1. DL manuals
  2. Accu-Chek
  3. Blood Glucose Meter
  4. Aviva
  5. Owner's Booklet

Accu-Chek Aviva Owner's Booklet

Manual is about: for Self-Testing Only

Summary of Aviva

  • Page 1

    Aviva combo 00048009694/d-0512 ­­­­roche­usa­–­50813­ v6/1­–­ 00048009694/d ­–­black­– roche­usa­–­50813­ v6/2­–­ 00048009694/d ­–­cyan­– roche­usa­–­50813 v6/3­–­ 00048009694/d ­–­magenta­– roche­usa­–­50813 v6/4­–­ 00048009694/d ­–­yellow­– roche­usa­–­50813­ v6/5­–­ 00048009694/d ­–­pms­287­– roc...

  • Page 2

    Last­update:­2012-01 distributed­in­the­united­kingdom­by:­ roche­diagnostics­limited charles­avenue,­burgess­hill west­sussex,­rh15­9ry,­ united kingdom accu-chek­pump­care­line:* uk­freephone­number:­0800­731­22­91 roi­freephone­number:­1800­88­23­51 burgesshill.Insulinpumps@roche.Com­ www.Accu-ch...

  • Page 3

    1 contents introduction 7 the­accu-chek­aviva­combo­system­ 8 1 understanding your new system 11 1.1­overview­ 12 1.2­­the­accu-chek­aviva­combo­meter­at­a­glance­ 13 1.3­­the­accu-chek­spirit­combo­insulin­pump­at­a­glance­ 19 1.4­summary­of­features­ 20 1.5­screen­content­and­navigation­ 30 2 test...

  • Page 4

    2 3 control testing 59 3.1­overview­ 60 3.2­why­perform­control­tests­ 61 3.3­about­the­control­solutions­ 62 3.4­performing­a­control­test­ 63 3.5­understanding­control­test­results­ 69 4 managing your data 75 4.1­overview­ 76 4.2­viewing­or­modifying­your­data­ 79 4.3­adding­new­data­ 87 4.4­repor...

  • Page 5

    3 5.7­setting­warning­limits:­hyper,­hypo­ 164 5.8­turning­key­lock­on­or­off­ 167 5.9­setting­the­language­ 170 5.10­setting­units:­carbs­ 173 5.11­turning­ bluetooth ® ­wireless­technology­on­or­off­ 176 5.12­pairing­the­meter­and­pump­ 178 5.13­setting­the­beeper,­vibrate,­and­key­sound­ 179 5.14...

  • Page 6

    4 7 care and maintenance 219 7.1­overview­ 220 7.2­changing­the­batteries­ 221 7.3­power-saving­tips­ 224 7.4­cleaning­the­meter­ 225 7.5­maintenance­and­testing­ 226 8 troubleshooting 227 8.1­overview­ 228 8.2­­troubleshooting­the­accu-chek­aviva­combo­meter­ 229 9 technical information 245 9.1­ove...

  • Page 7

    5 appendices 257 appendix­a:­abbreviations­ 257 appendix­b:­carb­units­ 259 appendix­c:­explanation­of­symbols­ 260 appendix­d:­meter­settings­and­range­limits­ 261 glossary 267 index 275 50813_00048009694_d.Indb 5 7/3/12 3:12 pm.

  • Page 8

    6 50813_00048009694_d.Indb 6 7/3/12 3:12 pm.

  • Page 9

    7 your­new­meter­includes­three­booklets: •­ ­getting­started­guide: ­ ­use­this­booklet­to­set­up­the­meter. •­ ­standard­owner’s­booklet: ­ ­use­this­booklet­for­instructions­on­how­to­operate­ the­standard­features­of­the­meter. •­ ­advanced­owner’s­booklet: ­ ­use­this­booklet­for­instructions­o...

  • Page 10

    8 the accu-chek aviva combo system the­accu-chek­aviva­combo­meter­is­for­quantitative­blood­glucose­testing­using­accu-chek­aviva­test­ strips.­the­meter­has­many­features­including: •­controlling­your­accu-chek­spirit­combo­pump­ •­administering­a­bolus •­bolus­advice •­daily­time­blocks­that­can­...

  • Page 11

    9 i note blood­glucose­and­bg­are­interchangeable­and­mean­the­same­thing. Intended use the­accu-chek­aviva­combo­blood­glucose­monitoring­system­is­intended­for­the­quantitative­measurement­ of­blood­glucose.­the­accu-chek­aviva­combo­system­is­intended­for­self-testing­outside­the­body­(in­vitro­ ...

  • Page 12

    10 the­system­includes: • accu-chek aviva combo meter with three aaa batteries (already inserted) • accu-chek aviva test strips and pre-inserted activation chip • accu-chek aviva control solution w warning •­­any­object­coming­into­contact­with­human­blood­is­a­potential­source­of­infection­(see:­cl...

  • Page 13

    1 11 1 understanding your new system 1.1­overview­ 12 1.2­­the­accu-chek­aviva­combo­meter­at­a­glance­ 13 1.3­­the­accu-chek­spirit­combo­insulin­pump­at­a­glance­ 19 1.4­summary­of­features­ 20 1.5­screen­content­and­navigation­ 30 50813_00048009694_d.Indb 11 7/3/12 3:12 pm.

  • Page 14

    12 1.1 overview your­new­meter­has­several­features­to­assist­you­in­managing­your­diabetes.­it­is­important­you­understand­ the­features­and­how­to­operate­the­meter­correctly. I note •­­this­booklet­shows­sample­screens.­the­screens­in­this­booklet­may­look­slightly­different­from­the­ screens­on­...

  • Page 15

    1 13 1.2 the accu-chek aviva combo meter at a glance display shows­menus,­results,­ messages,­and­data­stored­in­ the­diary buttons press­to­enter­menus­or­the­ diary,­adjust­settings,­and­ scroll­through­results left/right soft keys press­to­select­the­menu­or­ option­above­the­key power on/off but...

  • Page 16

    14 test strip batteries insert­batteries­according­to­the­+­and­-­symbols­in­ the­battery­compartment. Control solution bottle (for­example) yellow­window­- touch­blood­drop­or­ control­solution­here.­ golden­end­-­ insert­this­end­of­the­test­ strip­into­the­meter.­ test strip container (for­exampl...

  • Page 17

    1 15 i note your­meter­is­already­coded­and­comes­with­a­pre-inserted­ black ­activation­chip­that­you­never­need­ to­change.­even­if­you­use­test­strips­from­boxes­that­contain­another­activation­chip­that­is­a­different­ color­or­has­different­numbers,­you­never­need­to­change­the­ black ­activati...

  • Page 18

    16 the­meter­has­seven­buttons­and­two­soft­keys. I note •­­you­hear­a­sound­every­time­an­active­button/soft­key­is­pressed­unless­you­turned­off­the­key­sound.­ •­­press­ + ­or­insert­a­test­strip­to­turn­on­the­meter.­if­the­meter­displays­the­time/date­screen,­make­ the­necessary­changes­and­sel...

  • Page 19

    1 17 table of buttons and soft keys button name function left­arrow j move­or­scroll­to­the­left­in­a­screen. > right­arrow j move­or­scroll­to­the­right­in­a­screen. X up­arrow j move­or­scroll­up­in­a­screen. Z down­arrow j move­or­scroll­down­in­a­screen. , left­soft­key j select­the­option­above...

  • Page 20

    18 table of button combinations button combination name function when­the­buttons­are­locked,­press­and­ hold­ , and­ . Until­the­main­menu­ appears. Unlock­keys j unlocks­the­buttons. With­the­meter­turned­off,­press­and­hold­ * ­and­then­press­ + . Meter/pump­ pairing j begins­meter­and­pump­pairi...

  • Page 21

    1 19 for information about the pump, see the accu-chek spirit combo insulin pump user guide. 1.3 the accu-chek spirit combo insulin pump at a glance menu key cycles­through­menus,­ functions,­and­information­ screens ok key selects­current­settings­ displayed­on­screen,­saves­ changes,­exits­a­scree...

  • Page 22

    20 1.4 summary of features display the­meter­has­a­full-colour­graphic­lcd­(liquid­crystal­display)­that­displays­current­and­historical­ information. Backlight •­the­backlight­helps­you­read­the­information­on­the­meter­display­under­different­lighting­conditions.­ •­when­the­meter­is­turned­on,­th...

  • Page 23

    1 21 key lock •­the­key­lock­feature­allows­you­to­lock­all­of­the­buttons­on­the­meter,­except­for­the­power­on/off­button.­ •­the­key­lock­serves­as­a­safety­measure­against­unintentional­activation­of­meter­functions. •­for­more­information,­see­chapter­5,­“changing­meter­settings.” signal settin...

  • Page 24

    22 bolus advice (optional) •­­the­term­“bolus”­refers­to­the­delivery­of­insulin­all­at­once­rather­than­slowly­throughout­the­day,­usually­ used­to­compensate­for­meals­or­high­blood­glucose.­ •­­bolus­advice­calculates­a­bolus­for­you­that­is­adapted­to­the­time­of­day­and­your­changing­situations...

  • Page 25

    1 23 administering a bolus using­your­new­meter,­you­can­deliver­a­bolus: •­remotely­on­your­pump­using­ bluetooth ­wireless­technology •­using­the­bolus­advice­feature­on­the­meter •­independently­on­your­pump •­using­an­insulin­pen­or­syringe my data •­your­new­meter­stores­1,000­records­in­the­di...

  • Page 26

    24 data transfer •­you­can­transfer­your­data­stored­on­the­meter­to­a­computer.­ •­for­more­information,­see­chapter­4,­“managing­your­data.” warning limits for hyper and hypo blood glucose levels •­­you­can­select­hyper­(high)­and­hypo­(low)­blood­glucose­limits­that­best­fit­your­needs.­whenever­...

  • Page 27

    1 25 time blocks •­time­blocks­allow­you­to­divide­a­day­into­different­time­periods. •­­setting­time­blocks­to­fit­your­own­schedule­helps­you­and­your­healthcare­professional­see­how­patterns­in­ your­blood­glucose­are­affected­by­your­daily­activities­and­lifestyle.­ •­time­blocks­can­be­set­up­w...

  • Page 28

    26 without­bolus­advice,­you­need­to­consider­the­following­when­setting­up­time­blocks: •­determine­the­appropriate­time­range­by­reviewing­the­end­time­for­each­time­block. •­review­the­acceptable­blood­glucose­target­range­(low­and­high)­for­each­time­block.­ with­bolus­advice,­you­need­to­consid...

  • Page 29

    1 27 health events health­events­can­be­selected­to­indicate­how­you­are­feeling­or­what­you­are­doing­that­might­affect­your­ diabetes.­the­meter­allows­you­the­option­of­setting­a­percentage­for­each­health­event­if­you­set­up­bolus­ advice.­ health­events­available­on­the­meter­are: •­fasting •­e...

  • Page 30

    28 blood glucose test reminders (optional) the­meter­can­be­set­up­to­remind­you­to­retest­your­blood­glucose­after­a­high­blood­glucose­test­result,­ after­a­low­blood­glucose­test­result,­or­after­a­meal. An­after­high­blood­glucose­test­reminder­example: •­­the­meter­is­set­up­with­a­high­bg­thre...

  • Page 31

    1 29 alarm clock reminders •­­the­meter­has­alarm­clock­reminders­which­can­be­used­as­a­helpful­way­to­remind­you­when­to­test­ throughout­the­day.­ •­in­addition­to­“bg­test,”­you­can­set­reminders­for­“other”­for­any­other­daily­reminder.­ •­you­can­set­up­to­eight­reminders­per­day.­ •­for­more­...

  • Page 32

    30 1.5 screen content and navigation this­section­provides­an­explanation­of­how­to­understand­and­navigate­the­screens­on­the­meter. Each­time­the­meter­is­turned­on,­this­splash­screen­(accu-chek­logo­screen)­is­displayed­for­a­short­ period­of­time.­ 50813_00048009694_d.Indb 30 7/3/12 3:12 pm.

  • Page 33

    1 31 sound icon appears­when­the­beeper­is­ turned­on time menu options vibrate icon appears­when­vibrate­is­turned­on date low battery icon appears­when­the­meter­batteries­are­low bluetooth wireless technology icon indicates­whether­the­ bluetooth ­wireless­ technology­is­on,­off,­or­connecting fe...

