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Lifescan SureStep blood glucose monitoring system Owner's Booklet

Surestep owners booklet blood glucose monitoring system
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  • Page 1 Owner’s Booklet...
  • Page 2 The SURESTEP System is intended for use ® outside the body (in vitro diagnostic use). It should be used only for testing purposes and only with fresh whole blood samples. It should not be used for the diagnosis of diabetes.
  • Page 3 60%. The results you get with the SURESTEP help you and your healthcare professional Important phone numbers: LifeScan Customer Services (24 hours a day, 7 days a week): English 1 800 227-8862 Healthcare professional ________________________ Pharmacist _________________________ Diabetes educator _____________________________ Other ______________________________ monitor and adjust your treatment plan to gain better control of your diabetes.
  • Page 4 CAUTION: Before using any product to test your blood glucose (blood sugar), read all instructions and practice the test. Do all quality control checks as directed and consult with a diabetes healthcare professional. These recommendations apply to all blood glucose monitoring systems and are supported by the American Association of Diabetes Educators, the American Diabetes Association, the U.S.

  • Page 5: Table Of Contents

    TA B L E O F C O N T E N T S LEARNING THE SYSTEM CODING THE METER CHECKING THE SYSTEM TESTING YOUR BLOOD LifeScan Customer Services (24 hours a day, 7 days a week): USA English 1 800 227-8862 SURESTEP Blood Glucose Meter ®...
  • Page 6 UNDERSTANDING YOUR RESULTS RECALLING RESULTS FROM METER MEMORY CARING FOR YOUR METER LifeScan Customer Services (24 hours a day, 7 days a week): USA English 1 800 227-8862 Overview Comparing Meter and Laboratory Results Expected Test Results (Target Range) Testing Tips to Ensure Accuracy...
  • Page 7 CHANGING METER SETTINGS (Set-Up Mode) SOLVING PROBLEMS SPECIFICATIONS QUICK REFERENCE GUIDE LifeScan Customer Services (24 hours a day, 7 days a week): USA English 1 800 227-8862 Entering Set-Up Mode Display of Last Result Unit of Measurement (mg/dL or mmol/L)

  • Page 9: Learning The System

    ® for use with the SURESTEP Meter to ensure consistent quality and accuracy. For reliable results and to maintain the manufacturer’s complete service, support, and warranty, use only SURESTEP Test Strips made by LifeScan. S Y S T E M...
  • Page 10 QUICK REFERENCE BEFORE TESTING: See inside for instructions on proper blood application and coding the meter. * IMPORTANT: Read detailed instructions in your SureStep Owner’s Booklet before doing a test. ® Extra Space for Diabetes Supplies and Syringes Lancets Inside Tray...

  • Page 11: Surestep

    1 800 381-7226 CANADA: 1 800 663-5521 Milpitas, CA 95035 ® C22.2 No. 125; Risk Class 2 ÿ LIFESCAN INC. 1995 AW 052-178-01A Made in U.S.A. (Green) C BUTTON Codes the meter, changes the meter settings, and scrolls through the memory.

  • Page 12: Surestep

    SURESTEP Test Strips ® When blood is applied to the pink test square, it is absorbed and a chemical reaction takes place. A blue color forms in the confirmation is inserted White Tip into the meter. The side where you apply White Tip blood must be face up when you insert the...

  • Page 13: Important Test Strip Information

    Never transfer test strips to a new bottle or any other container. DO NOT use bleach, or products containing bleach, with the test strips. For reliable results, use only SURESTEP Test Strips made by LifeScan.
  • Page 14 To check that all display symbols are working, press and hold down the power button. All of these symbols should appear. Call LifeScan Customer Services at 1 800 227-8862 if any segments are missing.
  • Page 15 Meter Memory Result. SURESTEP Meter stores up to 10 ® blood glucose or control solution test results in its memory. Every time you turn the meter on, it will automatically recall and display your last (most recent) result. (Example) Your Code Number.
  • Page 16 Apply Blood Sample to Pink Test Square. Push the Test Strip, Pink Side Up, Firmly into the Test Strip Holder Until It Stops. If you fail to completely insert the test strip, the test may start. However, you may receive an inaccurate low result.
  • Page 17 HI mg/dL. In virtually all cases above 500 mg/dL (27.8 mmol/L), the meter reads “ . ” (Example) When proper procedures are fol- lowed, a reading of “ very high blood glucose (severe hyperglycemia). In extremely rare circumstances, the meter will read “...

