Abbott Precision Xtra User Manual
Below you will find brief information for Precision Xtra Blood Glucose and Ketone Monitoring System. Your new system helps you manage your diabetes by measuring blood glucose and β-Ketone, understanding the impact of food, exercise, stress, medication on your health. Always follow your healthcare professional's advice when monitoring your levels.
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Blood Glucose & Ketone Monitoring System
User’s Guide
Table of Contents
1
Welcome 1
Important Things to Know about Your
Precision Xtra Blood Glucose and Ketone
Monitoring System 3
Intended Use 3
How Your Precision Xtra
Blood Glucose and Ketone Monitoring System Works
Precision Xtra Kit Contents
Getting to Know Your Monitor’s Features
4
4
5
2 Setting Up Your Precision Xtra Monitor 7
Buttons to Use 7
Setup Options 7
How to Set the Beeper, Date, Time, & View
Measurement Units
Set Beeper
Set Time
Set Date
Set Time Format
Set Date Format
Blood Glucose Measurement Units
8
8
9
10
12
12
13
3 Calibrating Your Precision Xtra Monitor 14
Why Calibrate Your Monitor? 14
When to Calibrate Your Monitor
What You Will Need
How to Calibrate Your Monitor
How to Recall the LOT Number
14
14
14
17
4 Monitoring Your Blood Glucose 18
What You Will Need
Important Information about Monitoring
Your Blood Glucose
How to Monitor Your Blood Glucose
18
18
19
Understanding Your Result 24
5 Monitoring Your Blood β-Ketone
What You Will Need
Important Information about Monitoring
Your Blood β-Ketone
How to Monitor Your Blood β-Ketone
Understanding Your Result
27
27
27
29
33
6 Doing A Control Solution Test 36
Why Do A Control Solution Test? 36
When Is Doing A Control Solution Test Recommended?
Important Information about Control Solution Testing
What You Will Need
How to Do Control Solution Testing
Understanding Your Result
36
36
37
37
41
7 Reviewing & Using Your Results 42
What Can Your Monitor Show You?
How to See Results in Memory
42
43
How to See Averages 45
Transferring Your Results to A Computer 46
8 Understanding & Troubleshooting
Error Messages 47
What An Error Message Means & 47
What You Need to Do
9 Your Monitor’s Specifications & Limitations 51
Important Information about Using Blood
Samples from the Forearm, Upper Arm, or Base of the Thumb
53
10 Caring For Your Monitor 54
Cleaning Your Monitor 54
Replacing Your Monitor’s Battery 55
References 57
Welcome
Thank you for choosing the Precision Xtra® Blood Glucose and
Ketone Monitoring System.
Important steps for using the System are inside this guide. Please read it carefully.
Your new Precision Xtra Blood Glucose and Ketone Monitoring
System is an important tool that can help you better manage your diabetes. The System measures both blood glucose (sugar) and blood β-Ketone. Blood glucose and blood β-Ketone results can help you understand your diabetes and what happens with:
•
Food
•
Exercise
•
Stress and illness
•
Diabetes medications
Always monitor your blood glucose and blood β-Ketone according to your healthcare professional’s recommendations.
1
In the United States, call Customer Care at 1-800-527-3339 with any questions you may have about the Precision Xtra
Blood Glucose and Ketone Monitoring System. We are available
24 hours a day, 365 days a year. If you cannot reach Customer
Care, contact your healthcare professional.
Outside the United States, please contact your local Abbott
Diabetes Care Inc. office or distributor.
Please read the following items before using your Precision Xtra
Blood Glucose and Ketone Monitoring System:
•
User guide
•
Blood glucose test strip instructions for use
•
Blood β-Ketone test strip instructions for use
•
Lancing device instructions for use and other information
•
Warranty card
2
CHAPTER 1
Important Things to Know about Your Precision Xtra®
Blood Glucose and Ketone
Monitoring System
Questions? Call
Customer Care:
1-800-527-3339
Intended Use
Your Precision Xtra System:
•
Is indicated for home (lay user) or professional use in the management of patients with diabetes.
•
Is for self testing or healthcare professional use outside the body ( in vitro diagnostic use).
•
Is for monitoring glucose in fresh whole blood (for example, from the fingertip).
•
Is for monitoring β-Ketone in fresh whole blood from the fingertip.
•
Measures β-hydroxybutyrate (β-Ketone), the most important of the three ketone bodies circulating in the bloodstream.
•
Is for use with Precision Xtra™ or Precision® Point of Care Blood
Glucose Test Strips and Precision Xtra™ Blood β-Ketone Test
Strips.
• Precision Xtra™ and Precision® Point of Care Blood Glucose Test
Strips are different. Please refer to your test strip instructions for use for important information about sample types that may be used with these test strips.
•
Precision ® Point of Care Blood Glucose Test Strips are for use by healthcare professionals only.
Potential Infection Risk:
Healthcare professionals performing blood tests with this system on multiple patients must always wear gloves and should follow the infection control policies and procedures approved by their facility.
3
How Your Precision Xtra Blood Glucose and Ketone
Monitoring System Works
When you insert a test strip into your monitor, the Apply
Sample message shows on your monitor’s display window.
When a blood sample or control solution sample is applied to the test strip, the glucose or β-Ketone reacts with the chemicals on the test strip. This reaction produces a small electrical current that is measured. The result shows on your monitor’s display window.
Precision Xtra Kit Contents
Precision Xtra Monitor
Precision Xtra User’s Guide
– Contains system information and directions.
Carrying Case
– Use this to store and carry your monitor and other monitoring supplies.
Your kit may also contain:
Precision Xtra Quick Reference Guide
– Gives the basic steps to calibrate your monitor and monitor your blood glucose.
