Aviva Combo 00048009694/D-0512 ©2012RocheDiagnostics RocheDiagnosticsGmbH SandhoferStrasse116 68305Mannheim,Germany RocheUSA–50813 V6/1–00048009694/D–Black– Aviva Combo Blood glucose Meter RocheUSA–50813 V6/3–00048009694/D–Magenta– RocheUSA–50813 V6/4–00048009694/D–Yellow– RocheUSA–50813 V6/5–00048009694/D–PMS287– Standard Owner’s Booklet RocheUSA–50813 V6/6–00048009694/D–PMS5445– www.accu-chek.
DistributedintheUnitedKingdomby: RocheDiagnosticsLimited CharlesAvenue,BurgessHill WestSussex,RH159RY,United Kingdom Accu-ChekPumpCareLine:* UKFreephonenumber:08007312291 ROIFreephonenumber:1800882351 burgesshill.insulinpumps@roche.com www.accu-chek.co.uk www.accu-chek.ie *Callsmayberecordedfortrainingpurposes LASTUPDATE:2012-01 50813_00048009694_D.
RocheUSA–50813 V4/1–00048009694/D–Black– Contents Introduction 7 TheAccu-ChekAvivaComboSystem 8 1 Understanding Your New System 11 1.1Overview 1.2TheAccu-ChekAvivaComboMeterataGlance 1.3TheAccu-ChekSpiritComboInsulinPumpataGlance 1.4SummaryofFeatures 1.5ScreenContentandNavigation 12 13 19 20 30 2 Testing Your Blood Glucose 39 2.1Overview 2.2UsingtheAccu-ChekAvivaComboSystem 2.3PerformingaBloodGlucoseTest 2.
3 Control Testing 59 3.1Overview 3.2WhyPerformControlTests 3.3AbouttheControlSolutions 3.4PerformingaControlTest 3.5UnderstandingControlTestResults 60 61 62 63 69 4 Managing Your Data 75 4.1Overview 4.2ViewingorModifyingYourData 4.3AddingNewData 4.4ReportingYourData 4.5DownloadingYourDatatoaComputer 76 79 87 90 128 5 Changing Meter Settings 131 5.1Overview 5.2SettingbGTestReminders:AfterHighbG,AfterLowbG,AfterMeal 5.
.7SettingWarningLimits:Hyper,Hypo 5.8TurningKeyLockOnorOff 5.9SettingtheLanguage 5.10SettingUnits:Carbs 5.11TurningBluetooth®WirelessTechnologyOnorOff 5.12PairingtheMeterandPump 5.13SettingtheBeeper,Vibrate,andKeySound 5.14SettingtheTimeFormat,Time,andDate 5.15SettingTimeBlocks:BolusAdviceNotSetUp 5.16BacklightSettings 164 167 170 173 176 178 179 182 185 193 6 Icons, Reminders, Warnings, and Errors 195 6.1Overview 6.2ListofIcons 6.
7 Care and Maintenance 219 7.1Overview 7.2ChangingtheBatteries 7.3Power-SavingTips 7.4CleaningtheMeter 7.5MaintenanceandTesting 220 221 224 225 226 8 Troubleshooting 227 8.1Overview 8.2TroubleshootingtheAccu-ChekAvivaComboMeter 228 229 9 Technical Information 245 9.1Overview 9.2ProductLimitations 9.3Specifications 9.4ProductSafetyInformation 9.5DisposingoftheMeter 9.6Guarantee 9.7AdditionalSupplies 9.
Appendices 257 AppendixA:Abbreviations AppendixB:CarbUnits AppendixC:ExplanationofSymbols AppendixD:MeterSettingsandRangeLimits 257 259 260 261 Glossary 267 Index 275 5 50813_00048009694_D.
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Introduction WhethertheAccu-ChekAvivaComboMeterisyourfirstbloodglucosemeteroryouhaveusedameterfor sometime,pleasetakethetimetoreadtheGettingStartedGuide,theStandardOwner’sBooklet,andthe AdvancedOwner’sBookletcarefullybeforeyouuseyournewmeter.Touseitcorrectlyanddependably,you needtounderstanditsoperation,screendisplays,andallindividualfeatures.
The Accu-Chek Aviva Combo System TheAccu-ChekAvivaComboMeterisforquantitativebloodglucosetestingusingAccu-ChekAvivaTest Strips.
i NOTE BloodglucoseandbGareinterchangeableandmeanthesamething. Intended Use TheAccu-ChekAvivaCombobloodglucosemonitoringsystemisintendedforthequantitativemeasurement ofbloodglucose.TheAccu-ChekAvivaComboSystemisintendedforself-testingoutsidethebody(invitro diagnosticuse)bypeoplewithdiabetesand/orbyprofessionalsinaclinicalsettingasanaidtoeffective diabetesmanagement.
Thesystemincludes: • Accu-Chek Aviva Combo Meter with three AAA batteries (already inserted) • Accu-Chek Aviva Test Strips and pre-inserted activation chip • Accu-Chek Aviva Control Solution w WARNING •Anyobjectcomingintocontactwithhumanbloodisapotentialsourceofinfection(see:Clinicaland LaboratoryStandardsInstitute:ProtectionofLaboratoryWorkersfromOccupationallyAcquiredInfections; ApprovedGuideline–ThirdEdition;CLSIdocumentM29-A3,2005). •Chokinghazard.
1 1 Understanding Your New System 1.1Overview 1.2TheAccu-ChekAvivaComboMeterataGlance 1.3TheAccu-ChekSpiritComboInsulinPumpataGlance 1.4SummaryofFeatures 1.5ScreenContentandNavigation 12 13 19 20 30 11 50813_00048009694_D.
1.1 Overview Yournewmeterhasseveralfeaturestoassistyouinmanagingyourdiabetes.Itisimportantyouunderstand thefeaturesandhowtooperatethemetercorrectly. i NOTE •Thisbookletshowssamplescreens.Thescreensinthisbookletmaylookslightlydifferentfromthe screensonthemeter.Ifyouhaveanyquestionsaboutthemeterscreens,contactRoche. •Onthemeterdisplay,theactivationchipisreferredtoasacodekey.
1 1.
Batteries Insertbatteriesaccordingtothe+and-symbolsin thebatterycompartment. Test Strip YellowWindowTouchblooddropor controlsolutionhere. GoldenEnd- Insertthisendofthetest stripintothemeter. Control Solution Bottle (forexample) Test Strip Container (forexample) 14 50813_00048009694_D.
1 Top View Infrared(IR)Window Activation Chip (forexample) Side View Pre-insertedactivationchip i NOTE Yourmeterisalreadycodedandcomeswithapre-insertedblackactivationchipthatyouneverneed tochange.Evenifyouuseteststripsfromboxesthatcontainanotheractivationchipthatisadifferent colororhasdifferentnumbers,youneverneedtochangetheblackactivationchipagain. 15 50813_00048009694_D.
Themeterhassevenbuttonsandtwosoftkeys. Left Soft Key Right Soft Key Up Arrow Right Arrow Enter Down Arrow Left Arrow Backlight Power On/Off i NOTE •Youhearasoundeverytimeanactivebutton/softkeyispressedunlessyouturnedoffthekeysound. •Press+orinsertateststriptoturnonthemeter.IfthemeterdisplaystheTime/Datescreen,make thenecessarychangesandselectSave. 16 50813_00048009694_D.
1 Table of Buttons and Soft Keys Button < > x z , . = Name Function LeftArrow j Moveorscrolltotheleftinascreen. RightArrow j Moveorscrolltotherightinascreen. UpArrow j Moveorscrollupinascreen. DownArrow j Moveorscrolldowninascreen. LeftSoftKey j Selecttheoptionabovethekeyonthedisplay. RightSoftKey j Selecttheoptionabovethekeyonthedisplay. Enter j Selectamenuoroption. j Savechangesandexittheentryfield.
Table of Button Combinations Button Combination Name Function Whenthebuttonsarelocked,pressand hold, and. untiltheMainMenu appears. UnlockKeys j Unlocksthebuttons. Withthemeterturnedoff,pressandhold Meter/Pump *andthenpress+. Pairing j Beginsmeterandpumppairing. 18 50813_00048009694_D.
1 1.
1.4 Summary of Features Display Themeterhasafull-colourgraphicLCD(LiquidCrystalDisplay)thatdisplayscurrentandhistorical information. Backlight •Thebacklighthelpsyoureadtheinformationonthemeterdisplayunderdifferentlightingconditions. •Whenthemeteristurnedon,thebacklightissettothemediumlevel. •Adjustthebacklightlevelbypressingandreleasingthebacklightbutton. •Thebacklightadjustsfromlow,tomedium,tohigh,andbacktolowagain.
1 Key Lock •Thekeylockfeatureallowsyoutolockallofthebuttonsonthemeter,exceptforthepoweron/offbutton. •Thekeylockservesasasafetymeasureagainstunintentionalactivationofmeterfunctions. •Formoreinformation,seeChapter5,“ChangingMeterSettings.” Signal Settings •Themetercommunicatesreminders,warnings,anderrorsusingsoundsandvibrations. •Formoreinformation,seeChapter6,“Icons,Reminders,Warnings,andErrors.
Bolus Advice (Optional) •Theterm“bolus”referstothedeliveryofinsulinallatonceratherthanslowlythroughouttheday,usually usedtocompensateformealsorhighbloodglucose. •Bolusadvicecalculatesabolusforyouthatisadaptedtothetimeofdayandyourchangingsituations. •Thisfunctionisactivatedonlyifyousetupbolusadviceonthemeter. •Forinstructionsonhowtosetupbolusadvice,seeChapter5,“ChangingMeterSettings.
1 Administering a Bolus Usingyournewmeter,youcandeliverabolus: •RemotelyonyourpumpusingBluetoothwirelesstechnology •Usingthebolusadvicefeatureonthemeter •Independentlyonyourpump •Usinganinsulinpenorsyringe My Data •Yournewmeterstores1,000recordsinthediary. •Youcanview,modify,oraddinformationtoyourdiary. •Youcanviewbloodglucosetestaverages,trends,standardday,standardweek,andtargettablesand graphsofthedatainthediary.
Data Transfer •Youcantransferyourdatastoredonthemetertoacomputer. •Formoreinformation,seeChapter4,“ManagingYourData.” Warning Limits for Hyper and Hypo Blood Glucose Levels •Youcanselecthyper(high)andhypo(low)bloodglucoselimitsthatbestfityourneeds.Wheneverablood glucosetestresultisaboveorbelowthisrange,themeterdisplaysawarning. •Inaddition,TrendGraphscreensindicatethehypowarninglimitwhendisplayingyourbloodglucosetest results.
Time Blocks •Timeblocksallowyoutodivideadayintodifferenttimeperiods. •Settingtimeblockstofityourownschedulehelpsyouandyourhealthcareprofessionalseehowpatternsin yourbloodglucoseareaffectedbyyourdailyactivitiesandlifestyle. •Timeblockscanbesetupwithorwithoutbolusadvice. •Talktoyourhealthcareprofessionalaboutthebestwaytosetupyourtimeblockstoassistyouinmanaging yourdiabetes. •Themeterhasfivedefaulttimeblocks.
Withoutbolusadvice,youneedtoconsiderthefollowingwhensettinguptimeblocks: •Determinetheappropriatetimerangebyreviewingtheendtimeforeachtimeblock. •Reviewtheacceptablebloodglucosetargetrange(lowandhigh)foreachtimeblock. Withbolusadvice,youneedtoconsiderthefollowingwhensettinguptimeblocks: •Determinetheappropriatetimerangebyreviewingtheendtimeforeachtimeblock.
1 Health Events Healtheventscanbeselectedtoindicatehowyouarefeelingorwhatyouaredoingthatmightaffectyour diabetes.Themeterallowsyoutheoptionofsettingapercentageforeachhealtheventifyousetupbolus advice. Healtheventsavailableonthemeterare: •Fasting •Exercise1 •Stress •Illness •Exercise2 •Premenstrual Fastingdoesnotscalebolusadvicecalculationsandisnotadjustable.
Blood Glucose Test Reminders (Optional) Themetercanbesetuptoremindyoutoretestyourbloodglucoseafterahighbloodglucosetestresult, afteralowbloodglucosetestresult,orafterameal. Anafterhighbloodglucosetestreminderexample: •ThemeterissetupwithahighbGthresholdlevelof13.3mmol/Landwitharemindertimeof60minutes. •Youhaveabloodglucosetestresulthigherthan13.3mmol/L,perhaps15.0mmol/L.
Alarm Clock Reminders •Themeterhasalarmclockreminderswhichcanbeusedasahelpfulwaytoremindyouwhentotest throughouttheday. •Inadditionto“bGTest,”youcansetremindersfor“Other”foranyotherdailyreminder. •Youcansetuptoeightremindersperday. •Formoreinformation,seeChapter5,“ChangingMeterSettings.” 1 Date Reminders •Themetercanbesetuptoremindyouofupcomingappointmentsordates,suchasa“Dr.Visit,” a“LabTest,”oran“InfusionSetChange.
1.5 Screen Content and Navigation Thissectionprovidesanexplanationofhowtounderstandandnavigatethescreensonthemeter. Eachtimethemeteristurnedon,thissplashscreen(Accu-Cheklogoscreen)isdisplayedforashort periodoftime. 30 50813_00048009694_D.
