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

Accu-Chek Aviva Combo Advanced Owner's Booklet

Hide thumbs Also See for Aviva Combo:
Table of Contents

Advertisement

Quick Links

Download this manual See also: Owner's Booklet, Advanced Owner's Booklet
10:02
bG Test
Bolus Advice
Pump
My Data
Settings
©2009 Roche Diagnostics. All rights reserved.
Roche Diagnostics GmbH
Sandhofer Strasse 116
68305 Mannheim, Germany
www.accu-chek.com
ACCU-CHEK, ACCU-CHEK AVIVA, ACCU-CHEK AVIVA COMBO, ACCU-CHEK SPIRIT COMBO, and
ACCU-CHEK MULTICLIX are trademarks of Roche.
The Bluetooth
®
word mark and logos are registered trademarks owned by Bluetooth SIG, Inc.
and any use of such marks by Roche is under license. Other trademarks and
product names are the property of their respective owners.
2 Feb 08
Aviva Combo
10:02
2 Feb 08
bG Test
Bolus Advice
Pump
My Data
Settings
Advanced Owner's Booklet
BLOOD GLUCOSE METER

Advertisement

Table of Contents
loading

Related Manuals for Accu-Chek Aviva Combo

Summary of Contents for Accu-Chek Aviva Combo

  • Page 1 Roche Diagnostics GmbH Sandhofer Strasse 116 68305 Mannheim, Germany www.accu-chek.com ACCU-CHEK, ACCU-CHEK AVIVA, ACCU-CHEK AVIVA COMBO, ACCU-CHEK SPIRIT COMBO, and ACCU-CHEK MULTICLIX are trademarks of Roche. The Bluetooth ® word mark and logos are registered trademarks owned by Bluetooth SIG, Inc.
  • Page 2 LAST UPDATE: 2009-07...

  • Page 3: Table Of Contents

    Contents Introduction 1 Bolus Advice 1.1 Overview 1.2 Before Using Bolus Advice 1.3 Calculating and Delivering a Bolus Using Bolus Advice 2 Administering a Bolus 2.1 Overview 2.2 Choosing Your Bolus Type 2.3 Delivering a Bolus 2.4 Updating the Diary with Bolus Information...

  • Page 4: Combo Pump

    4.2 Turning Bluetooth Wireless Technology On/Off ® 4.3 Using the System While Traveling 4.4 Pairing the Accu-Chek Aviva Combo Meter with the Accu-Chek Spirit Combo Pump 4.5 Cancelling the Pairing of the Meter and Pump Prompt 5 Troubleshooting 5.1 Overview...
  • Page 5 Appendices Appendix A: Bolus Advice Appendix B: Bolus Advice Calculations Appendix C: Explanation of Symbols Index...

  • Page 7: Introduction

    Introduction Whether the Accu-Chek Aviva Combo Meter is your first blood glucose meter or you have used a meter for some time, please take the time to read the Getting Started Guide, the Standard Owner’s Booklet, and the Advanced Owner’s Booklet carefully before you use your new meter. To use it correctly and dependably, you need to understand its operation, screen displays, and all individual features.

  • Page 9: Bolus Advice

    Bolus Advice 1.1 Overview 1.2 Before Using Bolus Advice 1.3 Calculating and Delivering a Bolus Using Bolus Advice...

  • Page 10: Overview

    1.1 Overview Important information regarding the use of bolus advice is presented in this chapter. Read it carefully and completely before you begin using bolus advice. • It is recommended you discuss your bolus advice settings with your healthcare professional prior to setting up this feature.
  • Page 11 NOTES: • This booklet shows sample screens. The screens in this booklet may look slightly different from the screens on your Accu-Chek Aviva Combo Meter. If you have any questions about the meter screens, contact Roche. • Blood glucose and bG are interchangeable and mean the same thing.

