Accu-Chek Aviva Combo Owner's Booklet
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Accu-Chek Aviva Combo Owner's Booklet

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Download this manual See also: Owner's Booklet, User Manual
Aviva Combo
Aviva Combo
Blood glucose Meter
©2012­Roche­Diagnostics
Standard Owner's Booklet
Roche­Diagnostics­GmbH
Sandhofer­Strasse­116
68305­Mannheim,­Germany
www.accu-chek.com
ACCU-CHEK,­ACCU-CHEK­AVIVA,­ACCU-CHEK­AVIVA­COMBO,­and­ACCU-CHEK­SPIRIT­COMBO­
are­trademarks­of­Roche.
The­Bluetooth
®
­word­mark­and­logos­are­registered­trademarks­owned­by­Bluetooth­SIG,­Inc.­
and­any­use­of­such­marks­by­Roche­is­under­license.­Other­trademarks­and­­
product­names­are­the­property­of­their­respective­owners.

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  • Page 1 Aviva Combo Aviva Combo Blood glucose Meter ©2012­Roche­Diagnostics Standard Owner’s Booklet Roche­Diagnostics­GmbH Sandhofer­Strasse­116 68305­Mannheim,­Germany www.accu-chek.com ACCU-CHEK,­ACCU-CHEK­AVIVA,­ACCU-CHEK­AVIVA­COMBO,­and­ACCU-CHEK­SPIRIT­COMBO­ are­trademarks­of­Roche. The­Bluetooth ® ­word­mark­and­logos­are­registered­trademarks­owned­by­Bluetooth­SIG,­Inc.­ and­any­use­of­such­marks­by­Roche­is­under­license.­Other­trademarks­and­­ product­names­are­the­property­of­their­respective­owners.
  • Page 2 Distributed­in­the­United­Kingdom­by:­ Roche­Diagnostics­Limited Charles­Avenue,­Burgess­Hill West­Sussex,­RH15­9RY,­United Kingdom­ Accu-Chek­Pump­Care­Line:* UK­Freephone­number:­0800­731­22­91 ROI­Freephone­number:­1800­88­23­51 burgesshill.insulinpumps@roche.com­ www.accu-chek.co.uk­ www.accu-chek.ie­ *Calls­may­be­recorded­for­training­purposes LAST­UPDATE:­2012-01...

  • Page 3: Table Of Contents

    Contents Introduction The­Accu-Chek­Aviva­Combo­System­ 1 Understanding Your New System 1.1­Overview­ 1.2­­ T he­Accu-Chek­Aviva­Combo­Meter­at­a­Glance­ 1.3­­ T he­Accu-Chek­Spirit­Combo­Insulin­Pump­at­a­Glance­ 1.4­Summary­of­Features­ 1.5­Screen­Content­and­Navigation­ 2 Testing Your Blood Glucose 2.1­Overview­ 2.2­­ U sing­the­Accu-Chek­Aviva­Combo­System­ 2.3­Performing­a­Blood­Glucose­Test­­ 2.4­Detailed­Blood­Glucose­Test­Results­ 2.5­­ U nderstanding­Blood­Glucose­Test­Results­ 2.6­Unusual­Blood­Glucose­Test­Results­ 2.7­­ S ymptoms­of­High­or­Low­Blood­Glucose­...
  • Page 4 3 Control Testing 3.1­Overview­ 3.2­Why­Perform­Control­Tests­ 3.3­About­the­Control­Solutions­ 3.4­Performing­a­Control­Test­ 3.5­Understanding­Control­Test­Results­ 4 Managing Your Data 4.1­Overview­ 4.2­Viewing­or­Modifying­Your­Data­ 4.3­Adding­New­Data­ 4.4­Reporting­Your­Data­ 4.5­Downloading­Your­Data­to­a­Computer­ 5 Changing Meter Settings 5.1­Overview­ 5.2­­ S etting­bG­Test­Reminders:­After­High­bG,­After­Low­bG,­After­Meal­ 5.3­Setting­Alarm­Clock­Reminders:­bG­Test,­Other­ 5.4­­ S etting­Date­Reminders:­Dr.­Visit,­Lab­Test,­Infusion­Set­Change­ 5.5­­ S etting­Bolus­Advice­for­the­First­Time­ 5.6­­ S etting­Time­Blocks,­Health­Events,­Advice­Options:­Bolus­Advice­Set­Up­...
  • Page 5 5.7­Setting­Warning­Limits:­Hyper,­Hypo­ 5.8­Turning­Key­Lock­On­or­Off­ 5.9­Setting­the­Language­ 5.10­Setting­Units:­Carbs­ 5.11­Turning­Bluetooth ­Wireless­Technology­On­or­Off­ ® 5.12­Pairing­the­Meter­and­Pump­ 5.13­Setting­the­Beeper,­Vibrate,­and­Key­Sound­ 5.14­Setting­the­Time­Format,­Time,­and­Date­ 5.15­Setting­Time­Blocks:­Bolus­Advice­Not­Set­Up­ 5.16­Backlight­Settings­­ 6 Icons, Reminders, Warnings, and Errors 6.1­Overview­ 6.2­List­of­Icons­ 6.3­­ C onfirming­a­Reminder,­Warning,­or­Error­ 6.4­List­of­Reminders­ 6.5­List­of­Warnings­ 6.6­List­of­Errors­...
  • Page 6 7 Care and Maintenance 7.1­Overview­ 7.2­Changing­the­Batteries­ 7.3­Power-Saving­Tips­ 7.4­Cleaning­the­Meter­ 7.5­Maintenance­and­Testing­ 8 Troubleshooting 8.1­Overview­ 8.2­­ T roubleshooting­the­Accu-Chek­Aviva­Combo­Meter­ 9 Technical Information 9.1­Overview­ 9.2­Product­Limitations­ 9.3­Specifications­ 9.4­Product­Safety­Information­ 9.5­Disposing­of­the­Meter­ 9.6­Guarantee­ 9.7­Additional­Supplies­ 9.8­Information­for­Healthcare­Professionals­...
  • Page 7 Appendices Appendix­A:­Abbreviations­ Appendix­B:­Carb­Units­ Appendix­C:­Explanation­of­Symbols­ Appendix­D:­Meter­Settings­and­Range­Limits­ Glossary Index...

  • Page 9: Introduction

    Introduction Whether­the­Accu-Chek­Aviva­Combo­Meter­is­your­first­blood­glucose­meter­or­you­have­used­a­meter­for­ some­time,­please­take­the­time­to­read­the­Getting­Started­Guide,­the­Standard­Owner’s­Booklet,­and­the­ Advanced­Owner’s­Booklet­carefully­before­you­use­your­new­meter.­To­use­it­correctly­and­dependably,­you­ need­to­understand­its­operation,­screen­displays,­and­all­individual­features. Your­new­meter­includes­three­booklets: This­booklet­includes­information­about: •­ ­ G etting­Started­Guide: •­­ U nderstanding­your­new­Accu-Chek­Aviva­Combo­ ­ ­ U se­this­booklet­to­set­up­the­meter. System •­ ­ S tandard­Owner’s­Booklet: •­Testing­your­blood­glucose ­ ­ U se­this­booklet­for­instructions­on­how­to­operate­ •­Control­testing the­standard­features­of­the­meter. •­Managing­your­data •­ ­ A dvanced­Owner’s­Booklet: •­Changing­the­meter­settings ­ ­ U se­this­booklet­for­instructions­on­how­to­operate­...

  • Page 10: The Accu-Chek Aviva Combo System

    The Accu-Chek Aviva Combo System The­Accu-Chek­Aviva­Combo­Meter­is­for­quantitative­blood­glucose­testing­using­Accu-Chek­Aviva­Test­ Strips.­The­meter­has­many­features­including: •­Controlling­your­Accu-Chek­Spirit­Combo­Pump­ •­Administering­a­bolus •­Bolus­advice •­Daily­time­blocks­that­can­be­adjusted­to­fit­your­lifestyle •­Data­management •­Data­transfer •­Date­reminders •­bG­test­reminders:­Alarm­clock,­Target­bG­levels,­and­Health­events •­­ A n­electronic­diary­that­allows­you­to­enter­meal­time,­carbs,­health,­and­bolus­information­with­your­ blood­glucose­test­results For­detailed­information­about­the­features­of­the­meter,­see­Chapter­1,­“Understanding­Your­New­System.”...
  • Page 11 NOTE Blood­glucose­and­bG­are­interchangeable­and­mean­the­same­thing. Intended Use The­Accu-Chek­Aviva­Combo­blood­glucose­monitoring­system­is­intended­for­the­quantitative­measurement­ of­blood­glucose.­The­Accu-Chek­Aviva­Combo­System­is­intended­for­self-testing­outside­the­body­(in­vitro­ diagnostic­use)­by­people­with­diabetes­and/or­by­professionals­in­a­clinical­setting­as­an­aid­to­effective­ diabetes­management. The­Accu-Chek­Aviva­Combo­Meter­can­also­be­used­to­interface­with­and­remotely­control­compatible­ Accu-Chek­insulin­infusion­pumps­via­Bluetooth­wireless­technology­(radio­frequency­communication). The­Accu-Chek­Aviva­Combo­Meter­is­also­indicated­for­the­management­of­diabetes­by­calculating­an­insulin­ dose­or­carbohydrate­intake­based­on­user-entered­data. Suitable­for­self-testing...
  • Page 12 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 WARNING •­­ A ny­object­coming­into­contact­with­human­blood­is­a­potential­source­of­infection­(see:­Clinical­and­ Laboratory­Standards­Institute:­Protection­of­Laboratory­Workers­from­Occupationally­Acquired­Infections;­ Approved­Guideline­–­Third­Edition;­CLSI­document­M29-A3,­2005). •­­ C hoking­hazard.­Small­parts.­Keep­away­from­children­under­the­age­of­3­years. Why Regular Blood Glucose Testing Is Important Testing­your­blood­glucose­regularly­can­make­a­big­difference­in­how­you­manage­your­diabetes­every­day.­...

  • Page 13: Understanding Your New System

    Understanding Your New System 1.1­Overview­ 1.2­­ T he­Accu-Chek­Aviva­Combo­Meter­at­a­Glance­ 1.3­­ T he­Accu-Chek­Spirit­Combo­Insulin­Pump­at­a­Glance­ 1.4­Summary­of­Features­ 1.5­Screen­Content­and­Navigation­...

  • Page 14: Overview

    1.1 Overview Your­new­meter­has­several­features­to­assist­you­in­managing­your­diabetes.­It­is­important­you­understand­ the­features­and­how­to­operate­the­meter­correctly. NOTE •­­ T his­booklet­shows­sample­screens.­The­screens­in­this­booklet­may­look­slightly­different­from­the­ screens­on­the­meter.­If­you­have­any­questions­about­the­meter­screens,­contact­Roche. •­­ O n­the­meter­display,­the­activation­chip­is­referred­to­as­a­code­key.­Code­key­and­activation­chip­are­ interchangeable­and­mean­the­same­thing. •­Blood­glucose­and­bG­are­interchangeable­and­mean­the­same­thing.

  • Page 15: The Accu-Chek Aviva Combo Meter At A Glance

    1.2 The Accu-Chek Aviva Combo Meter at a Glance Display Infrared (IR) Window Shows­menus,­results,­ Transfers­data­from­the­ messages,­and­data­stored­in­ meter­to­a­computer the­diary Activation Chip Slot Buttons Activation­chip­is­­ pre-inserted­here Press­to­enter­menus­or­the­ diary,­adjust­settings,­and­ Battery Door scroll­through­results Remove­the­battery­door­ Left/Right Soft Keys by­pushing­the­tab­and­ Press­to­select­the­menu­or­ pulling­up­the­door option­above­the­key Power On/Off Button Press­to­turn­the­meter­on...
  • Page 16 Batteries Control Solution Bottle Insert­batteries­according­to­the­+­and­-­symbols­in­ (for­example) the­battery­compartment. Test Strip Test Strip Container Yellow­Window­- Golden­End­-­ (for­example) Touch­blood­drop­or­ Insert­this­end­of­the­test­ control­solution­here.­ strip­into­the­meter.­...
  • Page 17 Top View Infrared­(IR)­Window Activation Chip Side View Pre-inserted­activation­chip (for­example) NOTE Your­meter­is­already­coded­and­comes­with­a­pre-inserted­black­activation­chip­that­you­never­need­ to­change.­Even­if­you­use­test­strips­from­boxes­that­contain­another­activation­chip­that­is­a­different­ color­or­has­different­numbers,­you­never­need­to­change­the­black­activation­chip­again.
  • Page 18 The­meter­has­seven­buttons­and­two­soft­keys. Left Soft Key Right Soft Key Up Arrow Right Arrow Enter Down Arrow Left Arrow Backlight Power On/Off NOTE •­­ Y ou­hear­a­sound­every­time­an­active­button/soft­key­is­pressed­unless­you­turned­off­the­key­sound.­ •­­ P ress­+­or­insert­a­test­strip­to­turn­on­the­meter.­If­the­meter­displays­the­Time/Date­screen,­make­ the­necessary­changes­and­select­Save.
  • Page 19 Table of Buttons and Soft Keys Button Name Function < Left­Arrow j Move­or­scroll­to­the­left­in­a­screen. > Right­Arrow j Move­or­scroll­to­the­right­in­a­screen. Up­Arrow j Move­or­scroll­up­in­a­screen. Down­Arrow j Move­or­scroll­down­in­a­screen. Left­Soft­Key j Select­the­option­above­the­key­on­the­display. Right­Soft­Key j Select­the­option­above­the­key­on­the­display. Enter j Select­a­menu­or­option. j Save­changes­and­exit­the­entry­field. Backlight j Adjust­the­backlight­level­(low,­medium,­high).­ ­in­the­ j­Turn­Bluetooth­wireless­technology­on­and­off­(press­and­hold­ BLUETOOTH­screen).­ Power­On/Off j Turn­the­meter­on­and­off.
  • Page 20 Table of Button Combinations Button Combination Name Function When­the­buttons­are­locked,­press­and­ Unlock­Keys j Unlocks­the­buttons. hold­, and­. until­the­Main­Menu­ appears. With­the­meter­turned­off,­press­and­hold­ Meter/Pump­ j Begins­meter­and­pump­pairing.­ *­and­then­press­+. Pairing...

  • Page 21: The Accu-Chek Spirit Combo Insulin Pump At A Glance

    Selects­current­settings­ Warning displayed­on­screen,­saves­ Down Key changes,­exits­a­screen,­and­ Moves­backward­in­an­information­ allows­the­user­to­view­the­ screen,­decreases­a­setting,­ QUICK­INFO­screen programmes­a­Quick­Bolus,­ Display Cartridge cancels­a­Quick­Bolus,­and­turns­ Shows­menus,­messages,­ off­the­STOP-Warning Holds­insulin and­data­stored­in­the­pump­ Infusion Set memory Adapter Connects­the­pump­to­your­body­to­ Connects­the­cartridge­to­the­ deliver­insulin infusion­set For information about the pump, see the Accu-Chek Spirit Combo Insulin Pump User Guide.

  • Page 22: Summary Of Features

    1.4 Summary of Features Display The­meter­has­a­full-colour­graphic­LCD­(Liquid­Crystal­Display)­that­displays­current­and­historical­ information. Backlight •­The­backlight­helps­you­read­the­information­on­the­meter­display­under­different­lighting­conditions.­ •­When­the­meter­is­turned­on,­the­backlight­is­set­to­the­medium­level.­ •­Adjust­the­backlight­level­by­pressing­and­releasing­the­backlight­button.­ •­The­backlight­adjusts­from­low,­to­medium,­to­high,­and­back­to­low­again.­ •­­ I f­set­to­the­medium­or­high­level­and­the­buttons­are­not­pressed­for­about­15­seconds,­the­backlight­ returns­to­the­low­level­to­save­power.­ •­When­the­meter­returns­to­the­low­level,­pressing­any­button­restores­the­previous­backlight­level.­ •­For­more­information­about­backlight­settings,­see­Chapter­5,­“Changing­Meter­Settings.”­ •­For­more­about­power-saving­tips,­see­Chapter­7,­“Care­and­Maintenance.”...
  • Page 23 Key Lock •­The­key­lock­feature­allows­you­to­lock­all­of­the­buttons­on­the­meter,­except­for­the­power­on/off­button.­ •­The­key­lock­serves­as­a­safety­measure­against­unintentional­activation­of­meter­functions. •­For­more­information,­see­Chapter­5,­“Changing­Meter­Settings.” Signal Settings •­The­meter­communicates­reminders,­warnings,­and­errors­using­sounds­and­vibrations.­ •­For­more­information,­see­Chapter­6,­“Icons,­Reminders,­Warnings,­and­Errors.”­ Blood Glucose Test Your­new­meter­allows­you­to­enter­detailed­information­for­each­blood­glucose­test­to­include: •­Meal­time­(pre-meal,­post-meal,­bedtime,­or­other) •­Carbs­(the­amount­of­carbohydrates­you­are­intending­to­eat) •­Health­events­(fasting,­exercise­1,­stress,­illness,­exercise­2,­or­premenstrual).­ If­bolus­advice­is­set­up­on­the­meter­and­the­meter­recently­communicated­with­the­pump,­the­amount­of­ active­insulin­is­displayed­on­the­detailed­bG­Result­screen.
  • Page 24 Bolus Advice (Optional) •­­ T he­term­“bolus”­refers­to­the­delivery­of­insulin­all­at­once­rather­than­slowly­throughout­the­day,­usually­ used­to­compensate­for­meals­or­high­blood­glucose.­ •­­ B olus­advice­calculates­a­bolus­for­you­that­is­adapted­to­the­time­of­day­and­your­changing­situations.­ •­­ T his­function­is­activated­only­if­you­set­up­bolus­advice­on­the­meter.­ •­­ F or­instructions­on­how­to­set­up­bolus­advice,­see­Chapter­5,­“Changing­Meter­Settings.” WARNING ­ B efore­setting­up­bolus­advice,­it­is­very­important­to­read­all­of­the­safety­information­in­the­Advanced­ Owner’s­Booklet. Using the Meter with the Pump •­The­meter­can­communicate­with­and­remotely­control­your­pump.­ •­­ P ump­information­is­automatically­downloaded­to­the­meter­when­Bluetooth­wireless­technology­is­ activated. •­The­meter­must­be­paired­with­the­pump.­ •­For­more­information,­see­the­Advanced­Owner’s­Booklet.
  • Page 25 Administering a Bolus Using­your­new­meter,­you­can­deliver­a­bolus: •­Remotely­on­your­pump­using­Bluetooth­wireless­technology •­Using­the­bolus­advice­feature­on­the­meter •­Independently­on­your­pump •­Using­an­insulin­pen­or­syringe My Data •­Your­new­meter­stores­1,000­records­in­the­diary.­ •­You­can­view,­modify,­or­add­information­to­your­diary.­ •­­ Y ou­can­view­blood­glucose­test­averages,­trends,­standard­day,­standard­week,­and­target­tables­and­ graphs­of­the­data­in­the­diary.­ •­You­can­view­the­data­in­graph­or­table­format­for­the­last­7,­14,­30,­60,­or­90­days.­ •­For­more­information,­see­Chapter­4,­“Managing­Your­Data.”...
  • Page 26 Data Transfer •­You­can­transfer­your­data­stored­on­the­meter­to­a­computer.­ •­For­more­information,­see­Chapter­4,­“Managing­Your­Data.” Warning Limits for Hyper and Hypo Blood Glucose Levels •­­ Y ou­can­select­hyper­(high)­and­hypo­(low)­blood­glucose­limits­that­best­fit­your­needs.­Whenever­a­blood­ glucose­test­result­is­above­or­below­this­range,­the­meter­displays­a­warning.­ •­­ I n­addition,­Trend­Graph­screens­indicate­the­hypo­warning­limit­when­displaying­your­blood­glucose­test­ results.­For­more­information,­see­Chapter­4,­“Managing­Your­Data.”­ •­­ T he­meter­has­default­warning­limits­that­can­be­adjusted.­For­more­information,­see­Chapter­5,­“Changing­ Meter­Settings.”...
  • Page 27 Time Blocks •­Time­blocks­allow­you­to­divide­a­day­into­different­time­periods. •­­ S etting­time­blocks­to­fit­your­own­schedule­helps­you­and­your­healthcare­professional­see­how­patterns­in­ your­blood­glucose­are­affected­by­your­daily­activities­and­lifestyle.­ •­Time­blocks­can­be­set­up­with­or­without­bolus­advice.­ •­­ T alk­to­your­healthcare­professional­about­the­best­way­to­set­up­your­time­blocks­to­assist­you­in­managing­ your­diabetes.­ •­The­meter­has­five­default­time­blocks.­ •­You­may­set­up­to­eight­time­blocks.­ •­For­more­information,­see­Chapter­5,­“Changing­Meter­Settings.”­...
  • Page 28 Without­bolus­advice,­you­need­to­consider­the­following­when­setting­up­time­blocks: •­Determine­the­appropriate­time­range­by­reviewing­the­end­time­for­each­time­block. •­Review­the­acceptable­blood­glucose­target­range­(low­and­high)­for­each­time­block.­ With­bolus­advice,­you­need­to­consider­the­following­when­setting­up­time­blocks: •­Determine­the­appropriate­time­range­by­reviewing­the­end­time­for­each­time­block. •­Review­the­acceptable­blood­glucose­target­range­(low­and­high)­for­each­time­block.­ •­­ D etermine­your­carb­ratio­(the­amount­of­insulin­needed­to­cover­a­given­amount­of­carbohydrates)­for­each­ time­block. •­­ D etermine­your­insulin­sensitivity­(the­amount­of­insulin­needed­to­lower­your­blood­glucose­by­a­given­ amount)­for­each­time­block.
  • Page 29 Health Events Health­events­can­be­selected­to­indicate­how­you­are­feeling­or­what­you­are­doing­that­might­affect­your­ diabetes.­The­meter­allows­you­the­option­of­setting­a­percentage­for­each­health­event­if­you­set­up­bolus­ advice.­ Health­events­available­on­the­meter­are: •­Fasting •­Exercise­1 •­Stress •­Illness •­Exercise­2 •­Premenstrual Fasting­does­not­scale­bolus­advice­calculations­and­is­not­adjustable.­Discuss­the­appropriate­percentage­ for­each­health­event­with­your­healthcare­professional.­For­instructions­on­how­to­set­up­bolus­advice,­see­ Chapter­5,­“Changing­Meter­Settings.”...
  • Page 30 Blood Glucose Test Reminders (Optional) The­meter­can­be­set­up­to­remind­you­to­retest­your­blood­glucose­after­a­high­blood­glucose­test­result,­ after­a­low­blood­glucose­test­result,­or­after­a­meal. An­after­high­blood­glucose­test­reminder­example: •­­ T he­meter­is­set­up­with­a­high­bG­threshold­level­of­13.3­mmol/L­and­with­a­reminder­time­of­60­minutes. •­­ Y ou­have­a­blood­glucose­test­result­higher­than­13.3­mmol/L,­perhaps­15.0­mmol/L. •­In­60­minutes,­the­meter­reminds­you­to­perform­another­blood­glucose­test.­ The­after­meal­bG­test­reminder­is­set­up­with­a­carb­value­and­occurs­when­the­carb­value­exceeds­the­ snack­size.­Any­of­these­blood­glucose­test­reminders­can­be­turned­on­or­off­individually,­as­needed.­For­ more­information,­see­Chapter­5,­“Changing­Meter­Settings.”...
  • Page 31 Alarm Clock Reminders •­­ T he­meter­has­alarm­clock­reminders­which­can­be­used­as­a­helpful­way­to­remind­you­when­to­test­ throughout­the­day.­ •­In­addition­to­“bG­Test,”­you­can­set­reminders­for­“Other”­for­any­other­daily­reminder.­ •­You­can­set­up­to­eight­reminders­per­day.­ •­For­more­information,­see­Chapter­5,­“Changing­Meter­Settings.” Date Reminders •­­ T he­meter­can­be­set­up­to­remind­you­of­upcoming­appointments­or­dates,­such­as­a­“Dr.­Visit,”­­ a­“Lab­Test,”­or­an­“Infusion­Set­Change.”­ •­For­more­information,­see­Chapter­5,­“Changing­Meter­Settings.”...

