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1. Schade DS, Eaton RP. Metabolic and clinical significance of

ketosis.

Special Topics in Endocrinology and Metabolism

1982;

4:1–27.
2. Wiggam MI, O’Kane MJ, Harper R, Atkinson AB, Hadden DR,

Trimble ER, Bell PM. Treatment of diabetic ketoacidosis using

normalization of blood

3-hydroxybutyrate concentration as the endpoint of emergency

management.

Diabetes Care

1997; 20:1347–52.

3. Harano Y, Kosugi K, Hyosu T, Suzuki M, Hidaka H, Kashiwagi A,

Uno S, Shigeta Y. Ketone bodies as markers for Type 1 (insulin-

dependent) diabetes and their value in the monitoring of

diabetes control.

Diabetologia

1984; 26:343–8.

4. Ubukata E. Diurnal variation of blood

β-Ketone bodies in

insulin-dependent diabetes mellitus and non-insulin-dependent

diabetes mellitus patients: The relationship to serum C-peptide

immunoreactivity and free insulin.

Ann Nutr Metab

1990;

34:333–42.
5. Luzi L, Barrett EJ, Groop LC, Ferrannini E, DeFronzo RA. Metabolic

effects of low-dose insulin therapy on glucose metabolism in

diabetic ketoacidosis.

Diabetes

1988; 37:1470–77.

6. Hale PJ, Crase J, Nattrass M. Metabolic effects of bicarbonate

in the treatment of diabetic ketoacidosis.

Br Med J

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289; 1035–8.

Содержание Precision Xtra

Страница 1: ...BloodGlucose KetoneMonitoringSystem User sGuide ...

Страница 2: ...t Date 10 Set Time Format 12 Set Date Format 12 Blood Glucose Measurement Units 13 3 Calibrating Your Precision Xtra Monitor 14 Why Calibrate Your Monitor 14 When to Calibrate Your Monitor 14 What You Will Need 14 How to Calibrate Your Monitor 14 How to Recall the LOT Number 17 4 Monitoring Your Blood Glucose 18 What You Will Need 18 Important Information about Monitoring Your Blood Glucose 18 How...

Страница 3: ...esults 42 What Can Your Monitor Show You 42 How to See Results in Memory 43 How to See Averages 45 Transferring Your Results to A Computer 46 8 Understanding Troubleshooting Error Messages 47 What An Error Message Means 47 What You Need to Do 9 Your Monitor s Specifications Limitations 51 Important Information about Using Blood 53 Samples from the Forearm Upper Arm or Base of the Thumb 10 Caring F...

Страница 4: ...tone Monitoring System is an important tool that can help you better manage your diabetes The System measures both blood glucose sugar and blood β Ketone Blood glucose and blood β Ketone results can help you understand your diabetes and what happens with Food Exercise Stress and illness Diabetes medications Always monitor your blood glucose and blood β Ketone according to your healthcare professio...

Страница 5: ...omer Care contact your healthcare professional Outside the United States please contact your local Abbott Diabetes Care Inc office or distributor Please read the following items before using your Precision Xtra Blood Glucose and Ketone Monitoring System User guide Blood glucose test strip instructions for use Blood β Ketone test strip instructions for use Lancing device instructions for use and ot...

Страница 6: ...Strips and Precision Xtra Blood β KetoneTest Strips Precision Xtra and Precision Point of Care Blood GlucoseTest Strips are different Please refer to your test strip instructions for use for important information about sample types that may be used with these test strips Precision Point of Care Blood GlucoseTest Strips are for use by healthcare professionals only Potential Infection Risk Healthcar...

Страница 7: ...ts Precision Xtra Monitor Precision Xtra User s Guide Contains system information and directions Carrying Case Use this to store and carry your monitor and other monitoring supplies Your kit may also contain Precision Xtra Quick Reference Guide Gives the basic steps to calibrate your monitor and monitor your blood glucose Logbook Use this to record your test results activities and medications Lanc...

Страница 8: ...lay Check Look at the Display Check each time it appears on your monitor s display window especially before you check your blood glucose or blood β Ketone The Display Check shows on the display window briefly Do not use the monitor if the monitor Display Check does not exactly match the picture here for example if you see a 3 instead of an 8 The monitor may show an incorrect result when you use it...

