ACCUCU-CHEK Aviva BLOOD GLUCOSE METER Owner's Booklet ®
Your Accu-Chek Aviva Blood Glucose Meter is one of the best and safest blood glucose meters available. No matter whether the Accu-Chek Aviva Meter is your first blood glucose meter or whether you have already used another type; in your own interest, please take time to read this manual through carefully before you attempt to use your meter.
The Accu-Chek® Aviva System Your new Accu-Chek Aviva Meter and accessories work together to measure the amount of glucose in your blood to help you and your healthcare professional control your diabetes. The system includes: • Accu-Chek Aviva Meter with battery • Accu-Chek Aviva Test Strips and code chip • Accu-Chek Aviva Control Solution 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.
Important Information About Your New Meter • Your new meter is designed and approved for testing fresh capillary whole blood samples (for example, blood from your fingertip or forearm). The meter is for outside the body (in vitro) use. It should not be used to diagnose diabetes. • This meter requires Accu-Chek Aviva Test Strips. Other test strips may give inaccurate results. • Your new meter comes with a preset time and date. You may need to change the time to your time zone.
Contents Chapter 1: Understanding Your New System .............................................................6 The Accu-Chek Aviva Meter.....................................................................................6 Coding Your Meter ...................................................................................................8 Adjusting the Time and Date—First Time Use .......................................................10 Using the Accu-Chek Aviva System ..................................
Chapter 4: Control Testing .........................................................................................43 Why Perform Control Tests.....................................................................................43 About the Control Solutions ...................................................................................43 Performing a Control Test ......................................................................................44 Understanding Control Test Results ................
Chapter 1: Understanding Your New System The Accu-Chek Aviva Meter Infrared (IR) Window – Used to transfer data from the meter to a computer or PDA. (See Chapter 3.) Display – Shows results, messages, and results stored in memory. Right and Left Arrow Buttons – Press to enter memory, adjust settings, and scroll through results. On/Off/Set Button – Turns the meter on or off and sets options. Battery Door – Flip open the battery door by pushing the tab in the direction of the arrow.
Golden End – Insert this end of the test strip into the meter. Yellow Window – Touch blood drop or control solution here. On/Off/Set Button Test Strip Top View Test Strip Container Code Chip (for example) Infrared (IR) Window 7 Control Solution Bottle Battery – Insert with (+) symbol facing up.
Coding Your Meter 1. Make sure the meter is off. ! ▲ Chapter 1 2. Turn the meter over. 3. Remove the old code chip (if there is one in the meter) and discard it.
4. Turn the code chip over so the code number faces away from you. Push it into the meter until it stops. 5. Leave the code chip in the meter until you open a new box of test strips. Notes: • Do not force the code chip into the meter–it is designed to go in the meter only one way. • If you see a code “- - -” on the display, insert a code chip in the meter.
Adjusting the Time and Date—First Time Use Having the correct time and date in your meter is important if you use the meter memory or if you want to download your results to a computer. | | | | | | | | | | | | | | | | | | | | | decrease 1. Press and release to turn the meter on. The time and date appear on the display. “Set” and the hour flash. Chapter 1 increase 2. Press and release or to decrease or increase the hour. Press and hold or down to scroll faster. 10 3.
Note: When you install a new battery, the meter automatically prompts you to check the time and date when you turn it on. | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | increase | | | | | decrease | | | Chapter 1 | 4. Press and release or to adjust the minutes. Press to set the minutes. 5. Repeat to set day, month, and year. 6.
Using the Accu-Chek Aviva System • Be sure to check the expiry date on the test strip container. Do not use the test strips after that date. • Only use Accu-Chek Aviva Test Strips. • Replace the code chip every time you open a new box of test strips. • Store the test strip container and your meter in a cool dry place, such as a bedroom. • Store the test strips in their original container. • Store the test strips at 2 to 32°C. Do not freeze.
Chapter 2: Testing Your Blood Glucose Performing a Blood Glucose Test Before you perform your first blood test, set up your meter correctly. You need the meter, a test strip, and a lancet device with a drum loaded. 1. Prepare your lancet device. 4. Make sure the code number on the display matches the code number on the test strip container. If you miss seeing the code number, remove the test strip and reinsert it into the meter. 2. Wash and dry your hands. 3.