  • Page 34

    32 bluetooth wireless technology icon communication states you­may­turn­ bluetooth ­wireless­technology­on­or­off­at­any­time­using­the­meter. Icon communication state bluetooth ­wireless­technology­is­on.­the­meter­and­pump­are­communicating. Bluetooth ­wireless­technology­is­off.­the­meter­and­pum...

  • Page 35

    1 33 this­screen­appears­when­ bluetooth ­wireless­technology­is­on­and­the­meter­is­connecting­to­the­pump. Connecting to the pump screen: 50813_00048009694_d.Indb 33 7/3/12 3:12 pm.

  • Page 36

    34 title bar primary­menu­title­is­displayed­ here. Secondary title bar when­necessary,­a­secondary­ title­bar­appears.­secondary­ menu­text­is­displayed­here. Left soft key option press­ , ­to­select­the­option­ above­the­button­on­the­screen. Highlighted option when­a­menu­choice­or­item­ is­selec...

  • Page 37

    1 35 information­can­be­entered­on­some­screens.­numerical­entry­fields­appear­as­pop-up­entry­fields.­when­ an­option­must­be­selected,­it­appears­as­a­pop-up­menu. •­to­open­a­pop-up­menu­or­entry­field,­press­ = . •­­press­ x ­or­ z ­to­select­the­appropriate­pop-up­menu­option­or­until­the­corre...

  • Page 38

    36 general navigation steps to­change­the­settings­or­enter­information­into­the­meter: 1. J ­­press­ x ­or­ z ­to­select­a­menu­option­and­press­ = . J ­­repeat­the­previous­step­as­necessary. 50813_00048009694_d.Indb 36 7/3/12 3:12 pm.

  • Page 39

    1 37 4. J ­­select­save­by­pressing­ . ­to­ save­changes­and­return­to­the­ previous­screen. J ­­press­ x ­or­ z ­or­ ­or­ > ­to­ select­an­option­or­a­desired­ entry­field­and­press­ = . 2. J ­­press­ x ­or­ z ­to­select­the­ desired­entry­and­press­ = . J ­­repeat­steps­2­and­3,­as­ necessary. 3. ...

  • Page 40

    38 50813_00048009694_d.Indb 38 7/3/12 3:12 pm.

  • Page 41

    39 2 2 testing your blood glucose 2.1­overview­ 40 2.2­­using­the­accu-chek­aviva­combo­system­ 41 2.3­performing­a­blood­glucose­test­­ 42 2.4­detailed­blood­glucose­test­results­ 49 2.5­­understanding­blood­glucose­test­results­ 53 2.6­unusual­blood­glucose­test­results­ 57 2.7­­symptoms­of­high­o...

  • Page 42

    40 2.1 overview it­is­important­to­understand­how­to­perform­a­blood­glucose­test­properly. I note blood­glucose­and­bg­are­interchangeable­and­mean­the­same­thing. 50813_00048009694_d.Indb 40 7/3/12 3:12 pm.

  • Page 43

    41 2 2.2 using the accu-chek aviva combo system before you start testing •­only­use­accu-chek­aviva­test­strips. •­store­the­unused­test­strips­in­their­original­container. •­immediately­after­you­take­out­a­test­strip,­securely­close­the­container.­this­helps­keep­the­test­strips­dry. •­use­the­tes...

  • Page 44

    42 2.3 performing a blood glucose test before­you­perform­your­first­blood­test,­ensure­the­meter­is­set­up­correctly­and­that­you­perform­a­control­ test.­you­need­the­meter­with­a­pre-inserted­activation­chip,­a­test­strip,­and­a­finger­pricker. W warning •­­do­not­change­your­treatment­because­of...

  • Page 45

    43 2 1. J ­­wash­and­dry­your­hands.­ j ­­prepare­the­finger­pricker­for­a­ fingertip­test. Performing a fingertip blood glucose test prepare > check the use by date > insert test strip > test blood sample > bg test result 2. J ­­check­the­use­by­date­date­on­ the­test­strip­container.­do­not­ use­t...

  • Page 46

    44 the­apply­sample­screen­ appears.­the­test­strip­is­ready­ for­testing. 4. Fingerstick: j ­­perform­a­fingerstick­with­the­ finger­pricker.­ 5. Fingerstick: j ­­gently­squeeze­your­finger­to­ assist­the­flow­of­blood.­this­ helps­you­get­a­blood­drop. 6. 50813_00048009694_d.Indb 44 7/3/12 3:13 pm.

  • Page 47

    45 2 j ­­touch­the­blood­drop­to­the­ front edge ­of­the­yellow­ window­of­the­test­strip.­do­ not­put­blood­on­top­of­the­test­ strip. 7. When­the­test­strip­has­enough blood,­the­analyzing­screen appears. 8. 9. The­result­appears­on­the­ display.­ 50813_00048009694_d.Indb 45 7/3/12 3:13 pm.

  • Page 48

    46 10. Approximately­3­seconds­later,­ the­detailed­bg­result­screen­ appears. J ­­remove­and­discard­the­used­ test­strip. 50813_00048009694_d.Indb 46 7/3/12 3:13 pm.

  • Page 49

    47 2 i note •­if­the­blood­drop­is­too­small,­reapply­pressure­to­get­a­sufficient­blood­drop.­ •­­for­more­information­regarding­blood­glucose­test­results,­see­section­2.5,­“understanding­blood­ glucose­test­results.” •­­to­add­detailed­information­to­the­blood­glucose­test­(meal­time,­carbs,­and­...

  • Page 50

    48 i note other ways to start a blood glucose test: •­from­the­main­menu,­select­bg­test­and­press­ = .­insert­a­test­strip­into­the­meter. •­when­a­reminder­notification­or­the­key­lock­icon­is­displayed,­insert­a­test­strip­into­the­meter. •­­from­the­main­menu,­select­bolus­advice­and­press­ = .­...

  • Page 51

    49 2 2.4 detailed blood glucose test results the­detailed­bg­result­screen­displays­the­following­information: test time meal time carbohydrates health event active insulin displayed­only­if­bolus­ advice­is­activated­and­ data­has­recently­been­ read­from­the­pump. Status bar blood glucose test res...

  • Page 52

    50 detailed bg results > change meal time/carbs/health events (optional) the­detailed­bg­result­screen­allows­you­to­view­and­to­add­information­to­a­blood­glucose­test­result. 50813_00048009694_d.Indb 50 7/3/12 3:13 pm.

  • Page 53

    51 2 to change meal time: j ­­select­the­meal­time­entry­ field­and­press­ = . J ­­select­either­pre­meal,­ post­meal,­bedtime,­or­other­ and­press­ = . To change carbs: j ­­select­the­carbs­entry­field­ and­press­ = . J ­­set­the­number­of­carbs­and­ press­ = . To change health events: j ­­select­t...

  • Page 54

    52 i note •­you­can­add­information­on­the­detailed­bg­result­screen­for­meal­time,­carbs,­and­health­events. •­­review­and,­if­necessary,­update­information­for­meal­time,­carbs,­and­health­events­to­receive­an­ accurate­bolus­recommendation. •­­active­insulin­is­bolus­insulin­that­has­been­given­t...

  • Page 55

    53 2 2.5 understanding blood glucose test results the­bg­result­screen­displays­the­following­information: test time blood glucose test result test date status bar unit of measure i note •­­if­the­dosed­test­strip­is­removed­from­the­meter­before­results­or­errors­are­displayed,­a­blood­glucose­ tes...

  • Page 56

    54 status bar the­status­bar­on­the­bg­result­screen­indicates­how­the­result­compares­to­the­target­blood­glucose­range­ for­the­current­time­block.­the­following­are­status­bar­descriptions­with­sample­displays: green­indicates­the­result­is­ within­the­target­range­for­the­ current­time­block. Ye...

  • Page 57

    55 2 light­blue­indicates­the­result­is­ above­the­target­range­for­the­ current­time­block.­the­result­ is­not­above­the­hyper­warning­ limit. Light­blue­with­“hyper”­ indicates­the­result­is­above­the­ hyper­warning­limit. 50813_00048009694_d.Indb 55 7/3/12 3:13 pm.

  • Page 58

    56 lo or hi display if­“lo”­is­displayed,­the­test­ result­may­be­below­the­ measurement­range. J ­­contact­your­healthcare­ professional. If­“hi”­is­displayed,­the­test­ result­may­be­above­the­ measurement­range. J ­­contact­your­healthcare­ professional. I note blood glucose warnings if­the­blood...

  • Page 59

    57 2 2.6 unusual blood glucose test results if­your­blood­glucose­result­does­not­match­the­way­you­feel,­follow­these­steps: troubleshooting checks actions 1.­are­the­test­strips­expired? Discard­the­test­strips­if­they­are­past­the­use­by­date.­repeat­ the­blood­glucose­test­with­an­unexpired­test...

  • Page 60

    58 2.7 symptoms of high or low blood glucose being­aware­of­the­symptoms­of­high­or­low­blood­glucose­can­help­you­understand­your­test­results­and­ decide­what­to­do­if­they­seem­unusual.­here­are­the­most­common­symptoms: •­­high­blood­glucose­(hyperglycaemia):­fatigue,­increased­appetite­or­thirs...

  • Page 61

    59 3 3 control testing 3.1­overview­ 60 3.2­why­perform­control­tests­ 61 3.3­about­the­control­solutions­ 62 3.4­performing­a­control­test­ 63 3.5­understanding­control­test­results­ 69 50813_00048009694_d.Indb 59 7/3/12 3:13 pm.

  • Page 62

    60 3.1 overview this­chapter­describes­how­and­when­to­perform­a­control­test­to­ensure­the­accuracy­of­your­blood­glucose­ meter.­it­is­recommended­you­complete­a­control­test­prior­to­performing­a­blood­glucose­test­for­the­first­ time. I note blood­glucose­and­bg­are­interchangeable­and­mean­the­...

  • Page 63

    61 3 3.2 why perform control tests performing­a­control­test­lets­you­know­the­meter­and­test­strips­are­working­properly­to­give­reliable­blood­ glucose­test­results.­you­should­perform­a­control­test­when: •­you­open­a­new­test­strip­box. •­you­left­the­test­strip­container­open. •­you­want­to­che...

  • Page 64

    62 3.3 about the control solutions •­only­use­accu-chek­aviva­control­solutions. •­the­meter­automatically­recognizes­the­control­solution. •­the­control­test­results­are­not­displayed­in­the­diary. •­­write­the­date­you­opened­the­control­solution­bottle­on­the­bottle­label.­the­solution­is­good­fo...

  • Page 65

    63 3 you­need­the­meter­with­a­pre-inserted­activation­chip,­a­test­strip,­and­control­solution­level­1,­level­2,­or­ both.­the­control­level­is­printed­on­the­bottle­label. Test time control result test date unit of measure 3.4 performing a control test the­control­result­screen­displays­the­follow...

  • Page 66

    64 check the use by date > insert test strip > test control solution > control result 1. 2. J ­­check­the­use­by­date­on­the­ test­strip­container.­do­not­ use­test­strips­past­the­use­ by­date. 3. The­apply­sample­screen­ appears.­the­test­strip­is­ready­ for­testing. J ­­insert­the­golden­end­of­a...

  • Page 67

    65 3 5. 4. J ­­place­the­meter­on­a­flat­ surface,­like­a­table. J ­­select­the­control­solution­to­ test.­you­will­enter­the­level­ later­in­the­test. 6. J ­­remove­the­control­bottle­cap.­ wipe­the­tip­of­the­bottle­with­ a­tissue. 50813_00048009694_d.Indb 65 7/3/12 3:13 pm.

  • Page 68

    66 8. When­the­test­strip­has­enough control­solution,­the­analyzing screen­appears.­ j ­­wipe­the­tip­of­the­bottle­with­a­ tissue­and­then­cap­the­bottle­ tightly. 9. The­control­result­appears­on­ the­display. J ­­select­level­to­display­the­ control­solution­level­pop-up­ menu. 7. J ­­squeeze­th...

