Lifescan In Duo User Manual

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InDuo
Blood Glucose Meter
InDuo™ SYSTEM AND ACCESSORIES
OneTouch
®
Ultra
Test Strips
OneTouch
®
Ultra
Control Solution
InDuo
Insulin Doser
NovoFine
®
8 mm needles
(10-pack sample included in kit)
Penfill
®
3 ml
Insulin cartridge
(not included)
OneTouch
®
UltraSoft™
Adjustable Blood Sampler
OneTouch
®
UltraSoft™
Sterile Lancet
OneTouch
®
UltraClear™ Cap
for alternate puncture site
Combined blood glucose
monitoring and
insulin dosing system
User manual
Manufactured by:
LifeScan Inc.
Milpitas, California 95035, U.S.A.
© LifeScan / Novo Nordisk 2002
Revision date: 06/02
The InDuo™ System should only be used in combination with products 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 and NovoFine
®
needles are designed to be used with the
InDuo™ insulin doser.
Innovo
®
, NovoFine
®
, Novolin-Pen
®
3, Penfill
®
and w are trademarks owned by
Novo Nordisk A/S and used by Novo Nordisk Canada Inc. under licence.
InDuo™, In Touch
®
, OneTouch
®
, UltraClear™, UltraSoftand Penlet
®
are trademarks owned by Johnson & Johnson and used by LifeScan Canada Ltd.
Diagram of the InDuo™ System and accessories
Look at the diagram of the InDuo™ System inside this cover for the names of
the different parts of the system. You can unfold the diagram to help you while
you follow the instructions.
2
DCO_06153701A_ID_OBC_CAN 9/6/02 11:34 AM Page 1
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Summary of Contents

Page 1 - User manual

InDuo™Blood Glucose Meter InDuo™ SYSTEM AND ACCESSORIESOneTouch®UltraTest StripsOneTouch®UltraControl SolutionInDuo™Insulin DoserNovoFine®8 mm nee

Page 2

10 GETTING YOUR InDuo™ SYSTEM READY FOR USEæ OneTouch®Ultra Test StripsYour InDuo™ meter is designed for use only withOneTouch®Ultra Test Strips.• Sto

Page 3 - CONTENTS

GETTING YOUR InDuo™ SYSTEM READY FOR USE 11• Apply only OneTouch®Ultra Control Solution or a blood sample to the top edge of the OneTouch®Ultra Test

Page 4

(Example)12 GETTING YOUR InDuo™ SYSTEM READY FOR USECoding your InDuo™ meterCode numbers are used to calibrate the OneTouch®Ultra Test Strips with the

Page 5 - Preparing your InDuo™ meter

GETTING YOUR InDuo™ SYSTEM READY FOR USE 13Match the code numbersThe calibration code is stored in the meter memoryuntil it is changed by the user.

Page 6

14 GETTING YOUR InDuo™ SYSTEM READY FOR USEThe control solution testOneTouch®Ultra Control Solution is used to check that the meter and the OneTouch®U

Page 7

GETTING YOUR InDuo™ SYSTEM READY FOR USE 15æ Caution: • Use only OneTouch®Ultra Control Solution.• Check the expiration date on the control solution

Page 8

a16 GETTING YOUR InDuo™ SYSTEM READY FOR USEBefore you use your InDuo™ meter to test yourblood for the first time, practice the procedure usingthe con

Page 9

GETTING YOUR InDuo™ SYSTEM READY FOR USE 17• After the apply symbol R appears on the display,press Ñ. • The Ë symbol will appear on the display. Wit

Page 10

bcApply control solution• Shake the control solution vial well. • Remove the cap. • Squeeze the vial and discard the first drop andwipe off the dispen

Page 11

GETTING YOUR InDuo™ SYSTEM READY FOR USE 19æ Caution• If control solution test results fall outside therange printed on the OneTouch®Ultra Test Stri