  • Page 18: Three Easy Steps To Coding

    C O D I N G T H E M E T E R Code numbers are used to calibrate the SURESTEP Test Strip with ® the SURESTEP Meter for accurate ® results. You must code the meter before using it for the first time. You must check the code every time you change to another package of test strips.
  • Page 19 Step 2: Check the Code Numbers. The code number on the test strip package will range from 1 to 21. If the number on the display matches the code number on the SURESTEP Test Strip package, begin testing. If the two code numbers do not match, follow Step 3 to code the meter.

  • Page 20: Surestep

    Whenever you suspect that the meter or test strips are not working properly. When your results do not reflect how you feel. Glucos If you drop the meter. Shake befor Not Intende Discard 3 m Discard date Lot No. Exp. Date © LIFESCAN I...

  • Page 21: Glucose Control Solution

    If a control solution test falls outside of the control range, do not use the meter to test your blood until you get a control solution test result within the range. Call LifeScan Customer Services at 1 800 227-8862 if you need assistance.
  • Page 22 Follow the test procedure, using SURESTEP Glucose Control ® Solution instead of blood. Before Testing, Check the Code. After turning the meter on, the last result appears, followed by the CODE symbol and number. If the code on the meter does not match the code on the test strip package, press the green C button until the codes match.
  • Page 23 Step 2: Check Confirmation Dot. Check to see that the confirmation dot on the back of the test strip has turned completely blue to ensure you have applied enough control solution. Step 3: Insert the Test Strip and Read Result. Within two minutes after applying control solution, insert the test strip firmly into the test strip holder,...
  • Page 24 The control solution result appears, on average, in 30 seconds. (Example) Note: Do not use the Color Chart to verify control solution tests. Compare the control solution test result with the control range printed on the SURESTEP Strip package. (Example) Test ®...

  • Page 25: Control Solution Test

    Dirty meter or test strip holder Test strip deterioration Meter malfunction Control solution that is outside of the temperature range 59–95˚F (15–35˚C) If you are unable to resolve the problem, call LifeScan Customer Services, 1 800 227-8862.

  • Page 26: Getting A Drop Of Blood

    If you share a PENLET person should always use a new lancet and a new or prop- erly disinfected cap. For assistance, call LifeScan Customer Services, 1800227-8862. Step 1: Insert a Lancet in the PENLET Sampler.
  • Page 27 Insert a new, sterile lancet into the lancet holder. Hold the lancet firmly, and gently twist and pull off the protective disk. Note: Save the protective disk for safe removal of the lancet after testing.
  • Page 28 Choose either the regular or deep ® penetration PENLET II Cap and slide it back onto the PENLET II Sampler. Regular Deep Penetration Step 2: Cock the PENLET Sampler. Holding the lower portion of the PENLET II Sampler, pull out the dark gray sliding barrel until it clicks.
  • Page 29 Step 3: Get a Drop of Blood. Wash your hands with soap and warm water and dry them thor- oughly. Warm water stimulates blood flow to the fingers. Hang your arm down for 10–15 seconds before you stick your finger. If you use alcohol to clean your finger, make sure you let it dry.
  • Page 30 Hold the PENLET II Sampler firm- ® ly against the side of the finger, with the cap resting on the finger. (The harder you press, the deeper the puncture.) Press the dark gray release button. By holding your hand down and kneading your palm, blood will flow more quickly and easily to your finger.
  • Page 31 Step 4: Remove the Lancet. When removing the PENLET Cap, be careful not to prick your- self or anyone else. After removing the cap, grasp the two dark gray prongs located near the release button, pointing the lancet down and away from you.