  • Page 32: Screen Content And Navigation

    1.5 Screen Content and Navigation This­section­provides­an­explanation­of­how­to­understand­and­navigate­the­screens­on­the­meter. Each­time­the­meter­is­turned­on,­this­splash­screen­(Accu-Chek­logo­screen)­is­displayed­for­a­short­ period­of­time.­...
  • Page 33 Features on the Main Menu: Sound Icon Vibrate Icon Appears­when­the­beeper­is­ Appears­when­vibrate­is­turned­on turned­on Date Time Low Battery Icon Menu Options Appears­when­the­meter­batteries­are­low Bluetooth Wireless Technology Icon Indicates­whether­the­Bluetooth­wireless­ technology­is­on,­off,­or­connecting NOTE •­­ T o­select­an­item­on­a­menu,­press­x­or­z­to­highlight­(blue)­the­menu­item­and­then­press­=.­ •­­ W hen­using­the­meter­to­remotely­control­your­pump,­the­buttons­of­the­meter­have­differing­ functions.­For­more­information,­see­the­Advanced­Owner’s­Booklet.
  • Page 34 Bluetooth Wireless Technology Icon Communication States You­may­turn­Bluetooth­wireless­technology­on­or­off­at­any­time­using­the­meter. Icon Communication State Bluetooth­wireless­technology­is­on.­The­meter­and­pump­are­communicating. Bluetooth­wireless­technology­is­off.­The­meter­and­pump­are­not­communicating. Bluetooth­wireless­technology­is­on.­However,­the­meter­and­pump­are­not­communicating.
  • Page 35 Connecting to the Pump screen: This­screen­appears­when­Bluetooth­wireless­technology­is­on­and­the­meter­is­connecting­to­the­pump.
  • Page 36 Features on a screen: Title Bar Highlighted Option Primary­menu­title­is­displayed­ When­a­menu­choice­or­item­ here. is­selected,­it­is­highlighted­in­ blue. Secondary Title Bar Scroll Bar When­necessary,­a­secondary­ title­bar­appears.­Secondary­ If­there­is­more­information­ menu­text­is­displayed­here. available­than­fits­on­the­screen,­ a­vertical­scroll­bar­appears­on­ Left Soft Key Option the­right­side­of­the­screen. Press­,­to­select­the­option­ Right Soft Key Option above­the­button­on­the­screen. Press­.­to­select­the­option­ above­the­button­on­the­screen.
  • Page 37 Information­can­be­entered­on­some­screens.­Numerical­entry­fields­appear­as­pop-up­entry­fields.­When­ an­option­must­be­selected,­it­appears­as­a­pop-up­menu. •­To­open­a­pop-up­menu­or­entry­field,­press­=. •­­ P ress­x­or­z­to­select­the­appropriate­pop-up­menu­option­or­until­the­correct­numerical­entry­is­ present,­and­then­press­=. •­Press­and­hold­x­or­z­to­scroll­faster. Pop-Up Entry Field Pop-Up Menu...
  • Page 38 General Navigation Steps To­change­the­settings­or­enter­information­into­the­meter: j­­ P ress­x­or­z­to­select­a­menu­option­and­press­=. j­­ R epeat­the­previous­step­as­necessary.
  • Page 39 j­­ S elect­Save­by­pressing­.­to­ save­changes­and­return­to­the­ previous­screen. j­­ P ress­x­or­z­or­<­or­>­to­ j­­ P ress­x­or­z­to­select­the­ select­an­option­or­a­desired­ desired­entry­and­press­=. entry­field­and­press­=. j­­ R epeat­Steps­2­and­3,­as­ necessary.

  • Page 41: Testing Your Blood Glucose

    Testing Your Blood Glucose 2.1­Overview­ 2.2­­ U sing­the­Accu-Chek­Aviva­Combo­System­ 2.3­Performing­a­Blood­Glucose­Test­­ 2.4­Detailed­Blood­Glucose­Test­Results­ 2.5­­ U nderstanding­Blood­Glucose­Test­Results­ 2.6­Unusual­Blood­Glucose­Test­Results­ 2.7­­ S ymptoms­of­High­or­Low­Blood­Glucose­...

  • Page 42: Overview

    2.1 Overview It­is­important­to­understand­how­to­perform­a­blood­glucose­test­properly. NOTE Blood­glucose­and­bG­are­interchangeable­and­mean­the­same­thing.

  • Page 43: Using The Accu-Chek Aviva Combo System

    2.2 Using the Accu-Chek Aviva Combo System Before You Start Testing •­Only­use­Accu-Chek­Aviva­Test­Strips. •­Store­the­unused­test­strips­in­their­original­container. •­Immediately­after­you­take­out­a­test­strip,­securely­close­the­container.­This­helps­keep­the­test­strips­dry. •­Use­the­test­strip­immediately­after­you­take­it­out­of­the­container. •­Be­sure­to­check­the­use­by­date­on­the­test­strip­container.­Do­not­use­the­test­strips­after­the­use­by­date. •­­ S tore­the­test­strip­container­and­the­meter­in­a­cool,­dry­place,­such­as­a­bedroom.­Do­not­freeze.­Refer­to­ the­test­strip­package­insert­for­specifications­on­storage­conditions. •­Use­test­strips­at­temperatures­within­the­range­indicated­in­the­test­strip­package­insert. •­Do­not­apply­blood­or­control­solution­to­the­test­strip­before­you­insert­it­into­the­meter. WARNING Do­not­store­test­strips­in­high­heat­and­moisture­areas­(bathroom­or­kitchen).­Heat­and­moisture­can­ damage­the­test­strips.

  • Page 44: Performing A Blood Glucose Test

    2.3 Performing a Blood Glucose Test Before­you­perform­your­first­blood­test,­ensure­the­meter­is­set­up­correctly­and­that­you­perform­a­control­ test.­You­need­the­meter­with­a­pre-inserted­activation­chip,­a­test­strip,­and­a­finger­pricker. WARNING •­­ D o­not­change­your­treatment­because­of­one­blood­glucose­test­result. •­NEVER­ignore­symptoms­of­high­or­low­blood­glucose. NOTE If­you­need­to­perform­a­control­test,­only­use­Accu-Chek­Aviva­Control­Solutions.­See­Chapter­3,­“Control­ Testing”­for­more­information­about­control­testing.
  • Page 45 Performing a Fingertip Blood Glucose Test Prepare > Check the Use By Date > Insert Test Strip > Test Blood Sample > bG Test Result j­­ W ash­and­dry­your­hands.­ j­­ P repare­the­finger­pricker­for­a­ fingertip­test. j­­ I nsert­the­golden­end­of­a­ j­­ C heck­the­use­by­date­date­on­ test­strip­into­the­meter­in­the­ the­test­strip­container.­Do­not­ direction­of­the­arrow.­The­...
  • Page 46 The­Apply­Sample­screen­ Fingerstick: Fingerstick: appears.­The­test­strip­is­ready­ j­­ P erform­a­fingerstick­with­the­ j­­ G ently­squeeze­your­finger­to­ for­testing. finger­pricker.­ assist­the­flow­of­blood.­This­ helps­you­get­a­blood­drop.
  • Page 47 The­result­appears­on­the­ When­the­test­strip­has­enough display.­ blood,­the­Analyzing­screen appears. j­­ T ouch­the­blood­drop­to­the­ front edge­of­the­yellow­ window­of­the­test­strip.­Do­ not­put­blood­on­top­of­the­test­ strip.
  • Page 48 Approximately­3­seconds­later,­ the­detailed­bG­Result­screen­ appears. j­­ R emove­and­discard­the­used­ test­strip.
  • Page 49 NOTE •­If­the­blood­drop­is­too­small,­reapply­pressure­to­get­a­sufficient­blood­drop.­ •­­ F or­more­information­regarding­blood­glucose­test­results,­see­Section­2.5,­“Understanding­Blood­ Glucose­Test­Results.” •­­ T o­add­detailed­information­to­the­blood­glucose­test­(meal­time,­carbs,­and­health­events)­see­­ Section­2.4,­“Detailed­Blood­Glucose­Test­Results.”­ •­­ I f­a­test­strip­error­occurs,­remove­and­discard­the­used­test­strip­and­repeat­the­test­with­a­­ new­test­strip. •­Be­careful­not­to­put­any­fluids­into­the­test­strip­slot. •­The­meter­cannot­be­turned­off­when­the­following­screens­are­displayed: •­Match­Code­to­Vial •­Apply­Sample •­Analyzing •­bG­Result •­­ W hen­a­test­strip­is­in­the­meter,­the­buttons­are­inactive.­The­buttons­become­active­when­you­remove­ the­test­strip­or­when­the­test­is­complete. •­The­meter­turns­off­automatically­in­approximately­2­minutes­if­no­buttons­are­pressed.
  • Page 50 NOTE Other ways to start a blood glucose test: •­From­the­Main­Menu,­select­bG­Test­and­press­=.­Insert­a­test­strip­into­the­meter. •­When­a­reminder­notification­or­the­key­lock­icon­is­displayed,­insert­a­test­strip­into­the­meter. •­­ F rom­the­Main­Menu,­select­Bolus­Advice­and­press­=.­If­“bG­Test”­is­displayed­instead­of­an­actual­ blood­glucose­value,­then­you­can­start­a­blood­glucose­test­by­selecting­bG­Test.­If­an­actual­blood­ glucose­value­is­displayed,­then­you­cannot­start­a­blood­glucose­test­using­this­process.

  • Page 51: Detailed Blood Glucose Test Results

    2.4 Detailed Blood Glucose Test Results The­detailed­bG­Result­screen­displays­the­following­information: Test Time Status Bar Meal Time Blood Glucose Test Result Carbohydrates Unit of Measure Health Event Active Insulin Displayed­only­if­bolus­ advice­is­activated­and­ data­has­recently­been­ read­from­the­pump.
  • Page 52 Detailed bG Results > Change Meal Time/Carbs/Health Events (Optional) The­detailed­bG­Result­screen­allows­you­to­view­and­to­add­information­to­a­blood­glucose­test­result.
  • Page 53 How to Add Information to a Blood Glucose Result To Change Meal Time: Active Insulin Display: Bolus Advice is not available j­­ S elect­the­Meal­Time­entry­ The­meter­displays­the­ field­and­press­=. calculated­amount­of­Active­ j­­ T he­blood­glucose­test­result­is­ j­­ S elect­either­Pre­Meal,­ Insulin. below­the­hypo­warning­limit. Post­Meal,­Bedtime,­or­Other­ To save the changes and exit j­­...
  • Page 54 NOTE •­You­can­add­information­on­the­detailed­bG­Result­screen­for­meal­time,­carbs,­and­health­events. •­­ R eview­and,­if­necessary,­update­information­for­meal­time,­carbs,­and­health­events­to­receive­an­ accurate­bolus­recommendation. •­­ A ctive­insulin­is­bolus­insulin­that­has­been­given­to­lower­your­blood­glucose,­but­has­not­yet­been­­ fully­used.­ •­Active­insulin­appears­only­if­bolus­advice­is­activated.­ •­­ C alculation­of­the­amount­of­the­active­insulin­is­completed­automatically­by­the­meter.­If­necessary,­ the­meter­rounds­the­active­insulin­amount. •­If­the­active­insulin­amount­is­calculated­as­zero,­then­the­value­is­displayed­as­0. •­If­active­insulin­data­is­not­found,­then­active­insulin­value­is­displayed­as­“---U.” •­­ I f­Bolus­is­selected,­then­the­Connecting­to­the­Pump­screen­appears­before­the­Bolus­Advice­screen­­ is­displayed.

  • Page 55: Understanding Blood Glucose Test Results

    2.5 Understanding Blood Glucose Test Results The­bG­Result­screen­displays­the­following­information: Test Time Test Date Status Bar Blood Glucose Test Result Unit of Measure NOTE •­­ I f­the­dosed­test­strip­is­removed­from­the­meter­before­results­or­errors­are­displayed,­a­blood­glucose­ test­result­will­not­appear. •­­ A fter­approximately­3­seconds,­the­meter­displays­the­detailed­bG­Result­screen­(see­Section­2.4,­ “Detailed­Blood­Glucose­Test­Results”).

  • Page 56: Status Bar

    Status Bar The­status­bar­on­the­bG­Result­screen­indicates­how­the­result­compares­to­the­target­blood­glucose­range­ for­the­current­time­block.­The­following­are­status­bar­descriptions­with­sample­displays: Green­indicates­the­result­is­ Yellow­indicates­the­result­is­ Red­with­“Hypo”­indicates­the­ within­the­target­range­for­the­ below­the­target­range­for­the­ result­is­below­the­hypo­warning­ current­time­block. current­time­block.­The­result­ limit. is­not­below­the­hypo­warning­ limit.
  • Page 57 Light­blue­indicates­the­result­is­ Light­blue­with­“Hyper”­ above­the­target­range­for­the­ indicates­the­result­is­above­the­ current­time­block.­The­result­ hyper­warning­limit. is­not­above­the­hyper­warning­ limit.
  • Page 58 LO or HI Display NOTE Blood Glucose Warnings If­the­blood­glucose­test­ results­are­outside­the­hyper­ or­hypo­warning­limits,­or­ outside­the­measurement­ range­of­the­meter,­then­a­ warning­is­displayed­after­the­ If­“LO”­is­displayed,­the­test­ If­“HI”­is­displayed,­the­test­ bG­Test­Result­screen.­Select­ result­may­be­below­the­ result­may­be­above­the­ OK­to­acknowledge­a­warning­ measurement­range. measurement­range. and­continue. j­­ C ontact­your­healthcare­ j­­ C ontact­your­healthcare­ professional. professional.

  • Page 59: Unusual Blood Glucose Test Results

    2.6 Unusual Blood Glucose Test Results If­your­blood­glucose­result­does­not­match­the­way­you­feel,­follow­these­steps: Troubleshooting Checks Actions 1.­Are­the­test­strips­expired? Discard­the­test­strips­if­they­are­past­the­use­by­date.­Repeat­ the­blood­glucose­test­with­an­unexpired­test­strip. 2.­­ H as­the­cap­on­the­test­strip­container­ Replace­the­test­strips­if­you­think­the­test­strip­container­was­ always­been­closed­tightly? uncapped­for­some­time­and­repeat­the­blood­glucose­test. 3.­­ W as­the­test­strip­used­immediately­ Repeat­the­blood­glucose­test­with­a­new­test­strip. after­it­was­removed­from­the­test­strip­ container? 4.­­ W ere­the­test­strips­stored­in­a­cool,­ Repeat­the­blood­glucose­test­with­a­properly­stored­test­strip. dry­place? 5.­Did­you­follow­the­directions? Read­Chapter­2,­“Testing­Your­Blood­Glucose”­and­repeat the­blood­glucose­test­again.­Contact­Roche­if­you­still­have problems. 6.­­ A re­the­meter­and­test­strips­working­ Perform­a­control­test.­See­Chapter­3,­“Control­Testing”. properly? 7.­Are­you­still­unsure­of­the­problem? Contact­Roche.

  • Page 60: Symptoms Of High Or Low Blood Glucose

    2.7 Symptoms of High or Low Blood Glucose Being­aware­of­the­symptoms­of­high­or­low­blood­glucose­can­help­you­understand­your­test­results­and­ decide­what­to­do­if­they­seem­unusual.­Here­are­the­most­common­symptoms: •­­ H igh­blood­glucose­(hyperglycaemia):­fatigue,­increased­appetite­or­thirst,­frequent­urination,­blurred­ vision,­headache,­or­general­aching. •­­ L ow­blood­glucose­(hypoglycaemia):­sweating,­trembling,­blurred­vision,­rapid­heartbeat,­tingling,­or­ numbness­around­mouth­or­fingertips. WARNING If­you­are­experiencing­any­of­these­symptoms,­test­your­blood­glucose.­If­your­blood­glucose­test­ result­is­displayed­as­LO­or­HI,­contact­your­healthcare­professional­immediately.

  • Page 61: Control Testing

    Control Testing 3.1­Overview­ 3.2­Why­Perform­Control­Tests­ 3.3­About­the­Control­Solutions­ 3.4­Performing­a­Control­Test­ 3.5­Understanding­Control­Test­Results­...

  • Page 62: Overview

    3.1 Overview This­chapter­describes­how­and­when­to­perform­a­control­test­to­ensure­the­accuracy­of­your­blood­glucose­ meter.­It­is­recommended­you­complete­a­control­test­prior­to­performing­a­blood­glucose­test­for­the­first­ time. NOTE Blood­glucose­and­bG­are­interchangeable­and­mean­the­same­thing.

  • Page 63: Why­perform­control­tests

    3.2 Why Perform Control Tests Performing­a­control­test­lets­you­know­the­meter­and­test­strips­are­working­properly­to­give­reliable­blood­ glucose­test­results.­You­should­perform­a­control­test­when: •­You­open­a­new­test­strip­box. •­You­left­the­test­strip­container­open. •­You­want­to­check­the­meter­and­test­strips. •­Your­test­strips­were­stored­in­extreme­temperatures,­humidity,­or­both. •­You­dropped­the­meter. •­Your­test­result­does­not­match­with­how­you­feel. •­You­want­to­check­if­you­are­performing­the­test­correctly.

  • Page 64: About The Control Solutions

    3.3 About the Control Solutions •­Only­use­Accu-Chek­Aviva­Control­Solutions. •­The­meter­automatically­recognizes­the­control­solution. •­The­control­test­results­are­not­displayed­in­the­diary. •­­ W rite­the­date­you­opened­the­control­solution­bottle­on­the­bottle­label.­The­solution­is­good­for­3­months­ from­that­date­or­until­the­use­by­date­on­the­bottle­label,­whichever­comes­first. •­Do­not­use­control­solution­that­is­past­the­use­by­date. •­The­solution­can­stain­clothing.­If­you­spill­it,­wash­your­clothes­with­soap­and­water. •­Close­the­bottle­tightly­after­use.

  • Page 65: Performing A Control Test

    3.4 Performing a Control Test The­Control­Result­screen­displays­the­following­information: Test Time Test Date Control Result Unit of Measure You­need­the­meter­with­a­pre-inserted­activation­chip,­a­test­strip,­and­control­solution­Level­1,­Level­2,­or­ both.­The­control­level­is­printed­on­the­bottle­label.
  • Page 66 Check the Use By Date > Insert Test Strip > Test Control Solution > Control Result j­­ I nsert­the­golden­end­of­a­ The­Apply­Sample­screen­ j­­ C heck­the­use­by­date­on­the­ test­strip­into­the­meter­in­the­ appears.­The­test­strip­is­ready­ test­strip­container.­Do­not­ direction­of­the­arrow.­The­ for­testing. use­test­strips­past­the­use­ meter­turns­on. by­date.
  • Page 67 j­­ S elect­the­control­solution­to­ j­­ P lace­the­meter­on­a­flat­ j­­ R emove­the­control­bottle­cap.­ test.­You­will­enter­the­level­ surface,­like­a­table. Wipe­the­tip­of­the­bottle­with­ later­in­the­test. a­tissue.
  • Page 68 When­the­test­strip­has­enough The­control­result­appears­on­ control­solution,­the­Analyzing the­display. screen­appears.­ j­­ S elect­Level­to­display­the­ j­­ W ipe­the­tip­of­the­bottle­with­a­ control­solution­level­pop-up­ tissue­and­then­cap­the­bottle­ menu. tightly. j­­ S queeze­the­bottle­until­a­tiny­ drop­forms­at­the­tip. j­­ T ouch­the­drop­to­the­front edge­of­the­yellow­window­ of­the­test­strip.­Do­not­put­ control­solution­on­top­of­the­ test­strip.
  • Page 69 j­­ R emove­and­discard­the­test­ j­­ S elect­the­control­solution­level­ strip. and­press­=. j­­ F or­information­on­ understanding­control­test­ results,­proceed­to­the­next­ section,­or­select­Menu­to­ save­this­result­and­display­the­ Main­Menu­screen.
  • Page 70 NOTE •­­ I f­a­test­strip­error­occurs,­remove­and­discard­the­used­test­strip­and­repeat­the­test­with­a­new­test­ strip. •­Be­careful­not­to­put­any­fluids­into­the­test­strip­slot. •­­ W hen­the­Control­Level­screen­is­displayed­and­you­select­Cancel­without­selecting­a­control­solution­ level,­then­No­Entry­is­chosen.­The­meter­stores­the­control­test­result­along­with­No­Entry­and­then­ the­Detailed­Control­Result­screen­is­displayed. •­­ W hen­the­Control­Level­screen­is­displayed­and­you­turn­off­the­meter,­or­if­the­meter­auto-powers­ off,­without­selecting­a­control­solution­level,­then­No­Entry­is­chosen.­The­meter­stores­the­control­ test­result­along­with­No­Entry. •­Other ways to start a control test: •­­ F rom­the­Main­Menu,­select­bG­Test.­Insert­a­test­strip­into­the­meter. •­­ W hen­a­reminder­notification­or­the­key­lock­icon­is­displayed,­insert­a­test­strip­into­the­meter.