Performing a Blood Glucose Test (continued) | | | | | | | | | | 5. A test strip and flashing blood drop symbol appear on the display. Chapter 2 6. Perform a fingerstick with your lancet device.
| | | | | | | | | | | | 7. Gently squeeze your finger to assist the flow of blood. This helps you get a blood drop. Chapter 2 8. Touch the drop to the front edge of the yellow window of the test strip. Do not put blood on top of the test strip. When you see flash, you have enough blood in the test strip. If you applied blood but do not see the flashing , you may reapply more blood within five seconds.
Performing a Blood Glucose Test (continued) Note: After a successful test, the meter turns itself off five seconds after the test strip is removed. OR 9. Your result appears on the display. If you want to flag your test result for a special event, leave the test strip in the meter. (See the next section.) Otherwise, discard the used test strip. Chapter 2 10. Load the next lancet by twisting the plunger one quarter turn forward (until it stops), then twist it back.
Flagging Test Results If you wish, you can “flag” your test result with an asterisk ( ) to mark a special result. You might want to flag an event such as an AST result or exercise. When you review your results in memory, this “flag” can help you remember what was different about the result. Here is how to flag a result: 1. Perform a test. 2. With the test result on the display, and the test strip STILL IN THE METER, press or once. The appears just below the date. 3. Remove and discard the test strip.
Alternative Site Testing (AST) You have the option of testing other places on your body besides the fingertip. You can test the palm, forearm, upper arm, thigh, or calf. While fingertip blood can be tested at any time during the day, there are times when testing from any other approved site is not ideal—usually when your blood glucose is rapidly changing. Please read the following section before you try testing from other places.
Alternative site testing may be done: • Immediately before a meal • Fasting DO NOT test from an alternative site: • Two hours or less after eating • After exercising • If you are sick • If you think your blood glucose is low • If you often don’t notice when your blood glucose is low • When basal insulin is most active • After injecting rapid-acting insulin (two hours or less) Chapter 2 19
Alternative Site Testing (AST) (continued) You need the meter, a test strip, a lancet device with a drum loaded, and the clear AST cap. 1. Prepare your lancet device. 2. Insert a test strip into the meter in the direction of the arrow. The meter turns on. Chapter 2 3. Make sure the code number on the display matches the code number on the test strip container. If you miss seeing the code number, remove the test strip and reinsert it into the meter.
| | | | | | | | | | 4. A test strip and flashing blood drop symbol appear on the display. Chapter 2 5. Press the lancet device firmly against a fleshy area on the alternative site. Press the lancet device up and down in a slow pumping motion to assist the flow of blood. 21 6. Trigger the lancet device while keeping steady pressure on the area. Immediately lift the lancet device off the site. Remove the AST cap by pulling it straight off.
Alternative Site Testing (AST) (continued) Note: If the blood drop is too small, reapply pressure to get a sufficient blood drop. | | | | | | | | | | | | 7. Return the AST cap to the same position over the puncture site. Apply pressure to the site to help the blood drop form properly. Do not allow the cap to touch the blood drop. Chapter 2 8. Touch the drop to the front 9. Load the next lancet by twistedge of the yellow window of ing the plunger one quarter the test strip.
Unusual Test Results If your blood glucose result does not match the way you feel, follow these steps: Troubleshooting Checks Action 1. Check the expiry date of the test strips. If it is past the expiry date, discard the test strips. 2. Ensure that the cap on the test strip container is always closed tightly. If you think it may have been uncapped for some time, replace the test strips. 3. Check if the test strip was out of the container for a long time. Repeat the test with a new test strip. 4.
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. Here are the most common symptoms: High blood glucose (hyperglycemia): fatigue, increased appetite or thirst, frequent urination, blurred vision, headache, or general aching. Low blood glucose (hypoglycemia): sweating, trembling, blurred vision, rapid heartbeat, tingling, or numbness around mouth or fingertips.
Chapter 3: Meter Memory, Setup, and Downloading Memory Storing Test Results Your meter automatically stores up to 500 test results with the time and date of the test. You can review them at any time. Test results are stored from the newest to the oldest, so it is very important to have the correct time and date set in the meter. Notes: • Do not change your therapy based on one individual result in memory. • The memory is not lost when you replace the battery.
