For single user / home use only
User Manual
SISTEMA DE MONITOREO DE GLUCOSA EN SANGRE
Manual del usuario
Para un solo usuario / uso en el hogar sólo
Bienvenido al Sistema de Monitoreo de Glucosa
GLUCOCARD® Shine
P/N 5146099
PGK7E0150 Rev010/2014
Gracias por elegir el Sistema de Monitoreo de Glucosa en Sangre
GLUCOCARD® Shine. El sistema le provee a Ud. un monitoreo
diagnóstico de glucosa en sangre in vitro (es decir, de uso externo)
de manera segura, rápida y conveniente.
Usted puede obtener resultados precisos en sólo 5 segundos con
una pequeña muestra de sangre de 0,5 μL.
© 2014 ARKRAY USA, Inc.
24 hours a day, 7 days a week, USA and Canada
At all other times or in case of emergency,
please contact your healthcare professional or
emergency medical response.
800.566.8558
Contact Customer Service:
Minneapolis, MN 55439 USA
www.arkrayusa.com
Manufactured for:
Fabricante:
Minneapolis, MN 55439 USA
www.arkrayusa.com
Servicio al Cliente:
800.566.8558
24 horas al día, 7 días a la semana, EE.UU. y Canadá
En diferentes horarios o en casos de emergencia,
favor de ponerse en contacto con su médico o la
contestación médica de emergencia.
© 2014 ARKRAY USA, Inc.
Thank you for choosing the GLUCOCARD® Shine Blood Glucose
Monitoring System. The system provides you with safe, fast, and
convenient blood glucose in vitro (i.e., outside the body) diagnostic
monitoring. You can obtain accurate results in just 5 seconds with a
small (0.5 µL) blood sample.
Welcome to the GLUCOCARD® Shine
Blood Glucose Monitoring System
P/N 5146099
PGK7E0150 Rev010/2014
Table of Contents
Information
Important Information:Read This First!
Important Health-Related Information
Specifications
GLUCOCARD® Shine Blood Glucose Monitoring System
Inserting or Replacing the Batteries
GLUCOCARD® Shine Blood Glucose Test Strip
GLUCOCARD® Shine Blood Glucose Meter
GLUCOCARD® Shine Blood Glucose Meter Display
Preparation
Setting Up Your System
Adjusting the Date and Time
Setting the Sound On/OFF
Turning on the Strip Expiration Date Indicator
Turning on the Hypoglycemia (HYPo) Indicator Checking the System
Control Solution Testing
Comparing the Control Solution Test Results
Testing
Using the Lancing Device
Preparing the Lancing Device
Preparing the Meter and Test Strip
Flagging Post-meal Test Results
Applying Blood Sample
Discarding Used Lancets
Alternative Site Testing
HI and Lo Messages
Target Blood Glucose Ranges
Transferring Test Results
Additional Functions
Meter Memory
Viewing Averages
Viewing Test Results Setting the Post-meal Alarm (PP2 alarm)
Setting the Strip Expiration Date Indicator
Maintenance
Caring for Your System
Understanding Error and Other Messages
General Troubleshooting
Performance Characteristics
Warranty Information
4
5
6
7
8
9
11
12
13
13
15
16
17
18
19
21
22
23
25
25
26
28
29
32
33
33
34
34
36
37
38
39
44
46
47
50
Important Information: Read This First!
Important Health-Related Information
To receive safe and optimum system benefits, please read the
entire manual contents before using the system. Please note the
following instructions:
• Do not use the system for the diagnosis or screening of
diabetes.
• Use only fresh capillary whole blood samples for testing.
• Alternative site and fingertip test results may differ significantly
due to rapid changes in the glucose level after eating, insulin
injection or exercise.
Intended use:
The GLUCOCARD Shine Blood Glucose Monitoring System is
intended for the quantitative measurement of glucose in fresh
capillary whole blood samples drawn from the fingertips and
alternative sites such as the forearm, palm, thigh, and calf.
Alternative site testing should be used only during steadystate blood glucose conditions. The GLUCOCARD Shine Blood
Glucose Monitoring System is intended for self testing outside
the body (in vitro) by people with diabetes at home as an aid to
monitor the effectiveness of diabetes control. The system is
intended to be used by a single person and should not be
shared. It is not intended for use on neonates and is not for the
diagnosis or screening of diabetes.
The GLUCOCARD Shine Blood Glucose Test Strips are for
use with the GLUCOCARD Shine Blood Glucose Meter to
quantitatively measure glucose in fresh capillary whole blood
samples drawn from the fingertips and alternative sites.
The GLUCOCARD® Shine Control Solutions are for use with the
GLUCOCARD Shine Meter and GLUCOCARD Shine Test Strips
to check that the meter and the test strips are working together
properly and that the test is performing correctly.
• The GLUCOCARD Shine Blood Glucose Monitoring System is
intended for in vitro (outside the body) diagnostic use only and for
the quantitative measurement of glucose in capillary whole blood.
• The GLUCOCARD Shine Blood Glucose Monitoring System is
intended for use by a single user only. Do not share the meter and
lancing device with another person.
• The GLUCOCARD Shine Blood Glucose Meter is designed to
minimize code related errors in monitoring by using the no-coding
function.
• The glucose in the blood sample mixes with special chemicals
on the test strip to produce a small electrical current. The
GLUCOCARD Shine Meter converts this electrical current to
glucose concentration.
• The GLUCOCARD Shine Blood Glucose Meter should be used only
with the GLUCOCARD Shine Test Strip.
• An abnormally high or low red blood cell count (hematocrit level
over 60% or below 20%) may produce inaccurate results.
