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47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 1 Dear ACCU-CHEK System Owner, Thank you for choosing the ACCU-CHEK Advantage system! Congratulations on your decision to take control of your diabetes. We’ve designed your new ACCU-CHEK Advantage system with comfort, convenience, and control in mind – to help make living with diabetes a little easier. This booklet will help you get the most from your ACCU-CHEK Advantage system. We also invite you to visit www.accu-chek.
7133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 2 The ACCU-CHEK Advantage System* Your new ACCU-CHEK Advantage meter and accessories work together to measure the amount of sugar (glucose) in your blood to help you and your doctor control your diabetes. The system includes: • ACCU-CHEK Advantage meter • ACCU-CHEK Comfort Curve control solution* • Battery • ACCU-CHEK Comfort Curve test strips and code key* • ACCU-CHEK Softclix lancets* • ACCU-CHEK Softclix lancet device* *Items may be sold separately.
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 3 Important Information About Your New Meter • Carefully read and follow the instructions in the Owner’s Booklet and package inserts for the test strips and control solutions. Not following the instructions may lead to a wrong result or improper treatment, causing you health problems. • Set the time and date on your meter before you begin testing.
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 4 Health-Related Information • Certain substances can interfere with the ACCU-CHEK Advantage blood glucose system and cause falsely high results. For example, if you use peritoneal dialysis solutions containing icodextrin (such as EXTRANEAL), or take certain immunoglobulin therapies that contain maltose (such as Octagam 5%), it will cause inaccurate results. For more information, refer to the test strip package insert, or ask your doctor.
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 5 Special Information for Health Care Providers and Caregivers • Do not use this device to measure blood glucose in people who are experiencing cardiovascular collapse (severe shock) or decreased peripheral blood flow. • Children should be taught how to use the meter and any other medical products appropriately.
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 6 Contents Chapter 1: Understanding Your New System ..............................................................8 Installing (or Changing) the Battery .....................................................................................10 Setting the Time and Date ..................................................................................................11 Setting the Beeper .............................................................................
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 7 Proper Testing Conditions ...................................................................................................28 Understanding Your Test Results ........................................................................................28 Chapter 4: Using Your Meter’s Memory.....................................................................30 Storing Test Results..................................................................................
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 8 Chapter 1: Understanding Your New System* Display – Shows blood sugar results, messages, and results stored in memory. Left and Right Arrow Buttons – Press to enter memory, adjust settings and scroll through results. *Items may be sold separately. On/Off Button – Press this button to turn the meter on or off. Test Strip Slot – Insert test strip here. Battery Cover – Push tab in direction of arrow to remove cover and replace battery.
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 9 Protective Cover Silver-colored bars Yellow Window Test Strip Test Strip Vial Cap with Comfort Dial Depth Selection Ejector Lancet Release Button Lancet Device 9 Plunger
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 10 Installing (or Changing) the Battery 1. Flip open the battery cover by pushing tab toward arrow. 2. Insert the battery with the plus (+) side up or facing you. 3. Replace the battery cover and snap it closed. Notes: • The meter uses a 3-volt lithium battery. It is best to use a longlasting lithium battery and to keep an extra package on hand. • Be sure the battery goes in plus-side up or facing you.
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 11 Setting the Time and Date Setting the time and date is important if you use the meter’s memory or connect to a computer. 1. Press and release (On/Off button) to turn on the meter. Wait for the flashing test strip or “---”. 2. Press and hold until “set” appears, and then release it. The word “On” and the beeper symbol appear. 3. Press and release to see the hour flash in the upper left corner.
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 12 4. Press and release either or (left or right arrow button) to change the hour. 5. Repeat steps 3 and 4 to set the minutes, month, day and year. (The flashing number is the one that can be changed.) 6. Press and hold down to finish setup. The flashing test strip appears.
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 13 Setting the Beeper When you first get your meter, the beeper is set to “On” (but you can turn it off and not affect your test results in any way). It beeps whenever: • A strip is inserted. • An error occurs while testing. The beeper sounds when an error occurs, even if the beeper is turned off. • Blood or control solution is applied to a strip. • A result is displayed. • Buttons are pushed. To turn the beeper off: 1.