Viewing Test Results Press either or to enter memory. Your most recent result appears. Press to view previous results in order. OR, press to look at your 7, 14, or 30 day averages, in that order.
Meter Setup Using the Set Mode By using the set mode, you can personalize your meter to suit your lifestyle. Here are the features you can customize— Time and Date - set the time and date Beeper - select on or off Alarm clock - select 0-4 times a day for a reminder to test Hypo alarm - select on or off. If you choose on, choose the level of the alarm. Using the set mode is easy. The has three functions for the set mode. • With the meter on, press and hold flashes on the display.
You are here TIME / DATE (hrs, min, day, month, year) BEEPER (on/off) ALARM CLOCK (A-1, A-2, A-3, A-4) HYPO ALARM (off, on, level) Setting the Time and Date | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | decrease 1. Press to turn the meter on. The flashing test strip symbol appears. Chapter 3 2. Enter the set mode (press and hold for about four seconds). “Set” flashes on the display. The hour flashes. 28 increase 3. Press and release to decrease the hour.
Note: You can press and hold or to scroll faster. decrease 4. Press and release The minutes flash. Chapter 3 to set the hour. 5. Press and release the minutes. Press minutes.
Setting the Time and Date (continued) | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | 6. Repeat to set day, month, and year. Chapter 3 7. If you want to set up more options, press and release . If you want to exit, press and hold until the flashing test strip symbol appears.
You are here TIME / DATE (hrs, min, day, month, year) BEEPER (on/off) ALARM CLOCK (A-1, A-2, A-3, A-4) HYPO ALARM (off, on, level) Setting the Beeper On/Off Your new meter has the beeper preset to “On.” You can set the beeper to “OFF,” if you prefer—this will not affect your test results.
Setting the Beeper On/Off (continued) | | | | | | | | | || | | | | | | | | | | | | | | | | | | | | | | | | | || | | || | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | || | | | | | | | 1. Press to turn the meter on. The flashing test strip symbol appears. Chapter 3 2. Enter the set mode (press and hold for about four seconds). “Set” flashes on the display. 32 3.
| | | | | | | | | | | | | | | Chapter 3 or | | 4. Press “OFF.” 5. If you want to set up more options, press and release . If you want to exit, press and hold until the flashing test strip symbol appears.
You are here TIME / DATE (hrs, min, day, month, year) BEEPER (on/off) ALARM CLOCK (A-1, A-2, A-3, A-4) HYPO ALARM (off, on, level) Setting the Alarm Clock Function The alarm clock function is a handy way to remind you to test. You can set 0 to 4 alarms per day. The meter beeps every two minutes—up to three times. You can turn the alarm off by inserting a test strip or pressing any button. You must have the beeper set to “On” for the alarm to sound.
When you are setting the time for the alarm clock function, the beeper symbol remains on the display and “set” flashes continuously. | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | 1. Press to turn the meter on. The flashing test strip symbol appears. Chapter 3 2. Enter the set mode (press and hold for about four seconds).
Setting the Alarm Clock Function (continued) | | | | | | | | | | | | | | | | | | | | | | | | Chapter 3 | | | | | | | | 4. Press and release or to select “On” or “OFF.” Press and release to set your choice. | | | || || | | | | | || || 5. If you select “On,” the hour flashes. “A-1” and the beeper symbol remain on the display. 36 6. Press and release or to select the hour. Press and release to set the hour.
| | | | | | | | | | | | | | | | | | | | | | | Chapter 3 | | | | | 7. The minutes flash. Press and release or to select 00, 15, 30, or 45. These are the only choices. | | | | | | | | | | | | | | | | | | | | 8. Press and release set minutes. 37 to 9. The next alarm “A-2” and “set” flash on the display with “OFF” and the beeper symbol. You can either set a second alarm or press and hold until you see the flashing test strip symbol to exit the set mode.
You are here TIME / DATE (hrs, min, day, month, year) BEEPER (on/off) ALARM CLOCK (A-1, A-2, A-3, A-4) HYPO ALARM (off, on, level) Setting the Hypoglycemic (Hypo) Alarm Function | | | | | | | | | | | | | | | | | You can set the meter to let you know when your blood glucose is possibly too low. You can also select what blood glucose level you want this alarm to have (60 to 80 mg/dL / 3.3 to 4.4 mmol/L).
