Glucose Control Solution Test can only be used with the ElementTM Auto-coding Monitoring System and should be used
during the following: • When a new vial of blood glucose test strips are opened.
• Any suspicion that the blood glucose test meter or blood glucose test strips are not working properly.
• When your blood glucose test results are not consistent with your symptoms, or if you think they are not accurate.
IMPORTANT: Please read this information and your ElementTM Auto-coding Blood Glucose Monitoring System Operation
• If you drop the blood glucose test meter.
manual before using ElementTM Auto-coding blood glucose test strips.
• Use routinely to obtain accurate results.
When the glucose control solution is applied to the top edge of the ElementTM Auto-coding blood glucose test strip, you
ElementTM Auto-coding blood glucose test strips are used with ElementTM Auto-coding blood glucose test meter for the
should get results within the expected range printed on the label of the blood glucose test strip vial. If the glucose control
quantitatively measurement of blood glucose level in whole blood. Blood Glucose Monitoring Systems are plasma-calibrated
solution test results fall outside the range, repeat the test. Results that fall out-side the range may be caused by:
to allow easy comparison of results with laboratory methods. ElementTM Auto-coding blood glucose test strips are for testing
outside the body (in vitro diagnostic use only).
• Failure to shake the glucose control solution vial well enough (must shake vigorously).
ElementTM Auto-coding Blood Glucose monitoring system is for Self-testing.
• Failure to discard the first drop of glucose control solution.
• Expired or contaminated glucose control solution.
• Blood glucose test strip deterioration.
ElementTM Auto-coding blood glucose test strips adopts a new bio-sensor technology composed of electro-chemical
• Blood glucose test meter malfunction.
components and requires a small 0.3uL volume of blood giving you less pain.( • 0.3uL)
• Glucose Control solution that is too warm or cold.
ElementTM Auto-coding blood glucose test meter can store 365 readings in memory with date & time and with the bio-sensor technology, you can easily store your readings on your PC (optional). This will
IMPORTANT NOTE: If the ElementTM Auto-coding Glucose Control Solution test results continuously falls outside the
provide an easier and better way to control your glucose levels.
range printed on the vial, the ElementTM Auto-coding‚ Blood Glucose monitoring system may not be functioning properly. DO NOT use the system to test your blood until you get a glucose control solution test result that falls within the range.
If you continue to have problems, contact your local representative immediately.
• Store the ElementTM Auto-coding blood glucose test strip vials in a cool, dry place between 2-30°C
(36-86°F). Keep out of direct sunlight. Do not freeze.
• Store blood glucose test strips in its original vial only. Do not mix the blood glucose test strips in new
ElementTM Auto-coding blood glucose test strips provide accurate results when the following constraints are observed:
• Use only the ElementTM Auto-coding blood glucose test strips with the ElementTM Auto-coding blood glucose test meter.
• Immediately replace the vial cap and close tightly after removing an ElementTM Auto-coding blood
• Use fresh capillary whole blood only. Do not use plasma or serum.
• This keeps the strips fully functional right up to the expiry date.
• The blood glucose test strips are for single use only. Do not reuse.
• Use blood glucose test strip immediately after removing it from the vial.
• Dehydration may lower test results. If you are severely dehydrated, contact your physician immediately.
• Do not use blood glucose test strips after the expiry date printed on the package or vial since it may cause inaccurate
• Inaccurate results may occur when in shock, hypotensive individuals, hyperglycemic, or hyperosmolar state, with or without
• Make a notation of the discard date on the vial label when you first open it. Discard remaining ElementTM Auto-coding blood
• ElementTM Auto-coding blood glucose test strips may be used at altitude up to 10,000 feet without an effect on test results.
glucose test strips 3 months after first opening the vial.
• Avoid getting dirt, food, and water on the blood glucose test strip. Do not handle blood glucose test strips with wet hands.
Physicians - Please note the following interferences that may affect test results :
• Do not bend, cut, or alter any ElementTM Auto-coding blood glucose test strip.
• Extremes in hematocrit may affect test results. Hematocrit levels less than 20% may cause falsely high reading and
• ElementTM Auto-coding blood glucose test strips are for single use only. Do not re-use.
hematocrit levels greater than 60% may cause falsely low readings. If you do not know your hematocrit level, consult your
• Do not perform blood glucose determinations at temperature below +10°C(50°F) or above +40°C(104°F), at humidity
• Interferences: Acetaminophen, uric acid, ascorbic acid(vitamin C), and other reducing substances (when occurring in normal
• Discard the used blood glucose test strip carefully, to prevent any infection.
blood or normal therapeutic concentrations) do not significantly affect results. However, abnormally high concentrations in blood may cause inaccurately high results.
Warning! Keep the blood glucose test strip vial away from children.
• Lipemic samples; Cholesterol up to 500 mg/dL or triglyceride up to 3000 mg/dL do not significantly affect the results. Glucose
values, however, in specimens beyond these levels should be interpreted with caution.
• Blood samples that contain a high concentration of dissolved oxygen may lower the test result.