  • Page 69

    67 3 10. J ­­select­the­control­solution­level­ and­press­ = . 11. J ­­remove­and­discard­the­test­ strip. J ­­for­information­on­ understanding­control­test­ results,­proceed­to­the­next­ section,­or­select­menu­to­ save­this­result­and­display­the­ main­menu­screen. 50813_00048009694_d.Indb 67 7/3...

  • Page 70

    68 i note •­­if­a­test­strip­error­occurs,­remove­and­discard­the­used­test­strip­and­repeat­the­test­with­a­new­test­ strip. •­be­careful­not­to­put­any­fluids­into­the­test­strip­slot. •­­when­the­control­level­screen­is­displayed­and­you­select­cancel­without­selecting­a­control­solution­ level,­...

  • Page 71

    69 3 test time control result unit of measure menu select­menu­to­save­ result­and­display­ main­menu­screen test date control solution level result within­range­or­out­of­range 3.5 understanding control test results the­detailed­control­result­screen­displays­the­following­information: 50813_000480...

  • Page 72

    70 j ­­the­label­on­your­test­ strip­container­shows­the­ acceptable­ranges­for­both­ the­level­1­and­the­level­2­ control­solutions.­the­test­ result­you­get­should­be­inside­ this­range.­ensure­you­select­ and­compare­the­test­result­to­ the­correct­level­of­control.­for­ the­level­selected,­the­m...

  • Page 73

    71 3 if­the­control­test­result­is­ outside­of­the­acceptable­range,­ “out­of­range”­appears­on­the­ detailed­control­result­screen. If­“hi”­is­displayed,­the­control­ test­result­may­be­above­the­ measurement­range. If­“lo”­is­displayed,­the­control­ test­result­may­be­below­the­ measurement­range....

  • Page 74

    72 if­the­meter­stored­no­entry­for­ the­control­solution­level,­then­ “---”­appears­with­no­indication­ of­in­or­out­of­range. 50813_00048009694_d.Indb 72 7/3/12 3:13 pm.

  • Page 75

    73 3 out-of-range control test results if­the­control­test­result­is­out­of­range,­check­this­list­to­help­solve­the­problem: troubleshooting checks actions 1.­­were­either­the­test­strips­or­control­solutions­ expired? Discard­the­test­strips­or­control­solutions­if­either­is­ past­the­use­by­date....

  • Page 76

    74 troubleshooting checks actions 7.­­did­you­choose­the­correct­control­solution­level,­ either­1­or­2,­when­you­performed­the­control­test? If­you­chose­the­wrong­control­solution­level,­you­ can­still­compare­the­control­result­to­the­range­ printed­on­the­test­strip­container. 8.­­are­you­still­...

  • Page 77

    75 4 4 managing your data 4.1­overview­ 76 4.2­viewing­or­modifying­your­data­ 79 4.3­adding­new­data­ 87 4.4­reporting­your­data­ 90 4.5­downloading­your­data­to­a­computer­ 128 50813_00048009694_d.Indb 75 7/3/12 3:13 pm.

  • Page 78

    76 4.1 overview analyzing­your­blood­glucose­test­results­stored­in­the­meter­is­an­effective­way­for­you­and­your­healthcare­ professional­to­determine­how­well­you­are­controlling­your­diabetes.­this­analysis­is­a­valuable­tool­for­ making­improvements­to­your­diabetes­management.­the­reports­the­...

  • Page 79

    77 4 storing test results the­meter­automatically­stores­up­to­1,000­diary­records­with­the­time­and­date.­you­can­review­up­to­­ 250­diary­records­on­the­meter­or­up­to­1,000­diary­records­using­a­computer­with­compatible­software.­ diary­records­are­stored­from­the­newest­to­the­oldest.­it­is­very...

  • Page 80

    78 i note •­­ do not change your therapy based on one individual record or test result in the diary. •­­this­chapter­shows­sample­screens.­the­screens­may­look­slightly­different­from­the­screens­on­the­ meter.­if­you­have­any­questions­about­the­meter­screens,­contact­roche. •­­the­information­in­t...

  • Page 81

    79 4 4.2 viewing or modifying your data the­view­data­screen­displays­the­following­information: date of record(s) time of blood glucose test blood glucose test icon meal time icon carbs icon unit of measure blood glucose test result appropriate bolus icon select view change­meter­display­between­bl...

  • Page 82

    80 i note •­­if­data­are­not­available,­the­no­data­available­screen­is­displayed. •­­the­view­data­screen­displays­the­records­in­the­order­in­which­they­occurred­with­the­most­recent­ record­shown­on­top. •­for­the­blood­glucose­test­result: •­“hi”­is­displayed­if­the­test­result­is­above­the­meas...

  • Page 83

    81 4 refer to the following two tables for icon descriptions: icon icon name description bg­test icon­is­displayed­when­information­exists­for­this­diary­ record­regarding­a­blood­glucose­test. Meal­time icon­is­displayed­when­information­exists­for­this­diary­ record­regarding­meal­time. Carbs icon...

  • Page 84

    82 icon icon name description extended­bolus­confirmed delivery­has­been­confirmed­by­the­pump. Manual­pump delivery­has­not­been­confirmed­by­the­pump. Pen/syringe­bolus pump­does­not­deliver­bolus. 50813_00048009694_d.Indb 82 7/3/12 3:13 pm.

  • Page 85

    83 4 you­can­view­a­diary­record­with­its­attributes­(blood­glucose­value,­meal­time,­carbs,­health­event,­and­ bolus). Main menu > my data > view data 1. J ­­from­the­main­menu,­select­ my­data­and­press­ = . 2. J ­­select­view­data­and­ press­ = . 50813_00048009694_d.Indb 83 7/3/12 3:13 pm.

  • Page 86

    84 3. J ­­shown­above­are­view­data­screens­that­display­values­for­blood­glucose,­bolus,­or­carbs.­to­choose­ another­view,­press­ . ­(a­pop-up­menu­appears).­select­the­view­you­want­and­press­ = . J ­­press­ x ­or­ z ­to­view­other­records­(the­screen­scrolls­if­there­are­additional­records). J ­...

  • Page 87

    85 4 4. J ­­press­ ­to­view­the­previous­ record­or­press­ > ­to­view­the­ next­(newer)­record.­ to return to the previous screen, select back. Or to modify a diary record, select modify and continue to the next step. 5. J ­­select­the­entry­field­to­modify­ and­press­ = . J ­­make­the­change­in­the...

  • Page 88

    86 the following fields cannot be modified with the specified condition: fields cannot be modified if the … bolus bolus­type­is­confirmed­standard,­extended,­or­multiwave bolus blood­glucose­test­result­was­below­the­hypo­warning­limit meal­time record­has­no­blood­glucose­value meal­time,­carbs,­he...

  • Page 89

    87 4 you­can­add­data­to­a­diary­record­for­carbs,­health,­and­bolus.­the­add­data­screen­displays­the­following­ information: 4.3 adding new data time entry field date entry field carbs entry field health entry field bolus entry field save appears­once­data­has­been­ entered­to­an­entry­field 50813...

  • Page 90

    88 main menu > my data > add data 1. J ­­from­the­main­menu,­select­ my­data­and­press­ = . 2. 3. J ­­select­add­data­and­press­ = . J ­­select­an­entry­field­and­ press­ = . J ­­make­addition­in­the­entry­field­ and­press­ = . J ­­make­additions­to­other­entry­ fields,­as­needed. To save the change...

  • Page 91

    89 4 i note •­­the­meter­initially­displays­the­current­date­and­the­current­time.­you­can­change­the­date­and­time­ when­adding­a­diary­record,­although­the­date­and­time­cannot­be­set­in­the­future. •­­before­a­diary­record­can­be­saved,­data­must­be­entered­(not­including­date­and­time).­“save”­i...

  • Page 92

    90 4.4 reporting your data time range meal times blood glucose standard deviation calculated­for­the­time­range number of tests used­to­calculate­the­averages­ and­standard­deviations blood glucose average calculated­for­the­time­range 50813_00048009694_d.Indb 90 7/3/12 3:13 pm.

  • Page 93

    91 4 i note •­­if­data­are­not­available­to­calculate­averages,­the­no­data­available­screen­is­displayed. •­­standard­deviation­measures­how­much­the­blood­glucose­test­results­are­scattered­around­the­ blood­glucose­average.­a­low­standard­deviation­means­the­blood­glucose­test­results­are­tightly...

  • Page 94

    92 reporting your blood glucose averages the­meter­displays­your­blood­glucose­averages­and­standard­deviations­for­the­time­range­you­choose­­ (7,­14,­30,­60,­or­90­days). Main menu > my data > reports > bg averages 1. J ­­from­the­main­menu,­select­ my­data­and­press­ = . 2. ­­select­reports­and­p...

  • Page 95

    93 4 4. The­blood­glucose­averages­are­ displayed. J ­­to­display­blood­glucose­ averages­for­another­time­ range­(last­7,­14,­30,­60,­or­ 90­days),­press­either­ ­or­ > to­scroll­the­screen­until­you­ reach­the­time­range­you­need. To return to the reports screen, select back. 50813_00048009694_d.I...

  • Page 96

    94 reporting your data trends the­meter­displays­your­blood­glucose­record­trends­for­the­time­range­you­choose­(last­8­hours,­24­hours,­ 48­hours,­or­7­days). Main menu > my data > reports > trend 1. J ­­from­the­main­menu,­select­ my­data­and­press­ = . 2. J ­­select­reports­and­press­ = . 3. J ­­...

  • Page 97

    95 4 trend graph screen time range meal time selection blood glucose unit of measure blood glucose icon times or days of month bolus icon bolus unit of measure bolus amount indicator value carbs amount indicator value carbs unit of measure carbs icon arrow indicates­blood­glucose­data­ extends­beyon...

  • Page 98

    96 follow these tips to get the most value from my data reports: •­­if­you­delivered­a­bolus­directly­on­the­pump,­go­to­my­data­on­the­meter­to­receive­the­bolus­information­ automatically.­do­this­before­your­next­blood­glucose­test. •­­replace­the­batteries­when­the­low­battery­icon­appears.­this...

  • Page 99

    97 4 i note •­­if­data­are­not­available­to­display­the­trend­graph,­the­no­data­available­screen­is­displayed. •­trend­graphs­do­not­include­corrupt­results­or­control­results. •­­trend­graph­data­is­cleared­if­bolus­advice­data­is­cleared. •­­if­ ­(time­change­icon)­is­shown­at­the­bottom­of­the­t...

  • Page 100

    98 1. J ­­to­display­a­trend­graph­for­ another­time­range­(last­­ 8­hours,­24­hours,­48­hours,­­ or­7­days),­press­ x ­to­highlight­ the­time­range­selection­field­ (top­of­screen).­press­either­­ ­or­ > ­until­you­reach­the­time­ range­you­need. 2. J ­­to­display­a­trend­graph­for­ another­meal­ti...

  • Page 101

    99 4 i note the­meter­saves­the­current­settings­(time­range,­meal­time,­and­graph­view)­when­you­select­back­or­ when­the­meter­powers­off. 50813_00048009694_d.Indb 99 7/3/12 3:13 pm.

  • Page 102

    100 trend table screen time range meal time selection date of records blood glucose icon with blood glucose unit of measure time change icon only­shown­when­meter­ time­has­been­changed­for­ this­data carbs icon with carbs unit of measure bolus icon with the bolus unit of measure 50813_00048009694_d...

  • Page 103

    101 4 i note •­if­data­are­not­available­to­display­the­trend­table,­the­no­data­available­screen­is­displayed. •­trend­tables­do­not­include­corrupt­results­or­control­results. •­­if­ ­(time­change­icon)­is­shown­at­the­bottom­of­the­trend­table­screen,­the­time­and­date­of­one­ or­more­data­points...

  • Page 104

    102 1. J ­­when­there­are­multiple­ records,­press­ x ­or­ z ­to­view­ other­records. 2. J ­­to­display­a­trend­table­for­ another­time­range­(last­­ 8­hours,­24­hours,­48­hours,­­ or­7­days),­press­ x ­to­highlight­ the­time­range­selection­field­ (top­of­screen).­press­­ either­ ­or­ > ­until­you­...

  • Page 105

    103 4 4. J ­­press­ . ­to­display­the­graph­ (see­previous­section­for­more­ information). To return to the reports screen, select back. I note the­meter­saves­the­current­settings­(time­range,­meal­time,­and­ table­view)­when­you­select­back­or­when­the­meter­powers­off. 50813_00048009694_d.Indb 10...

