OWNER’S GUIDE
Key Feature in the
AgaMatrix Presto®
No Coding Required The AgaMatrix Presto doesn’t require
you to code your meter. Insert a test
strip and you are ready to test.
Toll Free, 24-Hour Customer Service: +1 (866) 906 4197
In case of emergency, contact your healthcare professional or
emergency medical response.
Manufacturer:
AgaMatrix, Inc.
7C Raymond Avenue
Salem, NH 03079 USA
©2009-2011 AgaMatrix, Inc.
Meter Firmware ©2004-2011 AgaMatrix, Inc.
US and International Patents Pending. All rights reserved. All trademarks and copyrights
are the property of their respective owners.
8100-02682 Rev G
1
Contents
CHAPTER
2
TITLE
PAGE
CHAPTER
TITLE
PAGE
1
Getting Started
4
11 Display Messages
35
2
Important Health-related Information
4
12 Setting Alarms
38
3
Important Information About Your AgaMatrix
Presto System
5
13 Setting Meter Volume and Backlight
40
14 Setting Time Format, Time, and Date
41
4
About the AgaMatrix Presto System
8
Meter Basics
14
15 Setting Hypoglycemic and Hyperglycemic
Warning Alarms
43
5
6
Performing a Control Solution Test
16
16 Error Messages and Troubleshooting
45
7
How To Test Your Blood Glucose Level
21
17 Batteries
49
8
Testing on Your Palm or Forearm
27
18 Caring for Your Meter and Lancing Device
51
9
View 14, 30, and 90 Day Averages and Graphs
30
19 Meter Specifications
52
10 Time-of-Day Averages and Individual Results
33
20 Warranty
54
3
Unpack your AgaMatrix Presto Blood Glucose Monitoring
System. Dispose of the packing material properly.
IMPORTANT: To ensure accurate use of meter, verify the
time, date and units of measure.
CHAPTER
For step-by-step instructions on setting the time and date
settings, please refer to chapter 14 “Setting Time Format,
Time, and Date.”
2
Important Health-related Information
Please Read the Following:
[1] Inaccurate results may occur in severely hypotensive
individuals or patients in shock. Inaccurate low results
may occur for individuals experiencing a hyperglycemichyperosmolar state, with or without ketosis. Critically ill
patients should not be tested with blood glucose meters.
[2] Severe dehydration and excessive water loss may yield
inaccurate results. If you believe you are suffering from severe
dehydration, consult your healthcare professional immediately.
[3] Patients undergoing oxygen therapy may receive
inaccurate results.
[4] Results below 70 mg/dL may mean low blood glucose levels
4
[5] Results over 240 mg/dL may mean high blood glucose
levels (hyperglycemia). Checking ketones may be advisable.
[6] If you get results below 70 mg/dL or above 240 mg/dL and
do not have symptoms of hypoglycemia or hyperglycemia,
repeat the test. If you have symptoms, or continue to get
results that fall below 70 mg/dL or rise above 240 mg/dL,
follow the treatment plan recommended by your healthcare
team or contact your healthcare professional immediately.
[7] If you are experiencing symptoms that are not consistent
with your blood glucose test and you have followed all
instructions described in the AgaMatrix Presto Owner’s Guide,
follow your healthcare professional’s recommendations.
[8] Do not use test strips that are expired or appear to be
damaged as they may return inaccurate results.
[9] Healthcare professionals should follow their institution’s
infection control protocols.
[10] Always follow your healthcare professional’s
recommendations.
CHAPTER
CHAPTER
1
(hypoglycemia).
Getting Started
3
Important Information About Your
AgaMatrix Presto System
The AgaMatrix Presto System should be used:
[1] For measuring blood glucose levels from fresh capillary
whole blood samples taken from the fingertip, palms (at the
5
base of the thumb), or forearms.
[2] For in vitro (i.e. outside of the body) diagnostic use only.
[3] With AgaMatrix Presto Test Strips and AgaMatrix Control
Solution only. Do not use other brands of test strips and
control solution with this meter. This may produce inaccurate
results.
[4] For use at home (over the counter (OTC)) by persons with
diabetes, or in a clinical setting by healthcare professionals, as
an aid to monitor the effectiveness of diabetes control.
Physiological differences in
circulation between the fingertip,
palm (at the base of the thumb),
and forearm may result in
differences in blood glucose
measurements between these
sites. Differences in glucose
concentrations may be observed
after eating, taking insulin medication, or
exercise. Changes in blood glucose may be
detected in the fingertips before the palm (at the
base of the thumb) and forearm.
Do not use the AgaMatrix Presto System for:
[1] The diagnosis of diabetes.
It is recommended that you use a fingertip sample if:
[2] Testing the glucose levels of neonates (children under 4
weeks).
[1] You are testing for hypoglycemia or if you suffer from
hypoglycemia unawareness,
[3] Testing glucose levels of arterial or venous blood.
[2] You are testing your blood glucose within 2 hours of
eating, taking insulin, medication, exercise, or
[4] Testing glucose from sites other than the fingertip, palm
(at the base of the thumb), or forearm.
Possible test sites:
The AgaMatrix Presto System requires only 0.5 μL of blood to
perform a glucose test. For the best results, test glucose from
the tips of any finger. The palm (at the base of the thumb) and
forearm are alternate, but less accurate, test sites. Only select soft
and fleshy areas to lance. Avoid lancing any bony areas, obvious
veins and moles.
6
[3] Your blood glucose results obtained from the palm (at the
base of the thumb) or forearm are not consistent with the way
you feel.
CAUTION: Please read all the instructions provided in this
owner’s guide and practice the testing procedures before
using the AgaMatrix Presto Blood Glucose Monitoring
System. Blood glucose monitoring should be done under
the guidance of a healthcare professional.
