Page 1 Aviva Combo Aviva Combo BLOOD GLUCOSE METER Standard Owner’s Booklet for Self-Testing Only...
Page 3: Before You Start Testing
• Carefully dispose of used test strips and lancets. • Home use of the ACCU-CHEK Aviva Combo system is limited to capillary whole blood testing. NOTE The terms “blood sugar” and “blood glucose” have the same meaning. In this manual we will use the...
Page 4 • The meter is designed and can be used for testing fresh capillary whole blood samples (for example, blood from a ﬁngertip). • Only use ACCU-CHEK Aviva Plus test strips. Other test strips will give inaccurate results. • Although you always apply whole blood to the test strip, the system has been calibrated to deliver plasma-like values for easier comparison to lab results.
Page 5 About Testing Yourself or Others • If you are very dehydrated or urinating frequently, you may get an inaccurate test result. If you think you are dehydrated, call your healthcare professional right away. • Some people with diabetes do not experience symptoms of low blood glucose (hypoglycemia). Others, such as children or people who are unconscious or have certain disabilities, may not be able to communicate their symptoms to caregivers.
Page 6 • Refer to the Test Strip and Control Solution package Inserts for additional health-related information. • It is always a good idea to have a back-up testing method available. Failure to test could cause a delay in treatment decisions and lead to a serious medical condition. Examples of back-up testing methods include a back-up meter or testing by a lab.
Page 7: Table Of Contents
The ACCU-CHEK Aviva Combo System 1 Understanding Your New System 1.1 Overview 1.2 The ACCU-CHEK Aviva Combo Meter at a Glance 1.3 The ACCU-CHEK Spirit Combo Insulin Pump at a Glance 1.4 Summary of Features 1.5 Screen Content and Navigation 2 Testing Your Blood Glucose 2.1 Overview...
Page 8 2.4 Detailed Blood Glucose Test Results 2.5 Understanding Blood Glucose Test Results 2.6 Unusual Blood Glucose Test Results 2.7 Symptoms of High or Low Blood Glucose 3 Control Testing 3.1 Overview 3.2 Why Perform Control Tests 3.3 About the Control Solutions 3.4 Performing a Control Test 3.5 Understanding Control Test Results 4 Managing Your Data...
Page 9 5 Changing Meter Settings 5.1 Overview 5.2 Setting bG Test Reminders: After High bG, After Low bG, After Meal 5.3 Setting Alarm Clock Reminders: bG Test, Other 5.4 Setting Date Reminders: Dr. Visit, Lab Test, Infusion Set Change 5.5 Setting Bolus Advice for the First Time 5.6 Setting Time Blocks, Health Events, Advice Options: Bolus Advice Set Up 5.7 Setting Warning Limits: Hyper, Hypo 5.8 Turning Key Lock On or O...
Page 10 6 Icons, Reminders, Warnings, and Errors 6.1 Overview 6.2 List of Icons 6.3 Conﬁrming a Reminder, Warning, or Error 6.4 List of Reminders 6.5 List of Warnings 6.6 List of Errors 7 Cleaning and Disinfecting the Meter and Lancing Device 7.1 Overview 7.2 Cleaning and Disinfecting the Meter 7.3 Cleaning and Disinfecting the Lancing Device...
Page 11 9 Troubleshooting 9.1 Overview 9.2 Troubleshooting the ACCU-CHEK Aviva Combo Meter 10 Technical Information 10.1 Overview 10.2 Product Limitations 10.3 Speciﬁcations 10.4 Product Safety Information 10.5 Disposing of the Meter, Strips, Lancets, and Batteries 10.6 Warranty and Limited License 10.7 Additional Supplies...
Page 12 Glossary Index...
Page 13: 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 14: The Accu-Chek Aviva Combo System
The ACCU-CHEK Aviva Combo System The ACCU-CHEK Aviva Combo meter is for quantitative blood glucose testing using ACCU-CHEK Aviva Plus test strips. The meter has many features including: • Controlling your ACCU-CHEK Spirit Combo pump • Administering a bolus • Bolus advice •...
Page 15 Alternative site testing should NOT be used with the ACCU-CHEK Aviva Combo blood glucose monitoring system. The ACCU-CHEK Aviva Plus test strips are for use with the ACCU-CHEK Aviva Combo blood glucose meter to quantitatively measure glucose (sugar) in fresh capillary whole blood samples drawn from the ﬁngertips.
Page 16 • If you have followed the steps in this booklet but still have symptoms that do not seem to match your test results, or if you have questions, talk to your healthcare professional. • The ACCU-CHEK Aviva Combo system is intended for single patient use and should not be shared.
Page 17: Understanding Your New System
Understanding Your New System 1.1 Overview 1.2 The ACCU-CHEK Aviva Combo Meter at a Glance 1.3 The ACCU-CHEK Spirit Combo Insulin Pump at a Glance 1.4 Summary of Features 1.5 Screen Content and Navigation...
Page 18: Overview
NOTE • This booklet shows sample screens. The screens in this booklet may look slightly different from the screens on the meter. If you have any questions about the meter screens, contact ACCU-CHEK Customer Care Service Center at 1-800-688-4578. • Blood glucose and bG are interchangeable and mean the same thing.
Page 19: The Accu-Chek Aviva Combo Meter At A Glance
1.2 The ACCU-CHEK Aviva Combo Meter at a Glance Infrared (IR) Window Display Shows menus, results, Transfers data from the messages, and data stored in meter to a computer the diary Code Key Slot Buttons Black code key is Press to enter menus or the...
Page 20 Batteries Control Solution Bottle Insert batteries according to the + and - symbols in (for example) the battery compartment. Test Strip Test Strip Container Yellow Window - Golden End - (for example) Touch blood drop or Insert this end of the test control solution here.
Page 21 Top View Infrared (IR) Window Code Key Side View Pre-inserted black code key (for example) NOTE The meter is already coded and comes with a pre-inserted black code key that you never need to change. Even if you use test strips from test strip boxes that contain another code key that is a different color or has different code numbers, you never need to change the black code key again.
Page 22 The meter has seven buttons and two soft keys. Left Soft Key Right Soft Key Up Arrow Right Arrow Enter Down Arrow Left Arrow Backlight Power On/Off NOTE • You hear a sound every time an active button/soft key is pressed unless you turned off the key sound. •...
Page 23 Table of Buttons and Soft Keys Button Name Function < Left Arrow j Move or scroll to the left in a screen. > Right Arrow j Move or scroll to the right in a screen. Up Arrow j Move or scroll up in a screen. Down Arrow j Move or scroll down in a screen.
Page 24 Table of Button Combinations Button Combination Name Function When the buttons are locked, press and Unlock Keys j Unlocks the buttons. hold until the Main Menu appears. With the meter turned off, press and hold Meter/Pump j Begins meter and pump pairing. and then press +.
Page 25: The Accu-Chek Spirit Combo Insulin Pump At A Glance
Infusion Set and data stored in the pump Connects the pump to your body to memory Adapter deliver insulin Connects the cartridge to the infusion set For information about the pump, see the ACCU-CHEK Spirit Combo Insulin Pump User Guide.
Page 26: Summary Of Features
1.4 Summary of Features Display The meter has a full-color graphic LCD (Liquid Crystal Display) that displays current and historical information. Backlight • The backlight helps you read the information on the meter display under di erent lighting conditions. • When the meter is turned on, the backlight is set to the medium level. •...
Page 27 Key Lock • The key lock feature allows you to lock all of the buttons on the meter, except for the power on/o button. • The key lock serves as a safety measure against unintentional activation of meter functions. • For more information, see Chapter 5, Changing Meter Settings. Signal Settings •...
Page 28 Bolus Advice (Optional) • The term “bolus” refers to the delivery of insulin all at once rather than slowly throughout the day, usually used to compensate for meals or high blood glucose. • Bolus advice calculates a bolus for you that is adapted to the time of day and your changing situations. •...
Page 29 Administering a Bolus Using your new meter, you can deliver a bolus: • Remotely on your pump using Bluetooth wireless technology • Using the bolus advice feature on the meter • Independently on your pump • Using an insulin pen or syringe My Data •...