  • Page 106

    104 reporting your standard day the­meter­displays­(for­a­standard­day)­your­blood­glucose­averages,­number­of­tests,­and­standard­ deviations­within­predetermined­time­blocks­for­the­time­range­you­choose­(last­7,­14,­30,­60,­or­90­days). Main menu > my data > reports > standard day 1. J ­­from­the...

  • Page 107

    105 4 standard day graph screen time range meal time selection blood glucose unit of measure blood glucose icon time of day warning limit hypo level red­horizontal­line arrow indicates­blood­glucose­ average­is­off­the­top­of­the­ graph­(“x”­is­not­displayed) ending time of each time block vertical­...

  • Page 108

    106 i note •­if­data­are­not­available­to­display­the­standard­day­graph,­the­no­data­available­screen­is­displayed. •­the­standard­day­graph­does­not­include­corrupt­results,­control­results,­hi­values,­or­lo­values. 50813_00048009694_d.Indb 106 7/3/12 3:13 pm.

  • Page 109

    107 4 1. J ­­to­display­a­standard­day­ graph­for­another­time­range­ (last­7,­14,­30,­60,­or­90­days),­ press­ x ­to­highlight­the­time­ range­selection­field­(top­of­ screen).­press­either­ ­or­ > until­you­reach­the­time­range­ you­need. 2. J ­­to­display­a­standard­day­ graph­for­another­meal­ti...

  • Page 110

    108 i note the­meter­saves­the­current­settings­(time­range,­meal­time,­and­graph­view)­when­you­select­back­or­ when­the­meter­powers­off. 50813_00048009694_d.Indb 108 7/3/12 3:13 pm.

  • Page 111

    109 4 standard day table screen time range meal time selection time block blood glucose average standard deviation (sd) number of tests 50813_00048009694_d.Indb 109 7/3/12 3:13 pm.

  • Page 112

    110 i note •­if­data­are­not­available­to­display­the­standard­day­table,­the­no­data­available­screen­is­displayed. •­standard­day­table­calculations­do­not­include­corrupt­results,­control­results,­or­hi­and­lo­results. •­­for­a­standard­deviation­to­be­displayed­for­a­given­time­block,­there­must...

  • Page 113

    111 4 1. J ­­press­ x ­or­ z ­to­scroll­screen. 2. J ­­to­display­a­standard­day­table­ for­another­time­range­(last­7,­ 14,­30,­60,­or­90­days),­press­ x ­to­highlight­the­time­range­ selection­field­(top­of­screen).­ press­either­ ­or­ > ­until­you­ reach­the­time­range­you­need. 3. J ­­to­display...

  • Page 114

    112 4. J ­­press­ . ­to­display­the­graph­ (see­previous­section­for­more­ information). To return to the reports screen, select back. I note the­meter­saves­the­current­settings­(time­range,­meal­time,­and­ table­view)­when­you­select­back­or­when­the­meter­powers­off. 50813_00048009694_d.Indb 112 ...

  • Page 115

    113 4 reporting your standard week the­meter­displays­(for­a­standard­week)­your­blood­glucose­averages,­number­of­tests,­and­standard­ deviations­for­each­day­of­the­week­for­the­time­range­you­choose­(last­7,­14,­30,­60,­or­90­days). Main menu > my data > reports > standard week 1. J ­­from­the­ma...

  • Page 116

    114 standard week graph screen time range meal time selection blood glucose unit of measure blood glucose icon day of week warning limit hypo level red­horizontal­line arrow indicates­blood­glucose­average­is­off­the­ top­of­the­graph­(“x”­is­not­displayed) box for each time block •­­“x”­in­centre­o...

  • Page 117

    115 4 i note •­­if­data­are­not­available­to­display­the­standard­week­graph,­the­no­data­available­screen­is­ displayed. •­the­standard­week­graph­does­not­include­corrupt­results,­control­results,­hi­values,­or­lo­values. 50813_00048009694_d.Indb 115 7/3/12 3:13 pm.

  • Page 118

    116 1. J ­­to­display­a­standard­week­ graph­for­another­time­range­ (last­7,­14,­30,­60,­or­90­days),­ press­ x ­to­highlight­the­time­ range­selection­field­(top­of­ screen).­press­either­ ­or­ > until­you­reach­the­time­range­ you­need.­ 2. J ­­to­display­a­standard­week­ graph­for­another­meal­t...

  • Page 119

    117 4 i note the­meter­saves­the­current­settings­(time­range,­meal­time,­and­graph­view)­when­you­select­back­or­ when­the­meter­powers­off. 50813_00048009694_d.Indb 117 7/3/12 3:13 pm.

  • Page 120

    118 standard week table screen time range meal time selection day of week blood glucose average standard deviation (sd) number of tests i note •­if­data­are­not­available­to­display­the­standard­week­table,­the­no­data­available­screen­is­displayed. •­standard­week­table­calculations­do­not­include­...

  • Page 121

    119 4 1. J ­­press­ x ­or­ z ­to­scroll­screen. 2. J ­­to­display­a­standard­week­ table­for­another­time­range­ (last­7,­14,­30,­60,­or­90­days),­ select­the­time­range­selection­ field­(top­of­screen).­press­ either­ ­or­ > ­until­you­reach­ the­time­range­you­need. 3. J ­­to­display­a­standard­we...

  • Page 122

    120 4. J ­­press­ . ­to­display­the­graph­ (see­previous­section­for­more­ information). To return to the reports screen, select back. I note the­meter­saves­the­current­settings­(time­range,­meal­time,­and­ table­view)­when­you­select­back­or­when­the­meter­powers­off. 50813_00048009694_d.Indb 120 ...

  • Page 123

    121 4 reporting your target the­meter­displays­a­pie­chart­illustrating­your­blood­glucose­records­as­“above,”­“within,”­“below,”­and­ “hypo”­for­the­time­range­you­choose­(last­7,­14,­30,­60,­or­90­days). Main menu > my data > reports > target 1. J ­­from­the­main­menu,­select­ my­data­and­press­ =...

  • Page 124

    122 target graph screen time range legend blood­glucose­test­result­ categories meal time selection pie chart represents­the­percentages­for­the­ blood­glucose­test­result­categories i note •­if­data­are­not­available­to­display­the­target­graph,­the­no­data­available­screen­is­displayed. •­the­targ...

  • Page 125

    123 4 1. J ­­to­display­a­target­graph­for­ another­time­range­(last­7,­14,­ 30,­60,­or­90­days),­select­the­ time­range­selection­field­(top­ of­screen).­press­either­ ­or­ > until­you­reach­the­time­range­ you­need. 2. J ­­to­display­a­target­graph­for­ another­meal­time­selection­ (overall,­pre­m...

  • Page 126

    124 i note the­meter­saves­the­current­settings­(time­range,­meal­time,­and­graph­view)­when­you­select­back­or­ when­the­meter­powers­off. 50813_00048009694_d.Indb 124 7/3/12 3:13 pm.

  • Page 127

    125 4 target table screen time range legend blood­glucose­test­result­ categories meal time selection percentage of occurrence i note •­­if­results­or­data­are­not­available­for­the­selected­time­period­and­meal­time,­the­no­data­available­ screen­is­displayed. •­the­target­table­does­not­include­co...

  • Page 128

    126 1. J ­­to­display­a­target­table­for­ another­time­range­(last­7,­14,­ 30,­60,­or­90­days),­select­the­ time­range­selection­field­(top­ of­screen).­press­either­ ­or­ > until­you­reach­the­time­range­ you­need. 2. J ­­to­display­a­target­table­for­ another­meal­time­selection­ (overall,­pre­mea...

  • Page 129

    127 4 i note the­meter­saves­the­current­settings­(time­range,­meal­time,­and­table­view)­when­you­select­back­or­ when­the­meter­powers­off. 50813_00048009694_d.Indb 127 7/3/12 3:13 pm.

  • Page 130

    128 4.5 downloading your data to a computer you­can­transfer­your­stored­results­to­a­computer­to­track,­identify­patterns,­and­print.­ 1. J ­­install­the­software­according­ to­the­instructions. J ­­connect­the­computer­cable­ according­to­the­instructions.­ 2. J ­­run­the­software­programme­ and­f...

  • Page 131

    129 4 4. 5. J ­­select­data­transfer­and­ press­ = . Infrared­(ir)­window j ­­locate­the­infrared­(ir)­window­ on­the­top­of­the­meter.­ j ­­locate­the­ir­window­on­the­ computer’s­infrared­cable. J ­­point­the­two­ir­windows­ toward­each­other.­they­should­ be­3­to­10­cm­apart. 6. J ­­follow­the­pr...

  • Page 132

    130 7. J ­­once­the­data­transfer­is­ complete,­the­data­transfer­ complete­screen­is­displayed­ for­3­seconds­and­then­the­ meter­turns­off. I note if­the­data­did­not­transfer­successfully,­turn­off­the­meter,­turn­the­ meter­back­on,­and­try­again.­if­you­still­have­problems,­contact­ roche. 5081...

  • Page 133

    131 5 5 changing meter settings 5.1­overview­ 132 5.2­­setting­bg­test­reminders:­after­high­bg,­after­low­bg,­after­meal­ 133 5.3­setting­alarm­clock­reminders:­bg­test,­other­ 138 5.4­­setting­date­reminders:­dr.­visit,­lab­test,­infusion­set­change­ 141 5.5­­setting­bolus­advice­for­the­first­tim...

  • Page 134

    132 5.1 overview you­have­the­flexibility­to­change­the­accu-chek­aviva­combo­meter­settings­that­you­initially­selected­ during­the­setup­wizard­process.­you­can­make­adjustments­to­the­meter­settings­in­order­to­meet­changing­ conditions.­consult­with­your­healthcare­professional­to­ensure­the­app...

  • Page 135

    133 5 5.2 setting bg test reminders: after high bg, after low bg, after meal bg test reminders: important information •­­at­the­scheduled­time,­the­meter­turns­on­and­displays­the­reminder­(if­a­test­strip­has­not­been­inserted).­ however,­if­the­meter­is­already­on­when­the­reminder­is­scheduled­an...

  • Page 136

    134 main menu > settings > reminders > bg test reminders 1. J ­­from­the­main­menu,­select­ settings­and­press­ = . 2. 3. J ­­select­reminders­and­ press­ = . J ­­select­bg­test­reminders­and­ press­ = . 50813_00048009694_d.Indb 134 7/3/12 3:13 pm.

  • Page 137

    135 5 4. J ­­select­either­after­high­bg,­ after­low­bg,­or­after­meal­ and­press­ = . J ­­proceed­to­either­after­high­ bg,­after­low­bg,­or­after­meal­ in­this­step. To turn the after high bg reminder on or off: j ­­select­the­reminder­entry­field­ and­press­ = .­ j ­­select­on­or­off­and­press­ =...

  • Page 138

    136 to turn the after low bg reminder on or off: j ­­select­the­reminder­entry­field­ and­press­ = .­ j ­­select­on­or­off­and­press­ = . To change the bg threshold: j ­­select­the­bg­threshold­entry­ field­and­press­ = . J ­­set­the­bg­threshold­level­and­ press­ = . To turn the after meal reminder...

  • Page 139

    137 5 to change the remind after time: j ­­select­the­remind­after­entry­ field­and­press­ = .­ j ­­set­the­amount­of­time­after­ a­meal­(carb­entry­larger­than­ the­snack­size)­you­want­to­be­ reminded­to­retest­your­blood­ glucose­and­press­ = . To save the changes, select save. If­you­did­not­cha...

  • Page 140

    138 5.3 setting alarm clock reminders: bg test, other alarm­clock­reminders­are­a­helpful­way­to­remind­you­to­test­your­blood­glucose,­or­for­any­other­daily­ appointment.­you­can­set­up­to­eight­reminders­per­day. Alarm clock reminders: important information •­­at­the­scheduled­time,­the­meter­tur...

  • Page 141

    139 5 main menu > settings > reminders > alarm clock 1. J ­­from­the­main­menu,­select­ settings­and­press­ = . 2. J ­­select­reminders­and­ press­ = . 3. J ­­select­alarm­clock­and­ press­ = . 50813_00048009694_d.Indb 139 7/3/12 3:13 pm.