7
CHAPTER
4
About the AgaMatrix Presto System
About the AgaMatrix Presto Test Strip
With your AgaMatrix
Presto System, you can
test your blood glucose
on your fingertips,
palms (at the base
of the thumb) and
forearms. Testing with
the AgaMatrix Presto
System requires a small
sample size; 0.5 μL of
blood, about the size of
a pinhead.
Contact Bars: Insert this
end, facing up, into the
meter’s test strip port.
Visual Fill Window: The
window will turn red when
enough blood has been
applied or blue when
enough control solution
has been applied.
Sample Area: Apply blood
or control solution to the
tip of the test strip here.
CAUTION: Discard used test strips properly.
Important Test Strip Information:
[1] Store the AgaMatrix Presto Test Strip vial in a cool, dry
place at 46 °F to 86 °F (8 °C to 30 °C).
[2] Use AgaMatrix Presto Test Strips only within the system
operating temperature range of 50 °F to 104 °F (10 °C to 40 °C).
[3] Keep away from direct sunlight and heat.
[4] Store your AgaMatrix Presto Test Strips in their original vial
only; never store them in another vial, any other container or
outside the vial.
[5] After removing an AgaMatrix Presto Test Strip from the
vial, immediately close the vial cap tightly.
[6] With clean, dry hands you may gently handle the
AgaMatrix Presto Test Strip when removing it from the vial or
inserting it into the meter.
IMPORTANT: Use AgaMatrix Presto Test Strips only once.
[7] Do not use AgaMatrix Presto Test Strips beyond the expiration date or 90 days after first opening the vial. This may cause
inaccurate results. Write the discard date (90 days from the
first opening) on the test strip vial.
[8] Do not bend, cut or alter AgaMatrix Presto Test Strips.
[9] Apply only fresh capillary blood or control solution to the
sample area of the AgaMatrix Presto Test Strip.
8
9
About the AgaMatrix Presto Meter
About the AgaMatrix Presto Meter Display Segments
(1) Display: Glucose test results, symbols, messages and
graphs appear here.
1
(2) CENTER Button: Use the CENTER button to confirm an
option or make a selection in a menu.
2
(3) RIGHT Arrow Button: Use the RIGHT arrow button to
scroll forward through options.
4
5
(4) Test Strip Port: Insert the AgaMatrix Presto Test Strip,
with the contact bars facing up, into the test strip port.
(5) LEFT Arrow Button: Use the LEFT arrow button to scroll
backward through options.
3
7
6
(1) Date and Time: Appears here, including when the meter
is deactivated.
(2) Glucose Test Results
2
(3) Low Battery: Appears when the batteries in your meter
are running low.
1
(4) Temperature Symbol: Appears when the meter is
outside its operating temperature range of 50 °F to 104 °F
(10 °C to 40 °C ).
5
3
4
(5) Ketone Symbol: Appears when your glucose test results
are higher than 240 mg/dL.
(6) Control Solution Symbol: Appears after you have performed a control solution test.
(7) Units of Measurement: Results will be displayed in
mg/dL.
10
11
8
9
12
11
About the AgaMatrix Lancing System
10
13
1
6
2
5
14
7
8
15
(8) Apply Sample to Test Strip: The test strip symbol and
flashing droplet symbol will signal you to apply sample to
the test strip.
(9) Sample Entering Test Strip: The three droplet symbols
will appear within the test strip symbol when blood or
control solution enters the test strip.
3
4
9
(1) Cocking Handle: Cocks the device so it is ready to lance.
(2) Depth Adjustment Dial: Adjusts how deep the lancet
will lance the skin.
(10) High Volume: Large bell indicates high volume.
(3) Depth Indicator Window: Displays the depth setting of
the lancing device.
(11) Low Volume: Small bell indicates low volume.
(4) Release Button: Fires the lancet.
(12) Volume OFF: Small bell with a line across it indicates
the volume is muted.
(5) Lancet: Lances the skin to produce a drop of blood.
(6) Lancet Cover: Covers the lancet for safety.
12
(13) 14, 30, and 90 Day Indicators: The appropriate
number of days will appear when viewing graphical
averages.
(7) Lancing Device Cap: Covers the lancet when in lancing
device.
(14) 1,2,3 Countdown: The 1, 2 and 3 symbols will appear
during a test.
(8) Alternate Site Testing Cap: Used for obtaining a blood
sample on the palm (at the base of the thumb) or forearm.
(15) Graphing Area: Areas of the dot matrix will appear
during a test and when displaying graphs.
(9) Lancet Holder Cup: Holds the lancet into place inside
the lancing device.
13
CHAPTER
5
Meter Basics
METER SYSTEM CHECK
Each time your meter is first activated, the
meter will perform a meter system check.
All display segments and the backlight will
briefly flash ON.
IMPORTANT: If all the display segments
DO NOT flash ON (each time your meter is
first activated), do not use the meter. Call
customer service immediately.
HOW TO ACTIVATE THE METER AND
View Individual Results:
[1] When your meter is deactivated, press any button once.
The display shows the most recent test result with time and
date. [2] Press the LEFT arrow button repeatedly to scroll thru
every test result, starting from the most recent and ending
with the oldest.
View Time-of- Day Averages:
[1] When your meter is deactivated, press any button once. The
display shows the most recent test result with time and date.
[2] Press the RIGHT arrow button repeatedly to scroll thru
your Breakfast, Lunch, Dinner, and Bedtime Averages.
[2] Press the RIGHT or LEFT arrow buttons to view the options:
MEM (14, 30, and 90 Day Averages and Graphs), SET (meter
settings), and AL1 to AL6 (reminder alarms 1 thru 6).
Enter MEM (Memory) Mode to view 14, 30, and 90 Day
Averages and Graphs:
[1] Enter the MENU mode.
[2] Press the RIGHT or LEFT arrow buttons until the MEM
symbol is displayed.
[3] When the MEM symbol is displayed, press the CENTER
button.