Page 30 Data Transfer • You can transfer your data stored on the meter to a computer. • For more information, see Chapter 4, Managing Your Data. Warning Limits for Hyper and Hypo Blood Glucose Levels • You can select hyper (high) and hypo (low) blood glucose limits that best ﬁt your needs. Whenever a blood glucose test result is above or below this range, the meter displays a warning.
Page 31 Time Blocks • Time blocks allow you to divide a day into di erent time periods. • Setting time blocks to ﬁt your own schedule helps you and your healthcare professional see how patterns in your blood glucose are a ected by your daily activities and lifestyle. •...
Page 32 Without bolus advice, you need to consider the following when setting up time blocks: • Determine the appropriate time range by reviewing the end time for each time block. • Review the acceptable blood glucose target range (low and high) for each time block. With bolus advice, you need to consider the following when setting up time blocks: •...
Page 33 Health Events Health events can be selected to indicate how you are feeling or what you are doing that might a ect your diabetes. The meter allows you the option of setting a percentage for each health event, except for Fasting, if you set up bolus advice.
Page 34 Blood Glucose Test Reminders (Optional) The meter can be set up to remind you to retest your blood glucose after a high blood glucose test result, after a low blood glucose test result, or after a meal. An after high blood glucose test reminder example: •...
Page 35 Alarm Clock Reminders • The meter has alarm clock reminders which can be used as a helpful way to remind you when to test throughout the day. • In addition to “bG Test,” you can set reminders for “Other” for any other daily reminder. •...
Page 36: Screen Content And Navigation
1.5 Screen Content and Navigation This section provides an explanation of how to understand and navigate the screens on the meter. Each time the meter is turned on, this splash screen (ACCU-CHEK logo screen) is displayed for a short period of time.
Page 37 Features on the Main Menu: Sound Icon Vibrate Icon Appears when the beeper is Appears when vibrate is turned on turned on Date Time Low Battery Icon Menu Options Appears when the meter batteries are low Bluetooth Wireless Technology Icon Indicates whether the Bluetooth wireless technology is on, off, or connecting NOTE...
Page 38 Bluetooth Wireless Technology Icon Communication States You may turn Bluetooth wireless technology on or off at any time using the meter. Icon Communication State Bluetooth wireless technology is on. The meter and pump are communicating. Bluetooth wireless technology is o . The meter and pump are not communicating. Bluetooth wireless technology is on.
Page 39 Connecting to the Pump screen during pairing: This screen appears when Bluetooth wireless technology is on and the meter is connecting to the pump.
Page 40 Features on a screen: Title Bar Highlighted Option Primary menu title is displayed When a menu choice or item is here selected, it is highlighted in blue Secondary Title Bar Scroll Bar When necessary, a secondary If there is more information title bar appears.
Page 41 Information can be entered on some screens. Numerical entry fields appear as pop-up entry fields. When an option must be selected, it appears as a pop-up menu. • To open a pop-up menu or entry field, press =. • Press to select the appropriate pop-up menu option or until the correct numerical entry is present, and then press =.
Page 42 General Navigation Steps To change the settings or enter information into the meter: j Press to select a menu option and press =. j R epeat the previous step as necessary.
Page 43 j Select Save by pressing save changes and return to the previous screen. j P ress Press to select the < > select an option or a desired desired entry and press =. entry ﬁeld and press =. Repeat Steps 2 and 3, as necessary.
Page 45: Testing Your Blood Glucose
Testing Your Blood Glucose 2.1 Overview 2.2 Using the ACCU-CHEK Aviva Combo System 2.3 Performing a Blood Glucose Test 2.4 Detailed Blood Glucose Test Results 2.5 Understanding Blood Glucose Test Results 2.6 Unusual Blood Glucose Test Results 2.7 Symptoms of High or Low Blood Glucose...
Page 46: Overview
2.1 Overview It is important to understand how to perform a blood glucose test properly. NOTE Blood glucose and bG are interchangeable and mean the same thing.
Page 47: Using The Accu-Chek Aviva Combo System
2.2 Using the ACCU-CHEK Aviva Combo System Before You Start Testing Using ACCU-CHEK Aviva Plus Test Strips • Only use ACCU-CHEK Aviva Plus test strips. • Store the unused test strips in their original container. Do not remove test strips from the test strip container and put them into another container, such as a plastic bag, pocket, purse, wallet, etc.
Page 48 WARNING Not following the precautions below can lead to inaccurate results: • Do not store test strips in extreme temperatures or moisture areas (bathroom, kitchen, laundry room, car, or garage). Heat and moisture can damage your test strips. • Do not bend, cut, or alter the test strips. •...
Page 49: Performing A Blood Glucose Test
2.3 Performing a Blood Glucose Test Before you perform your ﬁrst blood test, ensure the meter is set up correctly and that you perform a control test. You need a meter with a pre-inserted black code key, a test strip, a lancing device, and a lancet. WARNING •...
Page 50 If the fingertip test result still does not match how you feel, contact your healthcare professional. NOTE If you need to perform a control test, only use ACCU-CHEK Aviva control solutions. See Chapter 3, Control Testing for more information about control testing.
Page 51 Performing a Fingertip Blood Glucose Test Prepare > Check the Use By Date > Insert Test Strip > Test Blood Sample > bG Test Result Check the Use By date on the Wash and dry your hands. Insert the golden end of a test strip container.
Page 52 Fingerstick: Fingerstick: The Apply Sample screen Perform a ﬁngerstick with the Gently squeeze your ﬁnger to appears. The test strip is ready lancing device. assist the ﬂow of blood. This for testing. helps you get a blood drop.
Page 53 When the test strip has enough The result appears on the blood, the Analyzing screen display. appears. Touch the blood drop to the front edge of the yellow window of the test strip. Do not put blood on top of the test strip.
Page 54 Approximately 3 seconds later, the detailed bG Result screen appears. Remove and discard the used test strip.
Page 55 NOTE • If the blood drop is too small, reapply pressure to get a sufficient blood drop. • For more information regarding blood glucose test results, see Section 2.5, Understanding Blood Glucose Test Results. • To add detailed information to the blood glucose test (meal time, carbs, and health events) see Section 2.4, Detailed Blood Glucose Test Results.
Page 56 NOTE Other ways to start a blood glucose test: • From the Main Menu, select bG Test and press =. Insert a test strip into the meter. • When a reminder notification or the key lock icon is displayed, insert a test strip into the meter. •...
Page 57: Detailed Blood Glucose Test Results
2.4 Detailed Blood Glucose Test Results The detailed bG Result screen displays the following information: Test Time Status Bar Meal Time Blood Glucose Test Result Carbohydrates Unit of Measure Health Event Active Insulin Displayed only if bolus advice is activated and data has recently been read from the pump...
Page 58 Detailed bG Results > Change Meal Time/Carbs/Health Events (Optional) The detailed bG Result screen allows you to view and to add information to a blood glucose test result.
Page 59 How to Add Information to a Blood Glucose Test Result To Change Meal Time: Active Insulin Display: Bolus Advice is not available Select the Meal Time entry The meter displays the ﬁeld and press =. calculated amount of Active The blood glucose test result is Select either Pre Meal, Post Insulin.
Page 60 NOTE • You can add information on the detailed bG Result screen for meal time, carbs, and health events. • Review and, if necessary, update information for meal time, carbs, and health events to receive an accurate bolus recommendation. • Active insulin is bolus insulin that has been given to lower your blood glucose, but has not yet been fully used.
Page 61: Understanding Blood Glucose Test Results
2.5 Understanding Blood Glucose Test Results The bG Result screen displays the following information: Test Time Test Date Status Bar Blood Glucose Test Result Unit of Measure NOTE • If the dosed test strip is removed from the meter before results or errors are displayed, a blood glucose test result will not appear.
Page 62: Status Bar
Status Bar The status bar on the bG Result screen indicates how the result compares to the target blood glucose range for the current time block. The following are status bar descriptions with sample displays: Green indicates the result is Yellow indicates the result is Red with “Hypo”...
Page 63 Light blue indicates the result is Light blue with “Hyper” above the target range for the indicates the result is above the current time block. The result hyper warning limit. is not above the hyper warning limit.
