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  5. Advanced Owner's Booklet

Accu-Chek Aviva Advanced Owner's Booklet

Manual is about: for Self-Testing Only

Summary of Aviva

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    Aviva combo 00048010156/c-0613 blood glucose meter advanced owner’s booklet for self-testing only this file may not print or view at 100%. Die lines and color breaks do not print. Roche usa – 51639 v6/1 – 00048010156/c – black roche usa – 51639 v6/2 – 00048010156/c – cyan roche usa – 51639 v6/3 – 00...

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    Last update: 2012-08 51639_00048010156_c.Indb 2 6/11/13 8:47 am.

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    I before you start testing 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 ...

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    Ii 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 stri...

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    Iii 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)....

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    Iv • refer to the test strip and control solution package inserts for additional health-related information. • it is always a good idea to have a back-up testing method available. Failure to test could cause a delay in treatment decisions and lead to a serious medical condition. Examples of back-up ...

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    1 contents before you start testing i introduction 5 1 bolus advice 7 1.1 overview 8 1.2 before using bolus advice 10 1.3 calculating and delivering a bolus using bolus advice 13 2 administering a bolus 25 2.1 overview 26 2.2 choosing your bolus type 27 2.3 delivering a bolus 29 2.4 updating the dia...

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    2 3 using the accu-chek aviva combo meter with the accu-chek spirit combo pump 33 3.1 overview 34 3.2 the system at a glance 35 3.3 controlling the pump with the meter 38 3.4 managing pump errors, warnings, and reminders with the meter 53 4 communication between the accu-chek aviva combo meter and a...

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    3 appendices 79 appendix a: bolus advice 79 appendix b: bolus advice calculations 98 appendix c: explanation of symbols 102 appendix d: limited license 103 index 107 51639_00048010156_c.Indb 3 6/11/13 8:47 am.

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    4 51639_00048010156_c.Indb 4 6/11/13 8:47 am.

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    5 your new meter includes three booklets: • getting started guide: use this booklet to set up the meter. • standard owner’s booklet: use this booklet for instructions on how to operate the standard features of the meter. • advanced owner’s booklet: use this booklet for instructions on how to operate...

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    6 warning choking hazard. Small parts. Keep away from children under the age of 3 years. 51639_00048010156_c.Indb 6 6/11/13 8:47 am.

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    1 7 1 bolus advice 1.1 overview 8 1.2 before using bolus advice 10 1.3 calculating and delivering a bolus using bolus advice 13 51639_00048010156_c.Indb 7 6/11/13 8:47 am.

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    8 1.1 overview important information regarding the use of bolus advice is presented in this chapter. Read it carefully and completely before you begin using bolus advice. • it is recommended you discuss your bolus advice settings with your healthcare professional prior to setting up this feature. • ...

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    1 9 note • this booklet shows sample screens. The screens in this booklet may look slightly different from the screens on your accu-chek aviva combo meter. If you have any questions about the meter screens, contact accu-chek customer care service center at 1-800-688-4578. • blood glucose and bg are ...

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    10 1.2 before using bolus advice as with any specialized feature, you need to understand certain information in order to use bolus advice. Working closely with your healthcare professional, you must be completely familiar with your diabetes therapy. You must also be able to judge your current situat...

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    1 11 safety information regarding bolus advice warning • it is very important you follow the safety information in this chapter. • always compare your result with the way you actually feel and adjust the recommended bolus, if necessary. • always carry out the actions entered into bolus advice in a t...

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    12 warning messages about your blood glucose test result after performing a blood glucose test, warning messages about your blood glucose test result may be displayed. Please take careful note of these messages. If your blood glucose test result is too low, you are prompted to eat a certain amount o...

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    1 13 1.3 calculating and delivering a bolus using bolus advice bg test result active insulin carb entry health event entry bolus type recommended bolus amount 51639_00048010156_c.Indb 13 6/11/13 8:47 am.

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    14 to deliver a bolus main menu > bolus advice 1. J from the main menu, select bolus advice and press = . 2. J if you have not completed a recent blood glucose test (this is indicated when “bg test” is displayed near the top of the meter screen rather than an actual bg value), it is recommended you ...