Logbook
– Use this to record your test results, activities, and medications.
Lancing Device, Lancets, Instructions for Use and
Other Information.
Blood Glucose Test Strips and Instructions for Use.
Items not included:
Precision or MediSense Control Solutions
Blood β-Ketone Test Strips and Instructions for Use
Data Management System
4
Getting to Know Your Monitor’s Features
Display
Window
Backlight
Button
Display Window
This shows:
•
Blood glucose and blood
β-Ketone results.
•
Glucose LOT numbers and blood β-Ketone calibration CODEs
•
Previous test results and error messages.
•
Blood glucose averages.
Back
Button
Strip
Port
Mode
Button
Forward
Button
Display Check
IMPORTANT:
Each time you turn your monitor on, a full display shows. This is called a Display
Check. Look at the Display Check each time it appears on your monitor’s display window, especially before you check your blood glucose or blood β-Ketone.
The Display Check shows on the display window briefly.
Do not use the monitor if the monitor
Display Check does not exactly match the picture here (for example, if you see a "3" instead of an "8"). The monitor may show an incorrect result when you use it. Please call Customer Care for assistance.
5
IMPORTANT: Avoid getting dust, dirt, blood, control solution, water, or any other substance in the receiver's test strip port or data port.
Strip Port
This is where you insert:
•
A blood glucose test strip
•
A blood β-Ketone test strip
•
A glucose calibrator
•
A ketone calibrator
•
Data cable (not included) for uploading results to a computer
Mode Button
Use this button to:
•
Turn monitor ON and OFF
•
Access monitor setup options
•
Access and save monitor settings
•
Access previous results and averages
Forward Button
Back Button
Use these buttons to:
•
Review and select monitor settings
•
Review results and averages
Backlight Button
Use this button to:
•
Turn backlight ON and OFF
Battery Compartment
This is where the battery is installed.
•
If your monitor does not turn on, check that your battery is installed properly.
•
For new battery installation, see Chapter 10.
6
CHAPTER 2
Setting Up Your
Precision Xtra Monitor
Buttons to Use
Mode Button
Forward Button
Back Button
Questions? Call
Customer Care:
1-800-527-3339
Setup Options
Set Beeper
If the beeper is set ON, it will beep when:
•
The calibrator is fully inserted
•
The test countdown starts
•
The test countdown finishes
Set Time, Set Date
Important: Please check that the correct time and date is set before you use the monitor for the first time. This will help you keep records of when you monitor and will help you and your healthcare professional make informed decisions about your care. You must set the time and date to review averages .
You may need to re-set the time and date:
•
After you replace the battery
•
When you travel between time zones or when the time zone you are in changes
In "Set Date", you set the year, month, and day.
Set Time Format
In "Set Time Format", you choose how the time shows on the monitor’s display window.
7
Set Date Format
In "Set Date Format", you choose how the month and day show on the monitor’s display window.
Measurement Units
Blood glucose measurement units are factory-set in mg/dL or mmol/L.
Blood β-Ketone measurement units are in mmol/L only.
How to Set the Beeper, Date, Time, &
View Measurement Units
Before you start, please note: "Press and
Hold" means that you press the button in for at least 2 seconds. "Press and Release" means that you press the button and let it go quickly. monitor off and save your settings at any time. The monitor automatically turns off after 30 seconds of no action.
If you like the setting that you see on your monitor and do not want to change it, Press
Beeper ON
Setting Up Your Monit
Set Beeper
The means the beeper is ON.
The means the beeper is OFF.
Beeper OFF
8
1 To turn your monitor ON, Press and
Hold the button.
The beeper ON message shows on the display window. The musical notes flash on and off, and the monitor beeps.
2 To change the beeper setting, Press and Release the button or the button once.
3 Press and Release the button to save the beeper setting and to move to Set Time (Hour).
Set Time
Hour:
The Hour flashes on and off.
1 Press and Release the button to move the hour forward.
2 If you go past the correct hour, Press and Release the button to move the hour back.
3 Press and Release the button to save the hour and to move to
Set Minutes.
9
Minutes:
The Minutes flash on and off.
1 Press and Release the button to move the minutes forward.
2 If you go past the correct minute, Press and Release the button to move the minutes back.
3 Press and Release the button to save
Set Date
Year:
The Year flashes on and off.
1 Press and Release the button to move the year forward.
2 If you go past the correct year, Press and Release the button to move the year back.
3 Press and Release the button to save
10
Setting Up Your Monit
Month:
The Month flashes on and off.
1 Press and Release the button to move the month forward.
2 If you go past the correct month,
Press and Release the button to move the month back.
3 Press and Release the button to save
Day:
The Day flashes on and off.
1 Press and Release the button to move the day forward.
2 If you go past the correct day, Press and Release the button to move the day back.
3 Press and Release the button to save the day and to move to Set
Time Format.
11
Set Time Format
You have two choices:
Choice #1: For the 12-hour format,
AM or PM shows.
Choice #2: For the 24-hour format,
AM or PM does not show.
1 To change the Time Format, Press and Release the button or the button once.
2 Press and Release the button to save the Time Format and to move to Set Date Format.
Choice #1
Choice #2
Set Date Format
You have two choices:
Choice #1: For the month-day format,
" " shows with the date.
Example: "25 May" shows as "5-25"
Choice #2: For the day.month format,
" • " shows with the date.
Example: "25 May" shows as "25.5"
1 To change the Date Format, Press and Release the button or the button once.
2 Press and Release the button to save the Date Format and to move to Measurement Units.
12
Setting Up Your Monit
Blood Glucose Measurement Units
Consult your healthcare professional if you have any questions about the blood glucose measurement units.
