Blood Glucose Monitoring System User Instruction Manual...
CAUTION: Before using any product to test your blood sugar (blood glucose), 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.
Intended Use ........6 Understanding the ReliOn® Confirm Blood Glucose Meter ..7 Changing the Battery .
Blood Glucose Testing ........33 The Lancing Device .
INTRODUCTION Thank you for choosing the ReliOn® Confirm Blood Glucose Monitoring System. This system measures blood glucose in fresh capillary whole blood. Results are shown as plasma values. This makes it easy to compare the ReliOn® Confirm blood glucose meter and lab results.
Intended Use The ReliOn® Confirm Blood Glucose Monitoring System meter is intended for the quantitative measurement of glucose in fresh capillary whole blood samples drawn from the fingertips or palm. Testing is done outside the body (In Vitro diagnostic use). It is indicated...
® UNDERSTANDING THE ReliOn Confirm BLOOD GLUCOSE METER Bottom Battery Compartment Cover Display Test Strip Port Connection Terminal Arrow Down Arrow...
Explanation of the full display screen: Memory Mode Symbol Battery Symbol Audible Beep Off Apply Blood Symbol Unit of Measurement Date Time Format Temperature Warning Delete Symbol Control Solution NOTE: Meters in the USA are programmed to show results in mg/dL. Meters used outside the USA are programmed to show results in either mg/dL or mmol/L.
ReliOn® Confirm/micro test strips These test strips need only 0.3 µL (microliter) of blood. Apply blood to the sample application tip. The strip draws in the blood by capillary action. The blood glucose reacts with the enzyme on the test strip. This produces a current proportional to the blood glucose level.
Changing the Battery blood glucose The ReliOn® Confirm meter comes with one lithium battery CR2032 (or DL2032). CAUTION : Replacing the battery will not delete meter settings or test results stored in the meter unless you: • Touch the metal portion on main unit with your fingers or any metal. • Take over 2 minutes to replace battery. • Load the battery incorrectly. • Load a used or weak battery.
To replace battery: 1. Open the battery cover on the back side of the meter by pushing the tab in the direction of the arrow and pulling the cover up. 2. The battery is held in place on the underside of the cover. Slide the battery out of the cover.
5. Put the battery cover back into correct position and snap to close. If the clock setting has been deleted, either “12:00” or “0:00” will blink when you put a test strip into the meter. The low battery symbol means you need to replace the battery as soon as possible. Discard used batteries as per local guidelines.
METER SET-UP Before using the ReliOn® Confirm blood glucose meter for the first time, set the time and date. Do not perform a blood glucose test until you have setup the meter. Meter set-up allows you to adjust the audible beep volume and to set time, date, and test averaging.
Step 2: Press the Up Arrow and Down Arrow buttons at the same time for 5 seconds. A beep sounds and the meter turns on. Next, a second beep sounds and “SET” shows on the screen. Step 3: Use the Up Arrow to change the set-up screen. When you press the Up Arrow, the set-up screen changes in the order shown in the dia- gram on the following page.
Setting Setting the Setting the Setting Audible Month the Year Beep Arrow Arrow Arrow Arrow Arrow Gray Arrow Return Setting Setting the Setting Ending Hour Test Set-up Averaging Minute Arrow Arrow Arrow <Power OFF>...
Setting the Audible Beep If the audible beep is turned “on”, the beep will sound when: • You insert a test strip into the meter. • You apply blood or control solution to a test strip. • The test has ended and the result is displayed. • The meter is turned on, but you do not use it for several minutes. Meter will beep and automatically shut off. • You go into Memory Mode. Make sure the meter is off. Press the Up Arrow and Down Arrow buttons at the same time for 5 seconds.
Press the Down Arrow button to cycle through the volume levels: “OFF” (no sound) “on 1” (low) “on 2”(middle) “on 3” (high) “OFF” (no sound) …, etc. A beep sounds at the set volume at each step. If “OFF” is set, the “audible beep mute (Off)”...
Setting the Year In the year set-up screen, the last two digits of the currently set year appear at the top of the screen. “yER” appears in the middle of the screen. All four digits of the currently set year appear at the bottom of the screen.