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    1 15 to adjust the bolus amount: j select the bolus entry field and press = . J set the bolus insulin amount and press = . To deliver a … j standard bolus: step 3 j multiwave bolus: step 6 j extended bolus: step 9 j bolus manually on the pump: step 12 j bolus using an insulin pen or syringe: step 14...

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    16 5. J select ok and display the main menu. Bolus delivery continues until it is complete. J to stop bolus delivery, select stop bolus. The pump screen bolus cancelled appears. Note: bolus delivery can be stopped using your pump. For instructions, see the pump user guide. If no buttons are pressed,...

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    1 17 6. 7. To deliver a multiwave bolus j select the type entry field and press = . J select multiwave and press = . To confirm the entries, select confirm. J to change the immediate bolus, select immediate entry field and press = . J set the bolus amount and press = . J to change the duration, sele...

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    18 j to stop bolus delivery, select stop bolus. The pump screen bolus cancelled appears. Note: bolus delivery can be stopped using your pump. For instructions, see the pump user guide. If no buttons are pressed, when the bolus delivery is complete the immediate delivery completed screen appears. J s...

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    1 19 9. To deliver an extended bolus j select the type entry field and press = . J select extended and press = . To confirm the entries, select confirm. 10. 11. J to adjust the duration, select the duration entry field and press = . J set the length of duration and press = . J to deliver the extende...

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    20 12. To deliver a bolus manually on the pump j select the type entry field and press = . J select manual pump and press = . To confirm the entries, select confirm. 13. The bolus amount is displayed on the meter screen. J manually program the pump and deliver the bolus, or if necessary, select back...

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    1 21 15. The bolus amount is displayed on the meter screen. J inject the bolus using an insulin pen or syringe or, if necessary, select back and return to the bolus advice screen to adjust the bolus. J select ok to go to the main menu. 14. To deliver a bolus using an insulin pen or syringe j select ...

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    22 warning • bolus advice provided by the meter is solely advice. Contact your healthcare professional prior to changing your diabetes therapy. • it is important to make the correct selection for the carbohydrate ratio and insulin sensitivity. If you select the wrong ratio (the basis for all calcula...

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    1 23 note • bolus advice can also be accessed after you perform a bg test (see the standard owner’s booklet). When the detailed bg result screen is displayed, press . . This is not available if your bg result is below your hypo warning limit (red color bar is displayed). • for additional information...

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    24 51639_00048010156_c.Indb 24 6/11/13 8:47 am.

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    25 2 2 administering a bolus 2.1 overview 26 2.2 choosing your bolus type 27 2.3 delivering a bolus 29 2.4 updating the diary with bolus information 31 51639_00048010156_c.Indb 25 6/11/13 8:47 am.

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    26 2.1 overview there are several methods to deliver a bolus. 51639_00048010156_c.Indb 26 6/11/13 8:47 am.

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    27 2 2.2 choosing your bolus type there are several types of bolus delivery available. The bolus types include: • standard a bolus that is immediately delivered to cover a food or a blood glucose correction. When standard is selected, the bolus is delivered by the pump. This option is available only...

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    28 • extended a bolus delivered over a period of time. The extended bolus might be helpful, for example, during long meals, dinners, or receptions, or when you have meals that are digested slowly or for people who have gastroparesis (delayed digestion). This option is available only when bluetooth w...

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    29 2 2.3 delivering a bolus warning • incorrect meter settings may cause inappropriate insulin delivery. • the meter must be configured with your personal settings prior to administering a bolus. If you are not sure about your personal settings, talk to your healthcare professional. • work with your...

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    30 note you can cancel a bolus (including an extended bolus) that is being delivered by the pump directly on the pump or remotely using the meter (through the pump menu on the meter). Delivering a bolus using bolus advice for instructions on how to deliver a bolus using bolus advice, see chapter 1, ...