For mg/dL or mmol/L:
This screen shows the blood glucose measurement units (mg/dL or mmol/L).
Press and Release the button to return to Set Beeper.
Press and Hold the button to turn your monitor off.
You have successfully set up your monitor.
13
Questions? Call
Customer Care:
1-800-527-3339
CHAPTER 3
Calibrating Your
Precision Xtra Monitor
Why Calibrate Your Monitor?
Calibration ensures that your results are accurate.
When to Calibrate Your Monitor
•
When you use the monitor for the first time
•
EACH time you open and use a new box of blood glucose or blood β-Ketone test strips
What You Will Need
•
Precision Xtra monitor
•
For glucose calibration:
- Blood glucose test strip
- Blood glucose test strip instructions for use
- Blood glucose test strip calibrator
•
For β-Ketone calibration:
- Blood β-Ketone test strip
- Blood β-Ketone test strip instructions for use
- Blood β-Ketone test strip calibrator
How to Calibrate Your Monitor
Before you insert a test strip for the first time, please note:
This means the monitor is not calibrated for blood glucose monitoring.
➡
This means the monitor is not calibrated for blood β-Ketone monitoring.
➡
14
IMPORTANT: Use only the calibrator that is packaged in the box of test strips you are using.
Do not use test strips that have expired. Check the expiration date on the test strip foil packet and test strip box. If only the year and month are shown, the expiration date is the last day of the month.
1 Remove the glucose or β-Ketone calibrator package from the new box of test strips.
2 Open the calibrator package. Find the three raised bumps on the calibrator package. Peel the clear cover away from the three raised bumps.
3 Hold the calibrator (white for glucose and purple for blood β-Ketone) with the LOT number facing you.
4 Insert the calibrator into the strip port. Push it in until it stops.
The Display Check shows on the display window, followed by the time, month, and day.
Next, the LOT number shows on the display window.
a.
Example of glucose
LOT number: LOT 13758 b . Example of β-Ketone
LOT number: CODE 12345
Then you hear the beeper, if the beeper is ON.
Glucose
β-Ketone
15
5 Check that the LOT number on all these items matches:
✓ Display window ✓ Test strip calibrator
✓ Test strip instructions for use ✓ Test strip foil packet
When the LOT number on all these items matches:
What It Means:
Calibration is complete.
What to Do:
You may now monitor your blood glucose or blood β-Ketone.
When the LOT number on all these items DOES
NOT match:
What It Means:
Your monitor may not be calibrated for the box of test strips you are using.
What to Do:
•
Check that you are using the calibrator that came in the
box of test strips you are using.
•
Try to calibrate again.
IMPORTANT: If the LOT number still does not match, contact Customer Care. Do not attempt to monitor your blood glucose or blood β-Ketone. Your monitor may show an incorrect result.
6 Remove the calibrator from the monitor and store it in your monitor’s carrying case.
IMPORTANT: Do not throw the calibrator away until you have used all of the test strips in the box.
If you have any trouble calibrating your system, please contact Customer Care.
16
How to Recall the LOT Number or Calibration Code
1 To recall the glucose LOT number, Press and Hold the
button. While holding the button, Press and Hold the button.
The Display Check shows on the display window, then the glucose
LOT number shows with the time, month, and day of the most recent glucose calibration.
2 After the glucose LOT number is displayed, you can recall the β-Ketone LOT number. Press and Release the
button or the button.
The β-Ketone LOT number shows with the word “CODE”, the time, month, and day of the most recent blood β-Ketone calibration.
Note : If the LOT number that shows on your monitor’s display window is not correct:
What It Means:
Your monitor may not be calibrated for the box of test strips you are using.
What To Do:
•
Re-calibrate your monitor.
•
Check that you are using the calibrator that came in the box of test strips you are using.
Remember, improper calibration will cause incorrect results.
3 Press and Hold the button to
17
Questions? Call
Customer Care:
1-800-527-3339
CHAPTER 4
Monitoring Your
Blood Glucose
What You Will Need
•
Blood glucose test strip with its instructions for use
•
Precision Xtra monitor calibrated to match the LOT number of the blood glucose test strip you are using
•
Lancing device and a new, sterile lancet
Important Information about Monitoring Your
Blood Glucose
•
For more detailed information about your test strip, please read its instructions for use before monitoring.
•
Do not use out-of-date test strips. Check the expiration date printed on the test strip box and on each test strip foil packet. If only the month and year are printed on the test strip, then the expiration date is the last day of that month.
Example:
Expiration date
March 31, 2010
•
Use the test strip immediately when you take it out of its foil packet.
•
Do not use a wet, bent, scratched, or damaged test strip.
•
Do not use the test strip if its foil packet has a puncture or tear in it.
•
Before you monitor, allow your monitor and test strip to reach the recommended operating temperature range of the test strip. The test strip operating temperature range is in the blood glucose test strip instructions for use.
•
Read the lancing device instructions for use.
18
How to Monitor Your Blood Glucose
Getting Started
1 Prepare your lancing device.
2 Wash your hands using warm soapy water and dry them completely.
3 Remove the test strip from its foil packet.
Note: For pictures that show how to open the blood glucose test strip foil packet, please see the information card in the box of blood glucose test strips.
4 Insert the three black lines at the end of the test strip into the strip port.
5 Push the test strip in until it stops.
The monitor turns on automatically.
These items show on the display window, one after the other:
•
Display Check – Remember to make sure that all items in the picture here show on the display window.
(See Chapter 1 for more information about the Display Check.)
19
•
Time, month, and day (if set)
If date and time are not set, dashes will show instead of numbers.
•
LOT number for the box of blood glucose test strips you are using.