Page 12 - Coding your InDuo™ meter

NovoFine®6 mm or 8 mm wOneTouch®UltraSoft™ Adjustable Blood SamplerOneTouch®UltraTest StripPenfill®3 mlNeedle Protective tabInnerneedle capColour-code

Page 13 - (Example)

20 GETTING YOUR InDuo™ SYSTEM READY FOR USEThe control solution test troubleshootingThere are several reasons why the results of a control solution te

Page 14 - The control solution test

GETTING YOUR InDuo™ SYSTEM READY FOR USE 21PREPARING YOUR InDuo™ INSULIN DOSER TO INJECT INSULINTo use the InDuo™ insulin doser to inject yourinsuli

Page 15

cba22 GETTING YOUR InDuo™ SYSTEM READY FOR USETo insert Penfill®:• Pull out the InDuo™ insulin doser a.• The very first time the insulin doser is pull

Page 16

GETTING YOUR InDuo™ SYSTEM READY FOR USE 23fd• Insert Penfill®into the InDuo™ insulin doser bypushing it slightly backwards as shown d. The endwith

Page 17

How to attach a NovoFine®needle• Take the protective tab off a NovoFine®needle.• Screw the NovoFine® needle firmly onto the colour-coded cap. • Pull o

Page 18

Priming your InDuo™ insulin doser for the first timeæMake sure that a NovoFine®needle is attached,the push button is pressed completely in, and thesli

Page 19

ced26 GETTING YOUR InDuo™ SYSTEM READY FOR USE• Dial 8 units c.• Hold the InDuo™ insulin doser with the NovoFine®needle pointing upwards and tap the s

Page 20

TESTING YOUR BLOOD GLUCOSE LEVELS 27TESTING YOUR BLOOD GLUCOSE LEVELSBe sure to read this section, Important Informationon page 65, and the OneTouch

Page 21 - How to load Penfill

28 TESTING YOUR BLOOD GLUCOSE LEVELSCheck that the InDuo™ meter display is workingproperly. You will know the meter display is workingproperly because

Page 22

aTESTING YOUR BLOOD GLUCOSE LEVELS 29Obtaining a drop of bloodInsert a lancet in the blood sampler• Twist the cap of the blood sampler counter-clock

Page 23

3CONTENTSWelcome 4Getting your InDuo™ System ready for use 5Preparing your InDuo™ meter 5Preparing your InDuo™ insulin doser to inject insulin 21Testi

Page 24 - How to attach a NovoFine

ONETUltrcONETOUCH®UltraSoft30 TESTING YOUR BLOOD GLUCOSE LEVELS• Replace the cap c.• Turn the cap clockwise until it fits snugly but nottoo tight.• Ad

Page 25

TESTING YOUR BLOOD GLUCOSE LEVELS 31Cock the blood sampler• Slide the ejection/cocking control back until it clicks e. • If it does not click, the b

Page 26

OUg32 TESTING YOUR BLOOD GLUCOSE LEVELSONETOUCH®UltraSoftGetting a fingertip blood sampleThe InDuo™ System requires a very small blood dropto perform

Page 27

TESTING YOUR BLOOD GLUCOSE LEVELS 33Important information about arm testing• Under certain conditions, bloodglucose test results obtained usingsampl

Page 28

34 TESTING YOUR BLOOD GLUCOSE LEVELSGetting a blood sample from the armThe arm has fewer nerve endings than the fingertip so you mayfind that obtainin

Page 29 - Obtaining a drop of blood

iONETOUCUltraSofNETOUCH®UltraSoftTESTING YOUR BLOOD GLUCOSE LEVELS 35hsufficient blood for a test, rubbing the area more vigorouslyor the brief appl

Page 30 - ONETOUCH

36 TESTING YOUR BLOOD GLUCOSE LEVELSCleaning the OneTouch®UltraSoft™ Blood Sampler• Clean the sampler with soapy water as needed. To disinfect the sam

Page 31

TESTING YOUR BLOOD GLUCOSE LEVELS 37IncorrectCorrect(See page 9 for additional information on the unitsof measurement).• Code the meter if necessary

Page 32

38 TESTING YOUR BLOOD GLUCOSE LEVELS• If the confirmation window does not fillcompletely before the meter begins to countdown, do not add more blood t

Page 33

TESTING YOUR BLOOD GLUCOSE LEVELS 39Reading the results:• Your blood glucose test result will appear after theInDuo™ meter counts down from N to A.