  • Page 12: Before Using Bolus Advice

    1.2 Before Using Bolus Advice Intended Users As with any specialized feature, you need to understand certain information in order to use bolus advice. You must be completely familiar with your diabetes therapy and be able to judge your current situation as well as possible.
  • Page 13 Safety Information Regarding Bolus Advice WARNINGS: • It is very important you follow the safety information in this chapter. • Always compare your result with the way you actually feel and adjust the recommended bolus, if necessary. • Always carry out the actions entered into bolus advice in a timely fashion. Eat the carbohydrate amount you entered and administer the insulin dose.
  • Page 14 Warning messages about your blood glucose result After performing a blood glucose test, warning messages about your blood glucose result may be displayed. Please take careful note of these messages. If your blood glucose result is too low, you are prompted to eat a certain amount of fast acting carbohydrates to prevent the risk of hypoglycemia.

  • Page 15: Calculating And Delivering A Bolus Using Bolus Advice

    1.3 Calculating and Delivering a Bolus Using Bolus Advice bG Test Result Recommended Bolus Bolus Advice 5.8 mmol/L Amount Active Insulin 0.0 U --- U 19 g 2.1 U Carb Entry -0.1 U Exercise 1 Bolus Health Event Entry Standard Type Cancel Confirm...
  • Page 16 To Deliver a Bolus Main Menu > Bolus Advice top of the meter screen rather Bolus Advice 10:02 2 Feb 08 5.8 mmol/L bG Test than an actual bG value), it is 0.0 U --- U Bolus Advice recommended you complete a 2.1 U 19 g Pump...
  • Page 17 To Enter a Health Event: To Deliver a Standard Bolus Confirm Bolus Deliver Bolus? Select the Health entry field Select the Type entry field and and press =. press =. Select a Health Event and Select Standard and press =. press =.
  • Page 18 You can choose one of the following: Deliver Bolus Deliver Bolus Pump Pump Delivering BOLUS CANCELLED Standard Bolus Delivery Completed TO SNOOZE Stop Bolus Exit Back Menu Select OK and display the Main To stop bolus delivery, select If no buttons are pressed, when Menu.
  • Page 19 To Deliver a Multiwave Bolus Confirm Bolus Deliver Bolus? Select the Type entry field and Immediate 0.5 U press =. Duration 4:00 Select Multiwave and HH MM press =. Multiwave Bolus To confirm the entries, select Confirm. Back Deliver To change the immediate bolus, select Immediate entry field and press =.
  • Page 20 You can choose one of the following: Deliver Bolus Deliver Bolus Pump Pump Delivering BOLUS CANCELLED Immediate Delivery Completed Multiwave Bolus TO SNOOZE Multiwave Bolus Delivery Continuing Stop Bolus Exit Back Menu Select OK and display the Main To stop bolus delivery, select If no buttons are pressed, when Menu.
  • Page 21 To Deliver an Extended Bolus Confirm Bolus Deliver Bolus Deliver Bolus? Select the Type entry field and press =. Duration 4:00 Select Extended and press =. Extended Bolus Delivery HH MM Extended Bolus Continuing To confirm the entries, select Confirm. Menu Back Deliver...
  • Page 22 WARNING: To Deliver a Bolus Manually Confirm Bolus Start delivery of the exact Manual Pump on the Pump bolus amount on the pump Select the Type entry field and Set Bolus on Pump within 10 minutes. See press =. WARNINGS at end of this Select Manual Pump and Bolus section.
  • Page 23 To Deliver a Bolus Using an Confirm Bolus Pen/Syringe Insulin Pen or Syringe Select the Type entry field and Inject Insulin press =. Select Pen/Syringe and Bolus press =. To confirm the entries, select Back Confirm. The bolus amount is displayed on the meter screen.
  • Page 24 WARNINGS: • Bolus advice provided by the meter is solely advice. Contact your healthcare professional prior to changing your diabetes therapy. • It is important to make the correct selection for the carbohydrate ratio and insulin sensitivity. If you select the wrong ratio (the basis for all calculations), all future bolus advice recommendations will be wrong.
  • Page 25 NOTES: • Bolus advice can also be accessed after you perform a bG Test (see the Standard Owner’s Booklet). When the detailed bG Result screen is displayed, press .. This is not available if your bG result is below your hypo warning limit (red colour bar is displayed). •...