Page 64 LO or HI Display NOTE Blood Glucose Warnings If the blood glucose test results are outside the hyper or hypo warning limits, or outside the measurement range of the meter, then a warning is displayed after the bG Test Result screen. Select If “LO”...
Page 65: Unusual Blood Glucose Test Results
Repeat the blood glucose test with a properly stored test place? strip. 5. Did you follow the directions? Read Chapter 2, Testing Your Blood Glucose, and repeat the blood glucose test. If you still have problems, contact ACCU-CHEK Customer Care Service Center at 1-800-688-4578.
Page 66 Perform a control test. See Chapter 3, Control Testing. properly? 7. Are you still unsure of the problem? Contact ACCU-CHEK Customer Care Service Center at 1-800-688-4578. After performing a control test and repeating a blood glucose test, if your blood glucose test results still do not...
Page 67: Symptoms Of High Or Low Blood Glucose
LO or HI, contact your healthcare professional immediately. • The meter is designed to display blood glucose results from 20 to 600 mg/dL. If a result below 20 mg/dL or over 600 mg/dL appears on the display, call ACCU-CHEK Customer Care Service Center at 1-800-688-4578.
Page 68 Comparing Your Meter Result to a Lab Result A common question is how the blood glucose results on your meter compare to the lab results. Your blood glucose can change quickly, especially after eating, taking medication, or physical activity. If you test yourself in the morning and then go to the healthcare professional’s o ce for a blood glucose test, your results will probably not match, even if you are fasting.
Page 69: Control Testing
Control Testing 3.1 Overview 3.2 Why Perform Control Tests 3.3 About the Control Solutions 3.4 Performing a Control Test 3.5 Understanding Control Test Results...
Page 70: Overview
3.1 Overview This chapter describes how and when to perform a control test to ensure the accuracy of your blood glucose meter. It is recommended you complete a control test prior to performing a blood glucose test for the ﬁrst time.
Page 71: Why Perform Control Tests
3.2 Why Perform Control Tests Performing a control test lets you know the meter and test strips are working properly to give reliable blood glucose test results. You should perform a control test when: • You open a new test strip box. •...
Page 72: About The Control Solutions
3.3 About the Control Solutions • Only use ACCU-CHEK Aviva control solutions. • The meter automatically recognizes the control solution. • The control test results are not displayed in the diary. • Write the date you opened the control solution bottle on the bottle label. The solution is good for 3 months from that date or until the “Use By”...
Page 73: Performing A Control Test
3.4 Performing a Control Test The Control Result screen displays the following information: Test Time Test Date Control Result Unit of Measure You need a meter with a pre-inserted black code key, a test strip, and control solution Level 1, Level 2, or both.
Page 74 Check the Use By Date > Insert Test Strip > Test Control Solution > Control Result The Apply Sample screen Check the Use By date on the Insert the golden end of a appears. The test strip is ready test strip container. Do not use test strip into the meter in the for testing.
Page 75 Select the control solution to Place the meter on a ﬂat Remove the control bottle cap. test. You will enter the level surface, like a table. Wipe the tip of the bottle with later in the test. a tissue.
Page 76 When the test strip has enough The control result appears on control solution, the Analyzing the display. screen appears. Select Level to display the Wipe the tip of the bottle with a control solution level pop-up tissue and then cap the bottle menu.
Page 77 Select the control solution level Remove and discard the test and press =. strip. For information on understanding control test results, proceed to the next section, or select Menu to save this result and display the Main Menu screen.
Page 78 NOTE • If a test strip error occurs, remove and discard the used test strip and repeat the test with a new test strip. • Be careful not to put any fluids into the test strip slot. • When the Control Level screen is displayed and you select Cancel without selecting a control solution level, then No Entry is chosen.
Page 79: Understanding Control Test Results
3.5 Understanding Control Test Results The detailed Control Result screen displays the following information: Test Time Test Date Control Result Control Solution Level Result Unit of Measure Within range or Out of range Menu Select Menu to save result and display Main Menu screen...
Page 80 Example Control Results When the control test result is inside the range on the test strip container, the test strips and the meter are working Example properly. Range (mg/dL) Level 1 25-55 Level 2 255-345 The label on your test strip container shows the If the control test result is within acceptable ranges for both...
Page 81 If the control test result is If “HI” is displayed, the control If “LO” is displayed, the control outside of the acceptable range, test result may be above the test result may be below the “Out of range” appears on the measurement range.
Page 82 If the meter stored No Entry for the control solution level, then “---” appears with no indication of in or out of range.
Page 83 Out-of-Range Control Test Results If the control test result is out of range, check this list to help solve the problem: Troubleshooting Checks Actions 1. Were either the test strips or control solutions Discard the test strips or control solutions if either is expired? past the “Use By”...
Page 84 6. Did you follow the directions? Read Chapter 3, Control Testing, and repeat the control test. If you still have problems, contact ACCU-CHEK Customer Care Service Center at 1-800-688-4578. 7. Did you choose the correct control solution level, If you chose the wrong control solution level, you...
Page 85: Managing Your Data
Managing Your Data 4.1 Overview 4.2 Viewing or Modifying Your Data 4.3 Adding New Data 4.4 Reporting Your Data 4.5 Downloading Your Data to a Computer...
Page 86: Overview
The reports the meter displays help you get the most from your ACCU-CHEK Aviva Combo meter. From the diary records stored in the meter, you are able to view a speciﬁc blood glucose test record with its attributes (e.g., meal time, carbs, health event, and bolus).
Page 87 Storing Test Results The meter automatically stores up to 1,000 diary records with the time and date. You can review up to 250 diary records on the meter or up to 1,000 diary records using a computer with compatible software. Diary records are stored from the newest to the oldest.
Page 88 • Do not change your therapy based on one individual record or test result in the diary. • This chapter shows sample screens. The screens may look slightly different from the screens on the meter. If you have any questions about the meter screens, contact ACCU-CHEK Customer Care Service Center at 1-800-688-4578.
Page 89: Viewing Or Modifying Your Data
4.2 Viewing or Modifying Your Data The View Data screen displays the following information: Carbs Icon Date of Record(s) Time of Blood Unit of Measure Glucose Test Blood Glucose Test Result Blood Glucose Test Appropriate Bolus Icon Icon Select View Meal Time Icon Change meter display between blood glucose, bolus, and carbs views...
Page 90 NOTE • If data are not available, the No Data Available screen is displayed. • The View Data screen displays the records in the order in which they occurred with the most recent record shown on top. • For the blood glucose test result: •...
Page 91 Icon descriptions: Icon Icon Name Description Icon is displayed when information exists for this diary bG Test record regarding a blood glucose test. Icon is displayed when information exists for this diary Meal Time record regarding meal time. Icon is displayed when information exists for this diary Carbs record regarding carbs.
Page 92 Icon Icon Name Description Extended Bolus Conﬁ rmed Delivery has been conﬁ rmed by the pump. Manual Pump Delivery has not been conﬁ rmed by the pump. Pen/Syringe Bolus Pump does not deliver bolus.
Page 93 You can view a diary record with its attributes (blood glucose value, meal time, carbs, health event, and bolus). Main Menu > My Data > View Data From the Main Menu, select Select View Data and press My Data and press =.
Page 94 Blood Glucose View: Bolus View: Carbs View: Shown above are View Data screens that display values for blood glucose, bolus, or carbs. To choose another view, press (a pop-up menu appears). Select the view you want and press =. Press to view other records (the screen scrolls if there are additional records).
Page 95 To modify a diary record, select Modify and continue to the next step. Press to view the previous Select the entry ﬁeld to modify < record or press > to view the and press =. next (newer) record. Make the change in the entry ﬁeld and press =.
Page 96 NOTE To save the changes and To cancel changes or return to the View Detail screen, select return to the View Detail Cancel. screen, select Save.
Page 97 The following fields cannot be modified with the specified condition: Fields Cannot be modiﬁed if the … Bolus Bolus type is conﬁrmed standard, extended, or multiwave Bolus Blood glucose test result was below the hypo warning limit Meal Time Record has no blood glucose value Meal Time, Carbs, Health Event, Record has been used for bolus advice and Bolus...
Page 98: Adding New Data
4.3 Adding New Data You can add data to a diary record for carbs, health, and bolus. The Add Data screen displays the following information: Time Entry Field Carbs Entry Field Date Entry Field Health Entry Field Bolus Entry Field Save Appears once data has been entered to an entry field...
