07006322001-1013 Roche USA – 52123 V6/1 – 07006322001 – Black – 209 © 2013 Roche Diagnostics Assembled in USA. Roche Diagnostics Corporation 9115 Hague Road Indianapolis, IN 46256 www.accu-chek.com 52123_07006322001.indb 1 ACCU-CHEK, ACCU-CHEK AVIVA, ACCU-CHEK AVIVA EXPERT, and FASTCLIX are trademarks of Roche.
LAST UPDATE: 2013-07 52123_07006322001.
Before You Start Testing Roche USA – 52123 V4/1 – 07006322001 – Black – About the meter and test strips • Carefully read and follow the instructions in the Getting Started Guide, the Standard Owner’s Booklet, the Advanced 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.
NOTE The terms “blood sugar” and “blood glucose” have the same meaning. In this manual we will use the term “blood glucose” when referring to “blood sugar.” WARNING • The meter and lancing device are for single patient use only. Do not share them with anyone, including other family members, due to the risk of infection from bloodborne pathogens.
About Your New Meter • The meter is designed and can be used for testing fresh capillary whole blood samples (for example, blood from a fingertip). • Only use ACCU-CHEK Aviva Plus test strips. Other test strips will give inaccurate results. • Although you always apply whole blood to the test strip, the system has been calibrated to deliver plasma-like values for easier comparison to lab results. • The meter, test strips, and control solution are only for use outside the body (in vitro).
About Bolus Advice • Bolus advice is only available if you set up bolus advice on the ACCU-CHEK Aviva Expert meter. For information on how to set up bolus advice, see section 5.6 Setting Time Blocks, Health Events, Advice Options: Bolus Advice Set Up. • If you deliver a bolus without using bolus advice, you should enter the bolus advice into your diary.
About Testing Yourself or Others • If you are very dehydrated or urinating frequently, you may get an inaccurate test result. If you think you are dehydrated, call your healthcare professional right away. • Some people with diabetes do not experience symptoms of low blood glucose (hypoglycemia). Others, such as children or people who are unconscious or have certain disabilities, may not be able to communicate their symptoms to caregivers.
DO NOT CHANGE YOUR TREATMENT BASED ON A SINGLE RESULT THAT DOES NOT MATCH HOW YOU FEEL OR IF YOU BELIEVE THAT YOUR TEST RESULT COULD BE INCORRECT. If your blood glucose result doesn’t match how you feel and you have followed the instructions in your owner’s booklets, follow your healthcare professional’s instructions or call your healthcare professional.
Contents Before You Start Testing i Introduction 7 9 The ACCU-CHEK Aviva Expert System 1 Understanding Your New System 1.1 Overview 1.2 The ACCU-CHEK Aviva Expert Meter at a Glance 1.3 Summary of Features 1.4 Screen Content and Navigation 2 Testing Your Blood Glucose 2.1 Overview 2.2 Using the ACCU-CHEK Aviva Expert System 2.3 Performing a Blood Glucose Test 2.4 Detailed Blood Glucose Test Results 13 14 15 21 29 35 36 37 39 47 1 52123_07006322001.
2.5 Understanding Blood Glucose Test Results 2.6 Unusual Blood Glucose Test Results 2.7 Symptoms of High or Low Blood Glucose 51 55 57 3 Control Testing 59 60 61 62 63 69 3.1 Overview 3.2 Why Perform Control Tests 3.3 About the Control Solutions 3.4 Performing a Control Test 3.5 Understanding Control Test Results 4 Managing Your Data 4.1 Overview 4.2 Viewing or Modifying Your Data 4.3 Adding New Data 4.4 Reporting Your Data 4.
5 Changing Meter Settings 5.1 Overview 5.2 Setting bG Test Reminders: After High bG, After Low bG, After Meal 5.3 Setting Alarm Clock Reminders: bG Test, Injection, Other 5.4 Setting Date Reminders: Dr. Visit, Lab Test 5.5 Setting Bolus Advice for the First Time 5.6 Setting Time Blocks, Health Events, Advice Options: Bolus Advice Set Up 5.7 Setting Warning Limits: Hyper, Hypo 5.8 Turning Key Lock On or Off 5.9 Setting the Language 5.10 Setting Units: Carbs, Insulin Increment, Max Bolus 5.
6 Icons, Reminders, Warnings, and Errors 6.1 Overview 6.2 List of Icons 6.3 Confirming a Reminder, Warning, or Error 6.4 List of Reminders 6.5 List of Warnings 6.6 List of Errors 7 Cleaning and Disinfecting the Meter and Lancing Device 7.1 Overview 7.2 Cleaning and Disinfecting the Meter 7.3 Cleaning and Disinfecting the Lancing Device 8 Maintenance 8.1 Overview 8.2 Changing the Batteries 8.3 Power-Saving Tips 8.
9 Troubleshooting 9.1 Overview 9.2 Troubleshooting the ACCU-CHEK Aviva Expert Meter 10 Technical Information 10.1 Overview 10.2 Product Limitations 10.3 Specifications 10.4 Product Safety Information 10.5 Disposing of the Meter, Strips, Lancets, and Batteries 10.6 Warranty and Limited License 10.7 Additional Supplies 10.8 Information for Healthcare Professionals 237 238 239 251 252 253 254 256 258 260 267 268 5 52123_07006322001.
Appendices Appendix A: Abbreviations Appendix B: Carb Units Appendix C: Explanation of Symbols Appendix D: Meter Settings and Range Limits Appendix E: References 269 269 271 272 273 278 Glossary 279 Index 287 6 52123_07006322001.
Introduction Whether the ACCU-CHEK Aviva Expert meter is your first blood glucose meter or you have used a meter for some time, please take the time to read the Getting Started Guide, the Standard Owner’s Booklet, and the Advanced Owner’s Booklet carefully before you use your new meter. To use it correctly and dependably, you need to understand its operation, screen displays, and all individual features. Your new meter includes three booklets: • Getting Started Guide: Use this booklet to set up the meter.
This booklet includes information about: • Understanding your new ACCU-CHEK Aviva Expert system • Testing your blood glucose • Control testing • Managing your data • Changing the meter settings • Understanding the icons, reminders, warnings, and errors • Cleaning and disinfecting the meter and lancing device • Maintenance • Troubleshooting • Technical information If you have questions, we are here to help. Just call ACCU-CHEK Customer Care Service Center at 1-800-688-4578. You can also visit www.accu-chek.
The ACCU-CHEK Aviva Expert System The ACCU-CHEK Aviva Expert meter is for quantitative blood glucose testing using ACCU-CHEK Aviva Plus test strips.
Intended Use The ACCU-CHEK Aviva Expert System is indicated as an aid in the treatment of insulin-requiring diabetes. The ACCU-CHEK Aviva Expert System consists of the ACCU-CHEK Aviva Expert Meter, ACCU-CHEK Aviva Plus test strips, ACCU-CHEK Aviva control solutions, and ACCU-CHEK Bolus Advisor.
The ACCU-CHEK Aviva Expert meter is also indicated for the calculation of an insulin dose or carbohydrate intake based on user-entered data. The ACCU-CHEK Bolus Advisor, as a component of the Accu-Chek Aviva Expert meter, is intended for use in providing insulin dose recommendations in response to blood glucose, health events, and carbohydrate input.
Why Regular Blood Glucose Testing Is Important Testing your blood glucose regularly can make a big difference in how you manage your diabetes every day. Discussing your results with your healthcare professionals and following their advice about medicine, exercise, and food plans can help you better control your diabetes. Important Information About Your New Meter • The meter is designed for testing fresh whole blood samples (for example, blood from your fingertip).
1 1 Understanding Your New System 1.1 Overview 1.2 The ACCU-CHEK Aviva Expert Meter at a Glance 1.3 Summary of Features 1.4 Screen Content and Navigation 14 15 21 29 13 52123_07006322001.
1.1 Overview Your new meter has several features to assist you in managing your diabetes. It is important you understand the features and how to operate the meter correctly. NOTE • This booklet shows sample screens. The screens in this booklet may look slightly different from the screens on the meter. If you have any questions about the meter screens, the ACCU-CHEK Customer Care Service Center is open 24 hours a day, offering help in many languages. Call 1-800-688-4578.
1 1.2 The ACCU-CHEK Aviva Expert Meter at a Glance Infrared (IR) Window Display Transfers data from the meter to a computer. Shows menus, results, messages, and data stored in the diary. Code Key Slot Buttons Black code key is preinserted here. Press to enter menus or the diary, adjust settings, and scroll through results. Battery Door Remove the battery door by pushing the tab and pulling up the door. Left/Right Soft Keys Press to select the menu or option above the key.
Batteries Insert batteries according to the + and - symbols in the battery compartment. Test Strip Yellow Window Touch blood drop or control solution here. Golden End Insert this end of the test strip into the meter. Control Solution Bottle (for example) Test Strip Container (for example) 16 52123_07006322001.
1 Top View Infrared (IR) Window Code Key (for example) Side View Pre-inserted black code key NOTE The meter is already coded and comes with a pre-inserted black code key that you never need to change. Even if you use test strips from test strip boxes that contain another code key that is a different color or has different code numbers, you never need to change the black code key again. 17 52123_07006322001.
The meter has seven buttons and two soft keys. Left Soft Key Right Soft Key Up Arrow Right Arrow Enter Down Arrow Left Arrow Backlight Power On/Off NOTE • You hear a sound every time an active button/soft key is pressed unless you turned off the key sound. • Press + or insert a test strip to turn on the meter. If the meter displays the Time/Date screen, make the necessary changes and select Save. 18 52123_07006322001.
Table of Buttons and Soft Keys Button < > x z , . = * + Name Function Left Arrow j Move or scroll to the left in a screen. Right Arrow j Move or scroll to the right in a screen. Up Arrow j Move or scroll up in a screen. Down Arrow j Move or scroll down in a screen. Left Soft Key j Select the option above the key on the display. 1 Right Soft Key j Select the option above the key on the display. Enter j Select a menu or option. j Save changes and exit the entry field.
Table of Button Combinations Button Combination Name Function When the buttons are locked, press and hold , and . until the Main Menu appears. Unlock Keys j Unlocks the buttons. 20 52123_07006322001.
1 1.3 Summary of Features Display The meter has a full-color graphic LCD (Liquid Crystal Display) that displays current and historical information. Backlight • The backlight helps you read the information on the meter display under different lighting conditions. • When the meter is turned on, the backlight is set to the medium level. • Adjust the backlight level by pressing and releasing the backlight button. • The backlight adjusts from low, to medium, to high, and back to low again.
Key Lock • The key lock feature allows you to lock all of the buttons on the meter, except for the power on/off button. • The key lock serves as a safety measure against unintentional activation of meter functions. • For more information, see Chapter 5, Changing Meter Settings. Signal Settings • The meter communicates reminders, warnings, and errors using sounds and vibrations. • For more information, see Chapter 6, Icons, Reminders, Warnings, and Errors.
1 Bolus Advice (Optional) • The term “bolus” refers to the delivery of insulin all at once rather than slowly throughout the day, usually used to compensate for meals or high blood glucose. • Bolus advice calculates a bolus for you that is adapted to the time of day and your changing situations. • This function is activated only if you set up bolus advice on the meter. • For instructions on how to set up bolus advice, see Chapter 5, Changing Meter Settings.
Data Transfer • You can transfer your data stored on the meter to a computer. • For more information, see Chapter 4, Managing Your Data. Warning Limits for Hyper and Hypo Blood Glucose Levels • You can select hyper (high) and hypo (low) blood glucose limits that best fit your needs. Whenever a blood glucose test result is above or below this range, the meter displays a warning. • In addition, Trend Graph screens indicate the hypo warning limit when displaying your blood glucose test results.
Time Blocks • Time blocks allow you to divide a day into different time periods. • Setting time blocks to fit your own schedule helps you and your healthcare professional see how patterns in your blood glucose are affected by your daily activities and lifestyle. • Time blocks can be set up with or without bolus advice. • Talk to your healthcare professional about the best way to set up your time blocks to assist you in managing your diabetes. • The meter has 5 default time blocks.