Enter SET (Settings) Mode:
[1] Enter the MENU mode.
[2] Press the RIGHT or LEFT arrow buttons until the SET
symbol is displayed.
[3] When the SET symbol is displayed, press the CENTER
button.
HOW TO DEACTIVATE THE METER
To deactivate the meter, press and hold the CENTER button
for 2 seconds. If left inactive for 3 minutes, the meter will be
deactivated automatically.
HOW TO ACCELERATE THRU OPTIONS
Hold down the RIGHT or LEFT arrow buttons to accelerate
thru options or results.
Enter MENU Mode:
[1] When your meter is deactivated, press and hold any
button for 2 seconds to enter the MENU mode.
14
15
CHAPTER
6
Performing a Control Solution Test
The AgaMatrix Presto system has 2 different levels of control
solution: normal and high. Select the level of control solution
you want to use.
The control solution is used to:
[1] Ensure that your AgaMatrix Presto Meter and Test Strips
are working together properly.
IMPORTANT: Count forward 90 days from the date you
open a new bottle of AgaMatrix Control Solution. This is
your discard date. Write the discard date on the AgaMatrix
Control Solution bottle.
Important AgaMatrix Control Solution information:
[1] Use only AgaMatrix Control Solution with your AgaMatrix
Presto System.
[2] Replace the cap on the control solution bottle
immediately after use.
[2] Practice testing without having to use your own blood.
[3] Do not add water or any other liquid to control solution.
Control solution tests should be performed when you:
[1] First get your meter.
[4] Control solution tests should be performed within the
system operating temperature range of 50 °F to 104 °F (10 °C
to 40 °C).
[2] Suspect that your meter or test strips are not working
properly.
How to perform a control solution test:
[3] Think your test results are not accurate.
[4] Have dropped or damaged your meter or exposed your
meter to liquids.
[1] Inserting an AgaMatrix
Presto Test Strip: Gently
insert a new AgaMatrix Presto
Test Strip into the meter. The
meter will be activated.
[5] Are advised by your healthcare professional to do so.
Control solution should only be used for 90 days after first
opening the bottle or until the expiration date printed on the
label, whichever comes first.
16
[2] Meter Ready For Test: The meter now displays the blood
drop and test strip symbols. The AgaMatrix Presto System is
now ready for you to apply control solution. You do not need to
set a calibration code for this meter.
17
[3] Applying Control Solution: Shake
the control solution bottle. Discard the
first drop of control solution and wipe
the bottle tip clean using a clean tissue
or paper towel. Dispense a second drop
onto a clean surface, such as an unused
resealable plastic bag.
On the AgaMatrix Presto Meter display,
the droplet symbols appear on the test
strip symbol.
Bring the tip of the test strip to the control solution sample.
The AgaMatrix Presto System will automatically detect if a test
is performed with AgaMatrix Control Solution.
This is the visual
fill window. DO
NOT PUT CONTROL
SOLUTION HERE.
Apply control
solution here.
When control solution is applied, the visual fill window on the
AgaMatrix Presto Test Strip turns blue.
The entire
visual fill
window will
turn blue.
[4] Viewing Control Solution Test Result:
The result will appear on the display and, if
the volume is enabled, your meter will beep
once. The word “control” will also appear on
the display.
Compare the result of your control solution
test to the range printed on the AgaMatrix
Presto Test Strip vial label for the control
solution level (normal or high) that you
used. Your control solution result should fall
within this range. The control solution test
result is stored in memory.
To deactivate the meter, remove
the used AgaMatrix Presto Test
Strip. Dispose of used materials
properly. If your control solution
test results are out of the range,
repeat the test. If the results from
the control solution tests continue
to fall outside that range, do not use
the AgaMatrix Presto System to test
your blood glucose. Call customer
service.
Normal: 80-120 mg/dL
High: 220-320 mg/dL
FOR EXAMPLE ONLY.
Refer to your test
strip vial label for
corresponding range.
Your meter will beep once indicating that you should remove
the tip of the AgaMatrix Presto Test Strip from the control
solution sample.
18
19
[1] Expired or defective control solution.
[2] Expired or defective test strip.
[3] Error in performing test.
CHAPTER
IMPORTANT: Out-of-range results may be due to one or
more of the following factors:
7
How to Test Your
Blood Glucose Level
CAUTION: To ensure accurate results, wash your hands with
warm, soapy water and dry before every test. Make sure
there is no grease, oil or lotion on the test site. Use lancets
only once. Do not use any lancet that has been used by
another person. Unwashed hands may lead to inaccurate
results.
[4] Watered-down control solution.
How to test your blood glucose level:
[5] Meter malfunction.
[6] Control solution test done outside the system operating
temperature of 50 °F to 104 °F (10 °C to 40 °C).
[7] Failure to shake the control solution bottle vigorously
before using.
[8] Failure to discard the first drop of control solution and to
wipe the bottle tip clean.
CAUTION: Results from control solution tests do not reflect
your blood glucose level. The control solution range is a
target range for control solution only. It is not a target
range for your blood glucose level.
[1] Preparing the AgaMatrix Lancing Device: Use the gray
cap for testing on a fingertip and the clear cap for testing on
the palm (at the base of the thumb) or forearm.
Remove Lancing Device Cap:
Snap off the cap from the lancing
device.
Insert New Lancet: Insert a new
AgaMatrix Lancet firmly into the
lancet holder cup. Pushing the
lancet into the lancet holder cup may cock the device; this is OK.
Twist the Lancet Cover Off: Hold
the lancet firmly in place with one
hand and use your other hand to
twist off the lancet cover. Do not discard the lancet cover. It
should be used when discarding your used lancet.
Replace Lancing Device Cap:
Replace the lancing device cap
20
21
until it snaps into place. Be careful not to touch the exposed
needle on the lancet.
AgaMatrix Presto System is now ready for you to apply blood.