Страница 9: ...gs Access previous results and averages Forward Button Back Button Use these buttons to Review and select monitor settings Review results and averages Backlight Button Use this button to Turn backlight ON and OFF Battery Compartment This is where the battery is installed If your monitor does not turn on check that your battery is installed properly For new battery installation see Chapter 10 IMPOR...

Страница 10: ...r the first time This will help you keep records of when you monitor and will help you and your healthcare professional make informed decisions about your care You must set the time and date to review averages You may need to re set the time and date After you replace the battery When you travel between time zones or when the time zone you are in changes In Set Date you set the year month and day ...

Страница 11: ...ld means that you press the button in for at least 2 seconds Press and Release means that you press the button and let it go quickly Press and Hold the button to turn the monitor off and save your settings at any time The monitor automatically turns off after 30 seconds of no action If you like the setting that you see on your monitor and do not want to change it Press and Release the button to mo...

Страница 12: ...lease the button or the button once 3Press and Release the button to save the beeper setting and to move to Set Time Hour Set Time Hour The Hour flashes on and off 1Press and Release the button to move the hour forward 2If you go past the correct hour Press and Release the button to move the hour back 3Press and Release the button to save the hour and to move to Set Minutes 9 Setting Up Your Monit...

Страница 13: ...he minutes back 3Press and Release the button to save the minutes and to move to Set Date Set Date Year The Year flashes on and off 1Press and Release the button to move the year forward 2If you go past the correct year Press and Release the button to move the year back 3Press and Release the button to save the year and to move to Set Month 10 Setting Up Your Monitor ...

Страница 14: ... Release the button to move the month back 3Press and Release the button to save the month and to move to Set Day Day The Day flashes on and off 1Press and Release the button to move the day forward 2If you go past the correct day Press and Release the button to move the day back 3Press and Release the button to save the day and to move to Set Time Format 11 ...

Страница 15: ...ase the button to save the Time Format and to move to Set Date Format Set Date Format You have two choices Choice 1 For the month day format shows with the date Example 25 May shows as 5 25 Choice 2 For the day month format shows with the date Example 25 May shows as 25 5 1To change the Date Format Press and Release the button or the button once 2Press and Release the button to save the Date Forma...

Страница 16: ... have any questions about the blood glucose measurement units For mg dL or mmol L This screen shows the blood glucose measurement units mg dL or mmol L Press and Release the button to return to Set Beeper Press and Hold the button to turn your monitor off You have successfully set up your monitor 13 ...

Страница 17: ...se test strip instructions for use Blood glucose test strip calibrator For β Ketone calibration Blood β Ketone test strip Blood β Ketone test strip instructions for use Blood β Ketone test strip calibrator How to Calibrate Your Monitor Before you insert a test strip for the first time please note This means the monitor is not calibrated for blood glucose monitoring This means the monitor is not ca...

Страница 18: ...ator package Find the three raised bumps on the calibrator package Peel the clear cover away from the three raised bumps 3Hold the calibrator white for glucose and purple for blood β Ketone with the LOT number facing you 4Insert the calibrator into the strip port Push it in until it stops The Display Check shows on the display window followed by the time month and day Next the LOT number shows on ...

Страница 19: ...of test strips you are using What to Do Check that you are using the calibrator that came in the box of test strips you are using Try to calibrate again IMPORTANT If the LOT number still does not match contact Customer Care Do not attempt to monitor your blood glucose or blood β Ketone Your monitor may show an incorrect result 6Remove the calibrator from the monitor and store it in your monitor s ...

Страница 20: ... β Ketone LOT number Press and Release the button or the button The β Ketone LOT number shows with the word CODE the time month and day of the most recent blood β Ketone calibration Note If the LOT number that shows on your monitor s display window is not correct What It Means Your monitor may not be calibrated for the box of test strips you are using What To Do Re calibrate your monitor Check tha...

Страница 21: ...on each test strip foil packet If only the month and year are printed on the test strip then the expiration date is the last day of that month Use the test strip immediately when you take it out of its foil packet Do not use a wet bent scratched or damaged test strip Do not use the test strip if its foil packet has a puncture or tear in it Before you monitor allow your monitor and test strip to re...

Страница 22: ... please see the information card in the box of blood glucose test strips 4Insert the three black lines at the end of the test strip into the strip port 5Push the test strip in until it stops The monitor turns on automatically These items show on the display window one after the other Display Check Remember to make sure that all items in the picture here show on the display window See Chapter 1 for...

