Lifescan In Duo, Manual

Page 1: ...that are compatible with it and allow the InDuo System to function safely and effectively OneTouch Ultra Test Strips are designed to be used with the InDuo blood glucose meter Penfill 3 ml cartridges...

Page 2: ...nth Mem Indicates a test result stored in the memory Minutes Day Hour Test result area Test results are displayed here A decimal point appears when the unit of measurement is millimoles per litre Code...

Page 3: ...test results 51 Checking your previous injection 54 Viewing blood glucose test results on a personal computer 55 Comparing the InDuo meter and laboratory results 58 Caring for your InDuo System 60 Im...

Page 4: ...ch you injected and how long ago you made your injection By combining meter and insulin doser into one the InDuo System helps you simplify your insulin therapy and increase your confidence in managing...

Page 5: ...ery Since the InDuo meter also gives average values 14 days and 30 days for your blood glucose tests see page 53 you may find that changing the date and time will also alter the values for the 14 day...

Page 6: ...s displayed To scroll faster hold down After setting the hour press to set the minutes The minute digits will start flashing Setting the minutes Press and release until the correct minute is displayed...

Page 7: ...ou wish to display the time in 24 hour format press and release Pressing again will return you to the 12 hour format Setting the year Before setting the date you must first set the time Your InDuo met...

Page 8: ...y with the month display flashing Press and release until the correct month is displayed To scroll faster hold down Setting the day Press and the day setting will start flashing Press and release unti...

Page 9: ...has been accidentally reset to the wrong unit of measurement by looking at a test result on the display Either or will appear with the result Also a test result in will have a decimal point If the un...

Page 10: ...th clean dry hands you may touch the test strip anywhere on its surface when removing it from the vial or inserting it into the meter Use each OneTouch Ultra Test Strip immediately after removing it f...

Page 11: ...t Strips may produce inaccurate test results Do not bend cut or alter a OneTouch Ultra Test Strip in any way Warning Keep the test strip vial away from children the cap is a choking hazard Also the ca...

Page 12: ...n the OneTouch Ultra Test Strip vial Caution If the code numbers do not match your blood glucose tests may be inaccurate Entering the code mode for the first time Start with the InDuo meter turned off...

Page 13: ...ay begin testing If the code numbers do not match follow the next procedure to recode the InDuo meter Code the InDuo meter Press to select the correct code Each time you press and release the number o...

Page 14: ...should be used to check that your meter and OneTouch Ultra Test Strips are working together properly check that you are performing the test correctly practice testing your blood The control solution...

Page 15: ...esting Shake the vial discard the first drop of control solution and wipe off the dispenser tip with a clean tissue to obtain a good sample and an accurate result Use only for 3 months after the first...

Page 16: ...tra Test Strip Insert a OneTouch Ultra Test Strip contact bars end first a and facing up into the test port Push the OneTouch Ultra Test Strip in firmly until it will go no further The InDuo meter wil...

Page 17: ...y as a control solution test If you decide not to perform a control solution test press again and the symbol will disappear Every time you perform a control solution test you must mark the test result...

Page 18: ...h Ultra Test Strip where it meets the narrow channel until the drop is drawn into the OneTouch Ultra Test Strip the confirmation window is filled and the meter display begins to count down Read test r...

Page 19: ...lution test results that fall outside of the range printed on the vial the InDuo meter may not be working properly Do not use the InDuo meter to continue testing your blood if the control solution tes...

Page 20: ...rol solution Check that the room temperature is between 20 25 C 68 77 F Repeat the test Repeat the test with a new vial of test strips Remember to recode the meter Call the InDuo Customer Care Line at...

Page 21: ...insulin cartridge check that it is full and intact e g no cracks Do not use Penfill if any damage is seen or if more of the rubber stopper is visible than equal to the width of the white bar code band...

Page 22: ...in doser is pulled out the insulin doser display stays blank until the slide is opened Make sure that the push button is pressed completely in b Otherwise the slide will remain locked Open the slide i...

Page 23: ...ke sure that the colour coded cap fits firmly into place e Close the slide completely f The release button is locked until the slide has been closed You should keep the slide closed until it is time t...