You do not need to set a calibration code for this meter.
Set the Lancing Level: The AgaMatrix Lancing Device offers 8 depth settings. Rotate the
dial to the desired setting as shown in the
depth indicator window. Level 1 is the most
shallow; level 8 is the deepest. If you have
never lanced before, it is recommended that
you start at level 3.
[3] Lancing: To ensure accurate results, wash hands with
warm, soapy water and dry before every glucose test. For
details on possible test sites, refer to chapter 3, “Important
Information About Your AgaMatrix Presto System.”
Cock the Handle: Pull the
cocking handle out until it
clicks. You may have already
cocked the handle accidentally while inserting the lancet; this
is OK. The lancing device is now ready for use.
Note: Keep your hand warm or gently massage the site you are
lancing to stimulate blood flow.
For instructions on how to test on your palm or forearm,
please refer to chapter 8, “Testing On Your Palm or Forearm.”
Lance Test Site: Press the lancing device against the site to be
lanced. Press the release button.
[2] Insert an AgaMatrix Presto Test Strip:
Insert a new AgaMatrix Presto Test Strip into
the meter.
Make sure you insert the test strip, with the
contact bars facing up, into the test strip port.
The meter will be activated when the test strip
is fully inserted.
Express Blood Drop: Wipe away
the first blood drop that appears
using a clean tissue or paper
towel. Squeeze from the base of
your finger up towards the tip,
until a second small blood drop
forms. Do not squeeze directly
around the lanced area.
Release
Button
Note: If you do not start the test within 3 minutes,
the meter will be deactivated. To reactivate your
meter, take out the unused AgaMatrix Presto Test
Strip and reinsert it into the meter.
Meter Ready For Test: The meter now displays
the blood drop and test strip symbols. The
22
23
[4] Applying Blood Sample
test site.
Bring Test Strip to Blood Sample: The meter now displays the
blood drop and test strip symbols. This means your AgaMatrix
Presto System is now ready for you to apply blood. Immediately
bring the AgaMatrix Presto Test Strip to the blood sample.
[3] Do not scrape blood onto the AgaMatrix Presto Test Strip.
The test strip fills from the
tip. Do not try to smear
blood on the top surface.
[5] Do not apply blood to the AgaMatrix Presto Test Strip
when the test strip is out of the meter.
[6] Do not put blood or foreign objects into the AgaMatrix
Presto strip port.
The AgaMatrix Presto Test
Strip acts like a sponge and
draws the blood into the test
strip through the sample
area. The visual fill window
of the AgaMatrix Presto Test
Strip will turn red.
This is the visual
fill window.
DO NOT PUT
BLOOD HERE.
Apply
blood here.
[4] Do not apply blood to the top side of the AgaMatrix
Presto Test Strip.
[7] Do not apply more blood after beep.
[8] Carefully read the test results on the screen before
making any treatment decisions.
The entire
visual fill
window will
turn red.
Remove Test Strip from Blood Sample
when you hear the beep: Your meter will
beep once, when you should remove the
tip of the AgaMatrix Presto Test Strip from
the blood sample.
On the display, blood
drop symbols appear on
the test strip symbol.
IMPORTANT:
[1] Remove the test strip from the blood sample as soon as
you hear the beep.
The moving dot bar and 1-2-3 indicates that the meter is
calculating your results.
[2] Do not press the AgaMatrix Presto Test Strip against the
24
25
[5] Final Steps
Remove the Test Strip: Remove
the used AgaMatrix Presto Test
Strip. The AgaMatrix Presto Meter
will automatically deactivate.
Remove the Lancet: When you
have finished testing, snap off the
cap from the lancing device. Be
careful not to touch the lancet tip.
Place the lancet cover onto a hard, even surface
(such as a tabletop) with the open-end facing
up. While the lancet is still in the lancing device,
bring the lancet tip to the lancet cover to recover
the used lancet. You can then safely handle the
used lancet
Extract the lancet from the
lancet holder cup by pulling on
the plastic collar of the lancet
(near the middle of the lancet).
26
Replace the lancing device cap
onto the lancing device until it
snaps or clicks into place.
Discard Properly: Discard the used AgaMatrix
Presto Test Strip and Lancet properly.
WARNING: The lancing device and lancets
should only be used by one person. Never
share lancing devices or lancets. Used test
strips, lancets, and lancing devices may be
considered biohazardous or medical waste in
your city or town. Follow all local regulations
for proper disposal.
CHAPTER
Your test is completed when your blood
glucose test result with time and date
is shown on the display. If the volume is
enabled in SET Options, you will hear a
beep. Your test result is now stored in the
memory.
8
Testing on Your Palm or Forearm
Testing glucose levels with blood obtained from the palm
(at the base of the thumb) or forearm may reduce the
pain of testing. The technique for testing on the palm and
forearm is slightly different than testing on the finger. Always
discuss changes to your testing habits with your healthcare
professional.
IMPORTANT: When testing on the palm (at the base of
the thumb) or forearm, you may need to set the lancing
device to a deeper setting or use a larger lancet to obtain
enough blood to perform a test. Consult your healthcare
professional for a recommendation.
CAUTION: To ensure accurate results, wash your hands with
warm, soapy water and dry before every test. Clean and
27
make sure there is no grease, oil or lotion on the test site.
Follow chapter 7, steps 1-2, to begin blood glucose testing.
For testing on your palm or forearm:
[1] Prepare the Lancing Device: Replace the gray lancing
device cap with the clear cap.
[2] Rub Test Site: To increase the blood flow in your palm (at
the base of the thumb) or forearm, rub the area that you will
be testing. Ensure that your palm or forearm is facing up and
held level.
Palm:
Forearm:
[4] Express Blood Drop: After lancing, hold the lancing
device against your skin until a blood droplet forms. Do not
squeeze directly around the lanced area. Make sure the blood
drop is large enough to completely fill the visual fill window
of the test strip. Pull the lancing device directly off your palm
or forearm to ensure that you do not smear the blood drop.