  • Page 27: Administering A Bolus

    Administering a Bolus 2.1 Overview 2.2 Choosing Your Bolus Type 2.3 Delivering a Bolus 2.4 Updating the Diary with Bolus Information...

  • Page 28: Overview

    2.1 Overview There are several methods to deliver a bolus. The pump makes it possible to deliver more precise amounts of insulin than can be injected using an insulin pen or syringe.

  • Page 29: Choosing Your Bolus Type

    2.2 Choosing Your Bolus Type There are several types of bolus delivery available. The bolus types include: • Standard A bolus that delivers an immediate food or correction bolus. When Standard is selected, the bolus is delivered by the pump. This option is available only when Bluetooth wireless technology is turned on ®...
  • Page 30 • Extended A bolus delivered over a period of time. It can be helpful during long meals, dinners, or receptions, or when you have meals that are digested slowly. The Extended Bolus may also be appropriate for people who have gastroparesis (delayed digestion). This option is available only when Bluetooth wireless technology is turned on and the meter and pump are communicating.

  • Page 31: Delivering A Bolus

    2.3 Delivering a Bolus WARNINGS: • Incorrect meter settings may cause inappropriate insulin delivery. • The meter must be configured with your personal settings prior to administering a bolus. If you are not sure about your personal settings, talk to your healthcare professional. •...
  • Page 32 For instructions on how to deliver a bolus using bolus advice, see Chapter 1, “Bolus Advice.” For instructions on how to deliver a bolus remotely on the pump, see Chapter 3, “Using the Accu-Chek Aviva Combo Meter with the Accu-Chek Spirit Combo Pump.”...

  • Page 33: Updating The Diary With Bolus Information

    2.4 Updating the Diary with Bolus Information When the pump is synchronized with the meter, bolus information from the pump is imported into the meter. For any manual pump bolus record in the meter database with a time stamp that is older than 10 minutes and is not confirmed by the pump, the meter does away with the bolus record by changing the bolus amount to “0.0”...

  • Page 35: Using The Accu-Chek Aviva Combo Meter With The Accu-Chek Spirit Combo Pump

    Using the Accu-Chek Aviva Combo Meter with the Accu-Chek Spirit Combo Pump 3.1 Overview 3.2 The System at a Glance 3.3 Controlling the Pump with the Meter 3.4 Managing Pump Errors and Warnings with the Meter...

  • Page 36: Overview

    3.1 Overview The Accu-Chek Aviva Combo Meter can be used to remotely control the Accu-Chek Spirit Combo Insulin Pump using Bluetooth wireless technology. Before using the meter to control the pump, it is important to understand how to operate the pump using the meter.

  • Page 37: The System At A Glance

    3.2 The System at a Glance In the meter’s Pump Menu, the meter buttons have different functions. The buttons function as button (key) presses on the pump. The pump sends screens to the meter. The meter sends button presses to the pump.
  • Page 38 Button Functions in the Pump Menu Meter Button Pump Key Function Move forward in an information screen Increase a setting Program a Quick Bolus Cancel a Quick Bolus Turn off the STOP-Warning Move backward in an information screen Decrease a setting Program a Quick Bolus Cancel a Quick Bolus Turn off the STOP-Warning...
  • Page 39 Meter Button Pump Key Function Exits menus, function screens, and information screens without saving your changes Move to the previous screen None Return to the Main Menu...