Страница 23: ... set dashes will show instead of numbers LOT number for the box of blood glucose test strips you are using Apply Sample message which tells you that the monitor is ready for you to apply blood to the blood glucose test strip 20 Monitoring Blood Glucose ...

Страница 24: ... the sample site is clean dry and warm To warm the sample site wash it in warm water rub the skin vigorously for a few seconds or apply a warm pad to it Hang your arm down before pricking your finger or the base of the thumb to help blood flow To obtain a blood sample from the arm use a fleshy area away from bone Avoid areas where there is a lot of hair Avoid squeezing the puncture site Apply the ...

Страница 25: ...t the end of the test strip The blood is drawn into the test strip Note If the monitor shuts off before you apply blood to the test strip remove the test strip from the monitor and try again 2Continue to touch the blood drop to the end of the test strip until the monitor begins the test The monitor begins the test when You hear the beeper if the beeper is ON The display window shows the status bar...

Страница 26: ...ave to apply a second drop If the countdown still does not start or if the number of seconds you have to apply a second drop have passed discard the test strip turn off your meter and try again with a new test strip 3At the end of the countdown If the beeper is ON listen for the beeper The blood glucose result shows on the display window The result is stored in your monitor s memory You may also w...

Страница 27: ...ou do not turn your monitor off or pull the test strip out the monitor shuts off automatically after 60 seconds Understanding Your Result LO Result What It Means Your monitor has determined that your blood glucose result is lower than 20 mg dL 1 1 mmol L or there may be a problem with the test strip What to Do Monitor your blood glucose again with a new test strip If LO shows on the display window...

Страница 28: ...u check your blood β Ketone HI Result What It Means Your monitor has determined that your blood glucose result is higher than 500 mg dL 27 8 mmol L or there may be a problem with the test strip What to Do Monitor your blood glucose again with a new test strip If HI shows on the display window again contact your healthcare professional immediately If you check your ketones as part of your diabetes ...

Страница 29: ... You obtain a low blood glucose result but you do not have symptoms of low blood glucose Your monitor displays a blood glucose result that is unusually low lower than 50 mg dL 2 8 mmol L HI shows on the display window You obtain a high blood glucose result but you do not have symptoms of high blood glucose Your monitor displays a result that is unusually high higher than 300 mg dL 16 7 mmol L You ...

Страница 30: ...ch the LOT number of the blood β Ketone test strip you are using Lancing device and a new sterile lancet Important Information about Monitoring Your Blood β Ketone For more detailed information about your blood β Ketone test strip please refer to its instructions for use before monitoring Do not use out of date test strips Check the expiration date printed on the test strip box and on each test st...

Страница 31: ... puncture or tear in it Use each test strip only once Before you monitor your blood β ketone allow your monitor and test strip to reach the recommended operating temperature range of the test strip Theteststripoperatingtemperaturerangeisin thebloodβ Ketoneteststripinstructionsforuse Read the lancing device instructions for use 28 ...

Страница 32: ...rip into the strip port 5Push the test strip in until it stops The monitor turns on automatically These items show on the display window one after the other Display Check Remember to make sure that all items in the picture here show on the display window See Chapter 1 for more information about the Display Check Note For pictures that show how to open the blood β Ketone test strip foil packet plea...

Страница 33: ... using KETONE and Apply Sample message which tell you that the monitor is ready for you to apply blood to the blood β Ketone test strip Obtaining A Blood Drop Use your lancing device to obtain a blood drop Important Blood β Ketone test strips have not been evaluated for alternative site monitoring Use only fingertip blood samples for blood β Ketone monitoring 30 Fingertip sampling ...

Страница 34: ...est strip immediately Lancets and Lancing Device Lancets are for one time use only Use a new lancet each time you monitor Discard your used lancet properly Put it in an empty puncture resistant container such as a plastic milk carton or detergent bottle Never share your lancing device or lancet with another person Applying the Blood Drop to the Test Strip 1Touch the blood drop to the white area at...

Страница 35: ...h blood to the test strip What to Do Apply a second drop of blood to the test strip Refer to your test strip instructions for use for the number of seconds you have to apply a second drop If the countdown still does not start or if the number of seconds you have to apply a second drop have passed discard the test strip turn off your monitor and try again with a new test strip 3At the end of the co...

