scroll faster, hold Ñ down.
• After you have selected the correct code number, it
will flash for 3 seconds and then appear solid for 3
seconds.
• The apply symbol R will appear with the units of
measurement (Á or fi), indicating that
the InDuoTM meter is ready for testing.
13
(Example)
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GETTING YOUR InDuoTM SYSTEM READY FOR USE
The control solution test
OneTouch® Ultra Control Solution is used to check
that the meter and the OneTouch® Ultra test strips
are working together as a system and that you are
performing the test correctly. It is very important that
you do this simple test routinely to check that the
system is providing accurate results.
The control solution test should be used to:
• check that your meter and OneTouch® Ultra test
strips are working together properly.
• check that you are performing the test correctly.
• practice testing your blood.
The control solution test should be done:
• at least once a week.
• when you begin using a new vial of OneTouch®
Ultra test strips.
• if you suspect that your InDuoTM meter or
OneTouch® Ultra test strips are not working properly.
• when your blood glucose test results are not
consistent with how you feel, or when you think
your results are not accurate.
• if you drop your InDuoTM meter.
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GETTING YOUR InDuoTM SYSTEM READY FOR USE
æ Caution
• Use only OneTouch® Ultra Control Solution
• Check the expiration date on the control solution
vial. Do not use if expired.
• Store control solution tightly closed at
temperatures below 86ºF (30°C).
• Do not refrigerate control solution.
• The control solution, the InDuoTM meter, and the
OneTouch® Ultra test strips should be at room
temperature 68–77ºF (20–25ºC) before testing.
• Shake the vial, discard the first drop of control
solution, and wipe off the dispenser tip with a clean
tissue to obtain a good sample and an accurate result.
• Use only for 3 months after the first opening.
Record the discard date (date opened plus
3 months) on the control solution vial. Discard
after 3 months.
• The control solution range printed on the
OneTouch® Ultra test strip vial is for OneTouch®
Ultra control solution only. It is used to test meter
and OneTouch® Ultra test strip performance. It is
not a recommended range for your blood glucose
level.
15
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GETTING YOUR InDuoTM SYSTEM READY FOR USE
a
Before you use your InDuoTM meter to test your blood
for the first time, practice the procedure using the
control solution test. When you can do three tests in
a row that are within the range printed on the
OneTouch® Ultra test strip vial, you are ready to test
your blood.
How to do a control solution test
Insert OneTouch® Ultra test strip
• Insert a OneTouch® Ultra test strip, contact bars
end-first a and facing up, into the test port. Push
the OneTouch® Ultra test strip in firmly until it will
go no further.
• The InDuoTM meter will turn on automatically.
• All segments will appear briefly on the meter
display. Then the code number is displayed,
followed by the apply symbol R with the units of
measurement (Á or fi).
• Verify that the calibration code and units of
measurement are set correctly. (See page 5 and 9
for additional information on the unit of
measurement.)
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GETTING YOUR InDuoTM SYSTEM READY FOR USE
• After the apply symbol R appears on the display,
press Ñ.
• The Ë symbol will appear on the display. With
the Ë symbol on the display, the meter will mark
your next test in the memory as a control solution
test. If you decide not to perform a control
solution test, press Ñ again and the Ë symbol
will disappear.
• Every time you perform a control solution test,
you must mark the test result with the Ë symbol
so that the test will be distinguished from a blood
glucose test in the memory and not included in the
14-day and 30-day blood glucose test averages.
17
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GETTING YOUR InDuoTM SYSTEM READY FOR USE
Apply control solution
• Shake the control solution vial well.
• Remove the cap.
• Squeeze the vial, discard the first drop, and wipe
off the dispenser tip to obtain an accurate result.
• Squeeze the vial again to get a small hanging drop.
• Apply the hanging drop b to the top edge area of
the OneTouch® Ultra test strip (where it meets the
narrow channel) until the drop is drawn into the
OneTouch® Ultra test strip, the confirmation
window is filled, and the meter display begins to
count down.
b
(Example)
c
Read test results
• The meter will count down from N to A and the
control solution test result will appear c.
• Compare the result with the range printed on the
OneTouch® Ultra test strip vial label. The result
should fall within this range.
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GETTING YOUR InDuoTM SYSTEM READY FOR USE
æ Caution
• If the control solution test result falls outside the
range printed on the OneTouch® Ultra test strip
vial, repeat the test.
• If you continue to get control solution test results
that fall outside of the range printed on the vial,
the InDuoTM system may not be working properly.
• Do not use the InDuoTM system to continue testing
your blood if the control solution test results
continue to fall outside the expected range.
• If you are unable to resolve the problem, call
InDuo Customer Services at our toll free number
1-877-520-9056.
19
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GETTING YOUR InDuoTM SYSTEM READY FOR USE
The control solution test troubleshooting
There are several reasons why a control solution test result may fall outside the
expected range (as printed on the OneTouch® Ultra test strip vial label).