Setting the Month Press the Down Arrow button to change the month. After you set the month, press the Up Arrow button to confirm the setting. The screen changes to the day set-up screen. Setting the Day Press the Down Arrow button to change the day. After you set the day, press the Up Arrow button to confirm the setting.
Setting the Hour Press the Down Arrow button to change the hour. After you set the hour, press the Up Arrow button to confirm the setting. The screen changes to the minute set-up screen. Setting the Minute Press the Down Arrow button to change the minute. After you set the minute, press the Up Arrow button to confirm the setting.
Setting Test Averaging NOTE: “Lo” results are included as 20 mg/dL in the averages. “Hi” results are included as 600 mg/dL in the averages. Press the Down Arrow button to cycle through the test averaging choices: “oFF” (not displayed), “14” (14-day average), or“30” (30-day average).“AVE”...
Ending Set-up To make further changes to set-up settings, press the Down Arrow button while “End” is displayed. This will bring up the Audible Beep set-up screen. You can then move through the set-up mode and adjust any settings that you wish. If you are done with set-up, press the Up Arrow button while “End”...
PERFORM A CONTROL SOLUTION TEST Use ReliOn® Confirm/micro CONTROL to check if: • the meter and test strips are working correctly as a system. • you are testing correctly. To order control solution, call ReliOn® at 800.631.0076.
• T he test strip bottle has been left open or has been exposed to temperatures below 34°F (1°C) or above 86°F (30°C), or humidity levels above 80%. • T o check your technique. • W hen the ReliOn® Confirm blood glucose meter has been dropped or stored below 32°F (0°C) or above 122°F (50°C). Important: • U se only with ReliOn® Confirm blood glucose meter and ReliOn® Confirm/micro blood glucose test strips.
(OPEN DATE) as a reminder to dispose of the opened solution after 3 months. • Always replace the cap immediately after use. • ReliOn® Confirm/micro CONTROL is not a cleaning solution. Do not clean your ReliOn® Confirm blood glucose meter with ReliOn® Confirm/micro CONTROL. • Do not use the control solution when the solution level falls below the bottom edge of the label on the bottle. • Use the Control Solution between 72-82°F (22-28°C).
Step 1: Insert a test strip as shown in diagram. Test strip should seat firmly into meter. The meter will turn on automatically. The full screen will come on for a moment. Make sure all symbols appear on the screen (see page 8). The last result will then appear. Then the code number (F-2, F-3, or F-4) will appear for three seconds followed by the Apply Blood symbol.
Step 2: Press the Up Arrow button to enter the control mode. You will see “CONT” on the bottom right of the screen. If you do not enter the control solution mode, the control solution result will NOT be valid. Arrow Down Arrow...
Step 3: Mix control solution by gently inverting bottle. Remove the cap from the control solution bottle. While the Apply Blood symbol is flashing, place a drop of the control solution on the end of the test DO NOT put control solution on top of strip.
Control solutions are available in three (3) levels - Low (L), Normal (N), and High (H). Repeat Steps 1-5 with other Control Solution levels as per recommendations of your healthcare professional. To order control solution, call ReliOn® at 800.631.0076. NOTE: Control solution test results are not included in the averages.
Troubleshooting Control Solution Test If the control solution test result is out-of-range, check the following and repeat the test: Check Action Did you do the test in If not, do the test again. Insert a control solution mode? test strip; press the Up Arrow Do you see “CONT”...
Check Action Did you insert test strip Make sure test strip is inserted firmly into meter? all the way into test strip port. See diagram on page 26. Did you follow the Reread “Performing a Control procedure correctly? Solution Test” (pages 24-29) and retest. Were test strips stored correctly If not, retest with a (between 34-86°F (1-30°C))?
Does your Control Solution result still read outside the range printed on the test strip bottle? If yes, the system may not be working correctly. DO NOT USE the system to test your blood glucose until the control solution result is within range. If you need help, please call Customer Service at 800.631.0076 (24 hours a day, 7 days a week, USA).
