ABBOTT LABORATORIES
Optium Neo Owners Setup Guide Rev A Sept 2013
Owners Setup Guide
2 Pages
![TABLE OF CONTENTS Blood Glucose and Ketone Monitoring System Owner’s Setup Guide 1 FreeStyle Optium Neo At-A-Glance 2 Meter Symbols 3 Quick Start - Testing Your Blood Glucose TABLE OF CONTENTS 12 Transferring Meter Data to a Computer • Displays meter Home screen (shown here) • Displays your test results and other important information Intended Use 5 Getting to Know Your Meter Turning Your Meter On and Off Checking Your Meter Screen Every Time You Turn it On Changing Batteries Cleaning Your Meter USB Port Setting Up the Meter 7 Testing Your Blood Glucose or Blood Ketone Prepare to Test Performing a Blood Glucose or Blood Ketone Test 8 Understanding Blood Glucose Test Results and Patterns Low Blood Glucose Results High Blood Glucose Results 17 Meter Specifications Understanding Blood Ketone Test Results 19 References 5 The FreeStyle Optium Neo Blood Glucose and Ketone Monitoring System is for use outside the body only (in vitro diagnostic use) for self testing or professional use as an aid in the management of diabetes. Use for measuring glucose in fresh whole blood samples taken from fingers, forearm, upper arm or the base of the thumb. Use for measuring ketone (β-hydroxybutyrate) in fresh whole blood samples from fingers only. The system may also aid in the management of diabetes by providing the user with suggested recommendations to insulin dose(s) based on healthcare professional entered data. 16 Insulin Dose Logging Set Up for Insulin Dose Logging How to Use Insulin Dose Logging How to Log Additional Rapid-Acting Insulin Doses • Insert a test strip here What It Means Logbook Breakfast insulin dose Meter ready for sample application Lunch insulin dose Control solution result Dinner insulin dose Units of insulin Fasting test Insulin Ketone Morning long-acting insulin dose Low battery Evening long-acting insulin dose Connected to computer Insulin dose setup Setup mode Low blood glucose or pattern High blood glucose or pattern 1. Wash and dry hands before and after testing. Note: Check test strip expiry date. 2. Insert strip. • Insert the test strip into the meter • Apply blood or control solution to the white target area at the end of the test strip 10 Setting Up the Meter To confirm that the date and time are set correctly, follow the steps below. To turn your meter on: • Press the , or • Insert a strip To turn your meter off: for 3 seconds, or • Press and hold the • Do nothing for 2 minutes Set Time 1. Start with meter off (no test strip inserted) to turn on the meter • Press (e.g. 1:23 PM) Checking Your Meter Screen Every Time You Turn It On (e.g. 13:23) Your meter screen should be fully black when powered off. Each time you turn on your meter, a white start-up test screen will appear for 1 second. hour 2. Press and hold the time (11:50) on the screen for 3 seconds until the screen changes. Note: If the meter battery is low, the will appear in both the meter off screen and start-up test screen. 3. Set Time Format (12 hour or 24 hour clock) or to change • Press • Press to continue Note: Your meter can display either a 12 h (1:23 PM) or 24 h (13:23) time format. If you prefer the 12 h format, there is no “AM”. If setting a PM time, until you see the “PM”. continue to press 4. Set Hour • The hour blinks. Press hour • Press to continue or hour Viewing Your Logbook Events 6. Set Month • The month blinks. Press month • Press to continue day or 1. While on the Home screen, press your logbook events. to set the 7. Set Day • The day blinks. Press • Press to continue to set the or to set the day day Examples: month or to view month minute 5. Set Minutes • The minutes blink. Press minutes • Press to continue View Logbook Your meter logbook can store up to 1,000 events – including blood glucose, ketone, and control solution results, insulin doses, and other meter information. Set Date If you see any white segments in the black off screen, or any black segments in the white test screen, there may be a problem with the meter. Contact Customer Care. 4. View result. For more information on how to perform a test, see Section 7. Test Strip Target Area 6 3. Lance test site and apply blood. Down Button Turning Your Meter On and Off Meter Off Screen • Turns meter on and off and returns to the Home screen Strip Port 18 Other Symbols Getting to Know Your Meter ➧ IMPORTANT: • Use only FreeStyle Optium blood glucose test strips and FreeStyle Optium blood β-Ketone test strips. Other test strips may produce inaccurate results. • See test strip instructions for use for more information about sample types. • Read the instructions in this Owner’s Setup Guide. Failure to follow instructions may cause incorrect results. Practice the testing procedures before using the meter. • Follow your healthcare professional’s advice when testing blood glucose levels and blood ketone levels. • Observe caution when using around children. Small parts may constitute a choking hazard. Symbol Power Button • Insert a data cable here for uploading test results to a computer (data management system required) 15 Troubleshooting Viewing Your Logbook Events Viewing Your Blood Glucose