Trividia Health True Metrix Air - Monitoring Blood Glucose System Manual

Fast Test Guide

For quick reference only, not intended as a substitute for complete instructions. Please read entire Owner's Booklet and product Instructions for Use before testing.

Expected Results for people without diabetes:

Plasma Blood Glucose Result
Before eating: < 100 mg/dL
2 hours after a meal: < 140 mg/dL

INTRODUCTION

TRUE METRIX^® AIR
Self Monitoring Blood Glucose System

TRUE METRIX AIR is a simple, accurate way to test your whole blood glucose (sugar) level, anytime, anywhere. Our goal is to provide quality healthcare products and dedicated customer service. For questions about TRUE METRIX products, visit our web site at: www.trividiahealth.com.

The TRUE METRIX AIR Self Monitoring Blood Glucose System is intended for the quantitative measurement of glucose (sugar) in fresh capillary whole blood samples drawn from the fingertip or forearm. The TRUE METRIX AIR Self Monitoring Blood Glucose System is intended to be used by a single person and not to be shared.

The TRUE METRIX AIR Self Monitoring Blood Glucose System is intended for self-testing outside the body (in vitro diagnostic use) by people with diabetes at home as an aid to monitor the effectiveness of diabetes control.

The TRUE METRIX AIR Self Monitoring Blood Glucose System should not be used for the diagnosis or screening of diabetes or for neonatal use. Alternative site testing should be done only during steady-state times (when glucose is not changing rapidly).

The TRUE METRIX Self Monitoring Test Strips are for use with the TRUE METRIX AIR Self Monitoring Meter to quantitatively measure glucose (sugar) in fresh capillary whole blood samples drawn from the fingertip or forearm.

The TRUE METRIX AIR Self Monitoring Meter measures the current, detects, analyzes and corrects for hematocrit and temperature, and calculates the glucose result.

The TRUE METRIX Control Solution is for use with the TRUE METRIX AIR Self Monitoring Meter and TRUE METRIX Self Monitoring Test Strips to check that the meter and the test strip are working together properly and the test is being performed correctly.

The TRUE METRIX AIR Self Monitoring Meter can send results both to an application (App) you have on your mobile device or via docking station/ USB Smart data cable to a PC.

Importance of Blood Glucose Monitoring

The more you know about diabetes, the better you will be able to care for yourself. A Doctor or Healthcare Professional determines how often you should test and what your target ranges are for blood glucose results.

Having most blood glucose results within your target range shows how well your treatment plan is working to control glucose levels. Keeping results within your target range helps slow or stop complications from diabetes.

NEVER change your treatment plan without consulting a Doctor or Healthcare Professional.

IMPORTANT INFORMATION

For the most accurate results using TRUE METRIX AIR Self Monitoring Blood Glucose System:

• Read all product instructions for use before testing.
• Use of TRUE METRIX AIR Self Monitoring Blood Glucose System in a manner not specified in this Owner's Booklet is not recommended and may affect ability to determine true blood glucose levels.
• TRUE METRIX AIR Self Monitoring Blood Glucose System is a quantitative system for self-testing outside the body (in vitro diagnostic use) of human whole blood only.
• Alternate site (forearm) testing should not be used to calibrate continuous glucose monitors (CGMs).
• Alternate site (forearm) testing should not be used for insulin dose calculations.
• Use only TRUE METRIX Self Monitoring Blood Glucose Test Strips and TRUE METRIX Control Solution with the TRUE METRIX AIR Self Monitoring Blood Glucose Meter.
• Remove only one test strip at a time from test strip vial. Recap vial immediately.
• NEVER reuse test strips. NEVER wipe test strips with water, alcohol or any cleaner. DO NOT attempt to remove blood or control solution from test strips or clean test strips and re-use. Reuse of test strips will cause inaccurate results.
• NEVER add a second drop of sample to test strip. Adding more sample gives an error message.
• Perform Control Tests before performing a blood glucose test for the first time.
• Perform Control Tests with more than one level of control solution. Three levels of TRUE METRIX Control Solution are available for Control Tests. Call 1-800-803-6025, Monday - Friday, 8AM-8PM EST, for assistance in obtaining control solution.
• The TRUE METRIX AIR Self Monitoring Blood Glucose System is for one person use ONLY. DO NOT share your meter or lancing device with anyone, including family members. Do not use on multiple patients!
• ALL parts of your blood glucose monitoring system could carry blood-borne pathogens after use, even after cleaning and disinfecting.
• Cleaning and disinfecting the lancing device and the meter destroys most, but not necessarily all, bloodborne pathogens.
• Wash your hands thoroughly with soap and warm water before and after handling the meter, lancing device, lancets, or test strips, as contact with blood presents an infection risk.
• If the meter is being operated by a second person who provides testing assistance, the meter and lancing device should be cleaned and disinfected prior to use by the second person.
• It is important to keep the meter and the lancing device clean and disinfected. For instructions on how to clean and disinfect the meter and lancing device, see Meter Care, Cleaning and Disinfecting and Lancing Device Cleaning and Disinfecting.
• If you have symptoms of low or high blood glucose, check your blood glucose immediately. If your result does not match the way you feel, repeat the test. If your results still do not match the way you feel, call your Doctor or Healthcare Professional immediately.
  • Low blood glucose (hypoglycemia) symptoms may be trembling, sweating, intense hunger, nervousness, weakness, and trouble speaking.
  • High blood glucose (hyperglycemia) symptoms may be intense thirst, a need to urinate often, dry mouth, vomiting, and headache.
• Do not use for diagnosis or screening of diabetes or for neonatal use.
• Inaccurate results may occur in severely hypotensive individuals or in dehydrated patients or patients in shock. Inaccurate results may occur for individuals experiencing a hyperglycemic-hyperosmolar state, with or without ketosis.