  • Page 71: Understanding Control Test Results

    3.5 Understanding Control Test Results The­detailed­Control­Result­screen­displays­the­following­information: Test Time Test Date Control Result Control Solution Level Result Unit of Measure Within­range­or­Out­of­range Menu Select­Menu­to­save­ result­and­display­ Main­Menu­screen...
  • Page 72 Example Control Results j­­ W hen­the­control­test­result­ Example is­inside­the­range­on­the­test­ Range­(mmol/L) strip­container,­the­test­strips­ Level­1­1.4-3.1 Level­2­14.2-19.1 and­the­meter­are­working­ properly. j­­ T he­label­on­your­test­ If­the­control­test­result­is­within­ strip­container­shows­the­ the­acceptable­range,­“Within­ acceptable­ranges­for­both­ range”­appears­on­the­detailed­ the­Level­1­and­the­Level­2­ Control­Result­screen. control­solutions.­The­test­ result­you­get­should­be­inside­ this­range.­Ensure­you­select­ and­compare­the­test­result­to­ the­correct­level­of­control.­For­ the­level­selected,­the­meter­ displays­whether­the­result­ is­within­or­outside­of­the­ acceptable­range.
  • Page 73 If­the­control­test­result­is­ If­“HI”­is­displayed,­the­control­ If­“LO”­is­displayed,­the­control­ outside­of­the­acceptable­range,­ test­result­may­be­above­the­ test­result­may­be­below­the­ “Out­of­range”­appears­on­the­ measurement­range. measurement­range. detailed­Control­Result­screen.
  • Page 74 If­the­meter­stored­No­Entry­for­ the­control­solution­level,­then­ “---”­appears­with­no­indication­ of­in­or­out­of­range.
  • Page 75 Out-of-Range Control Test Results If­the­control­test­result­is­out­of­range,­check­this­list­to­help­solve­the­problem: Troubleshooting Checks Actions 1.­­ W ere­either­the­test­strips­or­control­solutions­ Discard­the­test­strips­or­control­solutions­if­either­is­ expired? past­the­use­by­date.­If­the­control­solution­was­ opened­more­than­3­months­ago,­discard­it.­Repeat­ the­control­test­with­an­unexpired­test­strip­and­an­ unexpired­control­solution. 2.­­ D id­you­wipe­the­tip­of­the­control­solution­bottle­ Wipe­the­tip­of­the­bottle­with­a­tissue.­Repeat­the­ before­use? control­test­with­a­new­test­strip­and­a­fresh­drop­of­ control­solution. 3.­­ W ere­the­caps­on­the­test­strip­container­and­the­ Replace­the­test­strips­or­control­solutions­if­you­ control­solution­bottle­always­closed­tightly? think­either­was­uncapped­for­some­time­and­repeat­ the­control­test. 4.­­ W as­the­test­strip­used­immediately­after­it­was­ Repeat­the­control­test­with­a­new­test­strip­and­a­ removed­from­the­test­strip­container? fresh­drop­of­control­solution. 5.­­ W ere­the­test­strips­and­control­solutions­stored­in­ Repeat­the­control­test­with­a­properly­stored­test­...
  • Page 76 Troubleshooting Checks Actions 7.­­ D id­you­choose­the­correct­control­solution­level,­ If­you­chose­the­wrong­control­solution­level,­you­ either­1­or­2,­when­you­performed­the­control­test? can­still­compare­the­control­result­to­the­range­ printed­on­the­test­strip­container. 8.­­ A re­you­still­unsure­of­the­problem? Contact­Roche.

  • Page 77: Managing Your Data

    Managing Your Data 4.1­Overview­ 4.2­Viewing­or­Modifying­Your­Data­ 4.3­Adding­New­Data­ 4.4­Reporting­Your­Data­ 4.5­Downloading­Your­Data­to­a­Computer­...

  • Page 78: Overview

    4.1 Overview Analyzing­your­blood­glucose­test­results­stored­in­the­meter­is­an­effective­way­for­you­and­your­healthcare­ professional­to­determine­how­well­you­are­controlling­your­diabetes.­This­analysis­is­a­valuable­tool­for­ making­improvements­to­your­diabetes­management.­The­reports­the­meter­displays­help­you­get­the­most­ from­your­Accu-Chek­Aviva­Combo­Meter. From­the­diary­records­stored­in­the­meter,­you­are­able­to­view­a­specific­blood­glucose­test­record­with­its­ attributes­(e.g.,­meal­time,­carbs,­health­event,­and­bolus).­In­addition,­for­a­specific­diary­record,­you­are­able­ to­change­or­add­to­its­attributes. The­meter­generates­reports,­such­as­blood­glucose­averages­with­standard­deviations­for­the­time­period­ you­select­(e.g.,­the­past­7­days­or­the­past­30­days).­Graphs­can­be­a­good­way­to­view­your­blood­glucose­ test­results.­The­meter­can­display­a­line­graph­to­depict­blood­glucose­record­trends,­a­graph­showing­result­ ranges­for­a­standard­day­or­a­standard­week,­and­a­pie­chart­with­different­colours­to­illustrate­the­amount­ of­test­results­within,­above,­or­below­your­blood­glucose­target­range. NOTE •­­ Y ou­must­be­the­only­user­of­the­meter­because­the­diary­data­will­be­incorrect­if­the­meter­is­shared. •­Blood­glucose­and­bG­are­interchangeable­and­mean­the­same­thing.
  • Page 79 Storing Test Results The­meter­automatically­stores­up­to­1,000­diary­records­with­the­time­and­date.­You­can­review­up­to­­ 250­diary­records­on­the­meter­or­up­to­1,000­diary­records­using­a­computer­with­compatible­software.­ Diary­records­are­stored­from­the­newest­to­the­oldest.­It­is­very­important­to­have­the­correct­time­and­ date­set.­Having­the­correct­time­and­date­setting­helps­ensure­accurate­interpretation­of­blood­glucose­test­ results­by­you­and­your­healthcare­professional. Each­diary­record­can­contain: •­Date­and­time •­Blood­glucose­test­result •­Meal­time­(events) •­Carbs •­Health­event •­Bolus­type •­Bolus­amount You­can­display­filtered­diary­data­in­graphical­or­table­format.
  • Page 80 NOTE •­­ D o not change your therapy based on one individual record or test result in the diary. •­­ T his­chapter­shows­sample­screens.­The­screens­may­look­slightly­different­from­the­screens­on­the­ meter.­If­you­have­any­questions­about­the­meter­screens,­contact­Roche. •­­ T he­information­in­the­diary­is­saved­when­you­replace­the­batteries.­You­need­to­check­the­time­and­ date­after­you­replace­the­batteries.­For­more­information­on­changing­the­batteries,­see­Chapter­7,­ “Care­and­Maintenance.” •­­ O nce­1,000­records­are­in­the­diary­memory,­adding­a­new­record­causes­the­oldest­diary­record­to­ be­deleted. •­The­control­results­are­stored­in­memory,­but­cannot­be­reviewed­on­the­meter. •­­ B efore­reviewing­diary­records­or­control­results­with­software,­the­stored­diary­records­must­first­be­ downloaded­to­a­compatible­software­application.­For­product­availability,­please­contact­Roche.­ •­Control­results­are­not­used­in­any­report­or­graph.

  • Page 81: Viewing Or Modifying Your Data

    4.2 Viewing or Modifying Your Data The­View­Data­screen­displays­the­following­information: Date of Record(s) Carbs Icon Time of Blood Unit of Measure Glucose Test Blood Glucose Test Result Blood Glucose Test Appropriate Bolus Icon Icon Select View Meal Time Icon Change­meter­display­between­blood­ glucose,­bolus,­and­carbs­views. Health Event Icon...
  • Page 82 NOTE •­­ I f­data­are­not­available,­the­No­Data­Available­screen­is­displayed. •­­ T he­View­Data­screen­displays­the­records­in­the­order­in­which­they­occurred­with­the­most­recent­ record­shown­on­top. •­For­the­blood­glucose­test­result: •­“HI”­is­displayed­if­the­test­result­is­above­the­measurement­range. •­“LO”­is­displayed­if­the­test­result­is­below­the­measurement­range. •­The­blood­glucose­test­result­is­blank­if­a­blood­glucose­test­value­does­not­exist.
  • Page 83 Refer to the following two tables for icon descriptions: Icon Icon Name Description bG­Test Icon­is­displayed­when­information­exists­for­this­diary­ record­regarding­a­blood­glucose­test. Meal­Time Icon­is­displayed­when­information­exists­for­this­diary­ record­regarding­meal­time. Carbs Icon­is­displayed­when­information­exists­for­this­diary­ record­regarding­carbs. Health­Event Icon­is­displayed­when­information­exists­for­this­diary­ record­regarding­health­events. Standard­Bolus­Not­Confirmed Delivery­has­not­been­confirmed­by­the­pump. Standard­Bolus­Confirmed Delivery­has­been­confirmed­by­the­pump. Multiwave­Bolus­Not­Confirmed Delivery­has­not­been­confirmed­by­the­pump. Multiwave­Bolus­Confirmed Delivery­has­been­confirmed­by­the­pump. Extended­Bolus­Not­Confirmed Delivery­has­not­been­confirmed­by­the­pump.
  • Page 84 Icon Icon Name Description Extended­Bolus­Confirmed Delivery­has­been­confirmed­by­the­pump. Manual­Pump Delivery­has­not­been­confirmed­by­the­pump. Pen/Syringe­Bolus Pump­does­not­deliver­bolus.
  • Page 85 You­can­view­a­diary­record­with­its­attributes­(blood­glucose­value,­meal­time,­carbs,­health­event,­and­ bolus). Main Menu > My Data > View Data j­­ F rom­the­Main­Menu,­select­ j­­ S elect­View­Data­and­ My­Data­and­press­=. press­=.
  • Page 86 Blood Glucose View: Bolus View: Carbs View: j­­ S hown­above­are­View­Data­screens­that­display­values­for­blood­glucose,­bolus,­or­carbs.­To­choose­ another­view,­press­.­(a­pop-up­menu­appears).­Select­the­view­you­want­and­press­=. j­­ P ress­x­or­z­to­view­other­records­(the­screen­scrolls­if­there­are­additional­records). j­­ T o­view­or­modify­a­record’s­details,­select­the­record­and­press­=.
  • Page 87 NOTE To­cancel­changes­or­return­to­ the­View­Detail­screen,­select­ Cancel. j­­ P ress­<­to­view­the­previous­ j­­ S elect­the­entry­field­to­modify­ record­or­press­>­to­view­the­ and­press­=. next­(newer)­record.­ j­­ M ake­the­change­in­the­entry­ field­and­press­=. To return to the previous j­­ M odify­other­fields,­as­needed. screen, select Back. To save the changes and return to the View Detail screen, select Save. To modify a diary record, select Modify and continue to the next step.
  • Page 88 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,­Health­Event,­ Record­has­been­used­for­bolus­advice and­Bolus­...

  • Page 89: Adding New Data

    4.3 Adding New Data You­can­add­data­to­a­diary­record­for­carbs,­health,­and­bolus.­The­Add­Data­screen­displays­the­following­ information: Time Entry Field Carbs Entry Field Date Entry Field Health Entry Field Bolus Entry Field Save Appears­once­data­has­been­ entered­to­an­entry­field...
  • Page 90 Main Menu > My Data > Add Data j­­ F rom­the­Main­Menu,­select­ j­­ S elect­Add­Data­and­press­=. j­­ S elect­an­entry­field­and­ My­Data­and­press­=. press­=. j­­ M ake­addition­in­the­entry­field­ and­press­=. j­­ M ake­additions­to­other­entry­ fields,­as­needed. To save the changes and return to the My Data screen, select Save.
  • Page 91 NOTE •­­ T he­meter­initially­displays­the­current­date­and­the­current­time.­You­can­change­the­date­and­time­ when­adding­a­diary­record,­although­the­date­and­time­cannot­be­set­in­the­future. •­­ B efore­a­diary­record­can­be­saved,­data­must­be­entered­(not­including­date­and­time).­“Save”­is­not­ displayed­above­.­until­data­has­been­entered. •­­ T o­cancel­changes­and­return­to­the­My­Data­screen,­select­Cancel.