• Code the ElementTM Auto-coding blood glucose test meters to match the code number printed on the ElementTM Auto-
• EDTA containing tube is recommended as an anticoagulant tube.
coding blood glucose test strip vial.
• Use only ElementTM Auto-coding blood glucose test strips with the ElementTM Auto-coding blood glucose test meter to
obtain accurate and consistent results.
The performance of the test strips has been evaluated in laboratory and in clinical tests.
• Do not reuse blood glucose test strips. Single use only.
Measurement Range: The measurement range of the ElementTM Auto-coding System is 10 to 600 mg/dL.
• If you experience any symptoms that are not consistent with your blood glucose test results and you have followed the
instructions described in your Blood Glucose Monitoring System Operation Manual, call your physician.
• Do not make significant changes to your diabetes control program.
The accuracy results obtained with the ElementTM Auto-coding System were compared to glucose results obtained with the
• Do not ignore physical symptoms without consulting your physician.
Hitachi Glucose Auto analyzer 747, a laboratory instrument. Glucose levels were measured on 160 fresh capillary samples at three different clinical centers.
System accuracy results for glucose concentration <75 mg/dL (4.2 mmol/L)
Glucose in the blood sample will react to the electrodes in the blood glucose test strip, generating an electrical current that
will stimulate a chemical reaction. This reaction is measured by the ElementTM Auto-coding blood glucose test meter and
Different levels of reactions will occur depending on the amount of glucose in the blood sample
System accuracy results for glucose concentration > 75 mg/dL (4.2 mmol/L)
Each ElementTM Auto-coding blood glucose test strip contains:
Mediator (Hexaammineruthenium chloride):
The study shows that the ElementTM Auto-coding System compares well with the laboratory method.
Precision Results for venous blood samples.
The procedure for Blood Glucose Measurement :
Materials provided : ElementTM Auto-coding blood glucose test strips
Obtaining Blood Sample :ElementTM Auto-coding blood glucose test strips are designed to be used with fresh whole blood.
Precision Results for control solutions.
ElementTM Auto-coding blood glucose test meter gives you the ability to obtain a blood sample for testing your glucose level
from different areas of your body. You may obtain a blood drop from either a finger or an alternative site.
To obtain a drop of blood, follow these steps :Step 1 : Cleanliness:
Wash your hands or body part to be probed with warm soapy water. Dry hands or
body part to be probed thoroughly. You may also use an alcohol wipe to clean your finger or body part to
• Before using the ElementTM Auto-coding blood glucose test meter and blood glucose test strips, read all of the operating
be probed. Make sure it is completely dry before you obtain the blood sample. (Dirt or perspiration may
instructions (ElementTM Auto-coding Blood Glucose Monitoring System Booklet) to practice for safe and accurate testing.
• Consult with your physician with use of the ElementTM Auto-coding blood glucose test meter and daily management of
Step 2 : Insert the blood glucose test strip:
Remove blood glucose test strip from the vial. Recap the vial
• Please pay extreme attention when handling blood. Improper procedures may cause serious injury to your health.
immediately to prevent moisture from affecting the other strips. Insert the blood glucose test strip into the
• If you have any questions about use of the ElementTM Auto-coding product, please contact your local representative.
port of the blood glucose test meter with “infopia” logo facing up. The blood glucose test meter will automatically turn on and display the code number. Make sure the code number on display matches the
code number on the blood glucose test strip vial. If the code number does not match, refer to the Element
1) National Committee for Clinical Laboratory Standards. Point-Care Blood Glucose Testing in Acute and Chronic care
™ Auto-coding Blood Glucose Monitoring System Operation Manual. Once completed, blood symbol will
Facilities ; Approved Guidline, 2nd Edition.
NCCLS Document C30-A2 (ISBN1-56238-471-6)
Step 3 : Lancing:
Prepare the lancing device and lancet. Insert a clean needle (lancet) in the lancing
2) National Committee for Clinical Laboratory Standards. Statistical Quality Control for Quantitative Measurements ; Principle
device. The lancing device is a pen-sized holder for the lancet. It holds, positions, and controls how deeply
and Definitions; Approved Guideline, 2nd Edition.
the lancet goes into the skin. (Refer to the ElementTM Auto-coding Blood Glucose Monitoring System
NCCLS Document C24-A2(ISBN1-56238-371-X). 1999
Operation Manual for more information).
3) National Committee for Clinical Laboratory Standards. User Demonstration of performance for Precision and Accuracy ; Approved Guideline. NCCLS Document
Step 4 : Applying blood sample:
Prick the area where you have decided to obtain the blood. The blood
sample must be at least 0.3uL in volume. While the blood glucose test meter displays the blood symbol,
4) National Committee for Clinical Laboratory Standards. Interference Testing in Glinical Chemistry ; Proposed Guideline.
place the edge of the blood glucose test strip to the drop of blood. The blood will automatically be drawn
into the test strip channel. When there is enough blood, the blood glucose test meter will automatically
5) Krall, L.P., and Beaser, R.S.: Joslin Diabetes Manuak\ l. Philadelphia: Lea and Febiger(1989), 138
count down. Do not push your finger against the blood glucose test strip or try to apply a smeared sample.
