ReliOn A1c Test Owner's Manual

ReliOn Healthcare Owner's Manual - A1c Test.
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Let the blood spots air-dry for at least 30 minutes.

Make sure specimen is dry 

prior to folding Hemoglobin 

A1c Test Authorization 

Form.

HEMOGLOBIN A1c 

COLLECTION

INSTRUCTIONS

Experts in Lab Results by Mail

PLEASE READ THOROUGHLY

Remember to complete all your personal

information on the Hemoglobin A1c Test

Authorization Form. Please read and provide

your signature and date under the Patient

Consent in order to approve your sample for

testing. Heritage Labs will not complete any

testing without your signature and date.

Toll-free ReliOn customer support:

1-888-764-2384

1. Check The Contents Of Your Kit
Your Appraise kit contains:

1. Collection Instructions

2. Hemoglobin A1c Test Authorization & 

Collection Form

3. Lancet

4. Alcohol Pad

5. Gauze Pad

6. Adhesive Bandage

7. Postage Paid Return Envelope

4. Stimulate Blood Flow
Stimulate blood flow to the selected finger by letting

your hand hang at your side for 15-20 seconds.

Shake your hand back and 

forth several times.

3. Rinse Hands
Rinse hands in warm tap water. Clean the selected

puncture site with an alcohol 

pad and dry it with a 

gauze pad.

5. Use The Lancet Provided
Using the lancet provided,

remove the cap, place

palm up and position lancet

on finger. Press down on

lancet to puncture site.

Wipe off the first blood

drop with the alcohol pad.

6. Blood Should Begin To Flow
Blood should begin to flow freely. Place a large free-

flowing drop of blood on each circle of the Collection

Form as indicated. Do not place one drop of blood on

top of the other. If blood flow stops, wipe with alcohol

pad again to assist blood flow.

7. Let The Blood Spot Air-Dry

2. Fill Out The Hemoglobin A1c 

Test Authorization Form

Fill out the Hemoglobin A1c Test 

Authorization Form and complete 

the required information.

9. Mailing Instructions

Optimal Control

Sub-Optimal Control

Poor Control

Very Poor Control

1. Place the Hemoglobin A1c Test Authorization Form

into the postage paid return envelope.

2. Mail the sample within three days of completion of

the collection.

3. Results will be released to you in 

the manner as directed by you on 

the Hemoglobin A1c Test 

Authorization Form.

CORRECT

INCORRECT

A1c Importance

Daily plasma glucose monitoring is important; though

additionally a more long-term picture is necessary in

order to assess the ef ectiveness of your diabetes treat-

ment plan. The A1c test shows your average plasma

glucose level over a two to three month period. By testing

these levels regularly and using the results, along with

your daily plasma glucose records, you can determine

how well your diabetes is being controlled.

Count on A1c to help 

you stay in control

The American Diabetes Association (ADA) recommends

that people with diabetes monitor glycemic control with

an A1c test every two to three months. Also recom-

mended are an annual test of microalbumin levels to

verify proper kidney function and a cholesterol test,

including LDL and HDL levels, to help determine whether

you are at risk for heart disease or stroke.

Use only as indicated

The ReliOn

    ® collection card is intended to collect blood

for analysis of A1c. The Appraise collection kit is mailed

to Heritage Labs for analysis and the results are

released to you in the manner and address as directed

by you on the Hemoglobin A1c Test Authorization Form.

Good daily plasma glucose control 

makes for good A1c results

People with frequent high plasma glucose readings may have a

high A1c test result. To maintain an A1c level of less than 7%, your 

daily plasma glucose should rarely go above 170 mg/dL in any

given two to three month period. Use the chart below to under-

stand how your daily plasma glucose results relate to A1c levels.

Comparing Plasma Glucose with A1c

c

1

A

 

%

L

d

/

g

m

 ,

e

s

o

c

u

l

G

 

e

g

a

r

e

v

A

5

0

0

1

6

5

3

1

7

0

7

1

8

5

0

2
2

9

0

4

0

1

5

7

2

1

1

0

1

3

2

1

5

4

3
Use A1c to help reduce

the risk of complications

A1c is a type of hemoglobin that interacts with plasma glucose.

The A1c test gives you a picture of your average plasma glucose

level over the previous two to three months and can be used to

predict your risk for complications. The higher the A1c result, the

higher your risk.
A1c measurements should be a regular part of your diabetes

care.
ReliOn® delivers accurate 

results without the hassle

With ReliOn®, you can collect a sample anytime and anywhere.

What’s more, the accuracy of the ReliOn® A1c test averages

98% or more when compared with standardized laboratory

methods using whole blood collected in a tube. As with any lab

test, improper specimen collection may affect results.
Please review your test results with your doctor or health care

professional.

Store and handle your

ReliOn® kit properly

The ReliOn® col ection kit may be stored at room temperature

(65°-78° F). When properly stored, the kit is stable until the

expiration date printed on your ReliOn® kit. Do not use the

ReliOn

   ®  kit past the e xpiration date.

Limitations

As with any laboratory test, there are factors that can affect test

results. Hemoglobin A1c (A1c) values should be used in con-

junction with information from other clinical and medical

evaluations. A1c is not a diagnosis for detecting diabetes.

Improper collection of specimens may affect laboratory results. If

you have any questions regarding the performance of A1c testing,

please consult your doctor.
A word of warning

Persons with hemophilia or anti-coagulation therapy should

consult their doctor or health care professional prior to using 

this kit.

C0488 Rev. 02/19/08

8. Tear Off Top Portion Of The 

Test Authorization Form

Tear off top portion of the Hemoglobin A1c Test

Authorization Form. Retain for your records.Your

specimen number will be necessary to retrieve

results electronically.

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