Without bolus advice, you need to consider the following when setting up time blocks: • Determine the appropriate time range by reviewing the end time for each time block. • Review the acceptable blood glucose target range (low and high) for each time block. With bolus advice, you need to consider the following when setting up time blocks: • Determine the appropriate time range by reviewing the end time for each time block.
Health Events Health events can be selected to indicate how you are feeling or what you are doing that might affect your diabetes. The meter allows you the option of setting a percentage for each health event, except for Fasting, if you set up bolus advice. Fasting does not scale bolus advice calculations and is not adjustable.
Blood Glucose Test Reminders (Optional) The meter can be set up to remind you to retest your blood glucose after a high blood glucose test result, after a low blood glucose test result, or after a meal. An after high blood glucose test reminder example: • The meter is set up with a high bG threshold level of 240 mg/dL and with a reminder time of 60 minutes. • You have a blood glucose test result higher than 240 mg/dL, perhaps 270 mg/dL.
1 1.4 Screen Content and Navigation This section provides an explanation of how to understand and navigate the screens on the meter. Each time the meter is turned on, this splash screen (ACCU-CHEK logo screen) is displayed for a short period of time. 29 52123_07006322001.
Features on the Main Menu: Sound Icon Appears when the beeper is turned on Time Menu Options Vibrate Icon Appears when vibrate is turned on Date Low Battery Icon Appears when the meter batteries are low NOTE To select an item on a menu, press x or z to highlight (blue) the menu item and then press =. 30 52123_07006322001.
1 Features on a screen: Title Bar Primary menu title is displayed here. Secondary Title Bar When necessary, a secondary title bar appears. Secondary menu text is displayed here. Left Soft Key Option Press , to select the option above the button on the screen. Highlighted Option When a menu choice or item is selected, it is highlighted in blue. Scroll Bar If there is more information available than fits on the screen, a vertical scroll bar appears on the right side of the screen.
Information can be entered on some screens. Numerical entry fields appear as pop-up entry fields. When an option must be selected, it appears as a pop-up menu. • To open a pop-up menu or entry field, press =. • Press x or z to select the appropriate pop-up menu option or until the correct numerical entry is present, and then press =. • Press and hold x or z to scroll faster. Pop-Up Entry Field Pop-Up Menu 32 52123_07006322001.
General Navigation Steps To change the settings or enter information into the meter: 1 1. j Press x or z to select a menu option and press =. j Repeat the previous step as necessary. 33 52123_07006322001.
2. 3. 4. j Select Save by pressing . to save changes and return to the previous screen. j Press x or z or < or > to select an option or a desired entry field and press =. j Press x or z to select the desired entry and press =. j Repeat Steps 2 and 3, as necessary. 34 52123_07006322001.
2 2 Testing Your Blood Glucose 2.1 Overview 2.2 Using the ACCU-CHEK Aviva Expert System 2.3 Performing a Blood Glucose Test 2.4 Detailed Blood Glucose Test Results 2.5 Understanding Blood Glucose Test Results 2.6 Unusual Blood Glucose Test Results 2.7 Symptoms of High or Low Blood Glucose 36 37 39 47 51 55 57 35 52123_07006322001.
2.1 Overview It is important to understand how to perform a blood glucose test properly. You can perform a blood glucose test from your fingertip. NOTE Blood glucose and bG are interchangeable and mean the same thing. 36 52123_07006322001.
2 2.2 Using the ACCU-CHEK Aviva Expert System Before You Start Testing Using ACCU-CHEK Aviva Plus Test Strips • Only use ACCU-CHEK Aviva Plus test strips. • Store the unused test strips in their original container. Do not remove test strips from the test strip container and put them into another container, such as a plastic bag, pocket, purse, wallet, etc. • Immediately after you take out a test strip, securely close the container. This helps keep the test strips dry.
WARNING Not following the precautions below can lead to inaccurate results: • Do not store test strips in extreme temperatures or moisture areas (bathroom, kitchen, laundry room, car, or garage). Heat and moisture can damage your test strips. • Do not bend, cut, or alter the test strips. • Do not get dirt, food, or other material on the test strips. 38 52123_07006322001.
2 2.3 Performing a Blood Glucose Test Before you perform your first blood test, ensure the meter is set up correctly and that you perform a control test. You need a meter with a pre-inserted black code key, a test strip, a lancing device, and a lancet. WARNING • During normal testing any blood glucose meter or lancing device may come in contact with blood.
WARNING • Do not change your treatment because of one blood glucose test result. • NEVER ignore symptoms of high or low blood glucose. NOTE If you need to perform a control test, only use ACCU-CHEK Aviva control solutions. See Chapter 3, Control Testing for more information about control testing. 40 52123_07006322001.
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. j Wash and dry your hands. Dirty hands could affect results. j Prepare the lancing device for a fingertip test. j Always use a new lancet with each test. j Check the Use By date on the test strip container. Do not use test strips past the Use By date. j Insert the golden end of a test strip into the meter in the direction of the arrow. The meter turns on.
4. 5. 6. The Apply Sample screen appears. The test strip is ready for testing. Fingerstick: j Perform a fingerstick with the lancing device. Fingerstick: j Gently squeeze your finger to assist the flow of blood. This helps you get a blood drop. 42 52123_07006322001.
7. 8. 9. When the test strip has enough blood, the Analyzing screen appears. The result appears on the display. 2 j Touch the blood drop to the front edge of the yellow window of the test strip. Do not put blood on top of the test strip. 43 52123_07006322001.
10. Approximately 3 seconds later, the detailed bG Result screen appears. j Remove and discard the used test strip. 44 52123_07006322001.
2 NOTE • If the blood drop is too small, reapply pressure to get a sufficient blood drop. • For more information regarding blood glucose test results, see Section 2.5, Understanding Blood Glucose Test Results. • To add detailed information to the blood glucose test (meal time, carbs, and health events) see Section 2.4, Detailed Blood Glucose Test Results. • If a test strip error occurs, remove and discard the used test strip and repeat the test with a new test strip.
NOTE Other ways to start a blood glucose test: • From the Main Menu, select bG Test and press =. Insert a test strip into the meter. • When a reminder notification or the key lock icon is displayed, insert a test strip into the meter. • From the Main Menu, select Bolus Advice and press =. If “bG Test” is displayed instead of an actual blood glucose value, then you can start a blood glucose test by selecting bG Test.
2 2.4 Detailed Blood Glucose Test Results The detailed bG Result screen displays the following information: Test Time Meal Time Carbohydrates Health Event Active Insulin Status Bar Blood Glucose Test Result Unit of Measure Displayed only if bolus advice is activated. 47 52123_07006322001.
Detailed bG Results > Change Meal Time/Carbs/Health Events (Optional) The detailed bG Result screen allows you to view and to add information to a blood glucose test result. 48 52123_07006322001.
2 How to Add Information to a Blood Glucose Test Result To Change Meal Time: j Select the Meal Time entry field and press =. j Select either Pre Meal, Post Meal, Bedtime, or Other and press =. To Change Carbs: j Select the Carbs entry field and press =. j Set the number of carbs and press =. To Change Health Events: j Select the Health entry field and press =. j Select either Exercise 1, Exercise 2, Stress, Illness, Premenstrual, or Fasting and press =.
NOTE • You can add information on the detailed bG Result screen for meal time, carbs, and health events. • Review and, if necessary, update information for meal time, carbs, and health events to receive an accurate bolus recommendation. 50 52123_07006322001.
2 2.5 Understanding Blood Glucose Test Results The bG Result screen displays the following information: Test Time Blood Glucose Test Result Test Date Status Bar Unit of Measure NOTE • If the dosed test strip is removed from the meter before results or errors are displayed, a blood glucose test result will not appear. • After approximately 3 seconds, the meter displays the detailed bG Result screen (see Section 2.4, Detailed Blood Glucose Test Results). 51 52123_07006322001.
Status Bar The status bar on the bG Result screen indicates how the result compares to the target blood glucose range for the current time block. The following are status bar descriptions with sample displays: Green indicates the result is within the target range for the current time block. Yellow indicates the result is below the target range for the current time block. The result is not below the hypo warning limit. Red with “Hypo” indicates the result is below the hypo warning limit.
2 Light blue indicates the result is above the target range for the current time block. The result is not above the hyper warning limit. Light blue with “Hyper” indicates the result is above the hyper warning limit. 53 52123_07006322001.
LO or HI Display NOTE If “LO” is displayed, the test result may be below the measurement range. j Contact your healthcare professional. If “HI” is displayed, the test result may be above the measurement range. j Contact your healthcare professional. Blood Glucose Warnings If the blood glucose test results are outside the hyper or hypo warning limits, or outside the measurement range of the meter, then a warning is displayed after the bG Test Result screen. Select OK to acknowledge a warning and continue.
2 2.6 Unusual Blood Glucose Test Results If your blood glucose test result does not match the way you feel, follow these steps: Troubleshooting Checks Actions 1. Are the test strips expired? Discard the test strips if they are past the use by date. Repeat the blood glucose test with an unexpired test strip. 2. Has the cap on the test strip container always been closed tightly? Replace the test strips if you think the test strip container was uncapped for some time and repeat the blood glucose test.
Troubleshooting Checks Actions 7. Are you still unsure of the problem? Contact ACCU-CHEK Customer Care Service Center at 1-800-688-4578. After performing a control test and repeating a blood glucose test, if your blood glucose test results still do not reflect the way you feel, contact your healthcare professional immediately. 56 52123_07006322001.
2 2.7 Symptoms of High or Low Blood Glucose Being aware of the symptoms of high or low blood glucose can help you understand your test results and decide what to do if they seem unusual. Hyperglycemia and hypoglycemia may include, but are not limited to the following symptoms: • High blood glucose (hyperglycemia): increased thirst, frequent urination, blurred vision, drowsiness, and/or unexplained weight loss.
Comparing Your Meter Result to a Lab Result A common question is how the blood glucose results on your meter compare to the lab results. Your blood glucose can change quickly, especially after eating, taking medication, or physical activity. If you test yourself in the morning and then go to the healthcare professional’s office for a blood glucose test, your results will probably not match, even if you are fasting.
3 3 Control Testing 3.1 Overview 3.2 Why Perform Control Tests 3.3 About the Control Solutions 3.4 Performing a Control Test 3.5 Understanding Control Test Results 60 61 62 63 69 59 52123_07006322001.
3.1 Overview This chapter describes how and when to perform a control test to ensure the accuracy of your blood glucose meter. It is recommended you complete a control test prior to performing a blood glucose test for the first time. NOTE Blood glucose and bG are interchangeable and mean the same thing. 60 52123_07006322001.
3 3.2 Why Perform Control Tests Performing a control test lets you know the meter and test strips are working properly to give reliable blood glucose test results. You should perform a control test when: • You open a new test strip box. • You left the test strip container open. • You want to check the meter and test strips. • Your test strips were stored in extreme temperatures, humidity, or both. • You dropped the meter. • Your test result does not match how you feel.
3.3 About the Control Solutions • Only use ACCU-CHEK Aviva control solutions. • The meter automatically recognizes the control solution. • The control test results are not displayed in the diary. • Write the date you opened the control solution bottle on the bottle label. The solution is good for 3 months from that date or until the “Use by” date on the bottle label, whichever comes first. • Do not use control solution that is past the “Use by” date. • The solution can stain clothing.
3 3.4 Performing a Control Test The Control Result screen displays the following information: Test Time Control Result Test Date Unit of Measure You need a meter with a pre-inserted black code key, a test strip, and control solution Level 1, Level 2, or both. 63 52123_07006322001.
Check the Use By Date > Insert Test Strip > Test Control Solution > Control Result 1. 2. 3. j Check the Use By date on the test strip container. Do not use test strips past the Use By date. j Insert the golden end of a test strip into the meter in the direction of the arrow. The meter turns on. The Apply Sample screen appears. The test strip is ready for testing. 64 52123_07006322001.
3 4. 5. 6. j Select the control solution to test. You will enter the level later in the test. j Place the meter on a flat surface, like a table. j Remove the control bottle cap. Wipe the tip of the bottle with a tissue. 65 52123_07006322001.
7. 8. 9. When the test strip has enough control solution, the Analyzing screen appears. j Wipe the tip of the bottle with a tissue and then cap the bottle tightly. The control result appears on the display. j Select Level to display the control solution level pop-up menu. j Squeeze the bottle until a tiny drop forms at the tip. j Touch the drop to the front edge of the yellow window of the test strip. Do not put control solution on top of the test strip. 66 52123_07006322001.