• Inaccurate results may occur in severely hypotensive (having low
blood pressure) individuals or patients in shock. Inaccurate low
results may occur for individuals experiencing a hyperglycemic
(high blood sugar) or hyperosmolar state, with or without ketosis.
Critically ill patients should not be tested with blood glucose
meters.
• All parts of the kit are considered biohazardous and can potentially
transmit infectious diseases, even after you have performed
pre-cleaning and disinfection.
4 www.arkrayusa.com
The GLUCOCARD Shine Blood Glucose Monitoring System is
waived under CLIA document number CR140380. To obtain further
information about this waiver, visit the FDA website at
http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfclia/search.cfm
www.arkrayusa.com 5
• For questions or concerns, contact Customer Service:
800.566.8558, 24 hours a day, 7 days a week, US and Canada.
At all other times or in case of emergency, please contact your
healthcare professional or emergency medical response.
Specifications
• Product specifications
Measurement range
Sample size Test time
Sample type
Calibration
Assay method
Battery life
Power
Memory
Size
Weight
20-600 mg/dL
Minimum 0.5 μL
5 seconds
Fresh capillary whole blood
Plasma-equivalent
Electrochemical
1,000 tests
Two 3.0 V lithium batteries
(disposable, type CR2032)
500 test results
3.74 x 1.30 x 0.75 in
1.45 oz (with batteries)
• Operating ranges
Temperature
Relative humidity
Hematocrit
6 www.arkrayusa.com
50-104˚F (10-40˚C)
10-90%
20-60%
GLUCOCARD® Shine Blood Glucose Monitoring System
Components
GLUCOCARD Shine BGM System includes the following
items:
* GLUCOCARD Shine Blood Glucose Meter
* User’s Manual
* Quick Reference Guide
* Batteries
GLUCOCARD Shine BGM System may include the
following items:
* GLUCOCARD Shine Blood Glucose Test Strips
* Lancing Device
* Lancets
* Logbook
* Carrying Case
• Check all the components after opening the GLUCOCARD
Shine Blood Glucose Monitoring System package.
• The GLUCOCARD Shine Control Solutions (Level 1 and 2)
are necessary but not included. The GLUCOCARD Shine
Control Solutions and the cable for the data transmission to
a PC can be ordered separately. Please contact Customer
Service, 800.566.8558, 24 hours a day, 7 days a week, US
and Canada.
Caution: The meter and lancing device are only intended for
a single user. Do not share them with anyone including other
family members. Never use on multiple users.
www.arkrayusa.com 7
Inserting or Replacing the Batteries
GLUCOCARD® Shine Blood Glucose Test Strip
The GLUCOCARD Shine Meter uses two 3.0 V lithium
batteries. Before using the meter, check the battery
compartment and insert batteries if empty.
symbol appears on the display for the first
When the
time,the batteries should be replaced as soon as possible.
The test results might not be saved if the batteries run out.
The GLUCOCARD Shine Blood Glucose Monitoring System
measures blood glucose quickly and accurately. It automatically
absorbs the small blood sample applied to the narrow edge of
the strip.
Step 1
Make sure the meter is turned off.
Press down and slide off the battery
compartment cover.
Step 2
Remove the used batteries one at a time.
Slip your index finger under the battery to
lift and pull out as shown. Insert two new
batteries with the + side facing up and
make sure the batteries are inserted firmly
in place.
Step 3
Place the cover on the battery
compartment. Push down until you hear
the tab click into place.
Note: Removing the meter batteries will not affect your
stored result. However, you may need to reset your meter
settings. See pages 13-17.
8 www.arkrayusa.com
Contact bars
Gently push the test strip, with its
contact bars facing up, into the test
strip port of meter
Insert
Confirmation window
Check here to see whether
sufficient blood sample has been
applied
Edge to apply blood sample
Apply blood sample here for testing
Important Safety Instruction
• All components that come into contact with blood samples
should be considered to be biohazards capable of transmitting
viral diseases, even after disinfection.
• Do not share your meter or lancing device with another
person.
www.arkrayusa.com 9
• The GLUCOCARD Shine Test Strip should be used only with
fresh capillary whole blood samples.
• Do not reuse test strips.
• Do not use GLUCOCARD Shine Test Strips beyond the
expiration date. This may cause inaccurate results.
• Test strips in new, unopened vials and test strips in vials
that have been opened can be used until the expiration date
printed on the test strip box and vial label if the test strips
are used and stored according to its storage and handling
methods.
• Store test strips in a cool and dry place at a temperature of
34-86˚F (1-30˚C).
• Keep test strips away from direct sunlight or heat and do not
freeze.
• Store test strips only in their original vial.
• Close the vial tightly after taking out a test strip and use the
test strip immediately.
• Handle test strips only with clean, dry hands.
• Do not bend, cut, or alter test strips in any way.
• For detailed storage and usage information, refer to the
GLUCOCARD Shine Test Strip package insert.
• Keep the meter and testing supplies away from young
children.
Note: You can get more safety information at FDA Public
Health Notification (http://www.fda.gov/MedicalDevices/
Safety/AlertsandNotices/ucm224025.htm) or at CDC Clinical
Reminder (http://www.cdc.gov/injectionsafety/FingerstickDevicesBGM.html).