1 Features on the Main Menu: Sound Icon Appearswhenthebeeperis turnedon Time Menu Options Vibrate Icon Appearswhenvibrateisturnedon Date Low Battery Icon Appearswhenthemeterbatteriesarelow Bluetooth Wireless Technology Icon IndicateswhethertheBluetoothwireless technologyison,off,orconnecting i NOTE •Toselectanitemonamenu,pressxorztohighlight(blue)themenuitemandthenpress=.
Bluetooth Wireless Technology Icon Communication States YoumayturnBluetoothwirelesstechnologyonoroffatanytimeusingthemeter. Icon Communication State Bluetoothwirelesstechnologyison.Themeterandpumparecommunicating. Bluetoothwirelesstechnologyisoff.Themeterandpumparenotcommunicating. Bluetoothwirelesstechnologyison.However,themeterandpumparenotcommunicating. 32 50813_00048009694_D.
1 Connecting to the Pump screen: ThisscreenappearswhenBluetoothwirelesstechnologyisonandthemeterisconnectingtothepump. 33 50813_00048009694_D.
Features on a screen: Title Bar Primarymenutitleisdisplayed here. Secondary Title Bar Whennecessary,asecondary titlebarappears.Secondary menutextisdisplayedhere. Left Soft Key Option Press,toselecttheoption abovethebuttononthescreen. Highlighted Option Whenamenuchoiceoritem isselected,itishighlightedin blue. Scroll Bar Ifthereismoreinformation availablethanfitsonthescreen, averticalscrollbarappearson therightsideofthescreen.
Informationcanbeenteredonsomescreens.Numericalentryfieldsappearaspop-upentryfields.When anoptionmustbeselected,itappearsasapop-upmenu. •Toopenapop-upmenuorentryfield,press=. •Pressxorztoselecttheappropriatepop-upmenuoptionoruntilthecorrectnumericalentryis present,andthenpress=. •Pressandholdxorztoscrollfaster. 1 Pop-Up Entry Field Pop-Up Menu 35 50813_00048009694_D.
General Navigation Steps Tochangethesettingsorenterinformationintothemeter: 1. jPressxorztoselectamenuoptionandpress=. jRepeatthepreviousstepasnecessary. 36 50813_00048009694_D.
2. 3. 1 4. jSelectSavebypressing.to savechangesandreturntothe previousscreen. jPressxorzor<or>to selectanoptionoradesired entryfieldandpress=. jPressxorztoselectthe desiredentryandpress=. jRepeatSteps2and3,as necessary. 37 50813_00048009694_D.
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2 2 Testing Your Blood Glucose 2.1Overview 2.2UsingtheAccu-ChekAvivaComboSystem 2.3PerformingaBloodGlucoseTest 2.4DetailedBloodGlucoseTestResults 2.5UnderstandingBloodGlucoseTestResults 2.6UnusualBloodGlucoseTestResults 2.7SymptomsofHighorLowBloodGlucose 40 41 42 49 53 57 58 39 50813_00048009694_D.
2.1 Overview Itisimportanttounderstandhowtoperformabloodglucosetestproperly. i NOTE BloodglucoseandbGareinterchangeableandmeanthesamething. 40 50813_00048009694_D.
2 2.2 Using the Accu-Chek Aviva Combo System Before You Start Testing •OnlyuseAccu-ChekAvivaTestStrips. •Storetheunusedteststripsintheiroriginalcontainer. •Immediatelyafteryoutakeoutateststrip,securelyclosethecontainer.Thishelpskeeptheteststripsdry. •Usetheteststripimmediatelyafteryoutakeitoutofthecontainer. •Besuretochecktheusebydateontheteststripcontainer.Donotusetheteststripsaftertheusebydate.
2.3 Performing a Blood Glucose Test Beforeyouperformyourfirstbloodtest,ensurethemeterissetupcorrectlyandthatyouperformacontrol test.Youneedthemeterwithapre-insertedactivationchip,ateststrip,andafingerpricker. w WARNING •Donotchangeyourtreatmentbecauseofonebloodglucosetestresult. •NEVERignoresymptomsofhighorlowbloodglucose. i NOTE Ifyouneedtoperformacontroltest,onlyuseAccu-ChekAvivaControlSolutions.
2 Performing a Fingertip Blood Glucose Test Prepare > Check the Use By Date > Insert Test Strip > Test Blood Sample > bG Test Result 1. 2. 3. jChecktheusebydatedateon theteststripcontainer.Donot useteststripspasttheuse bydate. jInsertthegoldenendofa teststripintothemeterinthe directionofthearrow.The meterturnson. jWashanddryyourhands. jPreparethefingerprickerfora fingertiptest. 43 50813_00048009694_D.
4. 5. 6. TheApplySamplescreen appears.Theteststripisready fortesting. Fingerstick: jPerformafingerstickwiththe fingerpricker. Fingerstick: jGentlysqueezeyourfingerto assisttheflowofblood.This helpsyougetablooddrop. 44 50813_00048009694_D.
7. 8. 9. Whentheteststriphasenough blood,theAnalyzingscreen appears. Theresultappearsonthe display. 2 jTouchtheblooddroptothe front edgeoftheyellow windowoftheteststrip.Do notputbloodontopofthetest strip. 45 50813_00048009694_D.
10. Approximately3secondslater, thedetailedbGResultscreen appears. jRemoveanddiscardtheused teststrip. 46 50813_00048009694_D.
2 i NOTE •Iftheblooddropistoosmall,reapplypressuretogetasufficientblooddrop. •Formoreinformationregardingbloodglucosetestresults,seeSection2.5,“UnderstandingBlood GlucoseTestResults.” •Toadddetailedinformationtothebloodglucosetest(mealtime,carbs,andhealthevents)see Section2.4,“DetailedBloodGlucoseTestResults.” •Ifateststriperroroccurs,removeanddiscardtheusedteststripandrepeatthetestwitha newteststrip.
i NOTE Other ways to start a blood glucose test: •FromtheMainMenu,selectbGTestandpress=.Insertateststripintothemeter. •Whenaremindernotificationorthekeylockiconisdisplayed,insertateststripintothemeter. •FromtheMainMenu,selectBolusAdviceandpress=.If“bGTest”isdisplayedinsteadofanactual bloodglucosevalue,thenyoucanstartabloodglucosetestbyselectingbGTest.
2 2.4 Detailed Blood Glucose Test Results ThedetailedbGResultscreendisplaysthefollowinginformation: Test Time Meal Time Carbohydrates Health Event Active Insulin Status Bar Blood Glucose Test Result Unit of Measure Displayedonlyifbolus adviceisactivatedand datahasrecentlybeen readfromthepump. 49 50813_00048009694_D.
Detailed bG Results > Change Meal Time/Carbs/Health Events (Optional) ThedetailedbGResultscreenallowsyoutoviewandtoaddinformationtoabloodglucosetestresult. 50 50813_00048009694_D.
2 How to Add Information to a Blood Glucose Result To Change Meal Time: jSelecttheMealTimeentry fieldandpress=. jSelecteitherPreMeal, PostMeal,Bedtime,orOther andpress=. To Change Carbs: jSelecttheCarbsentryfield andpress=. jSetthenumberofcarbsand press=. To Change Health Events: jSelecttheHealthentryfield andpress=. jSelecteitherFasting, Exercise1,Stress,Illness, Exercise2,orPremenstrual andpress=.
i NOTE •YoucanaddinformationonthedetailedbGResultscreenformealtime,carbs,andhealthevents. •Reviewand,ifnecessary,updateinformationformealtime,carbs,andhealtheventstoreceivean accuratebolusrecommendation. •Activeinsulinisbolusinsulinthathasbeengiventoloweryourbloodglucose,buthasnotyetbeen fullyused. •Activeinsulinappearsonlyifbolusadviceisactivated.
2 2.5 Understanding Blood Glucose Test Results ThebGResultscreendisplaysthefollowinginformation: Test Time Blood Glucose Test Result Test Date Status Bar Unit of Measure i NOTE •Ifthedosedteststripisremovedfromthemeterbeforeresultsorerrorsaredisplayed,abloodglucose testresultwillnotappear. •Afterapproximately3seconds,themeterdisplaysthedetailedbGResultscreen(seeSection2.4, “DetailedBloodGlucoseTestResults”). 53 50813_00048009694_D.
Status Bar ThestatusbaronthebGResultscreenindicateshowtheresultcomparestothetargetbloodglucoserange forthecurrenttimeblock.Thefollowingarestatusbardescriptionswithsampledisplays: Greenindicatestheresultis withinthetargetrangeforthe currenttimeblock. Yellowindicatestheresultis belowthetargetrangeforthe currenttimeblock.Theresult isnotbelowthehypowarning limit. Redwith“Hypo”indicatesthe resultisbelowthehypowarning limit.
2 Lightblueindicatestheresultis abovethetargetrangeforthe currenttimeblock.Theresult isnotabovethehyperwarning limit. Lightbluewith“Hyper” indicatestheresultisabovethe hyperwarninglimit. 55 50813_00048009694_D.
LO or HI Display i NOTE If“LO”isdisplayed,thetest resultmaybebelowthe measurementrange. jContactyourhealthcare professional. If“HI”isdisplayed,thetest resultmaybeabovethe measurementrange. jContactyourhealthcare professional. Blood Glucose Warnings Ifthebloodglucosetest resultsareoutsidethehyper orhypowarninglimits,or outsidethemeasurement rangeofthemeter,thena warningisdisplayedafterthe bGTestResultscreen.
2 2.6 Unusual Blood Glucose Test Results Ifyourbloodglucoseresultdoesnotmatchthewayyoufeel,followthesesteps: Troubleshooting Checks Actions 1.Aretheteststripsexpired? Discardtheteststripsiftheyarepasttheusebydate.Repeat thebloodglucosetestwithanunexpiredteststrip. 2.Hasthecapontheteststripcontainer Replacetheteststripsifyouthinktheteststripcontainerwas alwaysbeenclosedtightly? uncappedforsometimeandrepeatthebloodglucosetest. 3.
2.7 Symptoms of High or Low Blood Glucose Beingawareofthesymptomsofhighorlowbloodglucosecanhelpyouunderstandyourtestresultsand decidewhattodoiftheyseemunusual.Herearethemostcommonsymptoms: •Highbloodglucose(hyperglycaemia):fatigue,increasedappetiteorthirst,frequenturination,blurred vision,headache,orgeneralaching. •Lowbloodglucose(hypoglycaemia):sweating,trembling,blurredvision,rapidheartbeat,tingling,or numbnessaroundmouthorfingertips.
3 3 Control Testing 3.1Overview 3.2WhyPerformControlTests 3.3AbouttheControlSolutions 3.4PerformingaControlTest 3.5UnderstandingControlTestResults 60 61 62 63 69 59 50813_00048009694_D.
3.1 Overview Thischapterdescribeshowandwhentoperformacontroltesttoensuretheaccuracyofyourbloodglucose meter.Itisrecommendedyoucompleteacontroltestpriortoperformingabloodglucosetestforthefirst time. i NOTE BloodglucoseandbGareinterchangeableandmeanthesamething. 60 50813_00048009694_D.
3 3.2 Why Perform Control Tests Performingacontroltestletsyouknowthemeterandteststripsareworkingproperlytogivereliableblood glucosetestresults.Youshouldperformacontroltestwhen: •Youopenanewteststripbox. •Youlefttheteststripcontaineropen. •Youwanttocheckthemeterandteststrips. •Yourteststripswerestoredinextremetemperatures,humidity,orboth. •Youdroppedthemeter. •Yourtestresultdoesnotmatchwithhowyoufeel.
3.3 About the Control Solutions •OnlyuseAccu-ChekAvivaControlSolutions. •Themeterautomaticallyrecognizesthecontrolsolution. •Thecontroltestresultsarenotdisplayedinthediary. •Writethedateyouopenedthecontrolsolutionbottleonthebottlelabel.Thesolutionisgoodfor3months fromthatdateoruntiltheusebydateonthebottlelabel,whichevercomesfirst. •Donotusecontrolsolutionthatispasttheusebydate. •Thesolutioncanstainclothing.
3 3.4 Performing a Control Test TheControlResultscreendisplaysthefollowinginformation: Test Time Control Result Test Date Unit of Measure Youneedthemeterwithapre-insertedactivationchip,ateststrip,andcontrolsolutionLevel1,Level2,or both.Thecontrollevelisprintedonthebottlelabel. 63 50813_00048009694_D.
Check the Use By Date > Insert Test Strip > Test Control Solution > Control Result 1. 2. 3. jChecktheusebydateonthe teststripcontainer.Donot useteststripspasttheuse bydate. jInsertthegoldenendofa teststripintothemeterinthe directionofthearrow.The meterturnson. TheApplySamplescreen appears.Theteststripisready fortesting. 64 50813_00048009694_D.
3 4. 5. 6. jSelectthecontrolsolutionto test.Youwillenterthelevel laterinthetest. jPlacethemeteronaflat surface,likeatable. jRemovethecontrolbottlecap. Wipethetipofthebottlewith atissue. 65 50813_00048009694_D.
7. 8. 9. Whentheteststriphasenough controlsolution,theAnalyzing screenappears. jWipethetipofthebottlewitha tissueandthencapthebottle tightly. Thecontrolresultappearson thedisplay. jSelectLeveltodisplaythe controlsolutionlevelpop-up menu. jSqueezethebottleuntilatiny dropformsatthetip. jTouchthedroptothefront edgeoftheyellowwindow oftheteststrip.Donotput controlsolutionontopofthe teststrip. 66 50813_00048009694_D.
