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Final Facing Fold Front

1

FreeStyle Optium Neo At-A-Glance

Logbook

Up Button

Power Button

• Turns meter on and off 

and returns to the 

Home screen

USB Port

• Insert a data cable here for 

uploading test results to a 

computer (data 

management system 

required)

Strip Port

• Insert a test strip here

Test Strip

• Insert the test strip into the meter

Target Area

• Apply blood or control solution to the white 

target area at the end of the test strip

Display Window

• Displays meter Home screen 

(shown here)

• Displays your test results and 

other important information

Down Button

2

Meter Symbols

Symbol

What It Means

Symbol

What It Means

Logbook

Breakfast insulin dose

Meter ready for sample 
application

Lunch insulin dose

Control solution result

Dinner insulin dose

Units of insulin

Fasting test

Insulin

Ketone

Morning long-acting insulin dose

Low battery

Evening long-acting insulin dose

Connected to computer

Insulin dose setup

Setup mode

Low blood glucose or pattern

High blood glucose or pattern

3

Quick Start – Testing Your Blood Glucose

1.  Wash and dry hands before and after testing.

Note: 

Check test strip expiry date.

2.  Insert strip.

3.  Lance test site and apply blood.

4.  View result.

For more information on how to perform a test, see 
Section 7.

4

Intended Use

The FreeStyle Optium Neo Blood Glucose and Ketone Monitoring System is for use outside 
the body only (

in vitro

 diagnostic use) for self testing or professional use as an aid in the 

management of diabetes.
Use for measuring glucose in fresh whole blood samples taken from fingers, forearm, upper 
arm or the base of the thumb. Use for measuring ketone (β-hydroxybutyrate) in fresh whole 
blood samples from fingers only.
The system may also aid in the management of diabetes by providing the user with suggested 
recommendations to insulin dose(s) based on healthcare professional entered data.

IMPORTANT:

• Use only FreeStyle Optium blood glucose test strips and FreeStyle Optium blood 

β-Ketone test strips. Other test strips may produce inaccurate results.

• See test strip instructions for use for more information about sample types.
• Read the instructions in this Owner’s Setup Guide. Failure to follow instructions 

may cause incorrect results. Practice the testing procedures before using the 
meter.

• Follow your healthcare professional’s advice when testing blood glucose levels 

and blood ketone levels.

• Observe caution when using around children. Small parts may constitute a 

choking hazard.

IMPORTANT:

• Only use a test strip once.
• Read the test strip instructions for use before performing your first blood 

glucose or ketone test. It contains important information and will tell you how 
to store and handle the test strips.

• The meter and its accessories are for use by a single person. 
• Refer to the lancing device insert for detailed instructions on how to use the 

lancing device.

• Do not put urine on the test strip.  

Check your ketone:

• When you have an illness
• When your blood glucose is above 13.3 mmol/L
• When you and your healthcare professional feel it is necessary

5

Getting to Know Your Meter

Turning Your Meter On and Off

To turn your meter on:

• Press the 

, or

• Insert a strip

To turn your meter off:

• Press and hold the 

  for 3 seconds, or

• Do nothing for 2 minutes

Checking Your Meter Screen Every Time You Turn It On

Meter Off Screen

Your meter screen should be fully black when powered 
off. Each time you turn on your meter, a white start-up 
test screen will appear for 1 second.

If you see any 

white

 segments in the black off screen, or 

any 

black

 segments in the white test screen, there may 

be a problem with the meter. Contact Customer Care.

Note: 

If the meter battery is low, the 

 will 

appear in both the meter off screen and start-up test 

screen.

Start-up Test Screen

6

Setting Up the Meter

To confirm that the date and time are set correctly, follow the steps below.

Set Time

1. 

Start with meter off (no test strip inserted)

• Press 

  to turn on the meter

2. 

Press and hold the time (11:50) on the screen 
for 3 seconds until the screen changes.

 

(e.g. 1:23 PM)

(e.g. 13:23)

3. 

Set Time Format (12 hour or 24 hour clock)

• Press 

 or    to change

• Press 

  to continue

Note: 

Your meter can display either a 12 h (1:23 

PM) or 24 h (13:23) time format. If you prefer the 

12 h format, there is no “

AM

”. If setting a PM time, 

continue to press 

  until you see the “

PM

”.

4. 

Set Hour

• The hour blinks. Press 

 or    to set the 

hour

• Press 

  to continue

5. 

Set Minutes

• The minutes blink. Press 

 or    to set the 

minutes

• Press 

  to continue

minute

hour

minute

hour

Set Date

6. 

Set Month

• The month blinks. Press 

 or    to set the 

month

• Press 

  to continue

7. 