  • Page 40: Controlling The Pump With The Meter

    3.3 Controlling the Pump with the Meter When Bluetooth wireless technology is turned on, the pump main screen appears on the meter when you are in the Pump Menu. The meter is able to control the following pump functions: • Standard Bolus •...
  • Page 41 The following pump functions cannot be remotely controlled using the meter: • Changing the insulin cartridge • Priming the infusion set • Rewinding the piston rod • Data transfer (to a computer) • Bluetooth wireless technology menu • Display orientation and contrast...
  • Page 42 NOTES: • You can administer a bolus manually on the pump (without using the meter). When the meter and Bluetooth wireless technology are both turned on, the pump automatically transfers bolus information to the meter. If bolus advice is used, it is important you enter carbohydrate information into the meter for boluses delivered manually on the pump so that accurate bolus advice calculations are made.
  • Page 43 Pump Screens on the Meter Pump Screen Pump 10:02 1.00 Corresponding Meter Buttons Return to Main Menu Exit Back Bluetooth Wireless Technology Icon Back Pump double button press (d and a)
  • Page 44 Pump 10:02 1.00 Exit Back In remote control mode, the Bluetooth wireless technology icon appears on the meter screen and on the pump screen. To control the pump using the meter, you must be in the Pump Menu. From the Pump Menu, use the corresponding meter buttons to scroll through the pump menus and submenus (the same as you would on the pump).
  • Page 45 Delivering a Bolus – Standard Bolus To Program a Standard Bolus Remotely 10:02 2 Feb 08 Pump Pump bG Test STANDARD 10:02 1.00 BOLUS Bolus Advice Pump My Data Settings Exit Back Exit Back Repeatedly press and release From the Main Menu, select Press to select the Standard >...
  • Page 46 Pump Pump Pump BOLUS AMOUNT BOLUS AMOUNT BOLUS AMOUNT Exit Back Exit Back Exit Back Press to increase or When the correct bolus The Standard Bolus icon decrease the bolus amount. amount is displayed, press blinks for five seconds (bolus >...
  • Page 47 Cancelling a Standard Bolus You may cancel a Standard bolus delivery. Time Cancelling the Bolus Result When programming a Standard If you do not press any meter A bolus is not delivered. bolus (the bolus amount blinks on buttons for approximately the screen) 20 seconds, the meter returns to the Pump Run screen.
  • Page 48 Time Cancelling the Bolus Result During bolus delivery (meter is Press and hold for three Bolus delivery is interrupted and counting down the bolus amount) seconds until the meter beeps. stopped. The meter displays the pump warning W8: BOLUS CANCELLED. Press twice to confirm and >...
  • Page 49 Programming a Temporary Basal Rate (TBR) 10:02 2 Feb 08 Pump Pump bG Test TEMPORARY 10:02 1.00 BASAL RATE (TBR) Bolus Advice Pump My Data Settings Exit Back Exit Back Press to select the > From the Main Menu, select Repeatedly press and release Temporary Basal Rate (TBR) Pump and press =.
  • Page 50 Pump Pump Pump TBR PERCENTAGE TBR DURATION 10:02 02:59 120 % 03:00 120 % 02:45 120% 0.600U/h Exit Back Exit Back Exit Back Press to increase or The Pump screen TBR The Pump Run screen with the decrease the TBR. DURATION appears.
  • Page 51 NOTES: • If a TBR is not currently active, the TBR percentage is set to 100 %. • When a TBR is active, it remains in effect even if the basal rate profile is changed. • A TBR can only be programmed when the pump is in RUN mode. •...
  • Page 52 Cancelling a Temporary Basal Rate Situation Cancelling the Temporary Basal Rate Result If you do not press any meter buttons The pump continues to When programming a TBR for approximately 20 seconds, the meter deliver the normal basal returns to the Pump Run screen. rate.
  • Page 53 Changing a Basal Profile 10:02 2 Feb 08 Pump Pump bG Test BASAL RATE 10:02 1.00 SELECTION Bolus Advice Pump My Data Settings Exit Back Exit Back Press to select the Basal Repeatedly press and release > From the Main Menu, select until the BASAL RATE Rate Selection menu.
  • Page 54 Pump SELECT PROFILE 42.00 U Exit Back Press to select the basal rate profile. The basal rate profile number and the basal rate total amount appear. When the correct basal rate profile appears, press > select it. For more information, see the pump User Guide.