  • Page 92: Reporting Your Data

    4.4 Reporting Your Data Time Range Blood Glucose Standard Deviation Meal Times Calculated­for­the­time­range Number of Tests Used­to­calculate­the­averages­ and­standard­deviations Blood Glucose Average Calculated­for­the­time­range...
  • Page 93 NOTE •­­ I f­data­are­not­available­to­calculate­averages,­the­No­Data­Available­screen­is­displayed. •­­ S tandard­deviation­measures­how­much­the­blood­glucose­test­results­are­scattered­around­the­ blood­glucose­average.­A­low­standard­deviation­means­the­blood­glucose­test­results­are­tightly­ clustered­around­the­blood­glucose­average;­a­high­standard­deviation­means­the­blood­glucose­test­ results­are­widely­scattered­around­the­blood­glucose­average. •­Calculations­do­not­include­corrupt­results,­control­results,­or­HI­and­LO­results.
  • Page 94 Reporting Your Blood Glucose Averages The­meter­displays­your­blood­glucose­averages­and­standard­deviations­for­the­time­range­you­choose­­ (7,­14,­30,­60,­or­90­days). Main Menu > My Data > Reports > bG Averages j­­ F rom­the­Main­Menu,­select­ ­­ S elect­Reports­and­press­=. j­­ S elect­bG­Averages­and­ My­Data­and­press­=. press­=.
  • Page 95 The­blood­glucose­averages­are­ displayed. j­­ T o­display­blood­glucose­ averages­for­another­time­ range­(last­7,­14,­30,­60,­or­ 90­days),­press­either­<­or­>­ to­scroll­the­screen­until­you­ reach­the­time­range­you­need. To return to the Reports screen, select Back.
  • Page 96 Reporting Your Data Trends The­meter­displays­your­blood­glucose­record­trends­for­the­time­range­you­choose­(last­8­hours,­24­hours,­ 48­hours,­or­7­days). Main Menu > My Data > Reports > Trend j­­ F rom­the­Main­Menu,­select­ j­­ S elect­Reports­and­press­=. j­­ S elect­Trend­and­press­=. My­Data­and­press­=.
  • Page 97 Trend Graph Screen Time Range Bolus Icon Meal Time Selection Bolus Unit of Measure Blood Glucose Unit of Bolus Amount Indicator Value Measure Carbs Amount Indicator Value Blood Glucose Icon Carbs Unit of Measure Times or Days of Carbs Icon Month Bolus Value Arrow...
  • Page 98 Follow these tips to get the most value from My Data reports: •­­ I f­you­delivered­a­bolus­directly­on­the­pump,­go­to­My­Data­on­the­meter­to­receive­the­bolus­information­ automatically.­Do­this­before­your­next­blood­glucose­test. •­­ R eplace­the­batteries­when­the­Low­Battery­icon­appears.­This­maintains­the­communication­between­ meter­and­pump.
  • Page 99 NOTE •­­ I f­data­are­not­available­to­display­the­trend­graph,­the­No­Data­Available­screen­is­displayed. •­Trend­graphs­do­not­include­corrupt­results­or­control­results. •­­ T rend­graph­data­is­cleared­if­bolus­advice­data­is­cleared. •­­ I f­ ­(time­change­icon)­is­shown­at­the­bottom­of­the­Trend­Graph­screen,­the­time­and­date­of­one­or­more­ data­points­in­the­trend­graph­may­not­match­the­time­stamp­in­My­Data­because­the­meter­clock­has­been­ changed.­All­times­in­the­trend­graph­show­the­data­relative­to­the­current­meter­time. For­example: 1.­You­take­a­bG­test­and­the­value­is­stored­in­the­meter­at­9:00. 2.­The­meter­time­is­changed­ahead­1­hour. 3.­The­bG­data­on­the­trend­graph­is­shown­at­10:00. •­­ O n­the­right­side­of­the­graph,­the­Maximum­Bolus­Amount­Indicator­is­a­horizontal­line­with­the­corresponding­ value­shown­above­it.­The­purpose­of­this­indicator­is­to­scale­the­top­portion­of­the­graph­for­the­Bolus­Value­ blue­bars.­The­Maximum­Bolus­Amount­Indicator­values­available­on­the­meter­are­1,­5,­15,­30,­and­60­U.­The­ indicator­displayed­is­based­on­the­single­largest­bolus­insulin­amount­delivered­for­the­time­range­chosen.­For­ example,­if­the­largest­bolus­delivered­during­the­chosen­time­range­is­8­U,­then­the­meter­will­scale­the­upper­ graph­to­be­between­0­and­15­U. •­­ O n­the­right­side­of­the­graph,­the­Maximum­Carbs­Amount­Indicator­is­a­horizontal­line­with­the­corresponding­ value­shown­below­it.­The­purpose­of­this­indicator­is­to­scale­the­bottom­portion­of­the­graph­for­the­Carb­ Value­dark­orange­bars.­The­Maximum­Carbs­Amount­Indicator­values­available­on­the­meter­are­30,­60,­120,­ 180,­and­240­g,­or­the­equivalent­scale­for­BE,­KE,­or­CC.­The­indicator­displayed­is­based­on­the­single­largest­ carbs­amount­for­the­time­range­chosen.­For­example,­if­the­largest­carbs­amount­for­the­chosen­time­range­is­ 86­g,­then­the­meter­will­scale­the­lower­graph­to­be­between­0­and­120­g. •­Select­Table­to­change­the­display­to­the­Table­View.­The­time­range­remains­the­same.
  • Page 100 Trend Graph j­­ T o­display­a­trend­graph­for­ j­­ P ress­.­to­display­the­Table­ another­meal­time­selection­ (proceed­to­the­next­section­ (Overall,­Pre­Meal,­Post­Meal,­ for­more­information). Bedtime,­or­Other),­press­ either­x­or­z­to­highlight­ To return to the Reports the­meal­time­selection­field­ screen, select Back. (immediately­below­the­time­ range­which­is­at­the­top­of­ j­­ T o­display­a­trend­graph­for­ the­screen).­Press­either­<­or­>­ another­time­range­(last­­ until­you­reach­the­meal­time­ 8­hours,­24­hours,­48­hours,­­ selection­you­need. or­7­days),­press­x­to­highlight­ the­time­range­selection­field­ (top­of­screen).­Press­either­­ <­or­>­until­you­reach­the­time­ range­you­need.
  • Page 101 NOTE The­meter­saves­the­current­settings­(time­range,­meal­time,­and­graph­view)­when­you­select­Back­or­ when­the­meter­powers­off.
  • Page 102 Trend Table Screen Time Range Carbs Icon with Carbs Unit of Measure Meal Time Selection Bolus Icon with the Bolus Unit Date of Records of Measure Blood Glucose Icon with Blood Glucose Unit of Measure Time Change Icon Only­shown­when­meter­ time­has­been­changed­for­ this­data...
  • Page 103 NOTE •­If­data­are­not­available­to­display­the­trend­table,­the­No­Data­Available­screen­is­displayed. •­Trend­tables­do­not­include­corrupt­results­or­control­results. •­­ I f­ ­(time­change­icon)­is­shown­at­the­bottom­of­the­Trend­Table­screen,­the­time­and­date­of­one­ or­more­data­points­in­the­trend­table­may­not­match­the­time­stamp­in­My­Data­because­the­meter­ clock­has­been­changed.­All­times­in­the­trend­table­show­the­data­relative­to­the­current­meter­time. For­example: 1.­You­take­a­bG­test­and­the­value­is­stored­in­the­meter­at­9:00. 2.­The­meter­time­is­changed­ahead­1­hour. 3.­The­bG­data­on­the­trend­table­is­shown­at­10:00. •­Trend­table­data­is­cleared­if­bolus­advice­data­is­cleared. •­­ F or­a­given­record,­if­the­blood­glucose­value,­carb­value,­or­bolus­value­is­empty,­the­corresponding­ field­is­blank. •­The­most­recent­record­is­displayed­first.
  • Page 104 Trend Table j­­ T o­display­a­trend­table­for­ j­­ T o­display­a­trend­table­for­ another­time­range­(last­­ another­meal­time­selection­ 8­hours,­24­hours,­48­hours,­­ (Overall,­Pre­Meal,­Post­Meal,­ or­7­days),­press­x­to­highlight­ Bedtime,­or­Other),­press­ the­time­range­selection­field­ either­x­or­z­to­highlight­ (top­of­screen).­Press­­ the­meal­time­selection­field­ either­<­or­>­until­you­reach­ (immediately­below­the­time­ the­time­range­you­need. range­which­is­at­the­top­of­ j­­ W hen­there­are­multiple­ the­screen).­Press­either­<­or­>­ records,­press­x­or­z­to­view­ until­you­reach­the­meal­time­ other­records. selection­you­need.
  • Page 105 NOTE j­­ P ress­.­to­display­the­Graph­ The­meter­saves­the­current­settings­(time­range,­meal­time,­and­ (see­previous­section­for­more­ table­view)­when­you­select­Back­or­when­the­meter­powers­off. information). To return to the Reports screen, select Back.
  • Page 106 Reporting Your Standard Day The­meter­displays­(for­a­standard­day)­your­blood­glucose­averages,­number­of­tests,­and­standard­ deviations­within­predetermined­time­blocks­for­the­time­range­you­choose­(last­7,­14,­30,­60,­or­90­days). Main Menu > My Data > Reports > Standard Day j­­ F rom­the­Main­Menu,­select­ j­­ S elect­Standard­Day­and­ j­­ S elect­Reports­and­press­=. My­Data­and­press­=. press­=.
  • Page 107 Standard Day Graph Screen Time Range Box for Each Time Block •­­ “ X”­in­centre­of­box­indicates­the­ Meal Time Selection average­of­all­blood­glucose­test­ Blood Glucose Unit of results­for­the­selected­criteria. Measure •­­ T he­top­of­the­box­indicates­1­standard­ deviation­above­the­average­and­the­ Blood Glucose Icon bottom­of­the­box­indicates­1­standard­ Time of Day deviation­below­the­average.­The­box­ Warning Limit Hypo Level is­not­displayed­if­there­are­not­enough­...
  • Page 108 NOTE •­If­data­are­not­available­to­display­the­standard­day­graph,­the­No­Data­Available­screen­is­displayed. •­The­standard­day­graph­does­not­include­corrupt­results,­control­results,­HI­values,­or­LO­values.
  • Page 109 Standard Day Graph j­­ T o­display­a­standard­day­ j­­ P ress­.­to­display­the­Table­ (proceed­to­the­next­section­for­ graph­for­another­meal­time­ selection­(Overall,­Pre­Meal,­­ more­information). Post­Meal,­Bedtime,­or­Other),­­ To return to the Reports screen, press­either­x­or­z­to­ select Back. highlight­the­meal­time­ selection­field­(immediately­ below­the­time­range­which­is­ j­­ T o­display­a­standard­day­ at­the­top­of­the­screen).­Press­ graph­for­another­time­range­ either­<­or­>­until­you­reach­ (last­7,­14,­30,­60,­or­90­days),­ the­meal­time­selection­you­ press­x­to­highlight­the­time­ need. range­selection­field­(top­of­ screen).­Press­either­<­or­>­ until­you­reach­the­time­range­ you­need.
  • Page 110 NOTE The­meter­saves­the­current­settings­(time­range,­meal­time,­and­graph­view)­when­you­select­Back­or­ when­the­meter­powers­off.
  • Page 111 Standard Day Table Screen Time Range Standard Deviation (SD) Meal Time Selection Number of Tests Time Block Blood Glucose Average...
  • Page 112 NOTE •­If­data­are­not­available­to­display­the­standard­day­table,­the­No­Data­Available­screen­is­displayed. •­Standard­day­table­calculations­do­not­include­corrupt­results,­control­results,­or­HI­and­LO­results. •­­ F or­a­standard­deviation­to­be­displayed­for­a­given­time­block,­there­must­have­been­two­or­more­ tests­recorded­during­the­time­block.
  • Page 113 Standard Day Table j­­ T o­display­a­standard­day­table­ j­­ T o­display­a­standard­day­table­ for­another­time­range­(last­7,­ for­another­meal­time­selection­ 14,­30,­60,­or­90­days),­press­ (Overall,­Pre­Meal,­Post­Meal,­ Bedtime,­or­Other),­press­­ x­to­highlight­the­time­range­ selection­field­(top­of­screen).­ either­x­or­z­to­highlight­ Press­either­<­or­>­until­you­ the­meal­time­selection­field­ reach­the­time­range­you­need. (immediately­below­the­time­ range­which­is­at­the­top­of­ j­­ P ress­x­or­z­to­scroll­screen. the­screen).­Press­either­<­or­>­ until­you­reach­the­meal­time­ selection­you­need.
  • Page 114 NOTE j­­ P ress­.­to­display­the­Graph­ The­meter­saves­the­current­settings­(time­range,­meal­time,­and­ (see­previous­section­for­more­ table­view)­when­you­select­Back­or­when­the­meter­powers­off. information). To return to the Reports screen, select Back.
  • Page 115 Reporting Your Standard Week The­meter­displays­(for­a­standard­week)­your­blood­glucose­averages,­number­of­tests,­and­standard­ deviations­for­each­day­of­the­week­for­the­time­range­you­choose­(last­7,­14,­30,­60,­or­90­days). Main Menu > My Data > Reports > Standard Week j­­ S elect­Reports­and­press­=. j­­ F rom­the­Main­Menu,­select­ j­­ S elect­Standard­Week­and­ My­Data­and­press­=. press­=.
  • Page 116 Standard Week Graph Screen Time Range Arrow Indicates­blood­glucose­average­is­off­the­ Meal Time Selection top­of­the­graph­(“X”­is­not­displayed) Blood Glucose Unit of Box for Each Time Block Measure •­­ “ X”­in­centre­of­box­indicates­the­average­ Blood Glucose Icon of­all­blood­glucose­test­results­for­the­ selected­criteria. Day of Week •­­ T he­top­of­the­box­indicates­1­standard­ Warning Limit Hypo Level deviation­above­the­average­and­the­...
  • Page 117 NOTE •­­ I f­data­are­not­available­to­display­the­standard­week­graph,­the­No­Data­Available­screen­is­ displayed. •­The­standard­week­graph­does­not­include­corrupt­results,­control­results,­HI­values,­or­LO­values.
  • Page 118 Standard Week Graph j­­ T o­display­a­standard­week­ j­­ P ress­.­to­display­the­Table­ graph­for­another­meal­time­ (proceed­to­the­next­section­for­ selection­(Overall,­Pre­Meal,­­ more­information). Post­Meal,­Bedtime,­or­Other),­­ To return to the Reports press­either­x­or­z­to­ screen, select Back. highlight­the­meal­time­ selection­field­(immediately­ below­the­time­range­which­is­ j­­ T o­display­a­standard­week­ at­the­top­of­the­screen).­Press­ graph­for­another­time­range­ either­<­or­>­until­you­reach­ (last­7,­14,­30,­60,­or­90­days),­ the­meal­time­selection­you­ press­x­to­highlight­the­time­ need. range­selection­field­(top­of­ screen).­Press­either­<­or­>­ until­you­reach­the­time­range­ you­need.­...
  • Page 119 NOTE The­meter­saves­the­current­settings­(time­range,­meal­time,­and­graph­view)­when­you­select­Back­or­ when­the­meter­powers­off.
  • Page 120 Standard Week Table Screen Time Range Standard Deviation (SD) Meal Time Selection Number of Tests Day of Week Blood Glucose Average NOTE •­If­data­are­not­available­to­display­the­standard­week­table,­the­No­Data­Available­screen­is­displayed. •­Standard­week­table­calculations­do­not­include­corrupt­results,­control­results,­or­HI­and­LO­results. •­­ F or­a­standard­deviation­to­be­displayed­for­a­given­day­of­the­week,­there­must­have­been­two­or­ more­tests­recorded­during­the­day.
  • Page 121 Standard Week Table j­­ T o­display­a­standard­week­ j­­ T o­display­a­standard­week­ table­for­another­time­range­ graph­for­another­meal­time­ (last­7,­14,­30,­60,­or­90­days),­ selection­(Overall,­Pre­Meal,­­ select­the­time­range­selection­ Post­Meal,­Bedtime,­or­Other),­­ field­(top­of­screen).­Press­ press­either­x­or­z­to­ either­<­or­>­until­you­reach­ highlight­the­meal­time­ the­time­range­you­need. selection­field­(immediately­ below­the­time­range­which­is­ j­­ P ress­x­or­z­to­scroll­screen. at­the­top­of­the­screen).­Press­ either­<­or­>­until­you­reach­ the­meal­time­selection­you­ need.
  • Page 122 NOTE j­­ P ress­.­to­display­the­Graph­ The­meter­saves­the­current­settings­(time­range,­meal­time,­and­ (see­previous­section­for­more­ table­view)­when­you­select­Back­or­when­the­meter­powers­off. information). To return to the Reports screen, select Back.
  • Page 123 Reporting Your Target The­meter­displays­a­pie­chart­illustrating­your­blood­glucose­records­as­“Above,”­“Within,”­“Below,”­and­ “Hypo”­for­the­time­range­you­choose­(last­7,­14,­30,­60,­or­90­days). Main Menu > My Data > Reports > Target j­­ F rom­the­Main­Menu,­select­ j­­ S elect­Target­and­press­=. j­­ S elect­Reports­and­press­=. My­Data­and­press­=.
  • Page 124 Target Graph Screen Time Range Meal Time Selection Legend Pie Chart Blood­glucose­test­result­ Represents­the­percentages­for­the­ categories blood­glucose­test­result­categories NOTE •­If­data­are­not­available­to­display­the­target­graph,­the­No­Data­Available­screen­is­displayed. •­The­target­graph­does­not­include­corrupt­results,­control­results,­or­HI­and­LO­results.
  • Page 125 Target Graph j­­ T o­display­a­target­graph­for­ j­­ P ress­.­to­display­the­Table­ another­meal­time­selection­ (proceed­to­the­next­section­for­ (Overall,­Pre­Meal,­Post­Meal,­ more­information). Bedtime,­or­Other),­press­ To return to the Reports either­x­or­z­to­highlight­ screen, select Back. the­meal­time­selection­field­ (immediately­below­the­time­ range­which­is­at­the­top­of­ j­­ T o­display­a­target­graph­for­ the­screen).­Press­either­<­or­>­ another­time­range­(last­7,­14,­ until­you­reach­the­meal­time­ 30,­60,­or­90­days),­select­the­ selection­you­need. time­range­selection­field­(top­ of­screen).­Press­either­<­or­>­ until­you­reach­the­time­range­ you­need.
  • Page 126 NOTE The­meter­saves­the­current­settings­(time­range,­meal­time,­and­graph­view)­when­you­select­Back­or­ when­the­meter­powers­off.
  • Page 127 Target Table Screen Time Range Meal Time Selection Legend Percentage of Occurrence Blood­glucose­test­result­ categories NOTE •­­ I f­results­or­data­are­not­available­for­the­selected­time­period­and­meal­time,­the­No­Data­Available­ screen­is­displayed. •­The­target­table­does­not­include­corrupt­results,­control­results,­or­HI­and­LO­results.
  • Page 128 Target Table j­­ T o­display­a­target­table­for­ j­­ P ress­.­to­display­the­Target­ another­meal­time­selection­ Graph­(see­previous­section­for­ (Overall,­Pre­Meal,­Post­Meal,­ more­information). Bedtime,­or­Other),­press­ To return to the Reports either­x­or­z­to­highlight­ screen, select Back. the­meal­time­selection­field­ (immediately­below­the­time­ range­which­is­at­the­top­of­ j­­ T o­display­a­target­table­for­ the­screen).­Press­either­<­or­>­ another­time­range­(last­7,­14,­ until­you­reach­the­meal­time­ 30,­60,­or­90­days),­select­the­ selection­you­need. time­range­selection­field­(top­ of­screen).­Press­either­<­or­>­ until­you­reach­the­time­range­ you­need.
  • Page 129 NOTE The­meter­saves­the­current­settings­(time­range,­meal­time,­and­table­view)­when­you­select­Back­or­ when­the­meter­powers­off.

  • Page 130: Downloading Your Data To A Computer

    4.5 Downloading Your Data to a Computer You­can­transfer­your­stored­results­to­a­computer­to­track,­identify­patterns,­and­print.­ j­­ I nstall­the­software­according­ j­­ R un­the­software­programme­ to­the­instructions. and­follow­the­instructions­ j­­ C onnect­the­computer­cable­ about­how­to­download­ according­to­the­instructions.­ information.­Ensure­the­ software­is­ready­to­accept­ data­from­the­meter. j­­ F rom­the­Main­Menu,­select­ My­Data­and­press­=.
  • Page 131 Infrared­(IR)­Window j­­ S elect­Data­Transfer­and­ j­­ L ocate­the­infrared­(IR)­window­ j­­ F ollow­the­prompts­on­your­ press­=. on­the­top­of­the­meter.­ computer­software­to­start­the­ j­­ L ocate­the­IR­window­on­the­ data­transfer. computer’s­infrared­cable. j­­ P oint­the­two­IR­windows­ toward­each­other.­They­should­ be­3­to­10­cm­apart.
  • Page 132 NOTE If­the­data­did­not­transfer­successfully,­turn­off­the­meter,­turn­the­ meter­back­on,­and­try­again.­If­you­still­have­problems,­contact­ Roche. j­­ O nce­the­data­transfer­is­ complete,­the­Data­Transfer­ Complete­screen­is­displayed­ for­3­seconds­and­then­the­ meter­turns­off.

  • Page 133: Changing Meter Settings

    Changing Meter Settings 5.1­Overview­ 5.2­­ S etting­bG­Test­Reminders:­After­High­bG,­After­Low­bG,­After­Meal­ 5.3­Setting­Alarm­Clock­Reminders:­bG­Test,­Other­ 5.4­­ S etting­Date­Reminders:­Dr.­Visit,­Lab­Test,­Infusion­Set­Change­ 5.5­­ S etting­Bolus­Advice­for­the­First­Time­ 5.6­­ S etting­Time­Blocks,­Health­Events,­Advice­Options:­Bolus­Advice­Set­Up­ 5.7­Setting­Warning­Limits:­Hyper,­Hypo­ 5.8­Turning­Key­Lock­On­or­Off­ 5.9­Setting­the­Language­ 5.10­Setting­Units:­Carbs­ 5.11­Turning­Bluetooth ­Wireless­Technology­On­or­Off­ ® 5.12­Pairing­the­Meter­and­Pump­ 5.13­Setting­the­Beeper,­Vibrate,­and­Key­Sound­ 5.14­Setting­the­Time­Format,­Time,­and­Date­ 5.15­Setting­Time­Blocks:­Bolus­Advice­Not­Set­Up­ 5.16­Backlight­Settings­­...

  • Page 134: Overview

    5.1 Overview You­have­the­flexibility­to­change­the­Accu-Chek­Aviva­Combo­Meter­settings­that­you­initially­selected­ during­the­Setup­Wizard­process.­You­can­make­adjustments­to­the­meter­settings­in­order­to­meet­changing­ conditions.­Consult­with­your­healthcare­professional­to­ensure­the­appropriate­settings­are­selected. Settings: Important Information •­­ W hen­editing­a­setting,­any­unsaved­changes­are­discarded­if­the­meter­turns­off­or­if­a­test­strip­is­ inserted­into­the­meter. •­It­is­important­to­ensure­that­the­time­and­date­are­correctly­set­in­order­to­create­accurate­diary­records. •­­ I f­you­change­the­pump­time­and­date,­the­meter­time­and­date­will­automatically­synchronize­to­match­the­ pump. NOTE ­ B lood­glucose­and­bG­are­interchangeable­and­mean­the­same­thing.

  • Page 135: Setting Bg Test Reminders: After High Bg, After Low Bg, After Meal

    5.2 Setting bG Test Reminders: After High bG, After Low bG, After Meal bG Test Reminders: Important Information •­­ A t­the­scheduled­time,­the­meter­turns­on­and­displays­the­reminder­(if­a­test­strip­has­not­been­inserted).­ However,­if­the­meter­is­already­on­when­the­reminder­is­scheduled­and­no­blood­glucose­test­was­ performed,­the­reminder­is­displayed­when­the­meter­powers­down. •­Dismiss­the­reminder­by­pressing­.. •­­ R eschedule­(snooze)­the­reminder­by­pressing­,.­The­snooze­time­for­After­High­bG­is­15­minutes.­ The­snooze­time­for­After­Low­bG­and­After­Meal­is­5­minutes. •­­ I f­not­dismissed­or­snoozed,­the­reminder­is­displayed­a­total­of­four­times­at­intervals­of­2­minutes,­ after­which­the­meter­dismisses­the­reminder. •­­ W hen­you­perform­a­blood­glucose­test,­the­meter­dismisses­any­bG­test­reminders­which­are­pending­ within­the­next­30­minutes.­If­necessary,­a­new­reminder­is­scheduled­based­upon­the­blood­glucose­test­ result. •­For­more­information,­see­Chapter­6,­“Icons,­Reminders,­Warnings,­and­Errors.”...
  • Page 136 Main Menu > Settings > Reminders > bG Test Reminders j­­ F rom­the­Main­Menu,­select­ j­­ S elect­Reminders­and­ j­­ S elect­bG­Test­Reminders­and­ Settings­and­press­=. press­=. press­=.
  • Page 137 To Change the bG Threshold:­ j­­ S elect­the­bG­Threshold­entry­ field­and­press­=. j­­ S et­the­bG­Threshold­level­and­ press­=. To Change the Remind After Time:­ j­­ S elect­the­Remind­After­entry­ To Turn the After High bG j­­ S elect­either­After­High­bG,­ field­and­press­=.­ Reminder On or Off:­ After­Low­bG,­or­After­Meal­ j­­ S et­the­amount­of­time­after­a­ j­­...
  • Page 138 To Change the Remind After Time:­ j­­ S elect­the­Remind­After­entry­ field­and­press­=. j­­ S et­the­amount­of­time­after­a­ low­blood­glucose­test­result­ you­want­to­be­reminded­to­ retest­your­blood­glucose­and­ To Turn the After Low bG To Turn the After Meal press­=. Reminder On or Off:­ Reminder On or Off: ­ j­­ S elect­the­Reminder­entry­field­ j­­...
  • Page 139 NOTE To Change the Remind After •­­ R emind­After­is­displayed­ Time: as­“HH:MM”­(e.g.,­1:30)­ j­­ S elect­the­Remind­After­entry­ where­“H”­is­hour­and­“M”­ field­and­press­=.­ is­minute. j­­ S et­the­amount­of­time­after­ •­­ W hen­the­meter­is­ a­meal­(carb­entry­larger­than­ displaying­the­Remind­After­ the­snack­size)­you­want­to­be­ Meal­screen­for­the­first­ reminded­to­retest­your­blood­ If­you­changed­the­Snack­ time,­if­bolus­advice­has­ glucose­and­press­=. Size,­the­After­Meal­screen­is­ not­been­set­up,­the­default­ To save the changes, select displayed. for­Snack­Size­is­no­entry­ Save.­...

  • Page 140: Setting Alarm Clock Reminders: Bg Test, Other

    5.3 Setting Alarm Clock Reminders: bG Test, Other Alarm­clock­reminders­are­a­helpful­way­to­remind­you­to­test­your­blood­glucose,­or­for­any­other­daily­ appointment.­You­can­set­up­to­eight­reminders­per­day. Alarm Clock Reminders: Important Information •­­ A t­the­scheduled­time,­the­meter­turns­on­and­displays­the­reminder­(if­a­test­strip­has­not­been­inserted).­ However,­if­the­meter­is­already­on­when­the­reminder­is­scheduled­(and­no­blood­glucose­test­was­ performed­for­an­Alarm­Clock­bG­Test­Reminder),­the­reminder­is­displayed­when­the­meter­powers­down. •­­ A larm­Clock­bG­Test:­Dismiss­the­reminder­by­pressing­..­Reschedule­(snooze)­the­reminder­for­ 15­minutes­by­pressing­,. •­­ A larm­Clock­Other:­Dismiss­the­reminder­either­by­pressing­.­or­by­inserting­a­test­strip.­ Reschedule­(snooze)­the­reminder­for­15­minutes­by­pressing­,. •­­ I f­not­dismissed­or­snoozed,­the­reminder­is­displayed­a­total­of­four­times­at­intervals­of­2­minutes,­ after­which­the­meter­dismisses­the­reminder. •­­ W hen­you­perform­a­blood­glucose­test,­the­meter­dismisses­Alarm­Clock­bG­Test­reminders­which­are­ pending­within­the­next­30­minutes. •­For­more­information,­see­Chapter­6,­“Icons,­Reminders,­Warnings,­and­Errors.”...
  • Page 141 Main Menu > Settings > Reminders > Alarm Clock j­­ F rom­the­Main­Menu,­select­ j­­ S elect­Reminders­and­ j­­ S elect­Alarm­Clock­and­ Settings­and­press­=. press­=. press­=.
  • Page 142 NOTE To Turn Off a Reminder: •­­ T o­cancel­changes­or­return­ j­­ S elect­the­type­of­Reminder­ to­the­Reminders­screen,­ entry­field­(i.e.,­bG­Test­or­ select­Cancel. Other)­and­press­=. j­­ S elect­Off­and­press­=. •­­ T ime­for­the­Alarm­Clock­ j­­ R epeat­the­above­steps­to­turn­ reminders­can­be­set­in­ off­additional­reminders. 15-minute­increments,­ where­“HH”­is­hour,­­ To Turn On or Change a To save the changes and “MM”­is­minutes,­and­...

  • Page 143: Setting Date Reminders: Dr. Visit, Lab Test, Infusion Set Change

    5.4 Setting Date Reminders: Dr. Visit, Lab Test, Infusion Set Change Date­reminders­are­a­helpful­way­to­remind­you­of­an­upcoming­Dr.­visit­or­lab­test.­In­addition,­you­can­set­ up­an­ongoing­reminder­for­an­infusion­set­change­for­the­interval­you­choose­(1­day,­2­days,­or­3­days). Date Reminders: Important Information •­Displayed­when­you­turn­on­the­meter­and­a­test­strip­has­not­been­inserted. •­Dismiss­the­reminder­either­by­pressing­.­or­by­inserting­a­test­strip. •­For­more­information,­see­Chapter­6,­“Icons,­Reminders,­Warnings,­and­Errors.”...
  • Page 144 Main Menu > Settings > Reminders > Date Reminders j­­ S elect­Date­Reminders­and­ j­­ F rom­the­Main­Menu,­select­ j­­ S elect­Reminders­and­ press­=. Settings­and­press­=. press­=.
  • Page 145 To Set the Date: j­­ S elect­the­Date­entry­field­and­ press­=.­ j­­ S et­the­Day­and­press­=.­ j­­ S et­the­Month­and­press­=.­ j­­ S et­the­Year­and­press­=. To Set the Time (Optional): j­­ S elect­the­Time­entry­field­and­ To Turn the Dr. Visit Reminder j­­ S elect­either­Dr.­Visit,­Lab­Test,­ press­=. On or Off: or­Infusion­Set­Change­and­ j­­ S et­the­Time­and­press­=. j­­...
  • Page 146 To Set the Time (Optional): j­­ S elect­the­Time­entry­field­and­ press­=. j­­ S et­the­Time­and­press­=. To save the changes and return to the Date Reminders screen, select Save.­ To Turn the Lab Test To Turn the Infusion Set Reminder On or Off: Change Reminder On or Off: j­­...
  • Page 147 NOTE •­­ S etting­a­time­for­a­Date­Reminder­is­optional.­If­you­choose­not­to­set­a­time,­ensure­the­Time­entry­ field­value­is­“--:--”­(no­entry).­ •­­ T o­cancel­changes­or­to­return­to­the­Date­Reminders­screen,­select­Cancel. •­­ T ime­for­the­Dr.­Visit­Reminder­and­the­Lab­Test­Reminder­can­be­set­in­15-minute­increments,­where­ “HH”­is­hour,­“MM”­is­minutes,­and­with­“am”­or­“pm”­for­the­12-hour­format. •­­ D ate­Reminders­do­not­automatically­turn­on­the­meter­and­display­the­Reminder.­Date­Reminders­ only­occur­when­you­power­on­the­meter­on­the­appropriate­date.­...