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 14 Setting the Hypoglycemic (Hypo) Indicator You may set the meter to warn you when your results indicate hypoglycemia (low blood sugar) anywhere between 60-80 mg/dL. Before you set the hypoglycemic indicator, ask your healthcare professional to help you decide what level is best for you. New meters have the hypo indicator turned off by default. To turn on and set the hypo indicator: 1. Press and release to turn on the meter.
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 15 Coding the Meter ! ▲ A new code key is included in every box of test strips. Change the code key every time you open a new box of test strips. 1. Remove and throw away the old code key. 2. With the meter off, slide the new code key into the code key slot. It should easily snap into place. 3. Press and release meter on. to turn the 4. Make sure the code on the display matches the code on the test strip vial.
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 16 Using Your Test Strips You may use either ACCU-CHEK Comfort Curve or ACCU-CHEK Advantage test strips with this meter. For accurate results, use only these test strips. Throw the test strips away. If the “Use By” date is • Replace the code key and run a control test every time missing or cannot be read, do not use the test strips. you begin using a new box of test strips.
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 17 Using ACCU-CHEK Comfort Curve Test Strips Silver-colored bars Yellow window Touch and hold a drop to the edge – not the top – of the yellow window. Fill the yellow window completely. This owner’s booklet will help you learn to test with ACCU-CHEK Comfort Curve test strips. Using ACCU-CHEK Advantage Test Strips Silver-colored bars Yellow window ! ▲ Touch and hold a drop to the top – not the edge – of the yellow window.
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 18 Chapter 1: Understanding Your New System 18 ACCU-CHEK Customer Care Service Center 1-800-858-8072
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 19 Chapter 2: Control Testing Why Run Control Tests Running a control test lets you know that the meter and test strips are working properly.
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 20 Running a Control Test Level 2 Testing For control testing, you’ll need your meter, a test strip, the bottle of control solution, and a napkin or paper towel. 1. Insert a test strip with silver-colored bars into the meter, yellow window facing up. 2. Make sure the code on the meter matches the code on the test strip vial. once to 3. When you see the flashing drop on the display, press and release select the L1 control.
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 21 Understanding Control Test Results Level 1 (LO) Level 2 (HI) Range (mg/dL) 42–72 290–328 Example Example and When a control test result is within the acceptable range, your test strips and meter are working properly. The label on your test strip vial shows the acceptable ranges for tests with Level 1 and Level 2 control solutions. Your control test results should be within the listed range.
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 22 Troubleshooting Checks Action 1. Check the expiration dates of the test strips and control solutions. Replace solution or strips that have expired or solution you opened more than three months ago. 2. Make sure the caps were tight on the test strip vial and control solution bottles. If either has been open for a while, replace the test strips or control solution. 3. Check if the code on the meter matches the code on the test strip vial.
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 23 Chapter 3: Testing Your Blood Sugar Preparing the ACCU-CHEK Softclix Lancet Device 1. Pull off the cap. 2. Insert a lancet until it clicks. 3. Twist off the lancet’s protective cover. Note: You can refer to the First Time Guide or the Quick Reference Guide for a simple testing summary.
47133_ADV3_Dom_Manual 3/29/10 4. Snap the cap back on after lining up the notches. The cap easily snaps into place. 11:29 AM Page 24 5. Twist the cap to set the lancet depth. Start at 2 or 3. For tougher skin dial to a higher number. 6. Press the plunger (like a pen) until it clicks. The release button turns yellow when the device is ready. Set aside until later in the test. Release Button Notes: • The best depth setting is the lowest number that lets you get enough blood for a test.
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 25 Running a Blood Sugar Test Before running your first test, make sure you set up your meter properly and run a control test. See Chapters 1 and 2 for details. 1. Wash and dry your hands. 2. Take one test strip from the test strip vial. Close the test strip vial cap tightly. 3. Insert the end of the test strip with the silver-colored bars into the meter, with the yellow window facing up. The meter turns on automatically. 4.