•
Apply Sample message, which tells you that the monitor is ready for you to apply blood to the blood glucose test strip.
20
Obtaining A Blood Drop
Use your lancing device to obtain a blood drop.
Recommendations for Obtaining a Blood Drop
•
To obtain a sample from an alternative site (forearm, upper arm, or base of the thumb), use an appropriate alternative site lancing device.
Fingertip sampling
•
Before you obtain a blood sample from the fingertip, forearm, upper arm, or base of the thumb, make sure the sample site is clean, dry, and warm. To warm the sample site, wash it in warm water, rub the skin vigorously for a few seconds, or apply a warm pad to it.
Forearm sampling
•
Hang your arm down before pricking your finger or the base of the thumb to help blood flow.
Upper arm sampling
•
To obtain a blood sample from the arm, use a fleshy area away from bone. Avoid areas where there is a lot of hair.
•
Avoid squeezing the puncture site.
•
Apply the blood sample to the test strip immediately.
Base of thumb sampling
21
Lancets and Lancing Device
•
Lancets are for one-time use only. Use a new lancet each time you monitor.
•
Discard your used lancet properly. Put it in an empty puncture-resistant container, such as a plastic milk carton or detergent bottle.
•
Never share your lancing device or lancet with another person.
Applying the Blood Drop to the Test Strip
1 Touch the blood drop to the white area at the end of the test strip. The blood is drawn into the test strip.
Note: If the monitor shuts off before you apply blood to the test strip, remove the test strip from the monitor and try again.
2 Continue to touch the blood drop to the end of the test strip until the monitor begins the test. The monitor begins the test when:
•
You hear the beeper, if the beeper is ON.
•
The display window shows the status bar.
•
Then the display window shows the countdown.
Status bar
Note: Do not remove the test strip from the monitor or disturb it during the countdown.
Countdown
22
Important:
If the countdown does not start:
What It Means :
You might not have applied enough blood to the test strip.
What to Do:
•
Apply a second drop of blood to the test strip. Refer to your test strip instructions for use for the number of seconds you have to apply a second drop.
•
If the countdown still does not start, or if the number of seconds you have to apply a second drop have passed, discard the test strip, turn off your meter, and try again with a new test strip.
3 At the end of the countdown:
•
If the beeper is ON, listen for the beeper.
•
The blood glucose result shows on the display window.
•
The result is stored in your monitor’s memory. You may also write the result in your logbook.
Correct
✔
23
Shutting Off Your Monitor
1 Removing the test strip from the strip port turns off the monitor. You can use the opened foil packet to remove and discard your used test strip.
2 Discard the test strip properly.
Note: You may also turn the monitor off by Pressing and Holding the button. If you do not turn your monitor off or pull the test strip out, the monitor shuts off automatically after 60 seconds.
Understanding Your Result
"LO" Result
What It Means:
Your monitor has determined that your blood glucose result is lower than 20 mg/dL
(1.1 mmol/L) or there may be a problem with the test strip.
What to Do:
Monitor your blood glucose again with a new test strip. If LO shows on the display window again, contact your healthcare professional immediately .
24
Result 300 mg/dL or Higher
When your blood glucose result is 300 mg/dL
(16.7 mmol/L) or higher, KETONES? flashes on and off on the display window.
What to Do:
If you check your ketones as part of your diabetes management program, it is recommended that you check your blood β-Ketone.
"HI" Result
What It Means:
Your monitor has determined that your blood glucose result is higher than 500 mg/dL (27.8 mmol/L) or there may be a problem with the test strip.
What to Do:
Monitor your blood glucose again with a new test strip. If HI shows on the display window again, contact your healthcare professional immediately .
If you check your ketones as part of your diabetes management program, it is recommended that you check your blood β-Ketone.
25
"E4" Result
What It Means:
Your blood glucose may be too high to be read by the system, or there may be a problem with the test strip.
What to Do:
Monitor your blood glucose again with a new test strip. If E4 shows on the display window again, contact your healthcare professional immediately .
Important:
It is recommended that you repeat the blood glucose test with a new test strip when:
•
LO shows on the display window.
•
You obtain a low blood glucose result, but you do not have
symptoms of low blood glucose.
•
Your monitor displays a blood glucose result that is
unusually low, lower than 50 mg/dL (2.8 mmol/L).
•
HI shows on the display window.
•
You obtain a high blood glucose result, but you do not have
symptoms of high blood glucose.
•
Your monitor displays a result that is unusually high, higher
than 300 mg/dL (16.7 mmol/L).
•
You question your result.
•
Your monitor displays an error message (For example, E-4 ).
Important:
A result that is incorrect may have a serious medical outcome.
Consult your healthcare professional before changing your diabetes medication program.
26
Monitoring Your
Blood β-Ketone
CHAPTER 5
Questions? Call
Customer Care:
1-800-527-3339
It is important to check your ketones when:
•
You have an illness.
•
Your blood glucose is higher than 300 mg/dL
(16.7 mmol/L).
•
You are experiencing unusual blood glucose results.
•
You and your healthcare professional determine that it is necessary.
What You Will Need
•
Blood β-Ketone test strip with its instructions for use.
•
Precision Xtra monitor calibrated to match the LOT number of the blood β-Ketone test strip you are using.
•
Lancing device and a new, sterile lancet.
Important Information about Monitoring Your
Blood β-Ketone
•
For more detailed information about your blood β-Ketone test strip, please refer to its instructions for use before monitoring.
•
Do not use out-of-date test strips. Check the expiration date printed on the test strip box and on each test strip foil packet.
•
Do not put urine on the blood β-Ketone test strip.
•
Use the test strip immediately when you take it out of its foil packet.