  • Page 32: Step-By-Step Test Procedure

    Step-by-Step Test Procedure When learning to use the meter for your own diabetes care, first do a control solution test. When the control solution test result is within the control range, you are ready to practice by testing your blood. Next you should perform three blood glu- cose tests in a row.
  • Page 33 Before Testing. Press the blue power button. Your last test result will appear. (Example) Next, the code number appears. It must match the code number on the SURESTEP Test Strip package. If it ® does not match, change the meter code number following the instruc- tions on pages 10–11.
  • Page 34 Then these symbols will alternate on the display: Apply blood to Insert test strip test strip. into meter. The meter is ready for a test. You have two minutes to insert the test strip before the meter automatically turns off. Step 1: Apply Blood to the Test Strip.
  • Page 35 You can apply blood to the pink test square in one of two ways. 1) Hold the test strip under your finger and touch the drop of blood to the pink test square. 2) Turn the test strip over and dab the pink test square to the finger.
  • Page 36 You have applied too much blood to the test strip if the entire white pad is soaked. You must begin the test with a new test strip to avoid false results from too much blood. Too Much Blood Step 2: Check the Confirmation Dot.
  • Page 37 If any white patches or white streaks appear on the confirmation dot, you have not applied enough blood for an accurate test. You must start the test over with a new test strip. Not Enough Blood Caution: If you do not insert the test strip properly, you may get an inaccurate result.
  • Page 38 The flashing clock symbol appears while the meter is reading your result. You will hear a three-tone beep when the meter displays your result. Results appear, on average, in 30 seconds. The meter displays results between 0 and 500 mg/dL. In virtually all cases above 500 mg/dL, the meter reads “...
  • Page 39 60 mg/dL or above 240 mg/dL, follow the treatment advice of your healthcare professional. Record your test result in your LifeScan logbook. The logbook allows you to keep a record of your test results, along with information on your meals and medication.

  • Page 40: Optional Color Chart

    Press the blue power button to turn off the SURESTEP Blood Glucose ® Meter. (To save energy, the meter automatically turns off three minutes after the meter displays your test result.) Optional Color Chart A Color Chart is included with each package of SURESTEP Strips.
  • Page 41 1. Before testing. Compare the confirmation dot on the back of the new test strip to the shade marked unused on the chart. Do not use the test strip if the confirmation dot is darker than the color of an unused test strip on the Color Chart.

  • Page 42: Overview

    U N D E R S TA N D I N G Y O U R R E S U LT S Overview Recent Diabetes Findings. In 1993 the National Institutes of Health concluded an extensive long- term study of people with Type 1 diabetes.

  • Page 43: Comparing Meter And Laboratory Results

    Frequency of Testing. How often you need to test your blood glucose will vary according to your age, the type of diabetes you have, the medications you are taking, and your physical and emotional health. Your healthcare professional will guide you. After you decide when and how often you should test, it is important that you make testing part of your daily routine.
  • Page 44 exercised, taken medication, or experienced stress. In addition, if you have eaten recently, the blood glucose level from a fingerstick can be up to 70 mg/dL higher than that of a venous sample (blood drawn from a vein) used for a laboratory test.
  • Page 45 GLUCOSE RANGES FOR PEOPLE WITHOUT DIABETES, Before breakfast 70–105 Before lunch or dinner 70–110 1 hour after meals Less than 160 2 hours after meals Less than 120 Between 2 and 4 a.m. Greater than 70 YOUR TARGET mg/dL RANGES, mg/dL ______________________ ______________________ ______________________...

  • Page 46: Testing Tips To Ensure Accuracy

    Testing Tips to Ensure Accuracy If you have a test result that falls outside of your target range and you cannot link it to diet, exercise, medication, or stress, repeat the test. If the result is similar and still outside of your range, try these troubleshooting steps: Before Testing Wash your hands.

  • Page 47: Health Conditions Causing Out-Of-Range Results

    the test strip confirmation dot to be certain it turned completely blue. Make sure you did not apply too much blood to the test strip. You have applied too much blood if there is no white visible on the white pad. Directly after the meter displays a result, compare the color of the test strip confirmation dot with...
  • Page 48 “Do I have symptoms of high blood glucose (hyperglycemia): fatigue, dry mouth and skin, increased thirst or hunger, blurry vision, increased uri- nation, rapid deep breathing, or a fruity smell to the breath?” “What have I eaten?” “How much have I exercised?” “Am I ill (common cold, flu, etc.)?”...