  • Page 55: Managing Pump Errors And Warnings With The Meter

    3.4 Managing Pump Errors and Warnings with the Meter If the meter is off when a pump error, warning, or reminder occurs and you turn on the meter, after communication to the pump is established: • The meter goes directly to the Pump screen. •...
  • Page 56 Cartridge Low Warning Cartridge Empty Error Pump Follow the instructions in the Pump CARTRIDGE LOW CARTRIDGE EMPTY pump User Guide for changing the insulin cartridge. STOP TO SNOOZE TO SNOOZE Exit Back Exit Back When the contents of the When the insulin cartridge insulin cartridge on the pump is empty, the pump error have dropped to 20 units of...

  • Page 57: Communication Between The Accu-Chek Aviva Combo Meter And Accu-Chek Spirit Combo Pump

    Combo Meter and Accu-Chek Spirit Combo Pump 4.1 Overview 4.2 Turning Bluetooth Wireless Technology On/Off ® 4.3 Using the System While Traveling 4.4 Pairing the Accu-Chek Aviva Combo Meter with the Accu-Chek Spirit Combo Pump 4.5 Cancelling the Pairing of the Meter and Pump Prompt...

  • Page 58: Overview

    4.1 Overview The meter and pump use Bluetooth wireless technology to communicate. If you are experiencing communication problems between the meter and pump, it is recommended you go directly to the pump and operate the pump manually. For more information on troubleshooting communication between the meter and pump, see Chapter 5, “Troubleshooting.”...

  • Page 59: Turning Bluetooth ® Wireless Technology On/Off

    4.2 Turning Bluetooth Wireless Technology On/Off ® You may turn Bluetooth wireless technology on or off at any time using the meter. Bluetooth Wireless Technology Icon Communication States Icon Communication State Bluetooth wireless technology is on. The meter and pump are communicating. Bluetooth wireless technology is off.
  • Page 60 Turning Pump Communication (Bluetooth Wireless Technology) On or Off Main Menu > Settings > Meter > Bluetooth 10:02 2 Feb 08 Meter 10:02 2 Feb 08 bG Test Reminders Warning Limits Bolus Advice Bolus Advice Key Lock Meter Pump Language Sound/Vibrate Units My Data...
  • Page 61 NOTES: Bluetooth • You cannot use the meter to disable Bluetooth wireless technology on the pump. You must manually turn off Bluetooth wireless technology on the pump. Press and hold backlight button • If you change the pump time and date, the meter time and date until Bluetooth icon changes will automatically synchronize to match the pump.

  • Page 62: Using The System While Traveling

    4.3 Using the System While Traveling When traveling on an aircraft, you must ensure Bluetooth wireless technology is turned off on the meter and on the pump prior to closure of the aircraft door. Electromagnetic emissions from the meter or pump could interfere with the electronics systems of the aircraft.

  • Page 63: Pairing The Accu-Chek Aviva Combo Meter With The Accu-Chek Spirit Combo Pump

    4.4 Pairing the Accu-Chek Aviva Combo Meter with the Accu-Chek Spirit Combo Pump When obtained as a kit, the meter and pump are paired. If the meter and pump are not paired, see the instructions below. Pairing the Meter and Pump...
  • Page 64 Pump: Pump: Pump: If the PAIRED DEVICE NONE If the PAIRED DEVICE screen To delete the device so the screen appears, proceed to appears, press d and pump can be paired with Step 6. proceed to the next step. another meter, press f.
  • Page 65 Meter: Ensure the meter is turned off. Press and hold and then press +. Pump: Pump: Press f to confirm deletion Press d. of the paired device.
  • Page 66 Pump: Press f to initiate the pairing process. Pump: Pair with Pump If NO DEVICE FOUND screen Ensure Pump is in pairing appears, see the pump User mode through Bluetooth Guide for information on menu on Pump troubleshooting. Waiting . . . Select the meter to add.
  • Page 67 Pair with Pump Pair with Pump Enter PIN shown on Enter PIN shown on Pump display Pump display 7 1 2 4 2 9 8 3 2 Cancel Confirm Pump: Meter: Ensure the PIN entered The ADD DEVICE PAIRING The Pair with Pump screen matches the numbers on the screen appears followed by appears...
  • Page 68 Pair with Pump Pairing completed for PUMP12345678 METER12345678 Turn Meter off When the correct PIN is confirmed, the Pairing Completed for … screen appears on the meter and then the DEVICE PAIRED screen appears on the pump. Press to turn off the meter. Once the meter has turned off, the pairing process is complete.