Upon opening the test strip carton, examine the product for missing, damaged or broken parts. Ensure the test strip vial cap is securely closed. If the product is damaged or the vial cap is not closed, DO NOT use the test strips for testing; product may give inaccurate results. Contact Trividia Health Customer Care at 1-800-8036025 for replacement and assistance.

Know Your System

Meter

1. " ◀ " Button
   Decrease numbers in Meter Set Up; remove ALT Symbol; move backward by date/time when viewing results and Averages in Memory; scroll through Event Tags to mark results (if feature on).
2. " • " Button
   Turn meter on to view Average values, to view results in Memory, to access Meter Set Up, to turn on Event Tags in Meter Set Up, turn on/off Bluetooth Smart in Meter Set Up.
3. " ▶ " Button
   Increase numbers in Meter Set Up; add ALT Symbol; move forward by date/time when viewing results and view Averages in Memory; scroll through Event Tags to mark results (if feature on).

1. Display Screen
   Shows results, messages, user prompts, information.
2. Test Port
   Insert TRUE METRIX Test Strip here, contact blocks facing up.
3. Strip Release Button
   Releases test strip after testing for disposal.
4. Battery Door
   Use one non-rechargeable 3V lithium battery (#CR2032), positive ("+") side up (see Changing Battery).
5. Meter Labels
   Contain serial number of meter.
6. Docking Station Contacts
   Contacts used for uploading meter results to a computer using a Docking Station (Please call 1-800-803-6025, Monday - Friday, 8AM-8PM EST.) for assistance.

1. Result is from Memory
2. Time, Date
3. Time is AM/PM
4. Bluetooth Symbol and Event Tag Symbols
5. Result is 7, 14, 30, 60 or 90 day Average
6. Test Result
7. Control Symbol
8. Battery Symbol
9. Alternate Site (ALT) Symbol
10. Drop Symbol - Apply blood or control solution
11. Temperature Symbol
12. Test Reminder Symbol
13. Ketone Test Alert Symbol
14. Unit of Measure (Note: Factory set to mg/dL, cannot be changed by user.)

Test Strip

1. Contact End - Insert into Test Port with contact blocks facing up.
2. Sample Tip - Bring Tip of test strip to top of sample drop (blood or control solution) after Drop Symbol appears in the Display.

Note: Insert test strip into meter before touching Sample Tip to blood or control solution drop.

Sample Placement

• Allow sample drop to be drawn into Sample Tip until test-ing begins (meter beeps and dashes move across Display).
• Do not smear or scrape drop with test strip.
• Do not apply more sample to test strip after testing begins.
• Do not apply blood or control solution to top of test strip.
• Do not insert Sample Tip with sample into Test Port. May damage meter.

1. Lot Number (LOT) - Used for identification when calling for assistance.
2. Expiration Dates (EXP) - Write date first opened on vial label. Discard vial and unused test strips if either the open vial expiration date or the date printed next to EXP on vial label has passed, whichever comes first. See the test strip Instructions for Use for open vial expiration date.
   
   Use of test strips or control solution past the Expiration Dates may give incorrect test results. Discard out-of-date products and test with new products.
3. Control Test Ranges - Ranges of numbers in which Control Test results must fall to assure the system is working properly.
   Note: Examples only. Do not represent actual Control Test ranges.

Control Solution (Control)

1. Lot Number (LOT) - Used for identification when calling for assistance.
2. Expiration Dates (EXP) - Write date first opened on bottle label. Discard bottle if either 3 months after first opening or date printed next to EXP on bottle label has passed, whichever comes first.
3. Control Solution Level (1, 2, or 3) - Testing with at least 2 levels of control solution is recommended. Contact 1-800-803-6025, Monday - Friday, 8AM-8PM EST, for assistance with obtaining different levels of control solution.

Getting Started

Meter comes with pre-set time and date, and Bluetooth Smart feature on. The Event Tag feature, Ketone Test Alert, and all Test Reminders are off. Before using the meter for the first time or after a battery change, check the time, date, Bluetooth Smart, Event Tags, Alert and Reminders, and update as needed (see Meter Set Up).

The meter turns on when a test strip is inserted into the Test Port or when " • " Button is pressed (see Memory and Meter Set Up).

Meter turns off when the test strip is released or removed from the meter, " • " Button is pressed, or after 2 minutes of non-use.

The Bluetooth Smart feature turns off when a test strip is inserted into the Test Port or when meter is placed into docking station.

Turning the Ketone Test Alert on sets a reminder to check your ketones per your treatment plan when a blood glucose result is over 240 mg/dL.

Test Reminders are set like an alarm clock to sound a tone for 10 seconds to remind you to test. Up to four Test Reminders per day may be set.