Averages Intended Use What It Means Quick Start – Testing Your Blood Glucose 14 Taking Care of Your Meter 10 View Logbook 4 Logbook Up Button 6 9 3 Meter Symbols Symbol Display Window Performing a Control Solution Test 2 FreeStyle Optium Neo At-A-Glance 11 Glucose and Ketone Control Solutions 13 Error Messages 4 User’s Manual 1 8. Set Year • Press • Press to set the or to set the year to save. Setup complete 2. Press events. to scroll through to view your logbook Blood Glucose Result minute Start-up Test Screen Testing Your Blood Glucose or Blood Ketone Insulin Dose 1. Select your test site. Test site choices for blood glucose testing are fingers, forearm, upper arm, or base of the thumb. Use only fingertip blood samples for blood ketone testing. Abbott Diabetes Care Ltd. Range Road Witney, Oxon, OX29 0YL Made in UK. IMPORTANT: • Only use a test strip once. • Read the test strip instructions for use before performing your first blood glucose or ketone test. It contains important information and will tell you how to store and handle the test strips. • The meter and its accessories are for use by a single person. • Refer to the lancing device insert for detailed instructions on how to use the lancing device. • Do not put urine on the test strip. Performing a Blood Glucose or Blood Ketone Test Note: Avoid moles, veins, bones, and tendons. Bruising may occur at the test site. If bruising occurs, consider selecting another site. 2. Wash your hands and the test site with soap and warm water. • Rinse and dry thoroughly. • Do not use lotion or cream on the test site. 9 The meter displays blood glucose results in mmol/L. The unit of measurement is preset. You cannot change this setting. IMPORTANT: The meter displays results from 1.1 - 27.8 mmol/L. Low or high blood glucose results can indicate a potentially serious medical condition. Low Blood Glucose Results Notes: • If you are testing blood glucose, you will see a 5-second countdown. If you are testing blood ketone, you will see a 10-second countdown. • Do not remove the test strip from the meter during the countdown. • If the countdown does not start, you may not have applied enough blood to the test strip. See test strip instructions for use for re-application instructions. If the countdown still does not start, remove the used strip and discard it correctly. Start a new test with a new test strip. What It Means What To Do Appears when result is lower than 3.9 mmol/L or the target set on the meter by your healthcare professional. Follow your healthcare professional’s advice to treat low blood glucose. If You See . . . A solid yellow arrow A pattern of low glucose has developed. If 2 low results occur within the past 5 days AND both are within the same 3-hour time period, the meter will display a blinking . Follow your healthcare professional’s advice to treat low blood glucose. What To Do Appears when result is higher than 13.3 mmol/L or the target set on the meter by your healthcare professional. Follow your healthcare professional’s advice to treat high blood glucose. A pattern of high glucose has developed. If 3 high results occur within the past 5 days AND all are within the same 3-hour time period, the meter will display a blinking . Follow your healthcare professional’s advice to treat high blood glucose. A blinking yellow arrow A blinking red arrow Severe low blood glucose or There may be a problem with the test strip. What It Means Blood glucose level is higher than or equal to 13.3 mmol/L. Repeat the test with a new test strip. If the result is LO, contact your healthcare professional immediately. Blood Glucose Result example Appears when result is higher than 27.8 mmol/L Severe high blood glucose or There may be a problem with the test strip. Fasting Result Control Solution Result Blood Ketone Result example to turn off the meter. Discard the 6. Press and hold used test strip correctly. Viewing Your Blood Glucose Averages 1. While on the Home screen, press logbook. The meter displays ketone results in mmol/L, from 0.0 - 8.0 mmol/L. The unit of measurement is preset. You cannot change this setting. IMPORTANT: Follow your healthcare professional’s advice before you make any changes to your diabetes management program. Blood ketone is expected to be below 0.6 mmol/L.2 High blood ketone may be caused by illness, fasting, vigorous exercise, or uncontrolled blood glucose levels.1-3 Repeat a blood ketone test using a new blood ketone test strip when: • HI appears on the display • Your result is unusually high • You question your result • Your blood ketone result is 0.0 mmol/L, but your blood glucose is higher than 16.7 mmol/L Display Result is between 0.6 – 1.5 mmol/L. Result is higher than 1.5 mmol/L. What It Means High blood ketone. A problem requiring medical assistance may be occurring. You may be at risk of developing diabetic ketoacidosis (DKA).2-6 What To Do Your average Follow your healthcare professional’s advice. Contact your healthcare professional immediately. Number of tests in this average Check blood ketone if checking ketones is part of your diabetes management program. Repeat the test with a new test strip. If the result is HI, contact your healthcare professional immediately. Note: If you see a this means the meter can suggest a new meal insulin dose. Ignore this if you’re not about to eat a meal and take your meal insulin dose. - Appears when result is higher than 8.0 mmol/L. Note: If you see the error messages E-3 or E-4, consult the Error Messages section in this Owner’s Setup Guide. IMPORTANT: Contact your healthcare professional if you have symptoms that do not match your test result, and you have followed the instructions in this Owner’s Setup Guide. 