Акку-Чек Перформа Нано: Chapter 2: Testing Your Blood Glucose

14

OR

Yellow Release

Button

5. A test strip and

6. Perform a fingerstick with the lancing device. Blood samples

flashing blood drop

taken from the palm are equivalent to blood taken from the

symbol appear on

fingertip. For detailed information on how to obtain blood

the display.

from the palm, refer to the Alternative Site Testing (AST)

section, steps 5 and 6.

44702_EN_PNano_24_Ins.indd 1444702_EN_PNano_24_Ins.indd 14 10/9/09 2:38:55 PM10/9/09 2:38:55 PM

15

7. Gently squeeze your finger to assist the

8. Touch the blood drop to the front edge

flow of blood. This helps you get a

of the yellow window of the test strip.

blood drop.

Do not put blood on top of the test

strip. When you see

flash, you have

enough blood in the test strip.

44702_EN_PNano_24_Ins.indd 1544702_EN_PNano_24_Ins.indd 15 10/9/09 2:38:55 PM10/9/09 2:38:55 PM

OR

16

9. The result appears on the display. If you

the meter (see the next section).

want to mark the test result as a

Otherwise, remove and discard the used

pre-meal or post-meal test, or with a

test strip.

general marker, leave the test strip in

Note: After a successful test, the meter turns off five seconds after the test strip is

removed.

44702_EN_PNano_24_Ins.indd 1644702_EN_PNano_24_Ins.indd 16 10/9/09 2:38:55 PM10/9/09 2:38:55 PM

Marking Test Results and Setting the Post-Meal

Reminder

If you wish, you can mark your test result with:

Pre-Meal Marker

17

Pre-Meal Marker with Post-Meal Reminder

Post-Meal Marker

General Marker

M• arking results with a pre-meal or post-meal marker provides more information

about your blood glucose results to help you and your healthcare professional in

the management of your diabetes.

When a pre-meal result is marked with a • post-meal reminder the meter beeps

one or two hours after you test to remind you to do a post-meal test.

You might want to use the • general marker to mark an event such as an AST

(alternative site testing) result or exercise.

When you review the results in memory, these markers can help you remember what

was different about the result.

44702_EN_PNano_24_Ins.indd 1744702_EN_PNano_24_Ins.indd 17 10/9/09 2:38:56 PM10/9/09 2:38:56 PM

Here is how to mark a test result and initiate a post-meal reminder:

Perform a test. Do not remove the test strip.

1. Press and release

to toggle through the test result markers and post-meal reminder.

Pre-Meal Marker

18

Pre-Meal Marker with Post-Meal Reminder

Post-Meal Marker

General Marker

2. When the test result marker (

, , or ) or pre-meal marker with post-meal reminder

(

) that you wish to select appears on the display, remove the test strip from the

meter.

If you select the post-meal reminder, the meter beeps one or two hours after the •

pre-meal test to remind you to do a post-meal test.

If you select a test result marker, it is automatically stored in memory.•

Note: The post-meal marker automatically appears with the test result if a

test is performed 15 minutes before or after the post-meal reminder is

programmed to beep. Set the post-meal reminder time to one or two

hours in the set-up mode.

44702_EN_PNano_24_Ins.indd 1844702_EN_PNano_24_Ins.indd 18 10/9/09 2:38:56 PM10/9/09 2:38:56 PM

Alternative Site Testing (AST)

You have the option of testing other places on your body besides the fingertip. Blood

obtained from a fingertip or palm can be used at any time to measure blood glucose.

The two palm testing sites are the fleshy areas under the thumb (thenar) and under

the little finger (hypothenar). If blood from an alternative site such as the forearm,

19

upper arm, thigh or calf is used, there are certain times when testing is not

appropriate (see next page). This is because your glucose level changes quicker in

your fingertip or palm than in the alternative sites. These differences may cause you

to make the wrong therapeutic decision produc ing adverse health effects. Please

read the following section before you try testing from other places.

Hypothenar

Thenar

44702_EN_PNano_24_Ins.indd 1944702_EN_PNano_24_Ins.indd 19 10/9/09 2:38:56 PM10/9/09 2:38:56 PM

IMPORTANT

Alternative site testing may be done:

Talk to your healthcare professional about Alternative •

Immediately before a meal•

Site Testing.

Fasting•

DO NOT test from an alternative site:

Do not change your treatment because of

Two hours or less after eating•

just one result.

After exercising•

NEVER ignore symptoms of high or low

If you are sick•

20

blood glucose.

If you think your blood glucose is low•

If you often don’t notice when your blood •

If your blood glucose result does not

glucose is low

match how you feel, perform a fingertip/

During peak action time of short-acting •

palm test to confirm your result. If the

insulin or rapid-acting insulin analogues

fingertip/palm result still does not match

Up to two hours after injecting a •

how you feel, call your healthcare

short-acting insulin or rapid-acting insulin

professional.

analogue

44702_EN_PNano_24_Ins.indd 2044702_EN_PNano_24_Ins.indd 20 10/9/09 2:38:56 PM10/9/09 2:38:56 PM

You need the meter, a test strip, a lancing device designed for AST, and a

lancet.