  • Page 142

    140 to turn on or change a reminder: j ­­select­the­time­entry­field­for­a­ reminder­and­press­ = . J ­­set­the­time­to­schedule­the­ reminder­and­press­ = . J ­­press­ = .­select­the­type­ of­reminder­(i.E.,­bg­test­or­ other)­and­press­ = . J ­­repeat­the­above­steps­to­set­ additional­reminders. ...

  • Page 143

    141 5 5.4 setting date reminders: dr. Visit, lab test, infusion set change date­reminders­are­a­helpful­way­to­remind­you­of­an­upcoming­dr.­visit­or­lab­test.­in­addition,­you­can­set­ up­an­ongoing­reminder­for­an­infusion­set­change­for­the­interval­you­choose­(1­day,­2­days,­or­3­days). Date rem...

  • Page 144

    142 main menu > settings > reminders > date reminders 1. J ­­from­the­main­menu,­select­ settings­and­press­ = . 2. 3. J ­­select­reminders­and­ press­ = . J ­­select­date­reminders­and­ press­ = . 50813_00048009694_d.Indb 142 7/3/12 3:13 pm.

  • Page 145

    143 5 j ­­select­either­dr.­visit,­lab­test,­ or­infusion­set­change­and­ press­ = . J ­­proceed­to­either­dr.­visit,­lab­ test,­or­infusion­set­change­in­ this­step. 4. To turn the dr. Visit reminder on or off: j ­­select­the­reminder­entry­field­ and­press­ = .­ j ­­select­on­or­off­and­press­ = ....

  • Page 146

    144 to turn the lab test reminder on or off: j ­­select­the­reminder­entry­field­ and­press­ = .­ j ­­select­on­or­off­and­press­ = . To set the date: j ­­select­the­date­entry­field­and­ press­ = .­ j ­­set­the­day­and­press­ = .­ j ­­set­the­month­and­press­ = .­ j ­­set­the­year­and­press­ = . To...

  • Page 147

    145 5 i note •­­setting­a­time­for­a­date­reminder­is­optional.­if­you­choose­not­to­set­a­time,­ensure­the­time­entry­ field­value­is­“--:--”­(no­entry).­ •­­to­cancel­changes­or­to­return­to­the­date­reminders­screen,­select­cancel. •­­time­for­the­dr.­visit­reminder­and­the­lab­test­reminder­can­...

  • Page 148

    146 5.5 setting bolus advice for the first time set up bolus advice if­you­did­not­set­up­bolus­advice­when­you­went­through­the­setup­wizard­and­have­now­decided­to­utilize­ bolus­advice,­proceed­with­this­section.­once­you­do­set­up­bolus­advice,­you­cannot­turn­it­off. It­is­suggested­that­you­re...

  • Page 149

    147 5 scroll­down time block start time target range lower value carb ratio–number of insulin units time block end time target range upper value carb ratio–number of carbs insulin sensitivity– number of insulin units scroll bar insulin sensitivity–change in glucose level time blocks > bolus advice s...

  • Page 150

    148 3. Main menu > settings > bolus advice 1. 2. J ­­from­the­main­menu,­select­ settings­and­press­ = . J ­­if­you­do­ not ­want­to­set­up­ bolus­advice,­select­no­to­ return­to­the­settings­screen.­ j ­­to­set­up­bolus­advice,­select­ yes­and­continue­to­the­next­ step. J ­­select­bolus­advice­and...

  • Page 151

    149 5 4. J ­­to­continue,­select­next. 5. To change time blocks: j ­­select­a­time­block­to­edit­and­ press­ = . To change the end time: j ­­select­the­end­time­entry­field­ and­press­ = . J ­­set­the­end­time­and­ press­ = . Scroll­down 50813_00048009694_d.Indb 149 7/3/12 3:13 pm.

  • Page 152

    150 to change the target range: j ­­select­the­entry­field­for­the­ lower­value­of­the­target­ range­and­press­ = . J ­­set­the­value­and­press­ = . J ­­select­the­entry­field­for­the­ upper­value­of­the­target­ range­and­press­ = . J ­­set­the­value­and­press­ = . To change the carb ratio: j ­­sele...

  • Page 153

    151 5 7. J ­­return­to­step­5­to­change­ another­time­block. J ­­continue­in­order­to­add­ or­remove­time­blocks,­ otherwise­select­next­and­ proceed­to­step­8.­ to add a time block: j ­­select­the­ last ­time­block­and­ press­ = . J ­­select­the­end­time­entry­field­ and­press­ = . J ­­set­the­end­...

  • Page 154

    152 8. 9. To change the health events: j ­­select­the­entry­field­of­the­ health­event­to­be­changed­ and­press­ = . J ­­set­the­percentage­and­ press­ = . J ­­repeat­the­previous­steps­to­ change­another­health­event. J ­­to­continue,­select­next. To change the meal rise: j ­­select­the­meal­rise­e...

  • Page 155

    153 5 11. 10. J ­­to­return­to­the­settings­ screen,­select­back.­ j ­­select­ok. 50813_00048009694_d.Indb 153 7/3/12 3:13 pm.

  • Page 156

    154 bolus advice options meal­rise,­snack­size,­acting­time,­and­offset­time­are­bolus­advice­options.­below­are­detailed­ descriptions­of­each­of­these­settings. Meal rise during­or­after­meals,­an­increase­in­blood­glucose­levels­is­considered­normal­within­a­certain­range,­even­ though­a­meal­bol...

  • Page 157

    155 5 5.6 setting time blocks, health events, advice options: bolus advice set up if­bolus­advice­has­been­set­up,­use­this­section­for: •­adding­or­removing­time­blocks •­changing­the­time­of­day­when­time­blocks­occur •­changing­the­values­for­target­range,­carb­ratio,­and­insulin­sensitivity­for­...

  • Page 158

    156 setting time blocks–bolus advice is set up main menu > settings > bolus advice > time blocks 1. 2. J ­­from­the­main­menu,­select­ settings­and­press­ = . 3. J ­­select­bolus­advice­and­ press­ = . J ­­select­time­blocks­and­ press­ = . 50813_00048009694_d.Indb 156 7/3/12 3:13 pm.

  • Page 159

    157 5 4. To add or remove time blocks: if­you­do­not­need­to­add­or­ remove­time­blocks,­then­ proceed­to­“to­change­the­time­ blocks.” to add a time block: j ­­select­the­ last time­block­and­ press­ = . J ­­select­the­end­time­entry­field­ and­press­ = . J ­­set­the­end­time­of­the­ selected­time­...

  • Page 160

    158 5. To change the end time: j ­­select­the­end­time­entry­field­ and­press­ = .­ j ­­set­the­end­time­and­ press­ = . To change the target range: j ­­select­the­entry­field­for­the­ lower­value­of­the­target­ range­and­press­ = . J ­­set­the­value­and­press­ = . J ­­select­the­entry­field­for­the...

  • Page 161

    159 5 6. J ­­to­change­another­time­block,­ select­the­time­block­and­­ press­ = .­return­to­step­5. J ­­to­return­to­the­bolus­advice­ screen,­select­back. 50813_00048009694_d.Indb 159 7/3/12 3:13 pm.

  • Page 162

    160 setting health events–bolus advice is set up main menu > settings > bolus advice > health events 1. 2. J ­­from­the­main­menu,­select­ settings­and­press­ = . 3. J ­­select­bolus­advice­and­ press­ = . J ­­select­health­events­and­ press­ = . 50813_00048009694_d.Indb 160 7/3/12 3:13 pm.

  • Page 163

    161 5 4. To change the health events: j ­­select­the­entry­field­of­the­ health­event­to­be­changed­ and­press­ = . J ­­set­the­percentage­and­ press­ = . J ­­repeat­the­previous­steps­to­ change­other­health­events. To save the changes and return to the bolus advice screen, select save. 50813_00048...

  • Page 164

    162 3. Setting bolus advice options–bolus advice is set up main menu > settings > bolus advice > advice options 1. 2. J ­­from­the­main­menu,­select­ settings­and­press­ = . J ­­select­bolus­advice­and­ press­ = . J ­­select­advice­options­and­ press­ = . 50813_00048009694_d.Indb 162 7/3/12 3:13 pm.

  • Page 165

    163 5 to change the meal rise: j ­­select­the­meal­rise­entry­field­ and­press­ = . J ­­set­the­meal­rise­limit­and­ press­ = . To change the snack size: j ­­select­the­snack­size­entry­ field­and­press­ = . J ­­set­the­snack­size­amount­ and­press­ = . To change the acting time: j ­­select­acting­t...

  • Page 166

    164 5.7 setting warning limits: hyper, hypo you­can­set­blood­glucose­warning­limits­for­hyperglycaemia­(hyper)­or­hypoglycaemia­(hypo)­conditions.­ once­these­blood­glucose­limit­values­have­been­set,­if­your­test­result­is­above­the­hyper­warning­limit,­ the­meter­displays­the­above­hyper­warning­...

  • Page 167

    165 5 main menu > settings > meter > warning limits 1. 2. J ­­from­the­main­menu,­select­ settings­and­press­ = . J ­­select­meter­and­press­ = . 3. J ­­select­warning­limits­and­ press­ = . 50813_00048009694_d.Indb 165 7/3/12 3:13 pm.

  • Page 168

    166 4. To change the hyper blood glucose level: j ­­select­the­hyper­entry­field­ and­press­ = . J ­­set­the­hyper­(upper)­blood­ glucose­level­and­press­ = . To change the hypo blood glucose level: j ­­select­the­hypo­entry­field­and­ press­ = . J ­­set­the­hypo­(lower)­blood­ glucose­level­and­pre...

  • Page 169

    167 5 5.8 turning key lock on or off the­key­lock­feature­allows­you­to­lock­all­of­the­buttons­on­the­meter,­except­for­the­power­on/off­button.­ this­serves­as­a­safety­measure­against­unintentional­activation­of­meter­functions. 50813_00048009694_d.Indb 167 7/3/12 3:13 pm.

  • Page 170

    168 main menu > settings > meter > key lock 1. 2. J ­­from­the­main­menu,­select­ settings­and­press­ = . J ­­select­meter­and­press­ = . 3. J ­­select­key­lock­and­press­ = . 50813_00048009694_d.Indb 168 7/3/12 3:13 pm.

  • Page 171

    169 5 4. J ­­press­ = ­to­display­the­key­ lock­pop-up­menu. J ­­select­on­or­off. To save the change and return to the meter menu screen, select save. If­the­buttons­are­locked­when­ you­turn­on­the­meter,­the­key­ lock­screen­is­displayed. J ­­to­unlock­the­buttons,­press­ and­hold­ , ­and­ . ­at­...

  • Page 172

    170 5.9 setting the language you­can­select­a­language­from­the­predefined­list.­ 50813_00048009694_d.Indb 170 7/3/12 3:13 pm.

  • Page 173

    171 5 main menu > settings > meter > language 1. 2. J ­­from­the­main­menu,­select­ settings­and­press­ = . J ­­select­meter­and­press­ = . 3. J ­­select­language­and­ press­ = . 50813_00048009694_d.Indb 171 7/3/12 3:13 pm.

  • Page 174

    172 4. J ­­press­ = ­to­display­the­ language­options. J ­­select­the­desired­language­ and­press­ = . To save the change and return to the meter menu screen, select save. 50813_00048009694_d.Indb 172 7/3/12 3:13 pm.

  • Page 175

    173 5 5.10 setting units: carbs you­can­set­up­the­meter­for­different­carbohydrate­(carbs)­units­(grams,­be,­ke,­or­cc). 50813_00048009694_d.Indb 173 7/3/12 3:13 pm.

  • Page 176

    174 main menu > settings > meter > units 1. 2. J ­­from­the­main­menu,­select­ settings­and­press­ = . J ­­select­meter­and­press­ = . 3. J ­­select­units­and­press­ = . 50813_00048009694_d.Indb 174 7/3/12 3:13 pm.

  • Page 177

    175 5 4. J ­­press­ = ­to­display­the­list­of­ units­for­carbs. J ­­select­the­units­(grams,­be,­ ke,­or­cc)­and­press­ = . To save the change and return to the meter menu screen, select save. I note for­more­information­on­the­units­for­carbohydrates­and­ carbohydrate­equivalents,­see­appendix­b,­“...