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    31 2 2.4 updating the diary with bolus information when the pump is synchronized with the meter, bolus information from the pump is imported into the meter. For any manual pump bolus record in the meter database with a time stamp that is older than 10 minutes and is not confirmed by the pump, the me...

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    32 51639_00048010156_c.Indb 32 6/11/13 8:47 am.

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    33 3 3 using the accu-chek aviva combo meter with the accu-chek spirit combo pump 3.1 overview 34 3.2 the system at a glance 35 3.3 controlling the pump with the meter 38 3.4 managing pump errors, warnings, and reminders with the meter 53 51639_00048010156_c.Indb 33 6/11/13 8:47 am.

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    34 the accu-chek aviva combo meter can be used to remotely control the accu-chek spirit combo insulin pump using bluetooth wireless technology. Before using the meter to control the pump, it is important to understand how to operate the pump using the meter. If you experience any communication probl...

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    35 3 in the meter’s pump menu, the meter buttons have different functions. The buttons function as button (key) presses on the pump. 3.2 the system at a glance the pump sends screens to the meter. The meter sends button presses to the pump. D f 51639_00048010156_c.Indb 35 6/11/13 8:47 am.

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    36 meter button pump key function x a j move forward in an information screen j increase a setting j program a quick bolus j cancel a quick bolus j turn off the stop-warning z s j move backward in an information screen j decrease a setting j program a quick bolus j cancel a quick bolus j turn off th...

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    37 3 meter button pump key function . D and a j exits menus, function screens, and information screens without saving your changes j move to the previous screen , none j return to the main menu 51639_00048010156_c.Indb 37 6/11/13 8:47 am.

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    38 when bluetooth wireless technology is turned on, the pump main screen appears on the meter when you are in the pump menu. The meter is able to control the following pump functions: • standard bolus • extended bolus • multiwave bolus • temporary basal rate • my data • basal rate selection • basal ...

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    39 3 the following pump functions cannot be remotely controlled using the meter: • changing the insulin cartridge • priming the infusion set • rewinding the piston rod • data transfer (to a computer) • bluetooth wireless technology menu • display orientation and contrast 51639_00048010156_c.Indb 39 ...

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    40 note • you can administer a bolus manually on the pump (without using the meter). When the meter and bluetooth wireless technology are both turned on, the pump automatically transfers bolus information to the meter. If bolus advice is used, it is important you enter carbohydrate information into ...

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    41 3 pump screen corresponding meter buttons return to main menu pump screens on the meter bluetooth wireless technology icon back pump double button press ( d and a ) 51639_00048010156_c.Indb 41 6/11/13 8:47 am.

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    42 in remote control mode, the bluetooth wireless technology icon appears on the meter screen and on the pump screen. To control the pump using the meter, you must be in the pump menu. From the pump menu, use the corresponding meter buttons to scroll through the pump menus and submenus (the same as ...

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    43 3 delivering a bolus – standard bolus to program a standard bolus remotely using the meter 1. J from the main menu, select pump and press = . 2. J repeatedly press and release until the standard bolus screen appears. 3. J press > to select the standard bolus menu. 51639_00048010156_c.Indb 43 6/11...

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    44 5. J when the correct bolus amount is displayed, press > to confirm the bolus amount. 6. J the standard bolus icon blinks for 5 seconds (bolus delivery start delay). The meter beeps three times and vibrates once, then the pump begins to deliver the bolus amount. A countdown of the remaining bolus...

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    45 3 time cancelling the bolus result when programming a standard bolus (the bolus amount blinks on the screen) j if you do not press any meter buttons for approximately 20 seconds, the meter returns to the pump run screen. J exit the bolus amount screen and return to the standard bolus screen by pr...

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    46 time cancelling the bolus result during bolus delivery (meter is counting down the bolus amount) j press and hold x or z for 3 seconds until the meter beeps. The meter displays the pump warning w8: bolus cancelled. Press > twice to confirm and mute the warning. You can view the actual bolus amoun...