21

1. Prepare the lancing device.

3. Make sure the code number on the

display matches the code number on

2. Insert the test strip into the meter in

the test strip container. If you miss

the direction of the arrows. The meter

seeing the code number, remove the

turns on.

test strip and reinsert it into the meter.

44702_EN_PNano_24_Ins.indd 2144702_EN_PNano_24_Ins.indd 21 10/9/09 2:38:56 PM10/9/09 2:38:56 PM

22

4. A test strip and flashing

5. Press the lancing device

6. Trigger the lancing

blood drop symbol

firmly against a fleshy

device while keeping

appear on the display.

area on the alternative

steady pressure on the

site. Press the lancing

site. Apply pressure to

device up and down in a

the site with the lancing

slow pumping motion to

device to assist the flow

assist the flow of blood.

of blood.

44702_EN_PNano_24_Ins.indd 2244702_EN_PNano_24_Ins.indd 22 10/9/09 2:38:56 PM10/9/09 2:38:56 PM

23

OROR

7. Touch the blood drop to the front edge

8. The result appears on the display. Mark

of the yellow window of the test strip.

the result, or remove and discard the

When you see

flash, you have

used test strip.

enough blood in the test strip.

Note: If the blood drop is too small, reapply pressure to get a sufficient blood drop.

44702_EN_PNano_24_Ins.indd 2344702_EN_PNano_24_Ins.indd 23 10/9/09 2:38:56 PM10/9/09 2:38:56 PM

Meter Setup

Using the Set-Up Mode

By using the set-up mode, you can personalize the meter to suit your lifestyle. Here are the

features you can customize in the order in which they appear in the set-up mode:

Time and date – set the time and date.

Beeper – select “On” or “OFF.”

30

Post-meal reminder time – select 1 hour or 2 hours.

Alarm clock – select “On” or “OFF.”

Hypo indicator – select “On” or “OFF.” If you select “On,” choose the blood

glucose level for the alert.

Using the set-up mode is easy.

Here is a general overview of the function that each button performs in the set-up mode.

To enter the set-up mode• – with the meter on, press and hold until “set-up” appears.

To confirm the feature you have chosen• – press and release .

To exit the set-up mode• – press and hold until you see the flashing test strip symbol.

To adjust settings• – press and release or . To scroll faster press and

hold or .

44702_EN_PNano_24_Ins.indd 3044702_EN_PNano_24_Ins.indd 30 10/9/09 2:38:57 PM10/9/09 2:38:57 PM

You are here

TIME / DATE

BEEPER

POST-MEAL

ALARM

HYPO INDICATOR

(hrs, min,

(on/off)

REMINDER

CLOCK

(off, on, level)

day, month, year)

TIME

(A-1, A-2, A-3, A-4)

(1 hr or 2 hr)

Setting the Time and Date

decrease

increase

31

1. Press and release to

2. Press and hold

until

3. Press and release

or

turn the meter on. The

“set-up” appears on the

to decrease or

flashing test strip symbol

display. The hour

increase the hour.

appears.

flashes.

44702_EN_PNano_24_Ins.indd 3144702_EN_PNano_24_Ins.indd 31 10/9/09 2:38:57 PM10/9/09 2:38:57 PM

decrease increase

32

4. Press and release to confirm the

5. Press and release or to adjust

hour. The minutes flash.

the minutes. Press and release

to

confirm the minutes.

44702_EN_PNano_24_Ins.indd 3244702_EN_PNano_24_Ins.indd 32 10/9/09 2:38:57 PM10/9/09 2:38:57 PM

33

6. Repeat step 5 to set day, month, and

7. If you want to set up more options,

year.

press and release

. If you want to

exit, press and hold

until you see

the flashing test strip symbol.

44702_EN_PNano_24_Ins.indd 3344702_EN_PNano_24_Ins.indd 33 10/9/09 2:38:58 PM10/9/09 2:38:58 PM

You are here

TIME / DATE

BEEPER

POST-MEAL

ALARM

HYPO INDICATOR

(hrs, min,

(on/off)

REMINDER

CLOCK

(off, on, level)

day, month, year)

TIME

(A-1, A-2, A-3, A-4)

(1 hr or 2 hr)

Setting the Beeper (

) On/Off

Your new meter has the beeper preset to “On.” You can set the beeper to “OFF,” if

you prefer. This will not affect your test results.

34

The beeper is helpful because it prompts you:

To apply blood or control solution to the test strip•

When enough blood or control solution is drawn into the test strip•

When the test is complete•

When a button is pressed•

When it is time to test (if you set the alarm clock or post-meal reminder)•

If an error occurred while testing (even if the beeper is set to off, it still beeps for •

an error)

44702_EN_PNano_24_Ins.indd 3444702_EN_PNano_24_Ins.indd 34 10/9/09 2:38:58 PM10/9/09 2:38:58 PM

35

1. Press and release to

2. Press and hold

until

3. Press and release

turn the meter on. The

“set-up” appears on the

repeatedly until you

flashing test strip symbol

display.

reach the display with

appears.

the flashing beeper

symbol and “On” or

“OFF.”