10. 11. j Select the control solution level and press =. j Remove and discard the test strip. j For information on understanding control test results, proceed to the next section, or select Menu to save this result and display the Main Menu screen. 3 67 52123_07006322001.
NOTE • If a test strip error occurs, remove and discard the used test strip and repeat the test with a new test strip. • Be careful not to put any fluids into the test strip slot. • When the Control Level screen is displayed and you select Cancel without selecting a control solution level, then No Entry is chosen. The meter stores the control test result along with No Entry and then the Detailed Control Result screen is displayed.
3 3.5 Understanding Control Test Results The detailed Control Result screen displays the following information: Test Time Test Date Control Result Control Solution Level Result Unit of Measure Menu Within range or Out of range Select Save to save result and display Main Menu screen 69 52123_07006322001.
Example Control Results Example Range (mg/dL) Level 1 25-55 Level 2 255-345 j The label on your test strip container shows the acceptable ranges for both the Level 1 and the Level 2 control solutions. The test result you get should be inside this range. Ensure you select and compare the test result to the correct level of control. For the level selected, the meter displays whether the result is within or outside of the acceptable range.
3 If the control test result is outside of the acceptable range, “Out of range” appears on the detailed Control Result screen. If “HI” is displayed, the control test result may be above the measurement range. If “LO” is displayed, the control test result may be below the measurement range. 71 52123_07006322001.
If the meter stored No Entry for the control solution level, then “---” appears with no indication of in or out of range. 72 52123_07006322001.
3 Out-of-Range Control Test Results If your control test result is out of range, check this list to help to solve the problem: Troubleshooting Checks Actions 1. Were either the test strips or control solutions expired? Discard the test strips or control solutions if either is past the Use By date. If the control solution was opened more than 3 months ago, discard it. Repeat the control test with an unexpired test strip and an unexpired control solution. 2.
Troubleshooting Checks Actions 6. Did you follow the directions? Read Chapter 3, Control Testing, and repeat the control test. Contact ACCU-CHEK Customer Care Service Center at 1-800-688-4578 if you still have problems. 7. Did you chose the correct control solution level, If you chose the wrong control solution level, you either 1 or 2, when you performed the control test? can still compare the control result to the range printed on the test strip container. 8.
4 4 Managing Your Data 4.1 Overview 4.2 Viewing or Modifying Your Data 4.3 Adding New Data 4.4 Reporting Your Data 4.5 Downloading Your Data to a Computer 76 79 86 89 126 75 52123_07006322001.
4.1 Overview Analyzing your blood glucose test results stored in the meter is an effective way for you and your healthcare professional to determine how well you are controlling your diabetes. This analysis is a valuable tool for making improvements to your diabetes management. The reports the meter displays help you get the most from your ACCU-CHEK Aviva Expert meter. From the diary records stored in the meter, you are able to view a specific blood glucose test record with its attributes (e.g.
4 Storing Test Results The meter automatically stores up to 1,000 diary records with the time and date. You can review up to 250 diary records on the meter or up to 1,000 diary records using a computer with compatible software. Diary records are stored from the newest to the oldest. It is very important to have the correct time and date set. Having the correct time and date setting helps ensure accurate interpretation of blood glucose test results by you and your healthcare professional.
NOTE • Do not change your therapy based on one individual record or test result in the diary. • This chapter shows sample screens. The screens may look slightly different from the screens on the meter. If you have any questions about the meter screens, contact ACCU-CHEK Customer Care Service Center at 1-800-688-4578. • The information in the diary is saved when you replace the batteries. You need to check the time and date after you replace the batteries.
4 4.2 Viewing or Modifying Your Data The View Data screen displays the following information: 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 Change meter display between blood glucose, bolus, and carbs views. Health Event Icon 79 52123_07006322001.
NOTE • If data are not available, the No Data Available screen is displayed. • The View Data screen displays the records in the order in which they occurred with the most recent record shown on top. • For the blood glucose test result: • “HI” is displayed if the test result is above the measurement range. • “LO” is displayed if the test result is below the measurement range. • The blood glucose test result is blank if a blood glucose test value does not exist. 80 52123_07006322001.
4 Icon descriptions: Icon Icon Name Description Basal Insulin Basal insulin entered into the diary record. bG Test Icon is displayed when information exists for this diary record regarding a blood glucose test. Meal Time Icon is displayed when information exists for this diary record regarding meal time. Carbs Icon is displayed when information exists for this diary record regarding carbs. Health Event Icon is displayed when information exists for this diary record regarding health events.
You can view a diary record with its attributes (blood glucose value, meal time, carbs, health event, bolus, and basal). Main Menu > My Data > View Data 1. 2. j From the Main Menu, select My Data and press =. j Select View Data and press =. 82 52123_07006322001.
4 3. Blood Glucose View: Bolus View: Carbs View: j Shown above are View Data screens that display values for blood glucose, bolus, or carbs. To choose another view, press . (a pop-up menu appears). Select the view you want and press =. j Press x or z to view other records (the screen scrolls if there are additional records). j To view or modify a record’s details, select the record and press =. 83 52123_07006322001.
4. 5. NOTE • To cancel changes or return to the View Detail screen, select Cancel. • Scroll down to select the basal entry field. j Press < to view the previous record or press > to view the 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. j Select the entry field to modify and press =. j Make the change in the entry field and press =. j Modify other fields, as needed.
The following fields cannot be modified with the specified condition: Fields Cannot be modified if the … Bolus Blood glucose test result was below the hypo warning limit Meal Time Record has no blood glucose value Meal Time, Carbs, Health Event, Bolus, and Basal Record has been used for bolus advice 4 85 52123_07006322001.
4.3 Adding New Data You can add data to a diary record for carbs, health, bolus, and basal. The Add Data screen displays the following information: Time Entry Field Carbs Entry Field Date Entry Field Health Entry Field Bolus Entry Field Save scroll down Appears once data has been entered to an entry field Basal Entry Field 86 52123_07006322001.
4 Main Menu > My Data > Add Data 1. 2. 3. j From the Main Menu, select My Data and press =. j Select Add Data and press =. j Select an entry field and press =. j Make addition in the entry field and press =. 87 52123_07006322001.
NOTE j Make additions to other entry fields, as needed. To save the changes and return to the My Data screen, select Save. • The meter initially displays the current date and the current time. You can change the date and time when adding a diary record, although the date and time cannot be set in the future. • Before a diary record can be saved, data must be entered (not including date and time). “Save” is not displayed above . until data has been entered.
4 4.4 Reporting Your Data Time Range Meal Times Blood Glucose Standard Deviation Calculated for the time range Number of Tests Used to calculate the averages and standard deviations Blood Glucose Average Calculated for the time range 89 52123_07006322001.
NOTE • If data are not available to calculate averages, the No Data Available screen is displayed. • Standard deviation measures how much the blood glucose test results are scattered around the blood glucose average. A low standard deviation means the blood glucose test results are tightly clustered around the blood glucose average; a high standard deviation means the blood glucose test results are widely scattered around the blood glucose average.
4 Reporting Your Blood Glucose Averages The meter displays your blood glucose averages and standard deviations for the time range you choose (7, 14, 30, 60, or 90 days). Main Menu > My Data > Reports > bG Averages 1. 2. 3. j From the Main Menu, select My Data and press =. j Select Reports and press =. j Select bG Averages and press =. 91 52123_07006322001.
4. The blood glucose averages are displayed. j To display blood glucose averages for another time range (last 7, 14, 30, 60, or 90 days), press either < or > to scroll the screen until you reach the time range you need. To return to the Reports screen, select Back. 92 52123_07006322001.
4 Reporting Your Data Trends The meter displays your blood glucose record trends for the time range you choose (last 8 hours, 24 hours, 48 hours, or 7 days). Main Menu > My Data > Reports > Trend 1. 2. 3. j From the Main Menu, select My Data and press =. j Select Reports and press =. j Select Trend and press =. 93 52123_07006322001.
Trend Graph Screen Time Range Bolus Icon Meal Time Selection Bolus Unit of Measure Blood Glucose Unit of Measure Maximum Bolus Amount Indicator Blood Glucose Icon Carbs Unit of Measure Maximum Carbs Amount Indicator Times or Days of Month Carbs Icon Arrow Bolus Value Indicates blood glucose data extends beyond screen Blue bar: height shown is in relation to the bolus insulin amount Each Blood Glucose Value Carb Value Dark orange bar: height shown is in relation to the carbs amount Connecte
4 NOTE • If data are not available to display the trend graph, the No Data Available screen is displayed. • Trend graphs do not include control results. (time change icon) is shown at the bottom of the Trend Graph screen, the time and date of one or more • If data points in the trend graph may not match the time stamp in My Data because the meter clock has been changed. All times in the trend graph show the data relative to the current meter time. For example: 1.
Trend Graph 1. j To display a trend graph for another time range (last 8 hours, 24 hours, 48 hours, or 7 days), press x to highlight the time range selection field (top of screen). Press either < or > until you reach the time range you need. 2. 3. j To display a trend graph for another meal time selection (Overall, Pre Meal, Post Meal, Bedtime, or Other), press either x or z to highlight the meal time selection field (immediately below the time range which is at the top of the screen).
4 NOTE The meter saves the current settings (time range, meal time, and graph view) when you select Back or when the meter powers off. 97 52123_07006322001.
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 Only shown when meter time has been changed for this data 98 52123_07006322001.
4 NOTE • If data are not available to display the trend table, the No Data Available screen is displayed. • Trend tables do not include control results. (time change icon) is shown at the bottom of the Trend Table screen, the time and date of one • If or more data points in the trend table may not match the time stamp in My Data because the meter clock has been changed. All times in the trend table show the data relative to the current meter time. For example: 1.
Trend Table 1. j When there are multiple records, press x or z to view other records. 2. 3. j To display a trend table for another time range (last 8 hours, 24 hours, 48 hours, or 7 days), press x to highlight the time range selection field (top of screen). Press either < or > until you reach the time range you need.
4 4. NOTE j Press . to display the Graph (see previous section for more information). The meter saves the current settings (time range, meal time, and table view) when you select Back or when the meter powers off. To return to the Reports screen, select Back. 101 52123_07006322001.
Reporting Your Standard Day The meter displays (for a standard day) your blood glucose averages, number of tests, and standard deviations within predetermined time blocks for the time range you choose (last 7, 14, 30, 60, or 90 days). Main Menu > My Data > Reports > Standard Day 1. 2. 3. j From the Main Menu, select My Data and press =. j Select Reports and press =. j Select Standard Day and press =. 102 52123_07006322001.
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 Red horizontal line Arrow Indicates blood glucose average is off the top of the graph (“X” is not displayed) Ending Time of a Time Block Box for Each Time Block • “X” in center of box indicates the average of all blood glucose test results for the selected criteria.
NOTE • If data are not available to display the standard day graph, the No Data Available screen is displayed. • The standard day graph does not include control results, HI values, or LO values. 104 52123_07006322001.
4 Standard Day Graph 1. j To display a standard day graph for another time range (last 7, 14, 30, 60, or 90 days), press x to highlight the time range selection field (top of screen). Press either < or > until you reach the time range you need. 2. 3. j To display a standard day graph for another meal time selection (Overall, Pre Meal, Post Meal, Bedtime, or Other), press either x or z to highlight the meal time selection field (immediately below the time range which is at the top of the screen).
NOTE The meter saves the current settings (time range, meal time, and graph view) when you select Back or when the meter powers off. 106 52123_07006322001.
4 Standard Day Table Screen Time Range Standard Deviation (SD) Meal Time Selection Number of Tests Time Block Blood Glucose Average 107 52123_07006322001.
NOTE • If data are not available to display the standard day table, the No Data Available screen is displayed. • Standard day table calculations do not include control results, HI values, or LO values. • For a standard deviation to be displayed for a given time block, there must have been two or more tests recorded during the time block. 108 52123_07006322001.
4 Standard Day Table 1. j Press x or z to scroll screen. 2. 3. j To display a standard day table for another time range (last 7, 14, 30, 60, or 90 days), press x to highlight the time range selection field (top of screen). Press either < or > until you reach the time range you need.