5. View the result. The test is complete when the result appears on the meter screen (examples shown). The result is stored in memory. to open the Understanding Blood Ketone Test Results High Blood Glucose Results A solid red arrow Appears when result is lower than 1.1 mmol/L ➧ Note: KET will appear on the screen if you have inserted a purple blood ketone strip. Understanding Blood Glucose Test Results and Patterns If You See . . . 4. Apply blood to the test strip. Bring the blood drop to the white area at the end of the test strip. The blood is drawn into the test strip. Hold blood to test strip until you see 3 short lines on the meter screen. This means you have applied enough blood. The blinks, indicating the meter is ready for you to apply a sample to the test strip. 3. Check test strip expiry date. Do not use expired test strips; they may cause inaccurate results. 8 3. Obtain a blood sample. Use the lancing device to obtain a blood sample. (See lancing device instructions for use for more information.) 2. Insert the test strip into the meter until it stops. This will turn on the meter. Notes: • Be sure to check that your meter screen is working properly each time you turn your meter on. If you see any white segments in the black off screen, or any black segments in the white test screen, there may be a problem with the meter. (See Section 5, Getting to Know Your Meter, for more details) • The meter turns off after 3 minutes of inactivity. Remove and reinsert the unused test strip to restart the meter. Do not use blood samples from alternative sites when: • You think your blood glucose is low or changing rapidly • You have been diagnosed with hypoglycaemic unawareness • Alternative site results do not match the way you feel • You are within two hours of eating a meal, taking insulin, or exercising Check your ketone: • When you have an illness • When your blood glucose is above 13.3 mmol/L • When you and your healthcare professional feel it is necessary 1. Open the foil test strip packet at the notch and tear down to remove the test strip. 4˚C Prepare to Test Blood Glucose Sensor Electrode Abbott Diabetes Care Ltd. Range Road Witney, Oxon, OX29 0YL Made in UK. 7 Units of Insulin Very high blood ketone or There may be a problem with the test strip. Repeat the test with a new test strip. If the result is HI, contact your healthcare professional immediately. Press or to scroll through 7-, 14- and 30-day averages. 2. While in the logbook, press any time to view your 7-day average. [ ] • Press to view 14-day average. [ ] • Press to view 30-day average. [ ] • Press to return to your logbook events. Notes: • Averages do not include glucose control solution results. • Control solution results not marked as control solution tests may cause averages to be inaccurate. appear on the meter screen when there • are no current events or averages to view. • blood glucose test results are included as 1.1 mmol/L when calculating averages. blood glucose test results are included as • 27.8 mmol/L when calculating averages.](https://images.bioclinicalservices.com.au/EJ8yDEKf9KXu1k3uWGndDtU9/320w/ABBOTT%20LABORATORIES%20-%20Optium%20Neo%20Owners%20Setup%20Guide%20Rev%20A%20Sept%202013%20-%202013-09.png)
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TABLE OF CONTENTS
Blood Glucose and Ketone Monitoring System
Owner’s Setup Guide
1
FreeStyle Optium Neo At-A-Glance
2
Meter Symbols
3
Quick Start - Testing Your Blood Glucose
TABLE OF CONTENTS
12 Transferring Meter Data to a Computer
• Displays meter Home screen (shown here) • Displays your test results and other important information
Intended Use
5
Getting to Know Your Meter Turning Your Meter On and Off Checking Your Meter Screen Every Time You Turn it On
Changing Batteries Cleaning Your Meter
USB Port
Setting Up the Meter
7
Testing Your Blood Glucose or Blood Ketone Prepare to Test Performing a Blood Glucose or Blood Ketone Test
8
Understanding Blood Glucose Test Results and Patterns Low Blood Glucose Results High Blood Glucose Results
17 Meter Specifications
Understanding Blood Ketone Test Results
19 References
5
The FreeStyle Optium Neo Blood Glucose and Ketone Monitoring System is for use outside the body only (in vitro diagnostic use) for self testing or professional use as an aid in the management of diabetes. Use for measuring glucose in fresh whole blood samples taken from fingers, forearm, upper arm or the base of the thumb. Use for measuring ketone (β-hydroxybutyrate) in fresh whole blood samples from fingers only. The system may also aid in the management of diabetes by providing the user with suggested recommendations to insulin dose(s) based on healthcare professional entered data.