Page 99 Main Menu > My Data > Add Data From the Main Menu, select Select Add Data and press =. Select an entry ﬁeld and press My Data and press =. Make addition in the entry ﬁeld and press =.
Page 100 NOTE Make additions to other entry • The meter initially displays the current date and the current time. ﬁelds, as needed. You can change the date and time when adding a diary record, To save the changes and although the date and time cannot be set in the future. return to the My Data screen, •...
Page 101: Reporting Your Data
4.4 Reporting Your Data Time Range Blood Glucose Standard Deviation Meal Times Calculated for the time range Number of Tests Used to calculate the averages and standard deviations Blood Glucose Average Calculated for the time range...
Page 102 NOTE • If data are not available to calculate averages, the No Data Available screen is displayed. • Standard deviation measures how much the blood glucose test results are scattered around the blood glucose average. A low standard deviation means the blood glucose test results are tightly clustered around the blood glucose average;...
Page 103 Reporting Your Blood Glucose Averages The meter displays your blood glucose averages and standard deviations for the time range you choose (7, 14, 30, 60, or 90 days). Main Menu > My Data > Reports > bG Averages From the Main Menu, select Select Reports and press =.
Page 104 The blood glucose averages are displayed. To display blood glucose averages for another time range (last 7, 14, 30, 60, or 90 days), press either < > to scroll the screen until you reach the time range you need. To return to the Reports screen, select Back.
Page 105 Reporting Your Data Trends The meter displays your blood glucose record trends for the time range you choose (last 8 hours, 24 hours, 48 hours, or 7 days). Main Menu > My Data > Reports > Trend Select Reports and press =. Select Trend and press =.
Page 106 Trend Graph Screen Time Range Bolus Icon Meal Time Selection Bolus Unit of Measure Blood Glucose Unit Maximum Bolus Amount Indicator of Measure Maximum Carbs Amount Indicator Blood Glucose Icon Carbs Unit of Measure Times or Days of Carbs Icon Month Bolus Value Arrow...
Page 107 Follow these tips to get the most value from My Data reports: • If you delivered a bolus directly on the pump, go to My Data on the meter to receive the bolus information automatically. Do this before your next blood glucose test. •...
Page 108 NOTE • If data are not available to display the trend graph, the No Data Available screen is displayed. • Trend graphs do not include corrupt results or control results. • If (time change icon) is shown at the bottom of the Trend Graph screen, the time and date of one or more data points in the trend graph may not match the time stamp in My Data because the meter clock has been changed.
Page 109 Trend Graph To display a trend graph for Press to display the Table another meal time selection (proceed to the next section (Overall, Pre Meal, Post Meal, for more information). Bedtime, or Other), press either to highlight To return to the Reports the meal time selection ﬁeld screen, select Back.
Page 110 NOTE The meter saves the current settings (time range, meal time, and graph view) when you select Back or when the meter powers off.
Page 111 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 Only shown when meter time has been changed for this data...
Page 112 NOTE • If data are not available to display the trend table, the No Data Available screen is displayed. • Trend tables do not include corrupt results or control results. • If (time change icon) is shown at the bottom of the Trend Table screen, the time and date of one or more data points in the trend table may not match the time stamp in My Data because the meter clock has been changed.
Page 113 Trend Table To display a trend table for To display a trend table for another time range another meal time selection (last 8 hours, 24 hours, (Overall, Pre Meal, Post Meal, 48 hours, or 7 days), Bedtime, or Other), press press to highlight the time either...
Page 114 NOTE Press to display the Graph The meter saves the current settings (time range, meal time, and (see previous section for more table view) when you select Back or when the meter powers off. information). To return to the Reports screen, select Back.
Page 115 Reporting Your Standard Day The meter displays (for a standard day) your blood glucose averages, number of tests, and standard deviations within predetermined time blocks for the time range you choose (last 7, 14, 30, 60, or 90 days). Main Menu > My Data > Reports > Standard Day From the Main Menu, select Select Reports and press =.
Page 116 Standard Day Graph Screen Time Range Box for Each Time Block • “X” in center of box indicates the Meal Time Selection average of all blood glucose test Blood Glucose Unit results for the selected criteria. of Measure • The top of the box indicates 1 standard deviation above the Blood Glucose Icon average and the bottom of the...
Page 117 NOTE • If data are not available to display the standard day graph, the No Data Available screen is displayed. • The standard day graph does not include corrupt results, control results, HI values, or LO values.
Page 118 Standard Day Graph Press to display the Table To display a standard day graph for another meal (proceed to the next section for time selection (Overall, Pre more information). Meal, Post Meal, Bedtime, To return to the Reports screen, or Other), press either select Back.
Page 119 NOTE The meter saves the current settings (time range, meal time, and graph view) when you select Back or when the meter powers off.
Page 120 Standard Day Table Screen Time Range Standard Deviation (SD) Meal Time Selection Number of Tests Time Block Blood Glucose Average...
Page 121 NOTE • If data are not available to display the standard day table, the No Data Available screen is displayed. • Standard day table calculations do not include corrupt results, control results, or HI and LO results. • For a standard deviation to be displayed for a given time block, there must have been two or more tests recorded during the time block.
Page 122 Standard Day Table To display a standard day table To display a standard day table for another time range (last 7, for another meal time selection 14, 30, 60, or 90 days), press (Overall, Pre Meal, Post Meal, to highlight the time range Bedtime, or Other), press either selection ﬁeld (top of screen).
Page 123 NOTE Press to display the Graph The meter saves the current settings (time range, meal time, and (see previous section for more table view) when you select Back or when the meter powers off. information). To return to the Reports screen, select Back.
Page 124 Reporting Your Standard Week The meter displays (for a standard week) your blood glucose averages, number of tests, and standard deviations for each day of the week for the time range you choose (last 7, 14, 30, 60, or 90 days). Main Menu >...
Page 125 Standard Week Graph Screen Time Range Arrow Indicates blood glucose average is off the Meal Time Selection top of the graph (“X” is not displayed) Blood Glucose Unit Box for Each Time Block of Measure • “X” in center of box indicates the average Blood Glucose Icon of all blood glucose test results for the selected criteria.
Page 126 NOTE • If data are not available to display the standard week graph, the No Data Available screen is displayed. • The standard week graph does not include corrupt results, control results, HI values, or LO values.
Page 127 Standard Week Graph To display a standard week Press to display the Table graph for another meal (proceed to the next section for time selection (Overall, Pre more information). Meal, Post Meal, Bedtime, To return to the Reports or Other), press either screen, select Back.
Page 128 NOTE The meter saves the current settings (time range, meal time, and graph view) when you select Back or when the meter powers off.
Page 129 Standard Week Table Screen Time Range Standard Deviation (SD) Meal Time Selection Number of Tests Day of Week Blood Glucose Average NOTE • If data are not available to display the standard week table, the No Data Available screen is displayed. •...
Page 130 Standard Week Table To display a standard week To display a standard week table for another time range graph for another meal (last 7, 14, 30, 60, or 90 days), time selection (Overall, Pre select the time range selection Meal, Post Meal, Bedtime, ﬁeld (top of screen).
Page 131 NOTE Press to display the Graph The meter saves the current settings (time range, meal time, and (see previous section for more table view) when you select Back or when the meter powers off. information). To return to the Reports screen, select Back.
Page 132 Reporting Your Target The meter displays a pie chart illustrating your blood glucose records as “Above,” “Within,” “Below,” and “Hypo” for the time range you choose (last 7, 14, 30, 60, or 90 days). Main Menu > My Data > Reports > Target From the Main Menu, select Select Reports and press =.
Page 133 Target Graph Screen Time Range Meal Time Selection Legend Pie Chart Blood glucose test result Represents the percentages for the categories blood glucose test result categories NOTE • If data are not available to display the target graph, the No Data Available screen is displayed. •...
Page 134 Target Graph To display a target graph for Press to display the Table another meal time selection (proceed to the next section for (Overall, Pre Meal, Post Meal, more information). Bedtime, or Other), press To return to the Reports either to highlight screen, select Back.