10 www.arkrayusa.com
GLUCOCARD® Shine Blood Glucose Meter
Display
Shows results,
messages
Test Strip Port
Insert test strip
here
>> Button
Turns the meter on/off,
confirms menu selections,
and changes information
<< Button
Turns the meter
on, selects
or changes
information
Data Port
Used to transfer data
from the meter to
a computer with
a cable
Note: The cable for data transmission to a PC can be ordered
separately. Please contact Customer Service, 800.566.8558.
www.arkrayusa.com 11
GLUCOCARD® Shine Blood Glucose Meter Display
1
2
12
11
3
4
5
13
6
10
9
8
7
Test results: test results displaying panel
Battery symbol: indicates meter battery is running low and
needs to be replaced
3 mem: appears when test results stored in the memory are
displayed
4 alarm: appears when the post-meal alarm has been set
5 check: appears when test results have not been saved
6 Hypoglycemia symbol: appears when the test result is
below the hypoglycemic level
7 Mute symbol: appears only when the sound is set to OFF
8 Post-meal test flag: appears during post-meal testing and
when post-meal test results are displayed
9 Month / Day / Hour / Minute 10 Temperature symbol: displays recorded temperature when
blood glucose levels are tested
11 Blood insertion symbol: indicates meter is ready for the
application of a drop of blood or control solution
12 Decimal point: appears when the blood glucose measuring
unit is set to mmol/L
13 mg/dL, mmol/L: unit for measuring blood glucose
1
2
Note: The unit of measurement is fixed in mg/dL and it
cannot be changed to mmol/L by the user.
12 www.arkrayusa.com
Setting Up Your System
Press and hold the >> button for 3 seconds to enter the set
mode. After all settings are finished, press and hold the >>
button for 3 seconds to turn off the meter.
Press << to reach the accurate value. Press and hold << to
scroll faster.
Adjusting the Date and Time
Step 1 Entering the SET Mode
Press and hold the >> button for 3
seconds to enter the set mode. After all
the segments flash across the screen,
"SET" is displayed on the screen.
Press the >> button again to progress to
the next step.
Step 2 Setting the Year
Press and release << to adjust until the
correct year appears. After setting the
year, press the >> button to confirm
your selection and progress to the next
step.
Step 3 Setting the Month
A number indicating the month will
blink on the left corner of the screen.
Press << until the correct month
appears. Press the >> button to
confirm your selection and progress to
the next step.
www.arkrayusa.com 13
Step 4 Setting the Date
Press << until the screen displays the
correct day. Press the >> button to
confirm the date and progress to the
next step.
Step 5 Setting the Time Format
The meter can be set in the AM/PM
(12-hour) or the 24-hour clock format.
Press << to select a format.
AM/PM is not displayed in the
24-hour format. After selecting the
format, press the >> button to progress
to the next step.
Step 6 Setting the Hour
Press << until the correct hour appears.
After the hour is set, press the >> button to progress to the next step.
Step 7 Setting the Minute
Press << until the correct minute
appears. After setting the minute,
press the >> button to progress to
the next step.
Setting the Sound On/OFF
Step 8
On pressing <<, the screen will
display the “On” or “OFF”. Press the
>> button to confirm the selection
and move to the next mode.
The meter will beep in the following
instances, if set to On.
• When you push the >> button or << button to turn on the meter
• When the test strip is inserted in
the meter
• When the blood sample is
absorbed into the test strip and the
test starts
• When the test result is displayed
• When you push the << button to
set the post-meal (PP2) alarm
• When it is time for a preset blood
glucose test
If the sound is set to OFF, none of the
sound functions will work.
Note: When the sound is set to OFF, the
on the display.
14 www.arkrayusa.com
symbol appears
www.arkrayusa.com 15
Turning on the Strip Expiration Date Indicator
Turning on the Hypoglycemia (HYPo) Indicator
Step 9
This mode allows you to turn the
strip expiration date indicator on or
off.
Step 10
This mode allows you to turn the
hypoglycemia indicator (possible low
blood sugar) on or off and to select the
desired level for the indicator. You will
be alerted any time your test result is
lower than the selected level.
When “Hypo” is displayed (along with
the hypoglycemia symbol ), press
<<. The screen will display “On” or
“OFF”. Press the >> button when “On”
appears to set the desired level.
Then press << until the desired
hypoglycemic level (between 20 and 60
mg/dL) is being displayed. Then press
the >> button to confirm the level.
When “EP” blinks on the screen,
press <<. The screen will display
“On” or “OFF”. Press the >>
button to confirm the setting and
move to the next mode.
This mode turns the function on
or off only. See page 38 to set the
strip expiration date.
If you do not want to set the indicator, press the >> button
while the screen displays “no”. The screen will then return to
step 2 (See page 13).
When you are done setting all the modes, turn the meter off
by pressing and holding the >> button for 3 seconds.
Note: If the pre-set expiration date
expires, the meter will display the
following. For example, in the case
when the expiration date is set to
October of 2014, the meter displays
“EP” at the start of November of 2014.
16 www.arkrayusa.com
Note: If the test result is lower than the
pre-set hypoglycemia level, the meter will
display the following.
Caution: Before the HYPo indicator is set, ask your doctor or
diabetes nurse to help you decide what your hypoglycemia
level will be.
www.arkrayusa.com 17
Checking the System
You should check your meter and test strips using the
GLUCOCARD Shine Control Solutions (Control Level
1 and 2). The GLUCOCARD Shine Control Solutions
contain known amounts of glucose and are used to
check that the meter and the test strips are working
properly. The test strip vials have GLUCOCARD
Shine Control Solution ranges printed on their labels.
Compare the result displayed on the meter to the
GLUCOCARD Shine Control Solution range printed
on the test strip vial. Before using a new meter or a
new vial of test strips, you should conduct a control
solution test following the procedure on pages 19-20 with two
different levels of solutions (Control Level 1 and 2).
Notes:
• GLUCOCARD Shine Meter and GLUCOCARD Shine Test Strips
only can be used with GLUCOCARD Shine Control Solutions.