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    47 3 programming a temporary basal rate (tbr) 1. J from the main menu, select pump and press = . 2. 3. J press > to select the temporary basal rate (tbr) menu. J repeatedly press and release until the temporary basal rate (tbr) screen appears. 51639_00048010156_c.Indb 47 6/11/13 8:47 am.

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    48 5. The tbr duration screen appears. J press x or z to set the duration time. J press > to save the changes. 6. The run screen with the tbr appears. The new tbr is activated. The meter beeps when the activation occurs. 4. J press x or z to increase or decrease the tbr. J when the correct tbr perce...

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    49 3 note • if a tbr is not currently active, the tbr percentage is set to 100 %. • when a tbr is active, it remains in effect even if the basal rate profile is changed. • a tbr can only be programmed when the pump is in run mode. • when a tbr is active, the pump beeps and vibrates every hour. The m...

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    50 situation cancelling the temporary basal rate result when programming a tbr j if you do not press any meter buttons for approximately 20 seconds, the meter returns to the pump run screen. J return to the temporary basal rate (tbr) screen by pressing . Or by pressing and x simultaneously. J set th...

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    51 3 changing a basal profile 1. J from the main menu, select pump and press = . 2. 3. J press > to select the basal rate selection menu. J repeatedly press and release until the basal rate selection screen appears. 51639_00048010156_c.Indb 51 6/11/13 8:47 am.

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    52 4. J press x or z to select the basal rate profile. The basal rate profile number and the basal rate total amount appear. J when the correct basal rate profile appears, press > to select it. For more information, see the pump user guide. 51639_00048010156_c.Indb 52 6/11/13 8:47 am.

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    53 3 3.4 managing pump errors, warnings, and reminders with the meter if the meter is off when a pump error, warning, or reminder occurs and you turn on the meter, after communication to the pump is established: • the meter goes directly to the pump screen. • pump errors, warnings, and reminders app...

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    54 cartridge low warning when the contents of the insulin cartridge on the pump have dropped to 20 units of insulin, the pump warning w1: cartridge low appears. J when the warning appears on the meter pump screen, press > twice to snooze and to confirm the warning. J change the cartridge before it i...

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    55 4 4 communication between the accu-chek aviva combo meter and accu-chek spirit combo pump 4.1 overview 56 4.2 turning bluetooth ® wireless technology on/off 57 4.3 using the system while traveling 60 4.4 pairing the accu-chek aviva combo meter with the accu-chek spirit combo pump 61 4.5 cancellin...

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    56 the meter and pump use bluetooth wireless technology to communicate. If you are experiencing communication problems between the meter and pump, it is recommended you go directly to the pump and operate the pump manually. For more information on troubleshooting communication between the meter and ...

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    57 4 4.2 turning bluetooth ® wireless technology on/off you may turn bluetooth wireless technology on or off at any time using the meter. Bluetooth wireless technology icon communication states icon communication state bluetooth wireless technology is on. The meter and pump are communicating. Blueto...

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    58 turning pump communication ( bluetooth wireless technology) on or off main menu > settings > meter > bluetooth 1. J from the main menu, select settings and press = . 2. J select meter and press = . 3. J select bluetooth and press = . 51639_00048010156_c.Indb 58 6/11/13 8:47 am.

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    59 4 4. J press and hold * until the bluetooth icon changes. For instructions on how to turn on or turn off bluetooth wireless technology on the pump, see the pump user guide. Note • you cannot use the meter to disable bluetooth wireless technology on the pump. You must manually turn off bluetooth w...

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    60 4.3 using the system while traveling when traveling on an aircraft, you must ensure bluetooth wireless technology is turned off on the meter and on the pump prior to closure of the aircraft door. Electromagnetic emissions from the meter or pump could interfere with the electronics systems of the ...

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    61 4 4.4 pairing the accu-chek aviva combo meter with the accu-chek spirit combo pump when obtained as a kit, the meter and pump are paired. If the meter and pump are not paired, see the following instructions. Pairing the meter and pump 2. Pump: j ensure bluetooth wireless technology is turned on. ...