  • Page 148: Setting Bolus Advice For The First Time

    5.5 Setting Bolus Advice for the First Time Set Up Bolus Advice If­you­did­not­set­up­bolus­advice­when­you­went­through­the­Setup­Wizard­and­have­now­decided­to­utilize­ bolus­advice,­proceed­with­this­section.­Once­you­do­set­up­bolus­advice,­you­cannot­turn­it­off. It­is­suggested­that­you­review­the­information­in­the­Getting­Started­Guide­before­continuing.­Prior­to­ setting­up­time­blocks­for­bolus­advice,­it­is­recommended­that­you­decide­how­many­time­blocks­you­ need­and­also­determine­the­start/end­times.­Talk­to­your­healthcare­professional­about­arranging­your­ time­blocks­to­help­best­manage­your­diabetes.­For­each­time­block,­you­can­set­up­different­blood­glucose­ target­ranges,­carb­ratios,­and­insulin­sensitivities­to­accommodate­your­differing­insulin­needs­throughout­ the­day.
  • Page 149 Time Blocks > Bolus Advice Screen Time Block Start Time Time Block End Time Target Range Lower Target Range Upper Value Value Carb Ratio–Number of Carbs Carb Ratio–Number of Insulin Units scroll­down Insulin Sensitivity– Scroll Bar Number of Insulin Units Insulin Sensitivity–Change in Glucose Level...
  • Page 150 Main Menu > Settings > Bolus Advice j­­ F rom­the­Main­Menu,­select­ j­­ S elect­Bolus­Advice­and­ j­­ I f­you­do­NOT­want­to­set­up­ Settings­and­press­=. press­=. bolus­advice,­select­No­to­ return­to­the­Settings­screen.­ j­­ T o­set­up­bolus­advice,­select­ Yes­and­continue­to­the­next­ step.
  • Page 151 scroll­down To Change Time Blocks: j­­ T o­continue,­select­Next. j­­ S elect­a­time­block­to­edit­and­ press­=. To Change the End Time: j­­ S elect­the­End­Time­entry­field­ and­press­=. j­­ S et­the­End­Time­and­ press­=.
  • Page 152 To Change the Target Range: To Change the Insulin j­­ S elect­the­entry­field­for­the­ Sensitivity: lower­value­of­the­Target­ j­­ S elect­the­entry­field­for­the­ Range­and­press­=. number­of­Insulin­Units­and­ j­­ S et­the­value­and­press­=. press­=. j­­ S elect­the­entry­field­for­the­ j­­ S et­the­number­of­Insulin­Units­ upper­value­of­the­Target­ and­press­=. Range­and­press­=. j­­ S elect­the­entry­field­for­the­ The­carb­ratio­and­insulin­ j­­ S et­the­value­and­press­=. Insulin­Sensitivity­level­and­ sensitivity­are­copied­to­all­time­...
  • Page 153 j­­ R eturn­to­Step­5­to­change­ j­­ S elect­the­End­Time­entry­field­ j­­ S elect­the­End­Time­entry­field­ another­Time­Block. and­press­=. and­press­=. j­­ C ontinue­in­order­to­add­ j­­ S et­the­End­Time­of­the­ j­­ S et­the­End­Time­to­match­the­ or­remove­Time­Blocks,­ selected­time­block­and­press­ start­time­of­the­Time­Block­ otherwise­select­Next­and­ and­press­=. =.­This­will­be­the­start­time­ proceed­to­Step­8.­ of­the­added­time­block. j­­ T o­save­the­changes­and­ j­­ T o­save­the­changes­and­ return­to­the­Time­Blocks­ To Add a Time Block: return­to­the­Time­Blocks­...
  • Page 154 To Change the Acting Time: j­­ S elect­the­Acting­Time­entry­ field­and­press­=.­ j­­ S et­the­Acting­Time­duration­ and­press­=. To Change the Offset Time: j­­ S elect­the­Offset­Time­entry­ field­and­press­=.­ To Change the Health Events: To Change the Meal Rise: j­­ S et­the­Offset­Time­duration­ j­­ S elect­the­entry­field­of­the­ j­­ S elect­the­Meal­Rise­entry­field­ and­press­=.
  • Page 155 j­­ S elect­OK. j­­ T o­return­to­the­Settings­ screen,­select­Back.­...
  • Page 156 Bolus Advice Options Meal­Rise,­Snack­Size,­Acting­Time,­and­Offset­Time­are­Bolus­Advice­Options.­Below­are­detailed­ descriptions­of­each­of­these­settings. Meal Rise During­or­after­meals,­an­increase­in­blood­glucose­levels­is­considered­normal­within­a­certain­range,­even­ though­a­meal­bolus­has­been­delivered.­Enter­the­maximum­increase­in­your­blood­glucose­test­result­that­ is­to­be­tolerated­without­an­additional­correction­bolus. Snack Size The­snack­size­is­the­amount­of­carbohydrates­that­is­not­to­be­counted­as­a­regular­meal­with­the­expected­ meal­rise.­In­this­case­(in­contrast­to­regular­meals),­an­increase­in­your­blood­glucose­test­result­is­not­ tolerated­since­the­meal­rise­factor­is­not­triggered­for­bolus­advice­calculations. Acting Time The­acting­time­is­the­period­of­time­from­the­start­of­the­meal­rise­or­the­delivery­of­a­correction­bolus­­ until­your­blood­glucose­level­is­expected­to­return­to­the­target­level.­You­can­adjust­the­length­of­the­acting­ time­to­your­individual­needs,­within­a­specified­time­interval­(1½­hours­to­8­hours). Offset Time Offset­time­takes­into­account­the­expected­delay­for­the­blood­glucose­level­to­actually­fall­during­the­ acting­time­of­insulin­in­the­body.­...

  • Page 157: Setting Time Blocks, Health Events, Advice Options: Bolus Advice Set Up

    5.6 Setting Time Blocks, Health Events, Advice Options: Bolus Advice Set Up If­bolus­advice­has­been­set­up,­use­this­section­for: •­Adding­or­removing­time­blocks •­Changing­the­time­of­day­when­time­blocks­occur •­Changing­the­values­for­target­range,­carb­ratio,­and­insulin­sensitivity­for­any­time­block •­Changing­health­event­percentages •­Changing­advice­options­(meal­rise,­snack­size,­acting­time,­offset­time) Before­continuing,­it­is­recommended­that­you­review­the­Getting­Started­Guide,­determine­how­many­time­ blocks­you­need,­and­determine­the­start/end­times­for­each­time­block.­To­help­best­manage­your­diabetes,­ talk­to­your­healthcare­professional­about­arranging­your­time­blocks,­including­setting­up­different­blood­ glucose­target­ranges,­carb­ratios,­and­insulin­sensitivities­for­each­time­block.
  • Page 158 Setting Time Blocks–Bolus Advice is Set Up Main Menu > Settings > Bolus Advice > Time Blocks j­­ S elect­Time­Blocks­and­ j­­ F rom­the­Main­Menu,­select­ j­­ S elect­Bolus­Advice­and­ press­=. Settings­and­press­=. press­=.
  • Page 159 j­­ S elect­the­End­Time­entry­field­ To Add or Remove Time j­­ S elect­the­End­Time­entry­field­ and­press­=. Blocks: and­press­=. j­­ S et­the­End­Time­of­the­ If­you­do­not­need­to­add­or­ j­­ S et­the­End­Time­to­match­the­ selected­Time­Block­and­press­ remove­time­blocks,­then­ start­time­of­the­Time­Block­ proceed­to­“To­Change­the­Time­ =.­This­will­be­the­start­time­ and­press­=. of­the­added­time­block. Blocks.” j­­ T o­save­the­changes­and­ j­­ T o­save­the­changes­and­ return­to­the­Time­Blocks­ To Add a Time Block: return­to­the­Time­Blocks­...
  • Page 160 To Change the Target Range: To Change the Insulin j­­ S elect­the­entry­field­for­the­ Sensitivity: lower­value­of­the­Target­ j­­ S elect­the­entry­field­for­the­ Range­and­press­=. number­of­Insulin­Units­and­ j­­ S et­the­value­and­press­=. press­=. j­­ S elect­the­entry­field­for­the­ j­­ S et­the­number­of­Insulin­Units­ upper­value­of­the­Target­ and­press­=. Range­and­press­=. j­­ S elect­the­entry­field­for­the­ To Change the End Time: j­­...
  • Page 161 j­­ T o­change­another­time­block,­ select­the­time­block­and­­ press­=.­Return­to­Step­5. j­­ T o­return­to­the­Bolus­Advice­ screen,­select­Back.
  • Page 162 Setting Health Events–Bolus Advice is Set Up Main Menu > Settings > Bolus Advice > Health Events j­­ F rom­the­Main­Menu,­select­ j­­ S elect­Bolus­Advice­and­ j­­ S elect­Health­Events­and­ Settings­and­press­=. press­=. press­=.
  • Page 163 To Change the Health Events: j­­ S elect­the­entry­field­of­the­ Health­Event­to­be­changed­ and­press­=. j­­ S et­the­percentage­and­ press­=. j­­ R epeat­the­previous­steps­to­ change­other­Health­Events. To save the changes and return to the Bolus Advice screen, select Save.
  • Page 164 Setting Bolus Advice Options–Bolus Advice is Set Up Main Menu > Settings > Bolus Advice > Advice Options j­­ S elect­Advice­Options­and­ j­­ F rom­the­Main­Menu,­select­ j­­ S elect­Bolus­Advice­and­ press­=. Settings­and­press­=. press­=.
  • Page 165 If­you­did­not­change­the­Snack­ To Change the Snack Size: Size,­the­meter­returns­to­the­ j­­ S elect­the­Snack­Size­entry­ Bolus­Advice­screen. field­and­press­=. j­­ S et­the­Snack­Size­amount­ and­press­=. To Change the Acting Time: j­­ S elect­Acting­Time­entry­field­ and­press­=. To Change the Meal Rise: j­­ S et­the­Acting­Time­duration­ j­­ S elect­the­Meal­Rise­entry­field­ and­press­=. and­press­=. j­­ S et­the­Meal­Rise­limit­and­ If­you­changed­the­Snack­Size,­...

  • Page 166: Setting Warning Limits: Hyper, Hypo

    5.7 Setting Warning Limits: Hyper, Hypo You­can­set­blood­glucose­warning­limits­for­hyperglycaemia­(Hyper)­or­hypoglycaemia­(Hypo)­conditions.­ Once­these­blood­glucose­limit­values­have­been­set,­if­your­test­result­is­above­the­hyper­warning­limit,­ the­meter­displays­the­Above­Hyper­Warning­Limit­message:­“Consider­checking­for­ketones,­bG­and­insulin­ regularly.”­If­your­test­result­is­below­the­hypo­warning­limit,­the­meter­displays­the­Below­Hypo­Warning­ Limit­message:­“Eat­fast­carbs­of­at­least­(number­of­carbs)¹­Retest­bG.” The­meter­displays­a­recommended­amount­of­fast­carbohydrates. WARNING This­function­is­no­substitute­for­hyperglycaemia­or­hypoglycaemia­training­by­your­healthcare­professional.
  • Page 167 Main Menu > Settings > Meter > Warning Limits j­­ F rom­the­Main­Menu,­select­ j­­ S elect­Meter­and­press­=. j­­ S elect­Warning­Limits­and­ Settings­and­press­=. press­=.
  • Page 168 To save the changes and return to the Meter Menu screen, select Save. To Change the Hyper Blood Glucose Level: j­­ S elect­the­Hyper­entry­field­ and­press­=. j­­ S et­the­Hyper­(upper)­blood­ glucose­level­and­press­=. To Change the Hypo Blood Glucose Level: j­­ S elect­the­Hypo­entry­field­and­ press­=. j­­ S et­the­Hypo­(lower)­blood­ glucose­level­and­press­=.

  • Page 169: Turning Key Lock On Or Off

    5.8 Turning Key Lock On or Off The­key­lock­feature­allows­you­to­lock­all­of­the­buttons­on­the­meter,­except­for­the­power­on/off­button.­ This­serves­as­a­safety­measure­against­unintentional­activation­of­meter­functions.
  • Page 170 Main Menu > Settings > Meter > Key Lock j­­ F rom­the­Main­Menu,­select­ j­­ S elect­Meter­and­press­=. j­­ S elect­Key­Lock­and­press­=. Settings­and­press­=.
  • Page 171 Key Lock: Important Information j­­ W hen­the­buttons­are­locked,­ you­can­still­turn­the­meter­on­ and­off.­You­can­also­adjust­the­ backlight. j­­ T he­buttons­are­unlocked­ when: j­­ P ress­=­to­display­the­Key­ If­the­buttons­are­locked­when­ •­­ A ­test­strip­is­inserted­into­ Lock­pop-up­menu. you­turn­on­the­meter,­the­Key­ the­meter j­­ S elect­On­or­Off. Lock­screen­is­displayed. •­­ T he­meter­is­turned­on­and­ j­­ T o­unlock­the­buttons,­press­ a­pump­error­or­a­pump­ To save the change and return and­hold­,­and­.­at­the­...

  • Page 172: Setting The Language

    5.9 Setting the Language You­can­select­a­language­from­the­predefined­list.­...
  • Page 173 Main Menu > Settings > Meter > Language j­­ F rom­the­Main­Menu,­select­ j­­ S elect­Meter­and­press­=. j­­ S elect­Language­and­ Settings­and­press­=. press­=.
  • Page 174 j­­ P ress­=­to­display­the­ Language­options. j­­ S elect­the­desired­Language­ and­press­=. To save the change and return to the Meter Menu screen, select Save.

  • Page 175: Setting Units: Carbs

    5.10 Setting Units: Carbs You­can­set­up­the­meter­for­different­carbohydrate­(carbs)­units­(Grams,­BE,­KE,­or­CC).
  • Page 176 Main Menu > Settings > Meter > Units j­­ F rom­the­Main­Menu,­select­ j­­ S elect­Meter­and­press­=. j­­ S elect­Units­and­press­=. Settings­and­press­=.
  • Page 177 NOTE For­more­information­on­the­units­for­carbohydrates­and­ carbohydrate­equivalents,­see­Appendix­B,­“Carb­Units.” j­­ P ress­=­to­display­the­list­of­ units­for­carbs. j­­ S elect­the­units­(Grams,­BE,­ KE,­or­CC)­and­press­=. To save the change and return to the Meter Menu screen, select Save.

  • Page 178: Turning Bluetooth ® Wireless Technology On Or Off

    5.11 Turning Bluetooth Wireless Technology On or Off ® Main Menu > Settings > Meter > Bluetooth j­­ F rom­the­Main­Menu,­select­ j­­ S elect­Meter­and­press­=. j­­ S elect­Bluetooth­and­press­=. Settings­and­press­=.
  • Page 179 j­­ T o­turn­Bluetooth­wireless­ technology­either­On­or­Off,­ press­and­hold­*­until­the­ Bluetooth­wireless­technology­ icon­changes.­Release­*. To save the change and return to the Meter Menu screen, select Back.

  • Page 180: Pairing The Meter And Pump

    5.12 Pairing the Meter and Pump For­complete­pairing­instructions,­see­the­Advanced­Owner’s­Booklet.

  • Page 181: Setting The Beeper, Vibrate, And Key Sound

    5.13 Setting the Beeper, Vibrate, and Key Sound You­can­set­up­the­meter­for­sound­mode­and/or­vibration­mode.­The­meter­features­different­sound­ (beeper)­tones.­Sounds­may­occur­for: •­Button­presses­ •­Errors •­Warnings •­Reminders NOTE •­Beeper­and­vibrate­cannot­both­be­turned­off­at­the­same­time. •­When­Key­Sound­is­on,­the­meter­beeps­each­time­a­button­is­pressed. •­Even­when­the­beeper­is­turned­off,­the­meter­still­beeps­when­an­error­message­occurs. •­­ W hen­in­the­low­battery­condition,­the­meter­uses­the­medium­beeper­level­(if­the­beeper­level­is­ set­to­high)­and­disables­vibrate.­In­the­low­battery­condition,­the­main­menu­screen­will­continue­ to­display­the­icons­for­vibration­and­beeper,­unless­you­have­set­them­to­Off.­After­the­batteries­are­ replaced­with­new­ones,­the­meter­returns­to­the­beeper/vibrate­settings­you­have­set.
  • Page 182 Main Menu > Settings > Sound/Vibrate j­­ F rom­the­Main­Menu,­select­ j­­ S elect­Sound/Vibrate­and­ To Change the Beeper Sound Settings­and­press­=. press­=. Level: j­­ S elect­the­Beeper­entry­field­ and­press­=. j­­ S elect­the­Beeper­Sound­Level­ (Off,­Low,­Medium,­or­High)­ and­press­=. To Turn the Vibration On or Off: j­­ S elect­the­Vibrate­entry­field­ and­press­=. j­­...
  • Page 183 To Change the Key Sound: j­­ S elect­the­Key­Sound­entry­ field­and­press­=. j­­ S elect­the­Key­Sound­mode­ (On­or­Off)­and­press­=. To save the changes and return to the Settings Menu screen, select Save.

  • Page 184: Setting The Time Format, Time, And Date

    5.14 Setting the Time Format, Time, and Date NOTE •­­ I t­is­recommended­you­set­the­date­and­time­on­the­pump­(the­date­and­time­on­the­meter­will­ automatically­synchronize­to­match­the­pump). •­­ C hanging­the­date­and­time­will­impact­the­Trend­Graph­and­the­Trend­Table­(see­“Reporting­Your­ Data­Trends”­in­Section­4.4,­“Reporting­Your­Data”). •­­ F or­12-hour­time­format,­time­is­displayed­as­“HH:MM­A/P”­(example:­3:53­pm)­and­for­24-hour­time­ format,­time­is­displayed­as­“HH:MM”­(example:­15:53)­where­“H”­is­hour­and­“M”­is­minute. •­­ T he­date­format­is­displayed­as­“DD­MMM­YY”­(example:­02­Feb­08)­where­“D”­is­day,­“M”­is­month,­ and­“Y”­is­year.
  • Page 185 Main Menu > Settings > Time/Date j­­ F rom­the­Main­Menu,­select­ j­­ S elect­Time/Date­and­ To Change the Time Format: Settings­and­press­=. press­=. j­­ S elect­the­Time­Format­entry­ field­and­press­=. j­­ S elect­12-hr­or­24-hr­Time­ Format­and­press­=. To Change the Time: j­­ S elect­the­Time­entry­field­and­ press­=. j­­ S et­the­Hour­and­press­=. j­­ S et­the­Minutes­and­press­=. j­­...
  • Page 186 To Change the Date: j­­ S elect­the­Date­entry­field­and­ press­=. j­­ S et­the­Day­and­press­=. j­­ S et­the­Month­and­press­=. j­­ S et­the­Year­and­press­=. To save the changes and return to the Settings Menu screen, select Save.

  • Page 187: Setting Time Blocks: Bolus Advice Not Set Up

    5.15 Setting Time Blocks: Bolus Advice Not Set Up This­section­is­for­changing,­adding,­and­removing­time­blocks­only­if­bolus­advice­has­not­been­set­up.­ For­each­time­block,­you­can­set­up­different­blood­glucose­target­ranges.­It­is­suggested­that­you­review­ the­Getting­Started­Guide­before­continuing.­Prior­to­setting­up­time­blocks,­it­is­recommended­that­you­ determine­how­many­time­blocks­you­need­and­also­determine­the­start/end­times.­Talk­to­your­healthcare­ professional­about­arranging­your­time­blocks­in­order­to­help­best­manage­your­diabetes.­ Target Range Lower Value Time Block End Time Target Range Upper Value...
  • Page 188 Change End Time, Target Range Lower Value, and/or Target Range Upper Value Main Menu > Settings > Time Blocks j­­ S elect­the­time­block­to­edit­ j­­ F rom­the­Main­Menu,­select­ Time­Blocks­does­not­appear­if­ and­press­=. Settings­and­press­=. bolus­advice­has­been­set­up. j­­ S elect­Time­Blocks­and­ press­=.
  • Page 189 To save the changes and return to the Time Blocks screen, select Save. To Change the End Time: j­­ R epeat­Steps­3­and­4­to­ j­­ S elect­the­End­Time­entry­field­ change­another­time­block.­ and­press­=. Otherwise,­select­Back­to­ j­­ S et­the­End­Time­and­ return­to­the­Settings­screen. press­=. To Change the Target Range: j­­ S elect­the­entry­field­for­the­ lower­value­of­the­Target­...
  • Page 190 NOTE •­­ W hen­you­set­the­end­time,­the­meter­sets­this­end­time­as­the­start­time­for­the­next­time­block. •­The­end­time­can­be­set­in­30-minute­increments.­ •­To­cancel­changes­press­,.
  • Page 191 Add a Time Block Main Menu > Settings > Time Blocks j­­ S elect­the­last­time­block­ j­­ F rom­the­Main­Menu,­select­ Time­Blocks­does­not­appear­if­ Settings­and­press­=. bolus­advice­has­been­set­up. and­press­=. j­­ S elect­Time­Blocks­and­ press­=.
  • Page 192 j­­ U pdate­the­End­Times­and­ Target­Ranges­for­all­time­ blocks,­as­needed.­See­ “Change­End­Time,­Target­ Range­Lower­Value,­and/or­ Target­Range­Upper­Value”­in­ this­section. j­­ S elect­the­End­Time­entry­field­ and­press­=. j­­ S et­the­End­Time­of­the­ selected­Time­Block­and­­ press­=.­This­will­be­the­start­ time­of­the­added­time­block. To save the changes and return to the Time Blocks screen, select Save.
  • Page 193 Remove a Time Block Main Menu > Settings > Time Blocks j­­ F rom­the­Main­Menu,­select­ Time­Blocks­does­not­appear­if­ j­­ S elect­the­Time­Block­you­ want­to­remove­and­press­=. Settings­and­press­=. bolus­advice­has­been­set­up. j­­ S elect­Time­Blocks­and­ press­=.
  • Page 194 j­­ U pdate­the­End­Times­ and­Target­Ranges­for­the­ remaining­time­blocks,­as­ needed. See­“Change­End­ Time,­Target­Range­Lower­ Value,­and/or­Target­Range­ Upper­Value”­in­this­section. j­­ S elect­the­End­Time­entry­field­ and­press­=. j­­ S et­the­End­Time­to­match­the­ start­time­of­the­Time­Block­ and­press­=. To save the changes and return to the Time Blocks screen, select Save.