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Chapter 3 | | | | 2. Enter the set mode (press and hold for about four seconds). “Set” flashes on the display. | | | | | | | | | 3. Press and release repeatedly until you reach the display with “OFF” and the flashing “set” and “hypo?” 39 4. Press and release or to switch between “On” and “OFF.” Press and release to set your choice.
Setting the Hypoglycemic (Hypo) Alarm Function (continued) | | | | | | | | | | | | | | | | | | | | | | | | OR | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | 5. If you select the hypo alarm “On,” “set” and “hypo?” flash. The display shows 70 mg/dL / 3.9 mmol/L. Chapter 3 | | | | | | | | | | | | | | | | 6. Press and release or to select the level you want. Press and release to set it.
Downloading Your Results to a Computer or PDA You can transfer your stored results to a computer to track, identify patterns, and print. Transferring Data 1. Install the software according to the instructions. 2. Run the software program and follow the instructions about how to download information. Make sure the software is ready to accept data from the meter. 3. Locate the infrared (IR) window on the top of the meter. 4. Locate the IR window on the infrared cable or PDA.
5. Point the two IR windows toward each other. They should be 3 to 10 cm apart. 6. With the meter off, press and hold both and until you see two arrows on the display alternately flash. This means the data is transferring. The two arrows continue flashing until the data transfer is complete. | | | | | | | | | | | | | | | | | | | | | | | | | | 7. Follow the prompts on your software. 8. The software program may shut off your meter automatically when the data transfer is complete.
Chapter 4: Control Testing Why Perform Control Tests Performing a control test lets you know that your meter and test strips are working properly to give reliable results.
Performing a Control Test You need the meter, a test strip, and control solution Level 1 or Level 2. The control level is printed on the bottle label. OR 1. Insert a test strip into the meter in the direction of the arrow. The meter turns on. Chapter 4 2. Make sure the code number on the display matches the code number on the test strip container. If you miss seeing the code number, take the test strip out and reinsert it into the meter. 44 3. Select the control solution you want to test.
4. Put the meter on a flat surface, like a table. Chapter 4 5. Remove the control bottle cap. Wipe the tip of the bottle with a tissue.
Performing a Control Test (continued) |||| | | | | |||| | | ||||| |||| | | | | | | OR 6. Squeeze the bottle until a tiny drop forms at the tip. Touch the drop to the front edge of the yellow end of the test strip. When you see flash, you have enough control solution in the test strip. Wipe the tip of the bottle with a tissue then cap the bottle tightly. Chapter 4 7. A result appears on the display, along with a control bottle symbol and a flashing “L.” Do not remove the test strip yet.
8. Press Chapter 4 9. “OK” and the control result alternate on the display if the result is in range. The range is printed on the test strip container label. “Err” and the control result alternate on the display if the result is not in range. Remove the test strip and discard it. to set the level in the meter.
Understanding Control Test Results Level 1 Level 2 Range (mg/dL) 25-55 255–345 Level 1 Level 2 Range (mmol/L) 1.4-3.1 14.2–19.1 Example The label on your test strip container shows the acceptable ranges for both the Level 1 and the Level 2 control solutions. The result you get should be inside this range. Make sure you compare the result to the correct level of control.
If your control result is not inside the acceptable range, here are some things you can do to solve the problem: Troubleshooting Checks Action 1. Check the expiry date of the test strips and control solution. If either is past the expiry date, discard it. If the control solution was opened more than three months ago, discard it. 2. Check that you wiped the tip of the control solution bottle before and after use. Wipe the tip of the bottle with a tissue.
Chapter 5: Maintenance and Troubleshooting Notes: Changing the Battery 1. Open the battery door on the back of the meter by pushing the tab in the direction of the arrow and pulling the door up. Remove the old battery. 2. Insert the new battery with the + side up. 3. Put the battery door back in place and snap it closed. Chapter 50 • The meter uses one 3-volt lithium battery, type CR 2032. This type of battery can be found in many stores. It is a good idea to have a spare battery available.
Cleaning Your Meter Caring for your Accu-Chek Aviva Meter is easy—just keep it free of dust.