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    62 3. Pump: j if the paired device none screen appears, proceed to step 6. Pump: j if the paired device screen appears, press d and proceed to the next step. Or 4. Pump: j to delete the device so the pump can be paired with another meter, press f . 51639_00048010156_c.Indb 62 6/11/13 8:47 am.

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    63 4 5. 6. Pump: j press f to confirm deletion of the paired device. Pump: j press d . 7. Meter: j ensure the meter is turned off. J press and hold * and then press + . 51639_00048010156_c.Indb 63 6/11/13 8:47 am.

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    64 9. Pump: j press f to initiate the pairing process. 8. J proceed to the next step for instructions on how to place the pump in pairing mode. J to discontinue setting up pairing, press + . 10. Pump: j if no device found screen appears, see the pump user guide for information on troubleshooting. J ...

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    65 4 11. 12. Pump: j the add device pairing screen appears followed by the add device enter pin code screen. J continue to the next step. Meter: the pair with pump screen appears. Enter the pin shown on the pump display: j press = . J set the first number and press = . Repeat until all of the number...

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    66 13. If the correct pin was entered, this pair with pump screen appears on the meter, and the device paired screen appears on the pump. Pump: j press f to confirm the pairing. Meter: j turn off the meter. Once the meter has turned off, the pairing process is complete. You may turn on the meter and...

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    67 4 4.5 cancelling the pairing of the meter and pump prompt if the meter and pump are not paired, the meter prompts you to complete the pairing process each time you turn on the meter unless you cancel the pairing process. 51639_00048010156_c.Indb 67 6/11/13 8:47 am.

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    68 1. J turn on the meter. The pairing setup has not been completed screen appears. J select cancel to cancel this pairing process prompt. Proceed to step 2. J or, to begin the pairing process select next. Go to the section, pairing the accu-chek aviva combo meter with the accu-chek spirit combo pum...

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    69 5 5 troubleshooting 5.1 overview 70 5.2 troubleshooting communication between the meter and pump 71 51639_00048010156_c.Indb 69 6/11/13 8:47 am.

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    70 for most communication problems between the meter and pump, 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 so...

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    71 5 5.2 troubleshooting communication between the meter and pump display shows possible cause(s) possible solution(s) bluetooth icon fl ashing j communication ended due to a button press on the pump. J check the pump and continue operation of the pump manually. J ensure the pump has bluetooth wirel...

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    72 display shows possible cause(s) possible solution(s) bolus delivery unavailable j the meter cannot communicate with the pump. J retry or set to manual pump. J ensure the meter and pump have bluetooth wireless technology turned on. J ensure the meter and pump are within communication range. J if t...

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    73 5 display shows possible cause(s) possible solution(s) communication lost j pump is out of range of the meter. J review or cancel the bolus on the pump. J ensure the meter and pump have bluetooth wireless technology turned on. J ensure the meter and pump are within communication range. J if the l...

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    74 display shows possible cause(s) possible solution(s) connection lost j the connection was lost between the meter and the pump during the pairing process. Therefore, the attempt to pair your meter and pump was unsuccessful. J restart the pairing process. See chapter 4, communication between the ac...

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    75 5 display shows possible cause(s) possible solution(s) infrequent pump communication j at least two weeks have passed since the meter and pump have communicated. J it is important to use bluetooth wireless technology communication between the meter and pump regularly if you utilize bolus advice. ...

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    76 display shows possible cause(s) possible solution(s) meter and pump not paired j meter and pump have not been paired. You cannot use the pump functions without pairing the meter and the pump. J you must pair the meter and pump to use these features. J for instructions on how to pair the meter and...

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    77 5 display shows possible cause(s) possible solution(s) pump not available j the pump is out of the communication range of the meter. J ensure the meter and pump have bluetooth wireless technology turned on. J ensure the meter and pump are within communication range. J i f the low battery icon is ...

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    78 warning if you are experiencing communication problems between your meter and pump, it is recommended you operate the pump manually and not use the meter to remotely control the pump. For assistance, please contact accu-chek customer care service center at 1-800-688-4578. Note for additional info...