  • Page 195: Backlight Settings

    5.16 Backlight Settings The­backlight­on­your­Accu-Chek­Aviva­Combo­Meter­helps­you­read­the­information­on­the­meter­display­ under­different­lighting­conditions.­You­can­adjust­the­backlight­level­by­pressing­the­backlight­button­on­the­ front­of­the­meter.­The­backlight­adjusts­from­low,­to­medium,­to­high,­and­back­to­low­again. Backlight Button­ Press­to­adjust­the­backlight­level.
  • Page 196 NOTE •­­ W hen­the­meter­is­turned­on,­the­backlight­is­set­to­medium. •­­ W hen­the­backlight­is­set­to­high­or­medium­and­no­button­activity­has­occurred­for­approximately­ 15­seconds,­the­meter­goes­to­low­backlight­(to­conserve­battery­life).­The­meter­restores­the­original­ backlight­setting­when­you­press­a­button,­insert­a­test­strip,­or­when­the­meter­displays­the­bG­Results­ screen. •­­ W hen­in­the­low­battery­condition,­the­meter­uses­the­medium­backlight­level­(if­the­backlight­level­is­ set­to­high).­After­the­batteries­are­replaced­with­new­ones,­the­meter­again­allows­the­high­backlight­ setting. •­­ T he­backlight­button­is­disabled­during­a­blood­glucose­test,­a­control­test,­and­when­the­meter­is­ transferring­data.

  • Page 197: Icons, Reminders, Warnings, And Errors

    Icons, Reminders, Warnings, and Errors 6.1­Overview­ 6.2­List­of­Icons­ 6.3­­ C onfirming­a­Reminder,­Warning,­or­Error­ 6.4­List­of­Reminders­ 6.5­List­of­Warnings­ 6.6­List­of­Errors­...

  • Page 198: Overview

    6.1 Overview This­chapter­provides­you­with­detailed­listings­of­all­the­icons,­reminders,­warnings,­and­errors­included­in­ the­meter. NOTE Blood­glucose­and­bG­are­interchangeable­and­mean­the­same­thing.

  • Page 199: List­of­icons

    6.2 List of Icons The­icons­and­icon­names­in­the­meter­are: Icon Name Icon Icon Name Icon Active­Insulin Control­Test Add­Data Date Analyzing Download­(Data­Transfer) Beeper Error Blood­Glucose­Averages Extended­Bolus­Not­Confirmed Blood­Glucose­Test Extended­Bolus­Confirmed Bluetooth­Wireless­Technology­Enabled Health Bolus­Advice Low­Battery Bolus­Advice­(Settings) Meal­Time Carbs Meter...
  • Page 200 Icon Name Icon Icon Name Icon Meter­(Settings) Sound/Vibrate­(Settings) Multiwave­Bolus­Not­Confirmed Standard­Bolus­Not­Confirmed Multiwave­Bolus­Confirmed Standard­Bolus­Confirmed My­Data Time Pen/Syringe­Bolus Time­Block­(Settings) Time­Change Pump Time/Date­(Settings) Reminder Vibrate Reminders­(Settings) View­Data Reports Warning Settings...

  • Page 201: Confirming A Reminder, Warning, Or Error

    6.3 Confirming a Reminder, Warning, or Error To­confirm­(or­dismiss)­most­reminders­or­warnings,­press­..­Some­error­messages­require­a­different­ confirmation,­such­as­“Retest­with­new­Strip”­or­“Replace­batteries­now.”­To­place­some­reminders­in­the­ snooze­mode,­press­,.­See­the­following­sections­for­more­details­on­a­specific­reminder,­warning,­or­error.­...

  • Page 202: List Of Reminders

    6.4 List of Reminders Reminder Screen Example Reminder Icon Reminder Title Snooze Reminder Message Reschedule­the­reminder.­ This­is­not­available­for­all­ Dismiss reminders. NOTE •­The­meter­beeps­when­it­displays­any­reminder­if­the­beeper­setting­is­on. •­­ T he­meter­vibrates­when­it­displays­any­of­the­following­reminders­if­the­vibrate­setting­is­on:­After­ Meal­Retest,­bG­Test,­High­bG­Retest,­Low­bG­Retest,­and­Other.
  • Page 203 For­instructions­on­how­to­set­up­meter­reminders,­see­Chapter­5,­“Changing­Meter­Settings.”­The­reminders­ available­on­the­meter­are: Reminder Title Reminder Message Left Soft Key Right Soft Key Snooze Time After­Meal­Retest Carbs­entry­higher­than­Snack­ Snooze Dismiss 5­minutes Size­setting.­Retest. bG­Test It­is­time­for­your­scheduled­bG­ Snooze Dismiss 15­minutes test Dr.­Visit­Today If the Dr. Visit time has been Dismiss set: You­have­a­Dr.­Appointment­ today­at­(Settings­Dr.­Visit­Time) Or, if the Dr. Visit time has not been set: You­have­a­Dr.­Appointment­...
  • Page 204 Reminder Title Reminder Message Left Soft Key Right Soft Key Snooze Time Dr.­Visit­Tomorrow If the Dr. Visit time has been Dismiss set: You­have­a­Dr.­Appointment­ tomorrow­at­(Settings­Dr.­Visit­ Time)¹ Or, if the Dr. Visit time has not been set: You­have­a­Dr.­Appointment­ tomorrow High­bG­Retest High­bG­Result­on­last­test.­ Snooze Dismiss 15­minutes Retest.
  • Page 205 Reminder Title Reminder Message Left Soft Key Right Soft Key Snooze Time If the lab test time has been Lab­Test­Today Dismiss set: You­have­a­Lab­Test­today­at­ (Settings­Lab­Test­Time) Or, if the lab test time has not been set: You­have­a­Lab­Test­today Lab­Test­Tomorrow If the lab test time has been Dismiss set: You­have­a­Lab­Test­tomorrow­at­...
  • Page 206 Reminders: Important Information •­­ W hen­two­or­more­event­reminders­occur­at­the­same­time,­the­meter­displays­the­event­reminder­with­ the­highest­priority­first: 1.­bG­Test­Reminders­(After­High­bG,­After­Low­bG,­and­After­Meal) 2.­Alarm­Clock­Reminders­(bG­Test­and­Other) 3.­Date­Reminders­(Dr.­Visit,­Lab­Test,­and­Infusion­Set­Change) The­following­occur­when­the­particular­reminder­is­enabled­and­scheduled: Dr. Visit Today, Dr. Visit Tomorrow, Lab Test Today, and Lab Test Tomorrow Reminders •­Displayed­when­you­turn­on­the­meter­and­a­test­strip­has­not­been­inserted. •­Dismiss­the­reminder­either­by­pressing­.­or­by­inserting­a­test­strip. Infusion Set Change Reminder •­Displayed­when­you­turn­on­the­meter­and­a­test­strip­has­not­been­inserted. •­Dismiss­the­reminder­by­pressing­.. •­Snooze­the­reminder­either­by­pressing­,­or­by­inserting­a­test­strip.
  • Page 207 Low bG Retest Reminder •­­ W hen­your­blood­glucose­test­result­is­less­than­the­low­blood­glucose­threshold­setting­you­have­set­up­ (see­Chapter­5,­“Changing­Meter­Settings”),­then­the­meter­schedules­a­Low­bG­Retest­reminder­for­the­ time­duration­you­have­set­up.­The­meter­maintains­the­duration­of­this­scheduled­reminder­regardless­of­ meter­time­and­date­changes. •­­ A t­the­scheduled­time,­the­meter­turns­on­and­displays­the­reminder­(if­a­test­strip­has­not­been­inserted). •­­ I f­the­meter­is­already­on­when­the­reminder­is­scheduled­and­no­blood­glucose­test­was­performed,­the­ reminder­is­displayed­when­the­meter­powers­down. •­­ W hen­the­meter­displays­the­reminder­and­you­do­not­press­any­meter­buttons­within­30­seconds,­the­ meter­turns­off­and­displays­the­reminder­again­in­2­minutes.­After­the­fourth­time­the­meter­displays­the­ reminder,­then­the­meter­dismisses­the­reminder. •­Dismiss­the­reminder­by­pressing­.. •­Snooze­the­reminder­for­5­minutes­either­by­pressing­,­or­by­inserting­a­test­strip. •­­ W hen­you­perform­a­blood­glucose­test,­the­meter­dismisses­any­Low­bG­Retest­reminders­pending­within­ the­next­30­minutes.­If­necessary,­a­new­reminder­is­scheduled­based­upon­the­blood­glucose­test­result.
  • Page 208 High bG Retest Reminder •­­ W hen­your­blood­glucose­test­result­is­greater­than­the­high­blood­glucose­threshold­setting­you­have­set­ up­(see­Chapter­5,­“Changing­Meter­Settings”),­then­the­meter­schedules­a­High­bG­Retest­reminder­for­ the­time­duration­you­have­set­up.­The­meter­maintains­the­duration­of­this­scheduled­reminder­regardless­ of­meter­time­and­date­changes. •­­ A t­the­scheduled­time,­the­meter­turns­on­and­displays­the­reminder­(if­a­test­strip­has­not­been­inserted). •­­ I f­the­meter­is­already­on­when­the­reminder­is­scheduled­and­no­blood­glucose­test­was­performed,­the­ reminder­is­displayed­when­the­meter­powers­down. •­­ W hen­the­meter­displays­the­reminder­and­you­do­not­press­any­meter­buttons­within­30­seconds,­the­ meter­turns­off­and­displays­the­reminder­again­in­2­minutes.­After­the­fourth­time­the­meter­displays­the­ reminder,­then­the­meter­dismisses­the­reminder. •­Dismiss­the­reminder­by­pressing­.. •­Snooze­the­reminder­for­15­minutes­either­by­pressing­,­or­by­inserting­a­test­strip. •­­ W hen­you­perform­a­blood­glucose­test,­the­meter­dismisses­any­High­bG­Retest­reminders­pending­within­ the­next­30­minutes.­If­necessary,­a­new­reminder­is­scheduled­based­upon­the­blood­glucose­test­result.
  • Page 209 After Meal Reminder •­­ W hen­you­enter­carbohydrates­into­the­diary­through­one­of­the­following­screens­and­the­carbohydrates­ entered­are­greater­than­the­Snack­Size­setting,­then­the­meter­schedules­an­After­Meal­reminder­for­ the­time­duration­you­have­set­up­(see­Chapter­5,­“Changing­Meter­Settings”).­The­meter­maintains­the­ duration­of­this­scheduled­reminder­regardless­of­meter­time­and­date­changes. •­Add­Data­screen­(see­Chapter­4,­“Managing­Your­Data”) •­Modify­Data­screen­(see­Chapter­4,­“Managing­Your­Data”) •­Detailed­bG­Result­screen­(see­Chapter­2,­“Testing­Your­Blood­Glucose”) •­Bolus­Advice­screen­(see­the­Advanced­Owner’s­Booklet) •­­ A t­the­scheduled­time,­the­meter­turns­on­and­displays­the­reminder­(if­a­test­strip­has­not­been­inserted). •­­ I f­the­meter­is­already­on­when­the­reminder­is­scheduled­and­no­blood­glucose­test­was­performed,­the­ reminder­is­displayed­when­the­meter­powers­down. •­­ W hen­the­meter­displays­the­reminder­and­you­do­not­press­any­meter­buttons­within­30­seconds,­the­ meter­turns­off­and­displays­the­reminder­again­in­2­minutes.­After­the­fourth­time­the­meter­displays­the­ reminder,­then­the­meter­dismisses­the­reminder. •­Dismiss­the­reminder­by­pressing­.. •­Snooze­the­reminder­for­5­minutes­either­by­pressing­,­or­by­inserting­a­test­strip. •­­ W hen­you­perform­a­blood­glucose­test,­the­meter­dismisses­any­After­Meal­reminders­pending­within­the­ next­30­minutes.­If­necessary,­a­new­reminder­is­scheduled­based­upon­the­blood­glucose­test­result.
  • Page 210 Alarm Clock Reminders for bG Test and Other •­­ A t­the­scheduled­time,­the­meter­turns­on­and­displays­the­reminder­(if­a­test­strip­has­not­been­inserted). •­­ W hen­the­meter­displays­an­Alarm­Clock­reminder­and­you­do­not­press­any­meter­buttons,­­ after­30­seconds­the­meter­turns­off­and­displays­the­reminder­again­in­2­minutes.­After­the­fourth­time­ the­meter­displays­the­reminder,­then­the­meter­dismisses­the­reminder. • bG Test Alarm Clock Reminder •­­ I f­the­meter­is­already­on­when­the­reminder­is­scheduled­and­no­blood­glucose­test­was­performed,­ the­reminder­is­displayed­when­the­meter­powers­down. •­Dismiss­all­active­bG­Test­reminders­by­pressing­.. •­Snooze­the­reminder­for­15­minutes­either­by­pressing­,­or­by­inserting­a­test­strip. •­­ W hen­you­perform­a­blood­glucose­test,­the­meter­dismisses­any­bG­Test­reminders­that­have­been­ snoozed­or­that­are­pending­within­the­next­30­minutes.
  • Page 211 • Other Alarm Clock Reminder •­­ I f­the­meter­is­already­on­when­the­reminder­is­scheduled,­the­reminder­is­displayed­when­the­meter­ powers­down. •­Dismiss­this­reminder­either­by­pressing­.­or­by­inserting­a­test­strip. •­Snooze­the­reminder­for­15­minutes­by­pressing­,.­...

  • Page 212: List Of Warnings

    6.5 List of Warnings Warning Screen Example Warning Icon Warning Title Warning Message Only­shown­on­a­few­ Yes or OK warning­screens NOTE The­meter­beeps­when­it­displays­a­warning­if­the­beeper­setting­is­on.
  • Page 213 The­warnings­the­meter­may­display­are: Warning Title Warning Message Left Soft Key Right Soft Key Above­Hyper­Warning­ Consider­checking­for­ketones,­bG­and­ Limit insulin­regularly Beep/Vibrate­Off Beep­and­Vibrate­settings­cannot­both­be­ turned­off­at­same­time Below­Hypo­Warning­Limit Eat­fast­carbs­of­at­least­(number­of­carbs) 1­ Retest­bG Bolus­Advice Bolus­Advice­data­deleted Bolus­Advice­Not­Setup Advice­not­provided­unless­setup­through­ Bolus­Advice­in­Settings Bolus­Advice­Timeout Bolus­Advice­no­longer­possible­for­this­bG­ result Bolus­Delivery­Unavailable Communication­lost.­Retry­or­set­to­Manual­ Pump. Bolus­Delivery­Unavailable Pump­unable­to­start­Bolus.­See­Pump. Bolus­Delivery­Unavailable Pump­currently­in­Stop­mode...
  • Page 214 Warning Title Warning Message Left Soft Key Right Soft Key Bolus­Too­High Bolus­above­allowed­amount.­Bolus­set­to­ maximum. Bolus­Too­Low Bolus­below­allowed­amount.­Bolus­set­to­ minimum. Calculation­Out­of­Range No­Bolus­Advice­available Carbohydrate­Ratio Carb­Ratio­seems­unusual.­Check­entries. Code­Key­Missing Turn­off­Meter­and­insert­valid­Code­Key² Communication­Lost See­Pump Communication­Warning Pump­data­not­available,­Active­Insulin­may­ not­be­accurate Communication­Warning Pump­data­not­available,­recent­Bolus­data­ may­not­be­accurate Connection­Lost Ensure­Pump­is­within­range­of­Meter...
  • Page 215 Warning Title Warning Message Left Soft Key Right Soft Key Connection­Lost Restart­Meter,­select­“Settings”,­“Meter”,­ “Pair­with­Pump” Corrupt­Language Choose­another­language Diary­Entry­Used­For­ Diary­entry­used­for­Advice,­modifications­ Advice not­allowed Diary­Results­Expired New­data­cannot­be­saved­with­this­record HI­bG­Warning Consider­checking­bG,­ketones­and­insulin Incorrect­Pump­Time/Date Pump­time/date­incorrect.­Set­time/date­on­ the­Pump. Infrequent­Pump­ Two­weeks­since­last­communication­with­ Communication Pump Insulin­Sensitivity Insulin­Sensitivity­seems­unusual.­Check­ entries. Invalid­Active­Insulin Unable­to­calculate­the­Active­Insulin.­Bolus­ Advice­not­available. Invalid­Bolus­Advice­ Acting­time­must­be­greater­than­or­equal­ Times to­offset­time...
  • Page 216 Warning Title Warning Message Left Soft Key Right Soft Key Invalid­Date Reenter­valid­date Invalid­Hyper­Values Hyper­value­must­be­greater­than­Time­ Block­target­ranges Invalid­Hypo­Values Hypo­value­must­be­less­than­Time­Block­ target­ranges Invalid­PIN Reenter­PIN­shown­on­Pump­display Invalid­Record­Time/Date Record­time/date­must­be­older­than­the­ current­meter­time/date Invalid­Target­Range Lower­target­range­value­above­upper­ target­range­value Invalid­Target­Range Range­selected­conflicts­with­Hyper­and/or­ Hypo­Warning­Limit­settings LO­bG­Warning Retest­bG.­Contact­your­doctor. Meter­and­Pump­Not­ Pair­with­Pump­to­use­this­feature Paired Meter­Battery­Low Replace­soon.­No­Pump­connection.
  • Page 217 Warning Title Warning Message Left Soft Key Right Soft Key No­bG­with­Bolus Consider­testing­bG­before­delivering­ Insulin.­Continue? Pairing­Failed Restart­Meter,­select­“Settings”,­“Meter”,­ “Pair­with­Pump” Pump­Not­Available Ensure­Bluetooth­is­on­and­Pump­is­within­ range­of­Meter Test­Strips­Expiring Change­Code­Key­and­Strips­soon² Time­Mismatch Meter­time­has­been­changed­by­more­than­ 5­minutes­to­match­Pump The­meter­displays­a­recommended­amount­of­fast­carbohydrates. ­ O n­the­meter­display,­the­activation­chip­is­referred­to­as­a­code­key.­Code­key­and­activation­chip­are­ interchangeable­and­mean­the­same­thing.­If­you­need­an­activation­chip,­please­contact­Roche. The­meter­keeps­its­current­date­and­time.­The­meter­turns­off­Bluetooth­wireless­technology­communication­ ­ 3­ for­this­session.

  • Page 218: List Of Errors

    6.6 List of Errors Error Screen Example Error Icon Error Title Menu Error Message This­option­is­not­available­ for­all­errors. NOTE The­meter­beeps­when­it­displays­an­error,­even­if­the­beeper­setting­is­turned­off.
  • Page 219 The­errors­the­meter­may­display­are: Error Title Error Message Left Soft Key Right Soft Key E-51 Reinsert­or­replace­with­new­Strip Bad­Strip­Error E-52 Turn­Meter­off,­reinsert­or­replace­Code­­ Menu Code­Key­Error E-53 Retest­with­new­Strip Bad­Test­Error E-54 Retest­with­new­Strip Not­Enough­Sample E-55 Turn­Meter­off,­replace­Code­Key­and­ Menu Code­Key­Expired Strips E-56 Retest­with­new­Strip Sample­Applied­Early E-57 Remove­batteries,­wait­20­seconds,­replace­ Electronic­Error batteries E-58 Move­Meter­to­correct­temperature­and­ Menu Temp.­Error wait­5­minutes...
  • Page 220 Error Title Error Message Left Soft Key Right Soft Key E-59 Replace­batteries­now Battery­Empty E-60 Correct­time/date­if­necessary Menu Time/Date­Error ­ O n­the­meter­display,­the­activation­chip­is­referred­to­as­a­code­key.­Code­key­and­activation­chip­are­ 1­ interchangeable­and­mean­the­same­thing.­If­you­need­an­activation­chip,­please­contact­Roche. “Menu”­is­only­displayed­when­the­meter­is­in­a­bG­test­screen. 2­ “OK”­is­only­displayed­after­the­Splash­screen­(Accu-Chek­logo­screen). ­­ I f­the­meter­is­powering­up,­then­“OK”­is­displayed­above­the­right­soft­key­and­“Menu”­is­not­displayed­ above­the­left­soft­key.­...

  • Page 221: Care And Maintenance

    Care and Maintenance 7.1­Overview­ 7.2­Changing­the­Batteries­ 7.3­Power-Saving­Tips­ 7.4­Cleaning­the­Meter­ 7.5­Maintenance­and­Testing­...

  • Page 222: Overview

    7.1 Overview It­is­important­to­properly­care­for­and­maintain­your­Accu-Chek­Aviva­Combo­Meter.­If­you­have­any­ questions­about­the­care­and­maintenance­of­your­meter,­contact­Roche.

  • Page 223: Changing­the­batteries

    7.2 Changing the Batteries j­­ R emove­the­battery­door­ j­­ R emove­the­old­batteries­from­ ­­ P ut­the­battery­door­back­in­ from­the­back­of­the­meter­by­ the­meter. place­and­snap­it­closed. pushing­the­tab­in­the­direction­ j­­ I nsert­three­AAA­batteries­with­ of­the­arrow­and­pulling­up­ the­+­and­-­ends­matching­ the­door.­ the­marks­in­the­battery­ compartment.­...
  • Page 224 WARNING •­­ U sing­batteries­other­than­those­supplied­or­recommended­for­use­with­the­meter­may­significantly­ reduce­the­life­of­the­batteries.­Batteries­other­than­those­recommended­may­leak­and­corrode­ the­battery­contacts­within­the­meter.­Using­batteries­not­supplied­or­recommended­may­void­the­ warranty. •­­ R eplace­all­batteries­of­a­set­at­the­same­time.­Newly­purchased­batteries­should­not­be­mixed­with­ partially­exhausted­ones.­Batteries­of­different­electrochemical­systems,­grades,­or­brands­should­ not­be­mixed.­Failure­to­observe­these­precautions­may­result­in­some­batteries­in­a­set­being­driven­ beyond­their­normal­exhaustion­point­and­thus­increase­the­probability­of­leakage.
  • Page 225 NOTE •­­ A lkaline­batteries­are­recommended­for­use­with­the­meter. •­­ A fter­you­change­the­batteries,­the­meter­prompts­you­to­confirm­the­time­and­date­settings. •­It­is­a­good­idea­to­have­spare,­packaged­batteries­available. •­­ A ll­test­results,­diary­information,­and­settings­are­saved­in­the­meter­memory­when­the­batteries­are­ replaced. •­The­meter­remains­paired­with­the­pump­when­you­remove­and­replace­the­batteries. •­­ R echargeable­batteries­may­be­used­in­the­meter.­However,­rechargeable­batteries­may­not­maintain­ the­same­battery­life­as­non-rechargeable­batteries. •­When­the­Low­Battery­warning­appears: •­Bluetooth­wireless­technology­communication­is­disabled. •­If­vibrate­is­set­to­On,­it­is­disabled­until­the­batteries­are­replaced. •­I­ f ­the­backlight­level­is­set­to­high,­the­medium­backlight­level­is­used­until­the­batteries­are­ replaced. •­If­the­beeper­level­is­set­to­high,­the­medium­beeper­level­is­used­until­the­batteries­are­replaced.