  • Page 69: Cancelling The Pairing Of The Meter And Pump Prompt

    4.5 Cancelling the Pairing of the Meter and Pump Prompt If the meter and pump are not paired, the meter prompts you to complete the pairing process each time you turn on the meter unless you cancel the pairing process.
  • Page 70 See the appears. pairing process prompt. Section, “Pairing the Select Next to go to the Main Proceed to Step 2. Accu-Chek Aviva Combo Meter Menu. Select Next to begin the with the Accu-Chek Spirit pairing process. Go to the Combo Pump.”...
  • Page 71 NOTES: • A blood glucose test cannot be performed during the pairing process. • The meter and pump remain paired when the batteries are removed and replaced. • Only one meter can be paired with one pump at a time. •...

  • Page 73: Troubleshooting

    Troubleshooting 5.1 Overview 5.2 Troubleshooting Communication Between the Meter and Pump...

  • Page 74: Overview

    5.1 Overview For most communication problems between the meter and pump, the meter displays a message with a short description of the symptom and, along with it, a proposed solution. This chapter goes into more detail by describing the symptom, the possible cause, and the possible solution. If the possible solutions do not fix the problem, contact Roche.

  • Page 75: Troubleshooting Communication Between The Meter And Pump

    5.2 Troubleshooting Communication Between the Meter and Pump Display Shows Possible Cause(s) Possible Solution(s) Communication ended due to a Check the pump and continue operation button press on the pump. of the pump manually. Bluetooth icon fl ashing Meter and pump are outside Ensure the pump has Bluetooth wireless communication range.
  • Page 76 Display Shows Possible Cause(s) Possible Solution(s) Bolus Delivery Unavailable The meter cannot communicate Retry or set to Manual Pump. with the pump. Ensure the meter and pump have Bluetooth wireless technology turned on. Ensure the meter and pump are within communication range.
  • Page 77 Display Shows Possible Cause(s) Possible Solution(s) Communication Lost Pump is out of range of the meter. Review or cancel the bolus on the pump. Ensure the meter and pump have Bluetooth wireless technology turned on. Ensure the meter and pump are within communication range.
  • Page 78 Restart the pairing process. See Chapter the meter and the pump during the 4, “Communication Between the pairing process. Therefore, the Accu-Chek Aviva Combo Meter and attempt to pair your meter and Accu-Chek Spirit Combo Pump.” pump was unsuccessful. Ensure the meter and pump have Bluetooth wireless technology turned on.
  • Page 79 Display Shows Possible Cause(s) Possible Solution(s) Infrequent Pump At least two weeks have passed It is important to use Bluetooth wireless Communication since the meter and pump have technology communication between the communicated. meter and pump regularly if you utilize bolus advice.
  • Page 80 For instructions on how to pair the meter and the pump. and pump, see Chapter 4, “Communication Between the Accu-Chek Aviva Combo Meter and Accu-Chek Spirit Combo Pump.” Pairing Failed The attempt to pair the meter and Restart the pairing process. See Chapter pump was unsuccessful.
  • Page 81 Display Shows Possible Cause(s) Possible Solution(s) Pump Not Available The pump is out of the Ensure the meter and pump have communication range of the meter. Bluetooth wireless technology turned on. Ensure the meter and pump are within communication range. I f the low battery icon is displayed on the meter, the meter cannot communicate with the pump.
  • Page 82 WARNING: If you are experiencing communication problems between your meter and pump, it is recommended you operate the pump manually and not use the meter to remotely control the pump. NOTE: For additional information on errors and warnings, see the Standard Owner’s Booklet.