Event Tags allow you to tag your blood glucose results to link to the following events:

Before meal – test was taken just before a meal,

After meal – test was taken 2 hours after the start of a meal,

Exercise – test was taken during or after exercise,

Medications – medication taken may have affected test result,

Sick – test was taken when sick,

Other – any other reason that the test is unique or different in some way (example: stress, drinking alcohol). In your logbook, note the reason that the test result was tagged. Seeing a result with this Event Tag in the meter Memory reminds you that there is more about this test result in your log book.

Tagging results helps track the effect specific events may have on your blood glucose test results. Event Tagging may assist you and your Doctor or Healthcare Professional with managing your diabetes.

Quality Control Testing

To assure you are getting accurate and reliable results, TRUE METRIX AIR offers two kinds of quality Control Tests. These tests let you know that your System is working properly and your testing technique is good.

Automatic Self-Test

An Automatic Self-Test is performed by the meter each time a test strip is inserted correctly into the Test Port.

Insert a test strip into the Test Port.

The meter is working properly if:

• the full Display appears, then
  
• the time appears in the upper part of the Display, and then,
• the Drop Symbol begins to blink.
  

If an error message appears in the Display, the meter will not perform a test.

See Troubleshooting or call 1-800-803-6025, Monday - Friday, 8AM-8PM EST.

If any segments are missing in the Display when meter is first turned on, do not use the meter for testing. Call 1-800-803-6025, Monday - Friday, 8AM-8PM EST.

Control Test

We recommend performing Control Tests for practice before using your meter for the first time to test your blood.

Control Tests should be performed:

• For practice to ensure your testing technique is good,
• Occasionally as you use a vial of test strips,
• When opening a new vial of test strips,
• If results seem unusually high or low,
• If a vial has been left opened or exposed to humidity or to extreme heat or cold,
• Whenever a check on performance of the system is needed,
• If meter damage is suspected (meter was dropped, crushed, wet, etc.)

Note: It is important to perform Control Tests with more than one level of control solution. Three levels of TRUE METRIX Control Solution are available for Control Tests. Call 1-800-803-6025, Monday - Friday, 8AM-8PM EST, for assistance in obtaining different levels of control solution.

Ranges printed on test strip vial label are for Control Test results only and are not suggested levels for your blood glucose. Do not drink control solution.

How to Test Control Solution

Use ONLY TRUE METRIX Control Solution with the TRUE METRIX AIR Self Monitoring Meter and TRUE METRIX Self Monitoring Test Strips.

1. Check dates on control solution label and test strip vial label. Do not use control solution or test strips if expiration dates have passed. (Control solution - 3 months after first opening or date next to EXP on bottle label; test strips – after open vial expiration date (see test strip Instructions for Use) or date next to EXP on vial label. Discard expired products and use new products.
   
2. Allow control solution, vial of test strips and meter to adjust to room temperature. Write date first opened on both control solution bottle label and test strip vial label when using for the first time.
3. Gently swirl or invert control solution bottle to mix.
   DO NOT SHAKE!
4. Remove one test strip from vial. Close test strip vial immediately. Use test strip quickly after removal from vial.
5. Insert test strip into Test Port. Meter turns on.
   
   Note: If test strip has been out of the vial too long before testing, an error message appears upon insertion of the test strip into the meter. Release and discard old test strip. Use new test strip for testing.
6. Wait until Drop Symbol appears in Display. Keep test strip in meter until testing is finished.
   
   Note: If test strip is removed before testing is finished, an error message appears. Release and discard old test strip. Use new test strip for testing.
7. With cap removed, turn control solution bottle upside down. Squeeze one drop of control solution onto a clean tissue. Wipe off bottle tip and discard tissue.
   
8. Gently squeeze a drop of control solution onto a small piece of unused aluminum foil or clear plastic wrap. Dispose after use.
9. With test strip still in meter, touch Sample Tip of test strip to top of drop of control solution. Allow drop to be drawn into test strip. Remove test strip from drop when meter beeps.
   
10. Dashes appear across the Display to show meter is testing.
    
    Note: If meter does not beep and begin testing soon after drawing up sample, release and discard test strip. Repeat test with new test strip. If problem persists, see Troubleshooting.
11. Compare meter result to Control Test range printed on test strip vial label for level of control solution you are using. If result is in range, System can be used for testing blood. If result does not fall within range, repeat test using a new test strip.
    
    Note: Control Test result shows the Control Symbol in the Display.
    
    If Control Test result is outside range, test again. If result is still outside range, system should not be used for testing blood. Call 1-800-803-6025, Monday - Friday, 8AM-8PM EST.
12. After result is shown, Strip Release Button flashes. Hold meter with test strip pointing down. Press Strip Release Button to release and discard test strip into appropriate container. Meter turns off.
    
    Note: Removing test strip before result displays cancels the test. An error message appears and the result is not stored in Memory. Retest with a new test strip and do not remove before result is displayed.

Testing Blood

Obtaining a Blood Sample

• The TRUE METRIX AIR Self Monitoring BloodGlucose System is for one person use ONLY. DO NOT share your meter or lancing device with anyone, including family members. Do not use on multiple patients!
• ALL parts of your blood glucose monitoring system could carry blood-borne pathogens after use, even after cleaning and disinfecting.
• Cleaning and disinfecting the lancing device and the meter destroys most, but not necessarily all, bloodborne pathogens.
• Wash your hands thoroughly with soap and warm water before and after handling the meter, lancing device, lancets, or test strips as contact with blood presents an infection risk.
• If the meter is being operated by a second person who provides testing assistance, the meter and lancing device should be cleaned and disinfected prior to use by the second person.
• It is important to keep the meter and the lancing device clean and disinfected. For instructions on how to clean and disinfect the meter and lancing device, see Meter Care, Cleaning and Disinfecting and Lancing Device Cleaning and Disinfecting. Refer to lancing device Instructions for Use for detailed instructions.
• Never share lancets or lancing device. Lancets are for single use only. Do not re-use.
• Do not use venous blood for testing.
• To help prevent false high results, wash hands before using the system to test blood, especially after fruit has been handled.