  • Page 178

    176 5.11 turning bluetooth ® wireless technology on or off main menu > settings > meter > bluetooth 1. 2. J ­­from­the­main­menu,­select­ settings­and­press­ = . J ­­select­meter­and­press­ = . 3. J ­­select­bluetooth­and­press­ = . 50813_00048009694_d.Indb 176 7/3/12 3:13 pm.

  • Page 179

    177 5 4. J ­­to­turn­ bluetooth ­wireless­ technology­either­on­or­off,­ press­and­hold­ * ­until­the­ bluetooth ­wireless­technology­ icon­changes.­release­ * . To save the change and return to the meter menu screen, select back. 50813_00048009694_d.Indb 177 7/3/12 3:13 pm.

  • Page 180

    178 5.12 pairing the meter and pump for­complete­pairing­instructions,­see­the­advanced­owner’s­booklet. 50813_00048009694_d.Indb 178 7/3/12 3:13 pm.

  • Page 181

    179 5 5.13 setting the beeper, vibrate, and key sound you­can­set­up­the­meter­for­sound­mode­and/or­vibration­mode.­the­meter­features­different­sound­ (beeper)­tones.­sounds­may­occur­for: •­button­presses­ •­errors •­warnings •­reminders i note •­beeper­and­vibrate­cannot­both­be­turned­off­at­th...

  • Page 182

    180 main menu > settings > sound/vibrate 1. 2. J ­­from­the­main­menu,­select­ settings­and­press­ = . J ­­select­sound/vibrate­and­ press­ = . 3. To change the beeper sound level: j ­­select­the­beeper­entry­field­ and­press­ = . J ­­select­the­beeper­sound­level­ (off,­low,­medium,­or­high)­ and­p...

  • Page 183

    181 5 to change the key sound: j ­­select­the­key­sound­entry­ field­and­press­ = . J ­­select­the­key­sound­mode­ (on­or­off)­and­press­ = . To save the changes and return to the settings menu screen, select save. 50813_00048009694_d.Indb 181 7/3/12 3:13 pm.

  • Page 184

    182 5.14 setting the time format, time, and date i note •­­it­is­recommended­you­set­the­date­and­time­on­the­pump­(the­date­and­time­on­the­meter­will­ automatically­synchronize­to­match­the­pump). •­­changing­the­date­and­time­will­impact­the­trend­graph­and­the­trend­table­(see­“reporting­your­ d...

  • Page 185

    183 5 main menu > settings > time/date 1. 2. J ­­from­the­main­menu,­select­ settings­and­press­ = . J ­­select­time/date­and­ press­ = . 3. To change the time format: j ­­select­the­time­format­entry­ field­and­press­ = . J ­­select­12-hr­or­24-hr­time­ format­and­press­ = . To change the time: j ­...

  • Page 186

    184 to change the date: j ­­select­the­date­entry­field­and­ press­ = . J ­­set­the­day­and­press­ = . J ­­set­the­month­and­press­ = . J ­­set­the­year­and­press­ = . To save the changes and return to the settings menu screen, select save. 50813_00048009694_d.Indb 184 7/3/12 3:13 pm.

  • Page 187

    185 5 5.15 setting time blocks: bolus advice not set up this­section­is­for­changing,­adding,­and­removing­time­blocks­only­if­bolus­advice­has­not­been­set­up.­ for­each­time­block,­you­can­set­up­different­blood­glucose­target­ranges.­it­is­suggested­that­you­review­ the­getting­started­guide­befo...

  • Page 188

    186 1. 2. J ­­from­the­main­menu,­select­ settings­and­press­ = . Time­blocks­does­not­appear­if­ bolus­advice­has­been­set­up. J ­­select­time­blocks­and­ press­ = . Change end time, target range lower value, and/or target range upper value main menu > settings > time blocks 3. J ­­select­the­time­...

  • Page 189

    187 5 4. To change the end time: j ­­select­the­end­time­entry­field­ and­press­ = . J ­­set­the­end­time­and­ press­ = . To change the target range: j ­­select­the­entry­field­for­the­ lower­value­of­the­target­ range­and­press­ = . J ­­set­the­value­and­press­ = . J ­­select­the­entry­field­for­th...

  • Page 190

    188 i note •­­when­you­set­the­end­time,­the­meter­sets­this­end­time­as­the­start­time­for­the­next­time­block. •­the­end­time­can­be­set­in­30-minute­increments.­ •­to­cancel­changes­press­ , . 50813_00048009694_d.Indb 188 7/3/12 3:13 pm.

  • Page 191

    189 5 1. 2. J ­­from­the­main­menu,­select­ settings­and­press­ = . Time­blocks­does­not­appear­if­ bolus­advice­has­been­set­up. J ­­select­time­blocks­and­ press­ = . Add a time block main menu > settings > time blocks 3. J ­­select­the­ last ­time­block­ and­press­ = . 50813_00048009694_d.Indb 18...

  • Page 192

    190 4. J ­­select­the­end­time­entry­field­ and­press­ = . J ­­set­the­end­time­of­the­ selected­time­block­and­­ press­ = .­this­will­be­the­start­ time­of­the­added­time­block. To save the changes and return to the time blocks screen, select save. 5. J ­­update­the­end­times­and­ target­ranges­for...

  • Page 193

    191 5 1. 2. J ­­from­the­main­menu,­select­ settings­and­press­ = . Time­blocks­does­not­appear­if­ bolus­advice­has­been­set­up. J ­­select­time­blocks­and­ press­ = . Remove a time block main menu > settings > time blocks 3. J ­­select­the­time­block­you­ want­to­remove­and­press­ = . 50813_000480...

  • Page 194

    192 4. J ­­select­the­end­time­entry­field­ and­press­ = . J ­­set­the­end­time­to­match­the­ start­time­of­the­time­block­ and­press­ = . To save the changes and return to the time blocks screen, select save. 5. J ­­update­the­end­times­ and­target­ranges­for­the­ remaining­time­blocks,­as­ needed....

  • Page 195

    193 5 5.16 backlight settings the­backlight­on­your­accu-chek­aviva­combo­meter­helps­you­read­the­information­on­the­meter­display­ under­different­lighting­conditions.­you­can­adjust­the­backlight­level­by­pressing­the­backlight­button­on­the­ front­of­the­meter.­the­backlight­adjusts­from­low,­to...

  • Page 196

    194 i note •­­when­the­meter­is­turned­on,­the­backlight­is­set­to­medium. •­­when­the­backlight­is­set­to­high­or­medium­and­no­button­activity­has­occurred­for­approximately­ 15­seconds,­the­meter­goes­to­low­backlight­(to­conserve­battery­life).­the­meter­restores­the­original­ backlight­setting­...

  • Page 197

    195 6 6 icons, reminders, warnings, and errors 6.1­overview­ 196 6.2­list­of­icons­ 197 6.3­­confirming­a­reminder,­warning,­or­error­ 199 6.4­list­of­reminders­ 200 6.5­list­of­warnings­ 210 6.6­list­of­errors­ 216 50813_00048009694_d.Indb 195 7/3/12 3:13 pm.

  • Page 198

    196 6.1 overview this­chapter­provides­you­with­detailed­listings­of­all­the­icons,­reminders,­warnings,­and­errors­included­in­ the­meter. I note blood­glucose­and­bg­are­interchangeable­and­mean­the­same­thing. 50813_00048009694_d.Indb 196 7/3/12 3:13 pm.

  • Page 199

    197 6 icon name icon active­insulin add­data analyzing beeper blood­glucose­averages blood­glucose­test bluetooth ­wireless­technology­enabled bolus­advice bolus­advice­(settings) carbs 6.2 list of icons the­icons­and­icon­names­in­the­meter­are: icon name icon control­test date download­(data­trans...

  • Page 200

    198 icon name icon meter­(settings) multiwave­bolus­not­confirmed multiwave­bolus­confirmed my­data pen/syringe­bolus pump reminder reminders­(settings) reports settings icon name icon sound/vibrate­(settings) standard­bolus­not­confirmed standard­bolus­confirmed time time­block­(settings) time­chan...

  • Page 201

    199 6 6.3 confirming a reminder, warning, or error to­confirm­(or­dismiss)­most­reminders­or­warnings,­press­ . .­some­error­messages­require­a­different­ confirmation,­such­as­“retest­with­new­strip”­or­“replace­batteries­now.”­to­place­some­reminders­in­the­ snooze­mode,­press­ , .­see­the­followi...

  • Page 202

    200 6.4 list of reminders reminder screen example reminder title reminder message dismiss reminder icon snooze reschedule­the­reminder.­ this­is­not­available­for­all­ reminders. I note •­the­meter­beeps­when­it­displays­any­reminder­if­the­beeper­setting­is­on. •­­the­meter­vibrates­when­it­display...

  • Page 203

    201 6 for­instructions­on­how­to­set­up­meter­reminders,­see­chapter­5,­“changing­meter­settings.”­the­reminders­ available­on­the­meter­are: reminder title reminder message left soft key right soft key snooze time after­meal­retest carbs­entry­higher­than­snack­ size­setting.­retest. Snooze dismiss...

  • Page 204

    202 reminder title reminder message left soft key right soft key snooze time dr.­visit­tomorrow if the dr. Visit time has been set: you­have­a­dr.­appointment­ tomorrow­at­(settings­dr.­visit­ time)¹ or, if the dr. Visit time has not been set: you­have­a­dr.­appointment­ tomorrow dismiss high­bg­ret...

  • Page 205

    203 6 reminder title reminder message left soft key right soft key snooze time lab­test­today if the lab test time has been set: you­have­a­lab­test­today­at­ (settings­lab­test­time) 1 or, if the lab test time has not been set: you­have­a­lab­test­today dismiss lab­test­tomorrow if the lab test tim...

  • Page 206

    204 reminders: important information •­­when­two­or­more­event­reminders­occur­at­the­same­time,­the­meter­displays­the­event­reminder­with­ the­highest­priority­first: 1.­bg­test­reminders­(after­high­bg,­after­low­bg,­and­after­meal) 2.­alarm­clock­reminders­(bg­test­and­other) 3.­date­reminders­(...

  • Page 207

    205 6 low bg retest reminder •­­when­your­blood­glucose­test­result­is­less­than­the­low­blood­glucose­threshold­setting­you­have­set­up­ (see­chapter­5,­“changing­meter­settings”),­then­the­meter­schedules­a­low­bg­retest­reminder­for­the­ time­duration­you­have­set­up.­the­meter­maintains­the­dura...

  • Page 208

    206 high bg retest reminder •­­when­your­blood­glucose­test­result­is­greater­than­the­high­blood­glucose­threshold­setting­you­have­set­ up­(see­chapter­5,­“changing­meter­settings”),­then­the­meter­schedules­a­high­bg­retest­reminder­for­ the­time­duration­you­have­set­up.­the­meter­maintains­the­...

  • Page 209

    207 6 after meal reminder •­­when­you­enter­carbohydrates­into­the­diary­through­one­of­the­following­screens­and­the­carbohydrates­ entered­are­greater­than­the­snack­size­setting,­then­the­meter­schedules­an­after­meal­reminder­for­ the­time­duration­you­have­set­up­(see­chapter­5,­“changing­meter...

  • Page 210

    208 alarm clock reminders for bg test and other •­­at­the­scheduled­time,­the­meter­turns­on­and­displays­the­reminder­(if­a­test­strip­has­not­been­inserted). •­­when­the­meter­displays­an­alarm­clock­reminder­and­you­do­not­press­any­meter­buttons,­­ after­30­seconds­the­meter­turns­off­and­displa...

  • Page 211

    209 6 • other alarm clock reminder •­­if­the­meter­is­already­on­when­the­reminder­is­scheduled,­the­reminder­is­displayed­when­the­meter­ powers­down. •­dismiss­this­reminder­either­by­pressing­ . ­or­by­inserting­a­test­strip. •­snooze­the­reminder­for­15­minutes­by­pressing­ , .­ 50813_0004800969...

  • Page 212

    210 6.5 list of warnings warning screen example warning icon no only­shown­on­a­few­ warning­screens warning title warning message yes or ok i note the­meter­beeps­when­it­displays­a­warning­if­the­beeper­setting­is­on. 50813_00048009694_d.Indb 210 7/3/12 3:13 pm.