Page 24: ...the InDuo insulin doser makes sure that insulin will flow when you give your injection The InDuo insulin doser is primed when a drop of insulin appears at the tip of the NovoFine needle The InDuo ins...

Page 25: ...d the push button is pressed completely in and the slide is closed If the slide is not closed the release button will be locked Press the release button a You will see that the push button jumps out b...

Page 26: ...y filled Penfill see priming instructions on page 42 If a drop of insulin does not appear repeat the procedure dialing 1 unit at a time until a drop of insulin appears It is important that insulin app...

Page 27: ...tem kit box carefully before testing Before using your InDuo meter to test your blood glucose level check that you have all the items needed to complete the procedure You will need InDuo meter OneTouc...

Page 28: ...insulin doser display symbols in cover flap After checking that the InDuo meter display is working you are ready to do a blood glucose test Caution To reduce the risk of infection Never share a lance...

Page 29: ...ler Twist the cap of the blood sampler counter clockwise to remove it Insert a new lancet into the lancet holder and push down firmly until it is fully seated a Do not twist the lancet Twist the prote...

Page 30: ...c Turn the cap clockwise until it fits snugly but not too tight Adjust puncture depth setting if necessary Twist the knob towards the smaller bumps for a shallower puncture or towards the larger bumps...

Page 31: ...til it clicks e If it does not click the blood sampler may have been cocked when the lancet was inserted Wash your hands and the puncture site Use warm soapy water to wash your hands and the puncture...

Page 32: ...e same spot may cause soreness and calluses Position the sampler Hold the OneTouch UltraSoft Blood Sampler firmly against the side of your finger Press the release button g Massage the fingertip Massa...

Page 33: ...testing prior to or more than two hours after meals insulin dose or physical exercise Testing performed within two hours after meals an insulin dose or physical exercise or whenever you feel that your...

Page 34: ...depth Note consult your healthcare professional before you begin using the arm for testing For more detailed information on the test procedure please read your test strip package insert and this manua...

Page 35: ...ng blood from the arm call the InDuo Customer Care Line at 1 888 729 2299 for assistance The blood sample must be at least 1 microlitre in volume or you may get an or possible inaccurate test result I...

Page 36: ...n liquid Rinse the sampler and cap with water and dry thoroughly Performing a blood glucose test Insert the OneTouch Ultra Test Strip Insert the OneTouch Ultra Test Strip contact bars end first and fa...

Page 37: ...test result See page 32 for how to obtain a drop of blood When the apply symbol R appears on the display touch and hold the drop of blood to the top edge of the OneTouch Ultra Test Strip where it meet...

Page 38: ...ample Do not use a smeared sample Hold the test strip in contact with blood If you have trouble filling the test strip call the InDuo Customer Care Line at 1 888 729 2299 for assistance If you do not...

Page 39: ...lly stored in the InDuo meter memory The InDuo meter provides accurate plasma calibrated test results that can be compared directly with laboratory results Record all test results in your logbook This...

Page 40: ...bove 13 3 mmol L 240 mg dL or reads S will appear on the meter display This message does not mean that the system detected ketones but that testing with a ketone test strip may be advisable LO If your...

Page 41: ...f your InDuo insulin doser contains an insulin suspension cloudy insulin you must resuspend the insulin by turning the InDuo insulin doser up and down as described on page 21 of this manual and in the...

Page 42: ...the InDuo insulin doser with the needle pointing upwards and tap the slide gently with your finger a few times e Press the push button completely in until it locks f A drop of insulin should appear at...

Page 43: ...completely in Press the release button a and the push button will jump out b The display will show 0 Dial the number of units you need by turning the dose selector at a steady speed c In this example...

Page 44: ...e dose that has been dialed until you press the push button How to cancel a dialed dose If you want to cancel a dialed dose dial back to 0 and press the push button completely in Your last delivered d...

Page 45: ...d This is normal Do not change the dose after you have pressed the push button With all insulin injection devices the needle should be left under the skin for at least 6 seconds to ensure that the ful...