Set Day

• The day blinks. Press 

 or    to set the day

• Press 

  to continue

8. 

Set Year

• Press 

 or    to set the year

• Press 

  to save. Setup complete

month

day

month

day

10

View Logbook

Your meter logbook can store up to 1,000 events – including blood glucose, ketone, and 
control solution results, insulin doses, and other meter information.

Viewing Your Logbook Events

1. 

While on the Home screen, press       to view 
your logbook events.

Examples:

Blood Glucose Result

2. 

Press    to scroll through to view your logbook 
events.

Units of 

Insulin

Insulin Dose

Fasting Result

-

Control Solution Result

Viewing Your Blood Glucose Averages

1. 

While on the Home screen, press      to open the 
logbook.

2. 

While in the logbook, press      any time to view 
your 7-day average.   [ 

 ]

• Press 

  to view 14-day average.   [ 

 ]

• Press 

  to view 30-day average.   [ 

 ]

• Press      to return to your logbook events.

Notes:

• Averages do not include glucose control solution 

results.

• Control solution results not marked as control 

solution tests may cause averages to be inaccurate.

• 

   

appear on the meter screen when there 

are no current events or averages to view.

• 

   

blood glucose test results are included as 

1.1 mmol/L when calculating averages.

• 

   

blood glucose test results are included as 

27.8 mmol/L when calculating averages.

Press 

 or    to scroll 

through 7-, 14- and 30-day 

averages.

Your average

Number of tests 

in this average

Prepare to Test

1.  Select your test site.

Test site choices for blood glucose testing are fingers, forearm, upper arm, or base of the thumb.
Use only fingertip blood samples for blood ketone testing.

Note: 

Avoid moles, veins, bones, and tendons. Bruising may occur at the test site. If bruising 

occurs, consider selecting another site.

2.  Wash your hands 

and the test site with soap and warm water.

• Rinse and dry thoroughly.
• Do 

not

 use lotion or cream on the test site.

3.  Check test strip expiry date.

Do 

not

 use expired test strips; they may cause inaccurate results.

Do 

not

 use blood samples from alternative sites when:

• You think your blood glucose is low or changing rapidly
• You have been diagnosed with hypoglycaemic unawareness
• Alternative site results do not match the way you feel
• You are within two hours of eating a meal, taking insulin, or exercising

Performing a Blood Glucose or Blood Ketone Test

1.  Open the foil test strip packet 

at the notch and 

tear down to remove the test strip.

2.  Insert the test strip 

into the meter until it stops. 

This will turn on the meter.

Notes:

• Be sure to check that your meter screen is working 

properly each time you turn your meter on. If you see 
any white segments in the black off screen, or any 
black segments in the white test screen, there may be 
a problem with the meter. (See Section 5, Getting to 
Know Your Meter, for more details)

• The meter turns off after 3 minutes of inactivity. 

Remove and reinsert the unused test strip to restart 
the meter.

The    blinks, indicating the meter is ready for you to 
apply a sample to the test strip.

Note: 

KET will appear on the screen if you have inserted a 

purple blood ketone strip.

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7

Testing Your Blood Glucose or Blood Ketone

8

Understanding Blood Glucose Test Results and Patterns

3.  Obtain a blood sample.

Use the lancing device to obtain a blood sample.
(See lancing device instructions for use for more 
information.)

4.  Apply blood to the test strip.

Bring the blood drop to the white area at the end of 
the test strip. The blood is drawn into the test strip.

Hold

 blood to test strip until you see 3 short lines 

on the meter screen. This means you have applied 
enough blood.

Notes:

• If you are testing blood glucose, you will see a 

5-second countdown. If you are testing blood ketone, 
you will see a 10-second countdown.

• Do 

not

 remove the test strip from the meter during 

the countdown.

• If the countdown does not start, you may not have 

applied enough blood to the test strip. See test strip 
instructions for use for re-application instructions. If 
the countdown still does not start, remove the used 
strip and discard it correctly. Start a new test with a 
new test strip.

-

Blood Glucose Result example

Blood Ketone Result example

5.  View the result.

The test is complete when the result appears on the 
meter screen (examples shown). The result is stored 
in memory.

Note: 

If you see a

 

 

this means the meter can 

suggest a new meal insulin dose. Ignore this if you’re 

not about to eat a meal and take your meal insulin 

dose.

6. 

Press and hold 

  to turn off the meter. Discard the 

used test strip correctly.

The meter displays blood glucose results in mmol/L. The unit of measurement is preset. You cannot change this setting.

Low Blood Glucose Results

If You See . . .