• Check the expiration dates printed on the bottle. When you first
open a control solution bottle, record the discard date (date
opened plus three (3) months) in the space provided on the
label.
• Make sure your meter, test strips and control solutions are at
room temperature before testing. Control solution tests must
be done at room temperature 68-77˚F (20-25˚C).
• Before using the control solution, shake the bottle, discard the
first 1 or 2 drops and wipe the tip clean.
• Close the control solution bottle tightly and store at a
temperature of 46-86˚F (8-30˚C).
You should do a control solution test:
• When you want to practice the test procedure using the control
solution instead of blood;
• When using the meter for the first time;
18 www.arkrayusa.com
• Whenever you open a new vial of test strips;
• If the meter or test strips do not function properly;
• If your symptoms are inconsistent with the blood glucose
test results and you feel that the meter or test strips are not
working properly;
• If you drop or damage the meter;
• When using the meter for blood glucose test after any
disinfection procedure.
Control Solution Testing
Step 1
Insert a test strip into the meter’s test strip
port, with the contact bars facing upwards.
Gently push the test strip into the test strip
port until the meter beeps. Be careful not
to bend the strip while pushing it in. The
symbol will be displayed on the screen.
Step 2
Shake the GLUCOCARD Shine
Control Solution bottle before each
test. Remove the cap and squeeze
the bottle to discard the first 1 or 2
drops.
Then wipe the tip with a clean
symbol appears on the display,
tissue or cloth. After the
apply the solution to the narrow edge of the test strip until
the meter beeps. Make sure the confirmation window fills
completely.
www.arkrayusa.com 19
Note: The meter will switch off, if the control solution
symbol
sample is not applied within 2 minutes of the
appearing on the screen. If the meter turns off, remove the
strip, reinsert, and start from step 1.
Step 3
A test result will appear after the
meter counts down from 5 to 1.
After your control solution result
appears on the display, press <<
for 3 seconds until the ‘check’
symbol appears on the display.
When the ‘check’ symbol is displayed, the result is not stored
in the meter’s memory and is not included in the averages.
Step 4
Compare the result displayed on the
meter to the range printed on the test
strip vial. The result should fall within that
range. Used strips should be discarded
safely in disposable containers.
Control Solution Range /
Rango de la solución de
control
Level 1: 101-151 mg/dL
Level 2: 184-276 mg/dL
Caution: The ranges printed on the test strip vial are for
the GLUCOCARD Shine Control Solutions only. They do not
have any connection to your blood glucose level.
20 www.arkrayusa.com
Comparing the Control Solution Test Results
The test result of each control solution should be within the
range printed on the label of test strip vial. Repeat the control
solution test if the test result falls outside of this range. Out of
range results may occur due to the following factors:
Situations
Actions
• When the control solution bottle was not Repeat the
shaken well.
control solution
• When the meter, test strip, or the control test by referring
solution were exposed to high or low
to the “Notes”
temperatures.
on page 18.
• When the first drop of the control solution
was not discarded or the tip of the bottle
was not wiped clean.
•W
hen the meter is not functioning properly.
• When the control solution is past the
expiration date printed on the bottle.
• When the control solution is past its
discard date (the date the bottle was
opened plus three (3) months).
• When the control solution is contaminated.
Discard the used
control solution
and repeat the
test using a new
bottle of control
solution.
Caution: If results continue to fall outside the range printed
on the test strip vial, the Test Strip and Meter may not be
working properly. Do not use your system and contact
Customer Service, 800.566.8558.
Note: The GLUCOCARD Shine Control Solution can
be purchased separately. Contact Customer Service,
800.566.8558, 24 hours a day, 7 days a week, US and Canada.
www.arkrayusa.com 21
Using the Lancing Device
You will need a lancing device in order to collect a blood sample.
You may use the lancing device contained in the GLUCOCARD
Shine Blood Glucose Monitoring System or any other medically
approved lancing device.
Adjustable Tip
Lancet Holder
Lancet
Ejection System
Release Button
Sliding Barrel
• The lancing device is for use by a single user only and should
not be shared with anyone including other family members.
CAUTION: To reduce the chance of infection
• All components that come into contact with blood
samples should be considered to be biohazards capable of
transmitting viral diseases, even after disinfection.
• Do not use a lancet that has been used by another person
and never share your meter and lancing device with
anyone.
• Wash your hands thoroughly with soap and water after
handling your meter, lancing device, or test strips.
• Keep your meter and lancing device clean. See the precleaning and disinfection section on page 40.
Preparing the Lancing Device
Step 1
Wash hands and the site from where
the blood sample will be drawn
thoroughly with warm soapy water.
Rinse and dry.
Step 2
Unscrew and remove the adjustable tip.
Step 3
Insert a new disposable lancet firmly
into the lancet holder. Twist off the
protective cover of the lancet and set
it aside, then replace the adjustable
tip. Keep the protective cover to
replace on top of the used lancet
after testing.
Note: Repeated puncturing at the same sample site may
cause pain or skin calluses (thick hard skin). Choose a
different site each time you test.
22 www.arkrayusa.com
www.arkrayusa.com 23
Step 4
The lancing device has five puncture
depth settings, numbered 1 through 5.
The smaller numbers are for a
shallowerpuncture, and the larger
numbers are for a deeper puncture.
Choose a depth of penetration by rotating
the top portion of the adjustable tip until
the setting number matches the arrow.
Step 5
Cock the lancing device by holding the
body in one hand and pulling on the
sleeve with the other hand until the
device clicks.