4. NOTE j Press . to display the Graph (see previous section for more information). The meter saves the current settings (time range, meal time, and table view) when you select Back or when the meter powers off. To return to the Reports screen, select Back. 110 52123_07006322001.
4 Reporting Your Standard Week The meter displays (for a standard week) your blood glucose averages, number of tests, and standard deviations for each day of the week for the time range you choose (last 7, 14, 30, 60, or 90 days). Main Menu > My Data > Reports > Standard Week 1. 2. 3. j From the Main Menu, select My Data and press =. j Select Reports and press =. j Select Standard Week and press =. 111 52123_07006322001.
Standard Week Graph Screen Time Range Arrow Indicates blood glucose average is off the top of the graph (“X” is not displayed) Meal Time Selection Blood Glucose Unit of Measure Box for Each Time Block Blood Glucose Icon Day of Week Warning Limit Hypo Level Red horizontal line • “X” in center of box indicates the average of all blood glucose test results for the selected criteria.
4 NOTE • If data are not available to display the standard week graph, the No Data Available screen is displayed. • The standard week graph does not include control results, HI values, or LO values. 113 52123_07006322001.
Standard Week Graph 1. j To display a standard week graph for another time range (last 7, 14, 30, 60, or 90 days), press x to highlight the time range selection field (top of screen). Press either < or > until you reach the time range you need. 2. 3. j To display a standard week graph for another meal time selection (Overall, Pre Meal, Post Meal, Bedtime, or Other), press either x or z to highlight the meal time selection field (immediately below the time range which is at the top of the screen).
4 NOTE The meter saves the current settings (time range, meal time, and graph view) when you select Back or when the meter powers off. 115 52123_07006322001.
Standard Week Table Screen Time Range Standard Deviation (SD) Meal Time Selection Number of Tests Day of Week Blood Glucose Average NOTE • If data are not available to display the standard week table, the No Data Available screen is displayed. • Standard week table calculations do not include control results, HI values, or LO values. • For a standard deviation to be displayed for a given day of the week, there must have been two or more tests recorded during the day. 116 52123_07006322001.
4 Standard Week Table 1. j Press x or z to scroll screen. 2. 3. j To display a standard week table for another time range (last 7, 14, 30, 60, or 90 days), select the time range selection field (top of screen). Press either < or > until you reach the time range you need.
4. NOTE j Press . to display the Graph (see previous section for more information). The meter saves the current settings (time range, meal time, and table view) when you select Back or when the meter powers off. To return to the Reports screen, select Back. 118 52123_07006322001.
4 Reporting Your Target The meter displays a pie chart illustrating your blood glucose records as “Above,” “Within,” “Below,” and “Hypo” for the time range you choose (last 7, 14, 30, 60, or 90 days). Main Menu > My Data > Reports > Target 1. 2. 3. j From the Main Menu, select My Data and press =. j Select Reports and press =. j Select Target and press =. 119 52123_07006322001.
Target Graph Screen Time Range Meal Time Selection Legend Pie Chart Blood glucose test result categories Represents the percentages for the blood glucose test result categories NOTE • If data are not available to display the target graph, the No Data Available screen is displayed. • The target graph does not include control results, HI values, or LO values. 120 52123_07006322001.
4 Target Graph 1. j To display a target graph for another time range (last 7, 14, 30, 60, or 90 days), select the time range selection field (top of screen). Press either < or > until you reach the time range you need. 2. 3. j To display a target graph for another meal time selection (Overall, Pre Meal, Post Meal, Bedtime, or Other), press either x or z to highlight the meal time selection field (immediately below the time range which is at the top of the screen).
NOTE The meter saves the current settings (time range, meal time, and graph view) when you select Back or when the meter powers off. 122 52123_07006322001.
4 Target Table Screen Time Range Meal Time Selection Legend Percentage of Occurrence Blood glucose test result categories NOTE • If results or data are not available for the selected time period and meal time, the No Data Available screen is displayed. • The target table does not include control results, HI values, or LO values. 123 52123_07006322001.
Target Table 1. j To display a target table for another time range (last 7, 14, 30, 60, or 90 days), select the time range selection field (top of screen). Press either < or > until you reach the time range you need. 2. 3. j To display a target table for another meal time selection (Overall, Pre Meal, Post Meal, Bedtime, or Other), press either x or z to highlight the meal time selection field (immediately below the time range which is at the top of the screen).
4 NOTE The meter saves the current settings (time range, meal time, and table view) when you select Back or when the meter powers off. 125 52123_07006322001.
4.5 Downloading Your Data to a Computer We offer a variety of software to help you transfer your stored results to a computer to track, identify patterns, and print. For information on ACCU-CHEK software, contact the ACCU-CHEK Customer Care Service Center at 1-800-688-4578. 1. 2. j Install the software according to the instructions. j To transfer the results to a computer, connect the infrared device to the computer according to the software instructions.
4. 5. 4 6. Infrared (IR) Window j Select Data Transfer and press =. j Locate the infrared (IR) window on the top of the meter. j Locate the IR window on the computer’s infrared cable. j Point the two IR windows toward each other. They should be 1 to 4 inches apart. j Follow the prompts on your computer software to start the data transfer. 127 52123_07006322001.
7. NOTE If the data did not transfer successfully, turn off the meter, turn the meter back on, and try again. If you still have problems, contact ACCU-CHEK Customer Care Service Center at 1-800-688-4578. j Once the data transfer is complete, the Data Transfer Complete screen is displayed for 3 seconds and then the meter turns off. 128 52123_07006322001.
5 5 Changing Meter Settings 5.1 Overview 5.2 Setting bG Test Reminders: After High bG, After Low bG, After Meal 5.3 Setting Alarm Clock Reminders: bG Test, Injection, Other 5.4 Setting Date Reminders: Dr. Visit, Lab Test 5.5 Setting Bolus Advice for the First Time 5.6 Setting Time Blocks, Health Events, Advice Options: Bolus Advice Set Up 5.7 Setting Warning Limits: Hyper, Hypo 5.8 Turning Key Lock On or Off 5.9 Setting the Language 5.10 Setting Units: Carbs, Insulin Increment, Max Bolus 5.
5.1 Overview You have the flexibility to change the ACCU-CHEK Aviva Expert meter settings that you initially selected during the Setup Wizard process. You can make adjustments to the meter settings in order to meet changing conditions. Consult with your healthcare professional to ensure the appropriate settings are selected. Settings: Important Information • When editing a setting, any unsaved changes are discarded if the meter turns off or if a test strip is inserted into the meter.
5 5.2 Setting bG Test Reminders: After High bG, After Low bG, After Meal bG Test Reminders: Important Information • At the scheduled time, the meter turns on and displays the reminder (if a test strip has not been inserted). However, if the meter is already on when the reminder is scheduled and no blood glucose test was performed, the reminder is displayed when the meter powers down. • Dismiss the reminder by pressing .. • Reschedule (snooze) the reminder by pressing ,.
Main Menu > Settings > Reminders > bG Test Reminders 1. 2. 3. j From the Main Menu, select Settings and press =. j Select Reminders and press =. j Select bG Test Reminders and press =. 132 52123_07006322001.
5 4. j Select either After High bG, After Low bG, or After Meal and press =. j Proceed to either After High bG, After Low bG, or After Meal in this step. To Turn the After High bG Reminder On or Off: j Select the Reminder entry field and press =. j Select On or Off and press =. To Change the bG Threshold: j Select the bG Threshold entry field and press =. j Set the bG Threshold level and press =. To Change the Remind After Time: j Select the Remind After entry field and press =.
To Turn the After Low bG Reminder On or Off: j Select the Reminder entry field and press =. j Select On or Off and press =. To Change the bG Threshold: j Select the bG Threshold entry field and press =. j Set the bG Threshold level and press =. To Change the Remind After Time: j Select the Remind After entry field and press =. j Set the amount of time after a low blood glucose test result you want to be reminded to retest your blood glucose and press =.
5 j Set the amount of time after a meal (carb entry larger than the snack size) you want to be reminded to retest your blood glucose and press =. To save the changes, select Save. If you did not change the Snack Size, the meter returns to the bG Test Reminders screen. If you changed the Snack Size, the After Meal screen is displayed. j Select OK to return to the bG Test Reminders screen. 135 52123_07006322001.
NOTE • Remind After is displayed as “HH:MM” (e.g., 1:30) where “H” is hour and “M” is minute. • When the meter is displaying the Remind After Meal screen for the first time, if bolus advice has not been set up, the default for Snack Size is no entry (“---g”). If bolus advice has been set up, the default value is the value set for the Snack Size on the Advice Options screen. • To cancel changes or to return to the previous screen, select Cancel. 136 52123_07006322001.
5 5.3 Setting Alarm Clock Reminders: bG Test, Injection, Other Alarm clock reminders are a helpful way to remind you to test your blood glucose, or for any other daily appointment. You can set up to eight reminders per day. Alarm Clock Reminders: Important Information • At the scheduled time, the meter turns on and displays the reminder (if a test strip has not been inserted).
• When you perform a blood glucose test, the meter dismisses Alarm Clock bG Test reminders which are pending within the next 30 minutes. • When you enter basal insulin data, the meter dismisses Alarm Clock Injection Reminders which are pending within the next 30 minutes. • For more information, see Chapter 6, Icons, Reminders, Warnings, and Errors. 138 52123_07006322001.
5 Main Menu > Settings > Reminders > Alarm Clock 1. 2. 3. j From the Main Menu, select Settings and press =. j Select Reminders and press =. j Select Alarm Clock and press =. 139 52123_07006322001.
4. To Turn On or Change a Reminder: j Select the time entry field for a Reminder and press =. j Set the time to schedule the Reminder and press =. j Press =. Select the type of Reminder (i.e., bG Test, Injection or Other) and press =. j Repeat the above steps to set additional reminders. To Turn Off a Reminder: j Select the type of Reminder entry field (i.e., bG Test, Injection or Other) and press =. j Select Off and press =. j Repeat the above steps to turn off additional reminders.
5 NOTE • To cancel changes or return to the Reminders screen, select Cancel. • Time for the Alarm Clock reminders can be set in 15-minute increments, where “HH” is hour, “MM” is minutes, and with “am” or “pm” for the 12-hour format. • If you tested within 30 minutes of a bG Test Reminder, the reminder does not occur. • If you entered basal insulin data within 30 minutes of an Injection reminder, the reminder does not occur.
5.4 Setting Date Reminders: Dr. Visit, Lab Test Date reminders are a helpful way to remind you of an upcoming Dr. visit or lab test. Date Reminders: Important Information • Displayed when you turn on the meter and a test strip has not been inserted. • Dismiss the reminder either by pressing . or by inserting a test strip. • For more information, see Chapter 6, Icons, Reminders, Warnings, and Errors. 142 52123_07006322001.
5 Main Menu > Settings > Reminders > Date Reminders 1. 2. 3. j From the Main Menu, select Settings and press =. j Select Reminders and press =. j Select Date Reminders and press =. 143 52123_07006322001.
4. To Set the Date: j Select the Date entry field and press =. j Set the Day and press =. j Set the Month and press =. j Set the Year and press =. j Select either Dr. Visit or Lab Test and press =. j Proceed to either Dr. Visit or Lab Test in this step. To Turn the Dr. Visit Reminder On or Off: j Select the Reminder entry field and press =. j Select On or Off and press =. To Set the Time (Optional): j Select the Time entry field and press =. j Set the Time and press =.
5 To Set the Time (Optional): j Select the Time entry field and press =. j Set the Time and press =. To Turn the Lab Test Reminder On or Off: j Select the Reminder entry field and press =. j Select On or Off and press =. To save the changes and return to the Date Reminders screen, select Save. To Set the Date: j Select the Date entry field and press =. j Set the Day and press =. j Set the Month and press =. j Set the Year and press =. 145 52123_07006322001.
NOTE • Setting a time for a Date Reminder is optional. If you choose not to set a time, ensure the Time entry field value is “--:--” (no entry). • To cancel changes or to return to the Date Reminders screen, select Cancel. • Time for the Dr. Visit Reminder and the Lab Test Reminder can be set in 15-minute increments, where “HH” is hour, “MM” is minutes, and with “am” or “pm” for the 12-hour format. • Date Reminders do not automatically turn on the meter and display the Reminder.