Page 34

4WELCOMEYou have chosen the InDuo™ System,designed to simplify the way you manageyour diabetes. Featuring an integrated bloodglucose meter and insulin

Page 35

Special messagesHI: If your blood glucose test result is above 33.3 mmol/L (600 mg/dL), S will appear on themeter display. This indicates severe hyper

Page 36

INJECTING YOUR INSULIN 41aINJECTING YOUR INSULINæ Before beginning, read Important Informationon page 65.To begin preparation for injecting your ins

Page 37 - Incorrect

cef42 INJECTING YOUR INSULINHow to prime your InDuo™ insulin doser• Make sure that a NovoFine® needle is attached (see page 41), the push button is pr

Page 38 - Good sample Sample too small

cbaHow to dial your dose• Make sure that a NovoFine® needle is attached andthat the push button is pressed completely in.• Press the release button a

Page 39 - Plasma-Calibrated Test Result

44 INJECTING YOUR INSULINaHow to correct a dialed dose• If you accidentally dial a larger dose than youneed, dial back to the correct number of units

Page 40

INJECTING YOUR INSULIN 45How to give an injectionIt is important that you follow the injection methodrecommended by your healthcare professional. To

Page 41 - INJECTING YOUR INSULIN

bc46 INJECTING YOUR INSULIN• When the circle symbol § appears b, the fullinsulin dose has been delivered and you canwithdraw the needle.• After the in

Page 42 - 42 INJECTING YOUR INSULIN

INJECTING YOUR INSULIN 47What to do when Penfill®is nearly empty• Do not try to inject an insulin suspension (cloudyinsulin) if the rubber stopper i

Page 43 - How to dial your dose

Change Penfill®as described on pages 22 and 23.Then prime the InDuo™ insulin doser as described onpage 42.Dial the remaining number of units to comple

Page 44 - How to cancel a dialed dose

INJECTING YOUR INSULIN 49How to change Penfill®• Make sure that the push button is pressed in completely a.• Make sure the NovoFine®needle has been

Page 45 - How to give an injection

GETTING YOUR InDuo™ SYSTEM READY FOR USE 5GETTING YOUR InDuo™ SYSTEM READY FOR USEPreparing your InDuo™ meterSetting the time, date and unit of meas

Page 46 - 46 INJECTING YOUR INSULIN

2050 INJECTING YOUR INSULINInDuo™ insulin doser function checkIf you think that the InDuo™ insulin doser is notworking properly, follow this procedure

Page 47 - What to do when Penfill

USING THE InDuo™ MEMORY FUNCTIONS 51USING THE InDuo™ MEMORY FUNCTIONSBoth the InDuo™ meter and the InDuo™ insulindoser have memory functions.Checkin

Page 48 - 48 INJECTING YOUR INSULIN

(Example)52 USING THE InDuo™ MEMORY FUNCTIONSHow to recall test results• After 3 seconds, the 30-day average will bereplaced by the most recent test r

Page 49 - How to change Penfill

USING THE InDuo™ MEMORY FUNCTIONS 53Other memory functions of the InDuo™ meterThe InDuo™ meter can provide valuable informationon variations in your

Page 50 - 50 INJECTING YOUR INSULIN

54 USING THE InDuo™ MEMORY FUNCTIONSChecking your previous injection• Pull out the InDuo™ insulin doser. When theinsulin doser is pulled out all the i

Page 51 - Using the memory mode

VIEWING BLOOD GLUCOSE TEST RESULTS ON A PC 55VIEWING BLOOD GLUCOSE TEST RESULTS ON A PERSONAL COMPUTERYou can transfer blood glucose test results to