  • Page 226: Power-Saving Tips

    7.3 Power-Saving Tips To­conserve­battery­life: •­Use­the­low­beeper­setting •­Only­turn­on­the­vibration­feature­when­it­is­needed •­­ T urn­off­the­meter­when­you­are­finished­rather­than­utilizing­the­auto­power­off­feature...

  • Page 227: Cleaning The Meter

    7.4 Cleaning the Meter Caring­for­the­meter­is­easy:­just­keep­it­free­of­dust.­If­you­need­to­clean­it,­follow­these­guidelines­carefully­ to­help­you­get­the­best­performance­possible: •­Ensure­the­meter­is­off •­Gently­wipe­the­meter’s­surface­with­a­soft­cloth­slightly­dampened­with­one­of­these­cleaning­solutions: -­70­%­isopropyl­alcohol -­Mild­dishwashing­liquid­mixed­with­water -­10­%­household­bleach­solution­(1­part­bleach­plus­9­parts­water)­made­the­same­day •­Squeeze­out­any­excess­liquid­from­the­cloth­before­you­wipe­the­meter­surface •­Get­any­moisture­in­the­activation­chip­slot­or­test­strip­slot •­Spray­any­cleaning­solution­directly­onto­the­meter •­Put­the­meter­under­water­or­liquid •­Pour­liquid­into­the­meter For instructions on how to clean the pump, see the Accu-Chek Spirit Combo Insulin Pump User Guide.

  • Page 228: Maintenance And Testing

    7.5 Maintenance and Testing •­­ T he­meter­needs­little­or­no­maintenance­with­normal­use.­It­automatically­tests­its­own­systems­every­ time­you­turn­it­on­and­lets­you­know­if­something­is­wrong.­For­detailed­information­on­troubleshooting­the­ meter,­see­Chapter­8,­“Troubleshooting.” •­­ I f­you­drop­the­meter­or­think­it­is­not­giving­accurate­results,­ensure­your­test­strips­and­control­solution­ have­not­expired,­and­then­perform­a­control­test. •­Perform­a­control­test­with­each­new­vial­of­test­strips. •­­ T o­test­the­meter­display,­turn­off­the­meter,­and­then­press­and­hold­+.­The­display­cycles­through­colours­ (red,­blue,­green,­and­white).­If­any­part­of­the­display­does­not­change­colours,­contact­Roche. •­If­the­meter­is­not­working­properly,­contact­Roche.

  • Page 229: Troubleshooting

    Troubleshooting 8.1­Overview­ 8.2­­ T roubleshooting­the­Accu-Chek­Aviva­Combo­Meter­...

  • Page 230: Overview

    8.1 Overview For­most­problems,­the­meter­displays­a­message­with­a­short­description­of­the­symptom­and,­along­with­it,­ a­proposed­solution.­This­chapter­goes­into­more­detail­by­describing­the­symptom,­the­possible­cause,­and­ the­possible­solution.­If­the­possible­solutions­do­not­fix­the­problem,­contact­Roche. WARNING Never­make­treatment­decisions­based­on­a­warning­or­error­message.­If­you­have­any­concerns,­ contact­Roche. NOTE •­­ I f­you­drop­the­meter­or­think­it­is­not­giving­accurate­results,­make­sure­your­test­strips­and­control­ solution­have­not­expired,­and­then­perform­a­control­test.­For­further­assistance,­contact­Roche. •­Blood­glucose­and­bG­are­interchangeable­and­mean­the­same­thing.

  • Page 231: Troubleshooting The Accu-Chek Aviva Combo Meter

    8.2 Troubleshooting the Accu-Chek Aviva Combo Meter Display Shows Possible Cause(s) Possible Solution(s) The­display­is­blank­ j­­ B atteries­are­dead. j­­ I nstall­new­batteries.­See­Chapter­7,­“Care­and­ or­the­meter­will­ Maintenance.” not­turn­on. j­­ D isplay­is­damaged. j­­ C ontact­Roche. j­­ M eter­is­defective. j­­ C ontact­Roche. j­­ E xtreme­temperature­–­the­ j­­ M ove­the­meter­to­an­area­with­proper­temperature.­...
  • Page 232 Display Shows Possible Cause(s) Possible Solution(s) Above­Hyper­ j­­ Y our­test­result­is­above­the­ j­­ T reat­your­high­blood­glucose­as­recommended­by­ Warning­Limit hyper­warning­limit­set­in­the­ your­healthcare­professional. meter. j­­ C onsider­checking­bG,­ketones,­and­insulin. j­­ S ee­the­pump­User­Guide­for­additional­solutions. Beep/Vibrate­Off j­­ B eep­and­Vibrate­settings­ j­­ ­ E nsure­that­either­the­Beep­or­Vibrate­setting­is­ cannot­be­turned­off­at­the­ turned­on.­See­Chapter­5,­“Changing­Meter­ same­time. Settings.” Below­Hypo­ j­­ Y our­test­result­is­below­the­ j­­ T reat­your­low­blood­glucose­as­recommended­by­ Warning­Limit hypo­warning­limit­set­in­the­...
  • Page 233 Display Shows Possible Cause(s) Possible Solution(s) Bolus­Advice­Not­ j­­ A dvice­is­not­provided­unless­it­ j­­ Y ou­can­continue­to­use­the­meter­without­bolus­ Setup is­set­up­through­Bolus­Advice­ advice­or­see­Chapter­5,­“Changing­Meter­Settings”­ in­Settings­Menu. for­instructions­on­how­to­set­up­bolus­advice. Bolus­Advice­ j­­ ­ B olus­advice­is­no­longer­ j­­ R eview­data­that­was­saved­in­My­Data.­Then,­decide­ Timeout available­for­this­bG­result. to­modify­data,­add­data,­or­begin­a­new­bolus­advice­ session. Bolus­Delivery­ j­­ T he­meter­cannot­ j­­ R etry­or­set­to­Manual­Pump. Unavailable communicate­with­the­pump. j­­ E nsure­the­meter­and­pump­have­Bluetooth­wireless­ technology­turned­on.
  • Page 234 Display Shows Possible Cause(s) Possible Solution(s) Bolus­Too­High j­­ T he­bolus­is­above­the­ j­­ C heck­the­accuracy­of­all­entries.­If­necessary,­ allowed­amount.­The­bolus­ contact­your­healthcare­professional. was­set­to­50­Units. Bolus­Too­Low j­­ T he­insulin­pump­cannot­ j­­ T he­pump­will­adjust­the­bolus­to­0.2­Units. deliver­a­0.1­Unit­of­multiwave­ bolus. Carbohydrate­Ratio j­­ C arbohydrate­ratio­is­outside­ j­­ C heck­your­entries­and­contact­your­healthcare­ of­the­acceptable­meter­ professional­to­determine­the­appropriate­settings. range. Code­Key­Missing j­­ T he­activation­chip­is­not­ j­­ T urn­the­meter­off­and­insert­the­activation­chip.­If­ inserted.
  • Page 235 Display Shows Possible Cause(s) Possible Solution(s) Communication­ j­­ C ommunication­of­bolus­data­ j­­ E nsure­the­meter­and­pump­have­Bluetooth­wireless­ Warning from­the­pump­was­not­ technology­turned­on. successful.­Therefore,­pump­ j­­ E nsure­the­meter­and­pump­are­within­ data­are­not­available­and­the­ communication­range. bolus­data­may­not­be­ j­­ I f­the­low­battery­icon­is­displayed­on­the­meter,­the­ accurate. meter­cannot­communicate­with­the­pump.­Replace­ j­­ C ommunication­of­bolus­data­ the­batteries. from­the­pump­was­not­ successful.­Therefore,­pump­ data­are­not­available­and­the­ active­insulin­amount­may­not­ be­accurate.
  • Page 236 Display Shows Possible Cause(s) Possible Solution(s) Connection­Lost j­­ T he­connection­was­lost­ j­­ R estart­the­pairing­process.­See­the­Advanced­ between­the­meter­and­the­ Owner’s­Booklet. pump­during­the­pairing­ process.­Therefore,­the­ attempt­to­pair­the­meter­and­ pump­was­unsuccessful. j­­ P ump­is­out­of­range­of­the­ j­­ E nsure­the­meter­and­pump­have­Bluetooth wireless­ meter. technology turned­on. j­­ E nsure­the­meter­and­pump­are­within­ communication­range. j­­ I f­the­low­battery­icon­is­displayed­on­the­meter,­the­ meter­cannot­communicate­with­the­pump.­Replace­ the­batteries. Diary­Entry­Used­ j­­ T he­diary­entry­selected­has­ j­­...
  • Page 237 Display Shows Possible Cause(s) Possible Solution(s) E-51­Bad­Strip­ j­­ Y our­blood­glucose­may­be­ If­you­see­this­error­message­after­you­applied­blood Error extremely­low.­ to­the­test­strip: j­­ I f­you­are­experiencing­any­of­the­common­ symptoms­of­low­blood­sugar,­contact­your­ healthcare­professional­immediately. j­­ T reat­your­low­blood­sugar­as­recommended­by­ your­healthcare­professional. j­­ I f­this­does­not­match­how­you­feel,­repeat­the­ blood­glucose­test­and­see­Chapter­2,­“Testing­Your­ Blood­Glucose.” j­­ T he­test­strip­is­damaged. If­you­see­this­error­message­before­you­applied­ j­­ T he­test­strip­is­not­properly­ blood­to­the­test­strip: inserted­into­the­meter. j­­ R emove­the­test­strip­and­reinsert­it,­or­replace­it­if­ damaged.­If­the­message­reappears,­contact­...
  • Page 238 Display Shows Possible Cause(s) Possible Solution(s) E-53­Bad­Test­ j­­ A ­meter­or­test­strip­error­has­ j­­ D iscard­the­test­strip­and­repeat­the­test. Error occurred. j­­ Y our­blood­glucose­may­be­ j­­ I f­this­matches­how­you­feel,­contact­your­ extremely­high. healthcare­professional­immediately.­If­it­does­not­ match­how­you­feel,­repeat­the­blood­glucose­test­ and­see­Chapter­2,­“Testing­Your­Blood­Glucose.”­If­ this­still­does­not­match­the­way­you­feel,­run­a­ control­test­with­your­control­solution­and­a­new­ test­strip.­If­the­control­result­is­within­the­ acceptable­range,­review­the­proper­testing­ procedure­and­repeat­your­blood­glucose­test­with­a­ new­test­strip.­If­the­E-53­error­still­appears­for­your­ blood­glucose­test,­your­blood­glucose­test­result­ may­be­extremely­high­and­above­the­system’s­ reading­range.­Contact your healthcare professional immediately.­If­the­control­result­is­ not­within­the­acceptable­range,­see­Chapter­3,­ “Control­Testing.”...
  • Page 239 Display Shows Possible Cause(s) Possible Solution(s) E-54­Not­Enough­ j­­ N ot­enough­blood­or­control­ j­­ D iscard­the­test­strip­and­repeat­the­test. Sample solution­was­drawn­into­the­ test­strip­for­measurement­or­ was­applied­after­the­test­has­ started. E-55­Code­Key­ j­­ T he­code­key­is­from­an­ j­­ T his­message­may­appear­when­using­a­white­ Expired expired­lot­of­test­strips. activation­chip­in­the­meter.­It­means­the­test­strips­ expire­at­the­end­of­the­current­month.­At­the­end­of­ the­month,­discard­the­white­activation­chip­and­ any­remaining­test­strips.­Insert­a­black­activation­ chip.­Make­sure­the­time­and­date­in­the­meter­are­ correct.­If­you­need­a­black­activation­chip,­please­ contact­Roche. E-56­Sample­ j­­ B lood­or­control­solution­was­ j­­ D iscard­the­test­strip­and­repeat­the­test­with­a­new­ Applied­Early applied­to­the­test­strip­before­...
  • Page 240 Display Shows Possible Cause(s) Possible Solution(s) E-58­Temp.­Error j­­ T he­temperature­is­above­or­ j­­ M ove­the­meter­to­an­area­within­the­proper­ below­the­proper­range­for­ temperature­range­indicated­for­test­strip­use­in­the­ the­meter. test­strip­package­insert.­Wait­5­minutes­before­ turning­on­the­meter.­Repeat­the­test.­Do­not­ artificially­heat­or­cool­the­meter. E-59­Battery­ j­­ T he­batteries­are­extremely­ j­­ I nsert­new­batteries.­See­Chapter­7,­“Care­and­ Empty low. Maintenance.” E-60­Time/Date­ j­­ T he­time­and­date­settings­ j­­ E nsure­the­time­and­date­are­correct­and­adjust,­if­ Error may­be­incorrect. necessary.­See­Chapter­5,­“Changing­Meter­ j­­ Y ou­have­changed­the­ Settings.”...
  • Page 241 Display Shows Possible Cause(s) Possible Solution(s) Infrequent­Pump­ j­­ ­ A t­least­2­weeks­have­passed­ j­­ E nsure­the­meter­and­pump­have­Bluetooth­wireless­ Communication since­the­meter­and­pump­ technology­turned­on. have­communicated. j­­ E nsure­the­meter­and­pump­are­within­ communication­range. j­­ I f­the­low­battery­icon­is­displayed­on­the­meter,­the­ meter­cannot­communicate­with­the­pump.­Replace­ the­batteries.­ j­­ I t­is­important­to­use­Bluetooth­wireless­technology­ communication­between­the­meter­and­pump­ regularly­if­you­utilize­bolus­advice. Insulin­Sensitivity j­­ I nsulin­sensitivity­is­outside­of­ j­­ C heck­your­entries­and­contact­your­healthcare­ the­acceptable­meter­range. professional­to­determine­the­appropriate­settings.
  • Page 242 Display Shows Possible Cause(s) Possible Solution(s) Invalid­Hyper­ j­­ T he­hyper­warning­limit­value­ j­­ R eset­the­hyper­warning­limit­or­revise­the­target­ Values must­be­greater­than­all­of­ ranges­in­time­blocks­and­re-enter­the­hyper­ your­target­ranges­in­the­time­ warning­limit. block­settings. j­­ E nter­a­hyper­warning­limit­that­is­above­the­target­ ranges­of­your­time­blocks.­See­Chapter­5,­ “Changing­Meter­Settings.” Invalid­Hypo­Values j­­ T he­hypo­warning­limit­value­ j­­ R eset­the­hypo­warning­limit­or­revise­the­target­ must­be­less­than­all­of­your­ ranges­in­time­blocks­and­re-enter­the­hypo­ target­ranges­in­the­time­ warning­limit. block­settings. j­­ E nter­a­hypo­warning­limit­that­is­below­the­target­ ranges­of­your­time­blocks.­See­Chapter­5,­ “Changing­Meter­Settings.”...
  • Page 243 Display Shows Possible Cause(s) Possible Solution(s) Invalid­Target­ j­­ T he­lower­target­range­value­ j­­ R eset­the­target­range­values. Range is­above­the­upper­target­ j­­ E nter­the­correct­lower­target­range­value­and­ range­value. upper­target­range­value.­See­Chapter­5,­“Changing­ Meter­Settings.” j­­ T he­range­selected­conflicts­ j­­ R eset­range­or­revise­warning­limit­settings­and­ with­your­hyper­and/or­hypo­ re-enter­range. warning­limit­settings. j­­ E nter­the­correct­lower­target­range­value­and­ upper­target­range­value.­See­Chapter­5,­“Changing­ Meter­Settings.” LO­bG­Warning j­­ Y our­blood­glucose­may­be­ j­­ T reat­your­low­blood­glucose­as­recommended­by­ lower­than­the­measuring­...
  • Page 244 Display Shows Possible Cause(s) Possible Solution(s) No­bG­with­Bolus j­­ Y ou­have­not­tested­your­bG­ j­­ I t­is­recommended­to­test­bG­before­delivering­ and­are­attempting­to­deliver­ insulin. a­bolus. Pairing­Failed j­­ T he­attempt­to­pair­the­meter­ j­­ R estart­the­pairing­process.­See­the­Advanced­ and­pump­was­unsuccessful. Owner’s­Booklet. Pump­Not­Available j­­ T he­pump­is­out­of­the­ j­­ E nsure­the­meter­and­pump­have­Bluetooth­wireless­ communication­range­of­the­ technology­turned­on. meter. j­­ E nsure­the­meter­and­pump­are­within­ communication­range. j­­ I f­the­low­battery­icon­is­displayed,­the­meter­ cannot­communicate­with­the­pump.­Replace­the­...
  • Page 245 Display Shows Possible Cause(s) Possible Solution(s) Test­Strips­Expiring j­­ T he­test­strips­expire­at­the­ j­­ T his­message­may­appear­when­using­a­white­ end­of­the­current­month. activation­chip­in­the­meter.­It­means­the­test­strips­ expire­at­the­end­of­the­current­month.­At­the­end­of­ the­month,­discard­the­white­activation­chip­and­ any­remaining­test­strips.­Insert­a­black­activation­ chip.­Make­sure­the­time­and­date­in­the­meter­are­ correct.­If­you­need­a­black­activation­chip,­please­ contact­Roche. j­­ E nsure­the­time­and­date­are­correct­and­adjust,­if­ necessary.­See­Chapter­5,­“Changing­Meter­ Settings.” Time­Mismatch j­­ T he­time­or­date­on­the­meter­ j­­ T he­meter­time­and­date­were­changed­to­match­ is­more­than­5­minutes­ the­pump­time.­Ensure­the­time­and­date­are­ different­than­the­time­or­date­ correct.­If­the­time­or­date­are­not­correct,­change­ on­the­pump. the­time­and­date­on­the­pump. NOTE •­­...

  • Page 247: Technical Information

    Technical Information 9.1­Overview­ 9.2­Product­Limitations­ 9.3­Specifications­ 9.4­Product­Safety­Information­ 9.5­Disposing­of­the­Meter­ 9.6­Guarantee­ 9.7­Additional­Supplies­ 9.8­Information­for­Healthcare­Professionals­...

  • Page 248: Overview

    9.1 Overview This­chapter­provides­you­with­important­performance­information­regarding­the­meter.

  • Page 249: Product Limitations

    9.2 Product Limitations Please­read­the­literature­packaged­with­your­test­strips­to­find­the­latest­information­on­product­ specifications­and­limitations.

  • Page 250: Specifications

    9.3 Specifications Blood­volume­ j­­ R efer­to­the­test­strip­package­insert. Sample­type­ j­­ F resh­whole­blood Measuring­time­ j­­ R efer­to­the­test­strip­package­insert. Measuring­range­ j­­ R efer­to­the­test­strip­package­insert. Test­strip­storage­conditions­ j­­ R efer­to­the­test­strip­package­insert. Meter­storage­conditions­(with­ j­­ - 20­ºC­to­50­ºC­ batteries­inserted) System­operating­conditions­ j­­ R efer­to­the­test­strip­package­insert. Relative­humidity­operating­range j­­ R efer­to­the­test­strip­package­insert. Memory­capacity­ j­­ 1 ,000­diary­records Automatic­power­off j­­...
  • Page 251 Power­supply­ j­­ T hree­AAA­batteries­(recommended:­alkaline) Display j­­ L CD Dimensions­ j­­ 9 4­x­55­x­25­mm­LWH Weight j­­ ­ A pproximately­103­g­with­batteries­inserted Construction­ j­­ H and-held Protection­class j­­ I II Meter­type j­­ T he­Accu-Chek­Aviva­Combo­Meter­is­suitable­for­continuous­ operation. Control­solution­storage­conditions j­­ 2 ­°C­to­32­°C Interface j­­ I R;­LED/IRED­–­Class­1...

  • Page 252: Product Safety Information

    9.4 Product Safety Information Bluetooth Wireless Technology The­meter­and­the­pump­utilize­Bluetooth­wireless­technology­to­communicate­and­transfer­information.­ Bluetooth­wireless­technology­is­a­form­of­radio­frequency­(RF)­technology­that­operates­in­the­unlicensed­ industrial,­scientific,­and­medical­band­at­2.4­to­2.485­GHz.­The­RF­channel­utilized­for­communication­ between­the­meter­and­the­pump­is­not­an­open­channel.­The­meter­can­only­communicate­with­the­pump­it­ is­paired­with;­therefore,­other­Bluetooth­wireless­technology­devices­(e.g.,­cell­phone,­printer,­etc.)­cannot­be­ paired­with,­communicate­with,­or­access­your­personal­information­on­the­meter­or­the­pump. Radio Frequency Communication The­device­complies­with­the­United­States­Federal­Communications­Commission­(FCC)­standards.­The­­ device­complies­with­FCC­Part­15­Rules.­Operation­of­the­device­is­subject­to­the­following­two­conditions:­­ (1)­this­device­may­not­cause­harmful­interference,­and­(2)­this­device­must­accept­any­interference­received,­ including­interference­that­may­cause­undesired­operation. Compliance­with­these­guidelines­means­that­under­normal,­daily­circumstances­the­device­should­not­ affect­the­operation­of­other­devices.­In­addition,­the­device­should­operate­normally­in­the­presence­of­other­ devices.
  • Page 253 In­the­event­there­is­interference­from­another­device,­it­is­recommended­that­you­increase­distance­between­ meter­and­that­device.­You­may­also­turn­off­the­interfering­device.­In­addition,­you­may­turn­off­Bluetooth­ wireless­technology­on­the­meter­and­deliver­insulin­directly­using­the­pump. Changes­or­modifications­to­the­device­not­expressly­approved­by­Roche­could­void­the­user’s­authority­to­ operate­the­device. The­device­has­been­tested­and­found­to­comply­with­the­limits­for­a­Class­B­digital­device.­The­device­ generates,­uses,­and­can­radiate­radio­frequency­energy. Electromagnetic Compatibility This­meter­meets­the­electromagnetic­immunity­requirements­as­per­EN­ISO­15197­Annex­A.­The­chosen­ basis­for­electrostatic­discharge­immunity­testing­was­basic­standard­IEC­61000-4-2.­In­addition,­it­meets­ the­electromagnetic­emissions­requirements­as­per­EN­61326.­Its­electromagnetic­emission­is­thus­low.­ Interference­from­the­meter­to­other­electrically­driven­equipment­is­not­to­be­anticipated.­...
  • Page 254 Performance Analysis The­performance­data­for­the­Accu-Chek­Aviva­Combo­System­(Accu-Chek­Aviva­Combo­Meter­with­ Accu-Chek­Aviva­Test­Strips)­were­obtained­using­capillary­blood­from­diabetic­patients­(method­comparison,­ accuracy),­venous­blood­(repeatability),­and­control­solution­(reproducibility).­The­system­is­calibrated­with­ venous­blood­containing­various­levels­of­glucose.­The­reference­values­are­obtained­using­the­hexokinase­ method.­For­method­comparison,­the­results­were­compared­with­results­obtained­using­the­hexokinase­ method­with­deproteinization­(automatic­analyzer).­The­hexokinase­method­is­traceable­to­an­NIST­standard.­ Measuring Principle Refer­to­your­test­strip­package­insert­for­more­information. WARNING •­­ S trong­electromagnetic­fields­may­interfere­with­the­proper­operation­of­the­meter.­Do­not­use­this­ meter­close­to­sources­of­strong­electromagnetic­radiation. •­­ T o­avoid­electrostatic­discharge,­do­not­use­the­meter­in­a­very­dry­environment,­especially­one­in­ which­synthetic­materials­are­present.