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    79 appendices appendix a: bolus advice bolus advice is only available if you have set up bolus advice on the accu-chek aviva combo meter. For instructions on how to set up bolus advice, see the standard owner’s booklet. Along with the basic blood glucose and carbohydrate values, there are several me...

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    80 bolus advice meter settings this section contains an overview of the information that must be entered into the meter for accurate bolus advice recommendations. Carbohydrate units • bolus advice recommendations are based on the units of carbohydrates selected. • the right choice of carb units is i...

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    81 warning limits • you can select hyper (high) and hypo (low) blood glucose limits that best fit your needs. • whenever a blood glucose test result is above the hyper warning limit or below the hypo warning limit, the meter displays a warning. • set the hyper warning limit greater than the target r...

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    82 target range • the desired upper and lower limits of your blood glucose level considered acceptable as set by your healthcare professional. • the meter automatically calculates the target blood glucose level as the average between the upper and lower blood glucose target limits. • talk with your ...

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    83 insulin sensitivity • for the current time block, the insulin sensitivity (correction factor) is the amount of insulin necessary to lower your blood glucose by a certain amount. • talk with your healthcare professional to determine the appropriate insulin sensitivity settings. Your meter comes wi...

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    84 talk to your healthcare professional about setting up time blocks to help you manage your diabetes. Here is a suggested pattern: time block start time end time 1. Night time midnight the time you normally wake up 2. Breakfast the time you normally wake up 1½ hours before you normally eat lunch 3....

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    85 setting up time blocks: important information • time blocks cover a 24-hour time period (from midnight to midnight). • you can change the time period for any of the preset time blocks. • when setting up bolus advice, you must complete and save the settings in at least one time block. • each time ...

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    86 health events available on the meter are: • exercise 1 • exercise 2 • stress • illness • premenstrual • fasting 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...

  • Page 93

    87 snack size • the snack size is the amount of carbohydrates that is not to be counted as a regular meal with the expected meal rise. 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 ta...

  • Page 94

    88 bolus calculation the bolus recommended by the bolus advice feature of the meter consists of two components: a recommendation for a meal bolus that covers your food intake and a recommendation for a correction bolus to adjust your blood glucose level if it is not within the target range. The corr...

  • Page 95

    89 correction bolus if your current blood glucose level is not within your target range, a correction bolus is recommended. Blood glucose limits discuss your blood glucose limits with your healthcare professional. Hyper warning bg result upper target limit target lower target limit hypo warning 5163...

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    90 the calculation for the recommended correction bolus depends on your current blood glucose test result, your insulin sensitivity for the current time block, and whether you are planning to eat. Example bolus advice calculations blood glucose level without food intake (no carbs) prior to a meal ab...

  • Page 97

    91 other boluses subsequent meal boluses if you are planning to eat several meals or snacks in a short period of time, you should administer a meal bolus for each meal. The calculation is always the same as a meal bolus. Correction bolus after a meal after a meal, it is normal to allow for a rise of...

  • Page 98

    92 the dotted line shows how your blood glucose level might change after a meal bolus. Bolus advice tolerates an increase in your blood glucose level within the meal rise range (green) without calculating an extra correction bolus. When you enter a carbohydrate amount that is greater than the snack ...

  • Page 99

    93 subsequent correction boluses the difference between your current blood glucose level and your target blood glucose level is called delta bg. A correction bolus administered according to the previous conditions covers this difference for a certain period of time. As the correction bolus starts to...

  • Page 100

    94 examples of bolus advice recommendations the following graphs provide differing examples of how bolus advice considers different factors when calculations are made. The currently allowed blood glucose value considers the following factors: • target range mean value • meal rise • correction bolus ...

  • Page 101

    95 after a correction bolus the above diagram shows an example of the effect of this rule. The first correction bolus at 12:00 pm remains active during the acting time (the width of the blue area). If the blood glucose value at 2:00 pm falls below the currently allowed blood glucose value (top of th...

  • Page 102

    96 when a blood glucose test result is greater than the currently allowed blood glucose value, a bolus is calculated (light blue) that only considers the difference between the current blood glucose value (orange dots) and the currently allowed blood glucose value (the top of the blue area). Bg leve...