From Fingertip

1. Prepare fingertip by washing hands with soap and warm water. Rinse and dry thoroughly. Disinfect the clean skin with an antiseptic (e.g., 70% alcohol).
2. Place end of lancing device equipped with a lancet against tip of finger. Lance fingertip.
   
3. Set lancing device aside. To help blood drop form, lower hand to waist level, gently massaging finger from palm to fingertip. Allow blood drop to form before attempting to apply to the test strip. Apply sample to test strip Sample Tip.
4. Recap and remove used lancet from lancing device. The used lancet may be biohazardous. Please discard it carefully according to your Doctor or Healthcare Professional's instructions.

From Forearm

Important Notes Regarding Forearm Testing

• Check with your Doctor or Healthcare Professional to see if forearm testing is right for you.
• Results from forearm are not always the same as results from fingertip.
• Always perform testing using fingertip samples under the following conditions:
  • Within 2 hours of eating, exercise, or taking insulin,
  • If your blood sugar may be rising or falling rapidly or your routine results are often fluctuating,
  • If you are ill or under stress,
  • If your forearm test results do not match how you feel,
  • If your blood sugar may be low or high,
  • If you do not notice symptoms when blood sugar is low or high.

1. Select area to be lanced. Wash with soap and warm water, rinse and dry thoroughly. Disinfect the clean skin with an antiseptic (e.g., 70% alcohol).
2. Rub area vigorously or apply a warm dry compress to increase blood flow.
3. Place end of lancing device equipped with a lancet firmly against forearm. Press Trigger Button. Apply firm pressure on lancing device for 10 seconds. Apply sample to test strip Sample Tip.
   
4. Recap and remove lancet from lancing device.

The used lancet may be biohazardous. Please discard it carefully according to your Doctor or Healthcare Professional's instructions.

How to Test Blood

1. Check Meter time and date before each glucose test. With meter off, press and hold the " • " Button until the full Display is shown and a series of beeps sound. Release " • " Button.
   If time and date are incorrect, see Meter Set Up to set the correct time and date
2. Check dates on test strip vial being used. Do not use if either the open vial expiration date (see test strip Instructions for Use) or the date printed next to EXP on vial label has passed, whichever comes first.
3. Wash hands (and forearm for alternative site testing). Rinse well and dry thoroughly.
4. Remove one test strip from vial. Close vial immediately. Use test strips quickly after removal from vial.
5. With meter off, insert test strip Contact End (blocks facing up) into Test Port. Meter turns on. Keep test strip in meter until testing is finished.
   
   To mark test as alternate site (forearm) result, press " ▶ " Button. ALT Symbol appears in Display. Press " ◀ " Button to remove ALT Symbol. Wait until Drop Symbol appears in Display.
   
   Note: If test strip has been out of the vial too long before testing, an error message appears upon insertion of the test strip into the meter. Release and discard old test strip. Use new test strip for testing.
6. Lance fingertip or forearm. Allow drop to form (see Obtaining a Blood Sample).
   
7. With test strip still in meter, touch Sample Tip of test strip to top of blood drop and allow blood to be drawn into test strip. Remove test strip from blood drop immediately after the meter beeps and dashes appear across the Display.
   
   Note: If meter does not begin testing soon after touching Sample Tip to drop, discard test strip. Repeat test with new test strip and new blood drop. If problem persists, see Troubleshooting.
8. Dashes appear across Display to show meter is testing.
   
9. 
   After the test is finished, result is displayed. The Strip Release Button flashes.
   
   To mark the result with an Event Tag, make sure that Event Tags are turned Test Result on (see Set Bluetooth Smart, Event Tags, Ketone Alert and Test Reminders). The Event Tag icons flash.
   
   Press "▶" or "◀" Button to go to the correct Event Tag. Press " • " Button to mark the test result with an event (icon stops flashing).
   
   Event Tags are as follows:
   Before meal – test was taken just before a meal,
   After meal – test was taken 2 hours after the start of a meal,
   Exercise – test was taken during or after exercise,
   Medications – medication taken may have affected test result,
   Sick – test was taken when sick,
   Other – any other reason that the test is unique or different in some way (example: stress, drinking alcohol). In your logbook, note the reason that the test result was tagged. Seeing a result with this Event Tag in the meter Memory reminds you that there is more about this test result in the log book.
   Record result in log book.
10. Hold meter with test strip pointing down. Press test strip Release Button to discard test strip in the appropriate container. Meter turns off. Result is stored in Memory with date and time.
    
    Note: Removing test strip before result displays cancels the test. An error message appears and result is not stored in Memory. Retest with a new test strip and do not remove before result is displayed.

The used lancet and test strip may be biohazardous. Please discard them carefully according to your Doctor or Healthcare Professional's instructions.