Page 52

56 VIEWING BLOOD GLUCOSE TEST RESULTS ON A PCHow to transfer glucose test results to your PCInstall In Touch®software• Install In Touch®software on yo

Page 53 - Other memory functions of

VIEWING BLOOD GLUCOSE TEST RESULTS ON A PC 57• While the InDuo™ meter is in the communicationmode, you cannot use the InDuo™ meter toperform a blood

Page 54

58 COMPARING THE InDuo™ METER AND LABORATORY RESULTSCOMPARING THE InDuo™ METERAND LABORATORY RESULTSThe InDuo™ meter blood glucose testresults and lab

Page 55 - VIEWING BLOOD GLUCOSE

COMPARING THE InDuo™ METER AND LABORATORY RESULTS 59• Never use your InDuo™ meter withblood that has been collected in atest-tube with a grey-colour

Page 56

Setting the hour• The time will appear first, with the hour digitsflashing. • Press and release Ñ until the correct hour isdisplayed. • To scroll fast

Page 57

CARING FOR YOUR InDuo™ SYSTEM• Your InDuo™ System is a precisioninstrument. To ensure it worksaccurately and safely, please handle itwith care.• Avoid

Page 58 - AND LABORATORY RESULTS

CARING FOR YOUR InDuo™ SYSTEM 61Power supplyYour InDuo™ System is powered by batteries makingit portable and self-contained. Your InDuo™ comeswith 2

Page 59

62 CARING FOR YOUR InDuo™ SYSTEMWhen to change your InDuo™ meterbatteryYour InDuo™ meter will alert you when the power isgetting low by displaying the

Page 60 - InDuo™ SYSTEM

CARING FOR YOUR InDuo™ SYSTEM 63How to replace the InDuo™ meter battery• To replace the meter battery, make sure that theInDuo™ meter is turned off.

Page 61 - Power supply

64 CARING FOR YOUR InDuo™ SYSTEMWhen to replace your InDuo™ insulin doserA flashing display indicates that the insulin doserbattery power is low. • Be

Page 62 - CARING FOR YOUR InDuo™ SYSTEM

IMPORTANT INFORMATION 65æ IMPORTANT INFORMATION• As a precautionary measure, alwayscarry a spare insulin delivery device,and a Penfill®cartridge, in

Page 63

66 IMPORTANT INFORMATION• Your InDuo™ System is tough butcould still be damaged. So handle itwith care, do not drop it and avoidknocking it against ha

Page 64

IMPORTANT INFORMATION 67• Take the needle off the InDuo™insulin doser immediately after eachinjection. If you do not remove it,temperature changes m

Page 65 - IMPORTANT INFORMATION 65

68DISPLAY MESSAGES AND PROBLEM-SOLVING GUIDEDISPLAY MESSAGES AND PROBLEM-SOLVING GUIDEThere are a number of messages and symbols thatappear on the ins

Page 66 - 66 IMPORTANT INFORMATION

DISPLAY MESSAGES AND PROBLEM-SOLVING GUIDE69The InDuo™ meterHere is a summary of the different messages given on the InDuo™ meter display.This indicat

Page 67 - IMPORTANT INFORMATION 67

GETTING YOUR InDuo™ SYSTEM READY FOR USE 7Setting the time format• Press ˛ and the 12-hour format Ä will startflashing.• Your InDuo™ meter can displ

Page 68 - AND PROBLEM-SOLVING GUIDE

70DISPLAY MESSAGES AND PROBLEM-SOLVING GUIDEThis is the code number storedin the InDuo™ meterMake sure that this codenumber matches the codenumber on

Page 69 - The InDuo™ meter

DISPLAY MESSAGES AND PROBLEM-SOLVING GUIDE71Meter display What it means ActionFive-second countdown. The meteris calculating the result. At the endof

Page 70

72DISPLAY MESSAGES AND PROBLEM-SOLVING GUIDEMeter display What it means ActionA blood glucose test result with asuggestion to check your ketonelevelsY