  • Page 83: Appendices

    Appendices Appendix A: Bolus Advice Bolus advice is only available if you have set up bolus advice on the Accu-Chek Aviva Combo Meter. For instructions on how to set up bolus advice, see the Standard Owner’s Booklet. Along with the basic blood glucose and carbohydrate values, there are several meter settings required to optimize the bolus advice feature so the recommendations match your insulin needs to the greatest possible extent.
  • Page 84 Bolus Advice Meter Settings This section contains an overview of the information that must be entered into the meter for accurate bolus advice recommendations. Carbohydrate Units • Bolus advice recommendations are based on the units of carbohydrates selected. • The right choice of carb units is important for bolus advice recommendations to be accurate. •...
  • Page 85 Warning Limits • You can select hyper (high) and hypo (low) blood glucose limits that best fit your needs. • Whenever a blood glucose test result is above the hyper warning limit or below the hypo warning limit, the meter displays a warning. •...
  • Page 86 Target Range • The range of your blood glucose results considered acceptable. • The meter automatically calculates the target blood glucose level as the average between the upper and lower blood glucose target limits. • Talk with your healthcare professional to determine the appropriate target range. Upper Blood Glucose Target Limit •...
  • Page 87 Insulin Sensitivity • For the current time block, the insulin sensitivity (correction factor) is the amount of insulin necessary to lower your blood glucose by a certain amount. • Talk with your healthcare professional to determine the appropriate insulin sensitivity settings. Your meter comes with the following preset time blocks: Time Block 24-Hour Format...
  • Page 88 Talk to your healthcare professional about setting up time blocks to help you manage your diabetes. Here is a suggested pattern: Time Block Start Time End Time 1. Night time Midnight The time you normally wake up 2. Breakfast The time you normally wake up 1½...
  • Page 89 Setting Up Time Blocks: Important Information • Time blocks cover a 24-hour time period (from midnight to midnight). • You can change the time period for any of the preset time blocks. • When setting up bolus advice, you must complete and save the settings in at least one time block. •...
  • Page 90 Health events available on the meter are: • Exercise 1 • Exercise 2 • Stress • Illness • Premenstrual • Fasting Bolus Advice Options Meal rise, snack size, acting time, and offset time are bolus advice options. Below are detailed descriptions of each of these settings.
  • Page 91 Snack Size • The snack size is the amount of carbohydrates that is not to be counted as a regular meal with the expected meal rise. Acting Time • The period of time from the start of the meal rise or the delivery of a correction bolus until your blood glucose level returns to the target level.
  • Page 92 Bolus Calculation The bolus recommended by the bolus advice feature of the meter consists of two components: a recommendation for a meal bolus that covers your food intake and a recommendation for a correction bolus to adjust your blood glucose level if it is not within the target range. The correction bolus can be positive if your current blood glucose level is above your target range or negative if it is below your target range.
  • Page 93 Correction Bolus If your current blood glucose level is not within your target range, a correction bolus is recommended. Blood Glucose Limits bG Result Hyper Warning Upper Target Limit Target Lower Target Limit Hypo Warning Discuss your blood glucose limits with your healthcare professional.
  • Page 94 The calculation for the recommended correction bolus depends on your current blood glucose result, your insulin sensitivity for the current time block, and whether you are planning to eat. Example Bolus Advice Calculations Blood Glucose Level Without Food Intake (No Carbs) Prior to a Meal Above Upper Target Limit (bG –Target bG) x Insulin Sensitivity (bG –Target bG) x Insulin Sensitivity...
  • Page 95 Other Boluses Subsequent Meal Boluses If you are planning to eat several meals or snacks in a short period of time, you should administer a meal bolus for each meal. The calculation is always the same as a meal bolus. Correction Bolus After a Meal After a meal, it is normal to allow for a rise of your blood glucose level even if you administered the correct meal bolus.
  • Page 96 Acting Time bG Level Hyper Offset Time Target Value Target Range Hypo Time Current Currently allowed bG value: Bolus not Meal Bolus bG values Meal Rise required The dotted line shows how your blood glucose level might change after a meal bolus. Bolus advice tolerates an increase in your blood glucose level within the meal rise range (green) without calculating an extra correction bolus.
  • Page 97 Subsequent Correction Boluses The difference between your current blood glucose level and your target blood glucose level is called Delta bG. A correction bolus administered according to the previous conditions covers this difference for a certain period of time. As the correction bolus starts to take effect, your current blood glucose level should fall and the covered Delta bG decreases after the Offset Time.
  • Page 98 Examples of Bolus Advice Recommendations The following graphs provide differing examples of how bolus advice considers different factors when calculations are made. The currently allowed blood glucose value considers the following factors: • Target Range Mean Value • Meal Rise •...
  • Page 99 After a Correction Bolus Acting Time bG Level Offset Time Hyper Target Value Target Range Hypo Time Current Currently allowed bG value: Bolus not Bolus bG values Corrected bG required The above diagram shows an example of the effect of this rule. The first correction bolus at 12:00 remains active during the acting time (the width of the blue area).
  • Page 100 bG Level Hyper Target Value Target Range Hypo Time Current Bolus bG values When a blood glucose test result is greater than the currently allowed blood glucose value, a bolus is calculated (light blue) that only considers the difference between the current blood glucose value (orange dots) and the currently allowed blood glucose value (the top of the blue area).
  • Page 101 bG Level Acting Time Hyper Offset Time Target Value Target Range Hypo Time Current Currently allowed bG value: Bolus not Meal Bolus bG values Meal Rise required Subsequent Meals If you eat several meals in a row, the meal rise is restarted for each new meal bolus.