44702_EN_PNano_24_Ins.indd 3544702_EN_PNano_24_Ins.indd 35 10/9/09 2:38:58 PM10/9/09 2:38:58 PM

36

4. Press and release or to

5. If you want to set up more options,

switch between “On” and “OFF.”

press and release

. If you want to

exit, press and hold

until you see

the flashing test strip symbol.

44702_EN_PNano_24_Ins.indd 3644702_EN_PNano_24_Ins.indd 36 10/9/09 2:38:58 PM10/9/09 2:38:58 PM

You are here

TIME / DATE

BEEPER

POST-MEAL

ALARM

HYPO INDICATOR

(hrs, min,

(on/off)

REMINDER

CLOCK

(off, on, level)

day, month, year)

TIME

(A-1, A-2, A-3, A-4)

(1 hr or 2 hr)

Setting the Post-Meal Reminder Time (

)

The post-meal reminder:

Beeps one or two hours after the test to remind you to do a post-meal test.•

37

Beeps every two minutes up to three times.•

Turns off by inserting a test strip or pressing any button.•

The post-meal reminder time is preset on your meter to two hours, however, you can

choose one or two hours in the set-up mode.

Notes:

The beeper must be set to “On” for the reminder to occur.•

If you tested within 15 minutes of a reminder, the reminder does not occur.•

If the meter is on at the reminder time, the reminder does not occur.•

Exposure to cold conditions may disable reminders until the meter is turned on.•

44702_EN_PNano_24_Ins.indd 3744702_EN_PNano_24_Ins.indd 37 10/9/09 2:38:58 PM10/9/09 2:38:58 PM

38

1. Press and release to

2. Press and hold

until

3. Press and release

turn the meter on. The

“set-up” appears on the

repeatedly until you

flashing test strip symbol

display.

reach the display with

appears.

“set-up,” and the

flashing “1Hr” or “2Hr.”

44702_EN_PNano_24_Ins.indd 3844702_EN_PNano_24_Ins.indd 38 10/9/09 2:38:58 PM10/9/09 2:38:58 PM

39

4. Press and release or to select

When a post-meal reminder occurs

“1Hr” or “2Hr.” Press and release

this screen appears.

to confirm your choice.

44702_EN_PNano_24_Ins.indd 3944702_EN_PNano_24_Ins.indd 39 10/9/09 2:38:58 PM10/9/09 2:38:58 PM

46

2. Press and hold until

3. Press and release

4. Press and release

“set-up” appears on the

repeatedly until you

or to switch

display.

reach the display with

between “On” and

“set-up” and “OFF,” and

“OFF.” Press and

the flashing

.

release

to confirm

your choice.

44702_EN_PNano_24_Ins.indd 4644702_EN_PNano_24_Ins.indd 46 10/9/09 2:38:59 PM10/9/09 2:38:59 PM

5. If you choose to set the hypo indicator to

“On,” “set-up” appears and

flashes.

The display shows 3.9 mmol/L (70 mg/dL).

OR

6. Press and release

or to select the

level you want. Press and release

to

confirm it.

47

OR

7. Press and hold

until you see the

flashing test strip symbol to exit the

set-up mode.

This function is no substitute for hypoglycemia training by your

healthcare professional.

44702_EN_PNano_24_Ins.indd 4744702_EN_PNano_24_Ins.indd 47 10/9/09 2:39:00 PM10/9/09 2:39:00 PM

Transferring Data Directly to a Computer or PDA Using

Specialized Software and an Infrared Cable

You can transfer your stored results to a computer to track, identify patterns, and

print.

1. Install the software according to the

instructions. To transfer the results to a

48

computer, connect the infrared cable

according to the instructions.

2. Run the software program and follow the

instructions about how to download

information. Make sure the software is

ready to accept data from the meter.

3. With the meter off, press and hold both

and until two arrows on the display

alternately flash.

44702_EN_PNano_24_Ins.indd 4844702_EN_PNano_24_Ins.indd 48 10/9/09 2:39:00 PM10/9/09 2:39:00 PM

4. Locate the infrared (IR) window on the top of the meter.

Infrared (IR) Window

5. Locate the IR window on either the infrared cable

(computer) or PDA.

6. Put the meter on a flat surface. Point the two IR windows

toward each other. They should be 3 to 10 cm apart.

7. Do not move the infrared cable (computer), PDA, or

meter during the transfer.

49

8. Follow the prompts on the software.

9. The software program may shut off the meter

automatically when the data transfer is complete.

Notes:

If the data did not transfer successfully, try again. If you still have problems, •

contact Roche.

To make the most of the download feature, you must set the time and date in the •

meter correctly.

44702_EN_PNano_24_Ins.indd 4944702_EN_PNano_24_Ins.indd 49 10/9/09 2:39:00 PM10/9/09 2:39:00 PM

5050

44702_EN_PNano_24_Ins.indd 5044702_EN_PNano_24_Ins.indd 50 10/9/09 2:39:00 PM10/9/09 2:39:00 PM