Example:
Expiration date
March 31, 2010
27
•
Do not use a wet, bent, scratched, or damaged test strip.
•
Do not use the test strip if its foil packet has a puncture or tear in it.
•
Use each test strip only once.
•
Before you monitor your blood β-ketone, allow your monitor and test strip to reach the recommended operating temperature range of the test strip. The test strip operating temperature range is in the blood β-Ketone test strip instructions for use.
•
Read the lancing device instructions for use.
28
How to Monitor Your Blood β-Ketone
Getting Started
1 Prepare your lancing device.
2 Wash your hands using warm soapy water and dry them completely.
3 Remove the test strip from its foil packet.
Note: For pictures that show how to open the blood
β-Ketone test strip foil packet, please see the information card in the box of blood β-Ketone test strips.
4 Insert the three black lines at the end of the test strip into the strip port.
5 Push the test strip in until it stops.
The monitor turns on automatically.
These items show on the display window, one after the other:
•
Display Check – Remember to make sure that all items in the picture here show on the display window.
(See Chapter 1 for more information about the Display Check.)
29
•
Time, month, and day (if set)
If date and time are not set, dashes will show instead of numbers.
•
LOT number (CODE) for the box of blood
β-Ketone test strips you are using.
•
KETONE and Apply Sample message, which tell you that the monitor is ready for you to apply blood to the blood β-Ketone test strip.
Obtaining A Blood Drop
Use your lancing device to obtain a blood drop.
Important: Blood β-Ketone test strips have not been evaluated for alternative site monitoring. Use only fingertip blood samples for blood
β-Ketone monitoring.
30
Fingertip sampling
Recommendations for Obtaining A Blood Drop
•
Before you obtain a blood sample from the fingertip, make sure the sample site is clean, dry, and warm. To warm the sample site, wash it in warm water or rub the skin vigorously for a few seconds.
•
Hang your arm down before pricking your fingertip to help blood flow.
•
Avoid squeezing the fingertip.
•
Apply the blood sample to the test strip immediately.
Lancets and Lancing Device
•
Lancets are for one-time use only. Use a new lancet each time you monitor.
•
Discard your used lancet properly. Put it in an empty puncture-resistant container, such as a plastic milk carton or detergent bottle.
•
Never share your lancing device or lancet with another person.
Applying the Blood Drop to the Test Strip
1 Touch the blood drop to the white area at the end of the test strip. The blood is drawn into the test strip.
Note: If the monitor shuts off before you apply blood to the test strip, remove the test strip from the monitor and try again.
31
2 Continue to touch the blood drop to the white area at the end of the test strip until the monitor begins the test. The monitor begins the test when:
•
You hear the beeper, if the beeper is ON.
•
The display window shows the status bar.
•
Then the display window shows the countdown.
Note: Do not remove the test strip from the monitor or disturb it during the countdown.
IMPORTANT: If the countdown does not start:
Status bar
What It Means:
You might not have applied enough blood to the test strip.
What to Do: Countdown
•
Apply a second drop of blood to the test strip. Refer to your test strip instructions for use for the number of seconds you have to apply a second drop.
•
If the countdown still does not start, or if the number of seconds you have to apply a second drop have passed, discard the test strip, turn off your monitor, and try again with a new test strip.
3 At the end of the countdown:
•
If the beeper is ON, listen for the beeper.
•
The blood β-Ketone result shows on the display window with the word KETONE .
•
The result is stored in your monitor’s memory as a blood β-Ketone result. You may also write the result in your logbook.
32
Shutting Off Your Monitor
1 Removing the test strip from the strip port turns off the monitor. You can use the opened foil packet to remove and discard your used test strip.
2 Discard the test strip properly.
Note: You may also turn the monitor off by Pressing and not turn your monitor off or pull the test strip out, the monitor shuts off automatically after 60 seconds.
Understanding Your Result
Blood β-Ketone is expected to be lower than 0.6 mmol/L.
2
Blood β-Ketone may be higher when a person is ill, is fasting, exercises vigorously, or if blood glucose levels are not controlled.
1-3
When:
•
Blood β-Ketone result is between 0.6 and 1.5 mmol/L and blood glucose result is 300 mg/dL (16.7 mmol/L) or higher:
What It Means:
A problem requiring medical assistance may be occurring.
What to Do:
Contact your healthcare professional. Follow his or her instructions for sick day management.
33
When:
•
Blood β-Ketone result remains high or becomes higher than 1.5 mmol/L:
What It Means:
You may be at risk of developing diabetic ketoacidosis
(DKA).
2-6
What to Do:
Contact your healthcare professional immediately .
"HI" Result
What It Means:
Your monitor has determined that your blood β-Ketone result is higher than 8.0 mmol/L, or there may be a problem with the test strip.
What to Do:
Monitor your blood β-Ketone again with a new test strip. If HI shows on the display window again, contact your healthcare professional immediately .
34
" E-4" Result
What It Means:
There may be a problem with the test strip.
What to Do:
Monitor your blood β-Ketone again with a new test strip. If E-4 shows on the display window again, contact your healthcare professional immediately .
IMPORTANT: It is recommended that you repeat the blood β-Ketone test with a new test strip when:
•
HI appears in the display window.
•
Your result is unusually high.
•
You question your result.
•
You obtain a 0.0 mmol/L blood β-Ketone result BUT your blood glucose is higher than 300 mg/dL (16.7 mmol/L).
IMPORTANT: A result that is incorrect may have a serious medical outcome. Consult your healthcare professional before changing your diabetes medication program.
35
CHAPTER 6
Questions? Call
Customer Care:
1-800-527-3339
Doing A Control Solution Test
Why Do A Control Solution Test?