16 Insulin Dose Logging Set Up for Insulin Dose Logging How to Use Insulin Dose Logging How to Log Additional Rapid-Acting Insulin Doses
• Insert a test strip here
What It Means
Logbook
Breakfast insulin dose
Meter ready for sample application
Lunch insulin dose
Control solution result
Dinner insulin dose
Units of insulin
Fasting test
Insulin
Ketone
Morning long-acting insulin dose
Low battery
Evening long-acting insulin dose
Connected to computer
Insulin dose setup
Setup mode
Low blood glucose or pattern
High blood glucose or pattern
1. Wash and dry hands before and after testing. Note: Check test strip expiry date. 2. Insert strip.
• Insert the test strip into the meter
• Apply blood or control solution to the white target area at the end of the test strip
10
Setting Up the Meter
To confirm that the date and time are set correctly, follow the steps below.
To turn your meter on: • Press the , or • Insert a strip To turn your meter off: for 3 seconds, or • Press and hold the • Do nothing for 2 minutes
Set Time 1. Start with meter off (no test strip inserted) to turn on the meter • Press (e.g. 1:23 PM)
Checking Your Meter Screen Every Time You Turn It On
(e.g. 13:23)
Your meter screen should be fully black when powered off. Each time you turn on your meter, a white start-up test screen will appear for 1 second.
hour
2. Press and hold the time (11:50) on the screen for 3 seconds until the screen changes.
Note: If the meter battery is low, the will appear in both the meter off screen and start-up test screen.
3. Set Time Format (12 hour or 24 hour clock) or to change • Press • Press to continue Note: Your meter can display either a 12 h (1:23 PM) or 24 h (13:23) time format. If you prefer the 12 h format, there is no “AM”. If setting a PM time, until you see the “PM”. continue to press 4. Set Hour • The hour blinks. Press hour • Press to continue
or
hour
Viewing Your Logbook Events
6. Set Month • The month blinks. Press month • Press to continue
day
or
1. While on the Home screen, press your logbook events.
to set the
7. Set Day • The day blinks. Press • Press to continue
to set the
or
to set the day
day
Examples:
month
or
to view
month
minute
5. Set Minutes • The minutes blink. Press minutes • Press to continue
View Logbook
Your meter logbook can store up to 1,000 events – including blood glucose, ketone, and control solution results, insulin doses, and other meter information.
Set Date
If you see any white segments in the black off screen, or any black segments in the white test screen, there may be a problem with the meter. Contact Customer Care.
4. View result. For more information on how to perform a test, see Section 7.
Test Strip Target Area
6
3. Lance test site and apply blood.
Down Button
Turning Your Meter On and Off
Meter Off Screen
• Turns meter on and off and returns to the Home screen
Strip Port
18 Other Symbols
Getting to Know Your Meter
➧
IMPORTANT: • Use only FreeStyle Optium blood glucose test strips and FreeStyle Optium blood β-Ketone test strips. Other test strips may produce inaccurate results. • See test strip instructions for use for more information about sample types. • Read the instructions in this Owner’s Setup Guide. Failure to follow instructions may cause incorrect results. Practice the testing procedures before using the meter. • Follow your healthcare professional’s advice when testing blood glucose levels and blood ketone levels. • Observe caution when using around children. Small parts may constitute a choking hazard.
Symbol
Power Button
• Insert a data cable here for uploading test results to a computer (data management system required)
15 Troubleshooting
Viewing Your Logbook Events Viewing Your Blood Glucose Averages
Intended Use
What It Means
Quick Start – Testing Your Blood Glucose
14 Taking Care of Your Meter
10 View Logbook
4
Logbook Up Button
6
9
3
Meter Symbols
Symbol
Display Window
Performing a Control Solution Test
2
FreeStyle Optium Neo At-A-Glance
11 Glucose and Ketone Control Solutions
13 Error Messages
4
User’s Manual
1
8. Set Year • Press • Press
to set the
or to set the year to save. Setup complete
2. Press events.
to scroll through to view your logbook
Blood Glucose Result
minute
Start-up Test Screen
Testing Your Blood Glucose or Blood Ketone
Insulin Dose 1. Select your test site. Test site choices for blood glucose testing are fingers, forearm, upper arm, or base of the thumb. Use only fingertip blood samples for blood ketone testing.
Abbott Diabetes Care Ltd. Range Road Witney, Oxon, OX29 0YL Made in UK.