Palm:
Forearm:
Return to chapter 7, step 4 to continue with testing
instructions.
Palm:
Forearm:
[3] Lance Test Site: Press the tip of the clear cap against your
skin on the palm of your hand (at the base of the thumb) or
forearm. Hold the tip to the test site for a few seconds before
pressing the release button.
Palm:
28
Forearm:
29
CHAPTER
9
The number of glucose test results
saved (within the time period) is
displayed in the top right corner.
View 14, 30, and 90 Day Averages
and Graphs
mg /dL
This chapter covers the steps on how to view your:
– 14 Day Numerical Average and Trend Graph
– 30 Day Numerical Average and Trend Graph
– 90 Day Numerical Average and Trend Graph
– 14, 30, and 90 Day Averages Comparison Graph
The AgaMatrix Presto Meter calculates the averages from the
last 14, 30 and 90 days, starting from the current time and date
shown on the meter. Control solution, Hi and Lo test results,
out-of-temperature-range results and results without a valid
time / date are not included in the averages.
IMPORTANT: Results, averages, and graphs stored in
memory should only be used as a reference. Do not
make treatment decisions based solely on stored results,
averages and graphs. Consult with your healthcare
professional regarding treatment options.
[3] Viewing MEMORY Test Results
View 14 Day Averages and Graphs:
The display shows your 14 day
numerical average. Press the RIGHT or
LEFT arrow buttons to view your 14 day
trend graph.
mg /dL
14
You can move from the 14 day trend graph to the 14 day numerical average by pressing the RIGHT or LEFT arrow buttons.
View 30 Day Averages and Graphs:
Press the CENTER button to view your
30 day numerical average. Press the
RIGHT or LEFT arrow buttons to view
your 30 day trend graph.
mg /dL
30
You can move from the 30 day trend graph to the 30 day numerical average by pressing the RIGHT or LEFT arrow buttons.
[1] Enter MENU Mode: Press and hold any button for 2 seconds to enter the MENU mode.
30
[2] Enter Memory Option: When the MEM symbol appears, press the CENTER button to enter the
Memory option.
View 90 Day Averages and Graphs:
Press the CENTER button to view your
90 day numerical average. Press the
RIGHT or LEFT arrow buttons to view
your 90 day trend graph.
Note: Use the RIGHT or LEFT arrow buttons to scroll
through the MENU Mode options.
You can move from the 90 day trend graph to the 90 day numerical average by pressing the RIGHT or LEFT arrow buttons.
mg /dL
90
31
CHAPTER
One dot represents 50 mg/dL.
mg/dL
300
200
0
1
5
10
30 day view
2
10
20
30
90 day view
6
30
60
90
14
Days
View 14, 30 and 90 Day Average Comparison
Graph: Press CENTER button to view your 14,
30 and 90 day average comparison graph. The
display shows an overview with three trend bars
comparing the 14, 30 and 90 days averages.
Time-of-Day Averages and
Individual Results
This chapter covers the steps on how to view your:
– Most Recent Glucose Test Result
– 300 Past Glucose Test Results, with time and date
– Breakfast, Lunch, Dinner and Bedtime Averages
100
14 day view
10
14
30
90
The AgaMatrix Presto Meter calculates averages of all the
test results during breakfast, lunch, dinner and bedtime.
Control solution, Hi and Lo test results, out-of-temperaturerange results, and results without a valid date / time are not
included in the averages. Averages are composed of results
only within the last 14 days. Breakfast averages include
glucose measurements between 4:00 AM and 10:00 AM,
lunch averages are between 10:00 AM and 4:00 PM, dinner
averages are between 4:00 PM and 10:00 PM and bedtime
averages are between 10:00 PM and 4:00 AM.
One dot represents 20 mg/dL.
Day Averages
[1] Viewing Time-of-Day Averages
14
Press any button once when the meter is
deactivated. The display shows the most recent
glucose test result with the time and date.
30
90
20
32
100
200
mg/dL
300
Press the RIGHT arrow button. The display now
shows your breakfast average.
33
Press the RIGHT arrow button. The display now
shows your dinner average.
CHAPTER
Press the RIGHT arrow button. The display now
shows your lunch average.
11
Display Messages
CAUTION: Low or high blood glucose test results can
indicate a potentially serious medical condition. Follow
your healthcare professional’s recommendations.
LO MESSAGE:
Flashing message, with double beep (if volume is enabled in SET
Options)
Press the RIGHT arrow button. The display now
shows your bedtime average.
Note: To return to the most recent test result, press
CENTER button.
[2] Viewing Individual Results
Press and release the CENTER button. The display
will show the most recent glucose test result with
the time and date. Up to 300 past results will be
saved. Use the LEFT arrow button to view every
saved test result, starting from the most recent and
ending with the oldest.
Note: At any point, press CENTER button to return to the most
recent test result.
MEANING: Glucose test result is lower than 20 mg/dL. This Lo
result may indicate hypoglycemia (low blood glucose). The Lo
result is stored in the memory with time and date.
ACTIONS: If you feel symptoms such as weakness, sweating,
nervousness, headache or confusion, follow your healthcare
professional’s recommendations. If you get a Lo glucose test
result but have no symptoms of low blood glucose, then
retest with a new AgaMatrix Presto Test Strip. If you still get
a Lo test result, follow the treatment plan recommended by
your healthcare team or contact your healthcare professional
immediately.
HI MESSAGE:
Flashing message, with double beep (if volume is enabled in SET
Options)
MEANING: Glucose test result is above 600 mg/dL. This Hi
result may indicate hyperglycemia (high blood glucose).
The Hi result is stored in the memory with time and date.