The control solution test tells you that your monitor and test strips are working correctly. A control solution test is similar to when you monitor your blood glucose or blood β-Ketone, except you use a Precision or MediSense Control Solution. You do not use a drop of blood in a control solution test.
When Is Doing A Control Solution
Test Recommended?
•
When you question your results.
•
To make sure that your monitor and test strips are working properly.
Important Information about
Control Solution Testing
•
For more detailed information on how to obtain control solutions, please contact Customer Care at 1-800-527-3339.
•
For more detailed information about control solutions, read the control solution instructions for use.
•
Precision or MediSense Control Solutions may be used for glucose or ketone control solution testing.
•
Do not use the control solution if the expiration date has passed. Check the expiration date printed on the control solution bottle.
•
When you open a control solution bottle for the first time, count forward 90 days and write this date on the control solution bottle using a pen that won’t smear or wipe off.
Throw away any remaining solution after this date.
36
•
The results obtained from control testing do not reflect your personal blood glucose or blood β-Ketone levels in any way.
•
Do not swallow the control solution.
•
Do not inject the control solution or use the control solution as eye drops.
What You Will Need
•
Precision Xtra monitor calibrated to match the LOT number of the test strip you are using
•
Blood glucose or blood β-Ketone test strip and its instructions for use
•
Precision or MediSense Control Solutions and instructions for use
How to Do Control Solution Testing
Getting Started
1 Wash your hands using warm soapy water and dry them completely.
2 Remove the test strip from its foil packet.
Note: For pictures that show how to open the blood glucose test strip foil packet, please see the information card in the box of blood glucose test strips.
37
3 Insert the three black lines at the end of the test strip into the strip port.
4 Push the test strip in until it stops.
The monitor turns on automatically.
These items show on the display window, one after the other:
•
Display Check – Remember to make sure that all items in the picture here show on the display window.
(See Chapter 1 for more information about the Display Check.)
•
Time, month, and day (if set)
If date and time are not set, dashes will show instead of numbers.
•
LOT number for the box of test strips you are using.
•
Apply Sample message, which tells you that the monitor is ready for you to apply control solution to the test strip.
Glucose β-Ketone
Note: If you are a doing a β-Ketone control solution test, KETONE will show on the monitor’s display window with the β-Ketone Apply Sample message.
38
5 To mark the test as a control test, Press and Release the button once. shows on the display window.
Important: If you do not mark the test as a control test, it will be saved in your monitor’s memory as one of your personal blood glucose or blood β-Ketone results. This could affect your blood glucose averages.
Applying Control Solution to the Test Strip
1 Turn the control solution bottle upside down three to four times to mix the solution.
2 Remove the cap.
3 Apply a drop of control solution to the test strip in the area shown here. The control solution is drawn into the test strip.
4 Continue to touch the control solution to the test strip until the monitor begins the test.
The monitor begins the test when:
•
You hear the beeper, if the beeper is ON.
•
The display window shows the status bar.
•
Then the display window shows the countdown.
Status bar
Countdown
39
Note: Do not remove the test strip from the monitor or disturb it during the countdown.
Important: If the countdown does not start:
What It Means:
You might not have applied enough control solution to the test strip.
Glucose
What to Do:
•
Apply a second drop of control solution to the test strip. Refer to your test strip instructions for use for the number of seconds you have to apply a second drop.
•
If the countdown still does not start, or if the number of seconds you have to apply a second drop have passed, discard the test strip, turn off your meter, and try again with a new test strip.
5 At the end of the countdown:
•
If the beeper is ON, listen for the beeper.
•
The control result shows on the display window.
β-Ketone
Note: If you are doing a β-Ketone control solution test,
KETONE will also show with the result.
•
The result is stored in your monitor’s memory as a control result. In your logbook, record the result as a control result.
40
Shutting Off Your Monitor
1 Removing the test strip from the strip port turns off the monitor. You can use the opened foil packet to remove and discard your used test strip.
2 Discard the test strip properly.
Note: You may also turn the monitor off by Pressing and Holding the monitor off or pull the test strip out, the monitor shuts off automatically after 60 seconds.
Understanding Your Result
Compare the control result to the "Expected Results for Use with
Precision or MediSense Control Solutions" range printed on:
•
The blood glucose test strip instructions for use, for glucose control solution testing.
•
The blood β-Ketone test strip instructions for use, for
β-Ketone control solution testing.
If the control result falls within the range:
What It Means
Your monitor and test strips are working correctly.
If the control result does not fall within the range:
What It Means
Your monitor and test strips may not be working correctly.
What to Do
Repeat the test with a new test strip and ensure the control solution testing instructions are followed completely. If the result is still not within the printed range, contact Customer Care.
41
CHAPTER 7
Questions? Call
Customer Care:
1-800-527-3339
Reviewing & Using
Your Results
What Can Your Monitor Show You?
Memory
Your Precision Xtra monitor has a memory that stores up to 450 events. This is a combination of control results, your personal blood glucose and blood β-Ketone results, and other monitor information.
You can review up to 450 of your most recent events on your monitor’s display window.
Glucose Averages
You can view the average of all your blood glucose results from the last 7, 14, or 30 days. If you marked your control solution tests, the averages do not include control solution results. (For more information on marking control solution tests, see Chapter 6.)
Important:
•
To review blood glucose averages, you must set the date and time before monitoring.
•
If you do not mark control solution tests, this may affect your glucose averages.
•
Blood glucose averages do not include blood
β-Ketone results, glucose control results,
β-Ketone control results, or results that do not show the time, month, and day.
•
When there are no previous results or blood glucose averages to review, the display window shows three dashes.
➡
42
How to See Results in Memory
1 Begin with your monitor turned off.
Make sure there is nothing in the strip port.