  • Page 102: Appendix B: Bolus Advice Calculations

    Appendix B: Bolus Advice Calculations The Mathematical Basis for Bolus Calculations The following is a list of the most important formulas and the calculation principles on which bolus advice is based. It is difficult to calculate accurately a bolus yourself using these formulas when the acting time and offset time of recent meals and correction boluses are considered.
  • Page 103 Meal Bolus The following formula is used to calculate the bolus for meals: Insulin Meal Bolus = Carbohydrate Intake × Carbohydrates from carbohydrate ratio Currently Allowed Blood Glucose Value The target range average value used in the calculation of the correction bolus, as shown below, changes with the definition for the time blocks.
  • Page 104 Correction Bolus Generally, a correction bolus is only calculated if the current blood glucose value is above the hypo bG warning limit and outside the target range. If the current blood glucose value is above the target range, the currently allowed blood glucose value must also be exceeded. Only correction boluses greater than “0” trigger a corresponding acting time.
  • Page 105 Correction Bolus With Carbohydrate Intake Whenever carbohydrates have been entered, the related meal bolus is always offset against any (even negative) correction bolus. When a meal is eaten, the correction bolus is also calculated for blood glucose results that fall within the target range if: •...

  • Page 106: Appendix C: Explanation Of Symbols

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

  • Page 107: Index

    Index acting time, bolus advice calculations, active insulin, carbohydrate suggestion, aircraft. See Bluetooth wireless technology, correction bolus, using while traveling correction bolus with carbohydrate intake, currently allowed blood glucose value, basal profile, changing, 51–52 meal bolus, Bluetooth wireless technology, bolus advice options, 88–89 communication states, bolus advice recommendations, examples,...
  • Page 108 carbohydrate units, health events, 15, 87–88 carb ratio, carbs amount, communication, meter and pump, insulin sensitivity, overview, 34, troubleshooting, 73–80 correction bolus, 93–95 lower blood glucose target limit, deliver a bolus. See bolus, delivery using bolus manual bolus, advice insulin pen/syringe delivery using bolus diary, updating bolus information, advice, 20–22...
  • Page 109 offset time, standard bolus, cancel programmed meter delivery, 45–46 delivery using bolus advice, 15–16 pairing, delete device, description, pairing meter with pump, 61–66 program delivery through meter, 43–44, pairing prompt, cancelling, 67–69 symbols, explanation, pen bolus, description, synchronize, meter with pump, PIN, enter into meter, syringe bolus, description, pump control using meter,...
  • Page 110 upper blood glucose target limit, warning limits, warnings, pump, 53–54...

Table of Contents