ACTIONS: If you feel symptoms such as fatigue, thirst,
34
35
excessive urination, or blurry vision, follow your healthcare
professional’s recommendations. If you get a Hi glucose test
result but have no symptoms of high blood glucose, then
retest with a new AgaMatrix Presto Test Strip. If you still get
a Hi glucose test result, follow your healthcare professional’s
recommendations. Checking ketones may be advisable.
HYPOGLYCEMIC WARNING ALARM:
Test result flashes, with double beep (if volume is enabled in SET
Options)
MEANING: If the Hypoglycemic Warning Alarm is set, your
glucose test result is lower than the pre-set limit.
HYPERGLYCEMIC WARNING ALARM:
Test result flashes, with double beep (if volume is enabled in SET
Options)
TEMPERATURE MESSAGE:
Flashing message, with double beep (if volume is enabled in SET
Options)
MEANING: The test has been performed outside the
operating temperature range.
ACTIONS: Move to an area with an ambient temperature of 50
°F to 104 °F (10 °C to 40 °C). Wait for the meter and test strips
to reach the new temperature (usually 10-20 minutes) and
retest.
LOW BATTERY MESSAGE:
Flashing message
MEANING: The battery in your meter is low.
ACTIONS: If the battery symbol appears, the batteries must
be replaced. If the battery symbol appears, the backlight will
be disabled in all modes.
MEANING: If the Hyperglycemic Warning Alarm is set, your
glucose test result is higher than the pre-set limit.
KETONE MESSAGE:
Flashing message, with double beep (if volume is enabled in SET
Options)
MEANING: The result of the glucose test is higher than 240
mg/dL.
ACTIONS: You should check ketones. Follow your healthcare
professional’s recommendations.
36
37
CHAPTER
12
Setting Alarms
There are 6 alarms you can set to remind you when to test
your glucose levels.
When alarms are activated:
[1] If an alarm is set and the AgaMatrix Presto Meter is deactivated, the alarm will activate the meter. “AL1” thru “AL6” (depending which alarm is set) is displayed. The display backlight
flashes, and the meter will beep repeatedly for 15 seconds.
to AL6). If this is your first time setting an alarm, use AL1. Press
CENTER to select an alarm to set.
[3] Turning Alarms ON or OFF: Press the
RIGHT or LEFT arrow buttons to enable (ON) or
disable (OFF) the alarm. The default setting is
OFF. Confirm your selection by pressing CENTER
button. Your selections will be highlighted by a
blinking symbol.
[4] Setting Alarm Times: You can now set the
alarm time. First, set the flashing numbers (hour)
with the RIGHT or LEFT arrow buttons. Accelerated change is possible by holding down the
arrow buttons.
[2] You can turn the alarm OFF by pressing any button.
[3] The alarms will not appear during Menu and Test Modes.
If an alarm is set to sound or flash while using these modes, it
will alarm after the meter is deactivated.
CAUTION: Follow your healthcare professional’s
recommendations on when and how often to test your
glucose.
38
Press CENTER to confirm and to move on to set
the minute.
Set (minute) with the RIGHT or LEFT arrow buttons.
Press the CENTER button to confirm the alarm
time and to move on to set the alarm volume.
[1] Enter MENU Mode: When your meter is deactivated,
press and hold any button for 2 seconds to enter
the MENU mode.
[5] Setting Alarm Volumes: There are three
volume options. A silent alarm will only flash the
meter’s screen. The default setting is “high”. Select
your preferred setting with the RIGHT or LEFT
arrow buttons. Confirm by pressing the CENTER
button. This will bring you back to MENU Mode.
[2] Enter Alarm Option: The MEM symbol
appears. Press the RIGHT or LEFT arrow buttons
until the alarm you want to set is displayed (AL1
Note: The volume of an alarm will be affected by the meter’s
volume setting, which can be changed in the meter’s settings
(SET) option. If your meter is set to silent mode, then the alarm
39
[4] Setting Backlight Option: You can enable or
disable the backlight. The default setting for the
backlight is enabled.
[6] Setting Multiple Alarms: To set other alarms, press the
RIGHT or LEFT arrow buttons until the alarm you want to set
(AL1 to AL6) is displayed. Follow the previous steps in this
chapter 12, “Setting Alarms.”
Select the preferred setting with the RIGHT or
LEFT arrow buttons. Press the CENTER button to confirm and
continue on to set the Time Format and Time.
13
Setting Meter Volume and
Backlight
[1] Enter MENU Mode: When your meter is deactivated, press
and hold any button for 2 seconds to enter the MENU mode.
[2] Enter SET Option: The MEM symbol will
appear. Press the RIGHT or LEFT arrow buttons
until the SET symbol is displayed. Press the
CENTER button.
[3] Setting Meter Volume: There are three
beep volume options. The default setting is
“high.” Select the preferred volume setting with
the RIGHT or LEFT arrow buttons. Your selection
will be highlighted by the blinking of the symbol.
Press the CENTER button to confirm your selection. Continue
to set the MENU Mode Backlight option.
Note: The meter will always produce a beeping sound after you
have applied blood or control solution to a test strip. This sound
lets you know when to take your blood sample or control solution
away from the test strip. You will hear this sound if the volume is
set to ON or OFF in the SET Options.
40
Note: Disabling the backlight in the SET menu also disables
backlight for alarms.
CHAPTER
CHAPTER
will not sound, regardless of the individual alarm setting. Also, if
your meter is set to low volume mode, then an alarm set for high
volume will default to low volume mode.
14
Setting Time Format,
Time, and Date
[1] Enter MENU Mode: When your meter is deactivated, press
and hold any button for 2 seconds to enter the MENU mode.
[2] Enter SET Option: The MEM symbol will
appear. Press the RIGHT or LEFT arrow buttons
until the SET symbol is displayed. Press the
CENTER button.
[3] Setting Time: Press CENTER repeatedly
until you see a screen with the message 12H or
24H, you are ready to set the meter’s time.