Page 46: ...ll insulin dose has been delivered and you can withdraw the needle After the injection put the outer needle cap on and unscrew the needle c Discard the needle carefully Always replace the insulin dose...

Page 47: ...enough room to move around freely change to a new Penfill The InDuo insulin doser will not let you dial a larger dose than that remaining in Penfill Do not force the dose selector to turn instead chan...

Page 48: ...r of units to complete your dose Inject making sure that you have now injected your full dose If you have changed Penfill so that your total dose was divided into 2 doses note that the insulin doser m...

Page 49: ...tton is pressed in completely a Make sure the NovoFine needle has been removed from the insulin doser Open the slide Take out the used Penfill cartridge b Take a new Penfill cartridge and continue as...

Page 50: ...ut the outer needle cap over the needle Dispense 20 units into the outer needle cap The insulin should fill the lower part of the outer needle cap If too much or too little insulin is released repeat...

Page 51: ...d out Using the memory mode Enter the memory mode With the meter turned off press The 14 day average will appear indicating that you are in the memory mode a After 3 seconds the 30 day average will ap...

Page 52: ...meter will recall your last test results in order up to 150 When the meter memory is full the oldest result is dropped as the newest is added To scroll through the test results more quickly press and...

Page 53: ...is calculated from tests performed over the last month 30 days The meter ignores control solution test results when properly marked as control tests and only uses blood glucose test results to calcula...

Page 54: ...y functioning After the display test see page 82 your previous dose or priming and the time passed since delivery can be seen on the insulin doser display Each segment represents 1 hour For example if...

Page 55: ...for home viewing This requires a LifeScan Interface Cable and In Touch Diabetes Management Software which is available from LifeScan To order or for more information call 1 888 729 2299 In Touch Soft...

Page 56: ...ifeScan Interface Cable to a serial port on the back of your computer With the InDuo meter turned off connect the LifeScan Interface Cable to the data port located on the right hand side of the InDuo...

Page 57: ...In Touch user s manual to begin transferring your blood glucose test results to your computer If no command is received within 2 minutes the InDuo meter will turn itself off Pressing will also turn of...

Page 58: ...ip package insert for typical accuracy and precision data and for important information on Limitations of Procedure However results can differ by more than 20 in some situations See the OneTouch Ultra...

Page 59: ...evel from a fingertip blood sample can be up to 3 9 mmol L 70 mg dL higher than blood drawn from a vein venous sample used for a laboratory test2 It is therefore best to fast for 8 hours before doing...

Page 60: ...e maximum 37 C 98 6 F Follow the guidelines on insulin storage supplied in the Penfill package insert Do not refrigerate your InDuo System As no blood or control solution comes in contact with the met...

Page 61: ...easily replaced using a 3 0 V 2032 or equivalent lithium battery To ensure quality and safety the insulin doser battery cannot be replaced It has an extended life that allows it to operate for approx...

Page 62: ...is time to change the meter battery Change the battery as soon as possible The meter will not operate if the battery is allowed to expire From the time you see the battery symbol and the mmol L symbo...

Page 63: ...b Slide the battery door closed Replacing the meter battery does not affect test results already stored in the InDuo meter memory However the time date and unit of measurement settings may need to be...

Page 64: ...ay indicates that the insulin doser battery power is low Be sure to replace your InDuo insulin doser within 30 days The battery cannot be changed Call the InDuo Customer Care Line at 1 888 729 2299 to...

Page 65: ...e push button is pressed completely in and locked into place The insulin doser display confirms completed delivery when the segments turn on two by two and then the circle symbol appears Do not change...

Page 66: ...tem Penfill and NovoFine needles out of the reach of children Your InDuo System is for your use only Do not allow anyone else to use it On the Penfill label there is a colour coded band that is unique...

Page 67: ...be injected Do not try to repair a faulty InDuo component The InDuo System must only be used according to the instructions in this manual The manufacturer will not be held responsible for any equipme...

Page 68: ...ssages The meter gives an error message when it detects a problem which could cause an inaccurate result However the meter cannot detect all problems and for those it can detect may not produce an err...