Maintenance and Troubleshooting Your meter needs little or no maintenance with normal use. It automatically tests its own systems every time you turn it on and lets you know if something is wrong. (See Chapter 5 on “Screen Messages” and what to do about them.) If you drop the meter or think it is not giving accurate results, call Roche Diagnostics. To make sure the display is working properly, turn off the meter, then press and hold to see the complete display.
Screen Messages and Troubleshooting ▲ ! Never make treatment decisions based on an error message. If you have any concerns, call Roche Diagnostics. The meter will not turn on or the display is blank. Battery power is low. Change the battery soon. See Chapter 5 “Changing the Battery.
The meter is ready for you to insert a test strip. | | | | | | | | | | | | Blood glucose may be lower than the measuring range of the system. | | | | | The meter is ready for a drop of blood or control solution. | | | | | | | | | | OR Blood glucose may be higher than the measuring range of the system. Chapter 5 54 This test result was flagged. See Chapter 2 “Flagging Test Results” for more details.
The code chip is incorrect. Turn off the meter and insert a new code chip. If this does not fix the problem, call Roche Diagnostics. Blood glucose is below the defined hypo (low blood glucose) level. | | | | | | | | | | | | The temperature is above or below the proper range for the meter (6 to 44°C). Move to an area between 6 and 44°C, wait five minutes and repeat the test. Do not artificially heat or cool the meter.
Blood or control solution was applied to the test strip before the flashing drop appeared on the display. Discard the test strip and repeat the test. The code chip is from an expired lot of test strips. Ensure the code chip number matches the code number on the test strip container. Make sure the time and date in the meter are correct.
| | | | | | | | | | | | | | | | | | | | | | | | | | | | An error occurred during the test. Discard the test strip and repeat the test. See Chapter 1 “Understanding Your New System.” An electronic error occurred. Turn the meter off and on. Take the battery out for a few seconds and reinsert it. If the problem persists, call Roche Diagnostics. | | | | | | Not enough blood or control solution was drawn into the test strip for measurement or was applied after the test has started.
Chapter 6: Technical Information Product Limitations Please read the literature packaged with your test strips to find the latest information on product specifications and limitations.
Test strip storage conditions Control solution storage conditions Relative humidity operating range Memory capacity Dimensions Weight Construction 2 to 32°C 2 to 32°C 10 to 90% 500 results with time and date 94 x 53 x 22 mm (LWH) Approx. 60 g (with battery) Hand-held Measuring Principle The enzyme on the test strip, glucose dehydrogenase, in the presence of the coenzyme (PQQ), converts the glucose in the blood sample to gluconolactone.
Product Safety Information 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. Explanation of Symbols On packaging, on the type plate, and in the instructions for your Accu-Chek Aviva Meter, you may encounter the following symbols, shown here with their meaning.
Manufacturer 3V type 2032 Listed by Underwriter's Laboratories, Inc.© in accordance with UL 61010A-1 and CAN/CSA C22.2 No.1010-1. Guarantee The statutory guarantee provisions governing the sale of consumer goods in the country of purchase shall prevail.
Information for Healthcare Professionals ! ▲ Healthcare Professionals: Follow the infection control procedures appropriate for your facility. Decisions about whether to recommend alternative site testing (AST) should take into account the motivation and knowledge level of the patient and his or her ability to understand the considerations relative to diabetes and AST.
Index alarm clock function, setting, 34 alternative site testing, 18, 62 appetite, increased, 24 battery, changing, 50 battery, installing, 50 battery, type, 50 beeper, setting, 31 blood glucose, testing, 13 blurred vision, 24 button, on/off/set, 6 code chip, 7, 8 computer, connecting your meter to, 41 control solution, 43 control test results, understanding, 48 Index control test, acceptable range, 48 control test, results, 48 control test, performing 44 control test, unacceptable range, 48 display check
test strips, Accu-Chek Aviva, 7, 12 thirst, increased, 24 time and date, setting, 28 tingling, 24 trembling, 24 troubleshooting, 53 – 57 Index 64
ACCU-CHEK® Aviva ©2005 Roche Diagnostics. All rights reserved. Roche Diagnostics GmbH, D-68298 Mannheim, Germany www.accu-chek.com ACCU-CHEK, ACCU-CHEK MULTICLIX, and ACCU-CHEK AVIVA are trademarks of Roche.