10. 11. jSelectthecontrolsolutionlevel andpress=. jRemoveanddiscardthetest strip. jForinformationon understandingcontroltest results,proceedtothenext section,orselectMenuto savethisresultanddisplaythe MainMenuscreen. 3 67 50813_00048009694_D.
i NOTE •Ifateststriperroroccurs,removeanddiscardtheusedteststripandrepeatthetestwithanewtest strip. •Becarefulnottoputanyfluidsintotheteststripslot. •WhentheControlLevelscreenisdisplayedandyouselectCancelwithoutselectingacontrolsolution level,thenNoEntryischosen.ThemeterstoresthecontroltestresultalongwithNoEntryandthen theDetailedControlResultscreenisdisplayed.
3 3.5 Understanding Control Test Results ThedetailedControlResultscreendisplaysthefollowinginformation: Test Time Test Date Control Result Control Solution Level Result Unit of Measure Menu WithinrangeorOutofrange SelectMenutosave resultanddisplay MainMenuscreen 69 50813_00048009694_D.
Example Control Results Example Range(mmol/L) Level11.4-3.1 Level214.2-19.1 jThelabelonyourtest stripcontainershowsthe acceptablerangesforboth theLevel1andtheLevel2 controlsolutions.Thetest resultyougetshouldbeinside thisrange.Ensureyouselect andcomparethetestresultto thecorrectlevelofcontrol.For thelevelselected,themeter displayswhethertheresult iswithinoroutsideofthe acceptablerange.
3 Ifthecontroltestresultis outsideoftheacceptablerange, “Outofrange”appearsonthe detailedControlResultscreen. If“HI”isdisplayed,thecontrol testresultmaybeabovethe measurementrange. If“LO”isdisplayed,thecontrol testresultmaybebelowthe measurementrange. 71 50813_00048009694_D.
IfthemeterstoredNoEntryfor thecontrolsolutionlevel,then “---”appearswithnoindication ofinoroutofrange. 72 50813_00048009694_D.
3 Out-of-Range Control Test Results Ifthecontroltestresultisoutofrange,checkthislisttohelpsolvetheproblem: Troubleshooting Checks Actions 1.Wereeithertheteststripsorcontrolsolutions expired? Discardtheteststripsorcontrolsolutionsifeitheris pasttheusebydate.Ifthecontrolsolutionwas openedmorethan3monthsago,discardit.Repeat thecontroltestwithanunexpiredteststripandan unexpiredcontrolsolution. 2.
Troubleshooting Checks Actions 7.Didyouchoosethecorrectcontrolsolutionlevel, Ifyouchosethewrongcontrolsolutionlevel,you either1or2,whenyouperformedthecontroltest? canstillcomparethecontrolresulttotherange printedontheteststripcontainer. 8.Areyoustillunsureoftheproblem? ContactRoche. 74 50813_00048009694_D.
4 4 Managing Your Data 4.1Overview 4.2ViewingorModifyingYourData 4.3AddingNewData 4.4ReportingYourData 4.5DownloadingYourDatatoaComputer 76 79 87 90 128 75 50813_00048009694_D.
4.1 Overview Analyzingyourbloodglucosetestresultsstoredinthemeterisaneffectivewayforyouandyourhealthcare professionaltodeterminehowwellyouarecontrollingyourdiabetes.Thisanalysisisavaluabletoolfor makingimprovementstoyourdiabetesmanagement.Thereportsthemeterdisplayshelpyougetthemost fromyourAccu-ChekAvivaComboMeter. Fromthediaryrecordsstoredinthemeter,youareabletoviewaspecificbloodglucosetestrecordwithits attributes(e.g.
4 Storing Test Results Themeterautomaticallystoresupto1,000diaryrecordswiththetimeanddate.Youcanreviewupto 250diaryrecordsonthemeterorupto1,000diaryrecordsusingacomputerwithcompatiblesoftware. Diaryrecordsarestoredfromthenewesttotheoldest.Itisveryimportanttohavethecorrecttimeand dateset.Havingthecorrecttimeanddatesettinghelpsensureaccurateinterpretationofbloodglucosetest resultsbyyouandyourhealthcareprofessional.
i NOTE •Do not change your therapy based on one individual record or test result in the diary. •Thischaptershowssamplescreens.Thescreensmaylookslightlydifferentfromthescreensonthe meter.Ifyouhaveanyquestionsaboutthemeterscreens,contactRoche. •Theinformationinthediaryissavedwhenyoureplacethebatteries.Youneedtocheckthetimeand dateafteryoureplacethebatteries.Formoreinformationonchangingthebatteries,seeChapter7, “CareandMaintenance.
4 4.2 Viewing or Modifying Your Data TheViewDatascreendisplaysthefollowinginformation: Date of Record(s) Carbs Icon Time of Blood Glucose Test Unit of Measure Blood Glucose Test Icon Meal Time Icon Blood Glucose Test Result Appropriate Bolus Icon Select View Changemeterdisplaybetweenblood glucose,bolus,andcarbsviews. Health Event Icon 79 50813_00048009694_D.
i NOTE •Ifdataarenotavailable,theNoDataAvailablescreenisdisplayed. •TheViewDatascreendisplaystherecordsintheorderinwhichtheyoccurredwiththemostrecent recordshownontop. •Forthebloodglucosetestresult: •“HI”isdisplayedifthetestresultisabovethemeasurementrange. •“LO”isdisplayedifthetestresultisbelowthemeasurementrange. •Thebloodglucosetestresultisblankifabloodglucosetestvaluedoesnotexist. 80 50813_00048009694_D.
4 Refer to the following two tables for icon descriptions: Icon Icon Name Description bGTest Iconisdisplayedwheninformationexistsforthisdiary recordregardingabloodglucosetest. MealTime Iconisdisplayedwheninformationexistsforthisdiary recordregardingmealtime. Carbs Iconisdisplayedwheninformationexistsforthisdiary recordregardingcarbs. HealthEvent Iconisdisplayedwheninformationexistsforthisdiary recordregardinghealthevents.
Icon Icon Name Description ExtendedBolusConfirmed Deliveryhasbeenconfirmedbythepump. ManualPump Deliveryhasnotbeenconfirmedbythepump. Pen/SyringeBolus Pumpdoesnotdeliverbolus. 82 50813_00048009694_D.
Youcanviewadiaryrecordwithitsattributes(bloodglucosevalue,mealtime,carbs,healthevent,and bolus). 4 Main Menu > My Data > View Data 1. 2. jFromtheMainMenu,select MyDataandpress=. jSelectViewDataand press=. 83 50813_00048009694_D.
3. Blood Glucose View: Bolus View: Carbs View: jShownaboveareViewDatascreensthatdisplayvaluesforbloodglucose,bolus,orcarbs.Tochoose anotherview,press.(apop-upmenuappears).Selecttheviewyouwantandpress=. jPressxorztoviewotherrecords(thescreenscrollsifthereareadditionalrecords). jToviewormodifyarecord’sdetails,selecttherecordandpress=. 84 50813_00048009694_D.
4. 5. 4 i NOTE Tocancelchangesorreturnto theViewDetailscreen,select Cancel. jPress<toviewtheprevious recordorpress>toviewthe next(newer)record. To return to the previous screen, select Back. or To modify a diary record, select Modify and continue to the next step. jSelecttheentryfieldtomodify andpress=. jMakethechangeintheentry fieldandpress=. jModifyotherfields,asneeded. To save the changes and return to the View Detail screen, select Save.
The following fields cannot be modified with the specified condition: Fields Cannot be modified if the … Bolus Bolustypeisconfirmedstandard,extended,ormultiwave Bolus Bloodglucosetestresultwasbelowthehypowarninglimit MealTime Recordhasnobloodglucosevalue MealTime,Carbs,HealthEvent, andBolus Recordhasbeenusedforbolusadvice 86 50813_00048009694_D.
4 4.3 Adding New Data Youcanadddatatoadiaryrecordforcarbs,health,andbolus.TheAddDatascreendisplaysthefollowing information: Time Entry Field Carbs Entry Field Date Entry Field Health Entry Field Bolus Entry Field Save Appearsoncedatahasbeen enteredtoanentryfield 87 50813_00048009694_D.
Main Menu > My Data > Add Data 1. 2. 3. jFromtheMainMenu,select MyDataandpress=. jSelectAddDataandpress=. jSelectanentryfieldand press=. jMakeadditionintheentryfield andpress=. jMakeadditionstootherentry fields,asneeded. To save the changes and return to the My Data screen, select Save. 88 50813_00048009694_D.
4 i NOTE •Themeterinitiallydisplaysthecurrentdateandthecurrenttime.Youcanchangethedateandtime whenaddingadiaryrecord,althoughthedateandtimecannotbesetinthefuture. •Beforeadiaryrecordcanbesaved,datamustbeentered(notincludingdateandtime).“Save”isnot displayedabove.untildatahasbeenentered. •TocancelchangesandreturntotheMyDatascreen,selectCancel. 89 50813_00048009694_D.
4.4 Reporting Your Data Time Range Meal Times Blood Glucose Standard Deviation Calculatedforthetimerange Number of Tests Usedtocalculatetheaverages andstandarddeviations Blood Glucose Average Calculatedforthetimerange 90 50813_00048009694_D.
4 i NOTE •Ifdataarenotavailabletocalculateaverages,theNoDataAvailablescreenisdisplayed. •Standarddeviationmeasureshowmuchthebloodglucosetestresultsarescatteredaroundthe bloodglucoseaverage.Alowstandarddeviationmeansthebloodglucosetestresultsaretightly clusteredaroundthebloodglucoseaverage;ahighstandarddeviationmeansthebloodglucosetest resultsarewidelyscatteredaroundthebloodglucoseaverage.
Reporting Your Blood Glucose Averages Themeterdisplaysyourbloodglucoseaveragesandstandarddeviationsforthetimerangeyouchoose (7,14,30,60,or90days). Main Menu > My Data > Reports > bG Averages 1. 2. 3. jFromtheMainMenu,select MyDataandpress=. SelectReportsandpress=. jSelectbGAveragesand press=. 92 50813_00048009694_D.
4. 4 Thebloodglucoseaveragesare displayed. jTodisplaybloodglucose averagesforanothertime range(last7,14,30,60,or 90days),presseither<or> toscrollthescreenuntilyou reachthetimerangeyouneed. To return to the Reports screen, select Back. 93 50813_00048009694_D.
Reporting Your Data Trends Themeterdisplaysyourbloodglucoserecordtrendsforthetimerangeyouchoose(last8hours,24hours, 48hours,or7days). Main Menu > My Data > Reports > Trend 1. 2. 3. jFromtheMainMenu,select MyDataandpress=. jSelectReportsandpress=. jSelectTrendandpress=. 94 50813_00048009694_D.
4 Trend Graph Screen Time Range Bolus Icon Meal Time Selection Bolus Unit of Measure Blood Glucose Unit of Measure Bolus Amount Indicator Value Blood Glucose Icon Carbs Unit of Measure Carbs Amount Indicator Value Times or Days of Month Carbs Icon Arrow Bolus Value Indicatesbloodglucosedata extendsbeyondscreen Bluebar:heightshownisinrelation tothebolusinsulinamount Each Blood Glucose Value Carb Value Darkorangebar:heightshownisin relationtothecarbsamount Connec
Follow these tips to get the most value from My Data reports: •Ifyoudeliveredabolusdirectlyonthepump,gotoMyDataonthemetertoreceivethebolusinformation automatically.Dothisbeforeyournextbloodglucosetest. •ReplacethebatterieswhentheLowBatteryiconappears.Thismaintainsthecommunicationbetween meterandpump. 96 50813_00048009694_D.
4 i NOTE •Ifdataarenotavailabletodisplaythetrendgraph,theNoDataAvailablescreenisdisplayed. •Trendgraphsdonotincludecorruptresultsorcontrolresults. •Trendgraphdataisclearedifbolusadvicedataiscleared. •If (timechangeicon)isshownatthebottomoftheTrendGraphscreen,thetimeanddateofoneormore datapointsinthetrendgraphmaynotmatchthetimestampinMyDatabecausethemeterclockhasbeen changed.
Trend Graph 1. jTodisplayatrendgraphfor anothertimerange(last 8hours,24hours,48hours, or7days),pressxtohighlight thetimerangeselectionfield (topofscreen).Presseither <or>untilyoureachthetime rangeyouneed. 2. 3.
4 i NOTE Themetersavesthecurrentsettings(timerange,mealtime,andgraphview)whenyouselectBackor whenthemeterpowersoff. 99 50813_00048009694_D.
Trend Table Screen Time Range Meal Time Selection Date of Records Blood Glucose Icon with Blood Glucose Unit of Measure Carbs Icon with Carbs Unit of Measure Bolus Icon with the Bolus Unit of Measure Time Change Icon Onlyshownwhenmeter timehasbeenchangedfor thisdata 100 50813_00048009694_D.
4 i NOTE •Ifdataarenotavailabletodisplaythetrendtable,theNoDataAvailablescreenisdisplayed. •Trendtablesdonotincludecorruptresultsorcontrolresults. •If (timechangeicon)isshownatthebottomoftheTrendTablescreen,thetimeanddateofone ormoredatapointsinthetrendtablemaynotmatchthetimestampinMyDatabecausethemeter clockhasbeenchanged.Alltimesinthetrendtableshowthedatarelativetothecurrentmetertime. Forexample: 1.