Page 69: ...t 1 888 729 2299 for further action Missing segments can lead to the wrong interpretation of the displayed test result 1 This message appears immediately after the system check if your meter has not b...

Page 70: ...of the OneTouch Ultra Test Strips you are using If not you must recode the meter see page 12 Meter display What it means Action The system is ready to accept a blood sample You may now apply the blood...

Page 71: ...he meter will display the test result No action required A blood glucose test result in mmol L No action required if this is the unit your healthcare professional has recommended If you should be usin...

Page 72: ...Indicates that you may have a very high blood glucose level possibly exceeding 33 3 mmol L 600 mg dL You should recheck your blood glucose level and if S appears call your healthcare professional imm...

Page 73: ...lood glucose test result stored in the memory No action required A control solution test result stored in the memory No action required There is no test result stored in this place in the InDuo memory...

Page 74: ...ere performed during this period No action required Error message that indicates that there is a problem with the InDuo meter Do not use the InDuo meter Call the InDuo Customer Care Line at 1 888 729...

Page 75: ...ip information If the error message persists call the InDuo Customer Care Line at 1 888 729 2299 Error message that indicates that the blood or control solution sample was applied before R appeared on...

Page 76: ...nt repeat the test in a warmer environment with a new test strip If the error message appears again call the InDuo Customer Care Line at 1 888 729 2299 2 If you were testing in a normal or warm enviro...

Page 77: ...r Care Line at 1 888 729 2299 Flashing time means the meter has lost power and entered the setting mode You must reset the time time format date and most importantly the unit of measurement See settin...

Page 78: ...low You can complete about 50 more tests from the time this symbol first appears Test results will still be accurate but replace the battery as soon as possible The battery symbol appears on the displ...

Page 79: ...the InDuo meter and the OneTouch Ultra Test Strips reach a temperature within the operating range of 6 44 C 43 111 F Repeat the test after the InDuo meter and OneTouch Ultra Test Strips have reached a...

Page 80: ...the battery Check that the battery is correctly installed with the positive side up Insert the OneTouch Ultra Test Strip correctly with the contact bars end first and facing up Push the strip in firm...

Page 81: ...Test Strip and a larger sample Repeat the test with a new OneTouch Ultra Test Strip Repeat the test with a new OneTouch Ultra Test Strip apply sample only when the apply symbol R appears on the displa...

Page 82: ...in doser as described on pages 24 and 42 The very first time the insulin doser is removed from the meter cap the display stays blank until the slide is opened However if the display goes off having al...

Page 83: ...the skin during injection No action required The display shows the number of insulin units dialed No action required Message What it means Action The display shows the number of insulin units delivere...

Page 84: ...ired Message What it means Action A minus symbol on the display tells you that the dose selector has been dialed below zero 0 Dial forward until the display shows the number of units required A flashi...

Page 85: ...lay remains off the insulin doser is not working Do not use the insulin doser instead call the InDuo Customer Care Line at 1 888 729 2299 to replace your insulin doser Why is the display showing a min...

Page 86: ...tton will not go in The needle may be blocked Change the needle and prime the InDuo insulin doser until insulin appears at the needle tip To open the slide dial back to zero 0 and press the push butto...

Page 87: ...ro 0 and press the push button completely in until it locks Then open the slide and change Penfill as described on page 49 Prime the InDuo insulin doser until insulin appears at the needle tip see pag...

Page 88: ...resh capillary whole blood Min sample size 1 microlitre Test time 5 seconds Assay method Glucose oxidase biosensor Power source One replaceable 3 0V 2032 or equiv lithium battery Battery life 1000 tes...

Page 89: ...thium battery Battery life 5 years from manufacturing date printed on the carton label GUARANTEE The manufacturer guarantees that the InDuo System shall be free of defects in material and workmanship...

Page 90: ...es mmol L Before breakfast 3 9 5 8 Before lunch or dinner 3 9 6 1 1 hour after meals Less than 8 9 2 hours after meals Less than 6 7 Between 2 and 4 am Greater than 3 9 Source Krall L P and Beaser R S...