TRUE METRIX AIR Self Monitoring Blood Glucose System and Laboratory Testing

When comparing results between TRUE METRIX AIR Self Monitoring Blood Glucose System and a laboratory system, TRUE METRIX AIR Self Monitoring Blood Glucose System blood tests should be performed within 30 minutes of a laboratory test. If you have recently eaten, fingerstick results from the TRUE METRIX AIR Self Monitoring Blood Glucose System can be up to 70 mg/dL higher than venous laboratory results.

Results Out of System Range Warning Messages

Meter reads blood glucose levels from 20-600 mg/dL.

If test result is less than 20 mg/dL, "Lo" appears in Display.

If test result is greater than 600 mg/dL, "Hi" appears in Display.

ALWAYS repeat blood tests to confirm Low ("Lo") and High ("Hi") results. If blood results still display "Lo" or "Hi", call your Doctor or Healthcare Professional immediately.

Note: "Lo" results are included in the Average as 20 mg/dL. "Hi" results are included as 600 mg/dL.

If blood glucose test result is greater than 240 mg/dL, and Ketone Test Alert is turned on, "Ketone" appears in Display with glucose result (see Ketone Test Alert).

When a Ketone Test Alert is shown in the meter Display, it does not mean that ketones have been detected in your blood. Perform a ketone test per your treatment plan, as prescribed by your Doctor or Healthcare Professional.

Note: Ketone Test Alert can be turned on or off during Meter Set Up.

Meter Set Up

Note: If the meter turns off at any time during Set Up, go back to Step #1 under Meter Set Up and begin again.

1. With meter off, press and hold " • " Button until the full Display is shown and a series of beeps sound (after about 10 seconds). Release " • " Button. Meter goes into Set Up.
   

Set Time/Date

2. The hour flashes. To change, press " ▶ " or " ◀ " Button on top of the meter to select the hour. Like many alarm clocks, to set "AM" or "PM", scroll through the hours until "AM" or "PM" appears in the Display. Press " • " Button to set.
   
3. The minutes flash. To change, press " ▶ " or " ◀ " Button to select the minutes. Press " • " Button to set.
   
4. The month (number) flashes. To change, press " ▶ " or " ◀ " Button to select the month. Press " • " Button to set.
   
5. The day (number) flashes. To change, press " ▶ " or " ◀ " Button to select the day. Press " • " Button to set.
   
6. The year flashes. To change, press " ▶ " or " ◀ " Button to select the year. Press " • " Button to set.
   

Note: Meter beeps every time a setting is confirmed (" • " Button is pressed).

Set Bluetooth Smart, Event Tags, Ketone Alert and Test Reminders

Meter comes with Bluetooth Smart feature turned on. Look for the Bluetooth icon on your meter display to confirm it is turned on. Event Tags, Ketone Test Alert and all Test Reminders are turned off.

Note: If the meter turns off at any time during Set Up, go back to Step #1 under Meter Set Up and begin again.

Bluetooth Smart

Uploading results using the Bluetooth Smart feature allows your meter to send results to an application (App) on a paired mobile device. See Pairing (Connecting) Meter with Your Mobile Device for more information.

After setting the year, press " ▶ " or " ◀ " Button to turn the Bluetooth Smart feature on or off. Press " • " Button to set. Meter goes to set Event Tags.

Event Tags

Event Tags are used to mark a test result that was taken during a specific event.

1. After turning the Bluetooth Smart feature on or off, press " ▶ " or " ◀ " Button to turn Event Tags on or off. Press " • " Button to set, then the Meter goes to set Ketone Test Alert.
   

Ketone Test Alert

When a blood glucose result is over 240 mg/dL, the Ketone Test Alert is a reminder to check your ketones per your treatment plan.

2. Press " ▶ " or " ◀ " Button to turn Alert on or off. Press " • " Button to set, then the Meter goes to set Test Reminder.
   

When a Ketone Test Alert is shown in the meter Display, it does not mean that ketones have been detected in your blood. Perform a ketone test per your treatment plan, as prescribed by your Doctor or Healthcare Professional.

Test Reminder

Up to four Test Reminders per day may be set. Reminder sounds at set time for 10 seconds. Meter comes with all Test Reminders off.

To set the Test Reminders:

1. After pressing " • " Button to set Ketone Test Alert, Display shows first Reminder setting (A-1). To turn Reminder on, press " ▶ " Button. Press " ◀ " Button to turn Reminder back to off. Press " • " Button to set.
   
2. When "on" is chosen, press " • " Button. The hour flashes. Press " ▶ " or " ◀ " Button to set the hour. To set AM/PM, scroll (press " ▶ " or " ◀ " Button) until "AM" or "PM" is next to correct time. Press " • " Button to set.
   
3. The minutes flash. Press " ▶ " or " ◀ " Button to set the minutes. Press " • " Button to set. Meter goes to the next Test Reminder.
   
4. Turn Reminders on and repeat setting the time for next 3 Reminders (if needed).
   

Exit Set-Up

Press and hold " • " Button until meter turns off. Meter also turns off after 2 minutes of non-use. Set Up choices are saved.

Note: If Test Reminders are set, the Alert Symbol appears in all Displays. If battery dies or is replaced, Ketone test alert and test reminders may have to be reset.

Meter Memory

View Averages

The Averages feature allows you to view the average of all your blood glucose results within a 7-, 14-, 30-, 60-, or 90-day period. Control Test results are not included in the Averages.

You can review the average of your glucose results from the last 7-, 14-, 30-, 60-, or 90-days.