6) Beaser, R.S. and Hill, Joan: The Joslin Guide to Diabetes. New York: Simon and Schuster (1995), P158
If you do not fill the test strip channel before the blood glucose test meter begins to count down, do not add blood to the blood glucose test strip; discard the blood glucose test strip and retest.
OUR COMMITMENT TO YOU :We understand that self-testing of blood glucose level provides a way to control your diabetes, and may give you peace
Do not prick the tip of your fingertip it will be more painful, instead prick the SIDE of your fingertip.
of mind by testing regularly. As a result, ElementTM Auto-coding was developed to provide you with a fast , accurate
Do not squeeze the fingertip or puncture site of the body.
reading through a convenient and simple process. Our goal is to provide you the best quality healthcare products coupled
You may get an inaccurate result if the blood sample is not completely filled in a single action.
with superior customer service. If you have any questions or comments, please contact your local representative.
Step 5 : Accurate Results in Seconds.
Your blood glucose result will be displayed in 3 seconds in the LCD
window. The blood glucose test meter will begin testing and your blood glucose results are automatically
stored in the blood glucose test meter memory. Turn the blood glucose test meter off by removing the blood glucose test stip.
Please refer to the table below to identify symbol
Important Information About Using Alternate Site Testing : • Alternate sites where you can test are dorsal hand, ventral palm, upper arm, forearm, calf, and thigh.
• Under certain conditions, blood glucose test results obtained using samples taken from your alternate sites may differ significantly from fingertip samples
• The conditions in which these differences are more likely to occur are when your blood glucose is changing rapidly such as following a meal, as insulin dose, or associated with physical exercise. • When blood glucose is changing rapidly, fingertip samples show these changes more quickly than alternate sites samples.
This product fulfills the requirements of Directive 98/79/EC
• When your blood glucose is falling, testing with a fingertip sample may identify a hypoglycemic (low blood glucose) level
on invitro diagnostic medical devices.
sooner than a test with an alternate site sample.
• Use alternate sites samples only for testing prior to or more than two hours after meal, insulin doses, or physical exercise.
• Testing performed within two hours after meals, insulin doses, or physical exercise or whenever you feel that your glucose levels may be changing rapidly should be done from the fingertip.
• You should also use fingertip testing whenever you have a concern about hypoglycemia (insulin reactions) such as when driving a car, particularly if you suffer from hypoglycemic unawareness (lack of symptom to indicate as insulin reaction), as forearm testing may fail to detect hypoglycemia.
Blood glucose test results are displayed on the ElementTM Auto-coding blood glucose test meter as either milligrams of glucose per deciliter of blood (mg/dL) or millimoles of glucose per liter of blood (mmol/L), contingent upon the type of
infopia Co., Ltd.
891, Hogye-Dong, Dongan-Gu, Anyang,
The ElementTM Auto-coding blood glucose test meter display results between 10~600mg/dL (0.6~33.3mmol/L).
If the test result is below 10mg/dL (0.6mmol/L), “Lo” will appear on the blood glucose test meter display. “Lo” results indicate
severe hypoglycemia (low blood glucose). Consult with your physician immediately in how to treat hypoglycemia(low blood
If the test result is above 600mg/dL (33.3mmol/L), “HI” will appear on the blood glucose test meter display. “HI” results
indicate severe hyperglycemia (High blood glucose). Seek medical assistance immediately.
Fax : +(32) 2.732.60.03E-Mail : [email protected]
IMPORTANT NOTE: Blood glucose levels can appear to be lower or higher after a meal, physical exercise or any other
U.K. Distributor: Neon Diagnostics Ltd.
event that may affect blood glucose levels. Before taking the ElementTM Auto-coding blood glucose test, wait two hours
prior or after a meal, physical exercise to retrieve more accurate results.
Self-testing of blood glucose levels provides a way to control your diabetes. Consult with your physician to determine the best
range of expected blood glucose values for you.
Expected blood glucose levels for people without diabetes*:
*American Diabetes Association: Diagnosis and Classification of Diabetes Mellitus (Position Statement), Diabetes Care 34
IMPORTANT: If you have a test result below 60mg/dL (3.3mmol/L) or over 240mg/dL (13.3mmol/L) contact your physician immediately.
If your blood glucose result is unusually low or high, or you do not feel the way the result indicates, repeat the test again
with a new blood glucose test strip.
If the results are still inconsistent, please consult your physician before making any decision to control your diabetes.
Quality Control (System Maintenance) :ElementTM Auto-coding Glucose Control Solution is used to check that the blood glucose test meter and the blood glucose test strips are properly working together to provide you with the most accurate reading.
The ElementTM Auto-coding Glucose Control Solution is sold separately. The low, normal and high level glucose
control solution can be obtained through local representative.
Book Plaisance, P.L., 2008, Media ethics: Key principles for responsible practice . Thousand Oaks, CA: Sage Publications. 280 pp. Refereed Journal Articles and Book Chapters (22) Besley, J.C., McComas, K.A. & Trumbo, C.W. (2008). Local newspaper coverage of health authority fairness during cancer cluster investigations. Science Communication 29(4), 498-521. Buller, D.B
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