  • Page 213

    211 6 the­warnings­the­meter­may­display­are: warning title warning message left soft key right soft key above­hyper­warning­ limit consider­checking­for­ketones,­bg­and­ insulin­regularly ok beep/vibrate­off beep­and­vibrate­settings­cannot­both­be­ turned­off­at­same­time ok below­hypo­warning­lim...

  • Page 214

    212 warning title warning message left soft key right soft key bolus­too­high bolus­above­allowed­amount.­bolus­set­to­ maximum. Ok bolus­too­low bolus­below­allowed­amount.­bolus­set­to­ minimum. Ok calculation­out­of­range no­bolus­advice­available ok carbohydrate­ratio carb­ratio­seems­unusual.­c...

  • Page 215

    213 6 warning title warning message left soft key right soft key connection­lost restart­meter,­select­“settings”,­“meter”,­ “pair­with­pump” ok corrupt­language choose­another­language ok diary­entry­used­for­ advice diary­entry­used­for­advice,­modifications­ not­allowed ok diary­results­expired n...

  • Page 216

    214 warning title warning message left soft key right soft key invalid­date reenter­valid­date ok invalid­hyper­values hyper­value­must­be­greater­than­time­ block­target­ranges ok invalid­hypo­values hypo­value­must­be­less­than­time­block­ target­ranges ok invalid­pin reenter­pin­shown­on­pump­dis...

  • Page 217

    215 6 warning title warning message left soft key right soft key no­bg­with­bolus consider­testing­bg­before­delivering­ insulin.­continue? No yes pairing­failed restart­meter,­select­“settings”,­“meter”,­ “pair­with­pump” ok pump­not­available ensure­ bluetooth ­is­on­and­pump­is­within­ range­of­m...

  • Page 218

    216 6.6 list of errors error screen example error title error message error icon menu this­option­is­not­available­ for­all­errors. I note the­meter­beeps­when­it­displays­an­error,­even­if­the­beeper­setting­is­turned­off. 50813_00048009694_d.Indb 216 7/3/12 3:13 pm.

  • Page 219

    217 6 the­errors­the­meter­may­display­are: error title error message left soft key right soft key e-51 bad­strip­error reinsert­or­replace­with­new­strip e-52 code­key­error turn­meter­off,­reinsert­or­replace­code­­ key 1 menu 2 ok 3 e-53 bad­test­error retest­with­new­strip e-54 not­enough­sample...

  • Page 220

    218 error title error message left soft key right soft key e-59 battery­empty replace­batteries­now e-60 time/date­error correct­time/date­if­necessary menu 1­ ­on­the­meter­display,­the­activation­chip­is­referred­to­as­a­code­key.­code­key­and­activation­chip­are­ interchangeable­and­mean­the­same...

  • Page 221

    7 219 7 care and maintenance 7.1­overview­ 220 7.2­changing­the­batteries­ 221 7.3­power-saving­tips­ 224 7.4­cleaning­the­meter­ 225 7.5­maintenance­and­testing­ 226 50813_00048009694_d.Indb 219 7/3/12 3:13 pm.

  • Page 222

    220 7.1 overview it­is­important­to­properly­care­for­and­maintain­your­accu-chek­aviva­combo­meter.­if­you­have­any­ questions­about­the­care­and­maintenance­of­your­meter,­contact­roche. 50813_00048009694_d.Indb 220 7/3/12 3:13 pm.

  • Page 223

    7 221 7.2 changing the batteries 1. 2. J ­­remove­the­battery­door­ from­the­back­of­the­meter­by­ pushing­the­tab­in­the­direction­ of­the­arrow­and­pulling­up­ the­door.­ j ­­remove­the­old­batteries­from­ the­meter. J ­­insert­three­aaa­batteries­with­ the­+­and­-­ends­matching­ the­marks­in­the­...

  • Page 224

    222 w warning •­­using­batteries­other­than­those­supplied­or­recommended­for­use­with­the­meter­may­significantly­ reduce­the­life­of­the­batteries.­batteries­other­than­those­recommended­may­leak­and­corrode­ the­battery­contacts­within­the­meter.­using­batteries­not­supplied­or­recommended­may­vo...

  • Page 225

    7 223 i note •­­alkaline­batteries­are­recommended­for­use­with­the­meter. •­­after­you­change­the­batteries,­the­meter­prompts­you­to­confirm­the­time­and­date­settings. •­it­is­a­good­idea­to­have­spare,­packaged­batteries­available. •­­all­test­results,­diary­information,­and­settings­are­saved­i...

  • Page 226

    224 7.3 power-saving tips to­conserve­battery­life: •­use­the­low­beeper­setting •­only­turn­on­the­vibration­feature­when­it­is­needed •­­turn­off­the­meter­when­you­are­finished­rather­than­utilizing­the­auto­power­off­feature 50813_00048009694_d.Indb 224 7/3/12 3:13 pm.

  • Page 227

    7 225 7.4 cleaning the meter caring­for­the­meter­is­easy:­just­keep­it­free­of­dust.­if­you­need­to­clean­it,­follow­these­guidelines­carefully­ to­help­you­get­the­best­performance­possible: •­ensure­the­meter­is­off •­gently­wipe­the­meter’s­surface­with­a­soft­cloth­slightly­dampened­with­one­of...

  • Page 228

    226 7.5 maintenance and testing •­­the­meter­needs­little­or­no­maintenance­with­normal­use.­it­automatically­tests­its­own­systems­every­ time­you­turn­it­on­and­lets­you­know­if­something­is­wrong.­for­detailed­information­on­troubleshooting­the­ meter,­see­chapter­8,­“troubleshooting.” •­­if­you­...

  • Page 229

    227 8 8 troubleshooting 8.1­overview­ 228 8.2­­troubleshooting­the­accu-chek­aviva­combo­meter­ 229 50813_00048009694_d.Indb 227 7/3/12 3:13 pm.

  • Page 230

    228 8.1 overview for­most­problems,­the­meter­displays­a­message­with­a­short­description­of­the­symptom­and,­along­with­it,­ a­proposed­solution.­this­chapter­goes­into­more­detail­by­describing­the­symptom,­the­possible­cause,­and­ the­possible­solution.­if­the­possible­solutions­do­not­fix­the­pr...

  • Page 231

    229 8 8.2 troubleshooting the accu-chek aviva combo meter display shows possible cause(s) possible solution(s) the­display­is­blank­ or­the­meter­will­ not­turn­on. J ­­batteries­are­dead. J ­­install­new­batteries.­see­chapter­7,­“care­and­ maintenance.” j ­­display­is­damaged. J ­­contact­roche. J...

  • Page 232

    230 display shows possible cause(s) possible solution(s) above­hyper­ warning­limit j ­­your­test­result­is­above­the­ hyper­warning­limit­set­in­the­ meter. J ­­treat­your­high­blood­glucose­as­recommended­by­ your­healthcare­professional. J ­­consider­checking­bg,­ketones,­and­insulin. J ­­see­the...

  • Page 233

    231 8 display shows possible cause(s) possible solution(s) bolus­advice­not­ setup j ­­advice­is­not­provided­unless­it­ is­set­up­through­bolus­advice­ in­settings­menu. J ­­you­can­continue­to­use­the­meter­without­bolus­ advice­or­see­chapter­5,­“changing­meter­settings”­ for­instructions­on­how­...

  • Page 234

    232 display shows possible cause(s) possible solution(s) bolus­too­high j ­­the­bolus­is­above­the­ allowed­amount.­the­bolus­ was­set­to­50­units. J ­­check­the­accuracy­of­all­entries.­if­necessary,­ contact­your­healthcare­professional. Bolus­too­low j ­­the­insulin­pump­cannot­ deliver­a­0.1­uni...

  • Page 235

    233 8 display shows possible cause(s) possible solution(s) communication­ warning j ­­communication­of­bolus­data­ from­the­pump­was­not­ successful.­therefore,­pump­ data­are­not­available­and­the­ bolus­data­may­not­be­ accurate. J ­­communication­of­bolus­data­ from­the­pump­was­not­ successful.­...

  • Page 236

    234 display shows possible cause(s) possible solution(s) connection­lost j ­­the­connection­was­lost­ between­the­meter­and­the­ pump­during­the­pairing­ process.­therefore,­the­ attempt­to­pair­the­meter­and­ pump­was­unsuccessful. J ­­restart­the­pairing­process.­see­the­advanced­ owner’s­booklet....

  • Page 237

    235 8 display shows possible cause(s) possible solution(s) e-51­bad­strip­ error j ­­your­blood­glucose­may­be­ extremely­low.­ if­you­see­this­error­message­ after ­you­applied­blood to­the­test­strip: j ­­if­you­are­experiencing­any­of­the­common­ symptoms­of­low­blood­sugar,­contact­your­ healthc...

  • Page 238

    236 display shows possible cause(s) possible solution(s) e-53­bad­test­ error j ­­a­meter­or­test­strip­error­has­ occurred. J ­­discard­the­test­strip­and­repeat­the­test. J ­­your­blood­glucose­may­be­ extremely­high. J ­­if­this­matches­how­you­feel,­contact­your­ healthcare­professional­immediat...

  • Page 239

    237 8 display shows possible cause(s) possible solution(s) e-54­not­enough­ sample j ­­not­enough­blood­or­control­ solution­was­drawn­into­the­ test­strip­for­measurement­or­ was­applied­after­the­test­has­ started. J ­­discard­the­test­strip­and­repeat­the­test. E-55­code­key­ expired j ­­the­code...

  • Page 240

    238 display shows possible cause(s) possible solution(s) e-58­temp.­error j ­­the­temperature­is­above­or­ below­the­proper­range­for­ the­meter. J ­­move­the­meter­to­an­area­within­the­proper­ temperature­range­indicated­for­test­strip­use­in­the­ test­strip­package­insert.­wait­5­minutes­before­ ...

  • Page 241

    239 8 display shows possible cause(s) possible solution(s) infrequent­pump­ communication j ­­­at­least­2­weeks­have­passed­ since­the­meter­and­pump­ have­communicated. J ­­ensure­the­meter­and­pump­have­ bluetooth ­wireless­ technology­turned­on. J ­­ensure­the­meter­and­pump­are­within­ communica...

  • Page 242

    240 display shows possible cause(s) possible solution(s) invalid­hyper­ values j ­­the­hyper­warning­limit­value­ must­be­greater­than­all­of­ your­target­ranges­in­the­time­ block­settings. J ­­reset­the­hyper­warning­limit­or­revise­the­target­ ranges­in­time­blocks­and­re-enter­the­hyper­ warning...

  • Page 243

    241 8 display shows possible cause(s) possible solution(s) invalid­target­ range j ­­the­lower­target­range­value­ is­above­the­upper­target­ range­value. J ­­reset­the­target­range­values. J ­­enter­the­correct­lower­target­range­value­and­ upper­target­range­value.­see­chapter­5,­“changing­ meter­...

  • Page 244

    242 display shows possible cause(s) possible solution(s) no­bg­with­bolus j ­­you­have­not­tested­your­bg­ and­are­attempting­to­deliver­ a­bolus. J ­­it­is­recommended­to­test­bg­before­delivering­ insulin. Pairing­failed j ­­the­attempt­to­pair­the­meter­ and­pump­was­unsuccessful. J ­­restart­the...

  • Page 245

    243 8 display shows possible cause(s) possible solution(s) test­strips­expiring j ­­the­test­strips­expire­at­the­ end­of­the­current­month. J ­­this­message­may­appear­when­using­a­white­ activation­chip­in­the­meter.­it­means­the­test­strips­ expire­at­the­end­of­the­current­month.­at­the­end­of­ ...

  • Page 246

    244 50813_00048009694_d.Indb 244 7/3/12 3:13 pm.

  • Page 247

    9 245 9 technical information 9.1­overview­ 246 9.2­product­limitations­ 247 9.3­specifications­ 248 9.4­product­safety­information­ 250 9.5­disposing­of­the­meter­ 253 9.6­guarantee­ 254 9.7­additional­supplies­ 255 9.8­information­for­healthcare­professionals­ 256 50813_00048009694_d.Indb 245 7/3/...