Страница 36: ...out the monitor shuts off automatically after 60 seconds Understanding Your Result Blood β Ketone is expected to be lower than 0 6 mmol L 2 Blood β Ketone may be higher when a person is ill is fasting exercises vigorously or if blood glucose levels are not controlled 1 3 When Blood β Ketone result is between 0 6 and 1 5 mmol L and blood glucose result is 300 mg dL 16 7 mmol L or higher What It Mea...

Страница 37: ...6 What to Do Contact your healthcare professional immediately HI Result What It Means Your monitor has determined that your blood β Ketone result is higher than 8 0 mmol L or there may be a problem with the test strip What to Do Monitor your blood β Ketone again with a new test strip If HI shows on the display window again contact your healthcare professional immediately 34 ...

Страница 38: ...y IMPORTANT It is recommended that you repeat the blood β Ketone test with a new test strip when HI appears in the display window Your result is unusually high You question your result You obtain a 0 0 mmol L blood β Ketone result BUT your blood glucose is higher than 300 mg dL 16 7 mmol L IMPORTANT A result that is incorrect may have a serious medical outcome Consult your healthcare professional ...

Страница 39: ...properly Important Information about Control Solution Testing For more detailed information on how to obtain control solutions please contact Customer Care at 1 800 527 3339 For more detailed information about control solutions read the control solution instructions for use Precision or MediSense Control Solutions may be used for glucose or ketone control solution testing Do not use the control so...

Страница 40: ...d to match the LOT number of the test strip you are using Blood glucose or blood β Ketone test strip and its instructions for use Precision or MediSense Control Solutions and instructions for use How to Do Control Solution Testing Getting Started 1Wash your hands using warm soapy water and dry them completely 2Remove the test strip from its foil packet Note For pictures that show how to open the b...

Страница 41: ...ow See Chapter 1 for more information about the Display Check Time month and day if set If date and time are not set dashes will show instead of numbers LOT number for the box of test strips you are using Apply Sample message which tells you that the monitor is ready for you to apply control solution to the test strip Note If you are a doing a β Ketone control solution test KETONE will show on the...

Страница 42: ...ing Control Solution to the Test Strip 1Turn the control solution bottle upside down three to four times to mix the solution 2Remove the cap 3Apply a drop of control solution to the test strip in the area shown here The control solution is drawn into the test strip 4Continue to touch the control solution to the test strip until the monitor begins the test The monitor begins the test when You hear ...

Страница 43: ...nds you have to apply a second drop If the countdown still does not start or if the number of seconds you have to apply a second drop have passed discard the test strip turn off your meter and try again with a new test strip 5At the end of the countdown If the beeper is ON listen for the beeper The control result shows on the display window Note If you are doing a β Ketone control solution test KE...

Страница 44: ...sion or MediSense Control Solutions range printed on The blood glucose test strip instructions for use for glucose control solution testing The blood β Ketone test strip instructions for use for β Ketone control solution testing If the control result falls within the range What It Means Your monitor and test strips are working correctly If the control result does not fall within the range What It ...

Страница 45: ... the averages do not include control solution results For more information on marking control solution tests see Chapter 6 Important To review blood glucose averages you must set the date and time before monitoring If you do not mark control solution tests this may affect your glucose averages Blood glucose averages do not include blood β Ketone results glucose control results β Ketone control res...

Страница 46: ...ecent result shows with its units on the monitor s display window along with the time month and day that you got the result To set the correct date and time follow the steps in Chapter 2 A blood glucose result in Memory will show with the letters MEM A blood β Ketone result in Memory will show with the letters KET MEM Reviewing Results Blood β Ketone result in Memory Blood Glucose result in Memory...

Страница 47: ...ontrol bottle as long as you marked the test as a control solution test 3To review previous results Press and Release the button once per result 4When you reach the last result in Memory the display window shows three dashes 5To return to a result you previously reviewed Press and Release the button once per result 44 Reviewing Results ...

Страница 48: ... averages 1While in Memory Press and Release the button at any time to see the 7 Day average of your blood glucose results Note n means how many tests were performed within the 7 14 or 30 Day average period 2Press and Release the button once to see the 14 Day average of your blood glucose results 3Press and Release the button again to see the 30 Day average of your blood glucose results If you Pre...