  • Page 255: Disposing Of The Meter

    9.5 Disposing of the Meter WARNING •­­ D uring­blood­glucose­measurement,­the­meter­itself­may­come­into­contact­with­blood.­Used­meters­ therefore­carry­a­risk­of­infection.­Dispose­of­your­used­meter,­after­removing­the­batteries,­according­ to­the­regulations­applicable­in­your­country.­For­information­about­correct­disposal,­contact­your­local­ council­and­authority. •­­ T he­meter­falls­outside­the­scope­of­the­European­Directive­2002/96/EC­-­Directive­on­waste­electrical­ and­electronic­equipment­(WEEE).

  • Page 256: Guarantee

    9.6 Guarantee The­statutory­provisions­on­rights­in­consumer­goods­sales­in­the­country­of­purchase­shall­apply.

  • Page 257: Additional Supplies

    9.7 Additional Supplies The­following­supplies­and­accessories­are­available­from­your­authorized­Roche­Diabetes­Healthcare­Centre,­ pharmacies,­or­your­medical/surgical­supply­dealer: Test Strips Accu-Chek­Aviva­Test­Strips Control Solutions Accu-Chek­Aviva­Control­Solutions...

  • Page 258: Information For Healthcare Professionals

    9.8 Information for Healthcare Professionals WARNING Healthcare Professionals: Follow the infection control procedures appropriate for your facility. A­drop­of­fresh,­whole­blood­is­required­to­perform­a­blood­glucose­test.­Refer­to­the­test­strip­package­insert­ for­additional­healthcare­professional­information.

  • Page 259: Appendices

    Appendices Appendix A: Abbreviations Abbreviation Definition Bread­Equivalent­(equal­to­12­grams­of­carbohydrates) Blood­Glucose °C Degrees­Celsius­(or­Centigrade) Carbs Carbohydrates Carbohydrate­Choice­(equal­to­15­grams­of­carbohydrates) Federal­Communications­Commission­(United­States) Grams Gigahertz Hyper Hyperglycaemia­(high­blood­glucose) Hypo Hypoglycaemia­(low­blood­glucose) Industry­Canada...
  • Page 260 Abbreviation Definition Infrared International­Organization­for­Standardization Kohlenhydrateinheit­(equal­to­10­grams­of­carbohydrates) Liquid­Crystal­Display mmol/L Millimoles­per­Liter­ Not­Applicable NIST National­Institute­of­Standards­and­Technology­(United­States) Personal­Identification­Number Radio­Frequency Standard­Deviation Units­(bolus­insulin­units)

  • Page 261: Appendix­b:­carb­units

    Appendix B: Carb Units For­carbohydrates,­the­following­units­of­measure­are­available­on­the­meter. Abbreviation Unit of Measurement Gram Equivalent Grams 1­gram Kohlenhydrateinheit 10­grams Bread­Equivalent 12­grams Carbohydrate­Choice 15­grams...

  • Page 262: Appendix­c:­explanation­of­symbols

    Appendix C: Explanation of Symbols You­may­encounter­the­following­symbols­on­the­packaging,­on­the­type­plate­(back­of­meter),­and­in­the­ instructions­for­the­meter,­shown­here­with­their­meaning. Consult­instructions­for­use ­ C aution,­refer­to­safety-related­notes­in­the­instructions­for­use­accompanying­this­ product. A­NOTE­is­used­to­provide­additional­information Temperature­limitation­(store­at) Manufacturer Catalogue­number In­vitro­diagnostic­medical­device ­ B lood­glucose­meter­and­test­strips:­These­products­fulfil­the­requirements­of­the European­Directive­98/79/EC­on­in­vitro­diagnostic­medical­devices. 1.5V­AAA...

  • Page 263: Appendix­d:­meter­settings­and­range­limits

    Appendix D: Meter Settings and Range Limits mmol/L Data Type Unit of Measurement Increments Default Setting Acting­Time hours:minutes 1:30 8:00 0:15 4:00 Active­Insulin Units 99.9 bG­Threshold­(High) mmol/L 19.5 Hyper­Warning­Limit bG­Threshold­(Low) mmol/L Hypo­Warning­Limit Carb­Ratio­(carbs) grams No­entry­(“---­g”) No­entry­(“---­BE”) No­entry­(“---­KE”) No­entry­(“---­CC”) Carb­Ratio­(insulin) Units Carbohydrates grams No­entry­(“---­g”)
  • Page 264 Data Type Unit of Measurement Increments Default Setting Exercise­1­­ (health­event) Exercise­2­­ (health­event) Extended­Bolus­ Units (insulin) Hyper­Warning­ mmol/L 19.4 16.5 Limit Hypo­Warning­Limit mmol/L Illness­(health­ event) Insulin­Sensitivity­ mmol/L 55.4 No­entry­(“---mmol/L”) (bG) Insulin­Sensitivity­ Units (insulin) Meal­Rise­(bG) mmol/L 11.1 Multiwave­Bolus­ Units (insulin)
  • Page 265 Data Type Unit of Measurement Increments Default Setting Offset­Time hours:minutes 0:45 Acting­ 0:15 1:00 Time Premenstrual­ (health­event) Snack­Size­(carbs) grams No­entry­(“---­g”) No­entry­(“---­BE”) No­entry­(“---­KE”) No­entry­(“---­CC”) Standard­Bolus­ Units (insulin) Stress­(health­ event) Target­Range­Upper­ mmol/L Value Target­Range­ mmol/L Lower­Value ­ T he­maximum­that­can­actually­be­delivered­may­be­less­due­to­the­Accu-Chek­Spirit­Combo­Pump’s­ maximum­insulin­amount.
  • Page 266 The­following­are­the­default­settings­for­bG­test­reminders.­To­turn­on­a­bG­test­reminder,­see­“Setting­the­ Alarm­Clock­Reminders:­bG­Test,­Other”­in­Chapter­5,­“Changing­Meter­Settings.” Test Reminder Default Time of Day 07:00 09:00 11:00 12:00 14:00 16:00 19:00 22:00...
  • Page 267 The­following­are­the­default­settings­for­the­time­blocks.­Talk­to­your­healthcare­professional­about­setting­ up­time­blocks­to­help­you­manage­your­diabetes.­To­adjust­the­time­blocks,­see­Chapter­5,­“Changing­Meter­ Settings.” Time Block 24-Hour Format 0:00–5:30 5:30–11:00 11:00–17:00 17:00–21:30 21:30–0:00...

  • Page 269: Glossary

    Glossary Term Definition 7-day­average Includes­results­generated­today­and­the­previous­6­days. Acting­Time The­period­of­time­from­the­start­of­the­meal­rise­or­the­delivery­of­a­ correction­bolus­until­your­blood­glucose­level­is­expected­to­return­to­the­ target­level. Active­Insulin Bolus­insulin­that­has­been­given­to­lower­your­blood­glucose­but­has­not­ yet­been­fully­used. Advice­Options Factors­that­influence­bolus­advice­calculations­including­meal­rise,­ snack­size,­acting­time,­and­offset­time. After­High­bG­Reminder A­reminder­to­retest­your­blood­glucose.­When­enabled,­this­reminder­ occurs­after­a­high­blood­glucose­test­result. After­Low­bG­Reminder A­reminder­to­retest­your­blood­glucose.­When­enabled,­this­reminder­ occurs­after­a­low­blood­glucose­test­result. After­Meal­Reminder A­reminder­to­retest­your­blood­glucose.­When­enabled,­this­reminder­ occurs­after­a­meal.­For­this­reminder­to­occur,­you­must­enter­ carbohydrate­data­greater­than­the­snack­size­amount. Alarm Audible­or­vibrating­(silent)­notification­indicating­a­reminder,­warning,­or­ error.
  • Page 270 Term Definition bG­Test­Reminders Reminders­to­retest­your­blood­glucose­after­a­high­blood­glucose­test­ result,­after­a­low­blood­glucose­test­result,­or­after­a­meal. bG­Threshold A­bG­test­reminder­setting.­The­upper­limit­for­your­blood­glucose­for­a­ high­bG­test­reminder­and­the­lower­limit­for­your­blood­glucose­for­a­low­ bG­test­reminder. Blood­Glucose­(bG) The­level­of­sugar­in­blood. Bluetooth­Wireless­Technology Wireless­short-range­communications­technology­which­connects­ devices­(such­as­meter­and­pump)­in­order­to­exchange­information. Bolus The­delivery­of­insulin­all­at­once­rather­than­slowly­throughout­the­day,­ usually­used­to­compensate­for­meals­or­high­blood­glucose. Bolus­Advice When­enabled,­bolus­advice­provides­recommendations­on­the­amount­of­ insulin­for­food­intake­and­for­correcting­blood­glucose­levels­that­are­not­ within­your­target­range. Bolus­Advice­Options­ See­Advice­Options. Bolus­Delivery­Start­Delay The­Standard­Bolus­icon­blinks­for­5­seconds­and­then­the­meter­ communicates­to­the­pump­to­begin­delivery­of­the­bolus­amount.­During­ this­delay­you­are­able­to­cancel­the­bolus­delivery­by­pressing­x­or­z.­ The­meter­beeps­and­returns­to­the­Pump­Run­screen.
  • Page 271 Term Definition Carb­Ratio The­amount­of­insulin­necessary­to­account­for­a­certain­number­of­ carbohydrates. Carbohydrates­(or­Carbs) Carbohydrate­foods­include­sugars­and­starches.­Carbohydrates­can­ raise­blood­glucose­levels­slowly­or­rapidly.­Carbohydrates­are­generally­ counted­to­calculate­a­bolus­insulin­dose. Caution Provides­information­that,­if­not­followed,­could­result­in­material­hazards­ (damage­to­or­destruction­of­equipment­or­materials). Control­Result Value­displayed­on­meter­as­the­result­of­a­control­test.­When­the­Control­ Result­is­within­the­range­shown­on­the­label­of­the­test­strip­container,­ then­the­test­strips­and­the­meter­are­working­properly. Control­Test A­meter­test­using­control­solution­which­lets­you­know­that­the­meter­ and­test­strips­are­working­properly. Corrupt­Result bG­test­result­that­had­an­error. Current­Date Refers­to­the­date­you­set­through­the­menu­Settings­and­then­the­Time/ Date­screen. Current­Time Refers­to­the­time­you­set­through­the­menu­Settings­and­then­the­Time/ Date­screen.
  • Page 272 Term Definition Period­of­time­starting­at­00:00­and­ending­at­23:59. End­Time The­end­time­of­a­time­block. Extended­Bolus A­bolus­delivered­over­a­period­of­time.­It­can­be­helpful­during­long­ meals­or­when­you­have­meals­that­are­digested­slowly.­The­Extended­ Bolus­may­also­be­appropriate­for­people­who­have­gastroparesis­ (delayed­digestion).­This­option­is­available­only­when­Bluetooth­wireless­ technology­is­turned­on­and­the­meter­and­pump­are­communicating. Health­Events A­pop-up­menu­selection­(fasting,­exercise­1,­stress,­illness,­exercise­2,­ or­premenstrual)­that­allows­information­to­be­stored­with­a­blood­ glucose­test­result­or­in­a­diary­record­and­percentages­that­could­adjust­ bolus­advice­recommendations­for­your­current­health­status­or­ activities. The­test­result­is­above­the­meter’s­measurement­range. Hyper Hyperglycaemia:­an­abnormally­high­level­of­glucose­in­the­blood. Hyper­Warning­Limit When­your­blood­glucose­test­result­is­above­the­hyper­warning­limit,­a­ warning­is­displayed.
  • Page 273 Term Definition Hypo Hypoglycaemia:­an­abnormally­low­level­of­glucose­in­the­blood. Hypo­Warning­Limit When­your­blood­glucose­test­result­is­below­the­hypo­warning­limit,­a­ warning­is­displayed. Insulin­Pump A­device­that­delivers­a­continuous­supply­of­insulin­into­the­body. Insulin­Sensitivity The­amount­of­insulin­necessary­to­lower­your­blood­glucose­by­a­certain­ amount. Ketones A­by-product­or­waste­product­when­your­body­burns­stored­fat­for­ energy.­Ketones­are­produced­when­there­is­not­enough­insulin­to­help­ your­body­use­glucose­for­energy.­Without­enough­insulin,­glucose­builds­ up­in­the­blood. Key­Lock A­meter­function­which­disables­the­keys­(buttons)­in­order­to­prevent­its­ unintended­use. The­test­result­is­below­the­meter’s­measurement­range. Meal­Rise During­or­after­meals,­an­increase­in­blood­glucose­levels­is­considered­ normal­within­a­certain­range,­even­though­a­meal­bolus­has­been­ delivered.­A­meal­rise­is­in­effect­for­a­specified­time­period.
  • Page 274 Term Definition Meal­Time A­pop-up­menu­selection­(Pre­Meal,­Post­Meal,­Bedtime,­or­other)­that­ allows­information­to­be­stored­with­a­blood­glucose­test­or­in­a­diary­ record. Meter Blood­glucose­meter. Multiwave­Bolus A­bolus­designed­to­better­simulate­the­body’s­insulin­delivery.­It­ combines­an­immediate­bolus­delivery­followed­by­an­Extended­Bolus­ delivery.­A­Multiwave­Bolus­can­be­helpful­when­you­have­meals­that­ include­both­rapidly­and­slowly­absorbed­carbohydrates.­This­option­is­ available­only­when­Bluetooth­wireless­technology­is­turned­on­and­the­ meter­and­pump­are­communicating. Note Additional­information. Offset­Time Offset­time­takes­into­account­the­expected­delay­for­the­blood­glucose­ level­to­actually­fall­during­the­acting­time­of­insulin­in­the­body.­It­ describes­the­first­time­period­within­the­acting­time. Paired A­pump­and­meter­exclusively­communicating­and­transferring­ information­with­each­other. Pump See­Insulin­Pump.
  • Page 275 Term Definition Quick­Bolus A­bolus­delivery­on­the­pump­using­the­pump­UP­and­DOWN­keys.­One­ key­press­equals­one­bolus­increment­(i.e.,­0.1,­0.2,­0.5,­1.0,­2.0).­See­ the­pump­User­Guide­for­more­information. Remind­After A­bG­test­reminder­setting.­The­amount­of­time­after­a­high­blood­glucose­ test­result,­after­a­low­blood­glucose­test­result,­or­after­a­meal­you­want­ the­reminder­to­occur. Reminder When­enabled,­reminders­occur­to­remind­you­to­test­your­blood­glucose,­ to­retest­your­blood­glucose­or­of­an­event­or­activity. Snack­Size The­amount­of­carbohydrates­that­should­not­be­counted­as­a­regular­ meal­with­the­expected­meal­rise. Snooze Delay­of­some­reminders­for­a­defined­time­period. Soft­Keys Two­buttons­under­the­meter­display­used­to­navigate­through­the­user­ interface.­Just­above­each­soft­key,­the­meter­display­shows­the­ selection­(i.e.,­Save,­Cancel,­Back,­etc.).­ Standard­Deviation As­it­is­used­in­this­owner’s­booklet,­standard­deviation­measures­how­ widely­spread­the­bG­test­results­are­(e.g.,­if­the­bG­test­results­are­close­ to­the­bG­average,­then­the­standard­deviation­is­small).
  • Page 276 Term Definition Standard­Bolus A­bolus­that­is­immediately­delivered­to­cover­a­food­or­a­blood­glucose correction.­When­Standard­is­selected,­the­bolus­is­delivered­by­the­ pump.­This­option­is­available­only­when­Bluetooth­wireless­technology­is­ turned­on­and­the­meter­and­pump­are­communicating. Start­Time The­start­time­of­a­time­block. Target­Range The­desired­upper­and­lower­limits­of­your­blood­glucose­level­considered­ acceptable­as­set­by­your­healthcare­professional. Time­Blocks Up­to­eight­time­periods­within­one­day­to­facilitate­your­changing­insulin­ needs­throughout­the­day. Time­Range The­user­sets­the­duration­of­time.­There­is­a­start­and­end­time.­ User A­person­using­the­meter­or­pump. Warning Describes­items­and­conditions­that­present­hazards­and­may­cause­ personal­injury. Warning­Limits See­Hyper­Warning­Limit­or­Hypo­Warning­Limit.­...

  • Page 277: Index

    Index abbreviations,­­257–259 backlight,­­20, acting­time,­­152–154, button,­­13, activation­chip,­­12–13, batteries,­­14 activation­chip­slot,­­13 changing,­­221–223 active­insulin,­­49–52 low,­­31 advice­options,­­162–163 type,­­221 after­high­bG­test­reminder,­­133–137, 200, BE,­­173–175 after­low­bG­test­reminder,­­133–137, 200, beeper,­setting,­­179–181 after­meal­bG­test­reminder,­­133–137, 201, bG­test­reminder,­­28, 201, 204, bG­threshold,­­135–136 alarm­clock­reminders, blood­glucose­averages,­­92–93 bG­test,­­29, 138–140, 204, blood­glucose­test, other,­­29, 138–140, 204, 208–209 performing,­­42–50 appetite,­increased,­­58 reminder,­­28 results,­­46, 49–57 unusual­results,­­53–57 Bluetooth­wireless­technology,­­17, 32, 250–251...
  • Page 278 blurred­vision,­­58 data,­­23 bolus­advice,­­22, 146–154 adding,­­50–52, 87–89 bolus­advice­options. See advice­options downloading­to­a­computer,­­24, 128–130 bolus,­delivery,­­23, 230–232 modifying,­­79–87 buttons,­­13, 15–17, 16–18 reporting,­­90–127 trends,­­94–103 viewing,­­79–87 carbohydrates,­­49–52, 85, date, units­of­measure,­­173–175, reminders,­­, 29, 141–145 carb­ratio,­­150, settings,­­182–184 carbs. See carbohydrates display,­­13, 20, CC,­­173–175 disposing,­meter,­­253 cleaning­meter,­­225 Dr.­visit­reminder,­­141–145, 201–202, code­chip. See activation­chip communication,­­229, 231–233 control­solution,­­14, 62, electromagnetic­compatibility,­­251...
  • Page 279 fatigue,­­58 icons,­listing,­­81–82, 197–198 frequent­urination,­­58 infrared­(IR)­window,­­13–14, infusion­set­change­reminder,­­141–145, 202, g­(grams),­­173–175 insulin­pump,­­19 insulin­pump,­connecting. See pairing graph, standard­day,­­105–108 insulin­sensitivity,­­150, standard­week,­­114–117 target,­­122–124 trend,­­95–98 KE,­­173–175 guarantee,­­254 key­lock,­­18, 21, 167–169 key­sound,­setting,­­179–181 headache,­­58 health­events,­­27, 50–51, 85, 88, 152, lab­test­reminder,­­141–145, 203–204 160–161 lancing­device,­­44–45 high­bG­retest­reminder,­­202, language,­­170–172 lock. See key­lock hyper­warning­limit,­­24, 164–166, 230, hypo­warning­limit,­­24, 164–166, 230, low­bG­retest­reminder,­­203–205...
  • Page 280 maintenance,­meter,­­226 rapid­heartbeat,­­58 meal­rise,­­152, 154, reminders, meal­time,­­49–52, list­of,­­200–201 meter, others,­­203 settings­and­range­limits,­­261–266 priority,­­204 summary­of­features,­­13, 20–28 safety­information,­­250–252 navigation,­­36–37 screen,­features,­­31, 34–35 numbness,­­58 scroll­bar,­­34 snack­size,­­136–137, 152–153, snooze,­­133, 138, 199, offset­time,­­152–153, soft­keys,­­13, 16–18 sound. See beeper­setting sound,­­31 pairing,­­18, specifications,­meter,­­248–249 power­button,­­13, 16–17 standard­day,­reporting,­­104–112 power-saving­tips,­­224 standard­deviation,­­90–91 pump. See insulin­pump standard­week,­reporting,­­113–121 supplies,­­255...
  • Page 281 sweating,­­58 time­change,­­95, 97, 100–101 symbols,­explanation,­­260 time­format,­setting,­­182–183 time,­setting,­­182–183 tingling,­­58 table, trembling,­­58 standard­day,­­109–112 troubleshooting,­­229–243 standard­week­­118–120 target,­­125–127 units­of­measure. See carbohydrates,­units­of­ trend,­­100–103 target­range,­­150, 187, 240–241 measure unlock. See key­lock target,­reporting,­­121–127 test­results, use­by­date,­­41, 57, 62, storing,­­77–78 unusual,­­57 test­strip,­­235–237, vibrate,­setting,­­179–181 thirst,­increased,­­58 time­blocks,­­25–26, 146–154, 155–159, 185–192, warnings,­list­of,­­210–215...

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