2 Press and Release the button.
•
The Display Check shows on the display window.
•
Then your most recent result shows with its units on the monitor’s display window, along with the time, month, and day that you got the result. (To set the correct date and time, follow the steps in Chapter 2.)
A blood glucose result in Memory will show with the letters MEM .
Blood Glucose result in Memory
A blood β-Ketone result in Memory will show with the letters KET MEM .
Blood β-Ketone result in Memory
43
A control solution result in Memory shows with a control bottle, as long as you marked the test as a control solution test.
Glucose control solution result in Memory
3 To review previous results, Press and
Release the button once per result.
β-Ketone control solution result in Memory
4 When you reach the last result in
Memory, the display window shows three dashes.
5 To return to a result you previously reviewed, Press and Release the button once per result.
44
How to See Averages
Important:
•
Results that show as LO during blood glucose monitoring are included as 20 mg/dL (1.1 mmol/L) in blood glucose averages.
•
Results that show as HI during blood glucose monitoring are included as 500 mg/dL (27.8 mmol/L) in blood glucose averages.
1 While in Memory, Press and time to see the 7-Day average of your blood glucose results.
Note: n means how many tests were performed within the 7-, 14-, or 30-Day average period.
2 Press and Release the button once to see the 14-Day average of your blood glucose results.
3 Press and Release the button again to see the 30-Day average of your blood glucose results.
If you Press and Release the button again, the display window shows the 7-Day average.
45
4 Press and Release the button
5 Press and Hold the button to turn off your monitor. Otherwise, the monitor turns off after 30 seconds.
Transferring Your Results to a Computer
Download of test results to a computer requires a compatible data management system.
For more information, please go to our website or call Customer Care.
46
CHAPTER 8
Understanding &
Troubleshooting
Error Messages
Questions? Call
Customer Care:
1-800-527-3339
There are times when error messages may show on your monitor’s display window.
In the next few pages, we describe the error messages that may show on your monitor’s display window, what they mean, and what you need to do.
Message
What It
Means
Temperature is too hot or too cold for the system to work properly.
What You
Need to Do
• Move your monitor and test strips to a location where the temperature is appropriate and monitor again with a new test strip. You may have to wait for your monitor to adjust to the new temperature.
Refer to your test strip instructions for use for the appropriate operating temperature range.
• If the error message appears again, contact
Customer Care.
47
Message
What It
Means
Monitor error.
What You
Need to Do
• Turn the monitor off, then repeat previous monitoring steps.
• If the error message appears again, contact
Customer Care.
There may be a problem with the test strip.
• Review the monitoring instructions.
• Monitor again with a new test strip.
• If the error message appears again, contact
Customer Care.
Blood glucose result may be too high to be read by the system.
OR
There may be a problem with the blood glucose or blood β-Ketone test strip.
• Monitor again with a new test strip.
• If the error message appears again, contact your healthcare professional immediately .
48
Message
What It
Means
Blood applied to test strip too soon.
What You
Need to Do
• Review the monitoring instructions.
• Monitor again with a new test strip.
• If the error message appears again, contact
Customer Care.
Calibration/Test strip error.
• Repeat the calibration using the calibrator bar that came with the test strip you are using.
• Check the date setting on your monitor.
• Check the expiration date on the test strip foil packet.
• If the error message appears again, contact
Customer Care.
Test strip error.
Test strip is damaged, used, or the monitor does not recognize it.
• Monitor again using a test strip designed for use with Precision Xtra monitors.
• If the error message appears again, contact
Customer Care.
49
Message
What It
Means
Monitor error.
What You
Need to Do
• Remove test strip, turn monitor off, and try to monitor again.
• If the error message appears again, contact
Customer Care.
Monitor error.
• Remove test strip, turn monitor off, and try to monitor again.
• If the error message appears again, contact
Customer Care.
50
Your Monitor’s
Specifications
& Limitations
CHAPTER 9
Questions? Call
Customer Care:
1-800-527-3339
Size
Length:
Width:
Thickness:
Weight
Power Source
Battery Life
Memory
2.94" (7.47 cm)
2.10" (5.33 cm)
1.70" (4.32 cm)
0.64" (1.63 cm)
1.41-1.62 ounces (40-46 grams )
One CR 2032 Lithium (coin cell) battery
Approximately 1,000 tests
Up to 450 events including control results, personal blood glucose and blood β-Ketone results, and other monitor information
Storage Temperature
Meter:
Test Strips:
Control Solution:
Blood Glucose
Assay Range
Blood β-Ketone
Assay Range
Control Solution
Range
-13º to 131ºF (–25º to 55ºC)
See test strip instructions for use
See control solution instructions for use
See blood glucose test strip instructions for use
See blood β-Ketone test strip instructions for use
See blood glucose or blood β-Ketone test strip instructions for use
51
Functions - Blood glucose monitoring
- Blood β-Ketone monitoring
- Memory 450 events
- Glucose averaging: 7-Day, 14-Day, and
30-Day Averages
- Control solution marking and testing
- Backlight: If ON – Stays ON during countdown; turns OFF 30 seconds after result is displayed. If OFF – Stays
OFF during countdown; stays OFF during data upload
- Beeper: If ON – Beeps when calibrator is fully inserted and when countdown starts and finishes
Yes Data port
Meter Operating
Range
Temperature:
Relative Humidity:
System Operating
Range
Temperature:
50º to 122ºF (10º to 50ºC)
10% to 90%, non-condensing
Relative Humidity:
The system operating range is the operating range of the test strip you are using. See test strip instructions for use
10% to 90%, non-condensing
52
Important Information about Using Blood
Samples from the Forearm, Upper Arm, or Base of the Thumb:
•
Contact your healthcare professional before you begin using any one of these alternative sites to test your blood glucose.