Trend Table 1. jWhentherearemultiple records,pressxorztoview otherrecords. 2. 3. jTodisplayatrendtablefor anothertimerange(last 8hours,24hours,48hours, or7days),pressxtohighlight thetimerangeselectionfield (topofscreen).Press either<or>untilyoureach thetimerangeyouneed.
4. jPress.todisplaytheGraph (seeprevioussectionformore information). 4 i NOTE Themetersavesthecurrentsettings(timerange,mealtime,and tableview)whenyouselectBackorwhenthemeterpowersoff. To return to the Reports screen, select Back. 103 50813_00048009694_D.
Reporting Your Standard Day Themeterdisplays(forastandardday)yourbloodglucoseaverages,numberoftests,andstandard deviationswithinpredeterminedtimeblocksforthetimerangeyouchoose(last7,14,30,60,or90days). Main Menu > My Data > Reports > Standard Day 1. 2. 3. jFromtheMainMenu,select MyDataandpress=. jSelectReportsandpress=. jSelectStandardDayand press=. 104 50813_00048009694_D.
4 Standard Day Graph Screen Time Range Meal Time Selection Blood Glucose Unit of Measure Blood Glucose Icon Time of Day Warning Limit Hypo Level Redhorizontalline Arrow Indicatesbloodglucose averageisoffthetopofthe graph(“X”isnotdisplayed) Box for Each Time Block •“X”incentreofboxindicatesthe averageofallbloodglucosetest resultsfortheselectedcriteria.
i NOTE •Ifdataarenotavailabletodisplaythestandarddaygraph,theNoDataAvailablescreenisdisplayed. •Thestandarddaygraphdoesnotincludecorruptresults,controlresults,HIvalues,orLOvalues. 106 50813_00048009694_D.
4 Standard Day Graph 1. jTodisplayastandardday graphforanothertimerange (last7,14,30,60,or90days), pressxtohighlightthetime rangeselectionfield(topof screen).Presseither<or> untilyoureachthetimerange youneed. 2. 3.
i NOTE Themetersavesthecurrentsettings(timerange,mealtime,andgraphview)whenyouselectBackor whenthemeterpowersoff. 108 50813_00048009694_D.
4 Standard Day Table Screen Time Range Standard Deviation (SD) Meal Time Selection Number of Tests Time Block Blood Glucose Average 109 50813_00048009694_D.
i NOTE •Ifdataarenotavailabletodisplaythestandarddaytable,theNoDataAvailablescreenisdisplayed. •Standarddaytablecalculationsdonotincludecorruptresults,controlresults,orHIandLOresults. •Forastandarddeviationtobedisplayedforagiventimeblock,theremusthavebeentwoormore testsrecordedduringthetimeblock. 110 50813_00048009694_D.
4 Standard Day Table 1. jPressxorztoscrollscreen. 2. 3. jTodisplayastandarddaytable foranothertimerange(last7, 14,30,60,or90days),press xtohighlightthetimerange selectionfield(topofscreen). Presseither<or>untilyou reachthetimerangeyouneed.
4. jPress.todisplaytheGraph (seeprevioussectionformore information). i NOTE Themetersavesthecurrentsettings(timerange,mealtime,and tableview)whenyouselectBackorwhenthemeterpowersoff. To return to the Reports screen, select Back. 112 50813_00048009694_D.
4 Reporting Your Standard Week Themeterdisplays(forastandardweek)yourbloodglucoseaverages,numberoftests,andstandard deviationsforeachdayoftheweekforthetimerangeyouchoose(last7,14,30,60,or90days). Main Menu > My Data > Reports > Standard Week 1. 2. 3. jFromtheMainMenu,select MyDataandpress=. jSelectReportsandpress=. jSelectStandardWeekand press=. 113 50813_00048009694_D.
Standard Week Graph Screen Time Range Meal Time Selection Blood Glucose Unit of Measure Blood Glucose Icon Day of Week Warning Limit Hypo Level Redhorizontalline Arrow Indicatesbloodglucoseaverageisoffthe topofthegraph(“X”isnotdisplayed) Box for Each Time Block •“X”incentreofboxindicatestheaverage ofallbloodglucosetestresultsforthe selectedcriteria.
4 i NOTE •Ifdataarenotavailabletodisplaythestandardweekgraph,theNoDataAvailablescreenis displayed. •Thestandardweekgraphdoesnotincludecorruptresults,controlresults,HIvalues,orLOvalues. 115 50813_00048009694_D.
Standard Week Graph 1. jTodisplayastandardweek graphforanothertimerange (last7,14,30,60,or90days), pressxtohighlightthetime rangeselectionfield(topof screen).Presseither<or> untilyoureachthetimerange youneed. 2. 3.
4 i NOTE Themetersavesthecurrentsettings(timerange,mealtime,andgraphview)whenyouselectBackor whenthemeterpowersoff. 117 50813_00048009694_D.
Standard Week Table Screen Time Range Standard Deviation (SD) Meal Time Selection Number of Tests Day of Week Blood Glucose Average i NOTE •Ifdataarenotavailabletodisplaythestandardweektable,theNoDataAvailablescreenisdisplayed. •Standardweektablecalculationsdonotincludecorruptresults,controlresults,orHIandLOresults. •Forastandarddeviationtobedisplayedforagivendayoftheweek,theremusthavebeentwoor moretestsrecordedduringtheday.
4 Standard Week Table 1. jPressxorztoscrollscreen. 2. 3. jTodisplayastandardweek tableforanothertimerange (last7,14,30,60,or90days), selectthetimerangeselection field(topofscreen).Press either<or>untilyoureach thetimerangeyouneed.
4. jPress.todisplaytheGraph (seeprevioussectionformore information). i NOTE Themetersavesthecurrentsettings(timerange,mealtime,and tableview)whenyouselectBackorwhenthemeterpowersoff. To return to the Reports screen, select Back. 120 50813_00048009694_D.
4 Reporting Your Target Themeterdisplaysapiechartillustratingyourbloodglucoserecordsas“Above,”“Within,”“Below,”and “Hypo”forthetimerangeyouchoose(last7,14,30,60,or90days). Main Menu > My Data > Reports > Target 1. 2. 3. jFromtheMainMenu,select MyDataandpress=. jSelectReportsandpress=. jSelectTargetandpress=. 121 50813_00048009694_D.
Target Graph Screen Time Range Meal Time Selection Legend Pie Chart Bloodglucosetestresult categories Representsthepercentagesforthe bloodglucosetestresultcategories i NOTE •Ifdataarenotavailabletodisplaythetargetgraph,theNoDataAvailablescreenisdisplayed. •Thetargetgraphdoesnotincludecorruptresults,controlresults,orHIandLOresults. 122 50813_00048009694_D.
4 Target Graph 1. jTodisplayatargetgraphfor anothertimerange(last7,14, 30,60,or90days),selectthe timerangeselectionfield(top ofscreen).Presseither<or> untilyoureachthetimerange youneed. 2. 3. jTodisplayatargetgraphfor anothermealtimeselection (Overall,PreMeal,PostMeal, Bedtime,orOther),press eitherxorztohighlight themealtimeselectionfield (immediatelybelowthetime rangewhichisatthetopof thescreen).
i NOTE Themetersavesthecurrentsettings(timerange,mealtime,andgraphview)whenyouselectBackor whenthemeterpowersoff. 124 50813_00048009694_D.
4 Target Table Screen Time Range Meal Time Selection Legend Percentage of Occurrence Bloodglucosetestresult categories i NOTE •Ifresultsordataarenotavailablefortheselectedtimeperiodandmealtime,theNoDataAvailable screenisdisplayed. •Thetargettabledoesnotincludecorruptresults,controlresults,orHIandLOresults. 125 50813_00048009694_D.
Target Table 1. jTodisplayatargettablefor anothertimerange(last7,14, 30,60,or90days),selectthe timerangeselectionfield(top ofscreen).Presseither<or> untilyoureachthetimerange youneed. 2. 3. jTodisplayatargettablefor anothermealtimeselection (Overall,PreMeal,PostMeal, Bedtime,orOther),press eitherxorztohighlight themealtimeselectionfield (immediatelybelowthetime rangewhichisatthetopof thescreen).
4 i NOTE Themetersavesthecurrentsettings(timerange,mealtime,andtableview)whenyouselectBackor whenthemeterpowersoff. 127 50813_00048009694_D.
4.5 Downloading Your Data to a Computer Youcantransferyourstoredresultstoacomputertotrack,identifypatterns,andprint. 1. 2. jInstallthesoftwareaccording totheinstructions. jConnectthecomputercable accordingtotheinstructions. jRunthesoftwareprogramme andfollowtheinstructions abouthowtodownload information.Ensurethe softwareisreadytoaccept datafromthemeter. 3. jFromtheMainMenu,select MyDataandpress=. 128 50813_00048009694_D.
4. 5. 4 6. Infrared(IR)Window jSelectDataTransferand press=. jLocatetheinfrared(IR)window onthetopofthemeter. jLocatetheIRwindowonthe computer’sinfraredcable. jPointthetwoIRwindows towardeachother.Theyshould be3to10cmapart. jFollowthepromptsonyour computersoftwaretostartthe datatransfer. 129 50813_00048009694_D.
7. i NOTE Ifthedatadidnottransfersuccessfully,turnoffthemeter,turnthe meterbackon,andtryagain.Ifyoustillhaveproblems,contact Roche. jOncethedatatransferis complete,theDataTransfer Completescreenisdisplayed for3secondsandthenthe meterturnsoff. 130 50813_00048009694_D.
5 5 Changing Meter Settings 5.1Overview 5.2SettingbGTestReminders:AfterHighbG,AfterLowbG,AfterMeal 5.3SettingAlarmClockReminders:bGTest,Other 5.4SettingDateReminders:Dr.Visit,LabTest,InfusionSetChange 5.5SettingBolusAdvicefortheFirstTime 5.6SettingTimeBlocks,HealthEvents,AdviceOptions:BolusAdviceSetUp 5.7SettingWarningLimits:Hyper,Hypo 5.8TurningKeyLockOnorOff 5.9SettingtheLanguage 5.10SettingUnits:Carbs 5.
5.1 Overview YouhavetheflexibilitytochangetheAccu-ChekAvivaComboMetersettingsthatyouinitiallyselected duringtheSetupWizardprocess.Youcanmakeadjustmentstothemetersettingsinordertomeetchanging conditions.Consultwithyourhealthcareprofessionaltoensuretheappropriatesettingsareselected. Settings: Important Information •Wheneditingasetting,anyunsavedchangesarediscardedifthemeterturnsofforifateststripis insertedintothemeter.
5 5.2 Setting bG Test Reminders: After High bG, After Low bG, After Meal bG Test Reminders: Important Information •Atthescheduledtime,themeterturnsonanddisplaysthereminder(ifateststriphasnotbeeninserted). However,ifthemeterisalreadyonwhenthereminderisscheduledandnobloodglucosetestwas performed,thereminderisdisplayedwhenthemeterpowersdown. •Dismissthereminderbypressing.. •Reschedule(snooze)thereminderbypressing,.
Main Menu > Settings > Reminders > bG Test Reminders 1. 2. 3. jFromtheMainMenu,select Settingsandpress=. jSelectRemindersand press=. jSelectbGTestRemindersand press=. 134 50813_00048009694_D.
5 4. To Change the bG Threshold: jSelectthebGThresholdentry fieldandpress=. jSetthebGThresholdleveland press=. jSelecteitherAfterHighbG, AfterLowbG,orAfterMeal andpress=. jProceedtoeitherAfterHigh bG,AfterLowbG,orAfterMeal inthisstep. To Turn the After High bG Reminder On or Off: jSelecttheReminderentryfield andpress=. jSelectOnorOffandpress=. To Change the Remind After Time: jSelecttheRemindAfterentry fieldandpress=.
To Turn the After Low bG Reminder On or Off: jSelecttheReminderentryfield andpress=. jSelectOnorOffandpress=. To Change the bG Threshold: jSelectthebGThresholdentry fieldandpress=. jSetthebGThresholdleveland press=. To Change the Remind After Time: jSelecttheRemindAfterentry fieldandpress=. jSettheamountoftimeaftera lowbloodglucosetestresult youwanttoberemindedto retestyourbloodglucoseand press=.
5 To Change the Remind After Time: jSelecttheRemindAfterentry fieldandpress=. jSettheamountoftimeafter ameal(carbentrylargerthan thesnacksize)youwanttobe remindedtoretestyourblood glucoseandpress=. To save the changes, select Save. IfyoudidnotchangetheSnack Size,themeterreturnstothe bGTestRemindersscreen. i NOTE •RemindAfterisdisplayed as“HH:MM”(e.g.,1:30) where“H”ishourand“M” isminute.
5.3 Setting Alarm Clock Reminders: bG Test, Other Alarmclockremindersareahelpfulwaytoremindyoutotestyourbloodglucose,orforanyotherdaily appointment.Youcansetuptoeightremindersperday. Alarm Clock Reminders: Important Information •Atthescheduledtime,themeterturnsonanddisplaysthereminder(ifateststriphasnotbeeninserted).
5 Main Menu > Settings > Reminders > Alarm Clock 1. 2. 3. jFromtheMainMenu,select Settingsandpress=. jSelectRemindersand press=. jSelectAlarmClockand press=. 139 50813_00048009694_D.