Note: The skin depth to retrieve samples will vary for
various people at different sample sites. The lancing device's
adjustable tip allows the best depth of skin penetration for
an adequate sample size. A beginning setting of three (3) is
recommended.
24 www.arkrayusa.com
Preparing the Meter and Test Strip
Step 6
With the contact bars facing up, insert a test strip into the
meter's test strip port. Push the strip gently into the strip port
symbol
until the power automatically turns on and the
appears.
Flagging Post-meal Test Results
The GLUCOCARD Shine Meter allows you to flag a result of a
symbol. The post-meal test flag ( ) can
post-meal test with
be attached just before applying the blood sample. Once you
attach the post-meal flag ( ) to the test results, it cannot be
deleted.
Step 7
If you want to attach a post-meal flag
( ) to a test result, press and hold <<
for 3 seconds after inserting the test
strip. The post-meal flag ( ) and the
symbol will appear on the screen.
The test result will also be displayed
with the post-meal flag ( ).
If you do not want to save the result as
a post-meal test, move on to the step 8
after the step 6.
www.arkrayusa.com 25
Applying the Blood Sample
Step 8
Obtain a blood sample using the
lancing device. Place the device
against the pad of the finger. The best
puncture sites are on the middle or
ring fingers. Press the release button.
Remove the device from the finger.
Wait a few seconds for a blood drop to
form. A minimum volume of 0.5 microliter is needed to fill the
confirmation window.
Step 9
symbol appears on the screen, apply the blood
After the
sample to the narrow end of the test strip until the meter
beeps. If the blood sample does not fill the confirmation
window completely, an Er4 message may appear because of
abnormal viscosity or insufficient volume. If an Er4 message
appears, retest with a new test strip.
Note: The meter will switch off if the blood sample is not
symbol appearing on the
applied within 2 minutes of the
screen. If the meter turns off, remove the strip, reinsert it,
symbol appears on the
and apply the blood sample after
screen.
Step 10
The test result will appear after the
meter counts down from “5” to “1”.
The result will be automatically stored
in the meter’s memory.
If the test strip is removed after the
test result is displayed, the meter will automatically switch off
after 3 seconds. Discard used test strip safely in a disposable
container.
Approximate
size
Good
Sample
26 www.arkrayusa.com
Insufficient
Sample
www.arkrayusa.com 27
Alternative Site Testing
Discarding Used Lancets
Step 1
Unscrew the lancing device tip.
Step 2
Place the protective cover on the
lancet. Push the lancet ejector forward
with the thumb and simultaneously
pull out the sliding barrel to dispose of
the used lancet in a proper biohazard
container.
Caution:
• Check for damages before using the lancet. If they have
been damaged, please discard it and use other lancet.
• The lancet is very sharp. Please keep away from children.
• Keep the lancets in a cool and dry place.
Caution: The lancet is for single use only. Never share or
reuse a lancet. Always dispose of lancets properly.
28 www.arkrayusa.com
What is AST (Alternative Site Testing)?
Usually, when someone tests their glucose, they take the
blood sample from the tip of the finger. However, since there
are many nerve endings distributed there, it can be quite
painful. When doing a glucose test, using different parts of
the body, such as the forearms, palms, thighs, and calves,
can reduce the pain during testing.
This method of testing with different parts of the body is
called Alternative Site Testing. While AST may reduce the
pain during testing, it may not be simple for everyone and the
following precautions should be observed during testing.
Alternative Sites for Testing
Alternative Site Blood Sampling (forearm, palm, thigh, calf)
Select a clean, soft and fleshy sample site area free of visible
veins and hair and away from bones. Gently massage the
sample site to help blood circulation to minimize result
differences between fingertip and alternative site sampling.
Firmly press and hold the lancing device against site. Wait until
the skin surface under the lancing device changes color.
Then press the release button while continuing to apply
pressure. Keep holding the lancing device against your skin
until sufficient (at least 0.5 μL) blood is drawn. Carefully lift the
lancing device away from your skin.
www.arkrayusa.com 29
Caution: AST results should never be used to calibrate
Continuous Glucose Monitoring Systems nor entered into an
insulin dosing calculator or pump for dosing recommendations.
Things to know when using AST
Please understand the following before testing at sites other
than the fingertip (forearms, palms, thighs, and calves).
The capillary whole blood of the fingertips shows changes
in glucose levels more rapidly than from alternative sites.
Therefore, the test results from the fingertip testing and AST
may differ. This is because things such as lifestyle and ingested
food having an effect on glucose levels.
Acceptable situations for AST
• Fasting period.
• Before a meal.
Situations requiring fingertip test
• When the glucose levels are rapidly increasing, such as
during the two (2) hours after a meal or exercise.
• When sick or when glucose levels seem quite lower
than test value.
• When hypoglycemia is not well recognized.
• When insulin has the biggest effect.
• Two (2) hours after an insulin injection.
30 www.arkrayusa.com
AST Precautions
• Do not ignore the symptoms of hyperglycemia or
hypoglycemia.
• When the results of the test do not reflect the way you feel,
retest using the fingertip. If the fingertip result still does
not reflect the way you feel, please consult your healthcare
professional.
• Do not rely on AST results for changing your treatment
method.
• The amount of glucose in alternative sites differs from
person to person.
• Before using AST, please consult your healthcare
professional.
Note: Results from alternative site and fingertip samples
may differ from each other, as there is a time lag for the
glucose levels to reach the same value.
Use a fingertip sample if you suffer from hypoglycemia or
have experienced hypoglycemic shock or symptoms.