Page 135 NOTE The meter saves the current settings (time range, meal time, and graph view) when you select Back or when the meter powers off.
Page 136 Target Table Screen Time Range Meal Time Selection Legend Percentage of Occurrence Blood glucose test result categories NOTE • If results or data are not available for the selected time period and meal time, the No Data Available screen is displayed. •...
Page 137 Target Table To display a target table for Press to display the Target another meal time selection Graph (see previous section for (Overall, Pre Meal, Post Meal, more information). Bedtime, or Other), press To return to the Reports either to highlight screen, select Back.
Page 138 NOTE The meter saves the current settings (time range, meal time, and table view) when you select Back or when the meter powers off.
Page 139: Downloading Your Data To A Computer
4.5 Downloading Your Data to a Computer You can transfer your stored results to a computer to track, identify patterns, and print. Install the software according Run the software program and to the instructions. follow the instructions about Connect the computer cable how to download information.
Page 140 Infrared (IR) Window Locate the infrared (IR) window Follow the prompts on your Select Data Transfer and press on the top of the meter. computer software to start the Locate the IR window on the data transfer. computer’s infrared cable. Point the two IR windows toward each other.
Page 141 If the data did not transfer successfully, turn off the meter, turn the meter back on, and try again. If you still have problems, contact ACCU-CHEK Customer Care Service Center at 1-800-688-4578. Once the data transfer is complete, the Data Transfer...
Page 143: Changing Meter Settings
Changing Meter Settings 5.1 Overview 5.2 Setting bG Test Reminders: After High bG, After Low bG, After Meal 5.3 Setting Alarm Clock Reminders: bG Test, Other 5.4 Setting Date Reminders: Dr. Visit, Lab Test, Infusion Set Change 5.5 Setting Bolus Advice for the First Time 5.6 Setting Time Blocks, Health Events, Advice Options: Bolus Advice Set Up 5.7 Setting Warning Limits: Hyper, Hypo 5.8 Turning Key Lock On or O...
Page 144: Overview
5.1 Overview You have the ﬂexibility to change the ACCU-CHEK Aviva Combo meter settings that you initially selected during the Setup Wizard process. You can make adjustments to the meter settings in order to meet changing conditions. Consult with your healthcare professional to ensure the appropriate settings are selected.
Page 145: 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 • At the scheduled time, the meter turns on and displays the reminder (if a test strip has not been inserted). However, if the meter is already on when the reminder is scheduled and no blood glucose test was performed, the reminder is displayed when the meter powers down.
Page 146 Main Menu > Settings > Reminders > bG Test Reminders From the Main Menu, select Select Reminders and press Select bG Test Reminders and Settings and press =. press =.
Page 147 To Change the Remind After Time: Select the Remind After entry ﬁeld and press =. Set the amount of time after a high blood glucose test result you want to be reminded to retest your blood glucose and To Turn the After High bG Select either After High bG, press =.
Page 148 To Change the Remind After Time: Select the Remind After entry ﬁeld and press =. Set the amount of time after a low blood glucose test result you want to be reminded to retest your blood glucose and To Turn the After Low bG To Turn the After Meal press =.
Page 149 NOTE Set the amount of time after • Remind After is displayed a meal (carb entry larger than as “HH:MM” (e.g., 1:30) the snack size) you want to be where “H” is hour and “M” reminded to retest your blood is minute.
Page 150: Setting Alarm Clock Reminders: Bg Test, Other
5.3 Setting Alarm Clock Reminders: bG Test, Other Alarm clock reminders are a helpful way to remind you to test your blood glucose, or for any other daily appointment. You can set up to eight reminders per day. Alarm Clock Reminders: Important Information •...
Page 151 Main Menu > Settings > Reminders > Alarm Clock From the Main Menu, select Select Reminders and press Select Alarm Clock and press Settings and press =.
Page 152 NOTE Other) and press =. • To cancel changes or return Select O and press =. to the Reminders screen, Repeat the above steps to turn select Cancel. o additional reminders. • Time for the Alarm Clock To save the changes and reminders can be set in return to the Reminders 15-minute increments,...
Page 153: Setting Date Reminders: Dr. Visit, Lab Test, Infusion Set Change
5.4 Setting Date Reminders: Dr. Visit, Lab Test, Infusion Set Change Date reminders are a helpful way to remind you of an upcoming Dr. visit or lab test. In addition, you can set up an ongoing reminder for an infusion set change for the interval you choose (1 day, 2 days, or 3 days). Date Reminders: Important Information •...
Page 154 Main Menu > Settings > Reminders > Date Reminders Select Date Reminders and From the Main Menu, select Select Reminders and press press =. Settings and press =.
Page 155 To Set the Date: Select the Date entry ﬁeld and press =. Set the Day and press =. Set the Month and press =. Set the Year and press =. To Set the Time (Optional): Select the Time entry ﬁeld and To Turn the Dr.
Page 156 To Set the Time (Optional): Select the Time entry ﬁeld and press =. Set the Time and press =. 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 O : Change Reminder On or O : Select the Reminder entry ﬁeld...
Page 157 NOTE To save the changes and • Setting a time for a Date Reminder is optional. If you choose return to the Date Reminders not to set a time, ensure the Time entry field value is “--:--” screen, select Save. (no entry).
Page 158: Setting Bolus Advice For The First Time
5.5 Setting Bolus Advice for the First Time Set Up Bolus Advice If you did not set up bolus advice when you went through the Setup Wizard and have now decided to utilize bolus advice, proceed with this section. Once you do set up bolus advice, you cannot turn it off. It is suggested that you review the information in the Getting Started Guide before continuing.
Page 159 Time Blocks–Bolus Advice Screen Time Block Start Time Time Block End Time Target Range Lower Target Range Upper Limit Value Limit Value Carb Ratio–Number of Carbs Carb Ratio–Number of Insulin Units scroll down Insulin Sensitivity– Scroll Bar Number of Insulin Units Insulin Sensitivity–Change in Glucose Level...
Page 160 Main Menu > Settings > Bolus Advice From the Main Menu, select Select Bolus Advice and press If you do NOT want to set up Settings and press =. bolus advice, select No to return to the Settings screen. To set up bolus advice, select Yes and continue to the next step.
Page 161 scroll down To continue, select Next. To Change Time Blocks: Select a time block to edit and press =. To Change the End Time: Select the End Time entry ﬁeld and press =. Set the End Time and press...
Page 162 To Change the Target Range: To Change the Insulin Select the entry ﬁeld for the Sensitivity: lower value of the Target Select the entry ﬁeld for the Range and press =. number of Insulin Units and Set the value and press =. press =.
Page 163 To Remove a Time Block: Select the Time Block you want to remove and press =. Return to Step 5 to change Select the End Time entry ﬁeld another Time Block. and press =. Continue in order to add Set the End Time of the or remove Time Blocks, selected time block and press otherwise select Next and...
Page 164 Select the End Time entry ﬁeld To Change the Health Events: To Change the Meal Rise: and press =. Select the entry ﬁeld of the Select the Meal Rise entry ﬁeld Set the End Time to match the Health Event to be changed and press =.
Page 165 Set the Acting Time duration and press =. To Change the O set Time: Select the O set Time entry ﬁeld and press =. Set the O set Time duration and press =. Select OK. To return to the Settings To save the changes and exit, screen, select Back.
Page 166 Bolus Advice Options Meal Rise, Snack Size, Acting Time, and O set Time are Bolus Advice Options. Below are detailed descriptions of each of these settings. Meal Rise During or after meals, an increase in blood glucose levels is considered normal within a certain range, even though a meal bolus has been delivered.
Page 167: Setting Time Blocks, Health Events, Advice Options: Bolus Advice Set Up
5.6 Setting Time Blocks, Health Events, Advice Options: Bolus Advice Set Up If bolus advice has been set up, use this section for: • Adding or removing time blocks • Changing the time of day when time blocks occur • Changing the values for target range, carb ratio, and insulin sensitivity for any time block •...
Page 168 Setting Time Blocks–Bolus Advice is Set Up Main Menu > Settings > Bolus Advice > Time Blocks Select Time Blocks and press From the Main Menu, select Select Bolus Advice and press Settings and press =.