4. To Turn Off a Reminder: jSelectthetypeofReminder entryfield(i.e.,bGTestor Other)andpress=. jSelectOffandpress=. jRepeattheabovestepstoturn offadditionalreminders. To Turn On or Change a Reminder: jSelectthetimeentryfieldfora Reminderandpress=. jSetthetimetoschedulethe Reminderandpress=. jPress=.Selectthetype ofReminder(i.e.,bGTestor Other)andpress=. jRepeattheabovestepstoset additionalreminders.
5 5.4 Setting Date Reminders: Dr. Visit, Lab Test, Infusion Set Change DateremindersareahelpfulwaytoremindyouofanupcomingDr.visitorlabtest.Inaddition,youcanset upanongoingreminderforaninfusionsetchangefortheintervalyouchoose(1day,2days,or3days). Date Reminders: Important Information •Displayedwhenyouturnonthemeterandateststriphasnotbeeninserted. •Dismisstheremindereitherbypressing.orbyinsertingateststrip.
Main Menu > Settings > Reminders > Date Reminders 1. 2. 3. jFromtheMainMenu,select Settingsandpress=. jSelectRemindersand press=. jSelectDateRemindersand press=. 142 50813_00048009694_D.
5 4. To Set the Date: jSelecttheDateentryfieldand press=. jSettheDayandpress=. jSettheMonthandpress=. jSettheYearandpress=. jSelecteitherDr.Visit,LabTest, orInfusionSetChangeand press=. jProceedtoeitherDr.Visit,Lab Test,orInfusionSetChangein thisstep. To Turn the Dr. Visit Reminder On or Off: jSelecttheReminderentryfield andpress=. jSelectOnorOffandpress=.
To Set the Time (Optional): jSelecttheTimeentryfieldand press=. jSettheTimeandpress=. To Turn the Lab Test Reminder On or Off: jSelecttheReminderentryfield andpress=. jSelectOnorOffandpress=. To Set the Date: jSelecttheDateentryfieldand press=. jSettheDayandpress=. jSettheMonthandpress=. jSettheYearandpress=. To save the changes and return to the Date Reminders screen, select Save.
5 i NOTE •SettingatimeforaDateReminderisoptional.Ifyouchoosenottosetatime,ensuretheTimeentry fieldvalueis“--:--”(noentry). •TocancelchangesortoreturntotheDateRemindersscreen,selectCancel. •TimefortheDr.VisitReminderandtheLabTestRemindercanbesetin15-minuteincrements,where “HH”ishour,“MM”isminutes,andwith“am”or“pm”forthe12-hourformat. •DateRemindersdonotautomaticallyturnonthemeteranddisplaytheReminder.
5.5 Setting Bolus Advice for the First Time Set Up Bolus Advice IfyoudidnotsetupbolusadvicewhenyouwentthroughtheSetupWizardandhavenowdecidedtoutilize bolusadvice,proceedwiththissection.Onceyoudosetupbolusadvice,youcannotturnitoff. ItissuggestedthatyoureviewtheinformationintheGettingStartedGuidebeforecontinuing.
5 Time Blocks > Bolus Advice Screen Time Block Start Time Time Block End Time Target Range Lower Value Target Range Upper Value Carb Ratio–Number of Carbs Carb Ratio–Number of Insulin Units scrolldown Insulin Sensitivity– Number of Insulin Units Scroll Bar Insulin Sensitivity–Change in Glucose Level 147 50813_00048009694_D.
Main Menu > Settings > Bolus Advice 1. 2. 3. jFromtheMainMenu,select Settingsandpress=. jSelectBolusAdviceand press=. jIfyoudoNOTwanttosetup bolusadvice,selectNoto returntotheSettingsscreen. jTosetupbolusadvice,select Yesandcontinuetothenext step. 148 50813_00048009694_D.
4. 5. jTocontinue,selectNext. To Change Time Blocks: jSelectatimeblocktoeditand press=. 5 scrolldown To Change the End Time: jSelecttheEndTimeentryfield andpress=. jSettheEndTimeand press=. 149 50813_00048009694_D.
6. To Change the Target Range: jSelecttheentryfieldforthe lowervalueoftheTarget Rangeandpress=. jSetthevalueandpress=. jSelecttheentryfieldforthe uppervalueoftheTarget Rangeandpress=. jSetthevalueandpress=. To Change the Carb Ratio: jSelecttheentryfieldforthe numberofInsulinUnitsand press=. jSetthenumberofInsulinUnits andpress=. jSelecttheentryfieldforthe amountofCarbsand press=.
5 7. jReturntoStep5tochange anotherTimeBlock. jContinueinordertoadd orremoveTimeBlocks, otherwiseselectNextand proceedtoStep8. To Add a Time Block: jSelectthelasttimeblockand press=. jSelecttheEndTimeentryfield andpress=. jSettheEndTimeofthe selectedtimeblockandpress =.Thiswillbethestarttime oftheaddedtimeblock. jTosavethechangesand returntotheTimeBlocks screen,selectSave.
8. 9. To Change the Acting Time: jSelecttheActingTimeentry fieldandpress=. jSettheActingTimeduration andpress=. To Change the Health Events: jSelecttheentryfieldofthe HealthEventtobechanged andpress=. jSetthepercentageand press=. jRepeatthepreviousstepsto changeanotherHealthEvent. jTocontinue,selectNext. To Change the Meal Rise: jSelecttheMealRiseentryfield andpress=. jSettheMealRiselimitand press=.
10. 11. jSelectOK. jToreturntotheSettings screen,selectBack. 5 153 50813_00048009694_D.
Bolus Advice Options MealRise,SnackSize,ActingTime,andOffsetTimeareBolusAdviceOptions.Belowaredetailed descriptionsofeachofthesesettings. Meal Rise Duringoraftermeals,anincreaseinbloodglucoselevelsisconsiderednormalwithinacertainrange,even thoughamealbolushasbeendelivered.Enterthemaximumincreaseinyourbloodglucosetestresultthat istobetoleratedwithoutanadditionalcorrectionbolus.
5 5.
Setting Time Blocks–Bolus Advice is Set Up Main Menu > Settings > Bolus Advice > Time Blocks 1. 2. 3. jFromtheMainMenu,select Settingsandpress=. jSelectBolusAdviceand press=. jSelectTimeBlocksand press=. 156 50813_00048009694_D.
5 4. To Add or Remove Time Blocks: Ifyoudonotneedtoaddor removetimeblocks,then proceedto“ToChangetheTime Blocks.” To Add a Time Block: jSelectthelast timeblockand press=. jSelecttheEndTimeentryfield andpress=. jSettheEndTimeofthe selectedTimeBlockandpress =.Thiswillbethestarttime oftheaddedtimeblock. jTosavethechangesand returntotheTimeBlocks screen,selectSave. jProceedto“ToChangethe TimeBlocks.
5. To Change the End Time: jSelecttheEndTimeentryfield andpress=. jSettheEndTimeand press=. To Change the Target Range: jSelecttheentryfieldforthe lowervalueoftheTarget Rangeandpress=. jSetthevalueandpress=. jSelecttheentryfieldforthe uppervalueoftheTarget Rangeandpress=. jSetthevalueandpress=. To Change the Carb Ratio: jSelecttheentryfieldforthe numberofInsulinUnitsand press=. jSetthenumberofInsulinUnits andpress=.
6. 5 jTochangeanothertimeblock, selectthetimeblockand press=.ReturntoStep5. jToreturntotheBolusAdvice screen,selectBack. 159 50813_00048009694_D.
Setting Health Events–Bolus Advice is Set Up Main Menu > Settings > Bolus Advice > Health Events 1. 2. 3. jFromtheMainMenu,select Settingsandpress=. jSelectBolusAdviceand press=. jSelectHealthEventsand press=. 160 50813_00048009694_D.
4. 5 To Change the Health Events: jSelecttheentryfieldofthe HealthEventtobechanged andpress=. jSetthepercentageand press=. jRepeatthepreviousstepsto changeotherHealthEvents. To save the changes and return to the Bolus Advice screen, select Save. 161 50813_00048009694_D.
Setting Bolus Advice Options–Bolus Advice is Set Up Main Menu > Settings > Bolus Advice > Advice Options 1. 2. 3. jFromtheMainMenu,select Settingsandpress=. jSelectBolusAdviceand press=. jSelectAdviceOptionsand press=. 162 50813_00048009694_D.
5 4. To Change the Snack Size: jSelecttheSnackSizeentry fieldandpress=. jSettheSnackSizeamount andpress=. To Change the Meal Rise: jSelecttheMealRiseentryfield andpress=. jSettheMealRiselimitand press=. IfyoudidnotchangetheSnack Size,themeterreturnstothe BolusAdvicescreen. To Change the Acting Time: jSelectActingTimeentryfield andpress=. jSettheActingTimeduration andpress=.
5.7 Setting Warning Limits: Hyper, Hypo Youcansetbloodglucosewarninglimitsforhyperglycaemia(Hyper)orhypoglycaemia(Hypo)conditions. Oncethesebloodglucoselimitvalueshavebeenset,ifyourtestresultisabovethehyperwarninglimit, themeterdisplaystheAboveHyperWarningLimitmessage:“Considercheckingforketones,bGandinsulin regularly.
5 Main Menu > Settings > Meter > Warning Limits 1. 2. 3. jFromtheMainMenu,select Settingsandpress=. jSelectMeterandpress=. jSelectWarningLimitsand press=. 165 50813_00048009694_D.
4. To save the changes and return to the Meter Menu screen, select Save. To Change the Hyper Blood Glucose Level: jSelecttheHyperentryfield andpress=. jSettheHyper(upper)blood glucoselevelandpress=. To Change the Hypo Blood Glucose Level: jSelecttheHypoentryfieldand press=. jSettheHypo(lower)blood glucoselevelandpress=. 166 50813_00048009694_D.
5 5.8 Turning Key Lock On or Off Thekeylockfeatureallowsyoutolockallofthebuttonsonthemeter,exceptforthepoweron/offbutton. Thisservesasasafetymeasureagainstunintentionalactivationofmeterfunctions. 167 50813_00048009694_D.
Main Menu > Settings > Meter > Key Lock 1. 2. 3. jFromtheMainMenu,select Settingsandpress=. jSelectMeterandpress=. jSelectKeyLockandpress=. 168 50813_00048009694_D.
5 4. jPress=todisplaytheKey Lockpop-upmenu. jSelectOnorOff. To save the change and return to the Meter Menu screen, select Save. Ifthebuttonsarelockedwhen youturnonthemeter,theKey Lockscreenisdisplayed. jTounlockthebuttons,press andhold,and.atthe sametimeuntiltheMainMenu isdisplayed. Thebuttonsremainunlockedfor thecurrentsession.Whenthe meteristurnedonagain,the buttonsarelocked.
5.9 Setting the Language Youcanselectalanguagefromthepredefinedlist. 170 50813_00048009694_D.
5 Main Menu > Settings > Meter > Language 1. 2. 3. jFromtheMainMenu,select Settingsandpress=. jSelectMeterandpress=. jSelectLanguageand press=. 171 50813_00048009694_D.
4. jPress=todisplaythe Languageoptions. jSelectthedesiredLanguage andpress=. To save the change and return to the Meter Menu screen, select Save. 172 50813_00048009694_D.
5 5.10 Setting Units: Carbs Youcansetupthemeterfordifferentcarbohydrate(carbs)units(Grams,BE,KE,orCC). 173 50813_00048009694_D.
Main Menu > Settings > Meter > Units 1. 2. 3. jFromtheMainMenu,select Settingsandpress=. jSelectMeterandpress=. jSelectUnitsandpress=. 174 50813_00048009694_D.
4. 5 i NOTE Formoreinformationontheunitsforcarbohydratesand carbohydrateequivalents,seeAppendixB,“CarbUnits.” jPress=todisplaythelistof unitsforcarbs. jSelecttheunits(Grams,BE, KE,orCC)andpress=. To save the change and return to the Meter Menu screen, select Save. 175 50813_00048009694_D.
5.11 Turning Bluetooth® Wireless Technology On or Off Main Menu > Settings > Meter > Bluetooth 1. 2. jFromtheMainMenu,select Settingsandpress=. jSelectMeterandpress=. 3. jSelectBluetoothandpress=. 176 50813_00048009694_D.
4. 5 jToturnBluetoothwireless technologyeitherOnorOff, pressandhold*untilthe Bluetoothwirelesstechnology iconchanges.Release*. To save the change and return to the Meter Menu screen, select Back. 177 50813_00048009694_D.
5.12 Pairing the Meter and Pump Forcompletepairinginstructions,seetheAdvancedOwner’sBooklet. 178 50813_00048009694_D.
5 5.13 Setting the Beeper, Vibrate, and Key Sound Youcansetupthemeterforsoundmodeand/orvibrationmode.Themeterfeaturesdifferentsound (beeper)tones.Soundsmayoccurfor: •Buttonpresses •Errors •Warnings •Reminders i NOTE •Beeperandvibratecannotbothbeturnedoffatthesametime. •WhenKeySoundison,themeterbeepseachtimeabuttonispressed. •Evenwhenthebeeperisturnedoff,themeterstillbeepswhenanerrormessageoccurs.