•
Sampling from any one of these alternative sites may cause minor bruising and may leave marks that go away in a short time.
•
There may be times when alternative site results are different from fingertip results. This happens when blood glucose levels change rapidly (for example, after you eat a meal, after you take insulin, or during or after exercise).
•
Use alternative sites to monitor your blood glucose before, or more than two hours after, you eat a meal, take insulin, or exercise.
•
Do not use blood samples from alternative sites when:
1. You think your blood glucose is low or is changing rapidly,
2. You have been diagnosed with hypoglycemic unawareness,
3. The results from alternative sites do not match the way you feel,
4. It is within two hours of eating a meal, taking insulin, or exercising, or
5. You monitor your blood β-Ketone.
53
CHAPTER 10
Questions? Call
Customer Care:
1-800-527-3339
Caring For
Your Monitor
Cleaning Your Monitor
Store your monitor in its carrying case.
If the surface of your monitor gets dirty, you may clean it.
Use a damp cloth and mild soap.
Healthcare professionals: Acceptable cleaning solutions include 10% Bleach, 70% Alcohol, or 10% Ammonia.
IMPORTANT:
Do not try to clean the strip port.
Do not pour liquid into the strip port or buttons.
Do not place your monitor in water or any other bath.
Replacing Your Monitor’s Battery
When your monitor needs its batteries replaced, the display window shows one of two things:
This means the battery is low. You may still use your monitor and the results will be accurate. However, the backlight is not useable. It is recommended that you replace the battery at this time.
➡
This means the battery must be replaced.
The monitor is not useable.
The monitor turns off automatically.
➡
IMPORTANT:
Do not remove the old battery until you have a new battery to install. It may be necessary to reset the time and date once you install a new battery.
54
How to Replace Your Monitor's Battery
If your monitor has a plastic tab, use these directions.
1 Gently push the battery cover in and up with your thumb.
If your monitor has no plastic tab follow these directions.
1 Gently push the battery cover in and up with your thumb.
2 Lift the battery cover out of the monitor.
2 Lift the battery cover out of the monitor.
3 Pull on the plastic tab sticking out of the monitor to remove the old battery.
4 Insert a new
CR 2032
Lithium
(coin cell) battery with the plus sign (+) facing up.
3 To remove the battery, push the battery upward to release the battery.
4 Insert a new
CR 2032
Lithium
(coin cell) battery with the plus sign (+) facing up.
55
5 Place the notches on the battery cover into the appropriate molded areas.
6 Gently push the battery cover in and down until you hear a click.
7 Press and Hold the button to turn your monitor on. If your monitor does not turn on, review the battery installation steps and reinstall the battery.
8 Check the date and time on your monitor. You may automatically be prompted to reset the time and date when you first press the button to turn your monitor on. (See Chapter 2,
Setting Up Your System).
9 Be sure to discard the old battery in compliance with your local government’s regulations.
56
References
1. Schade DS, Eaton RP. Metabolic and clinical significance of ketosis. Special Topics in Endocrinology and Metabolism 1982;
4:1–27.
2. Wiggam MI, O’Kane MJ, Harper R, Atkinson AB, Hadden DR,
Trimble ER, Bell PM. Treatment of diabetic ketoacidosis using normalization of blood
3-hydroxybutyrate concentration as the endpoint of emergency management. Diabetes Care 1997; 20:1347–52.
3. Harano Y, Kosugi K, Hyosu T, Suzuki M, Hidaka H, Kashiwagi A,
Uno S, Shigeta Y. Ketone bodies as markers for Type 1 (insulindependent) diabetes and their value in the monitoring of diabetes control. Diabetologia 1984; 26:343–8.
4. Ubukata E. Diurnal variation of blood β-Ketone bodies in insulin-dependent diabetes mellitus and non-insulin-dependent diabetes mellitus patients: The relationship to serum C-peptide immunoreactivity and free insulin. Ann Nutr Metab 1990;
34:333–42.
5. Luzi L, Barrett EJ, Groop LC, Ferrannini E, DeFronzo RA. Metabolic effects of low-dose insulin therapy on glucose metabolism in diabetic ketoacidosis.
Diabetes 1988; 37:1470–77.
6. Hale PJ, Crase J, Nattrass M. Metabolic effects of bicarbonate in the treatment of diabetic ketoacidosis. Br Med J 1984;
289; 1035–8.
57
Manufacturer:
Abbott Diabetes Care Inc.
1360 South Loop Road
Alameda, CA 94502 USA
Customer Care available 24 hours a day, 7 days a week at 1-800-527-3339 or visit us online at: AbbottDiabetesCare.com
For in vitro diagnostic use.
Reorder No.: 70297-02
MediSense, Precision and Precision Xtra are trademarks of the Abbott Group of Companies in various jurisdictions.
© 2008 Abbott
ART21070-101 Rev. A 11/09
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Key features
Measures both blood glucose (sugar) and blood β-Ketone
Indicated for home or professional use
For self-testing or healthcare professional use outside the body
Stores up to 450 events in memory
Calculates averages of blood glucose results from the last 7, 14, or 30 days
Frequently asked questions
You should calibrate your monitor when you use it for the first time and each time you open a new box of blood glucose or blood β-Ketone test strips.
The "LO" result means that your monitor has determined that your blood glucose result is lower than 20 mg/dL (1.1 mmol/L), or there may be a problem with the test strip. Monitor your blood glucose again with a new test strip. If LO shows again, contact your healthcare professional immediately.
A control solution test is recommended when you question your results, or to make sure that your monitor and test strips are working properly.