Page 169 To Add a Time Block: Proceed to To Change the Select the last time block and Time Blocks. press =. To Remove a Time Block: Select the Time Block you want to remove and press =. To Add or Remove Time Blocks: If you do not need to add or remove time blocks, then...
Page 170 To Change the Carb Ratio: To save the changes and Select the entry field for the return to the Time Blocks number of Insulin Units and screen, select Save. press =. Proceed to To Change the Set the number of Insulin Units Time Blocks.
Page 171 Set the Insulin Sensitivity level and press =. Select Save. To change another time block, select the time block and press =. Return to Step 5. To return to the Bolus Advice screen, select Back.
Page 172 Setting Health Events–Bolus Advice is Set Up Main Menu > Settings > Bolus Advice > Health Events Select Health Events and press From the Main Menu, select Select Bolus Advice and press Settings and press =.
Page 173 To Change the Health Events: Select the entry ﬁeld of the Health Event to be changed and press =. Set the percentage and press Repeat the previous steps to change other Health Events. To save the changes and return to the Bolus Advice screen, select Save.
Page 174 Setting Bolus Advice Options–Bolus Advice is Set Up Main Menu > Settings > Bolus Advice > Advice Options From the Main Menu, select Select Advice Options and Select Bolus Advice and press Settings and press =. press =.
Page 175 To Change the Snack Size: If you did not change the Snack Select the Snack Size entry Size, the meter returns to the ﬁeld and press =. Bolus Advice screen. Set the Snack Size amount and press =. To Change the Acting Time: Select Acting Time entry ﬁeld and press =.
Page 176: Setting Warning Limits: Hyper, Hypo
5.7 Setting Warning Limits: Hyper, Hypo You can set blood glucose warning limits for hyperglycemia (Hyper) or hypoglycemia (Hypo) conditions. Once these blood glucose limit values have been set, if your test result is above the hyper warning limit, the meter displays the Above Hyper Warning Limit message: “Consider checking for ketones, bG and insulin regularly.”...
Page 177 Main Menu > Settings > Meter > Warning Limits Select Warning Limits and From the Main Menu, select Select Meter and press =. press =. Settings and press =.
Page 178 To Change the Hypo Blood Glucose Level: Select the Hypo entry ﬁeld and press =. Set the Hypo (lower) blood glucose level and press =. To save the changes and return to the Meter Menu To Change the Hyper Blood screen, select Save.
Page 179: Turning Key Lock On Or O
5.8 Turning Key Lock On or O The key lock feature allows you to lock all of the buttons on the meter, except for the power on/o button. This serves as a safety measure against unintentional activation of meter functions.
Page 180 Main Menu > Settings > Meter > Key Lock Select Key Lock and press =. From the Main Menu, select Select Meter and press =. Settings and press =.
Page 181 you can still turn the meter on and o . You can also adjust the backlight. The buttons are unlocked when: • A test strip is inserted into the meter • The meter is turned on and Press to display the Key If the buttons are locked when a pump error or a pump Lock pop-up menu.
Page 182: Setting The Language
5.9 Setting the Language You can select a language from the predeﬁned list.
Page 183 Main Menu > Settings > Meter > Language Select Language and press From the Main Menu, select Select Meter and press =. Settings and press =.
Page 184 Press to display the Language options. Select the desired Language and press =. To save the change and return to the Meter Menu screen, select Save.
Page 185: Setting Units: Carbs
5.10 Setting Units: Carbs You can set up the meter for di erent carbohydrate (carbs) units (Grams, BE, KE, or CC). Once the Carbs Units are set and bolus advice is activated, the Carbs Units cannot be changed.
Page 186 Main Menu > Settings > Meter > Units Select Units and press =. From the Main Menu, select Select Meter and press =. Settings and press =.
Page 187 If this unit Appendix B, Carb Units. needs to be changed, contact the ACCU-CHEK Customer Care Service Center at 1-800-688-4578. Press to display the list of units for carbs.
Page 188: Turning Bluetooth ® Wireless Technology On Or O
5.11 Turning Bluetooth Wireless Technology On or O ® Main Menu > Settings > Meter > Bluetooth Select Bluetooth and press =. From the Main Menu, select Select Meter and press =. Settings and press =.
Page 189 To turn Bluetooth wireless technology either On or O , press and hold until the Bluetooth wireless technology icon changes. Release *. To save the change and return to the Meter Menu screen, select Back.
Page 190: Pairing The Meter And Pump
5.12 Pairing the Meter and Pump For complete pairing instructions, see the Advanced Owner’s Booklet.
Page 191: Setting The Beeper, Vibrate, Key Sound
5.13 Setting the Beeper, Vibrate, Key Sound You can set up the meter for sound mode and/or vibrate mode. The meter features di erent sound (beeper) tones. Sounds may occur for: • Button presses • Errors • Warnings • Reminders NOTE •...
Page 192 Main Menu > Settings > Sound/Vibrate To Change the Beeper Sound From the Main Menu, select Select Sound/Vibrate and Level: Settings and press =. press =. Select the Beeper entry ﬁeld and press =. Select the Beeper sound level (O , Low, Medium, or High) and press =.
Page 193 To Change the Key Sound: Select the Key Sound entry ﬁeld and press =. Select the Key Sound mode (On or O ) and press =. To save the changes and return to the Settings Menu screen, select Save.
Page 194: Setting The Time Format, Time, Date
5.14 Setting the Time Format, Time, Date NOTE • It is recommended you set the date and time on the pump (the date and time on the meter will automatically synchronize to match the pump). • Changing the date and time will impact the Trend Graph and the Trend Table (see Reporting Your Data Trends in Section 4.4, Reporting Your Data).
Page 195 Main Menu > Settings > Time/Date From the Main Menu, select To Change the Time Format: Select Time/Date and press Settings and press =. Select the Time Format entry ﬁeld and press =. Select 12 hr or 24 hr Time Format and press =.
Page 196 To Change the Time: Select the Time entry ﬁeld and press =. Set the Hour and press =. Set the Minutes and press =. If Time Format is 12 hr, select am or pm and press =. To Change the Date: Select the Date entry ﬁeld and press =.
Page 197: Setting Time Blocks: Bolus Advice Not Set Up
5.15 Setting Time Blocks: Bolus Advice Not Set Up This section is for changing, adding, and removing time blocks only if bolus advice has not been set up. For each time block, you can set up di erent blood glucose target ranges. It is suggested that you review the Getting Started Guide before continuing.
Page 198 Change End Time, Target Range Lower Value, and/or Target Range Upper Value Main Menu > Settings > Time Blocks From the Main Menu, select Select the time block to edit Time Blocks does not appear if Settings and press =. and press =.
Page 199 To Change the Target Range: Select the entry ﬁeld for the lower value of the Target Range and press =. Set the value and press =. Select the entry ﬁeld for the upper value of the Target Range and press =. To Change the End Time: Set the value and press =.
Page 200 NOTE • When you set the end time, the meter sets this end time as the start time for the next time block. • The end time can be set in 30-minute increments. • To cancel changes press ,.
Page 201 Add a Time Block Main Menu > Settings > Time Blocks Select the last time block and From the Main Menu, select Time Blocks does not appear if press =. Settings and press =. bolus advice has been set up. Select Time Blocks and press...
Page 202 Set the End Time of the Update the End Times and selected Time Block and press Target Ranges for all time =. This will be the start time blocks, as needed. See of the added time block. Change End Time, Target Range Lower Value, and/or To save the changes and Target Range Upper Value in...
Page 203 Remove a Time Block Main Menu > Settings > Time Blocks From the Main Menu, select Time Blocks does not appear if Select the Time Block you Settings and press =. bolus advice has been set up. want to remove and press =. Select Time Blocks and press...
Page 204 Update the End Times and Target Ranges for the remaining time blocks, as needed. See Change End Time, Target Range Lower Value, and/or Target Range Upper Value in this section. Select the End Time entry ﬁeld and press =. Set the End Time to match the start time of the Time Block and press =.
Page 205: Backlight Settings
5.16 Backlight Settings The backlight on your ACCU-CHEK Aviva Combo meter helps you read the information on the meter display under different lighting conditions. You can adjust the backlight level by pressing the backlight button on the front of the meter. The backlight adjusts from low, to medium, to high, and back to low again.