Page 71

DISPLAY MESSAGES AND PROBLEM-SOLVING GUIDE73Meter display What it means ActionA blood glucose test resultstored in the memoryNo action requiredA contr

Page 72

74DISPLAY MESSAGES AND PROBLEM-SOLVING GUIDEMeter display What it means ActionNo action requiredAverage of the last 30 days.(∑ means that 138 tests we

Page 73

DISPLAY MESSAGES AND PROBLEM-SOLVING GUIDE75Meter display What it means ActionError message could be caused by a used ordamaged OneTouch®UltraTest Str

Page 74

76DISPLAY MESSAGES AND PROBLEM-SOLVING GUIDEMeter display What it means ActionError message that indicates one of the following conditionsmay be prese

Page 75

DISPLAY MESSAGES AND PROBLEM-SOLVING GUIDE77Meter display What it means ActionRepeat the test with a newOneTouch®Ultra Test Strip.Refer to pages 32 to

Page 76

78DISPLAY MESSAGES AND PROBLEM-SOLVING GUIDEMeter display What it means ActionThe battery symbol É appearson the display with the unit ofmeasurement.

Page 77

DISPLAY MESSAGES AND PROBLEM-SOLVING GUIDE79Meter display What it means ActionRepeat the test after theInDuo™ meter and OneTouch®Ultra Test Stripshave

Page 78

8 GETTING YOUR InDuo™ SYSTEM READY FOR USESetting the month• Press ˛ and the date will appear on the displaywith the month display flashing.• Press an

Page 79

80DISPLAY MESSAGES AND PROBLEM-SOLVING GUIDEHere are the answers to some questions you might ask whenusing your InDuo™ meter:What should I do if the I

Page 80

DISPLAY MESSAGES AND PROBLEM-SOLVING GUIDE81What should I do if the InDuo™ meter does not start running the blood glucosetest after the OneTouch®Ultra

Page 81

82DISPLAY MESSAGES AND PROBLEM-SOLVING GUIDEThe InDuo™ insulin doserAs with the meter display, a number of messages and symbols appear on the InDuo™ i

Page 82 - The InDuo™ insulin doser

DISPLAY MESSAGES AND PROBLEM-SOLVING GUIDE83The segments turning on two by twotell you how long to leave the needleunder the skin during injectionNo a

Page 83 - Message What it means Action

84DISPLAY MESSAGES AND PROBLEM-SOLVING GUIDEThe display shows the number of insulinunits delivered. The segments indicatethe time passed since deliver

Page 84

DISPLAY MESSAGES AND PROBLEM-SOLVING GUIDE85Here are answers to some questions you might ask about your InDuo™ insulin doser display:Why has the displ

Page 85

86DISPLAY MESSAGES AND PROBLEM-SOLVING GUIDEWhy does no insulin appear when I tryto prime the InDuo™ insulin doser?The needle may be blocked. Changeth

Page 86

DISPLAY MESSAGES AND PROBLEM-SOLVING GUIDE87Why is insulin delivered when thedose selector is turned?You have dialed the maximum doseof 70 units and t

Page 87

88SPECIFICATIONS InDuo™ System Size: 123 mm x 54 mm x 35 mm (4.84 in x 2.13 in x 1.38 in)Weight: 125 g with battery (4.40 ounces) Operating ranges:Tem

Page 88 - SPECIFICATIONS InDuo™ System

89InDuo™ doserCartridge: 3 ml Penfill®Needle: NovoFine®max 8 mm lengthDose: 1IU increment, minimum = 1IU, maximum = 70IUMemory: 1 (last dose and ti

Page 89 - GUARANTEE

GETTING YOUR InDuo™ SYSTEM READY FOR USE 9Selecting the unit of measurement• With the correct day on the display, press ˛and the current unit of mea

Page 90 - BLOOD GLUCOSE VALUE TARGETS

90BLOOD GLUCOSE VALUE TARGETSTimes of day Glucose ranges for people Your target ranges (mmol/L)without diabetes (mmol/L)Before breakfast 3.9 - 5.8Befo

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