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 26 6. Gently squeeze your fingertip until you get a drop of blood. 7. Touch and hold the blood drop to the edge – not the top – of the yellow window. Make sure the yellow window fills completely. If you still see yellow, apply another drop of blood within 15 seconds or start over with a new test strip. 8. An hourglass flashes on the screen, and the test result appears. 9.
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 27 Flagging Test Results To help you remember specific events that might have influenced your results, you can add a flag (asterisk) to mark those results. 1. Perform a blood test. or 2. While a test result is displayed and the test strip is still in the meter, press and release either . An asterisk appears on the display in the lower-right corner. Recording Your Results Always record your blood sugar results after testing.
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 28 Proper Testing Conditions • The temperature range must be between 57 °F to 104 ºF (14 °C to 40 ºC). At temperatures outside this range, the results are displayed with a thermometer symbol. • Humidity must be below 85% so that moisture doesn’t condense on or inside the meter. • Let the meter return to room temperature and thoroughly dry before turning it on.
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 29 Symptoms of High or Low Blood Sugar Being aware of the symptoms of high or low blood sugar can help you understand your test results and decide what to do if they seem unusual. Here are the most common symptoms: High blood sugar (hyperglycemia): fatigue, increased appetite or thirst, frequent urination, blurred vision, headache, or general aching.
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 30 Chapter 4: Using Your Meter’s Memory Storing Test Results Viewing Test Results Your meter automatically stores up to 480 test results, and you can review them at any time. If you’ve set the time and date on the meter (see “Setting the Time and Date”), this information is stored and displayed with your test results. If you haven’t, test results are simply stored in order, from the newest to the oldest. The meter can also display 7, 14, and 30-day averages.
47133_ADV3_Dom_Manual ! ▲ 3/29/10 11:29 AM Page 31 Notes: Do not change your therapy based on an individual result recorded in memory. Talk to your doctor before changing therapy based on results in memory. • Results stored in memory will not be lost when you replace the battery, but you will be prompted to verify time and date if previously set. • Once 480 results are in memory, adding a new test result causes the oldest one to be deleted.
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 32 Chapter 5: Maintenance and Troubleshooting Cleaning Your Meter Caring for your ACCU-CHEK Advantage meter is easy – just keep it free of dust. But if you need to clean it, following these guidelines carefully will help you get the best performance possible: Do Do Not • Make sure the meter is turned off.
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 33 Maintenance and Testing Your meter needs little or no maintenance with normal use. It automatically tests its own systems every time you turn it on and lets you know if something is wrong. (See “Screen Messages and Troubleshooting” for error messages and what to do about them.
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 34 Screen Messages and Troubleshooting ▲ ! Never make treatment decisions based on an error message. If you have any concerns, please call the ACCU-CHEK Customer Care Service Center at 1-800-858-8072, 24 hours a day, 365 days a year. The meter isn’t coded or the code key isn’t all the way in. Turn off the meter and recode it. See “Coding the Meter." The meter is ready for a drop of blood to be put on the strip.
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 35 Battery power is low. Change the battery soon. Your blood sugar result is below your defined hypo (low blood sugar) level. Battery is almost out of power. Change the battery now. The meter is being operated outside of the appropriate temperature range, which is between 57 °F and 104 ºF (14 °C and 40 °C). Move to an area where the temperature is appropriate for running a test, wait five minutes and repeat the test.
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 36 This test result was flagged. See “Flagging Test Results.” } The code key is faulty or was removed while the meter was on. Turn off the meter and reinsert the code key. If this doesn’t fix the problem, call the ACCU-CHEK Customer Care Service Center at 1-800-858-8072. Your blood sugar may be extremely low, an incorrect amount of blood was applied, or the test strip is damaged or inserted improperly.
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 37 Average can not be calculated. No results obtained on meter for last 7 days. The meter has failed its internal electronic checks. Turn the meter off, then on again. If you still see this display, call the ACCU-CHEK Customer Care Service Center at 1-800-858-8072. Your blood sugar may be extremely high or a meter or strip error has occurred. See “Symptoms of High or Low Blood Sugar.” This is a display check.
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 38 Chapter 6: Technical Information Product Limitations Please read the literature packaged with your test strips to find the latest information on product specifications and limitations.