Page 206 NOTE • When the meter is turned on, the backlight is set to medium. • When the backlight is set to high or medium and no button activity has occurred for approximately 15 seconds, the meter goes to low backlight (to conserve battery life). The meter restores the original backlight setting when you press a button, insert a test strip, or when the meter displays the bG Results screen.
Page 207: Icons, Reminders, Warnings, And Errors
Icons, Reminders, Warnings, and Errors 6.1 Overview 6.2 List of Icons 6.3 Conﬁrming a Reminder, Warning, or Error 6.4 List of Reminders 6.5 List of Warnings 6.6 List of Errors...
Page 208: Overview
6.1 Overview This chapter provides you with detailed listings of all the icons, reminders, warnings, and errors included in the meter. NOTE Blood glucose and bG are interchangeable and mean the same thing.
Page 209: List Of Icons
6.2 List of Icons The icons and icon names in the meter are: Icon Name Icon Icon Name Icon Active Insulin Control Test Add Data Date Analyzing Download (Data Transfer) Beeper Error Blood Glucose Averages Extended Bolus Conﬁ rmed Blood Glucose Test Extended Bolus Not Conﬁ...
Page 210 Icon Name Icon Icon Name Icon Meter (Settings) Sound/Vibrate (Settings) Multiwave Bolus Not Conﬁ rmed Standard Bolus Conﬁ rmed Multiwave Bolus Conﬁ rmed Standard Bolus Not Conﬁ rmed My Data Time Pen/Syringe Bolus Time Block (Settings) Time Change Pump Time/Date (Settings) Reminder Vibrate Reminders (Settings)
Page 211: Conﬁrming A Reminder, Warning, Or Error
6.3 Conﬁrming a Reminder, Warning, or Error To conﬁrm (or dismiss) most reminders or warnings, press .. Some error messages require a di erent conﬁrmation, such as “Retest with new Strip” or “Replace batteries now.” To place some reminders in the snooze mode, press ,.
Page 212: List Of Reminders
6.4 List of Reminders Reminder Screen Example Reminder Icon Reminder Title Snooze Reminder Message Reschedule the reminder. This is not available for all Dismiss reminders NOTE • The meter beeps when it displays any reminder if the beeper setting is on. •...
Page 213 For instructions on how to set up meter reminders, see Chapter 5, Changing Meter Settings. The reminders available on the meter are: Reminder Title Reminder Message Left Soft Key Right Soft Key Snooze Time After Meal Retest Carbs entry higher than Snack Snooze Dismiss 5 minutes...
Page 214 Reminder Title Reminder Message Left Soft Key Right Soft Key Snooze Time Dr. Visit Tomorrow If the Dr. Visit time has been Dismiss set: You have a Dr. Appointment tomorrow at (Settings Dr. Visit Time)¹ Or, if the Dr. Visit time has not been set: You have a Dr.
Page 215 Reminder Title Reminder Message Left Soft Key Right Soft Key Snooze Time Lab Test Today If the lab test time has been Dismiss set: You have a Lab Test today at (Settings Lab Test Time) Or, if the lab test time has not been set: You have a Lab Test today Lab Test Tomorrow...
Page 216 Reminders: Important Information • When two or more event reminders occur at the same time, the meter displays the event reminder with the highest priority first: 1. bG Test Reminders (After High bG, After Low bG, and After Meal) 2. Alarm Clock Reminders (bG Test and Other) 3.
Page 217 Low bG Retest Reminder • When your blood glucose test result is less than the low blood glucose threshold setting you have set up (see Chapter 5, Changing Meter Settings), then the meter schedules a Low bG Retest reminder for the time duration you have set up.
Page 218 High bG Retest Reminder • When your blood glucose test result is greater than the high blood glucose threshold setting you have set up (see Chapter 5, Changing Meter Settings), then the meter schedules a High bG Retest reminder for the time duration you have set up.
Page 219 After Meal Reminder • When you enter carbohydrates into the diary through one of the following screens and the carbohydrates entered are greater than the Snack Size setting, then the meter schedules an After Meal reminder for the time duration you have set up (see Chapter 5, Changing Meter Settings). The meter maintains the duration of this scheduled reminder regardless of meter time and date changes.
Page 220 Alarm Clock Reminders for bG Test and Other • At the scheduled time, the meter turns on and displays the reminder (if a test strip has not been inserted). • When the meter displays an Alarm Clock reminder and you do not press any meter buttons, after 30 seconds the meter turns off and displays the reminder again in 2 minutes.
Page 221 • Other Alarm Clock Reminder • If the meter is already on when the reminder is scheduled, the reminder is displayed when the meter powers down. • Dismiss this reminder either by pressing or by inserting a test strip. • Snooze the reminder for 15 minutes by pressing ,.
Page 222: List Of Warnings
6.5 List of Warnings Warning Screen Example Warning Icon Warning Title Warning Message Only shown on a few Yes or OK warning screens NOTE The meter beeps when it displays a warning if the beeper setting is on.
Page 223 The warnings the meter may display are: Warning Title Warning Message Left Soft Key Right Soft Key Above Hyper Warning Consider checking for ketones, bG and Limit insulin regularly Beep/Vibrate O Beep and Vibrate settings cannot both be turned o at same time Below Hypo Warning Limit Eat fast carbs of at least (number of carbs) Retest bG Bolus Advice...
Page 224 Warning Title Warning Message Left Soft Key Right Soft Key Bolus Too High Bolus above allowed amount. Bolus set to maximum. Bolus Too Low Bolus below allowed amount. Bolus set to minimum. Calculation Out of Range No Bolus Advice available Carbohydrate Ratio Carb Ratio seems unusual.
Page 225 Warning Title Warning Message Left Soft Key Right Soft Key Diary Entry Used For Diary entry used for Advice, modiﬁcations Advice not allowed Diary Results Expired New data cannot be saved with this record HI bG Warning Consider checking bG, ketones and insulin Incorrect Pump Time/Date Pump time/date incorrect.
Page 226 Warning Title Warning Message Left Soft Key Right Soft Key Invalid Hypo Values Hypo value must be less than Time Block target ranges Invalid PIN Reenter PIN shown on Pump display Invalid Record Time/Date Record time/date must be older than the current meter time/date Invalid Target Range Lower target range value above upper...
Page 227 Warning Title Warning Message Left Soft Key Right Soft Key Pump Not Available Ensure Bluetooth is on and Pump is within range of Meter Test Strips Expiring Change Code Key and Strips soon Time Mismatch Meter time has been changed by more than 5 minutes to match Pump The meter displays a recommended amount of fast carbohydrates.
Page 228: List Of Errors
6.6 List of Errors Error Screen Example Error Icon Error Title Menu Error Message This option is not available for all errors. NOTE The meter beeps when it displays an error, even if the beeper setting is turned off.
Page 229 The errors the meter may display are: Error Title Error Message Left Soft Key Right Soft Key E-51 Reinsert or replace with new Strip Bad Strip Error E-52 Turn Meter o , reinsert or replace Code Key Menu Code Key Error E-53 Retest with new Strip Bad Test Error...
Page 230 “Menu” is only displayed when the meter is on a bG test screen. “OK” is only displayed after the splash screen (ACCU-CHEK logo screen). If the meter is powering up, then “OK” is displayed above the right soft key and “Menu” is not displayed...
Page 231: Cleaning And Disinfecting The Meter And Lancing Device
Cleaning and Disinfecting the Meter and Lancing Device 7.1 Overview 7.2 Cleaning and Disinfecting the Meter 7.3 Cleaning and Disinfecting the Lancing Device...
Page 232: Overview
7.1 Overview WARNING • During normal testing any blood glucose meter or lancing device may come in contact with blood. All parts of the kit are considered biohazardous and can potentially transmit infectious diseases from bloodborne pathogens, even after you have performed cleaning and disinfection. •...
Page 233 • When blood gets on the meter or lancing device • Before allowing anyone else to handle the meter or lancing device NOTE For technical assistance or questions on cleaning and disinfecting, please contact the ACCU-CHEK Customer Care Service Center at 1-800-688-4578.