Main Menu > Settings > Sound/Vibrate 1. 2. 3. jFromtheMainMenu,select Settingsandpress=. jSelectSound/Vibrateand press=. To Change the Beeper Sound Level: jSelecttheBeeperentryfield andpress=. jSelecttheBeeperSoundLevel (Off,Low,Medium,orHigh) andpress=. To Turn the Vibration On or Off: jSelecttheVibrateentryfield andpress=. jSelecttheVibrationmode(On orOff)andpress=. 180 50813_00048009694_D.
5 To Change the Key Sound: jSelecttheKeySoundentry fieldandpress=. jSelecttheKeySoundmode (OnorOff)andpress=. To save the changes and return to the Settings Menu screen, select Save. 181 50813_00048009694_D.
5.14 Setting the Time Format, Time, and Date i NOTE •Itisrecommendedyousetthedateandtimeonthepump(thedateandtimeonthemeterwill automaticallysynchronizetomatchthepump). •ChangingthedateandtimewillimpacttheTrendGraphandtheTrendTable(see“ReportingYour DataTrends”inSection4.4,“ReportingYourData”).
5 Main Menu > Settings > Time/Date 1. 2. 3. jFromtheMainMenu,select Settingsandpress=. jSelectTime/Dateand press=. To Change the Time Format: jSelecttheTimeFormatentry fieldandpress=. jSelect12-hror24-hrTime Formatandpress=. To Change the Time: jSelecttheTimeentryfieldand press=. jSettheHourandpress=. jSettheMinutesandpress=. jIfTimeFormatis12-hour, selectamorpmandpress=. 183 50813_00048009694_D.
To Change the Date: jSelecttheDateentryfieldand press=. jSettheDayandpress=. jSettheMonthandpress=. jSettheYearandpress=. To save the changes and return to the Settings Menu screen, select Save. 184 50813_00048009694_D.
5 5.15 Setting Time Blocks: Bolus Advice Not Set Up Thissectionisforchanging,adding,andremovingtimeblocksonlyifbolusadvicehasnotbeensetup. Foreachtimeblock,youcansetupdifferentbloodglucosetargetranges.Itissuggestedthatyoureview theGettingStartedGuidebeforecontinuing.Priortosettinguptimeblocks,itisrecommendedthatyou determinehowmanytimeblocksyouneedandalsodeterminethestart/endtimes.
Change End Time, Target Range Lower Value, and/or Target Range Upper Value Main Menu > Settings > Time Blocks 1. 2. 3. jFromtheMainMenu,select Settingsandpress=. TimeBlocksdoesnotappearif bolusadvicehasbeensetup. jSelectTimeBlocksand press=. jSelectthetimeblocktoedit andpress=. 186 50813_00048009694_D.
4. 5 5. To save the changes and return to the Time Blocks screen, select Save. To Change the End Time: jSelecttheEndTimeentryfield andpress=. jSettheEndTimeand press=. To Change the Target Range: jSelecttheentryfieldforthe lowervalueoftheTarget Rangeandpress=. jSetthevalueandpress=. jSelecttheentryfieldforthe uppervalueoftheTarget Rangeandpress=. jSetthevalueandpress=. jRepeatSteps3and4to changeanothertimeblock.
i NOTE •Whenyousettheendtime,themetersetsthisendtimeasthestarttimeforthenexttimeblock. •Theendtimecanbesetin30-minuteincrements. •Tocancelchangespress,. 188 50813_00048009694_D.
5 Add a Time Block Main Menu > Settings > Time Blocks 1. 2. 3. jFromtheMainMenu,select Settingsandpress=. TimeBlocksdoesnotappearif bolusadvicehasbeensetup. jSelectTimeBlocksand press=. jSelectthelasttimeblock andpress=. 189 50813_00048009694_D.
4. 5. jUpdatetheEndTimesand TargetRangesforalltime blocks,asneeded.See “ChangeEndTime,Target RangeLowerValue,and/or TargetRangeUpperValue”in thissection. jSelecttheEndTimeentryfield andpress=. jSettheEndTimeofthe selectedTimeBlockand press=.Thiswillbethestart timeoftheaddedtimeblock. To save the changes and return to the Time Blocks screen, select Save. 190 50813_00048009694_D.
5 Remove a Time Block Main Menu > Settings > Time Blocks 1. 2. 3. jFromtheMainMenu,select Settingsandpress=. TimeBlocksdoesnotappearif bolusadvicehasbeensetup. jSelectTimeBlocksand press=. jSelecttheTimeBlockyou wanttoremoveandpress=. 191 50813_00048009694_D.
4. 5. jUpdatetheEndTimes andTargetRangesforthe remainingtimeblocks,as needed. See“ChangeEnd Time,TargetRangeLower Value,and/orTargetRange UpperValue”inthissection. jSelecttheEndTimeentryfield andpress=. jSettheEndTimetomatchthe starttimeoftheTimeBlock andpress=. To save the changes and return to the Time Blocks screen, select Save. 192 50813_00048009694_D.
5 5.16 Backlight Settings ThebacklightonyourAccu-ChekAvivaComboMeterhelpsyoureadtheinformationonthemeterdisplay underdifferentlightingconditions.Youcanadjustthebacklightlevelbypressingthebacklightbuttononthe frontofthemeter.Thebacklightadjustsfromlow,tomedium,tohigh,andbacktolowagain. Backlight Button Presstoadjustthebacklightlevel. 193 50813_00048009694_D.
i NOTE •Whenthemeteristurnedon,thebacklightissettomedium. •Whenthebacklightissettohighormediumandnobuttonactivityhasoccurredforapproximately 15seconds,themetergoestolowbacklight(toconservebatterylife).Themeterrestorestheoriginal backlightsettingwhenyoupressabutton,insertateststrip,orwhenthemeterdisplaysthebGResults screen.
6 6 Icons, Reminders, Warnings, and Errors 6.1Overview 6.2ListofIcons 6.3ConfirmingaReminder,Warning,orError 6.4ListofReminders 6.5ListofWarnings 6.6ListofErrors 196 197 199 200 210 216 195 50813_00048009694_D.
6.1 Overview Thischapterprovidesyouwithdetailedlistingsofalltheicons,reminders,warnings,anderrorsincludedin themeter. i NOTE BloodglucoseandbGareinterchangeableandmeanthesamething. 196 50813_00048009694_D.
6 6.2 List of Icons Theiconsandiconnamesinthemeterare: Icon Name Icon Icon Name ActiveInsulin ControlTest AddData Date Analyzing Download(DataTransfer) Beeper Error BloodGlucoseAverages ExtendedBolusNotConfirmed BloodGlucoseTest ExtendedBolusConfirmed BluetoothWirelessTechnologyEnabled Health BolusAdvice LowBattery BolusAdvice(Settings) MealTime Carbs Meter Icon 197 50813_00048009694_D.
Icon Name Icon Icon Name Meter(Settings) Sound/Vibrate(Settings) MultiwaveBolusNotConfirmed StandardBolusNotConfirmed MultiwaveBolusConfirmed StandardBolusConfirmed MyData Time Pen/SyringeBolus TimeBlock(Settings) Pump TimeChange Reminder Time/Date(Settings) Reminders(Settings) Vibrate Reports ViewData Settings Warning Icon 198 50813_00048009694_D.
6 6.3 Confirming a Reminder, Warning, or Error Toconfirm(ordismiss)mostremindersorwarnings,press..Someerrormessagesrequireadifferent confirmation,suchas“RetestwithnewStrip”or“Replacebatteriesnow.”Toplacesomeremindersinthe snoozemode,press,.Seethefollowingsectionsformoredetailsonaspecificreminder,warning,orerror. 199 50813_00048009694_D.
6.4 List of Reminders Reminder Screen Example Reminder Icon Reminder Title Snooze Reminder Message Reschedulethereminder. Thisisnotavailableforall reminders. Dismiss i NOTE •Themeterbeepswhenitdisplaysanyreminderifthebeepersettingison. •Themetervibrateswhenitdisplaysanyofthefollowingremindersifthevibratesettingison:After MealRetest,bGTest,HighbGRetest,LowbGRetest,andOther. 200 50813_00048009694_D.
Forinstructionsonhowtosetupmeterreminders,seeChapter5,“ChangingMeterSettings.”Thereminders availableonthemeterare: Reminder Title Reminder Message Left Soft Key Right Soft Key Snooze Time AfterMealRetest CarbsentryhigherthanSnack Sizesetting.Retest. Snooze Dismiss 5minutes bGTest ItistimeforyourscheduledbG Snooze test Dismiss 15minutes Dr.VisitToday If the Dr. Visit time has been set: YouhaveaDr.Appointment todayat(SettingsDr.
Reminder Title Reminder Message Dr.VisitTomorrow If the Dr. Visit time has been set: YouhaveaDr.Appointment tomorrowat(SettingsDr.Visit Time)¹ Or, if the Dr. Visit time has not been set: YouhaveaDr.Appointment tomorrow HighbGRetest HighbGResultonlasttest. Retest.
Reminder Title Reminder Message LabTestToday If the lab test time has been set: YouhaveaLabTesttodayat (SettingsLabTestTime)1 Or, if the lab test time has not been set: YouhaveaLabTesttoday Dismiss LabTestTomorrow If the lab test time has been set: YouhaveaLabTesttomorrowat (SettingsLabTestTime)1 Or, if the lab test time has not been set: YouhaveaLabTesttomorrow Dismiss LowbGRetest LowbGResultonlasttest. Retest.
Reminders: Important Information •Whentwoormoreeventremindersoccuratthesametime,themeterdisplaystheeventreminderwith thehighestpriorityfirst: 1.bGTestReminders(AfterHighbG,AfterLowbG,andAfterMeal) 2.AlarmClockReminders(bGTestandOther) 3.DateReminders(Dr.Visit,LabTest,andInfusionSetChange) Thefollowingoccurwhentheparticularreminderisenabledandscheduled: Dr. Visit Today, Dr.
Low bG Retest Reminder •Whenyourbloodglucosetestresultislessthanthelowbloodglucosethresholdsettingyouhavesetup (seeChapter5,“ChangingMeterSettings”),thenthemeterschedulesaLowbGRetestreminderforthe timedurationyouhavesetup.Themetermaintainsthedurationofthisscheduledreminderregardlessof metertimeanddatechanges. 6 •Atthescheduledtime,themeterturnsonanddisplaysthereminder(ifateststriphasnotbeeninserted).
High bG Retest Reminder •Whenyourbloodglucosetestresultisgreaterthanthehighbloodglucosethresholdsettingyouhaveset up(seeChapter5,“ChangingMeterSettings”),thenthemeterschedulesaHighbGRetestreminderfor thetimedurationyouhavesetup.Themetermaintainsthedurationofthisscheduledreminderregardless ofmetertimeanddatechanges. •Atthescheduledtime,themeterturnsonanddisplaysthereminder(ifateststriphasnotbeeninserted).
6 After Meal Reminder •Whenyouentercarbohydratesintothediarythroughoneofthefollowingscreensandthecarbohydrates enteredaregreaterthantheSnackSizesetting,thenthemeterschedulesanAfterMealreminderfor thetimedurationyouhavesetup(seeChapter5,“ChangingMeterSettings”).Themetermaintainsthe durationofthisscheduledreminderregardlessofmetertimeanddatechanges.
Alarm Clock Reminders for bG Test and Other •Atthescheduledtime,themeterturnsonanddisplaysthereminder(ifateststriphasnotbeeninserted). •WhenthemeterdisplaysanAlarmClockreminderandyoudonotpressanymeterbuttons, after30secondsthemeterturnsoffanddisplaysthereminderagainin2minutes.Afterthefourthtime themeterdisplaysthereminder,thenthemeterdismissesthereminder.
6 • Other Alarm Clock Reminder •Ifthemeterisalreadyonwhenthereminderisscheduled,thereminderisdisplayedwhenthemeter powersdown. •Dismissthisremindereitherbypressing.orbyinsertingateststrip. •Snoozethereminderfor15minutesbypressing,. 209 50813_00048009694_D.
6.5 List of Warnings Warning Screen Example Warning Icon Warning Title No Warning Message Onlyshownonafew warningscreens Yes or OK i NOTE Themeterbeepswhenitdisplaysawarningifthebeepersettingison. 210 50813_00048009694_D.
6 Thewarningsthemetermaydisplayare: Warning Title Warning Message Left Soft Key Right Soft Key AboveHyperWarning Limit Considercheckingforketones,bGand insulinregularly OK Beep/VibrateOff BeepandVibratesettingscannotbothbe turnedoffatsametime OK BelowHypoWarningLimit Eatfastcarbsofatleast(numberofcarbs)1 RetestbG OK BolusAdvice BolusAdvicedatadeleted OK BolusAdviceNotSetup Advicenotprovidedunlesssetupthrough BolusAdviceinSettings OK
Warning Title Warning Message Left Soft Key Right Soft Key BolusTooHigh Bolusaboveallowedamount.Bolussetto maximum. OK BolusTooLow Bolusbelowallowedamount.Bolussetto minimum. OK CalculationOutofRange NoBolusAdviceavailable OK CarbohydrateRatio CarbRatioseemsunusual.Checkentries.
Warning Title Warning Message Left Soft Key Right Soft Key ConnectionLost RestartMeter,select“Settings”,“Meter”, “PairwithPump” OK CorruptLanguage Chooseanotherlanguage OK DiaryEntryUsedFor Advice DiaryentryusedforAdvice,modifications notallowed OK DiaryResultsExpired Newdatacannotbesavedwiththisrecord OK HIbGWarning ConsidercheckingbG,ketonesandinsulin OK IncorrectPumpTime/Date Pumptime/dateincorrect.Settime/dateon thePump.