1. With meter off press and release " • " Button. Display scrolls through 7-, 14-, 30-, 60-, and 90-day Average values.
   
2. Meter turns off after 2 minutes if no buttons are pressed.
   Note: If there are no Average values, three dashes are displayed for 7-, 14-, 30-, 60-, and 90-day Averages.
   

View Memory

Meter Memory stores 1000 blood and control test results. When Memory is full, the oldest result is replaced with the newest result.

1. Press and release " • " Button. Meter displays 7-, 14-, 30-, 60-, and 90-day Averages. Press and release " • " Button again to view most recent test result in Memory. If there are no results in Memory, dashes appear with the Memory Symbol.
   
2. Press " ▶ " Button to scroll forward Alternate Site Symbol through results or " ◀ " Button to scroll backwards through results.

Test results marked as alternate site display ALT Symbol.

Control Test results display the Control Symbol.

Test results above 240 mg/dL display Ketone Test Alert Symbol, when Ketone Test Alert is turned on during Set Up.

Tests marked with an Event Tag shows the Event Tag icon in the Display.

Pairing (Connecting) Meter with Your Mobile Device

Pairing enables your meter to upload your results when requested by an App (application) on your mobile device. Th e meter must have the Bluetooth Smart feature turned on and your mobile device must have an App that is able to receive the results. Th e meter and the mobile device must be within 10 feet of each other for the results to upload. The meter can be paired with up to four (4) mobile devices.

1. Make sure that the Bluetooth Smart feature is turned on in the meter (see turning Bluetooth Smart off/on under Meter Set Up).
2. Press " • " Button on the meter.
3. Follow your mobile device instructions in order to locate TRUE METRIX AIR Self Monitoring meter (look for a device named NiproBGM or TRUEAIR). Enter the last 6 digits of the meter serial number (found on meter back label) into the mobile device. This is the meter's PIN number. Wait for mobile device(s) to confirm connectivity. Once both devices are paired, you can have the App on your mobile device upload test results from the meter memory.
   
   (Example only - shows pairing request for NiproBGM. Does not represent meter actual serial number.)

• If you make any changes through the meter set up, turn the meter off and start at Step #2 in order to be able to pair.
• Look for the Bluetooth icon on your meter display to confirm it is turned on. You must first pair your mobile device(s) with your meter for test results to be uploaded.
• This meter operates with Bluetooth Smart. Make sure that your mobile device can work with Bluetooth Smart.
• Don't pair more than one mobile device to the meter at a time. If your meter has already paired with four (4) mobile devices and is attempting to be paired with new mobile device, the mobile device paired first is replaced with the new mobile device.
• If a test strip is inserted into the meter during the uploading of the results to the App, the results stop uploading. You must re-start the upload from the App in your mobile device.
• Go to www.trividiahealth.com/truemanagerair for a list of compatible mobile devices and applications.

• To prevent other people's results from being sent, do not let anyone else use your meter to test their blood glucose. This meter is for single patient use only.
• To make sure that your results are secure, only let trusted people (doctor, family, etc.) download your results to a computer program or connect to a mobile App.
• Keep your meter serial number private.
• Allowing other people to download your meter to a computer or mobile App that is not yours could result in a loss of privacy of your data.

Care, Cleaning/Disinfecting

• Store System (meter, control solution, test strips) in Carrying Case to protect from liquids, dust and dirt.
• Store in a dry place at temperatures between 40°F-86°F at 10%-80% relative humidity. DO NOT FREEZE.
• Do not keep meter in an area where it may be crushed (i.e. back pocket, drawer, bottom of bag, etc.).
• Do not share your meter with anyone, including family members.
• Allow system to sit at room temperature for 10 minutes before testing.

Meter Care, Cleaning and Disinfecting

Cleaning removes blood and soil from the meter.

Disinfecting removes most, but not all possible infectious agents (bacteria or virus) from the meter, including blood-borne pathogens.

• Clean and disinfect immediately after getting any blood on the meter or if meter is dirty.
• Clean and disinfect meter at least once a week. Meter may be cleaned and disinfected once a week for up to 5 years.
• If the meter is being operated by a second person who provides testing assistance, the meter and lancing device should be cleaned and disinfected prior to use by the second person. Do not clean the meter during a test.
• Cleaning (step #2) must occur before disinfecting (steps #3 and #4).

To Clean and Disinfect the Meter:

1. Wash hands thoroughly with soap and water.
   
2. To Clean: Make sure meter is off and a test strip is not inserted. With ONLY Super Sani-Cloth^® Wipes (EPA* reg. no. 9480-4), rub the entire outside of the meter using 3 circular wiping motions with moderate pressure on the front, back, left side, right side, top and bottom of the meter. Discard used wipes. (*Environmental Protection Agency.)
   
3. To Disinfect: Using fresh wipes, make sure that all outside surfaces of the meter remain wet for 2 minutes. Make sure no liquids enter the Test Port or an other opening in the meter.
   
   Super Sani-Cloths may be purchased at the following places:
   • Amazon.com,
   • Officedepot.com
     or visit your local Office Depot store,
   • Walmart.com
4. Let meter air dry thoroughly before using to test.
   