BLOOD GLUCOSE TESTING The Lancing Device Release Button Lancet Depth Charger Indicator Deep Depth Setting (Longest Marker) Step 1: Safety Tab Pry the depth adjustment cap Shallow Depth Setting (Shortest Marker) sideways to remove it. Medium Depth Setting Depth Adjustment Cap Clear Cap NOTE: Do not use the lancet if the cap is missing or damaged.
Step 2: Insert a new, unused lancet into the Holder Holder until it stops. Step 3: Twist off the safety tab. Step 4: Attach the depth adjustment cap.
Step 5: Adjust the depth of puncture setting if necessary. If the obtained amount of blood is excessive, turn the dial to a lower setting. If the obtained amount of blood is insufficient, turn the dial to a larger setting. Level indications Lancing Device.
Getting a Drop of Blood Step 1: Wash hands with soap and warm water. Dry hands thoroughly. If you use alcohol wipes to cleanse fingers, make sure the area is dry before lancing finger. Residual alcohol may lead to inaccurate readings. Step 2: Let the arm hang down for 10 to 15 seconds.
Step 5: Set aside the lancing device and wait a few seconds for a blood drop to form. Keeping the hand warm, lowering the hand to waist level and gently massaging your wrist, palm or the base of the finger helps the flow of blood. Use a different site each time you test to help prevent soreness and calluses.
Performing a Blood Glucose Test NOTE: Four and a half minutes after test strip insertion, a beep sounds every 5 seconds. After 5 minutes, a beep sounds and the meter turns off. Take out unused test strip and insert it again to turn meter back on.
Step 2: The beep will sound again. The last result will then appear. Then the code number (F-2, F-3, or F-4) will appear for three seconds Verify that the code number followed by the Apply Blood symbol on the screen matches the code number printed on the bottle. If the code number does not match, the meter may give a false reading.
Step 3: Obtain a blood drop (see pages 36-37). Apply blood to the end of the test strip. Capillary action will pull the blood into the strip. The meter will beep when it detects that blood has been applied. The meter will begin to count down. Do not add blood on top of the test strip, as you may receive an inaccurate result.
If it takes longer than 20 seconds to obtain a blood sample and to touch the test strip to the blood drop, repeat Step 3. Step 4: The meter will count down, showing a flashing dash. After 7 seconds, a beep sounds and the test result and date/time are shown.
Flagging Test Results You can mark a test result with either “DEL” or “CONT” or leave it unmarked. You must mark the test result after it has been mg/dL displayed, but before you remove the test strip from the meter. You cannot change the marker after removing the test strip from the meter.
Step 2: When you have selected the desired marker, remove the test strip. When you recall the result from memory, the selected marker will be displayed (“DEL”, “CONT” or no marker). mg/dL NOTE: The following are NOT included in the 14-day or 30-day test averages: • Results collected in Control Solution mode (and therefore marked“CONT”).
ALTERNATE SITE TESTING (AST) Important Information About AST Sites other than your fingertip may have fewer nerve endings so obtaining a blood sample from these sites may be less painful. The technique for alternate site testing is different from fingertip testing. Blood glucose testing results from sites other than your fingertip could be significantly different.
Consider Alternate Site Testing When: • Testing before a meal. • You are in a fasting state. • Two hours have passed since a meal. • Two hours have passed since insulin dosing. • Two hours have passed since physical activity. Use Fingertip Testing: • Within two hours after a meal. • Within two hours after insulin dosing. • Within two hours after physical activity. • If you have a history of hypoglycemia, are experiencing low blood glucose, or suffer from hypoglycemic unawareness (you cannot tell when you have low blood glucose). • To confirm your blood glucose level if your AST result is not consistent with how you feel. • During times of stress or illness.
Ask your diabetes healthcare professional about recommended testing procedures when operating machinery or driving a car, as fingertip testing is usually the preferred method of testing under these circumstances. If bruising occurs, you may choose to lance a fingertip instead. Preparing to Test Your Blood Glucose From an Alternate Site Choose a Site:...
Performing a Blood Glucose Test From an Alternate Site Step 1: Insert lancet and cock lancing device.