IMPORTANT: • Only use a test strip once. • Read the test strip instructions for use before performing your first blood glucose or ketone test. It contains important information and will tell you how to store and handle the test strips. • The meter and its accessories are for use by a single person. • Refer to the lancing device insert for detailed instructions on how to use the lancing device. • Do not put urine on the test strip.
Performing a Blood Glucose or Blood Ketone Test
Note: Avoid moles, veins, bones, and tendons. Bruising may occur at the test site. If bruising occurs, consider selecting another site.
2. Wash your hands and the test site with soap and warm water. • Rinse and dry thoroughly. • Do not use lotion or cream on the test site.
9
The meter displays blood glucose results in mmol/L. The unit of measurement is preset. You cannot change this setting.
IMPORTANT: The meter displays results from 1.1 - 27.8 mmol/L. Low or high blood glucose results can indicate a potentially serious medical condition.
Low Blood Glucose Results
Notes: • If you are testing blood glucose, you will see a 5-second countdown. If you are testing blood ketone, you will see a 10-second countdown. • Do not remove the test strip from the meter during the countdown. • If the countdown does not start, you may not have applied enough blood to the test strip. See test strip instructions for use for re-application instructions. If the countdown still does not start, remove the used strip and discard it correctly. Start a new test with a new test strip.
What It Means
What To Do
Appears when result is lower than 3.9 mmol/L or the target set on the meter by your healthcare professional.
Follow your healthcare professional’s advice to treat low blood glucose.
If You See . . .
A solid yellow arrow
A pattern of low glucose has developed. If 2 low results occur within the past 5 days AND both are within the same 3-hour time period, the meter will display a blinking .
Follow your healthcare professional’s advice to treat low blood glucose.
What To Do
Appears when result is higher than 13.3 mmol/L or the target set on the meter by your healthcare professional.
Follow your healthcare professional’s advice to treat high blood glucose.
A pattern of high glucose has developed. If 3 high results occur within the past 5 days AND all are within the same 3-hour time period, the meter will display a blinking .
Follow your healthcare professional’s advice to treat high blood glucose.
A blinking yellow arrow
A blinking red arrow
Severe low blood glucose or There may be a problem with the test strip.
What It Means
Blood glucose level is higher than or equal to 13.3 mmol/L.
Repeat the test with a new test strip. If the result is LO, contact your healthcare professional immediately.
Blood Glucose Result example
Appears when result is higher than 27.8 mmol/L
Severe high blood glucose or There may be a problem with the test strip.
Fasting Result
Control Solution Result
Blood Ketone Result example to turn off the meter. Discard the 6. Press and hold used test strip correctly.
Viewing Your Blood Glucose Averages 1. While on the Home screen, press logbook.
The meter displays ketone results in mmol/L, from 0.0 - 8.0 mmol/L. The unit of measurement is preset. You cannot change this setting. IMPORTANT: Follow your healthcare professional’s advice before you make any changes to your diabetes management program.
Blood ketone is expected to be below 0.6 mmol/L.2 High blood ketone may be caused by illness, fasting, vigorous exercise, or uncontrolled blood glucose levels.1-3 Repeat a blood ketone test using a new blood ketone test strip when: • HI appears on the display • Your result is unusually high • You question your result • Your blood ketone result is 0.0 mmol/L, but your blood glucose is higher than 16.7 mmol/L
Display Result is between 0.6 – 1.5 mmol/L.
Result is higher than 1.5 mmol/L.
What It Means High blood ketone. A problem requiring medical assistance may be occurring.
You may be at risk of developing diabetic ketoacidosis (DKA).2-6
What To Do
Your average
Follow your healthcare professional’s advice.
Contact your healthcare professional immediately. Number of tests in this average
Check blood ketone if checking ketones is part of your diabetes management program.
Repeat the test with a new test strip. If the result is HI, contact your healthcare professional immediately.
Note: If you see a this means the meter can suggest a new meal insulin dose. Ignore this if you’re not about to eat a meal and take your meal insulin dose.
-
Appears when result is higher than 8.0 mmol/L.
Note: If you see the error messages E-3 or E-4, consult the Error Messages section in this Owner’s Setup Guide. IMPORTANT: Contact your healthcare professional if you have symptoms that do not match your test result, and you have followed the instructions in this Owner’s Setup Guide.
5. View the result. The test is complete when the result appears on the meter screen (examples shown). The result is stored in memory.
to open the
Understanding Blood Ketone Test Results
High Blood Glucose Results
A solid red arrow
Appears when result is lower than 1.1 mmol/L
➧
Note: KET will appear on the screen if you have inserted a purple blood ketone strip.