What It Means

What To Do

Appears when result is lower than 3.9 mmol/L 
or the target set on the meter by your healthcare 
professional.

Follow your healthcare professional’s 
advice to treat low blood glucose.

A pattern of low glucose has developed.
If 2 low results occur within the past 5 days AND 
both are within the same 3-hour time period, the 
meter will display a blinking  .

Follow your healthcare professional’s 
advice to treat low blood glucose.

Appears when result is lower than 1.1 mmol/L

Severe low blood glucose 

or

There may be a problem with the test strip.

Repeat the test with a new test strip. If 
the result is LO, contact your healthcare 
professional 

immediately

.

Note: 

If you see the error messages E-3 or E-4, consult the Error Messages section in this Owner’s Setup Guide.

A solid 

red arrow

A blinking

red arrow

IMPORTANT: 

Contact your healthcare professional if you have symptoms that do 

not

 match your test result, and you have 

followed the instructions in this Owner’s Setup Guide.

High Blood Glucose Results

If You See . . .

What It Means

What To Do

Appears when result is higher than 13.3 mmol/L 
or the target set on the meter by your healthcare 
professional.

Follow your healthcare professional’s 
advice to treat high blood glucose.

A pattern of high glucose has developed.
If 3 high results occur within the past 5 days AND 
all are within the same 3-hour time period, the 
meter will display a blinking  .

Follow your healthcare professional’s 
advice to treat high blood glucose.

Blood glucose level is higher than or equal to 
13.3 mmol/L.

Check blood ketone if checking ketones 
is part of your diabetes management 
program.

Appears when result is higher than 27.8 mmol/L

Severe high blood glucose 

or

There may be a problem with the test strip.

Repeat the test with a new test strip.
If the result is HI, contact your 
healthcare professional 

immediately

.

IMPORTANT: 

The meter displays results from 1.1 - 27.8 mmol/L. Low or high blood glucose results can indicate a potentially serious medical condition.

A solid 

yellow arrow

A blinking

yellow arrow

The meter displays ketone results in mmol/L, from 0.0 - 8.0 mmol/L. The unit of measurement is 
preset. You cannot change this setting.

Blood ketone is expected to be below 0.6 mmol/L.

2

 High blood ketone may be caused by illness, 

fasting, vigorous exercise, or uncontrolled blood glucose levels.

1-3

Repeat a blood ketone test using a new blood ketone test strip when:

• HI appears on the display
• Your result is unusually high
• You question your result
• Your blood ketone result is 0.0 mmol/L, but your blood glucose is higher than 16.7 mmol/L

IMPORTANT: 

Follow your healthcare professional’s advice before you make 

any changes to your diabetes management program.

Display

What It Means

What To Do

Result is between
0.6 – 1.5 mmol/L.

High blood ketone.

A problem requiring medical 

assistance may be occurring.

Follow your healthcare 

professional’s advice.

Result is higher than
1.5 mmol/L.

You may be at risk of 

developing diabetic 

ketoacidosis (DKA).

2-6

Contact your healthcare 
professional 

immediately

.

Appears when result is higher 
than 8.0 mmol/L.

Very high blood ketone
or
There may be a problem 
with the test strip.

Repeat the test with a new 

test strip. If the result is HI, 

contact your healthcare 
professional 

immediately

.

9

Understanding Blood Ketone Test Results

TABLE OF CONTENTS

TABLE OF CONTENTS

11

Glucose and Ketone Control Solutions

Performing a Control Solution Test

12

Transferring Meter Data to a Computer

13

Error Messages

14

Taking Care of Your Meter

Changing Batteries

Cleaning Your Meter 

15

Troubleshooting

16

Insulin Dose Logging

Set Up for Insulin Dose Logging

How to Use Insulin Dose Logging 

How to Log Additional Rapid-Acting Insulin Doses

17

Meter Specifications

18

Other Symbols

19

References

1

FreeStyle Optium Neo At-A-Glance

2

Meter Symbols

3

Quick Start - Testing Your Blood Glucose

4

Intended Use

5

Getting to Know Your Meter

Turning Your Meter On and Off

Checking Your Meter Screen Every Time You Turn it On

6

Setting Up the Meter

7

Testing Your Blood Glucose or Blood Ketone

Prepare to Test

Performing a Blood Glucose or Blood Ketone Test

8

Understanding Blood Glucose Test Results and Patterns

Low Blood Glucose Results 
High Blood Glucose Results

9

Understanding Blood Ketone Test Results

10

View Logbook

Viewing Your Logbook Events

Viewing Your Blood Glucose Averages

Blood Glucose and Ketone Monitoring System

Owner’s Setup Guide

User’s Manual

ART29756-002_rev-B.indd   1

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