Step 2: Remove test strip from the bottle. Immediately replace the bottle cap Insert test strip as shown in tightly. diagram. A beep will sound and the meter will turn on automatically. Verify that all symbols appear on the screen (see page 8). The last result will then appear.
Step 3: a) PRESS AND VIGOROUSLY RUB THE SELECTED AREA for 10 seconds until it starts to feel warm to the touch. b) Firmly hold the cocked lancing device against the clean skin for 5-10 seconds.
c) Press the release button d) Once a on the lancing device to large enough Continue to lance the skin. drop of blood hold the lancing device has formed, firmly against the skin until remove the a blood drop forms lancing device.
IMPORTANT IF NOT, • Was the sample free of clear or watery fluid? REPEAT TEST. • Was the drop large enough (at least 0.3 µL)? • Did the reaction site fill with enough blood all at once? Step 5: The meter will count down, with a flashing dash, and display result in 7 seconds. CONSIDER YOUR RESULT. REPEAT ALTERNATE SITE TEST: • IF the blood sample appeared to be diluted with clear fluid. Filled • IF you did not vigorously rub the test site. • IF the blood drop was not large enough to fill the reaction site. • IF the test was accidentally marked as a “Control” result. • IF your result was not consistent with how you feel. Not Filled Filled • IF more than 20 seconds elapsed from sample...
If the repeated alternate site result is still not consistent with how you feel, confirm your blood glucose level with fingertip testing. Step 6: record your results in your self-testing logbook Always along with other information such as insulin dosage, diet, and exercise. The result is automatically stored in memory with the time and date.
Understanding Test Results The ReliOn® confirm blood glucose meter is referenced to a fresh plasma sample. Your meter results may differ from clinical lab results. This is due to normal variation. To compare your meter with lab results, follow the guidelines below.
ALWAYS wash hands with warm soapy water. Rinse and dry them ALWAYS before testing. use fresh capillary whole blood on meter tests. You may still see a difference from the lab result. This can be due to several causes. Blood glucose levels can change over short periods of time, for example due to food or stress.
Normal Blood Glucose Readings Expected blood glucose levels for adults without diabetes¹ , ²: Fasting 70 to 110 mg/dL 1 to 2 hours after meals <120 mg/dL High Blood Glucose Readings If your blood glucose is above 600 mg/dL, you will receive a “Hi.” Repeat the test with a new test strip.
Low Blood Glucose Readings If your blood glucose is below 20 mg/dL, you will receive a “Lo.” Repeat the test with a new test strip. If this message shows again, contact your healthcare professional immediately! Contact your physician for advice if test results are very low (below 70 mg/dL) and/or you have symptoms of low blood glucose.
What This Means For You Frequent blood glucose testing is the best means to track how well you are doing with your diabetes management. It helps you track the effects of medications, diet, exercise, and stress management. Blood glucose test results can also tell you if your diabetes is changing. This may alert you to adjust your treatment plan.
RECALLING RESULTS - ENTERING MEMORY MODE The ReliOn® Confirm blood glucose meter stores up to 360 test results. When more than 360 test results have been performed, the meter drops the oldest result each time you add a new result. Before using the memory, remove test strip from meter and make sure meter is turned off.
• If Test Averaging has been turned on, the average result will appear first. Either “14d” or “30d” will show at the bottom of the screen for either a 14-day or 30-day average. “AVE” will appear above “14d” or “30d”. • If Test Averaging has been set to “Off”, the mg/dL display will briefly flash the number “1” at the bottom of the screen.
Step 3: After all test results have been reviewed, “End” appears. • P ress the Up Arrow button once to go back to the first result in memory. You can then scroll through results in memory again. • P ress the Down Arrow button for 2 seconds to exit Memory and turn off the meter. You can exit Memory in this way at any time when recalling results.
Deleting all test results Step 1: Press both the Up Arrow and Down Arrow buttons for 5 seconds while “End” is shown. You will see “dEL” and “ALL” alternating on the screen. Step 2: Next press the Down Arrow button for 5 seconds.