Understanding Blood Glucose Test Results and Patterns
If You See . . .
4. Apply blood to the test strip. Bring the blood drop to the white area at the end of the test strip. The blood is drawn into the test strip. Hold blood to test strip until you see 3 short lines on the meter screen. This means you have applied enough blood.
The blinks, indicating the meter is ready for you to apply a sample to the test strip.
3. Check test strip expiry date. Do not use expired test strips; they may cause inaccurate results.
8
3. Obtain a blood sample. Use the lancing device to obtain a blood sample. (See lancing device instructions for use for more information.)
2. Insert the test strip into the meter until it stops. This will turn on the meter. Notes: • Be sure to check that your meter screen is working properly each time you turn your meter on. If you see any white segments in the black off screen, or any black segments in the white test screen, there may be a problem with the meter. (See Section 5, Getting to Know Your Meter, for more details) • The meter turns off after 3 minutes of inactivity. Remove and reinsert the unused test strip to restart the meter.
Do not use blood samples from alternative sites when: • You think your blood glucose is low or changing rapidly • You have been diagnosed with hypoglycaemic unawareness • Alternative site results do not match the way you feel • You are within two hours of eating a meal, taking insulin, or exercising
Check your ketone: • When you have an illness • When your blood glucose is above 13.3 mmol/L • When you and your healthcare professional feel it is necessary
1. Open the foil test strip packet at the notch and tear down to remove the test strip.
4˚C
Prepare to Test
Blood Glucose Sensor Electrode Abbott Diabetes Care Ltd. Range Road Witney, Oxon, OX29 0YL Made in UK.
7
Units of Insulin
Very high blood ketone or There may be a problem with the test strip.
Repeat the test with a new test strip. If the result is HI, contact your healthcare professional immediately.
Press or to scroll through 7-, 14- and 30-day averages.
2. While in the logbook, press any time to view your 7-day average. [ ] • Press to view 14-day average. [ ] • Press to view 30-day average. [ ] • Press to return to your logbook events. Notes: • Averages do not include glucose control solution results. • Control solution results not marked as control solution tests may cause averages to be inaccurate. appear on the meter screen when there • are no current events or averages to view. • blood glucose test results are included as 1.1 mmol/L when calculating averages. blood glucose test results are included as • 27.8 mmol/L when calculating averages.
11
12
Glucose and Ketone Control Solutions A control solution test should be performed when you are not sure of your results and want to confirm that your meter and test strips are working properly.
13
What To Do
The temperature is too hot or too cold for the meter to work properly
1. Move the meter and test strips to a location where the temperature is within the test strip operating range. (See test strip instructions for use for the appropriate range.) 2. Wait for the meter and test strips to adjust to the new temperature. 3. Repeat the test using a new test strip. 4. If the error reappears, contact Customer Care.
Meter error
Abbott Diabetes Care Ltd. Range Road Witney, Oxon, OX29 0YL Made in UK.
4˚C Blood Glucose Sensor Electrode Abbott Diabetes Care Ltd. Range Road Witney, Oxon, OX29 0YL Made in UK.
3. Press and hold the down arrow for 3 seconds to mark the test as a control solution test. The appears. The meter is now ready for you to apply control solution to the test strip.
2. Insert the test strip until the meter turns on. Notes: • Be sure to check that your meter screen is working properly each time you turn your meter on. If you see any white segments in the black off screen, or any black segments in the white test screen, there may be a problem with the meter. (See Section 5, Getting to Know Your Meter, for more details.) • The meter turns off after 3 minutes of inactivity. Remove and reinsert the unused test strip to restart the meter.
Message
What It Means
What To Do
Blood drop is too small or Incorrect test procedure or There may be a problem with the test strip
1. Review the testing instructions. 2. Repeat the test using a new test strip. 3. If the error reappears, contact Customer Care.
The blood glucose level may be too high to be read by the system or There may be a problem with the test strip
1. Turn off the meter. 2. Repeat the test using a new test strip. 3. If the error reappears, contact Customer Care.
Blood was applied to the test strip too soon
1. Test strip is inserted in the strip port and nothing happens.
2. The test does not start after applying the blood sample.
Message
1. With the contact bars (3 black lines) facing up, insert the test strip into the meter until it stops. This turns on the meter. 2. If the meter still does not turn on, contact Customer Care.
No batteries are installed; Batteries installed incorrectly
Refer to Section 14, Taking Care of Your Meter, on how to properly install batteries.
Dead batteries
Change batteries. Reset date and time, if needed.
Meter may be plugged into a computer (PC appears on meter screen)
Unplug the meter from the computer.
Problem with the test strip
Try a new test strip.