5 5.5 Setting Bolus Advice for the First Time Set Up Bolus Advice If you did not set up bolus advice when you went through the Setup Wizard and have now decided to utilize bolus advice, proceed with this section. Once you do set up bolus advice, you cannot turn it off. It is suggested that you review the information in the Getting Started Guide before continuing.
Time Blocks–Bolus Advice Screen Time Block Start Time Time Block End Time Target Range Lower Limit Value Target Range Upper Limit Value Carb Ratio–Number of Carbs Carb Ratio–Number of Insulin Units scroll down Insulin Sensitivity– Number of Insulin Units Scroll Bar Insulin Sensitivity–Change in Glucose Level 148 52123_07006322001.
5 Main Menu > Settings > Bolus Advice 1. 2. 3. j From the Main Menu, select Settings and press =. j Select Bolus Advice and press =. j If you do NOT want to set up bolus advice, select No to return to the Settings screen. j To set up bolus advice, select Yes and continue to the next step. 149 52123_07006322001.
4. 5. j To continue, select Next. To Change Time Blocks: j Select a time block to edit and press =. scroll down To Change the End Time: j Select the End Time entry field and press =. j Set the End Time and press =. 150 52123_07006322001.
5 6. To Change the Target Range: j Select the entry field for the lower value of the Target Range and press =. j Set the value and press =. j Select the entry field for the upper value of the Target Range and press =. j Set the value and press =. To Change the Carb Ratio: j Select the entry field for the number of Insulin Units and press =. j Set the number of Insulin Units and press =. j Select the entry field for the amount of Carbs and press =.
7. To Remove a Time Block: j Select the Time Block you want to remove and press =. j Return to Step 5 to change another Time Block. j Continue in order to add or remove Time Blocks, otherwise select Next and proceed to Step 8. To Add a Time Block: j Select the last time block and press =. j Select the End Time entry field and press =. j Set the End Time of the selected time block and press =. This will be the start time of the added time block.
j Select the End Time entry field and press =. j Set the End Time to match the start time of the Time Block and press =. j To save the changes and return to the Time Blocks screen, select Save. j Remove another Time Block, or proceed to Step 8. 5 8. 9. To Change the Health Events: j Select the entry field of the Health Event to be changed and press =. j Set the percentage and press =. j Repeat the previous steps to change another Health Event. j To continue, select Next.
10. 11. j Select OK. j To return to the Settings screen, select Back. j Set the Acting Time duration and press =. To Change the Offset Time: j Select the Offset Time entry field and press =. j Set the Offset Time duration and press =. To save the changes and exit, select Save. 154 52123_07006322001.
5 Bolus Advice Options Meal Rise, Snack Size, Acting Time, and Offset Time are Bolus Advice Options. Below are detailed descriptions of each of these settings. Meal Rise During or after meals, an increase in blood glucose levels is considered normal, or “allowed,” within a certain range, even though a meal bolus has been delivered. Enter the maximum increase in your blood glucose test result that is to be tolerated without an additional correction bolus.
5.
5 Setting Time Blocks–Bolus Advice is Set Up Main Menu > Settings > Bolus Advice > Time Blocks 1. 2. 3. j From the Main Menu, select Settings and press =. j Select Bolus Advice and press =. j Select Time Blocks and press =. 157 52123_07006322001.
4. To Add a Time Block: j Select the last time block and press =. To Add or Remove Time Blocks: If you do not need to add or remove time blocks, then proceed to To Change the Time Blocks. j Select the End Time entry field and press =. j Set the End Time of the selected Time Block and press =. This will be the start time of the added time block. j To save the changes and return to the Time Blocks screen, select Save. j Proceed to To Change the Time Blocks.
5. j To save the changes and return to the Time Blocks screen. Select Save. j Proceed to To Change the Time Blocks. To Change the Time Blocks: j Select a Time Block to edit and press =. To Change the End Time: j Select the End Time entry field and press =. j Set the End Time and press =. To Change the Target Range: j Select the entry field for the lower value of the Target Range and press =. j Set the value and press =. j Select the entry field for the upper value of the Target Range and press =.
6. j Set the Insulin Sensitivity level and press =. j Select Save. j To change another time block, select the time block and press =. Return to Step 5. j To return to the Bolus Advice screen, select Back. 160 52123_07006322001.
5 Setting Health Events–Bolus Advice is Set Up Main Menu > Settings > Bolus Advice > Health Events 1. 2. 3. j From the Main Menu, select Settings and press =. j Select Bolus Advice and press =. j Select Health Events and press =. 161 52123_07006322001.
4. To Change the Health Events: j Select the entry field of the Health Event to be changed and press =. j Set the percentage and press =. j Repeat the previous steps to change other Health Events. To save the changes and return to the Bolus Advice screen, select Save. 162 52123_07006322001.
5 Setting Bolus Advice Options–Bolus Advice is Set Up Main Menu > Settings > Bolus Advice > Advice Options 1. 2. 3. j From the Main Menu, select Settings and press =. j Select Bolus Advice and press =. j Select Advice Options and press =. 163 52123_07006322001.
4. To Change the Snack Size: j Select the Snack Size entry field and press =. j Set the Snack Size amount and press =. To Change the Meal Rise: j Select the Meal Rise entry field and press =. j Set the Meal Rise limit and press =. If you did not change the Snack Size, the meter returns to the Bolus Advice screen. To Change the Acting Time: j Select Acting Time entry field and press =. j Set the Acting Time duration and press =. To Change the Offset Time: j Select the Offset Time entry field and press =.
5 5.7 Setting Warning Limits: Hyper, Hypo You can set blood glucose warning limits for hyperglycemia (Hyper) or hypoglycemia (Hypo) conditions. Once these blood glucose limit values have been set, if your test result is above the hyper warning limit, the meter displays the Above Hyper Warning Limit message: “Consider checking for ketones, bG and insulin regularly.
Main Menu > Settings > Meter > Warning Limits 1. 2. 3. j From the Main Menu, select Settings and press =. j Select Meter and press =. j Select Warning Limits and press =. 166 52123_07006322001.
5 4. To Change the Hypo Blood Glucose Level: j Select the Hypo entry field and press =. j Set the Hypo (lower) blood glucose level and press =. To Change the Hyper Blood Glucose Level: j Select the Hyper entry field and press =. j Set the Hyper (upper) blood glucose level and press =. To save the changes and return to the Meter Menu screen, select Save. 167 52123_07006322001.
5.8 Turning Key Lock On or Off The key lock feature allows you to lock all of the buttons on the meter, except for the power on/off button. This serves as a safety measure against unintentional activation of meter functions. 168 52123_07006322001.
5 Main Menu > Settings > Meter > Key Lock 1. 2. 3. j From the Main Menu, select Settings and press =. j Select Meter and press =. j Select Key Lock and press =. 169 52123_07006322001.
4. j Press = to display the Key Lock pop-up menu. j Select On or Off. To save the change and return to the Meter Menu screen, select Save. If the buttons are locked when you turn on the meter, the Key Lock screen is displayed. j To unlock the buttons, press and hold , and . at the same time until the Main Menu is displayed. The buttons remain unlocked for the current session. When the meter is turned on again, the buttons are locked.
5 5.9 Setting the Language You can select a language from the predefined list. 171 52123_07006322001.
Main Menu > Settings > Meter > Language 1. 2. 3. j From the Main Menu, select Settings and press =. j Select Meter and press =. j Select Language and press =. 172 52123_07006322001.
4. 5 j Press = to display the Language options. j Select the desired Language and press =. To save the change and return to the Meter Menu screen, select Save. 173 52123_07006322001.
5.10 Setting Units: Carbs, Insulin Increment, Max Bolus You can set up the meter for different carbohydrate (carbs) units (Grams, BE, KE, or CC). The insulin increment can be set to either 0.5 or 1U. You can set the max bolus for any whole number between 0 and 50. Once the Carbs Units are set and the bolus advice is activated, the Carbs Units cannot be changed. NOTE You should ask the advice of your healthcare provider (HCP) for delivering large doses of insulin. 174 52123_07006322001.
5 Main Menu > Settings > Meter > Units 1. 2. 3. j From the Main Menu, select Settings and press =. j Select Meter and press =. j Select Units and press =. 175 52123_07006322001.
4. NOTE To Change the Max Bolus: j Select the Max Bolus entry field and press =. j Set the Max Bolus level and press =. j Press = to display the list of units for carbs. j Select the units (Grams, BE, KE, or CC) and press =. To Change the Insulin Increment : j Select the Insulin Increment entry field and press =. j Select 0.5 U or 1 U Insulin Increment and press =. For more information on the units for carbohydrates and carbohydrate equivalents, see Appendix B, Carb Units.
5 5.11 Setting the Beeper, Vibrate, Key Sound You can set up the meter for sound mode and/or vibrate mode. The meter features different sound (beeper) tones. Sounds may occur for: • Button presses • Errors • Warnings • Reminders NOTE • Beeper and vibrate cannot both be turned off at the same time. • When Key Sound is on, the meter beeps each time a button is pressed. • Even when the beeper is turned off, the meter still beeps when an error message occurs.
Main Menu > Settings > Sound/Vibrate 1. 2. 3. j From the Main Menu, select Settings and press =. j Select Sound/Vibrate and press =. To Change the Beeper Sound Level: j Select the Beeper entry field and press =. j Select the Beeper sound level (Off, Low, Medium, or High) and press =. To Turn the Vibrate On or Off: j Select the Vibrate entry field and press =. j Select the Vibrate mode (On or Off) and press =. 178 52123_07006322001.
5 To Change the Key Sound: j Select the Key Sound entry field and press =. j Select the Key Sound mode (On or Off) and press =. To save the changes and return to the Settings Menu screen, select Save. 179 52123_07006322001.
5.12 Setting the Time Format, Time, Date NOTE • Changing the date and time will impact the Trend Graph and the Trend Table (see Reporting Your Data Trends in Section 4.4, Reporting Your Data). • For 12-hour time format, time is displayed as “HH:MM A/P” (example: 3:53 pm) and for 24-hour time format, time is displayed as “HH:MM” (example: 15:53) where “H” is hour and “M” is minute. • The date format is displayed as “DD MMM YY” (example: 02 Feb 08) where “D” is day, “M” is month, and “Y” is year.
5 Main Menu > Settings > Time/Date 1. 2. 3. j From the Main Menu, select Settings and press =. j Select Time/Date and press =. To Change the Time Format: j Select the Time Format entry field and press =. j Select 12-hr or 24-hr Time Format and press =. 181 52123_07006322001.
To Change the Time: j Select the Time entry field and press =. j Set the Hour and press =. j Set the Minutes and press =. j If Time Format is 12 hr, select am or pm and press =. To Change the Date: j Select the Date entry field and press =. j Set the Day and press =. j Set the Month and press =. j Set the Year and press =. To save the changes and return to the Settings Menu screen, select Save. 182 52123_07006322001.
5 5.13 Setting Time Blocks: Bolus Advice Not Set Up This section is for changing, adding, and removing time blocks only if bolus advice has not been set up. For each time block, you can set up different blood glucose target ranges. It is suggested that you review the Getting Started Guide before continuing. Prior to setting up time blocks, it is recommended that you determine how many time blocks you need and also determine the start/end times.
Change End Time, Target Range Lower Value, and/or Target Range Upper Value Main Menu > Settings > Time Blocks 1. 2. 3. j From the Main Menu, select Settings and press =. Time Blocks does not appear if bolus advice has been set up. j Select Time Blocks and press =. j Select the Time Block to edit and press =. 184 52123_07006322001.
4. To Change the End Time: j Select the End Time entry field and press =. j Set the End Time and press =. 5 5. To Change the Target Range: j Select the entry field for the lower value of the Target Range and press =. j Set the value and press =. j Select the entry field for the upper value of the Target Range and press =. j Set the value and press =. To save the changes and return to the Time Blocks screen, select Save. j Repeat Steps 3 and 4 to change another time block.
NOTE • When you set the end time, the meter sets this end time as the start time for the next time block. • The end time can be set in 30-minute increments. • To cancel changes press ,. 186 52123_07006322001.