Note: 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.
www.arkrayusa.com 31
HI and Lo Messages
HI Message
The meter displays results between
20-600 mg/dL. “HI” appears when
the blood glucose level is greater
than 600 mg/dL and indicates severe
hyperglycemia (much higher than
normal glucose levels).
If “HI” is displayed again on retesting, please contact your
healthcare professional immediately.
Lo Message
“Lo” appears when the result is less
than 20 mg/dL and indicates severe
hypoglycemia (very low glucose
levels). If “Lo” is displayed again
on retesting, please contact your
healthcare professional immediately.
* When the hypoglycemia indicator is
symbol also appears.
on,
Note: If messages for hyperglycemia or hypoglycemia are
displayed even if you do not have those conditions, please
contact Customer Service, 800.566.8558, 24 hours a day, 7
days a week, US and Canada.
32 www.arkrayusa.com
Target Blood Glucose Ranges
Reminders
Your target ranges
from
your
healthcare
professional
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.
Expected Values : The range of a normal fasting* blood glucose
level for non-diabetic adults is between 70-99 mg/dL. Two (2)
hours after a meal, the range of a normal blood glucose level for
non-diabetic adults is between 100-139 mg/dL.
*Fasting is defined as no caloric intake for at least eight (8) hours.
Reference
American Diabetes Association. “Standards of Medical Care in
Diabetes – 2012.” Diabetes Care. January 2012; 35(1):S11-S63.
Transferring Test Results
Test results stored in GLUCOCARD
Shine meter can be transferred from
the meter to a computer using data
management software and cable. The
‘Pc’ is displayed when the data cable
connects the meter with computer.
For more information, contact Customer Service,
800.566.8558, 24 hours a day, 7 days a week, US and Canada.
www.arkrayusa.com 33
Meter Memory
The GLUCOCARD Shine meter can save up to 500 glucose test
results with time and date. If the memory is full, the oldest test
result will be deleted and the latest test result will be stored.
The GLUCOCARD Shine meter calculates and displays the
averages of total test results, pre-meal test (Pr) results, and postmeal test ( ) results from the last 1, 7, 14, 30 and 90 days.
Viewing Averages
Step 1
Press the << or >> button to turn the
meter on. The current date and time will
be displayed on the bottom of the screen
for 2 seconds, followed by the 1 day
average value and the number of the test
results saved within the current day.
The number of
tests
Step 2 Viewing Averages
Press the << to view 7-, 14-, 30- and 90-day average values
and the number of tests performed for the last test period.
<< button
Average
(1, 7, 14, 30, 90 days)
>> button
34 www.arkrayusa.com
Step 3 Viewing Pre-meal Averages
Repeatedly press the << to view 1-, 7-, 14-, 30- and 90-day
average value and the number of tests performed pre-meals
with the ‘Pr’ symbol for the last test period.
<< button
Pre-meal average
(1, 7, 14, 30, 90 days)
>> button
Step 4 Viewing Post-meal Averages
On pressing the << again, 1-, 7-, 14-, 30- and 90-day average
value and the number of tests performed post-meals for the
last test period will appear on the screen.
Hold the >> button to turn off the meter.
<< button
Post-meal average
(1, 7, 14, 30, 90 days)
>> button
Use the >> button to scroll back through the averages seen
previously.
www.arkrayusa.com 35
Setting the Post-meal Alarm (PP2 Alarm)
The PP2 alarm goes off 2 hours after setting the alarm. The
alarms ring for 15 seconds and can be silenced by pressing <<
or the >> button or by inserting a test strip.
Viewing Test Results
Step 1
Press << or the >> button to turn the
meter on. The current date and time
will be displayed on the bottom of the
screen for 2 seconds, followed by the
1 day average value and the number of
the test results saved within the current
day.
The number of
tests
Step 2
Use the >> button to scroll through the test results, starting
from the most recent and ending with the oldest.
Press the << to return to the result seen previously. The test
date and the recorded temperature will display alternately.
After checking the stored test result, hold the >> button to
turn off the meter.
>> button
<< button
Step 1 Setting the PP2 alarm On
Without inserting a test strip, press and hold << for 3 seconds
to set the post-meal alarm. The “PP2”, the “alarm” and then
the “On” will be displayed.
The screen will then automatically change to the memory
check mode. At this time, the “alarm”, indicating that the PP2
alarm has been set, will be displayed on the screen.
Step 2 Setting the PP2 alarm OFF
To turn off the PP2 alarm, press and hold << for 3 seconds.
The “PP2” and the “OFF” will appear on the screen. Then the
screen will change automatically to the memory check mode
without the “alarm” being displayed.
‘alarm’ vanishes
36 www.arkrayusa.com
www.arkrayusa.com 37
Setting the Strip Expiration Date Indicator
Caring for Your System
The test strip expiration date indicator can be set in the
GLUCOCARD Shine meter. The strip expiration date is printed on
the test strip vial.
At any stage, if the >> button is pressed for 3 seconds, the
meter will be turned off.
To turn on the indicator function, see page 16 to view how to
turn on the indicator.
• To minimize the risk of transmission of blood-borne
pathogens, the pre-cleaning and disinfection procedure
should be performed as recommended in the instructions
below.
• Wash your hands thoroughly with soap and water after
handling the meter, lancing device, or test strips.
• If the meter is being operated by a second person who
is providing testing assistance to the user, the meter and
lancing device should be disinfected prior to use by the
second person.
Step 1 Enter the Expiration Date Setting
Press and hold the << and >> button at the same time for 3
seconds to enter the expiration date settings. After all segments
flash across the screen, “EP” will be displayed on the screen.
Press the >> button to change the date.
Note: The strip expiration date is printed on the test strip vial.