Problem with the meter
Contact Customer Care.
Blood sample is too small
1. See test strip instructions for use for re-application instructions. 2. Repeat the test using a new test strip. 3. If the test still does not start, contact Customer Care. 1. Review the testing instructions. 2. Repeat the test using a new test strip. 3. If the test still does not start, contact Customer Care.
Problem with meter or test strip
1. Repeat the test using a new test strip. 2. If the test still does not start, contact Customer Care.
Power source
Two CR 2032 lithium (coin cell) batteries
Automatic shutoff
At least two minutes of inactivity
Size
Storage temperature
Battery life
Up to 3000 tests
Measurement range
For blood glucose testing 1.1 - 27.8 mmol/L For blood ketone testing 0.0 - 8.0 mmol/L
System altitude
Memory
Up to 1000 events, including blood glucose, blood ketone, and control solution results, insulin doses, and other meter information
Weight
Minimum computer requirements
System must only be used with EN60950-1 rated computers. Use a USB certified cable
Operating relative humidity
10% to 90% (non-condensing)
Operating temperature
Meter: 10 °C to 50 °C (50 °F to 122 °F) System: See test strip instructions for use
Step
-20 °C to 60 °C (-4 °F to 140 °F)
See test strip instructions for use
33 to 37 g (1.2 to 1.3 oz.) including batteries
Note: For test strip specifications, see test strip instructions for use.
2. Remove the old batteries.
The batteries in this product should be removed and disposed in accordance with local regulations for separate collection of spent batteries.
Note: Your meter settings and logbook information will be saved when you change the batteries.
IMPORTANT: After you first see this warning, you can perform approximately 28 tests before you need to change the batteries.
Cleaning Your Meter 3. Install new batteries with (+) facing up.
WARNING: Batteries should be kept away from small children. If swallowed, contact a healthcare professional immediately.
1. Check that you are using the correct test strip for this meter. (See test strip instructions for use to verify your strip is compatible with this meter.) 2. Repeat the test using a test strip for use with your meter. 3. If the error reappears, contact Customer Care.
Step
Step
Note: The meter uses 2 replaceable CR 2032 coin cell batteries.
1. Turn meter over and slide open the battery door on the side as shown.
4. Slide the door back into place until it clicks. Note: The next time you turn your meter on, it may prompt you to reset the time and date. (Refer to Section 6, Setting Up the Meter).
Action
1
Clean the outside of the meter using a damp cloth and: • Mild detergent/soap and water, or • 70% isopropyl alcohol, or • A mixture of 1 part household bleach, 9 parts water
2
Allow the meter to dry.
Action
1. Turn off the meter. 2. Repeat the test using a new test strip. 3. If the error reappears, contact Customer Care.
4. Press
2. Choose type of insulin dose. Using the chart below, press the button for the dose you want to log.
Set Up for Insulin Dose Logging 1. While on the Home screen, press and hold for 3 seconds until the appears. Insulin Dose Logging is now enabled.
morning Long-acting insulin evening
Note: To turn off this feature, repeat this step.
IMPORTANT: Do not place the meter in water or other liquids. Avoid getting dust, dirt, blood, control solution, water, or any other substance in the meter’s test strip port and USB port.
to log dose.
2. Press or amount.
to enter the actual dose
means you took dose
Long-acting insulin
breakfast Meal insulin lunch
Meal insulin
dinner
Meal insulin
How to Log Additional Rapid-Acting Insulin Doses
3. Press
to log dose.
(e.g. snacks, bedtime correction, etc.)
For long-acting insulin and/or insulin for breakfast, lunch, or dinner. 1. While on the Home screen, press
3. Press or amount.
.
to enter the actual dose
1. While on the Home screen, press and hold 3 seconds until the screen changes.
for means you took dose
19
Other Symbols What It Means
Symbol
What It Means Caution
Temperature limit
Use-by date
Manufacturer
In vitro diagnostic medical device
1. 2. 3. 4. 5. 6.
Batch code
Catalogue number
Do not re-use
Recycle
Date of manufacture
Serial number
Do not drink
Sterilised using irradiation (lancets only)
The batteries in this product should be removed and disposed in accordance with local regulations for separate collection of spent batteries. Electromagnetic Compatibility (EMC): FreeStyle Optium Neo meter has been tested for both electrostatic discharge and radio frequency interference. Emissions are low and unlikely to interfere with other nearby electronic equipment. To limit radio frequency interference do not use the FreeStyle Optium Neo meter near cellular or cordless telephones, radio transmitters or other electrical or electronic equipment that are sources of electromagnetic radiation, as these may interfere with the proper operation of the meter. Avoid use of the device in very dry environments, as electrostatic discharges from synthetic materials (e.g., carpets) could cause damage.