5 Add a Time Block Main Menu > Settings > Time Blocks 1. 2. 3. j From the Main Menu, select Settings and press =. Time Blocks does not appear if bolus advice has been set up. j Select Time Blocks and press =. j Select the last Time Block and press =. 187 52123_07006322001.
4. 5. j Set the End Time of the selected Time Block and press =. This will be the start time of the added time block. j Select the End Time entry field and press =. To save the changes and return to the Time Blocks screen, select Save. j Update the End Times and Target Ranges for all time blocks, as needed. See Change End Time, Target Range Lower Value, and/or Target Range Upper Value in this section. 188 52123_07006322001.
5 Remove a Time Block Main Menu > Settings > Time Blocks 1. 2. 3. j From the Main Menu, select Settings and press =. Time Blocks does not appear if bolus advice has been set up. j Select Time Blocks and press =. j Select the Time Block you want to remove and press =. 189 52123_07006322001.
4. 5. j Update the End Times and Target Ranges for the remaining time blocks, as needed. See Change End Time, Target Range Lower Value, and/or Target Range Upper Value in this section. j Select the End Time entry field and press =. j Set the End Time to match the start time of the Time Block and press =. To save the changes and return to the Time Blocks screen, select Save. 190 52123_07006322001.
5 5.14 Backlight Settings The backlight on your ACCU-CHEK Aviva Expert meter helps you read the information on the meter display under different lighting conditions. You can adjust the backlight level by pressing the backlight button on the front of the meter. The backlight adjusts from low, to medium, to high, and back to low again. Backlight Button Press to adjust the backlight level. 191 52123_07006322001.
NOTE • When the meter is turned on, the backlight is set to medium. • When the backlight is set to high or medium and no button activity has occurred for approximately 15 seconds, the meter goes to low backlight (to conserve battery life). The meter restores the original backlight setting when you press a button, insert a test strip, or when the meter displays the bG Results screen. • When in the low battery condition, the meter uses the medium backlight level (if the backlight level is set to high).
6 6 Icons, Reminders, Warnings, and Errors 6.1 Overview 6.2 List of Icons 6.3 Confirming a Reminder, Warning, or Error 6.4 List of Reminders 6.5 List of Warnings 6.6 List of Errors 194 195 197 198 208 213 193 52123_07006322001.
6.1 Overview This chapter provides you with detailed listings of all the icons, reminders, warnings, and errors included in the meter. NOTE Blood glucose and bG are interchangeable and mean the same thing. 194 52123_07006322001.
6 6.2 List of Icons The icons and icon names in the meter are: Icon Name Icon Icon Name Add Data Control Test Analyzing Date Basal Insulin Download (Data Transfer) Beeper Error Blood Glucose Averages Health Blood Glucose Test Low Battery Bolus Advice Meal Time Bolus Advice (Settings) Meter Bolus Insulin Meter (Settings) Carbs My Data Icon 195 52123_07006322001.
Icon Name Icon Icon Name Reminder Time Block (Settings) Reminders (Settings) Time Change Reports Time/Date (Settings) Settings Vibrate Sound/Vibrate (Settings) View Data Time Warning Icon 196 52123_07006322001.
6 6.3 Confirming a Reminder, Warning, or Error To confirm (or dismiss) most reminders or warnings, press .. Some error messages require a different confirmation, such as “Retest with new Strip” or “Replace batteries now.” To place some reminders in the snooze mode, press ,. See the following sections for more details on a specific reminder, warning, or error. 197 52123_07006322001.
6.4 List of Reminders Reminder Screen Example Reminder Icon Reminder Title Snooze Reminder Message Reschedule the reminder. This is not available for all reminders. Dismiss NOTE • The meter beeps when it displays any reminder if the beeper setting is on. • The meter vibrates when it displays any of the following reminders if the vibrate setting is on: After Meal Retest, bG Test, High bG Retest, Injection, Low bG Retest, and Other. 198 52123_07006322001.
For instructions on how to set up meter reminders, see Chapter 5, Changing Meter Settings. The reminders available on the meter are: Reminder Title Reminder Message Left Soft Key Right Soft Key Snooze Time After Meal Retest Carbs entry higher than Snack Size setting. Retest. Snooze Dismiss 5 minutes Basal Injection It is time for your scheduled basal injection Snooze Dismiss 15 minutes bG Test It is time for your scheduled bG Snooze test Dismiss 15 minutes Dr. Visit Today If the Dr.
Reminder Title Reminder Message Dr. Visit Tomorrow If the Dr. Visit time has been set: You have a Dr. Appointment tomorrow at (Settings Dr. Visit Time)¹ Or, if the Dr. Visit time has not been set: You have a Dr. Appointment tomorrow High bG Retest High bG Result on last test. Retest.
Reminder Title Reminder Message Lab Test Tomorrow If the lab test time has been set: You have a Lab Test tomorrow at (Settings Lab Test Time)1 Or, if the lab test time has not been set: You have a Lab Test tomorrow Low bG Retest Low bG Result on last test. Retest. Snooze Dismiss 5 minutes Other It is time for your Other activity Snooze Dismiss 15 minutes 1 Left Soft Key Right Soft Key Snooze Time 6 Dismiss If set, the time of the Dr. Visit or the Lab Test is displayed on the screen.
Reminders: Important Information • When two or more event reminders occur at the same time, the meter displays the event reminder with the highest priority first: 1. bG Test Reminders (After High bG, After Low bG, and After Meal) 2. Alarm Clock Reminders (bG Test, Injection and Other) 3. Date Reminders (Dr. Visit and Lab Test) The following occur when the particular reminder is enabled and scheduled: Dr. Visit Today, Dr.
Low bG Retest Reminder • When your blood glucose test result is less than the low blood glucose threshold setting you have set up (see Chapter 5, Changing Meter Settings), then the meter schedules a Low bG Retest reminder for the time duration you have set up. The meter maintains the duration of this scheduled reminder regardless of meter time and date changes. 6 • At the scheduled time, the meter turns on and displays the reminder (if a test strip has not been inserted).
High bG Retest Reminder • When your blood glucose test result is greater than the high blood glucose threshold setting you have set up (see Chapter 5, Changing Meter Settings), then the meter schedules a High bG Retest reminder for the time duration you have set up. The meter maintains the duration of this scheduled reminder regardless of meter time and date changes. • At the scheduled time, the meter turns on and displays the reminder (if a test strip has not been inserted).
6 After Meal Reminder • When you enter carbohydrates into the diary through one of the following screens and the carbohydrates entered are greater than the Snack Size setting, then the meter schedules an After Meal reminder for the time duration you have set up (see Chapter 5, Changing Meter Settings). The meter maintains the duration of this scheduled reminder regardless of meter time and date changes.
Alarm Clock Reminders for bG Test, Injection and Other • At the scheduled time, the meter turns on and displays the reminder (if a test strip has not been inserted). • When the meter displays an Alarm Clock reminder and you do not press any meter buttons, after 30 seconds the meter turns off and displays the reminder again in 2 minutes. After the fourth time the meter displays the reminder, then the meter dismisses the reminder.
6 • Injection Alarm Clock Reminder • If the meter is already on when the reminder is scheduled and no basal insulin data was entered, the reminder is displayed when the meter powers down. • Dismiss all active Injection reminders by pressing .. • Snooze the reminder for 15 minutes either by pressing , or by inserting a test strip. • When you enter basal insulin data, the meter dismisses any Injection reminders that have been snoozed or that are pending within the next 30 minutes.
6.5 List of Warnings Warning Screen Example Warning Icon Warning Title No Warning Message Only shown on a few warning screens Yes or OK NOTE The meter beeps when it displays a warning if the beeper setting is on. 208 52123_07006322001.
6 The warnings the meter may display are: Warning Title Warning Message Left Soft Key Right Soft Key Above Hyper Warning Limit Consider checking for ketones, bG and insulin regularly OK Beep/Vibrate Off Beep and Vibrate settings cannot both be turned off at same time OK Below Hypo Warning Limit Eat fast carbs of at least (number of carbs)1 Retest bG OK bG Test Missed Perform bG test as soon as possible OK Bolus Advice Not Setup Advice not provided unless setup through Bolus Advice in Settin
Warning Title Warning Message Left Soft Key Right Soft Key Bolus Too Low Bolus below allowed amount. Bolus set to minimum. OK Calculation Out of Range No Bolus Advice available OK Carbohydrate Ratio Carb Ratio seems unusual. Check entries.
Warning Title Warning Message Left Soft Key Right Soft Key HI bG Warning Consider checking bG, ketones and insulin OK Insulin Sensitivity Insulin Sensitivity seems unusual. Check entries.
Warning Title Warning Message Invalid Target Range Lower target range value above upper target range value OK Invalid Target Range Range selected conflicts with Hyper and/or Hypo Warning Limit settings OK LO bG Warning Retest bG. Contact your doctor. OK Meter Battery Low Replace soon. OK No bG with Bolus Consider testing bG before delivering Insulin.
6 6.6 List of Errors Error Screen Example Error Icon Error Title Menu Error Message This option is not available for all errors. NOTE The meter beeps when it displays an error, even if the beeper setting is turned off. 213 52123_07006322001.
The errors the meter may display are: Error Title Error Message E-51 Bad Strip Error Reinsert or replace with new Strip E-52 Code Key Error Turn Meter off, reinsert or replace Code Key E-53 Bad Test Error Retest with new Strip E-54 Not Enough Sample Retest with new Strip E-55 Code Key Expired Turn Meter off, replace Code Key and Strips E-56 Sample Applied Early Retest with new Strip E-57 Electronic Error Remove batteries, wait 20 seconds, replace batteries E-58 Temp.
Error Title Error Message E-59 Battery Empty Replace batteries now E-60 Time/Date Error Correct time/date if necessary Left Soft Key Right Soft Key 6 Menu “Menu” is only displayed when the meter is in a bG test screen. “OK” is only displayed after the splash screen (ACCU-CHEK logo screen). 3 If the meter is powering up, then “OK” is displayed above the right soft key and “Menu” is not displayed above the left soft key. 1 2 215 52123_07006322001.
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7 7 Cleaning and Disinfecting the Meter and Lancing Device 7.1 Overview 7.2 Cleaning and Disinfecting the Meter 7.3 Cleaning and Disinfecting the Lancing Device 218 220 225 217 52123_07006322001.
7.1 Overview WARNING • During normal testing any blood glucose meter or lancing device may come in contact with blood. All parts of the kit are considered biohazardous and can potentially transmit infectious diseases from bloodborne pathogens, even after you have performed cleaning and disinfection.1,2 • Cleaning and disinfecting the meter and lancing device destroys most, but not necessarily all, bloodborne pathogens.3 • The meter and lancing device should never be used by more than one person.
What is the difference between cleaning and disinfecting? Cleaning is the removal of dirt from the meter or lancing device.3 Disinfecting is the removal of most, but not all, disease-causing and other types of microorganisms (bloodborne pathogens) from the meter or lancing device.
7.2 Cleaning and Disinfecting the Meter To clean and disinfect without damaging the meter, follow these procedures carefully. When to Clean and Disinfect the Meter • Clean the meter prior to disinfecting. • Clean and disinfect the meter at least once per week, or when blood is present on the surface of the meter. • Do not allow anyone else to use the meter on themselves for testing purposes. 220 52123_07006322001.
7 Approved Cleaning and Disinfecting Products • Super Sani-Cloth (EPA* reg. no. 9480-4) *Environmental Protection Agency The above product has been approved for use and can be purchased from the following sources: • Amazon.com • Officedepot.com • Walmart.com NOTE Using cleaning and disinfecting products could result in damage to the meter.
How to Clean and Disinfect the Meter WARNING j DO NOT clean or disinfect the meter while performing a blood glucose or control test. j DO NOT get any moisture in slots or openings. j DO NOT spray anything onto the meter. j DO NOT immerse the meter in liquid. Failure to follow these instructions may damage the meter and stop it from working properly. 222 52123_07006322001.
7 1. 2. 3. j Wash hands thoroughly with warm soapy water. j Turn off the meter and place it on a flat surface, such as a table. j Wipe the entire meter surface with the approved cleaning and disinfecting product. Always use the same product for both cleaning and disinfecting. WARNING The effect of using more than one product interchangeably to clean and disinfect the meter has not been tested. Always use the same product to clean and disinfect the meter. 223 52123_07006322001.