Warning Title Warning Message Left Soft Key Right Soft Key InvalidDate Reentervaliddate OK InvalidHyperValues HypervaluemustbegreaterthanTime Blocktargetranges OK InvalidHypoValues HypovaluemustbelessthanTimeBlock targetranges OK InvalidPIN ReenterPINshownonPumpdisplay OK InvalidRecordTime/Date Recordtime/datemustbeolderthanthe currentmetertime/date OK InvalidTargetRange Lowertargetrangevalueaboveupper targetrangevalue OK InvalidTarget
Warning Title Warning Message NobGwithBolus ConsidertestingbGbeforedelivering Insulin.
6.6 List of Errors Error Screen Example Error Icon Error Title Menu Error Message Thisoptionisnotavailable forallerrors. i NOTE Themeterbeepswhenitdisplaysanerror,evenifthebeepersettingisturnedoff. 216 50813_00048009694_D.
6 Theerrorsthemetermaydisplayare: Error Title Error Message E-51 BadStripError ReinsertorreplacewithnewStrip E-52 CodeKeyError TurnMeteroff,reinsertorreplaceCode Key1 E-53 BadTestError RetestwithnewStrip E-54 NotEnoughSample RetestwithnewStrip E-55 CodeKeyExpired TurnMeteroff,replaceCodeKeyand Strips1 E-56 SampleAppliedEarly RetestwithnewStrip E-57 ElectronicError Removebatteries,wait20seconds,replace batteries E-58 Temp.
Error Title Error Message E-59 BatteryEmpty Replacebatteriesnow E-60 Time/DateError Correcttime/dateifnecessary Left Soft Key Right Soft Key Menu nthemeterdisplay,theactivationchipisreferredtoasacodekey.Codekeyandactivationchipare O interchangeableandmeanthesamething.Ifyouneedanactivationchip,pleasecontactRoche. 2 “Menu”isonlydisplayedwhenthemeterisinabGtestscreen. 3 “OK”isonlydisplayedaftertheSplashscreen(Accu-Cheklogoscreen).
7 7 Care and Maintenance 7.1Overview 7.2ChangingtheBatteries 7.3Power-SavingTips 7.4CleaningtheMeter 7.5MaintenanceandTesting 220 221 224 225 226 219 50813_00048009694_D.
7.1 Overview ItisimportanttoproperlycareforandmaintainyourAccu-ChekAvivaComboMeter.Ifyouhaveany questionsaboutthecareandmaintenanceofyourmeter,contactRoche. 220 50813_00048009694_D.
7 7.2 Changing the Batteries 1. 2. 3. jRemovethebatterydoor fromthebackofthemeterby pushingthetabinthedirection ofthearrowandpullingup thedoor. jRemovetheoldbatteriesfrom themeter. jInsertthreeAAAbatterieswith the+and-endsmatching themarksinthebattery compartment. Putthebatterydoorbackin placeandsnapitclosed. 221 50813_00048009694_D.
w WARNING •Usingbatteriesotherthanthosesuppliedorrecommendedforusewiththemetermaysignificantly reducethelifeofthebatteries.Batteriesotherthanthoserecommendedmayleakandcorrode thebatterycontactswithinthemeter.Usingbatteriesnotsuppliedorrecommendedmayvoidthe warranty. •Replaceallbatteriesofasetatthesametime.Newlypurchasedbatteriesshouldnotbemixedwith partiallyexhaustedones.
7 i NOTE •Alkalinebatteriesarerecommendedforusewiththemeter. •Afteryouchangethebatteries,themeterpromptsyoutoconfirmthetimeanddatesettings. •Itisagoodideatohavespare,packagedbatteriesavailable. •Alltestresults,diaryinformation,andsettingsaresavedinthemetermemorywhenthebatteriesare replaced. •Themeterremainspairedwiththepumpwhenyouremoveandreplacethebatteries. •Rechargeablebatteriesmaybeusedinthemeter.
7.3 Power-Saving Tips Toconservebatterylife: •Usethelowbeepersetting •Onlyturnonthevibrationfeaturewhenitisneeded •Turnoffthemeterwhenyouarefinishedratherthanutilizingtheautopowerofffeature 224 50813_00048009694_D.
7 7.4 Cleaning the Meter Caringforthemeteriseasy:justkeepitfreeofdust.
7.5 Maintenance and Testing •Themeterneedslittleornomaintenancewithnormaluse.Itautomaticallytestsitsownsystemsevery timeyouturnitonandletsyouknowifsomethingiswrong.Fordetailedinformationontroubleshootingthe meter,seeChapter8,“Troubleshooting.” •Ifyoudropthemeterorthinkitisnotgivingaccurateresults,ensureyourteststripsandcontrolsolution havenotexpired,andthenperformacontroltest. •Performacontroltestwitheachnewvialofteststrips.
8 8 Troubleshooting 8.1Overview 8.2TroubleshootingtheAccu-ChekAvivaComboMeter 228 229 227 50813_00048009694_D.
8.1 Overview Formostproblems,themeterdisplaysamessagewithashortdescriptionofthesymptomand,alongwithit, aproposedsolution.Thischaptergoesintomoredetailbydescribingthesymptom,thepossiblecause,and thepossiblesolution.Ifthepossiblesolutionsdonotfixtheproblem,contactRoche. w WARNING Nevermaketreatmentdecisionsbasedonawarningorerrormessage.Ifyouhaveanyconcerns, contactRoche.
8 8.2 Troubleshooting the Accu-Chek Aviva Combo Meter Display Shows Possible Cause(s) Thedisplayisblank jBatteriesaredead. orthemeterwill notturnon. jDisplayisdamaged. Bluetoothicon flashing Possible Solution(s) jInstallnewbatteries.SeeChapter7,“Careand Maintenance.” jContactRoche. jMeterisdefective. jContactRoche. jE xtremetemperature–the temperatureisoutsidethe meteroperatingrange. jMovethemetertoanareawithpropertemperature.
Display Shows Possible Cause(s) Possible Solution(s) AboveHyper WarningLimit jYourtestresultisabovethe jTreatyourhighbloodglucoseasrecommendedby hyperwarninglimitsetinthe yourhealthcareprofessional. meter. jConsidercheckingbG,ketones,andinsulin. jSeethepumpUserGuideforadditionalsolutions. Beep/VibrateOff jBeepandVibratesettings cannotbeturnedoffatthe sametime.
8 Display Shows Possible Cause(s) Possible Solution(s) BolusAdviceNot Setup jAdviceisnotprovidedunlessit jYoucancontinuetousethemeterwithoutbolus issetupthroughBolusAdvice adviceorseeChapter5,“ChangingMeterSettings” inSettingsMenu. forinstructionsonhowtosetupbolusadvice. BolusAdvice Timeout jBolusadviceisnolonger availableforthisbGresult. BolusDelivery Unavailable jThemetercannot jRetryorsettoManualPump.
Display Shows Possible Cause(s) Possible Solution(s) BolusTooHigh jThebolusisabovethe allowedamount.Thebolus wassetto50Units. jChecktheaccuracyofallentries.Ifnecessary, contactyourhealthcareprofessional. BolusTooLow jTheinsulinpumpcannot jThepumpwilladjustthebolusto0.2Units. delivera0.1Unitofmultiwave bolus.
8 Display Shows Possible Cause(s) Possible Solution(s) Communication Warning jCommunicationofbolusdata fromthepumpwasnot successful.Therefore,pump dataarenotavailableandthe bolusdatamaynotbe accurate. jCommunicationofbolusdata fromthepumpwasnot successful.Therefore,pump dataarenotavailableandthe activeinsulinamountmaynot beaccurate. jEnsurethemeterandpumphaveBluetoothwireless technologyturnedon.
Display Shows Possible Cause(s) ConnectionLost jTheconnectionwaslost jRestartthepairingprocess.SeetheAdvanced betweenthemeterandthe Owner’sBooklet. pumpduringthepairing process.Therefore,the attempttopairthemeterand pumpwasunsuccessful. jPumpisoutofrangeofthe meter. Possible Solution(s) jEnsurethemeterandpumphaveBluetooth wireless technology turnedon. jEnsurethemeterandpumparewithin communicationrange.
8 Display Shows Possible Cause(s) Possible Solution(s) E-51BadStrip Error jYourbloodglucosemaybe extremelylow. Ifyouseethiserrormessageafteryouappliedblood totheteststrip: jIfyouareexperiencinganyofthecommon symptomsoflowbloodsugar,contactyour healthcareprofessionalimmediately. jTreatyourlowbloodsugarasrecommendedby yourhealthcareprofessional.
Display Shows Possible Cause(s) E-53BadTest Error jAmeterorteststriperrorhas jDiscardtheteststripandrepeatthetest. occurred. jYourbloodglucosemaybe extremelyhigh. Possible Solution(s) jIfthismatcheshowyoufeel,contactyour healthcareprofessionalimmediately.Ifitdoesnot matchhowyoufeel,repeatthebloodglucosetest andseeChapter2,“TestingYourBloodGlucose.
8 Display Shows Possible Cause(s) Possible Solution(s) E-54NotEnough Sample jNotenoughbloodorcontrol jDiscardtheteststripandrepeatthetest. solutionwasdrawnintothe teststripformeasurementor wasappliedafterthetesthas started. E-55CodeKey Expired jThecodekeyisfroman expiredlotofteststrips. E-56Sample AppliedEarly jBloodorcontrolsolutionwas jDiscardtheteststripandrepeatthetestwithanew appliedtotheteststripbefore teststrip.
Display Shows Possible Cause(s) Possible Solution(s) E-58Temp.Error jThetemperatureisaboveor belowtheproperrangefor themeter. jMovethemetertoanareawithintheproper temperaturerangeindicatedforteststripuseinthe teststrippackageinsert.Wait5minutesbefore turningonthemeter.Repeatthetest.Donot artificiallyheatorcoolthemeter. E-59Battery Empty jThebatteriesareextremely low. jInsertnewbatteries.SeeChapter7,“Careand Maintenance.
8 Display Shows Possible Cause(s) Possible Solution(s) InfrequentPump Communication jAtleast2weekshavepassed jEnsurethemeterandpumphaveBluetoothwireless sincethemeterandpump technologyturnedon. havecommunicated. jEnsurethemeterandpumparewithin communicationrange. jIfthelowbatteryiconisdisplayedonthemeter,the metercannotcommunicatewiththepump.Replace thebatteries.
Display Shows Possible Cause(s) Possible Solution(s) InvalidHyper Values jThehyperwarninglimitvalue jResetthehyperwarninglimitorrevisethetarget mustbegreaterthanallof rangesintimeblocksandre-enterthehyper yourtargetrangesinthetime warninglimit. blocksettings. jEnterahyperwarninglimitthatisabovethetarget rangesofyourtimeblocks.SeeChapter5, “ChangingMeterSettings.
8 Display Shows Possible Cause(s) Possible Solution(s) InvalidTarget Range jThelowertargetrangevalue jResetthetargetrangevalues. isabovetheuppertarget jEnterthecorrectlowertargetrangevalueand rangevalue. uppertargetrangevalue.SeeChapter5,“Changing MeterSettings.” jTherangeselectedconflicts jResetrangeorrevisewarninglimitsettingsand withyourhyperand/orhypo re-enterrange. warninglimitsettings.
Display Shows Possible Cause(s) NobGwithBolus jYouhavenottestedyourbG jItisrecommendedtotestbGbeforedelivering andareattemptingtodeliver insulin. abolus. PairingFailed jTheattempttopairthemeter jRestartthepairingprocess.SeetheAdvanced andpumpwasunsuccessful. Owner’sBooklet. PumpNotAvailable jThepumpisoutofthe communicationrangeofthe meter. Possible Solution(s) jEnsurethemeterandpumphaveBluetoothwireless technologyturnedon.
Display Shows Possible Cause(s) 8 Possible Solution(s) TestStripsExpiring jTheteststripsexpireatthe endofthecurrentmonth. jThismessagemayappearwhenusingawhite activationchipinthemeter.Itmeanstheteststrips expireattheendofthecurrentmonth.Attheendof themonth,discardthewhiteactivationchipand anyremainingteststrips.Insertablackactivation chip.Makesurethetimeanddateinthemeterare correct.
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9 9 Technical Information 9.1Overview 9.2ProductLimitations 9.3Specifications 9.4ProductSafetyInformation 9.5DisposingoftheMeter 9.6Guarantee 9.7AdditionalSupplies 9.8InformationforHealthcareProfessionals 246 247 248 250 253 254 255 256 245 50813_00048009694_D.
9.1 Overview Thischapterprovidesyouwithimportantperformanceinformationregardingthemeter. 246 50813_00048009694_D.
9 9.2 Product Limitations Pleasereadtheliteraturepackagedwithyourteststripstofindthelatestinformationonproduct specificationsandlimitations. 247 50813_00048009694_D.
9.3 Specifications Bloodvolume jRefertotheteststrippackageinsert. Sampletype jFreshwholeblood Measuringtime jRefertotheteststrippackageinsert. Measuringrange jRefertotheteststrippackageinsert. Teststripstorageconditions jRefertotheteststrippackageinsert. Meterstorageconditions(with batteriesinserted) j-20ºCto50ºC Systemoperatingconditions jRefertotheteststrippackageinsert.
