User's Manual

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Blood Glucose Result with Smile Symbol
The meter will display a sign if the result falls in the range of 80-120 mg/dL.
The default value is only for your reference, please consult your health care professional to find out your target
blood glucose level.
Ketone Alert
When a blood glucose test result is 240 mg/dL or higher (NOT for a control solution test result), the
symbol will appear. It is recommended to check your blood β-ketone.
6. Testing Your Blood Glucose from the Palm and Forearm
The Medisign MediKeto Plus 82 BT blood glucose and β-ketone monitoring system can test for blood glucose
in areas other than the fingertip, such as the palm and forearm (alternative site testing, or AST). Please consult
your healthcare professional before using any alternative sites to test your blood glucose.
Alternative site testing can be less painful than fingertip testing. Because of the physiological differences
between the fingertip, palm, and forearm, alternative site test results may be significantly different than results
from the fingertip under certain conditions.
Do Alternative Site Testing Only the following intervals:
In a pre-meal or fasting state (more than two (2) hours since the last meal).
Two (2) hours or more after taking insulin.
Two (2) hours or more after exercise.
Do NOT Alternative Site Testing when:
If you sometimes do NOT notice when your blood glucose is low or high
Within two (2) hours of a meal, exercise, or medication.
During times of stress.
You are sick.
Your blood glucose seems to be low (hypoglycemia) or high (hyperglycemia).
Your glucose results are often fluctuating.
If your alternative site testing does NOT agree with how you feel.
IMPORTANT
Alternative site testing should be performed only during steady-state (when glucose is NOT changing
rapidly).
Alternative site measurements should NEVER be used to calibrate continuous glucose monitoring
(CGMs).
Alternative site measurements should NEVER be used for insulin dosing calculations.
If results from alternative site testing do NOT match how you feel, perform a fingertip test to confirm
the result. If the fingertip test result still does NOT match how you feel, call your physician or
healthcare professional.