  • Page 49: Recommendations For Better Diabetes Control

    5. Krall, L.P., and Beaser, R.S.: Joslin Diabetes Manual. Philadelphia: Lea and Febiger (1989), 138. 6. LifeScan data on file. 7. Wickham, N.W.R., et al.: Practical Diabetes, Vol. 3, No. 2 (1986), 100. 8. Cohen, F.E., et al.: Diabetes Care, Vol. 9, No. 3 (1986), 320-322.

  • Page 50: Using The Meter For The First Time

    RECALLING RESULTS FROM METER MEMORY The SURESTEP Blood Glucose ® Meter is pre-set to automatically display your last test result when the meter is turned on. You can also review your last result immediately after a new test is completed. The meter stores your 10 most recent blood glucose or control solution test results in its memory.

  • Page 51: Recalling All Results In Meter Memory

    Recalling All Results in Meter Memory To access the meter memory, press the blue power button and hold down for five seconds. When the display flashes, release the blue power button. You are now in memory mode. Your most recent result will appear on the display.

  • Page 52: Recalling Your Last Result

    If a previous test resulted in an error condition, the error will be stored in the memory. Order of test result (third most recent) Recalling Your Last Result Immediately after completing a test, you can also review your previous test result. Result (Example) With the current test result displayed,...

  • Page 53: General Care

    C A R I N G F O R Y O U R M E T E R Your SURESTEP Blood Glucose ® Meter is easy to maintain. However, to keep it in good operating condi- tion, follow these simple rules: General Care Keep your meter dry and avoid exposing it to extremes in temper-...
  • Page 54 Always clean your meter when this symbol appears: If you are concerned that your test results do not compare with how you feel, clean the meter and do a control solution test to check if it is working properly. Clean the meter using these easy steps: Step 1: Remove the Test Strip Holder.
  • Page 55 Make sure you thoroughly wipe the gray area on the inside cover. Wash both sides of test strip holder base; carefully clean around the hole. Dry the test strip holder completely with a soft cloth or lint-free tissue. Top of Cover Base Gray Area Hole (clean both sides)
  • Page 56 Step 4: Replace the Test Strip Holder. Slide the test strip holder into the meter, press down, and push forward at the strip insertion point until you hear a click. Make sure the test strip holder is firmly in place. Make sure it does not extend beyond the meter.

  • Page 57: Changing The Batteries

    If this symbol appears after cleaning the meter, check to see if you insert- ed the test strip holder completely and securely. The test strip holder may be out of position. See pages 59–63 for error descriptions. Note: If using a 10% bleach solution, this message may indicate that you have not completely removed the bleach residue on the gray area of...
  • Page 58 low batteries. If the symbol is flash- ing, the batteries are dead and you should replace them immediately. You will not be able to do a test when the symbol is flashing. Replace both batteries with new AAA alkaline batteries. Do not use rechargeable batteries.
  • Page 59 Step 2: Remove the Old Batteries. Use your fingers or gently tap the meter on the palm of your hand. Never tap the meter against a hard surface. Step 3: Insert New Batteries. Insert two new AAA alkaline batteries, matching the + end of each battery with the + signs inside the meter.
  • Page 60 C H A N G I N G M E T E R S E T T I N G S The SURESTEP Meter has been ® pre-set to meet the needs of most users. There are three features you can change.

  • Page 61: Entering Set-Up Mode

    Entering Set-Up Mode 1. Make sure the meter is off. 2. Press and hold down the green C button. 3. Press and release the blue power button while holding the C button. 4. Release the C button. In the set-up mode, the current set- ting for each of the three changeable features is automatically displayed in sequence.
  • Page 62 If you wish to turn off the auto- matic display of your last result, press the C button. This symbol will flash indicating that the automatic display is turned off. Then, wait for the next feature setting (unit of measurement) to appear. Unit of Measurement The meter is pre-set to display test results in milligrams per deciliter...