  • Page 103

    97 subsequent meals if you eat several meals in a row, the meal rise is restarted for each new meal bolus. Bg level hyper hypo acting time target range time target value off set time current bg values currently allowed bg value: meal rise bolus bolus not required meal rise meal 51639_00048010156_c.I...

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    98 appendix b: bolus advice calculations the mathematical basis for bolus calculations the following is a list of the most important formulas and the calculation principles on which bolus advice is based. It is difficult to accurately calculate a bolus yourself using these formulas when the acting t...

  • Page 105

    99 meal bolus the following formula is used to calculate the bolus for meals: meal bolus = carbohydrate intake × insulin carbohydrates from carbohydrate ratio currently allowed blood glucose value the target range average value used in the calculation of the correction bolus, as shown below, changes...

  • Page 106

    100 correction bolus generally, a correction bolus is only calculated if the current blood glucose value is above the hypo bg warning limit and outside the target range. If the current blood glucose value is above the target range, the currently allowed blood glucose value must also be exceeded. Onl...

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    101 correction bolus with carbohydrate intake whenever carbohydrates have been entered, the related meal bolus is always offset against any (even negative) correction bolus. When a meal is eaten, the correction bolus is also calculated for blood glucose test results that fall within the target range...

  • Page 108

    102 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 combo meter, shown here with their meaning. W caution, refer to safety-related notes in the instructions for use accompa...

  • Page 109

    103 appendix d: limited license caution a restricted license limits use of the accu-chek aviva combo system—read carefully the limitations recited below. The accu-chek aviva combo system (meter, including the code key, and test strips) and its use are protected by u.S. Patent nos. 6,645,368 (expires...

  • Page 110

    104 using the accu-chek aviva combo system indicates your acceptance of the restricted license to use the accu-chek aviva combo 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 lic...

  • Page 111

    105 warning 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 (...

  • Page 112

    106 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 ...

  • Page 113

    107 index a acting time, 87 active insulin, 87 aircraft. See bluetooth wireless technology, using while traveling b basal profile, changing, 51–52 bluetooth wireless technology, communication states, 57 turning on or off, 58–59 using while traveling, 60 bolus advice, meter screen features, 13 overvi...

  • Page 114

    108 c carbohydrate units, 80 carb ratio, 82 carbs amount, 14 cartridge, empty, 54 low, 54 communication, meter and pump, overview, 34–37 , 56 troubleshooting, 71–78 correction bolus, 91–93 d deliver a bolus. See bolus, delivery using bolus advice diary, updating bolus information, 31 e extended bolu...

  • Page 115

    109 o offset time, 87 p pairing, delete device, 62 pairing meter with pump, 61–66 pairing prompt, cancelling, 67–68 pen bolus, description, 28 pin, enter into meter, 65 pump control using meter, 38–40 pump screens on meter, features, 41–42 s safety information, bolus advice, 10–12 bolus delivery, 22...

  • Page 116

    110 t target range, 82 temporary basal rate (tbr), cancel programmed tbr, 50 program through meter, 47–49 time blocks, 81 , 83–85 troubleshooting. See communication, meter and pump, troubleshooting u upper blood sugar target limit, 82 w warning limits, 81 warnings, pump, 53–54 warranty. See standard...

  • Page 117

    111 51639_00048010156_c.Indb 111 6/11/13 8:47 am.

  • Page 118

    112 51639_00048010156_c.Indb 112 6/11/13 8:47 am.

  • Page 119

    Last update: 2012-08 51639_00048010156_c.Indb 2 6/11/13 8:47 am.

  • Page 120: Aviva Combo

    Aviva combo 00048010156/c-0613 blood glucose meter advanced owner’s booklet for self-testing only this file may not print or view at 100%. Die lines and color breaks do not print. Roche usa – 51639 v6/1 – 00048010156/c – black roche usa – 51639 v6/2 – 00048010156/c – cyan roche usa – 51639 v6/3 – 00...