Roche Accu-chek Aviva expert Advanced Owner's Booklet
  1. Manuals
  2. Brands
  3. Roche Manuals
  4. Blood Glucose Meter
  5. Accu-Chek Aviva Expert
  6. Advanced owner's booklet

Roche Accu-chek Aviva expert Advanced Owner's Booklet

Blood sugar meter
Hide thumbs Also See for Accu-chek Aviva expert:
Table of Contents

Advertisement

Quick Links

Download this manual
Accu-chek Aviva expert
©2009 Roche Diagnostics. All rights reserved.
Assembled and distributed in the u.S.A. by:
Roche Diagnostics
9115 hague Road
Indianapolis, IN 46256
www.accu-chek.com
Accu-chek, Accu-chek AVIVA, Accu-chek
AVIVA eXPeRT, and Accu-chek MuLTIcLIX are
trademarks of Roche.
45703_adv.indb 1
10:02 am
2 Feb 08
bG Test
Bolus Advice
My Data
Settings
10:02 am
2 Feb 08
Blood SUGAR MeteR
bG Test
Bolus Advice
My Data
Settings
Advanced Owner's Booklet
10/23/09 12:35:52 PM

Advertisement

Table of Contents
loading
Need help?

Need help?

Do you have a question about the Accu-chek Aviva expert and is the answer not in the manual?

Questions and answers

Subscribe to Our Youtube Channel

Related Manuals for Roche Accu-chek Aviva expert

Summary of Contents for Roche Accu-chek Aviva expert

  • Page 1 2 Feb 08 Blood SUGAR MeteR bG Test Bolus Advice My Data Settings Advanced Owner’s Booklet ©2009 Roche Diagnostics. All rights reserved. Assembled and distributed in the u.S.A. by: Roche Diagnostics 9115 hague Road Indianapolis, IN 46256 www.accu-chek.com Accu-chek, Accu-chek AVIVA, Accu-chek AVIVA eXPeRT, and Accu-chek MuLTIcLIX are trademarks of Roche.
  • Page 2 Aspects of the Accu-chek Aviva expert system, including the meter, code key, and test strips, and their use, are covered by one or more of the following united States patents: 5,352,351; 4,999,582; 5,997,817; 5,053,199; Re. 36,268; 5,438,271; 5,366,609; 6,645,368; 6,662,439;...

  • Page 3: Before You Start Testing

    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 a wrong result or improper treatment, causing you health problems.
  • Page 4 • The meter, test strips, and control solution are only for use outside the body (in vitro). Do not eat the test strips. Do not swallow or inject the control solution, or use the control solution for any purpose other than testing the Accu-chek Aviva expert system. 45703_adv.indb 2...
  • Page 5 About Testing Yourself or Others WARNING: certain substances can interfere with the Accu-chek Aviva expert blood glucose system and cause falsely high results. For example, peritoneal dialysis solutions containing icodextrin (such as Extraneal) or certain immunoglobulin therapies that contain maltose (such as Octagam 5 %) cause inaccurate results. For more information, refer to the Test Strip Package Insert or ask your healthcare professional.
  • Page 6 • 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 testing methods include a back-up meter or testing by a lab.

  • Page 7: Table Of Contents

    Contents Before You Start Testing Introduction 1 Bolus Advice 1.1 Overview 1.2 Before Using Bolus Advice 1.3 Calculating a Bolus Using Bolus Advice Appendices Appendix A: Bolus Advice Appendix B: Bolus Advice Calculations Appendix c: explanation of Symbols Index 45703_adv.indb 1 10/23/09 12:35:52 PM...
  • Page 8 45703_adv.indb 2 10/23/09 12:35:52 PM...

  • Page 9: Introduction

    Introduction Whether the Accu-chek Aviva expert meter is your first blood sugar meter or you have used a meter for some time, please take the time to read the Getting Started Guide, the Standard Owner’s Booklet, and the Advanced Owner’s Booklet carefully before you use your new meter. To use it correctly and dependably, you need to understand its operation, screen displays, and all individual features.
  • Page 10 45703_adv.indb 4 10/23/09 12:35:52 PM...

  • Page 11: Bolus Advice

    Bolus Advice 1.1 Overview 1.2 Before Using Bolus Advice 1.3 Calculating a Bolus Using Bolus Advice 45703_adv.indb 5 10/23/09 12:35:52 PM...