:
PM
Select a 12 or 24 hour clock format with the
RIGHT or LEFT arrow buttons.
The 12 hour clock display option is indicated by a 12H. The 24
hour clock display option is indicated by a 24H. Your selection
will be highlighted by the blinking of the symbol.
41
Set the hour (flashing) with the RIGHT or LEFT arrow buttons.
Press the CENTER button to confirm and continue on to set
the minute.
Hour:
Set the minute (flashing) with the RIGHT or LEFT arrow
buttons. Press the CENTER button to confirm and continue on
to set the date.
Minute:
[4] Setting Date: Set the month (flashing) with the RIGHT or
LEFT arrow buttons. Press the CENTER button to confirm and
continue on to the day setting.
Month:
Set the day (flashing) with the RIGHT or LEFT arrow buttons.
Press the CENTER button to confirm and move on the year
setting.
Day:
Set the year (flashing) with the RIGHT or LEFT arrow buttons.
Press the CENTER button to confirm and continue on to set
the Hypo Limit.
Year:
42
CHAPTER
Press the CENTER button to confirm your selection and move
on to the hour setting.
15
Setting Hypoglycemic and
Hyperglycemic Warning Alarms
[1] Enter MENU Mode: When your meter is deactivated, press
and hold any button for 2 seconds to enter the MENU mode.
[2] Enter SET Option: The MEM symbol will appear. Press the
RIGHT or LEFT arrow buttons until the SET symbol is displayed.
Press the CENTER button.
[3] Setting Your Hypoglycemic Warning Alarm:
WARNING: Your healthcare professional should recommend
what your hypoglycemic limit is.
Press the CENTER button repeatedly until you see the HYPO
symbol in the top right corner of the screen. You are ready to
set the Hypoglycemic Warning Alarm. The Hypoglycemic and
Hyperglycemic Warning Alarms are set to “OFF” by default.
The Hypoglycemic Warning Alarm alerts you when your glucose
test results are below the hypoglycemic limit that you have set. The
meter is pre-set to a hypoglycemic limit of 70 mg/dL. Always consult
your healthcare professional for your recommended target ranges.
When your glucose test results are below your set hypoglycemic
limit, the date, time and result will flash on the display.
Set the Hypoglycemic Limit ON or OFF with the
RIGHT or LEFT arrow buttons. Your selection will
be highlighted by the blinking of the symbol. Press
the CENTER button to confirm your selection.
43
[4] Setting Your Hyperglycemic Warning Alarm:
WARNING: Your healthcare professional should recommend
what your hyperglycemic limit is.
The Hyperglycemic Warning Alarm alerts you when your
glucose test results are above the hyperglycemic limit that you
have set. The meter is pre-set to a hyperglycemic limit of 240
mg/dL. Always consult your healthcare professional for your
recommended target ranges. When your glucose test results are
above your set hyperglycemic limit, the date, time and result will
flash on the display.
Set the Hyperglycemic Limit ON or OFF with the
RIGHT or LEFT arrow buttons. Your selection will
be highlighted by the blinking of the symbol. Press
the CENTER button to confirm your selection.
CHAPTER
Set the Hypoglycemic Limit (flashing) with the
RIGHT or LEFT arrow buttons. Press CENTER
button to confirm and continue on to set the
Hyper Limit.
16
Error Messages and
Troubleshooting
The AgaMatrix Presto Blood Glucose Monitoring System
has been designed to work accurately under most usual
conditions. On rare occasions, the meter will display an error
message instead of a glucose result. The AgaMatrix Presto
system is able to detect specific problems which may allow
you to determine the cause of the error without wasting
valuable test strips. When you are presented with an error
message, check for common problems that may explain the
source of the error.
CAUTION: In certain cases, the meter may return an error
code or provide an inaccurate result if it is being used near
electrical equipment, like a power generator or a computer
monitor. If this is the case, move the meter away from the
source of electrical interference.
Error 1:
Problems have occurred that are related to test strip use.
Set the Hyperglycemic Limit (flashing) with the
RIGHT or LEFT arrow buttons. Press the CENTER
button to confirm. This will bring you back to
MENU Mode at the SET options.
44
[1] If this message appears the moment the test strip is
inserted, the test strip may be wet or damaged.
[2] If the message appears during a test, the test strip may
have been removed too early.
[3] If this message appears after the last progress bar instead
of a result, it may indicate that you applied more blood after
testing began.
45
Error 2:
Error 5:
The meter has detected an irregularity with the sample.
The meter was unable to produce a reliable result.
[1] The test strip may be partially filled; you should check the
window of the test strip to confirm that it is full.
[2] The sample may not be blood or control solution.
[1] This may be caused by a non-blood sample, or a
combination of high glucose and other medical conditions.
[2] If this error code persists on retesting, consult your
healthcare professional.
Error 3:
Error 6:
The meter has detected that the test strip is in poor
condition.
[1] The test strip may have been improperly stored (e.g. hot,
humid conditions) or may be expired.
[2] The test strip may have been mishandled by vigorous
bending or shaking.
[3] Parts of the test strip may have become covered in grease,
oil, or lotion.
[4] The test strip port connector may be dirty.
The test strip has taken too long to generate a signal.
[1] This may be caused by a combination of cold operating
temperature and high hematocrit levels. Retest in a warmer
location.
[2] If this error code persists on retesting, consult your
healthcare professional.
Error 7 with Battery Icon:
Error 4:
Replace batteries immediately before testing.
Unusual test strip problems have occurred that may be
related to extreme conditions.
Error 7:
[1] Retest where it is closer to a room temperature of 70 °F to
75 °F (21 °C to 24 °C).
46
Meter problems have occurred that are beyond your
control. Contact customer service for assistance.
47
[1] CAUSE: The batteries have insufficient power. ACTION:
Replace the batteries, set time and date, and test.