5. Wash hands thoroughly again after handling meter.
   
6. Verify that the System is working properly by performing an Automatic Self-Test (see Getting Started).

Stop using the meter and call Customer Care for assistance at 1-800-803-6025, Monday - Friday, 8AM-8PM EST, if:

• Meter display appears cloudy or any display segments are missing,
• Markings on meter, including back meter label, are coming off or are missing,
• Buttons on the meter are hard to push or do not work,
• Unable to insert test strip into Test Port,
• Automatic Self-Test gives an error message.

Note: Other disinfectants have not been tested. The effect of other disinfectants used interchangeably has not been tested with the meter. Use of disinfectants other than Super Sani-Cloth Wipes may damage meter.

Note: Super Sani-Cloth Wipes have been tested on the meter for a total of 260 cleaning and disinfecting cycles, which is equal to cleaning and disinfecting the meter once a week for a 5 year period. The use life of the meter is 5 years.

Lancing Device Cleaning and Disinfecting

Cleaning and disinfecting the lancing device is a two-step process. The first step is Cleaning. Cleaning removes any blood, liquids, dust or dirt. The second step is Disinfecting. Disinfecting removes most, but not all possible infectious agents (bacteria or viruses), including blood-borne pathogens. Cleaning must be done before Disinfecting.

Clean and disinfect the lancing device at least once a week. Lancing device may be cleaned and disinfected once a day for up to 3 years. If blood gets on the lancing device, clean and disinfect it before anyone else touches it. If someone is helping you test your blood or performs a test on you, do the cleaning and disinfecting before allowing anyone else to handle it.

1. Wash hands thoroughly with soap and water or wear disposable gloves.
   
2. To Clean: Using ONLY Super Sani- Cloth (EPA* Reg. No. 9480-4), thoroughly wipe the entire outside surface of the lancing device with one cloth by wiping in circles 3 times. Discard the used cloth.
   (*Environmental Protection Agency.)
   
3. Repeat step 2 if the lancing device is not visually clean, or safely dispose of it according to your state/local regulations.
4. To Disinfect: Remove a fresh Super Sani-Cloth and thoroughly wipe the entire outside surface of the lancing device by wiping in circles 3 times. Make sure that you go over the entire lancing device.
5. Using fresh cloths, if needed, make sure that all outside surfaces of the lancing device stay wet for 2 minutes by patting with the cloth. Discard used cloth. Let lancing device air dry completely before using.
6. Gently pull back Arming Barrel and press the Trigger Button. You will hear a click if the lancing device is working properly.
7. Wash hands thoroughly again.

Other disinfectants have not been tested. The effect of other disinfectants used interchangeably has not been tested with the lancing device. Use of disinfectants other than Super Sani-Cloth may damage lancing device. Do not use lancing device and call Customer Care for assistance at 1-800-803-6025, Monday - Friday, 8AM - 8PM EST, if:

• Markings on lancing device are coming off,
• Trigger Button is hard to push,
• End Cap does not go back on,
• Arming Barrel does not click when gently pulled back.

Super Sani-Cloth may be purchased at: Amazon.com, Officedepot.com (or your local Office Depot store), Walmart.com. Super Sani-Cloth has been tested on the lancing device for a total of 1,095 cleaning and disinfecting cycles, which is equal to cleaning and disinfecting the lancing device once a day for a 3-year period. Lancing device may be cleaned and disinfected up to 7 cycles per week for 3 years.

TRUE METRIX Control Solution Care

• Write date opened on control solution bottle label. Discard if either 3 months after first opening or date printed next to EXP on bottle label has passed, whichever comes first.
• After each use, wipe bottle tip clean and recap tightly.
• Discard any control solution bottles that appear cracked or leaking.
• Store at temperatures between 36°F-86°F.
  DO NOT FREEZE.

TRUE METRIX Self Monitoring Test Strip Care

• Store test strips in original vial only. Do not transfer test strips to new vial or store test strips outside of vial.
• Write date first opened on test strip vial label. Discard vial and unused test strips if either the open vial expiration date or the date printed next to EXP on vial label has passed, whichever comes first. See the test strip Instructions for Use for open vial expiration date. Use of test strips past expiration dates may give incorrect results.
• Discard any test strip vials that appear cracked or broken.
• Close vial immediately after removing test strip. Store in a dry place at temperatures between 40°F-86°F at 10%-80% relative humidity. DO NOT FREEZE.
• Do not reuse test strip.
• Do not bend, cut or alter test strips in any way.

Changing Battery

A low battery displays Battery Symbol while continuing to function. A dead battery displays Battery Symbol, beeps, and then turns off. To replace battery:

1. Lift tab on Battery Door.
   
2. Turn meter over. While holding meter in one hand with Battery Door facing down, tap meter gently on the palm of your other hand to loosen and remove battery.
3. Discard old battery into appropriate container.
4. Insert new battery, positive ("+") side facing up. Close Battery Door.
   Note: Use non-rechargeable 3V lithium battery (#CR2032).
5. Press " • " Button to turn meter on. Check time, date, Ketone Test Alert and Test Reminders (see Meter Set Up). If meter does not turn on, check that battery was installed properly. If not, remove and reinsert battery. Turn meter on by pressing " • " Button. Call 1-800-803-6025, Monday - Friday, 8AM-8PM EST, if problem persists.

Battery is not rechargeable. If you have a cable or a cradle for downloading results to a computer, DO NOT plug the USB cable end into an electrical outlet. Trying to recharge the battery or power the meter by plugging into an electrical outlet will cause meter to catch on fire or melt.