Step 2 Setting the Year
A number indicating the year will blink
in the left corner of the screen. Press
the << button until the correct year
appears.
Press the >> button to confirm the year and set the month.
Step 3 Setting the Month
A number indicating the month will
blink in the left corner of the screen.
Press the << button until the correct
month appears. After finishing the setting, press and hold the
>> button for 3 seconds to turn off the meter.
38 www.arkrayusa.com
Pre-cleaning and Disinfection:
The pre-cleaning procedure is needed to clean dirt as well as
blood and other body fluids on the exterior of the meter and
lancing device before performing the disinfection procedure.
The disinfection procedure is needed to prevent transmission of
blood-borne pathogens.
• For the meter and lancing device, this pre-cleaning and
disinfection procedure should be performed once per week.
Note:
The life span of a GLUCOCARD Shine meter is 5 years. We
recommend disinfecting both the meter and lancing device at
least once per week. We have validated a total of 260 cleaning
and disinfecting cycles (260 pre-cleaning and 260 disinfection
cycles) to represent weekly cleaning and disinfecting over the
use life of your meter and lancing device.
1 pre-cleaning and 1 disinfection cycles per week * 52 weeks
per year * 5 years = 260 pre-cleaning and 260 disinfection
cycles
www.arkrayusa.com 39
• We have validated Clorox Germicidal Wipes with 0.55%
sodium hypochlorite as the active ingredient for disinfecting
the GLUCOCARD Shine Meter and lancing device. It has been
shown to be safe for use with the meter and lancing device.
This disinfectant is available commercially in towelette form. In
addition to GLUCOCARD Shine BGMS instruction, please read
the instructions provided by the manufacturer of Clorox
Germicidal Wipes before using it.
Name
Manufacturer
Clorox® Germicidal Wipes
Clorox Professional Products Company
[Phone] 1 800 537 1415
[Website] www.cloroxprofessional.com
EPA registration 67619-12
number
Active
Sodium Hypochlorite: 0.55%
ingredients
Note:
The disinfectant products can be purchased online retailers
(e.g. Amazon) or by telephone at the manufacturer. To find out
where to purchase the disinfectant product, please contact the
manufacturer or visit their website as listed above.
Pre-cleaning and Disinfection Procedures:
1
Open the cap of the Clorox
Germicidal Wipes container
and pull out 1 towelette
and close the cap.
40 www.arkrayusa.com
2
Wipe the entire surface of the meter 3 times horizontally and
3 times vertically using one towelette to pre-clean blood and
other body fluids.
Front
Back
Both sides
3
ispose of the used towelette
D
in a trash bin.
4
ull out 1 new towelette and
P
wipe the entire surface of the
meter 3 times horizontally and
3 times vertically using a new
towelette to remove bloodborne pathogens.
5
Dispose of the used towelette in a trash bin.
6
Allow exteriors to remain wet for 1 minute, then wipe the
meter using a dry cloth.
1minute
dry cloth
www.arkrayusa.com 41
7
Repeat the same procedure for the
lancing device (step 1 to step 6 ).
*A
fter the pre-cleaning and disinfection procedure, the
control solution should be tested to confirm that the meter
works properly before using the meter. Control solution
tests should be performed with two different levels of
solutions (Control Level 1 and 2). Verify that the test results
are within the range printed on the test strip vial. See pages
19-20 for how to do a control solution test.
Note: If any of the following deterioration signs appear after
pre-cleaning or disinfecting, please stop using the system
and contact Customer Service, 800.566.8558, 24 hours a
day, 7 days a week, US and Canada.
• When the inscriptions on the exterior of the meter (or
lancing device) have been removed.
• When the color of the meter (or lancing device) has
changed or faded.
• When cracks or roughness develop on the meter (or
lancing device).
• When a part of the segment on the meter display does not
flash.
• When control solution test results do not fall within the
stated range on the test strip vial.
42 www.arkrayusa.com
Caution:
• Do Not use other cleaners or disinfectants because other
chemicals have not been validated and may damage the
meter.
• Do Not get fluids inside the meter through the test strip
port, data transmission port or battery compartment.
Never immerse the meter or hold it under running water
because this will damage the meter.
Caution : Storage and Handling
• Do not expose the meter to direct sunlight or heat for extended
periods of time.
• Do not let dirt, dust, blood, or water enter into the meter’s test
strip port.
• Do not drop the meter or subject it to strong shocks.
• Do not try to fix or alter the meter in any way.
• Keep the meter in a cool and airy place.
• Keep the meter away from strong electromagnetic field sources
such as cell phones and microwave ovens.
• The GLUCOCARD Shine Meter should be used only with
GLUCOCARD Shine Test Strips.
• Store all meter components in the carrying case to prevent loss.
Note: You can get additional information or technical
assistance by calling our Customer Customer Service,
800.566.8558, 24 hours a day, 7 days a week, US and Canada
www.arkrayusa.com 43
Understanding Error and Other Messages
A used test strip was inserted.
> Remove the strip and reinsert a new
test strip.
The blood or control solution sample was
symbol appeared.
applied before the
>R
epeat the test with a new test strip
symbol appears
and wait until the
before applying the blood or control
solution sample.
The blood sample has abnormally high
viscosity or insufficient volume.
> Repeat the test using a new test strip.
This error message may appear when
the wrong blood glucose test strip is
used instead of GLUCOCARD Shine
blood glucose test strip.
> Repeat the test with a GLUCOCARD
Shine test strip.
The temperature during the test was
above the operating range.
> Move to an area where the
temperature is within the operating
range (10-40˚C/50-104˚F) and repeat
the test after the meter and test strips
have reached a temperature within the
operating range.