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Relative humidity operating range Atmospheric pressure Memory capacity Dimensions Weight Construction Lancet device depths Page 39 Less than 85% ≥ 53.3 kPa 480 test results with time and date 3.3 x 2.2 x 0.8 inches (84 x 56 x 20 mm) 1.8 oz. (57 g) without battery Hand-held 0.80, 0.95, 1.10, 1.25, 1.40, 1.55, 1.70, 1.85, 2.00, 2.15, 2.
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 40 ACCU-CHEK Advantage 30-day Money-back Guarantee ACCU-CHEK Advantage Meter 30-day Money-back Guarantee for Qualifying Consumers Roche Diagnostics offers qualifying consumers that purchase an ACCU-CHEK Advantage meter, a 30-day money back guarantee.
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 41 This warranty does not apply to the performance of an ACCU-CHEK Advantage meter that has been damaged by accident or has been altered, misused, tampered with, or abused in any way. Roche Diagnostics will handle meters that show damage or abuse according to its Non-Warranty Service Policy described below.
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 42 Warranty and Service Instructions All requests for return of ACCU-CHEK Advantage meters under the above warranty or service policy must be made to the ACCU-CHEK Customer Care Service Center by calling 1-800-858-8072. You will be mailed a return authorization label, which must be affixed to your carton for shipping the system to Roche Diagnostics. Cartons received without this label will be returned to you at your expense.
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 43 Using the ACCU-CHEK Advantage system indicates your acceptance of the restricted license to use the ACCU-CHEK Advantage system only with ACCU-CHEK Advantage or Comfort Curve test strips and the ACCU-CHEK Advantage or Comfort Curve code key.
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 44 Additional Supplies The following supplies and accessories are available from diabetes healthcare centers, pharmacies, or medical/surgical supply dealers: Test Strips ACCU-CHEK Comfort Curve test strips Cat. Nos. 2030365, 2030373, 2030381, 3000141 Control Solutions ACCU-CHEK Comfort Curve control solutions ACCU-CHEK Advantage control solutions Cat. Nos. 2030390, 2030411 Cat. Nos.
133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 45 Information for Professional Caregivers ! ▲ Healthcare Professionals: Follow the infection control procedures appropriate for your facility. References 1. Stedman, TL, Stedman’s Medical Dictionary, 27th Edition, 1999, p. 2082. 2. American Diabetes Association, “Clinical Practice Recommendations 2003.” Diabetes Care, Vol. 26, Supplement 1, p. S22.
47133_ADV3_Dom_Manual 3/29/10 Index appetite, increased, 29 battery, changing, 10 battery, installing, 10 battery, type, 10 beeper settings, 13 blood sugar, testing, 25–26 blurred vision, 29 button, on/off, 8 button, arrow, 8 code key, 15 computer, connecting your meter to, 31 control solution, 18, 44 control test results, understanding, 21–22 control test, acceptable range, 21 Index 11:29 AM Page 46 control test, running 19–20 control test, unacceptable range, 21–22 dehydration, 4 depth, lancet, 24, 3
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 47 test results, understanding, 28 test results, unusual, 29 test strips, ACCU-CHEK Advantage, 17 test strips, ACCU-CHEK Comfort Curve, 17 thirst, increased, 29 time and date, setting, 11–12 tingling, 29 trembling, 29 troubleshooting, 32–37 warranty, 40–43 Index 47 ACCU-CHEK Customer Care Service Center 1-800-858-8072
47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 48 Notes Notes 48 ACCU-CHEK Customer Care Service Center 1-800-858-8072
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47133_ADV3_Dom_Manual 3/29/10 11:29 AM Page 50 ACCU-CHEK Customer Care Service Center 1-800-858-8072 www.accu-chek.com ©2010 Roche Diagnostics. All rights reserved. Assembled in U.S.A. Roche Diagnostics 9115 Hague Road Indianapolis, IN 46256 ACCU-CHEK, ADVANTAGE, COMFORT CURVE, and SOFTCLIX are trademarks of Roche. All other product names and trademarks are the property of their respective owners.