4. j Carefully wipe around the test strip slot and other openings. Make sure that no liquid enters any opening. 5. j A separate Super Sani-Cloth should be used for cleaning and disinfection. For disinfecting the meter, get a new cloth and repeat steps 3 and 4, making sure that the surface stays wet for 2 minutes. 6 j Wash hands thoroughly with soap and water. NOTE Roche has tested the approved product for a total of 208 cleaning and disinfecting cycles.
7 7.3 Cleaning and Disinfecting the Lancing Device NOTE • Do not throw away the lancing device cap after each use. Use approved cleaning and disinfecting products on it. • Always remove the lancet drum before cleaning or disinfecting the lancing device. To clean and disinfect without damaging the lancing device, follow these procedures carefully. When to Clean and Disinfect the Lancing Device • Clean the lancing device prior to disinfecting.
Approved Cleaning and Disinfecting Products • Super Sani-Cloth (EPA* reg. no. 9480-4) *Environmental Protection Agency The above product has been approved for use and can be purchased from the following sources: • Amazon.com • Officedepot.com • Walmart.com NOTE Using cleaning and disinfecting products could result in damage to the lancing device.
7 How to Clean and Disinfect the Lancing Device WARNING • DO NOT get any moisture into opening around button. • Failure to follow these instructions may damage the lancing device and stop it from working properly. 1. j Wash hands thoroughly with soap and water. 2. j Wipe the entire surface of the lancing device and the inside of the lancing device cap with the approved cleaning and disinfecting product. Always use the same product for both cleaning and disinfecting. 3.
4. WARNING The effect of using more than one product interchangeably to clean and disinfect the lancing device has not been tested. Always use Super Sani-Cloth (EPA reg. no. 9480-4) to clean and disinfect the lancing device. Do not use any other cleaning or disinfecting solutions. Using solutions other than the Super Sani-Cloth could result in damage to the lancing device. j Wash hands thoroughly with soap and water.
8 8 Maintenance 8.1 Overview 8.2 Changing the Batteries 8.3 Power-Saving Tips 8.4 Maintenance and Testing 230 231 234 235 229 52123_07006322001.
8.1 Overview It is important to properly care for and maintain your ACCU-CHEK Aviva Expert meter. If you have any questions about the care and maintenance of your meter, contact ACCU-CHEK Customer Care Service Center at 1-800-688-4578. 230 52123_07006322001.
8 8.2 Changing the Batteries 1. 2. 3. j Remove the battery door from the back of the meter by pushing the tab in the direction of the arrow and pulling up the door. j Remove the old batteries from the meter. j Insert three AAA batteries with the + and - ends matching the marks in the battery compartment. j Put the battery door back in place and snap it closed. 231 52123_07006322001.
WARNING • Using batteries other than those supplied or recommended for use with the meter may significantly reduce the life of the batteries. Batteries other than those recommended may leak and corrode the battery contacts within the meter. Using batteries not supplied or recommended may void the warranty. • Replace all batteries of a set at the same time. Newly purchased batteries should not be mixed with partially exhausted ones.
8 NOTE • Alkaline batteries are recommended for use with the meter. • After you change the batteries, the meter prompts you to confirm the time and date settings. • It is a good idea to have spare, packaged batteries available. • All test results, diary information, and settings are saved in the meter memory when the batteries are replaced. • Rechargeable batteries may be used in the meter. However, rechargeable batteries may not maintain the same battery life as non-rechargeable batteries.
8.3 Power-Saving Tips To conserve battery life: • use the low beeper setting. • only turn on the vibrate feature when it is needed. • turn off the meter when you are finished rather than utilizing the auto power off feature. 234 52123_07006322001.
8 8.4 Maintenance and Testing • The 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. For detailed information on troubleshooting the meter, see Chapter 9, Troubleshooting. • To test the meter display, turn off the meter, and then press and hold the + button. The display cycles through colors (red, blue, green, and white).
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9 9 Troubleshooting 9.1 Overview 9.2 Troubleshooting the ACCU-CHEK Aviva Expert Meter 238 239 237 52123_07006322001.
9.1 Overview For most problems, the meter displays a message with a short description of the symptom and, along with it, a proposed solution. This chapter goes into more detail by describing the symptom, the possible cause, and the possible solution. If the possible solutions do not fix the problem, contact ACCU-CHEK Customer Care Service Center at 1-800-688-4578. WARNING Never make treatment decisions based on a warning or error message.
9 9.2 Troubleshooting the ACCU-CHEK Aviva Expert Meter Display Shows Possible Cause(s) The display is blank j Batteries are dead. or the meter will j Display is damaged. not turn on. Possible Solution(s) j Install new batteries. See Chapter 8, Maintenance. j Contact ACCU-CHEK Customer Care Service Center at 1-800-688-4578. j Meter is defective. j Contact ACCU-CHEK Customer Care Service Center at 1-800-688-4578. j Extreme temperature – the temperature is outside the meter operating range.
Display Shows Possible Cause(s) Possible Solution(s) Below Hypo Warning Limit j Your test result is below the hypo warning limit set in the meter. j Treat your low blood glucose as recommended by your healthcare professional. j The meter displays a recommended number of carbohydrates for you to eat, and then retest your blood glucose.
9 Display Shows Possible Cause(s) Possible Solution(s) Diary Entry Used For Advice j The diary entry selected has been used for bolus advice and modifications are not allowed. j Carefully confirm all information involving bolus advice. You cannot modify bolus advice related entries on the meter. Diary Results Expired j Bolus advice is no longer available for this result. j Review data that was saved in My Data. Then, decide to modify data, add data, or begin a new bolus advice session.
Display Shows Possible Cause(s) Possible Solution(s) E-51 Bad Strip Error j Your blood glucose may be extremely low. If you see this error message after you applied blood to the test strip: j If you are experiencing any of the common symptoms of low blood sugar, contact your healthcare professional immediately. j Treat your low blood sugar as recommended by your healthcare professional. j If this does not match how you feel, repeat the blood glucose test and see Chapter 2, Testing Your Blood Glucose.
Display Shows Possible Cause(s) E-53 Bad Test Error j A meter or test strip error has j Discard the test strip and repeat the test. occurred. j Your blood glucose may be extremely high. 9 Possible Solution(s) j If this matches how you feel, contact your healthcare professional immediately. If it does not match how you feel, repeat the blood glucose test and see Chapter 2, Testing Your Blood Glucose.
Display Shows Possible Cause(s) Possible Solution(s) E-54 Not Enough Sample j Not enough blood or control j Discard the test strip and repeat the test. solution was drawn into the test strip for measurement or was applied after the test has started. E-55 Code Key Expired j The white code key is from an j This message may appear when using a white code expired lot of test strips. key in the meter. It means the test strips expire at the end of the current month.
9 Display Shows Possible Cause(s) Possible Solution(s) E-57 Electronic Error j An electronic error has occurred or, in rare cases, a used test strip was removed and reinserted. j Turn off the meter and remove the batteries. Wait at least 20 seconds prior to reinserting the batteries. Turn on the meter and perform a blood glucose or control test. If the problem persists, contact ACCU-CHEK Customer Care Service Center at 1-800-688-4578. E-58 Temp.
Display Shows Possible Cause(s) Possible Solution(s) HI bG Warning j Your blood glucose may be higher than the measuring range of the system. j If you are experiencing any of the common symptoms of high blood glucose, contact your healthcare professional immediately. j Treat your high blood glucose as recommended by your healthcare professional. j Consider checking bG, ketones, and insulin.
Display Shows Possible Cause(s) 9 Possible Solution(s) Invalid Hypo Values j The hypo warning limit value must be less than all of your target ranges in the time block settings. j Reset the hypo warning limit or revise the target ranges in time blocks and re-enter the hypo warning limit. j Enter a hypo warning limit that is below the target ranges of your time blocks. See Chapter 5, Changing Meter Settings.
Display Shows Possible Cause(s) Possible Solution(s) LO bG Warning j Your blood glucose may be lower than the measuring range of the system. j Treat your low blood glucose as recommended by your healthcare professional. j If you are experiencing any of the common symptoms of low blood glucose, contact your healthcare professional immediately. Meter Battery Low j Battery power is low. j Install new batteries. See Chapter 8, Maintenance.
Display Shows Possible Cause(s) Test Strips Expiring j The test strips expire at the end of the current month. 9 Possible Solution(s) j This message may appear when using a white code key in the meter. It means the test strips expire at the end of the current month. At the end of the month, discard the white code key and any remaining test strips. Insert a black code key. Make sure the time and date in the meter are correct.
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10 10 Technical Information 10.1 Overview 10.2 Product Limitations 10.3 Specifications 10.4 Product Safety Information 10.5 Disposing of the Meter, Strips, Lancets, and Batteries 10.6 Warranty and Limited License 10.7 Additional Supplies 10.8 Information for Healthcare Professionals 252 253 254 256 258 260 267 268 251 52123_07006322001.
10.1 Overview This chapter provides you with important performance information regarding the meter. 252 52123_07006322001.
10 10.2 Product Limitations Please read the literature packaged with your test strips to find the latest information on product specifications and limitations. 253 52123_07006322001.
10.3 Specifications Blood volume Refer to the test strip package insert. Sample type Fresh capillary whole blood Measuring time Refer to the test strip package insert. Measuring range Refer to the test strip package insert. Test strip storage conditions Refer to the test strip package insert. Meter storage conditions (with batteries inserted) -4 °F to 122 °F System operating conditions Refer to the test strip package insert.
10 Power supply Three AAA batteries (recommended: alkaline) Display LCD Dimensions 3.7 x 2.1 x 1 inches (LWH) Weight Approximately 3.6 oz with batteries inserted Construction Hand-held Protection class III Meter type The ACCU-CHEK Aviva Expert meter is suitable for continuous operation. Control solution storage conditions 36 °F to 90 °F Interface IR; LED/IRED – Class 1 255 52123_07006322001.
10.4 Product Safety Information WARNING Choking hazard. Small parts. Keep away from children under the age of 3 years. Electromagnetic Compatibility This meter meets the electromagnetic immunity requirements as per EN ISO 15197 Annex A. The chosen basis for electrostatic discharge immunity testing was basic standard IEC 61000-4-2. In addition, it meets the electromagnetic emissions requirements as per EN 61326. Its electromagnetic emission is thus low.
10 Measuring Principle Refer to your test strip package insert for more information. WARNING • Strong electromagnetic fields may interfere with the proper operation of the meter. Do not use this meter close to sources of strong electromagnetic radiation. • To avoid electrostatic discharge, do not use the meter in a very dry environment, especially one in which synthetic materials are present. 257 52123_07006322001.
10.5 Disposing of the Meter, Strips, Lancets, and Batteries WARNING • Any product coming in contact with blood is considered contaminated (potentially infectious).* • During normal testing any blood glucose meter may come in contact with blood. Lancing devices may also be considered sharps. Disposal of sharps is regulated by law in many jurisdictions. Roche is committed to recycling and sustainability.
• Consider recycling of the meters and batteries at an appropriate facility. Be aware the meter is potentially hazardous electronics scrap (e-scrap) and should be disposed of accordingly. The batteries are potentially hazardous also and should be disposed of accordingly. 10 • Decontaminate the meter before recycling or disposing. • Users in professional environments (i.e.
10.6 Warranty and Limited License ACCU-CHEK Aviva Expert Meter Limited 3-Year Warranty Roche Diagnostics warrants to the original purchaser of the meter that your ACCU-CHEK Aviva Expert meter will be free from defects in materials and workmanship for 3 years from the date of purchase. If during this 3-year period, the meter does not work properly because of a defect in materials or workmanship, Roche Diagnostics will replace it with a new ACCU-CHEK Aviva Expert meter or equivalent product free of charge.
THE PRECEEDING WARRANTY IS EXCLUSIVE OF ALL OTHER WARRANTIES, AND ROCHE DIAGNOSTICS MAKES NO OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING WITHOUT LIMITATION, THE IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. IN NO EVENT SHALL ROCHE DIAGNOSTICS BE LIABLE TO THE PURCHASER OR ANY OTHER PERSON FOR ANY INCIDENTAL, CONSEQUENTIAL, INDIRECT, SPECIAL, OR PUNITIVE DAMAGES ARISING FROM OR IN ANY WAY CONNECTED WITH THE PURCHASE OR OPERATION OF THE METER OR ITS PARTS.