MAINTENANCE Cleaning To prevent malfunction of the meter, keep the test strip port free of blood, moisture, dirt, or dust. Use a lint-free cloth dampened with water to clean meter. Thoroughly wring out cloth before use. Do not use an abrasive cloth or antiseptic solution, as these may damage the display screen.
Storage and Handling • S tore meter at 32°F-122°F (0°C-50°C). • D o not leave the meter in very hot or cold places. Do not leave it near a heat source (radiator) or in a car in hot or cold weather. • D o not store or use meter or test strips: • in high humidity, such as a bathroom or kitchen. • near a strong electromagnetic field such as a microwave oven or cell phone. • D o not use a meter that has been dropped into water, or if any water has entered the meter. Even if you dry it, correct test results may not be obtained, and malfunction may result.
If you have technical problems or questions, please call Customer Service at 800.631/0076 (24 hours a day, 7 days a week). Contact your healthcare professional with questions if you cannot reach Customer Service. Display Screen and Error Messages Please first read this section. If you still have questions, call Customer Service at 800.631.0076 (24 hours a day, 7 days a week).
Your blood glucose level is less than 20 mg/dL or there was not enough blood on test strip. Repeat test with new test strip. Make sure you use enough blood to fill the strip. If this message shows again, contact your healthcare professional immediately! Your blood glucose level is more than 600 mg/dL.
The meter is faulty. Contact Customer Service at 800.631.0076. The meter temperature is outside acceptable range of 50˚F-104˚F (10˚C-40˚C). Allow the meter and test strips to warm up or cool down slowly (20 minutes) until the temperature warning symbol goes away. The meter is faulty.
Test strip problem. Contact bars on test strip may be dirty. Incorrect test strip used. Used test strip has been inserted. Repeat test with new test strip. Not enough blood added to test strip. Or incorrect blood application technique. Retest with new test strip. Code Number.
Apply Control Solution. The Apply Blood symbol flashes and “CONT” appears at the bottom of the screen. This shows the meter is ready for you to apply control solution. Test Result. The meter shows results between 20 and 600 mg/dL. mg/dL Test Average has no results stored.
PRODUCT INFORMATION Product Specifications Test Strips: ReliOn® Confirm/micro test strips. Result Range: 20-600 mg/dL . Calibration: Plasma referenced. Sample Size: Minimum 0.3 µL. Blood Source: Fresh capillary whole blood. Hematocrit Range: 30% - 54%. Test Time: 7 seconds. Assay Method: Biosensor, Glucose Oxidase (Aspergillus niger sourced).
Warnings, Precautions & Limitations • You may get test results higher than your actual glucose level if taking PAM (1-Methylpyridine-6-carbaldehyde oxime). Taking unnecessary measures to lower your blood glucose level may induce severe low blood glucose symptoms such as coma. • N ever make significant changes to your diabetes control program or ignore physical symptoms without consulting with your healthcare professional.
• N ormal endogenous (within body) natural levels of uric acid, ascorbate (vitamin C), bilirubin, triglycerides, and hemoglobin do not interfere with your blood glucose results obtained. • E xternally taken drugs L-dopa, dopamine, methyl-dopa, acetaminophen, and ibuprofen will not interfere with ReliOn® Confirm blood glucose results when taken at therapeutic concentrations.
• U se only fresh capillary blood. Do not use serum or plasma or venous whole blood. • D o not use the ReliOn® Confirm Blood Glucose Monitoring System to test neonates. It has not been validated for neonatal use. • A lways insert the test strip into the meter first, then prick the finger. Not doing so may result in an“E-6” appearing on the display or a test result that is higher than the actual value.
Warranty You are a valued ReliOn® customer. It is important to us that you are completely satisfied with your ReliOn® Confirm blood glucose meter. ReliOn® warrants your ReliOn® Confirm blood glucose meter will be free from defects in materials and workmanship for a period of five years from the date of the original purchase.
Returns You must contact ReliOn® Customer Service at 800.631.0076 before returning your meter. You will be instructed how to return the meter to ARKRAY. Returned meters without this authorization will not be accepted. TEL 800.566.8558 FAX 952.646.3110 www.arkrayusa.com P/N 1857-00 ©2008 ARKRAY, Inc.