Страница 49: ...and Hold the button to turn off your monitor Otherwise the monitor turns off after 30 seconds Transferring Your Results to a Computer Download of test results to a computer requires a compatible data management system For more information please go to our website or call Customer Care 46 ...

Страница 50: ...ature is too hot or too cold for the system to work properly Move your monitor and test strips to a location where the temperature is appropriate and monitor again with a new test strip You may have to wait for your monitor to adjust to the new temperature Refer to your test strip instructions for use for the appropriate operating temperature range If the error message appears again contact Custom...

Страница 51: ...or blood β Ketone test strip Turn the monitor off then repeat previous monitoring steps If the error message appears again contact Customer Care Review the monitoring instructions Monitor again with a new test strip If the error message appears again contact Customer Care Monitor again with a new test strip If the error message appears again contact your healthcare professional immediately Error M...

Страница 52: ... a new test strip If the error message appears again contact Customer Care Repeat the calibration using the calibrator bar that came with the test strip you are using Check the date setting on your monitor Check the expiration date on the test strip foil packet If the error message appears again contact Customer Care Monitor again using a test strip designed for use with Precision Xtra monitors If...

Страница 53: ...itor error Monitor error Remove test strip turn monitor off and try to monitor again If the error message appears again contact Customer Care Remove test strip turn monitor off and try to monitor again If the error message appears again contact Customer Care 50 ...

Страница 54: ...and blood β Ketone results and other monitor information Storage Temperature Meter Test Strips Control Solution 13º to 131ºF 25º to 55ºC See test strip instructions for use See control solution instructions for use Blood Glucose Assay Range See blood glucose test strip instructions for use Blood β Ketone Assay Range See blood β Ketone test strip instructions for use Control Solution Range See bloo...

Страница 55: ...uring countdown stays OFF during data upload Beeper If ON Beeps when calibrator is fully inserted and when countdown starts and finishes Data port Yes Meter Operating Range Temperature Relative Humidity 50º to 122ºF 10º to 50ºC 10 to 90 non condensing System Operating Range Temperature Relative Humidity The system operating range is the operating range of the test strip you are using See test stri...

Страница 56: ...happens when blood glucose levels change rapidly for example after you eat a meal after you take insulin or during or after exercise Use alternative sites to monitor your blood glucose before or more than two hours after you eat a meal take insulin or exercise Do not use blood samples from alternative sites when 1 You think your blood glucose is low or is changing rapidly 2 You have been diagnosed...

Страница 57: ...cing Your Monitor s Battery When your monitor needs its batteries replaced the display window shows one of two things This means the battery is low You may still use your monitor and the results will be accurate However the backlight is not useable It is recommended that you replace the battery at this time This means the battery must be replaced The monitor is not useable The monitor turns off au...

Страница 58: ...tery cover out of the monitor 2 Lift the battery cover out of the monitor 3 Pull on the plastic tab sticking out of the monitor to remove the old battery 3 To remove the battery push the battery upward to release the battery 4 Insert a new CR 2032 Lithium coin cell battery with the plus sign facing up 4 Insert a new CR 2032 Lithium coin cell battery with the plus sign facing up Caring for Your Mon...

Страница 59: ...rn your monitor on If your monitor does not turn on review the battery installation steps and reinstall the battery 8Check the date and time on your monitor You may automatically be prompted to reset the time and date when you first press the button to turn your monitor on See Chapter 2 Setting Up Your System 9Be sure to discard the old battery in compliance with your local government s regulation...

Страница 60: ...arkers forType 1 insulin dependent diabetes and their value in the monitoring of diabetes control Diabetologia 1984 26 343 8 4 Ubukata E Diurnal variation of blood β Ketone bodies in insulin dependent diabetes mellitus and non insulin dependent diabetes mellitus patients The relationship to serum C peptide immunoreactivity and free insulin AnnNutrMetab 1990 34 333 42 5 Luzi L Barrett EJ Groop LC F...

Страница 61: ...94502 USA Customer Care available 24 hours a day 7 days a week at 1 800 527 3339 or visit us online at AbbottDiabetesCare com For in vitro diagnostic use Reorder No 70297 02 MediSense Precision and Precision Xtra are trademarks of the Abbott Group of Companies in various jurisdictions 2008 Abbott ...

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