Warranty and Service Instructions All requests for return of ACCU-CHEK Aviva Expert meters under the preceding warranty or service policy must be made to ACCU-CHEK Customer Care Service Center. 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.
10 Limited License CAUTION A RESTRICTED LICENSE LIMITS USE OF THE ACCU-CHEK AVIVA EXPERT SYSTEM—READ CAREFULLY THE LIMITATIONS RECITED BELOW. The ACCU-CHEK Aviva Expert system (meter, including the code key, and test strips) and its use are protected by U.S. Patent Nos.
Using the ACCU-CHEK Aviva Expert system indicates your acceptance of the restricted license to use the ACCU-CHEK Aviva Expert system only with ACCU-CHEK Aviva Plus test strips and the corresponding ACCU-CHEK Aviva Plus code key. If you do not agree to the terms and conditions of the restricted license, you may return, at the place of purchase, the unused ACCU-CHEK Aviva Expert system for a full refund. If you have any questions, please call the ACCU-CHEK Customer Care Services Center at 1-800-688-4578.
10 CAUTION A RESTRICTED LICENSE LIMITS USE OF THE ACCU-CHEK FASTCLIX SYSTEM (device and lancet drums). READ CAREFULLY THE LIMITATIONS RECITED BELOW. The ACCU-CHEK Fastclix system (device and lancet drums) and its use are protected by U.S. Patent Nos. 7,322,998 (expires 3-March-2020); and 7,785,338 (expires 5-January-2026).
Using the ACCU-CHEK Fastclix device indicates your acceptance of the restricted license to use the ACCU-CHEK Fastclix device only with ACCU-CHEK Fastclix lancet drums. If you do not agree to the terms and conditions of the restricted license, you may return, at the place of purchase, the unused ACCU-CHEK Fastclix device for a full refund. If you have any questions, please call the ACCU-CHEK Customer Care Services Center at 1-800-688-4578.
10 10.7 Additional Supplies Test Strips ACCU-CHEK Aviva Plus 50 ct test strips ACCU-CHEK Aviva Plus 100 ct test strips Control Solutions ACCU-CHEK Aviva 2 level control solutions 267 52123_07006322001.
10.8 Information for Healthcare Professionals WARNING Healthcare Professionals: Follow the infection control procedures appropriate for your facility. A drop of fresh, whole blood is required to perform a blood glucose test. Refer to the test strip package insert for additional healthcare professional information. 268 52123_07006322001.
Appendices Appendix A: Abbreviations Abbreviation Definition AM Ante Meridiem (12-hour clock notation for “before noon”) BE Bread Equivalent (equal to 12 grams of carbohydrates) bG Blood Glucose (blood glucose) Carbs Carbohydrates CC Carbohydrate Choice (equal to 15 grams of carbohydrates) °F Degrees Fahrenheit g Grams Hyper Hyperglycemia (high blood glucose) Hypo Hypoglycemia (low blood glucose) IR Infrared 269 52123_07006322001.
Abbreviation Definition ISO International Organization for Standardization KE Kohlenhydrateinheit (equal to 10 grams of carbohydrates) LCD Liquid Crystal Display mg/dL Milligrams per Deciliter N/A Not Applicable NIST National Institute of Standards and Technology (United States) NPH Neutral Protamine Hagedorn PM Post Meridiem (12-hour clock notation for “after noon”) SD Standard Deviation U Units (basal insulin units) 270 52123_07006322001.
Appendix B: Carb Units For carbohydrates, the following units of measure are available on the meter. Abbreviation Unit of Measurement Gram Equivalent g Grams* 1 gram KE Kohlenhydrateinheit 10 grams BE Bread Equivalent 12 grams CC Carbohydrate Choice 15 grams *Standard unit of measure in the U.S. 271 52123_07006322001.
Appendix C: Explanation of Symbols You may encounter the following symbols on the packaging, on the type plate (back of meter), and in the instructions for the ACCU-CHEK Aviva Expert meter, shown here with their meaning. w Caution, refer to safety-related notes in the instructions for use accompanying this product. Federal law (USA) restricts this device to sale by or on the order of a physician per 21 CFR 801.109.* 1.5V AAA * Code of Federal Regulations 272 52123_07006322001.
Appendix D: Meter Settings and Range Limits Data Type Unit of Measurement MIN MAX Increments Default Setting Acting Time hours:minutes 1:30 8:00 0:15 4:00 Basal Insulin Units 0 99 Insulin Increment 0 bG Threshold (High) mg/dL 120 350 1 Hyper Warning Limit bG Threshold (Low) mg/dL 50 100 1 Hypo Warning Limit Bolus Insulin Units 0 50 Insulin Increment 0 Carb Ratio (carbs) grams BE KE CC 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 Exercise 1 (health event) % -50 50 1 0 Exercise 2 (health event) % -50 50 1 0 Hyper Warning Limit mg/dL 180 350 1 300 Hypo Warning Limit mg/dL 50 90 1 70 Illness (health event) % -50 50 1 0 Insulin Increment Units 0.5 1 Insulin Sensitivity (bG) mg/dL 1 999 1 No entry (“---mg/dL”) Insulin Sensitivity (insulin) Units 0.1 50 0.1 1 Max Bolus Units 0 50 1 or 0.
Data Type Unit of Measurement MIN MAX Increments Default Setting Meal Rise (bG) mg/dL 50 200 Offset Time hours:minutes 0:45 Acting 0:15 Time 1:00 Premenstrual (health event) % -50 50 1 0 Snack Size (carbs) grams BE KE CC 0 0 0 0 24 2 2.4 1.6 1 0.1 0.1 0.
The following are the default settings for bG test reminders. To turn on a bG test reminder, see Setting Alarm Clock Reminders: bG Test, Other in Chapter 5, Changing Meter Settings. Test Reminder Default Time of Day 1 7:00 am 2 9:00 am 3 11:00 am 4 12:00 pm 5 2:00 pm 6 4:00 pm 7 7:00 pm 8 10:00 pm 276 52123_07006322001.
The following are the default settings for the time blocks. Talk to your healthcare professional about setting up time blocks to help you manage your diabetes. To adjust the time blocks, see Chapter 5, Changing Meter Settings. Time Block 12-Hour Format 1 12:00 am–5:30 am 2 5:30 am–11:00 am 3 11:00 am–5:00 pm 4 5:00 pm–9:30 pm 5 9:30 pm–12:00 am 277 52123_07006322001.
Appendix E: References 1. FDA Public Health Notification: “Use of Fingerstick Devices on More than One Person Poses Risk for Transmitting Bloodborne Pathogens: Initial Communication, (2010). Update 11/29/2010.” http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ucm224025.htm. Accessed March 20, 2012. 2. CDC Clinical Reminder: “Use of Fingerstick Devices on More than One Person Poses Risk for Transmitting Bloodborne Pathogens, (2010).” http://www.cdc.gov/injectionsafety/Fingerstick-DevicesBGM.html.
Glossary Term Definition 7-day average Includes results generated today and the previous 6 days. Acting Time The period of time from the start of the meal rise or the delivery of a correction bolus until your blood glucose level is expected to return to the target level. Advice Options Factors that influence bolus advice calculations including meal rise, snack size, acting time, and offset time. After High bG Reminder A reminder to retest your blood glucose.
Term Definition Basal A dose of long-acting insulin intended to maintain normal blood glucose levels between meals and at night. bG Test Reminders Reminders to retest your blood glucose after a high blood glucose test result, after a low blood glucose test result, or after a meal. bG Threshold A bG test reminder setting. The upper limit for your blood glucose for a high bG test reminder and the lower limit for your blood glucose for a low bG test reminder.
Term Definition Control Result Value displayed on meter as the result of a control test. When the Control Result is within the range shown on the label of the test strip container, then the test strips and the meter are working properly. Control Test A meter test using control solution which lets you know that the meter and test strips are working properly. Current Date Refers to the date you set through the menu Settings and then in the Time/Date screen.
Term Definition Hyper Hyperglycemia: an abnormally high level of glucose in the blood. Hyper Warning Limit When your blood glucose test result is above the hyper warning limit, a warning is displayed. Hypo Hypoglycemia: an abnormally low level of glucose in the blood. Hypo Warning Limit When your blood glucose test result is below the hypo warning limit, a warning is displayed.
Term Definition LO The test result is below the meter’s measurement range. Max Bolus The maximum amount of bolus insulin to be delivered at one time. A bolus that is larger than the max bolus amount requires an additional confirmation. This serves as a safety measure against unintended large boluses. You should ask the advice of your HCP for delivering large doses of insulin.
Term Definition Offset Time Offset time takes into account the expected delay for the blood glucose level to actually fall during the acting time of insulin in the body. It describes the first time period within the acting time. Pre-Mixed Insulin A commercially produced combination of two different types of insulin. Remind After A bG test reminder setting. The amount of time after a high blood glucose test result, after a low blood glucose test result, or after a meal you want the reminder to occur.
Term Definition Start Time The start time of a time block. Target Range The desired upper and lower limits of your blood glucose level considered acceptable as set by your healthcare professional. Time Blocks Up to eight time periods within one day to facilitate your changing insulin needs throughout the day. Time Range The user sets the duration of time. There is a start and end time. User A person using the meter.
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Index A abbreviations, 269–271 acting time, 153–155, 164 active insulin, 47–49 advice options, 153–155, 163–164 after high bG test reminder, 131–135, 198, 200, 202, 204 after low bG test reminder, 131–135, 198, 201–203 after meal bG test reminder, 131–135, 198– 199, 202, 205 alarm clock reminder, bG test, 28, 137–140, 202, 206 injection, 28, 137–140, 202, 206–207 other, 28, 137–140, 202, 206–207 appetite, increased, 57 B backlight, 21, 191–192 button, 15, 18–19 batteries, 16 changing, 231–233 low, 30, 177
C carbohydrates, 47–50, 84, 87 units of measure, 174–176, 271 carb ratio, 148, 151, 159, 240 carbs.
F fatigue, 57 frequent urination, 57 G g (grams), 174–176, 271 graph, standard day, 103–106 standard week, 112–115 target, 120–122 trend, 94–97 H headache, 57 health events, 27, 47–50, 84, 87, 153, 161–162 high bG retest reminder, 200, 204 hyper warning limit, 24, 165–167, 239, 246 hypo warning limit, 24, 165–167, 240, 247 I icons, listing, 81, 195–196 infrared (IR) window, 15–16, 127 injection reminder.
M maintenance, meter, 235 meal rise, 153, 155, 164 meal time, 47–50, 84–85 meter, settings and range limits, 273–277 summary of features, 15, 21–29 N navigation, 29–34 Neutral Protamine Hagedorn (NPH), 147 numbness, 57 R rapid heartbeat, 57 reminders, important information, 202–207 list of, 198–201 priority, 202 reminders, blood glucose test.
standard week, reporting, 111–118 supplies, 267 sweating, 57 symbols, explanation, 272 T table, standard day, 107–110 standard week, 116–118 target, 123–125 trend, 98–101 target range, 148, 151, 159, 183–185, 247 target, reporting, 119–125 test results, storing, 77–78 unusual, 55–56 test strip, 42, 64, 249 thirst, increased, 57 time blocks, 25–26, 147–160, 183–190, 277 time format, setting, 180–181 time, setting, 180–182 tingling, 57 trembling, 57 troubleshooting, 239–250 U units of measure.
292 52123_07006322001.
293 52123_07006322001.
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LAST UPDATE: 2013-07 52123_07006322001.
07006322001-1013 Roche USA – 52123 V6/1 – 07006322001 – Black – 209 © 2013 Roche Diagnostics Assembled in USA. Roche Diagnostics Corporation 9115 Hague Road Indianapolis, IN 46256 www.accu-chek.com 52123_07006322001.indb 1 ACCU-CHEK, ACCU-CHEK AVIVA, ACCU-CHEK AVIVA EXPERT, and FASTCLIX are trademarks of Roche.