The temperature during the test was
below the operating range.
> Move to an area where the
temperature is within the operating
range (10-40˚C/50-104˚F) and repeat
the test after the meter and test strips
have reached a temperature within the
operating range.
Note: If the error messages persist, please contact
Customer Service, 800.566.8558, 24 hours a day, 7 days a
week, US and Canada.
There is a problem with the meter.
> Do not use the meter. Contact
Customer Service at 800.566.8559, 24
hours a day, 7 days a week, US and
Canada.
44 www.arkrayusa.com
www.arkrayusa.com 45
General Troubleshooting
Problem
The display is blank
even after inserting
a test strip.
Performance Characteristics
Troubleshooting
• Check whether the test strip is
inserted with the contact bars
facing up. Check if the strip has
been inserted completely into the
test strip port.
• Check if the appropriate test strip
was used.
• Check whether the batteries are
inserted with the ‘+’ side facing up.
• Replace the batteries.
The test does not
start even after
applying the blood
sample on the strip.
• Check if the confirmation window
is filled completely.
• Repeat the test after inserting a
new test strip.
The test result
doesn't match the
way you feel.
• Repeat the test after inserting a
new test strip.
• Check the expiration date of the
test strip.
• Perform control solution test.
Note: If the problem is not resolved, please contact
Customer Service, 800.566.8558, 24 hours a day, 7 days a
week, US and Canada.
46 www.arkrayusa.com
The performance of GLUCOCARD Shine Blood Glucose
Monitoring System has been evaluated in laboratory and clinical
tests.
ACCURACY: The GLUCOCARD Shine BGM System is calibrated
to yield results equivalent to plasma glucose concentrations.
The accuracy of the GLUCOCARD Shine System was tested
by comparing blood glucose results obtained by patients with
those obtained using a YSI Model 2300 Glucose Analyzer, a lab
instrument. The results below were obtained by diabetic patients
at clinic centers.
Obtained by healthcare
professionals
Slope 1.023 Y-intercept -2.07 mg/dL
Correlation coefficient(r) 0.996
Number of sample 100 Range tested 66-321 mg/dL
Obtained by
lay users
1.006
-0.41 mg/dL
0.994
100
66-321 mg/dL
Accuracy results for glucose concentration < 75 mg/dL
Within ± 5 mg/dL
Within ± 10 mg/dL
Within ± 15 mg/dL
5/5 (100%)
5/5 (100%)
5/5 (100%)
Accuracy results for glucose concentration ≥ 75 mg/dL
Within ± 5%
Within ± 10%
Within ± 15%
Within ± 20%
79/95 (83.2%)
94/95 (98.9%)
95/95 (100%)
95/95 (100%)
www.arkrayusa.com 47
Precision: Precision studies were performed in a laboratory
using the GLUCOCARD Shine System.
Within Run Precision
*Bloodavg. 39 mg/dL
*Bloodavg. 82 mg/dL
*Bloodavg. 145 mg/dL
*Bloodavg. 179 mg/dL
*Bloodavg. 341 mg/dL
Total Precision
*Controlavg. 32 mg/dL
*Controlavg. 121 mg/dL
*Controlavg. 354 mg/dL
SD = 1.9 mg/dL
SD = 2.7 mg/dL
CV = 2.9%
CV = 3.9%
CV = 2.5%
Alternative site test results for glucose concentration ≥ 75 mg/dL
Within ± 5% Within ± 10% Within ± 15% Within ± 20%
Fingertip
Forearm
Palm
Thigh
Calf
95/95 (100%)
69/95 (72.6%)
61/95 (64.2%)
56/95 (58.9%)
57/95 (60%)
95/95 (100%)
91/95 (95.8%)
87/95 (91.6%)
86/95 (90.5%)
87/95 (91.6%)
95/95 (100%)
94/95 (98.9%)
93/95 (97.9%)
86/95 (90.5%)
93/95 (97.9%)
95/95 (100%)
95/95 (100%)
95/95 (100%)
95/95 (100%)
95/95 (100%)
SD = 1.7 mg/dL
CV = 3.6%
CV = 4.3%
This study shows that there could be variation of up to 4.3%.
Alternative Sites Testing Evaluation
• Comparison of results using various AST sites with the results
of YSI measurements
Alternative site test results for glucose concentration < 75 mg/dL
Within ± 5 mg/dL Within ± 10 mg/dL Within ± 15 mg/dL
Fingertip
5/5 (100%)
5/5 (100%)
5/5 (100%)
Forearm
5/5 (100%)
5/5 (100%)
5/5 (100%)
Palm
5/5 (100%)
5/5 (100%)
5/5 (100%)
Thigh
4/5 (80%)
5/5 (100%)
5/5 (100%)
Calf
3/5 (60%)
5/5 (100%)
5/5 (100%)
48 www.arkrayusa.com
www.arkrayusa.com 49
Warranty Information
Manufacturer’s Warranty
ARKRAY USA, Inc. warrants that the GLUCOCARD Shine Meter
shall be free of defects in material and workmanship in normal
use for a period of five (5) years. The meter must have been
subjected to normal use. The warranty does not cover improper
handling, tampering, use, or service of the meter. Any claim
must be made within the warranty period.
The ARKRAY USA, Inc. company will, at its discretion, repair or
replace a defective meter or meter part that is covered by this
warranty. As a matter of warranty policy, ARKRAY USA, Inc. will
not reimburse the consumer’s purchase price.
Obtaining Warranty Service
To obtain warranty service, you must return the defective meter
or meter part along with proof of purchase to ARKRAY USA, Inc.
50 www.arkrayusa.com