Batteries might explode if mishandled or incorrectly replaced. Do not dispose of battery in fire. Do not take apart or attempt to recharge battery. Dispose according to local regulations.

Messages

Display	Reason	Action
	Invalid Hematocrit	Repeat with new test strip, using capillary whole blood from the finger or forearm. If error persists, call 1-800-803-6025, Monday - Friday, 8AM-8PM EST.
	Temperature Error • Too Cold/ Too Hot	Move meter and test strips to area between 41°F-104°F; wait 10 minutes for system to reach room temperature before testing.
	Sample Not Detected or Using Wrong Test Strip	Retest with new test strip and larger sample.
	Used Test Strip, Test Strip outside of vial too long, Sample on top of Test Strip.	Repeat with new test strip. Make sure Sample Tip of test strip touched top of sample drop. If error persists, call 1-800-803-6025, Monday - Friday, 8AM-8PM EST.
	Meter Error	Call 1-800-803-6025, Monday - Friday, 8AM-8PM EST.
	Test Strip Error, or very high blood glucose result (higher than 600 mg/dL)	Retest with new test strip. If error persists, call 1-800-803-6025, Monday - Friday, 8AM-8PM EST. If you have symptoms such as fatigue, excess urination, thirst, or blurry vision follow your Doctor or Healthcare Professional's advice for high blood glucose.
	Test Strip Removed During Test	Retest with new test strip. Make sure result is displayed before removing test strip.
	Communication Error	Call 1-800-803-6025, Monday - Friday, 8AM-8PM EST.
	Low or Dead Battery	Low: About 50 tests can be done before battery dies. Dead: Battery Symbol appears and beeps before meter turns off.
	Broken Display	Do not use meter for testing. Call 1-800-803-6025, Monday - Friday, 8AM8PM EST.
	Out of Range High Results > 600 mg/dL Low Results < 20 mg/dL	Retest with new test strip. If result is still "Hi" (High) or "Lo" (Low) contact Doctor or Healthcare Professional immediately.

If error message still appears, any other error message appears, or troubleshooting does not solve the problem, call 1-800-803-6025, Monday - Friday, 8AM-8PM EST.

Troubleshooting

1. After inserting test strip, meter does not turn on.

2. After applying sample, test does not start (meter does not beep or begin testing).

3. Meter Bluetooth Smart feature is enabled but test result was not received by your mobile device.

Note: Any interruption in transmission may cancel the transfer of test results from your meter to your mobile device. Results are re-transmitted the next time a data transfer is started.

For assistance, call 1-800-803-6025, Monday - Friday, 8AM-8PM EST.

System Specifications

Result Range: 20-600 mg/dL

Sample Size: 0.5 microliter (0.5 µL)

Sample: Fresh capillary whole blood from the finger or forearm, or control solution

Test Time: Results in as little as 4 seconds

Result Value: Plasma values

Assay Method: Amperometric

Power Supply: One 3V lithium battery #CR2032 (non-rechargeable)

Battery Life: Approximately 1000 tests or 1 year

Automatic shut-off: After two minutes of non-use

Weight: 1.66 ounces

Size: 3.44" x 2.16" x 0.69"

Memory Size: 1000 blood and control test results

Operating Range (meter & test strips):

Relative Humidity: 10%-90% (Non-condensing)
Temperature: 41°F-104°F
Hematocrit: 20%-70%
Altitude: Up to and including 10,200 feet

Note: Use within specified environmental conditions only.

Wireless Frequency: 2.4 GHz Band

Device Compatibility: Mobile devices running applications compatible with Bluetooth Glucose Profile

Chemical Composition

TRUE METRIX Test Strips: Glucose dehydrogenase-FAD (Aspergillus species), mediators, buffers and stabilizers.
TRUE METRIX Control Solution: Water, d-glucose, buffers, viscosity enhancing agent, salts, dye and preservatives.

ABOUT BLUETOOTH SMART

The TRUE METRIX AIR Self Monitoring Blood Glucose Meter uses Bluetooth Smart to connect wirelessly (pair) with applications (Apps) found on your mobile devices that can work with Bluetooth Glucose Profile in order to transmit test results from your meter's memory.

If you continue to have problems, contact Customer Care at 1-800-803-6025, Monday - Friday, 8AM-8PM EST.

The Bluetooth Smart feature on your meter sends test results to your paired device. To prevent other people's results from being sent and keep your data consistent, Do Not let anyone else use your meter to test their blood glucose.

Blood Glucose Monitoring System Components

• TRUE METRIX AIR Self Monitoring Blood Glucose Meter
• TRUE METRIX Self Monitoring Blood Glucose Test Strips
• TRUE METRIX Control Solution
• Lancing Device
• Single Use Lancet

Kit may contain one or more of the components above.

To obtain components, call 1-800-803-6025, Monday - Friday, 8AM-8PM EST.

Other accessories may negatively affect EMC performance. No adverse events to the Patient and Operator are anticipated due to electromagnetic disturbances because all electrical components of the TRUE METRIX AIR meter are fully enclosed.

For Tips and Instructions visit TrividiaHealth.com for additional information

Call for assistance • Monday - Friday, 8AM-8PM Eastern Standard Time English or Spanish
1-800-803-6025
www.trividiahealth.com

Manufactured by:
TRIVIDIA HEALTH™
Fort Lauderdale, FL 33309 U.S.A.