  • Page 12: Overview

    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.
  • Page 13 NOTES: • This booklet shows sample screens. The screens in this booklet may look slightly different from the screens on your ACCU‑CHEK Aviva Expert meter. If you have any questions about the meter screens, contact Accu-chek customer care Service center at 1-800-688-4578. •...

  • Page 14: Before Using Bolus Advice

    1.2 Before Using Bolus Advice Intended Users As with any specialized feature, you need to understand certain information in order to use bolus advice. You must be completely familiar with your diabetes therapy and be able to judge your current situation as well as possible.
  • Page 15 Safety Information Regarding Bolus Advice WARNINGS: • 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 timely fashion. Eat the carbohydrate amount you entered and administer the insulin dose.
  • Page 16 Warning messages about your blood sugar result After performing a blood sugar test, warning messages about your blood sugar result may be displayed. Please take careful note of these messages. If your blood sugar result is too low, you are prompted to eat a certain amount of fast acting carbohydrates to prevent the risk of hypoglycemia.

  • Page 17: Calculating A Bolus Using Bolus Advice

    1.3 Calculating a Bolus Using Bolus Advice bG Test Result Recommended Bolus Bolus Advice 106 mg/dL Amount Active Insulin 0.0 U --- U 19 g 2.1 U Carb Entry -0.1 U Exercise 1 Bolus Health Event Entry Basal 10 U Cancel Confirm Bolus...
  • Page 18 To Deliver a Bolus Main Menu > Bolus Advice a blood sugar test. When the 10:02 am 2 Feb 08 Bolus Advice 106 mg/dL bG Test detailed bG Result screen 0.0 U Bolus Advice --- U appears, select Bolus. My Data 19 g 2.1 U To Enter a Carbs Amount:...
  • Page 19 To Adjust the Bolus Amount: Confirm Bolus Pen/Syringe Select the Bolus entry field and press =. Inject Insulin Set the Bolus insulin amount and press =. Bolus Basal 10 U To Adjust the Basal Amount: Select the Basal entry field and Back press =.
  • Page 20 WARNINGS: • 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 calculations), all future bolus advice recommendations will be wrong.
  • Page 21 NOTES: • 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). •...
  • Page 22 45703_adv.indb 16 10/23/09 12:35:53 PM...