Probable reasons
Action
Error in performing the test
Repeat the test, closely following the
instructions on pages 16–18
Failure to shake the OneTouch® Ultra
control solution vial vigorously
Shake the control solution vial and
repeat the test
Expired or contaminated OneTouch®
Ultra control solution
Check the expiration date or use new
control solution
InDuoTM meter, OneTouch® Ultra
control solution, or test strips that are
too warm or too cool
Check that the room temperature is
between 68–77°F (20–25°C)
Failure to discard the first drop of
OneTouch® Ultra control solution
Repeat the test
OneTouch® Ultra test strip
deterioration
Repeat the test with a new vial of test
strips. Remember to recode the meter
Call InDuoTM Customer Services at
1-877-520-9056
Check that the meter is coded correctly
InDuoTM meter malfunction
Improper coding of the meter
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GETTING YOUR InDuoTM SYSTEM READY FOR USE
PREPARING YOUR InDuoTM INSULIN DOSER
TO INJECT INSULIN
Before you are ready to inject your insulin, the InDuoTM
insulin doser must be loaded with a PenFill® insulin
cartridge. A needle must be attached and the InDuoTM
insulin doser must be primed by doing an air shot.
How to load your PenFill®
• Before loading PenFill®, read the Information For
The Patient that accompanies it carefully.
In the Information For The Patient, you will find
instructions on how to:
• Check that the PenFill® is full and intact. If not,
do not use it.
• Resuspend the insulin, if PenFill® contains an insulin
suspension (cloudy insulin).
æ Use only a new PenFill® when loading the InDuoTM
insulin doser. Never load a partially filled PenFill®.
æ Each PenFill® is for single person use only. Do not
use the same PenFill® for more than one person,
even though you attach a new NovoFine® needle
for each injection.
21
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GETTING YOUR InDuoTM SYSTEM READY FOR USE
To load PenFill®:
• Pull out the InDuoTM insulin doser a.
• The very first time the insulin doser is pulled out,
the insulin doser display stays blank until the slide
is opened.
• Make sure that the push button is pressed
completely in b. Otherwise the slide will remain
locked.
• Open the slide in the direction of the arrow shown
below c. The insulin doser display now shows 0
c
b
b
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GETTING YOUR InDuoTM SYSTEM READY FOR USE
• Insert PenFill® into the InDuoTM insulin doser by
pushing it slightly backwards as shown d. The end
with the rear rubber stopper goes in first. Make
sure that the threaded plastic cap fits firmly into
place e.
• Close the slide completely f. The release button is
locked until the slide has been closed.
• You should keep the slide closed until PenFill® is
empty and must be changed.
f
d
e
23
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GETTING YOUR InDuoTM SYSTEM READY FOR USE
How to attach a NovoFine® needle
• Never place a NovoFine® needle on your InDuoTM
insulin doser until you are ready to prime your
InDuoTM insulin doser by doing an air shot before
giving an injection.
• Wipe the front rubber stopper of the PenFill® with
an alcohol swab.
• Take the protective tab off a NovoFine® needle.
• Screw the NovoFine® needle tightly onto the
threaded plastic cap.
• Pull off the outer and inner needle caps before
priming the InDuoTM insulin doser by doing an air
shot.
How to prime the InDuoTM insulin doser
by doing an air shot
Priming the InDuoTM insulin doser is a method of
making sure that the insulin is ready to flow when
you make your injection. Otherwise, you will not
receive the full insulin dose. You will know that the
InDuoTM insulin doser has been primed when a drop
of insulin appears at the tip of the NovoFine® needle.
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GETTING YOUR InDuoTM SYSTEM READY FOR USE
æ The InDuoTM insulin doser should always be
primed:
•
•
•
•
Before each injection.
After changing PenFill®.
After changing the NovoFine® needle.
After opening and closing the slide on the InDuoTM
insulin doser.
Priming your InDuoTM insulin doser
for the first time
æMake sure that a NovoFine® needle is attached,
the push button is pressed completely in, and the
slide is closed. If the slide
is not closed, the
release button will be
locked.
• Press the release button a.
You will see that the push
button jumps out.
a
25
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GETTING YOUR InDuoTM SYSTEM READY FOR USE
• Dial 8 units b.
• Hold the InDuoTM insulin doser with the NovoFine®
needle upwards and tap the slide gently with your
finger a few times c, to ensure that any air in
PenFill® rises to the top.
• Press the push button completely in until it locks d.
• A drop of insulin should appear at the needle tip.
b
c
If the drop of insulin does not appear, repeat the
priming procedure dialing 1 unit at a time until a drop
of insulin appears.
• If not injecting immediately, discard the NovoFine®
needle safely.
• If you are injecting immediately, the NovoFine®
needle will remain on the insulin doser until you
have completed the injection. Following your
injection discard the NovoFine® needle safely.
d
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TESTING YOUR BLOOD GLUCOSE LEVELS
TESTING YOUR BLOOD GLUCOSE LEVELS
Be sure to read this section, Important Information
on page 65, and the OneTouch® Ultra test strip
package insert found in this system kit box carefully
before testing.
Before using your InDuoTM meter to test your blood
glucose lev
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