  • Page 63: Beep Signals

    If you wish to change the unit of measurement to mmol/L, press the C button. This symbol will flash on the display. Then, wait for the next feature set- ting (beep signals) to appear. Beep Signals The SURESTEP Blood Glucose ®...
  • Page 64 If you want the meter to operate without beeps, enter the set-up mode. After the meter displays the memory and unit of measurement features, the meter will sound a three- tone beep and flash this message Press the C button to turn off the beep signals.

  • Page 65: Helpful Messages

    In most cases, a problem is easy to solve. Assistance is available from LifeScan Customer Services 24 hours a day at 1 800 227-8862. WHAT TO DO Push the test strip in firmly...
  • Page 66 SYMBOL MESSAGE 1. The test strip was inserted before the meter was turned on or before the insert test strip symbol appeared, or 2. The test strip was inserted incorrectly, or 3. The test strip was inserted too quickly. If the symbol is constant, the batteries are low.

  • Page 67: Error Messages

    Error Messages The meter gives specific error mes- sages when it detects a problem with its internal functions, the test strip, or the testing procedure. However, improper use may cause an inaccurate ERROR POSSIBLE CAUSE 1. Blood was applied to 1. Clean the meter. Repeat the test the wrong side of the test strip, or 2.
  • Page 68 ERROR POSSIBLE CAUSE 3. The test strip was inserted more than 2 minutes after applying blood, or 4. You may have a very high blood glucose level, possibly exceeding 500 mg/dL. 1. Not enough blood was applied to the test strip, or WHAT TO DO 3.
  • Page 69 ERROR POSSIBLE CAUSE 2. The test strip has been altered, exposed to air, or has passed its expiration date. 1. The test strip was removed or partially removed before the result was displayed, 2. The meter contact points are dirty. Note: If more than two minutes have passed since you applied blood to the test strip, repeat the test with a new test strip.
  • Page 70 ERROR POSSIBLE CAUSE The meter is not within the temperature range of 50–95°F (10–35°C). 1. The meter test strip holder, lens area, and contact points are dirty, or 2. The test strip holder is not fully in place, WHAT TO DO Allow the meter to warm or cool slowly before performing another test.
  • Page 71 Turn meter on, then reinsert test strip when insert test strip symbol appears. Turn meter on. Before testing, check that the code on your meter matches the code on your test strip package. If continues, call LifeScan Customer Services at 1 800 227-8862.

  • Page 72: Performance Characteristics

    Performance Characteristics See the SURESTEP Test Strip ® package insert for accuracy and precision information. Power Supply: Two AAA alkaline batteries. Battery Life: Approximately 18 months when doing two tests a day. Result Range: 0–500 mg/dL (0–27.8 mmol/L). Higher results are displayed as “...

  • Page 73: Guarantee And Warranty

    LifeScan Customer Services Representative at the toll-free number within 30 days of purchase. After calling LifeScan, you will need to return the SURESTEP Meter and a copy of your receipt to receive a refund.
  • Page 74 ® with any test strip other than SURESTEP Test Strips from ® LifeScan, or when the SURESTEP Meter or Test Strips are modified in any way. Before you return your meter, or any product, first call your LifeScan Customer Services Representative at the toll-free number for instructions.
  • Page 75 CODING THE METER Before testing, make sure the meter is coded correctly. Press power button. Meter automatically displays last test result. (Example) Code number is Press C button until automatically code number on meter displayed. matches code number on test strip package. 3-STEP TEST PROCEDURE (Example) C Button...
  • Page 76 How you can be sure that you have applied the right amount of blood: Front Back Pink Test Square Confirmation White Pink test square is Apply a drop of blood where you apply a to the pink test square drop of blood. on the front of the test strip.

  • Page 77: Español 1 800 381-7226

    Para recibir su copia gratuita, favor del llamar al número gratis 1 800 381-7226. The SURESTEP instructional materials are available in Spanish. To receive your free copy, please call toll-free 1 800 381-7226. LifeScan Customer Services toll-free numbers: U.S.A. *05225103A* AW 052-251-03A se encuentra disponible en ®...

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