  • Page 248

    246 9.1 overview this­chapter­provides­you­with­important­performance­information­regarding­the­meter. 50813_00048009694_d.Indb 246 7/3/12 3:13 pm.

  • Page 249

    9 247 9.2 product limitations please­read­the­literature­packaged­with­your­test­strips­to­find­the­latest­information­on­product­ specifications­and­limitations. 50813_00048009694_d.Indb 247 7/3/12 3:13 pm.

  • Page 250

    248 9.3 specifications blood­volume­ j ­­refer­to­the­test­strip­package­insert. Sample­type­ j ­­fresh­whole­blood measuring­time­ j ­­refer­to­the­test­strip­package­insert. Measuring­range­ j ­­refer­to­the­test­strip­package­insert. Test­strip­storage­conditions­ j ­­refer­to­the­test­strip­pack...

  • Page 251

    9 249 power­supply­ j ­­three­aaa­batteries­(recommended:­alkaline) display j ­­lcd dimensions­ j ­­94­x­55­x­25­mm­lwh weight j ­­­approximately­103­g­with­batteries­inserted construction­ j ­­hand-held protection­class j ­­iii meter­type j ­­the­accu-chek­aviva­combo­meter­is­suitable­for­continuo...

  • Page 252

    250 9.4 product safety information bluetooth wireless technology the­meter­and­the­pump­utilize­ bluetooth ­wireless­technology­to­communicate­and­transfer­information.­ bluetooth ­wireless­technology­is­a­form­of­radio­frequency­(rf)­technology­that­operates­in­the­unlicensed­ industrial,­scientifi...

  • Page 253

    9 251 in­the­event­there­is­interference­from­another­device,­it­is­recommended­that­you­increase­distance­between­ meter­and­that­device.­you­may­also­turn­off­the­interfering­device.­in­addition,­you­may­turn­off­ bluetooth wireless­technology­on­the­meter­and­deliver­insulin­directly­using­the­pu...

  • Page 254

    252 performance analysis the­performance­data­for­the­accu-chek­aviva­combo­system­(accu-chek­aviva­combo­meter­with­ accu-chek­aviva­test­strips)­were­obtained­using­capillary­blood­from­diabetic­patients­(method­comparison,­ accuracy),­venous­blood­(repeatability),­and­control­solution­(reproducib...

  • Page 255

    9 253 9.5 disposing of the meter w warning •­­during­blood­glucose­measurement,­the­meter­itself­may­come­into­contact­with­blood.­used­meters­ therefore­carry­a­risk­of­infection.­dispose­of­your­used­meter,­after­removing­the­batteries,­according­ to­the­regulations­applicable­in­your­country.­for...

  • Page 256

    254 9.6 guarantee the­statutory­provisions­on­rights­in­consumer­goods­sales­in­the­country­of­purchase­shall­apply. 50813_00048009694_d.Indb 254 7/3/12 3:13 pm.

  • Page 257

    9 255 9.7 additional supplies the­following­supplies­and­accessories­are­available­from­your­authorized­roche­diabetes­healthcare­centre,­ pharmacies,­or­your­medical/surgical­supply­dealer: test strips accu-chek­aviva­test­strips control solutions accu-chek­aviva­control­solutions 50813_00048009694...

  • Page 258

    256 9.8 information for healthcare professionals w warning healthcare professionals: follow the infection control procedures appropriate for your facility. A­drop­of­fresh,­whole­blood­is­required­to­perform­a­blood­glucose­test.­refer­to­the­test­strip­package­insert­ for­additional­healthcare­prof...

  • Page 259

    257 appendices appendix a: abbreviations abbreviation definition be bread­equivalent­(equal­to­12­grams­of­carbohydrates) bg blood­glucose °c degrees­celsius­(or­centigrade) carbs carbohydrates cc carbohydrate­choice­(equal­to­15­grams­of­carbohydrates) fcc federal­communications­commission­(united­...

  • Page 260

    258 abbreviation definition ir infrared iso international­organization­for­standardization ke kohlenhydrateinheit­(equal­to­10­grams­of­carbohydrates) lcd liquid­crystal­display mmol/l millimoles­per­liter­ n/a not­applicable nist national­institute­of­standards­and­technology­(united­states) pin pe...

  • Page 261

    259 appendix b: carb units for­carbohydrates,­the­following­units­of­measure­are­available­on­the­meter. Abbreviation unit of measurement gram equivalent g grams 1­gram ke kohlenhydrateinheit 10­grams be bread­equivalent 12­grams cc carbohydrate­choice 15­grams 50813_00048009694_d.Indb 259 7/3/12 3:...

  • Page 262

    260 appendix c: explanation of symbols you­may­encounter­the­following­symbols­on­the­packaging,­on­the­type­plate­(back­of­meter),­and­in­the­ instructions­for­the­meter,­shown­here­with­their­meaning. Consult­instructions­for­use w ­caution,­refer­to­safety-related­notes­in­the­instructions­for­us...

  • Page 263

    261 appendix d: meter settings and range limits mmol/l data type unit of measurement min max increments default setting acting­time hours:minutes 1:30 8:00 0:15 4:00 active­insulin units 0 99.9 0.1 n/a bg­threshold­(high) mmol/l 6.5 19.5 0.1 hyper­warning­limit bg­threshold­(low) mmol/l 3 5.5 0.1 hy...

  • Page 264

    262 data type unit of measurement min max increments default setting exercise­1­­ (health­event) % -50 50 1 0 exercise­2­­ (health­event) % -50 50 1 0 extended­bolus­ (insulin) units 0 501 0.1 n/a hyper­warning­ limit mmol/l 10 19.4 0.1 16.5 hypo­warning­limit mmol/l 3 5 0.1 4 illness­(health­ event...

  • Page 265

    263 data type unit of measurement min max increments default setting offset­time hours:minutes 0:45 acting­ time 0:15 1:00 premenstrual­ (health­event) % -50 50 1 0 snack­size­(carbs) grams be ke cc 0 0 0 0 24 2 2.4 1.6 1 0.1 0.1 0.1 no­entry­(“---­g”) no­entry­(“---­be”) no­entry­(“---­ke”) no­entr...

  • Page 266

    264 the­following­are­the­default­settings­for­bg­test­reminders.­to­turn­on­a­bg­test­reminder,­see­“setting­the­ alarm­clock­reminders:­bg­test,­other”­in­chapter­5,­“changing­meter­settings.” test reminder default time of day 1 07:00 2 09:00 3 11:00 4 12:00 5 14:00 6 16:00 7 19:00 8 22:00 50813_0...

  • Page 267

    265 the­following­are­the­default­settings­for­the­time­blocks.­talk­to­your­healthcare­professional­about­setting­ up­time­blocks­to­help­you­manage­your­diabetes.­to­adjust­the­time­blocks,­see­chapter­5,­“changing­meter­ settings.” time block 24-hour format 1 0:00–5:30 2 5:30–11:00 3 11:00–17:00 ...

  • Page 268

    266 50813_00048009694_d.Indb 266 7/3/12 3:14 pm.

  • Page 269

    267 glossary term definition 7-day­average includes­results­generated­today­and­the­previous­6­days. Acting­time the­period­of­time­from­the­start­of­the­meal­rise­or­the­delivery­of­a­ correction­bolus­until­your­blood­glucose­level­is­expected­to­return­to­the­ target­level. Active­insulin bolus­i...

  • Page 270

    268 term definition bg­test­reminders reminders­to­retest­your­blood­glucose­after­a­high­blood­glucose­test­ result,­after­a­low­blood­glucose­test­result,­or­after­a­meal. Bg­threshold a­bg­test­reminder­setting.­the­upper­limit­for­your­blood­glucose­for­a­ high­bg­test­reminder­and­the­lower­lim...

  • Page 271

    269 term definition carb­ratio the­amount­of­insulin­necessary­to­account­for­a­certain­number­of­ carbohydrates. Carbohydrates­(or­carbs) carbohydrate­foods­include­sugars­and­starches.­carbohydrates­can­ raise­blood­glucose­levels­slowly­or­rapidly.­carbohydrates­are­generally­ counted­to­calculat...

  • Page 272

    270 term definition day period­of­time­starting­at­00:00­and­ending­at­23:59. End­time the­end­time­of­a­time­block. Extended­bolus a­bolus­delivered­over­a­period­of­time.­it­can­be­helpful­during­long­ meals­or­when­you­have­meals­that­are­digested­slowly.­the­extended­ bolus­may­also­be­appropria...

  • Page 273

    271 term definition hypo hypoglycaemia:­an­abnormally­low­level­of­glucose­in­the­blood. Hypo­warning­limit when­your­blood­glucose­test­result­is­below­the­hypo­warning­limit,­a­ warning­is­displayed. Insulin­pump a­device­that­delivers­a­continuous­supply­of­insulin­into­the­body. Insulin­sensitiv...

  • Page 274

    272 term definition meal­time a­pop-up­menu­selection­(pre­meal,­post­meal,­bedtime,­or­other)­that­ allows­information­to­be­stored­with­a­blood­glucose­test­or­in­a­diary­ record. Meter blood­glucose­meter. Multiwave­bolus a­bolus­designed­to­better­simulate­the­body’s­insulin­delivery.­it­ combin...

  • Page 275

    273 term definition quick­bolus a­bolus­delivery­on­the­pump­using­the­pump­up­and­down­keys.­one­ key­press­equals­one­bolus­increment­(i.E.,­0.1,­0.2,­0.5,­1.0,­2.0).­see­ the­pump­user­guide­for­more­information. Remind­after a­bg­test­reminder­setting.­the­amount­of­time­after­a­high­blood­gluco...

  • Page 276

    274 term definition standard­bolus a­bolus­that­is­immediately­delivered­to­cover­a­food­or­a­blood­glucose correction.­when­standard­is­selected,­the­bolus­is­delivered­by­the­ pump.­this­option­is­available­only­when­ bluetooth ­wireless­technology­is­ turned­on­and­the­meter­and­pump­are­communic...

  • Page 277

    275 a abbreviations,­­ 257–259 acting­time,­­ 152–154 , 163 activation­chip,­­ 12–13 , 15 activation­chip­slot,­­ 13 active­insulin,­­ 49–52 advice­options,­­ 162–163 after­high­bg­test­reminder,­­ 133–137 , 200 , 204 after­low­bg­test­reminder,­­ 133–137 , 200 , 204 after­meal­bg­test­reminder,­­ 1...

  • Page 278

    276 blurred­vision,­­ 58 bolus­advice,­­ 22 , 146–154 bolus­advice­options . See advice­options bolus,­delivery,­­ 23 , 230–232 buttons,­­ 13 , 15–17 , 16–18 c carbohydrates,­­ 49–52 , 85 , 88 units­of­measure,­­ 173–175 , 259 carb­ratio,­­ 150 , 232 carbs . See carbohydrates cc,­­ 173–175 cleaning­...

  • Page 279

    277 f fatigue,­­ 58 frequent­urination,­­ 58 g g­(grams),­­ 173–175 graph, standard­day,­­ 105–108 standard­week,­­ 114–117 target,­­ 122–124 trend,­­ 95–98 guarantee,­­ 254 h headache,­­ 58 health­events,­­ 27 , 50–51 , 85 , 88 , 152 , 160–161 high­bg­retest­reminder,­­ 202 , 206 hyper­warning­limi...

  • Page 280

    278 m maintenance,­meter,­­ 226 meal­rise,­­ 152 , 154 , 163 meal­time,­­ 49–52 , 85 meter, settings­and­range­limits,­­ 261–266 summary­of­features,­­ 13 , 20–28 n navigation,­­ 36–37 numbness,­­ 58 o offset­time,­­ 152–153 , 163 p pairing,­­ 18 , 178 power­button,­­ 13 , 16–17 power-saving­tips,­­...

  • Page 281

    279 sweating,­­ 58 symbols,­explanation,­­ 260 t table, standard­day,­­ 109–112 standard­week­­ 118–120 target,­­ 125–127 trend,­­ 100–103 target­range,­­ 150 , 187 , 240–241 target,­reporting,­­ 121–127 test­results, storing,­­ 77–78 unusual,­­ 57 test­strip,­­ 235–237 , 243 thirst,­increased,­­ 58...

  • Page 282

    280 50813_00048009694_d.Indb 280 7/3/12 3:14 pm.