[2] CAUSE: The batteries are installed incorrectly or there are
no batteries in the meter. ACTION: Check that both batteries
are installed correctly, with the positive (+) sign facing up
towards you.
[3] CAUSE: AgaMatrix Presto Test Strip has been inserted
upside down, wrong end in, or incompletely inserted into the
meter. ACTION: Insert the AgaMatrix Presto Test Strip with
the black side up and the contact bars of the test strip in the
meter. Ensure that the test strip is fully inserted.
[4] CAUSE: Defective meter or defective AgaMatrix Presto
Test Strips. ACTION: Call customer service.
[5] CAUSE: Blood or foreign objects put into the AgaMatrix
Presto Meter strip port. ACTION: Call customer service.
Troubleshooting Situation #2: The glucose test sequence
does not start after applying the blood sample.
[1] CAUSE: Defective test strip. ACTION: Repeat the test with
a new AgaMatrix Presto Test Strip. If this does not work, call
customer service.
[2] CAUSE: Sample applied after meter times out and
deactivates. ACTION: Repeat the test using a new AgaMatrix
Presto Test Strip. Wait until you see the blood and test strip
symbols on the display screen before you apply the blood
sample.
[3] CAUSE: Defective meter. ACTION: Call customer service.
48
CHAPTER
Troubleshooting Situation #1: Meter does not enter the
test mode after inserting an AgaMatrix Presto Test Strip.
17
Batteries
CAUTION: When the battery symbol appears, you should
replace the batteries immediately. Only use CR2032
batteries.
Your AgaMatrix Presto Meter comes with two pre-installed,
CR2032, 3 volt, lithium batteries. If your batteries run low, the
battery symbol flashes until you change the batteries. The
backlight is disabled in all modes when the battery symbol
is on. When changing batteries the current time and date
settings will be reset. The time and date will automatically be
set to 01-01 12:00. Correct time and date settings are needed
to get correct averages. Removing the batteries does not
affect the meter’s memory or previously stored user settings,
such as those set in SET Options (e.g. alarms). If a battery is
installed incorrectly it will damage the other battery in the
meter. If this happens discard both batteries.
Note: Dispose of used batteries according to your local environmental regulations. Your meter is an electronic device. When disposing of your meter follow all local environmental regulations.
Replacing the Batteries
[1] Open Battery Door: Make
sure the meter is deactivated. Turn
the meter so you are looking at
the battery door. Press the battery
door clip to open. Remove the
49
[2] Remove and Install
1st Battery: To remove the
used battery, use a nonmetallic tool at point A to
pop out the battery. Install
the new battery with the
positive (+) sign facing up
towards you.
Used:
New:
[3] Remove and Install
2nd Battery: Repeat previous step for the 2nd battery.
CHAPTER
battery door. Be careful not to misplace the battery door.
18
Caring for Your Meter and
Lancing Device
When using your meter, avoid getting dirt, dust, blood,
control solution, water, or any other liquid into the test strip
port and battery compartment. Clean the outside of the
meter or the lancing device using a cloth dampened with
mild detergent or mild soap. If you wish to clean the lancing
device cap only, remove the cap, wash it in warm water,
rinse well, and dry.
CAUTION: Never immerse the meter or the body of the
lancing device in water or any other liquid solution.
[4] Close Battery Door: Angle the battery
door back onto the meter and swing down until it snaps gently into place. Make sure that the
battery door is completely closed before using.
50
51
CHAPTER
19
Meter Specifications
Memory: 300 blood glucose and control solution test results
with date, time, and averaging (14, 30, 90 days and time-of-day)
Power Source: Two CR2032, 3 volt, lithium batteries, replaceable
Assay Method: Dynamic Electrochemistry
Automatic Shutoff: 3 minutes after last user action
Maximum Altitude: 10,000 ft
Calibration: Plasma equivalent
Size: Width 1.7” x Length 3.0” x Height 0.6”
(4.4 cm x 7.7 cm x 1.6 cm)
Coding: No Code
Test Strip Storage Temperature: 46 °F to 86 °F (8 °C to 30 °C)
Control Solution Storage Temperature: 36 °F to 86 °F (2 °C
to 30 °C)
Weight: 46.9 g (including batteries)
Sample: Whole blood, capillary
Sample Size: 0.5 microliters
Average Glucose Test Time: 6 seconds
Measurement Units: mg/dL
Alarms: 6 programmable alarms
Equipment not suitable for use in the presence of flammable
mixtures.
This meter complies with the applicable standards for Electromagnetic Compatibility; however it is not recommended
that it be used in the presence of strong electromagnetic
fields. When using this meter, keep away from sources of
electromagnetic disturbances such as electric motors or radio
transmitting equipment. This meter should not affect the
normal operation of other devices. If this does occur, provide
more distance between the meter and the affected device.
Result Range: 20 to 600 mg/dL
Hematocrit: 20% to 60%
Operating Relative Humidity: Up to 90%
Operating Temperature: 50 °F to 104 °F (10 °C to 40 °C)
52
53
CHAPTER
20
Warranty
Warranty Terms
AgaMatrix, Inc. offers customers who buy (“You”) a new
AgaMatrix Blood Glucose Meter (defined as “Meter”) within the
United States the following purchase protections.
AgaMatrix extends a limited lifetime warranty to consumers
who buy a new Meter. Under this limited warranty, Your new
Meter is covered for the period of ownership as long as it has
not been modified, altered, or misused. Under this warranty
AgaMatrix will replace, free of charge, Your meter if it is defective in material or workmanship. No other warranties, express
or implied, are made. AgaMatrix will not be liable for any
incidental or consequential damages, so the above limitations
or exclusions may not apply to You. This Warranty gives You
specific legal rights, and You may also have other rights that
vary from state to state.
AgaMatrix may discontinue this program at any time without
notice.
54