9 Powersupply jThreeAAAbatteries(recommended:alkaline) Display jLCD Dimensions j94x55x25mmLWH Weight jApproximately103gwithbatteriesinserted Construction jHand-held Protectionclass jIII Metertype jTheAccu-ChekAvivaComboMeterissuitableforcontinuous operation. Controlsolutionstorageconditions j2°Cto32°C Interface jIR;LED/IRED–Class1 249 50813_00048009694_D.
9.4 Product Safety Information Bluetooth Wireless Technology ThemeterandthepumputilizeBluetoothwirelesstechnologytocommunicateandtransferinformation. Bluetoothwirelesstechnologyisaformofradiofrequency(RF)technologythatoperatesintheunlicensed industrial,scientific,andmedicalbandat2.4to2.485GHz.TheRFchannelutilizedforcommunication betweenthemeterandthepumpisnotanopenchannel.
Intheeventthereisinterferencefromanotherdevice,itisrecommendedthatyouincreasedistancebetween meterandthatdevice.Youmayalsoturnofftheinterferingdevice.Inaddition,youmayturnoffBluetooth wirelesstechnologyonthemeteranddeliverinsulindirectlyusingthepump. 9 ChangesormodificationstothedevicenotexpresslyapprovedbyRochecouldvoidtheuser’sauthorityto operatethedevice.
Performance Analysis TheperformancedatafortheAccu-ChekAvivaComboSystem(Accu-ChekAvivaComboMeterwith Accu-ChekAvivaTestStrips)wereobtainedusingcapillarybloodfromdiabeticpatients(methodcomparison, accuracy),venousblood(repeatability),andcontrolsolution(reproducibility).Thesystemiscalibratedwith venousbloodcontainingvariouslevelsofglucose.Thereferencevaluesareobtainedusingthehexokinase method.
9 9.5 Disposing of the Meter w WARNING •Duringbloodglucosemeasurement,themeteritselfmaycomeintocontactwithblood.Usedmeters thereforecarryariskofinfection.Disposeofyourusedmeter,afterremovingthebatteries,according totheregulationsapplicableinyourcountry.Forinformationaboutcorrectdisposal,contactyourlocal councilandauthority.
9.6 Guarantee Thestatutoryprovisionsonrightsinconsumergoodssalesinthecountryofpurchaseshallapply. 254 50813_00048009694_D.
9 9.7 Additional Supplies ThefollowingsuppliesandaccessoriesareavailablefromyourauthorizedRocheDiabetesHealthcareCentre, pharmacies,oryourmedical/surgicalsupplydealer: Test Strips Accu-ChekAvivaTestStrips Control Solutions Accu-ChekAvivaControlSolutions 255 50813_00048009694_D.
9.8 Information for Healthcare Professionals w WARNING Healthcare Professionals: Follow the infection control procedures appropriate for your facility. Adropoffresh,wholebloodisrequiredtoperformabloodglucosetest.Refertotheteststrippackageinsert foradditionalhealthcareprofessionalinformation. 256 50813_00048009694_D.
Appendices Appendix A: Abbreviations Abbreviation Definition BE BreadEquivalent(equalto12gramsofcarbohydrates) bG BloodGlucose °C DegreesCelsius(orCentigrade) Carbs Carbohydrates CC CarbohydrateChoice(equalto15gramsofcarbohydrates) FCC FederalCommunicationsCommission(UnitedStates) g Grams GHz Gigahertz Hyper Hyperglycaemia(highbloodglucose) Hypo Hypoglycaemia(lowbloodglucose) IC IndustryCanada 257 50813_00048009694_D.
Abbreviation Definition IR Infrared ISO InternationalOrganizationforStandardization KE Kohlenhydrateinheit(equalto10gramsofcarbohydrates) LCD LiquidCrystalDisplay mmol/L MillimolesperLiter N/A NotApplicable NIST NationalInstituteofStandardsandTechnology(UnitedStates) PIN PersonalIdentificationNumber RF RadioFrequency SD StandardDeviation U Units(bolusinsulinunits) 258 50813_00048009694_D.
Appendix B: Carb Units Forcarbohydrates,thefollowingunitsofmeasureareavailableonthemeter. Abbreviation Unit of Measurement Gram Equivalent g Grams 1gram KE Kohlenhydrateinheit 10grams BE BreadEquivalent 12grams CC CarbohydrateChoice 15grams 259 50813_00048009694_D.
Appendix C: Explanation of Symbols Youmayencounterthefollowingsymbolsonthepackaging,onthetypeplate(backofmeter),andinthe instructionsforthemeter,shownherewiththeirmeaning. Consultinstructionsforuse w Caution,refertosafety-relatednotesintheinstructionsforuseaccompanyingthis product.
Appendix D: Meter Settings and Range Limits mmol/L Data Type Unit of Measurement MIN MAX Increments Default Setting ActingTime hours:minutes 1:30 8:00 0:15 4:00 ActiveInsulin Units 0 99.9 0.1 N/A bGThreshold(High) mmol/L 6.5 19.5 0.1 HyperWarningLimit bGThreshold(Low) mmol/L 3 5.5 0.1 HypoWarningLimit CarbRatio(carbs) 1 0.1 0.1 0.1 240 20 24 16 1 0.1 0.1 0.
Data Type Unit of Measurement MIN MAX Increments Default Setting Exercise1 (healthevent) % -50 50 1 0 Exercise2 (healthevent) % -50 50 1 0 ExtendedBolus (insulin) Units 0 501 0.1 N/A HyperWarning Limit mmol/L 10 19.4 0.1 16.5 3 5 0.1 4 HypoWarningLimit mmol/L Illness(health event) % -50 50 1 0 InsulinSensitivity (bG) mmol/L 0.1 55.4 0.1 Noentry(“---mmol/L”) InsulinSensitivity (insulin) Units 0.1 50 0.1 1 MealRise(bG) mmol/L 2.
Data Type Unit of Measurement MIN MAX OffsetTime hours:minutes 0:45 Acting 0:15 Time 1:00 Premenstrual (healthevent) % -50 50 1 0 SnackSize(carbs) grams BE KE CC 0 0 0 0 24 2 2.4 1.6 1 0.1 0.1 0.1 Noentry(“---g”) Noentry(“---BE”) Noentry(“---KE”) Noentry(“---CC”) StandardBolus (insulin) Units 0 50 0.1 N/A Stress(health event) % -50 50 1 0 TargetRangeUpper mmol/L Value 5.5 15 0.1 8 TargetRange LowerValue 3 8 0.
ThefollowingarethedefaultsettingsforbGtestreminders.ToturnonabGtestreminder,see“Settingthe AlarmClockReminders:bGTest,Other”inChapter5,“ChangingMeterSettings.” Test Reminder Default Time of Day 1 07:00 2 09:00 3 11:00 4 12:00 5 14:00 6 16:00 7 19:00 8 22:00 264 50813_00048009694_D.
Thefollowingarethedefaultsettingsforthetimeblocks.Talktoyourhealthcareprofessionalaboutsetting uptimeblockstohelpyoumanageyourdiabetes.Toadjustthetimeblocks,seeChapter5,“ChangingMeter Settings.” Time Block 24-Hour Format 1 0:00–5:30 2 5:30–11:00 3 11:00–17:00 4 17:00–21:30 5 21:30–0:00 265 50813_00048009694_D.
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Glossary Term Definition 7-dayaverage Includesresultsgeneratedtodayandtheprevious6days. ActingTime Theperiodoftimefromthestartofthemealriseorthedeliveryofa correctionbolusuntilyourbloodglucoselevelisexpectedtoreturntothe targetlevel. ActiveInsulin Bolusinsulinthathasbeengiventoloweryourbloodglucosebuthasnot yetbeenfullyused.
Term Definition bGTestReminders Reminderstoretestyourbloodglucoseafterahighbloodglucosetest result,afteralowbloodglucosetestresult,orafterameal. bGThreshold AbGtestremindersetting.Theupperlimitforyourbloodglucosefora highbGtestreminderandthelowerlimitforyourbloodglucoseforalow bGtestreminder. BloodGlucose(bG) Thelevelofsugarinblood.
Term Definition CarbRatio Theamountofinsulinnecessarytoaccountforacertainnumberof carbohydrates. Carbohydrates(orCarbs) Carbohydratefoodsincludesugarsandstarches.Carbohydratescan raisebloodglucoselevelsslowlyorrapidly.Carbohydratesaregenerally countedtocalculateabolusinsulindose. Caution Providesinformationthat,ifnotfollowed,couldresultinmaterialhazards (damagetoordestructionofequipmentormaterials).
Term Definition Day Periodoftimestartingat00:00andendingat23:59. EndTime Theendtimeofatimeblock. ExtendedBolus Abolusdeliveredoveraperiodoftime.Itcanbehelpfulduringlong mealsorwhenyouhavemealsthataredigestedslowly.TheExtended Bolusmayalsobeappropriateforpeoplewhohavegastroparesis (delayeddigestion).ThisoptionisavailableonlywhenBluetoothwireless technologyisturnedonandthemeterandpumparecommunicating.
Term Definition Hypo Hypoglycaemia:anabnormallylowlevelofglucoseintheblood. HypoWarningLimit Whenyourbloodglucosetestresultisbelowthehypowarninglimit,a warningisdisplayed. InsulinPump Adevicethatdeliversacontinuoussupplyofinsulinintothebody. InsulinSensitivity Theamountofinsulinnecessarytoloweryourbloodglucosebyacertain amount. Ketones Aby-productorwasteproductwhenyourbodyburnsstoredfatfor energy.
Term Definition MealTime Apop-upmenuselection(PreMeal,PostMeal,Bedtime,orother)that allowsinformationtobestoredwithabloodglucosetestorinadiary record. Meter Bloodglucosemeter. MultiwaveBolus Abolusdesignedtobettersimulatethebody’sinsulindelivery.It combinesanimmediatebolusdeliveryfollowedbyanExtendedBolus delivery.AMultiwaveBoluscanbehelpfulwhenyouhavemealsthat includebothrapidlyandslowlyabsorbedcarbohydrates.
Term Definition QuickBolus AbolusdeliveryonthepumpusingthepumpUPandDOWNkeys.One keypressequalsonebolusincrement(i.e.,0.1,0.2,0.5,1.0,2.0).See thepumpUserGuideformoreinformation. RemindAfter AbGtestremindersetting.Theamountoftimeafterahighbloodglucose testresult,afteralowbloodglucosetestresult,orafteramealyouwant theremindertooccur.
Term Definition StandardBolus Abolusthatisimmediatelydeliveredtocoverafoodorabloodglucose correction.WhenStandardisselected,thebolusisdeliveredbythe pump.ThisoptionisavailableonlywhenBluetoothwirelesstechnologyis turnedonandthemeterandpumparecommunicating. StartTime Thestarttimeofatimeblock. TargetRange Thedesiredupperandlowerlimitsofyourbloodglucoselevelconsidered acceptableassetbyyourhealthcareprofessional.
Index A abbreviations,257–259 actingtime,152–154, 163 activationchip,12–13, 15 activationchipslot,13 activeinsulin,49–52 adviceoptions,162–163 afterhighbGtestreminder,133–137, 200, 204 afterlowbGtestreminder,133–137, 200, 204 aftermealbGtestreminder,133–137, 201, 204, 207 alarmclockreminders, bGtest,29, 138–140, 204, 208 other,29, 138–140, 204, 208–209 appetite,increased,58 B backlight,20, 193 button,13, 17 batteries,14 changing,221–223 low,31 type,
blurredvision,58 bolusadvice,22, 146–154 bolusadviceoptions. See adviceoptions bolus,delivery,23, 230–232 buttons,13, 15–17, 16–18 C carbohydrates,49–52, 85, 88 unitsofmeasure,173–175, 259 carbratio,150, 232 carbs. See carbohydrates CC,173–175 cleaningmeter,225 codechip.
F fatigue,58 frequenturination,58 G g(grams),173–175 graph, standardday,105–108 standardweek,114–117 target,122–124 trend,95–98 guarantee,254 H headache,58 healthevents,27, 50–51, 85, 88, 152, 160–161 highbGretestreminder,202, 206 hyperwarninglimit,24, 164–166, 230, 240 hypowarninglimit,24, 164–166, 230, 240 I icons,listing,81–82, 197–198 infrared(IR)window,13–14, 129 infusionsetchangereminder,141–145, 202, 204 insulinpump,19 insulinpump,connecting.
M maintenance,meter,226 mealrise,152, 154, 163 mealtime,49–52, 85 meter, settingsandrangelimits,261–266 summaryoffeatures,13, 20–28 N navigation,36–37 numbness,58 O offsettime,152–153, 163 P pairing,18, 178 powerbutton,13, 16–17 power-savingtips,224 pump.
sweating,58 symbols,explanation,260 T table, standardday,109–112 standardweek118–120 target,125–127 trend,100–103 targetrange,150, 187, 240–241 target,reporting,121–127 testresults, storing,77–78 unusual,57 teststrip,235–237, 243 thirst,increased,58 timeblocks,25–26, 146–154, 155–159, 185–192, 265 timechange,95, 97, 100–101 timeformat,setting,182–183 time,setting,182–183 tingling,58 trembling,58 troubleshooting,229–243 U unitsofmeasure.
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