Note: When you no longer need the meter, remove the batteries and dispose of the batteries and meter in accordance with your local government regulations.
Action
Insulin Dose Logging
Consult instructions for use 5.97 cm (w) x 8.68 cm (l) x 0.87 cm (d) 2.35 in (w) x 3.42 in (l) x 0.34 in (d)
Out of Range Control Solution Results: • Repeat the test if control solution results are outside the range printed on the test strip instructions for use. • Stop using the meter if control solution results are consistently outside the range printed on the test strip instructions for use. Contact Customer Care.
You will see this screen when your batteries are low.
Introduction This feature allows you to log insulin doses so they are recorded in the logbook. You can enable this feature at any time.
Symbol Amperometry
WARNING: To avoid the possibility of electric shock, never perform a blood glucose test while the meter is connected to the computer.
Taking Care of Your Meter
Changing Batteries
1. Check that you are using the correct strip for this meter. (See test strip instructions for use to verify your strip is compatible with this meter.) 2. Repeat the test using a test strip for use with your meter. 3. If the error reappears, contact Customer Care.
Meter error
18
Meter Specifications
Transferring meter data to a computer requires a compatible data management system. You will also need a micro USB cable to connect your meter’s USB port to your computer. For more information, please contact Customer Care.
Note: KET appears with the result if performing a ketone control solution test.
Notes: • If you are testing with a blood glucose strip, you will see a 5-second countdown. If you are testing with a blood ketone strip, you will see a 10-second countdown. • Do not remove the test strip from the meter during the countdown. • If the countdown does not start, remove and discard the used test strip, turn off the meter and try again with a new strip.
How to Use Insulin Dose Logging
Sample applied after meter turns off
Assay method
What To Do
No coding required or Test strip may be damaged, used, or the meter does not recognise it
16
Test strip is not inserted properly or fully into the meter
What It Means Meter error
1. Review the testing instructions. 2. Repeat the test using a new test strip. 3. If the error reappears, contact Customer Care.
What To Do
6. View the result. The test is complete (examples shown) when the result appears on the meter screen. The result is stored in memory as a control solution result. Compare the control solution result to the range printed on the blood glucose or blood ketone test strip instructions for use. The result should fall within the range.
IMPORTANT: The test result will be saved to memory as a blood result if not marked as a control solution test. This may affect your blood glucose averages.
1. Repeat the test using a new test strip. 2. If the error reappears, contact Customer Care.
Troubleshooting What It Means
17
5. Hold the control solution to the test strip until: • You see 3 short lines on the meter screen. This means you have applied enough control solution and the meter is reading the control solution.
1. Open the foil test strip packet at the notch and tear down to remove the test strip.
14
What It Means
Examples:
Performing a Control Solution Test
Error Messages
Message
15
Note: KET will appear on the screen if you have inserted a purple blood ketone strip.
➧
IMPORTANT: • Use only Optium glucose and ketone control solutions with the meter. • Control solution results should fall within the control solution range printed on the test strip instructions for use. • Check that the LOT number printed on the test strip foil packet and instructions for use match. • Do not use control solution past its expiry date. Discard control solution 3 months after opening or on the expiry date printed on the bottle, whichever comes first. (Example: open April 15, discard July 15; write the discard date on the side of the bottle.) • The control solution range is a target range for control solution only, not for blood glucose levels. • Replace the cap securely on the bottle immediately after use.
4. Apply control solution to the test strip. Shake the control solution bottle to mix the solution. Apply a drop of control solution to the white area at the end of the test strip in the area shown. The control solution is drawn into the test strip.
The blinks, indicating the meter is ready for you to apply a sample to the test strip.
IMPORTANT: (continued) • Do not add water or other liquid to control solution. • Control solution results do not reflect your blood glucose. • Contact Customer Care for information on how to obtain control solution.
Transferring Meter Data to a Computer
References
Schade DS, Eaton RP. Metabolic and clinical significance of ketosis. Special Topics in Endocrinology and Metabolism 1982; 4:1–27. 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; 20:1347–1352. Harano Y, Kosugi K, Hyosu T, Suzuki M, Hidaka H, Kashiwagi A, Uno S, Shigeta Y. Ketone bodies as markers for Type 1 (insulin-dependent) diabetes and their value in the monitoring of diabetes control. Diabetologia 1984; 26:343-348. Ubukata E. Diurnal variation of blood 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; 34:333–342. 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; 37:1470–1477. Hale PJ, Crase J, Nattrass M. Metabolic effects of bicarbonate in the treatment of diabetic ketoacidosis. Br Med J 1984; 289; 1035–1038.
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