  • Page 23: Appendices

    Appendices Appendix A: Bolus Advice Accu-chek Bolus advice is only available if you have set up bolus advice on the Aviva expert meter. For instructions on how to set up bolus advice, see the Standard Owner’s Booklet. Along with the basic blood sugar and carbohydrate values, there are several meter settings required to optimize the bolus advice feature so the recommendations match your insulin needs to the greatest possible extent.
  • Page 24 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 important for bolus advice recommendations to be accurate. •...
  • Page 25 Insulin Increment • The meter rounds off the insulin amount to be delivered, which the meter calculates if bolus advice is set up, or when you manually enter bolus and basal insulin data into the diary. • The insulin increment can be set to 0.5 or 1 U. Max Bolus •...
  • Page 26 Time Blocks Time blocks allow you to select settings to take into account the fact that your insulin requirement varies throughout the day. using the same values and factors for the day would not necessarily match your insulin needs and could lead to inaccurate bolus advice recommendations. The meter comes with five preset time blocks.
  • Page 27 Lower Blood Sugar Target Limit • The lower limit of the blood sugar target range for the current time block. • Blood sugar results within the lower target limit and the upper target limit are considered within the target range. carb Ratio •...
  • Page 28 Your meter comes with the following preset time blocks: Time Block 12-Hour Format 12:00 am–5:30 am 5:30 am–11:00 am 11:00 am–5:00 pm 5:00 pm–9:30 pm 9:30 pm–12:00 am 45703_adv.indb 22 10/23/09 12:35:53 PM...
  • Page 29 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...
  • Page 30 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. •...
  • Page 31 health events available on the meter are: • Fasting • Exercise 1 • Stress • Illness • Exercise 2 • Premenstrual 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.
  • Page 32 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 sugar level is expected to return to the target level.
  • Page 33 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 sugar level if it is not within the target range. The correction bolus can be positive if your current blood sugar level is above your target range or negative if it is below your target range.
  • Page 34 Correction Bolus If your current blood sugar level is not within your target range, a correction bolus is recommended. Blood Sugar Limits bG Result hyper Warning upper Target Limit Target Lower Target Limit hypo Warning Discuss your blood sugar limits with your healthcare professional. 45703_adv.indb 28 10/23/09 12:35:54 PM...
  • Page 35 The calculation for the recommended correction bolus depends on your current blood sugar result, your insulin sensitivity for the current time block, and whether you are planning to eat. Example Bolus Advice Calculations Blood Sugar Level Without Food Intake (No Carbs) Prior to a Meal Above upper Target Limit (bG –Target bG) x Insulin Sensitivity (bG –Target bG) x Insulin Sensitivity...
  • Page 36 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 your blood sugar level even if you administered the correct meal bolus.
  • Page 37 Acting Time bG Level hyper Offset Time Target Value Target Range hypo Time current Currently Allowed bG Value: Bolus Not Bolus Meal bG Values Meal Rise Required The dotted line shows how your blood sugar level might change after a meal bolus. Bolus advice tolerates an increase in your blood sugar level within the meal rise range (green) without calculating an extra correction bolus.
  • Page 38 Subsequent Correction Boluses The difference between your current blood sugar level and your target blood sugar 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 take effect, your current blood sugar level should fall and the covered Delta bG decreases after the offset time.
  • Page 39 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 sugar value considers the following factors: • Target Range Mean Value • Meal Rise •...
  • Page 40 After a Correction Bolus Acting Time bG Level Offset Time hyper Target Value Target Range hypo Time current Currently Allowed bG Value: Bolus Not Bolus bG Values Corrected bG Required 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).
  • Page 41 bG Level hyper Target Value Target Range hypo Time current Bolus bG Values When a blood sugar test result is greater than the currently allowed blood sugar value, a bolus is calculated (light blue) that only considers the difference between the current blood sugar value (orange dots) and the currently allowed blood sugar value (the top of the blue area).
  • Page 42 bG Level Acting Time hyper Offset Time Target Value Target Range hypo Time current Currently Allowed bG Value: Bolus Not Meal Bolus bG Values Meal Rise Required Subsequent Meals If you eat several meals in a row, the meal rise is restarted for each new meal bolus. 45703_adv.indb 36 10/23/09 12:35:56 PM...

  • Page 43: Appendix B: Bolus Advice Calculations

    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 calculate accurately a bolus yourself using these formulas when the acting time and offset time of recent meals and correction boluses are considered.
  • Page 44 Meal Bolus The following formula is used to calculate the bolus for meals: Insulin Meal Bolus = Carbohydrate Intake × carbohydrates from carbohydrate ratio Currently Allowed Blood Sugar Value The target range average value used in the calculation of the correction bolus, as shown below, changes with the definition for the time blocks.
  • Page 45 Correction Bolus Generally, a correction bolus is only calculated if the current blood sugar value is above the hypo bG warning limit and outside the target range. If the current blood sugar value is above the target range, the currently allowed blood sugar value must also be exceeded.
  • Page 46 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 sugar results that fall within the target range if: •...

  • Page 47: Appendix C: Explanation Of Symbols

    Appendix C: Explanation of Symbols You may encounter the following symbols on the packaging, on the type plate, and in the instructions for the meter, shown here with their meaning. Warning (refer to accompanying documents). Please refer to safety‑related notes in the owner’s booklets accompanying this instrument.

  • Page 48: Index

    Index acting time, bolus advice recommendations, active insulin, 26, examples, 33–36 bolus amount, adjust, bolus calculation, basal amount, adjust, correction bolus, basal insulin, examples, bolus advice, meal bolus, intended users, bolus delivery, meter screen features, safety information, options, 25–26 using bolus advice, 12–15 overview, 6–7...
  • Page 49 deliver a bolus. See bolus delivery, using offset time, bolus advice snack size, health events, 12, 24–25 symbols, explanation, insulin increment, target range, insulin sensitivity, time blocks, 20, 22–24 lower blood sugar target limit, upper blood sugar target limit, manual bolus, insulin pen/syringe delivery warning limits, using bolus advice, max bolus,...
  • Page 50 45703_adv.indb 44 10/23/09 12:35:56 PM...

Table of Contents