Page 234: Cleaning And Disinfecting The Meter
7.2 Cleaning and Disinfecting the Meter To clean and disinfect without damaging the meter, follow these procedures carefully. When to Clean and Disinfect the Meter • Clean the meter to remove visible dirt or other material prior to disinfecting. • Clean and disinfect the meter at least once per week, or when blood is present on the surface of the meter.
Page 235 Using cleaning and disinfecting products could result in damage to the meter. If you notice any of the following signs of deterioration after cleaning and disinfecting your meter, stop using your meter and contact the ACCU-CHEK Customer Care Service Center at 1-800-688-4578: residue around buttons, clouding of display, button malfunction, out of range controls results.
Page 236 How to Clean and Disinfect the Meter WARNING DO NOT clean or DO NOT spray anything DO NOT immerse the disinfect the meter onto the meter. meter in liquid. while performing a blood glucose or control test. Failure to follow these instructions will damage the meter DO NOT get any and stop it from working properly.
Page 237 Wash hands thoroughly with Turn o the meter and place Wipe the entire meter surface soap and water. it on a ﬂat surface, such as a with the approved cleaning and table. disinfecting product. Always use the same product for both cleaning and disinfecting.
Page 238 A separate Super Sani-Cloth should be used for cleaning and disinfection. For disinfecting the meter, get a new cloth and repeat steps 3 and 4, making sure that the surface stays wet for 2 minutes. Carefully wipe around the test Wash hands thoroughly with strip slot and other openings.
Page 239: Cleaning And Disinfecting The Lancing Device
7.3 Cleaning and Disinfecting the Lancing Device NOTE • Do not throw away the lancing device cap after each use. Use approved cleaning and disinfecting products on it. • Always remove the lancet drum before cleaning or disinfecting the lancing device. To clean and disinfect without damaging the lancing device, follow these procedures carefully.
Page 240 ACCU-CHEK Customer Care Service Center at 1-800-688-4578: residue around buttons, di culty in priming the device, di culty in inserting the lancet drum.
Page 241 How to Clean and Disinfect the Lancing Device WARNING • DO NOT get any moisture into opening around button. • Failure to follow these instructions may damage the lancing device and stop it from working properly. A separate Super Sani-Cloth should be used for cleaning and disinfection.
Page 242 WARNING The effect of using more than one product interchangeably to clean and disinfect the lancing device has not been tested. Always use Super Sani-Cloth (EPA reg. no. 9480-4) to clean and disinfect the lancing device. Do not use any other cleaning or disinfecting solutions.
Page 243: Maintenance
Maintenance 8.1 Overview 8.2 Changing the Batteries 8.3 Power-Saving Tips 8.4 Maintenance and Testing...
Page 244: Overview
8.1 Overview It is important to properly care for and maintain your ACCU-CHEK Aviva Combo meter. If you have any questions about the care and maintenance of your meter, contact ACCU-CHEK Customer Care Service Center at 1-800-688-4578.
Page 245: Changing The Batteries
8.2 Changing the Batteries Remove the battery door Remove the old batteries from Put the battery door back in from the back of the meter by the meter. place and snap it closed. pushing the tab in the direction Insert three AAA batteries with of the arrow and pulling up the + and - ends matching the door.
Page 246 WARNING • Using batteries other than those supplied or recommended for use with the meter may significantly reduce the life of the batteries. Batteries other than those recommended may leak and corrode the battery contacts within the meter. Using batteries not supplied or recommended may void the warranty.
Page 247 NOTE • Alkaline batteries are recommended for use with the meter. • After you change the batteries, the meter prompts you to confirm the time and date settings. • It is a good idea to have spare, packaged batteries available. •...
Page 248: Power-Saving Tips
8.3 Power-Saving Tips To conserve battery life: • Use the low beeper setting. • Only turn on the vibrate feature when it is needed. • Turn o the meter when you are ﬁnished rather than utilizing the auto power o feature.
Page 249: Maintenance And Testing
(red, blue, green, and white). If any part of the display does not change colors, contact ACCU-CHEK Customer Care Service Center at 1-800-688-4578. • If the meter is not working properly, contact ACCU-CHEK Customer Care Service Center at 1-800-688-4578.
Page 251: Troubleshooting
Troubleshooting 9.1 Overview 9.2 Troubleshooting the ACCU-CHEK Aviva Combo Meter...
Page 252: Overview
For most problems, 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 ACCU-CHEK Customer Care Service Center at 1-800-688-4578.
Page 253: Troubleshooting The Accu-Chek Aviva Combo Meter
9.2 Troubleshooting the ACCU-CHEK Aviva Combo Meter Display Shows Possible Cause(s) Possible Solution(s) The display is blank Batteries are dead. Install new batteries. See Chapter 8, Maintenance. or the meter will Display is damaged. Contact ACCU-CHEK Customer Care Service Center not turn on.
Page 254 Display Shows Possible Cause(s) Possible Solution(s) Above Hyper Your test result is above the Treat your high blood glucose as recommended by Warning Limit hyper warning limit set in the your healthcare professional. meter. Consider checking bG, ketones, and insulin. See the pump User Guide for additional solutions.
Page 255 Display Shows Possible Cause(s) Possible Solution(s) Bolus Advice B olus advice data integrity Wait 8 hours for accurate bolus advice. cannot be conﬁrmed. Bolus Advice data deleted IMPORTANT • Insulin doses and meals taken before the Bolus Advice warning are no longer reﬂected in the bolus advice calculation.
Page 256 Display Shows Possible Cause(s) Possible Solution(s) Bolus Delivery The meter cannot Retry or set to Manual Pump. Ensure the meter and pump have Bluetooth wireless Unavailable communicate with the pump. technology turned on. Ensure the meter and pump are within communication range.
Page 257 The black code key is not Turn o the meter and insert the black code key. inserted. If you need a black code key, please contact ACCU-CHEK Customer Care Service Center at 1-800-688-4578. Communication Pump is out of range of the Bolus delivery continuing, see pump screen.
Page 258 Display Shows Possible Cause(s) Possible Solution(s) Ensure the meter and pump have Bluetooth wireless Communication Communication of bolus data Warning from the pump was not technology turned on. successful. Therefore, pump Ensure the meter and pump are within data are not available and the communication range.
Page 259 Display Shows Possible Cause(s) Possible Solution(s) Connection Lost The connection was lost Restart the pairing process. See the Advanced between the meter and the Owner’s Booklet. Ensure the meter and pump have Bluetooth wireless pump during the pairing process. Therefore, the technology turned on.
Page 260 Remove the test strip and reinsert it, or replace it if damaged. Check the Use By date on the test strip container. Do not use test strips past the Use By date. If the message reappears call the ACCU-CHEK Customer Care Service Center at 1-800-688-4578. E-52 Code Key The code key is incorrect.
Page 261 Display Shows Possible Cause(s) Possible Solution(s) E-53 Bad Test A meter or test strip error has Discard the test strip and repeat the test. Error occurred. Your blood glucose may be If this matches how you feel, contact your extremely high. healthcare professional immediately.
Page 262 Insert a black code key. Make sure the time and date in the meter are correct. If you need a black code key, please contact ACCU-CHEK Customer Care Service Center at 1-800-688-4578. E-56 Sample Blood or control solution was...
Page 263 Turn on the meter and perform a blood glucose or and reinserted. control test. If the problem persists, contact ACCU-CHEK Customer Care Service Center at 1-800-688-4578. E-58 Temp. Error The temperature is above or Move the meter to an area within the proper...
Page 264 Display Shows Possible Cause(s) Possible Solution(s) HI bG Warning Your blood glucose may be If you are experiencing any of the common higher than the measuring symptoms of high blood glucose, contact your range of the system. healthcare professional immediately. Treat your high blood glucose as recommended by your healthcare professional.
Page 265 Display Shows Possible Cause(s) Possible Solution(s) Insulin Sensitivity Insulin sensitivity is outside Check your entries and contact your healthcare of the acceptable meter professional to determine the appropriate settings. range. Invalid Bolus The acting time value is less The acting time value must be set equal to or Advice Times than the o set time.
Page 266 Display Shows Possible Cause(s) Possible Solution(s) Invalid PIN The wrong PIN was entered. Select OK and re-enter the PIN shown on the pump display. Invalid Record The time/date entered is Re-enter time/date. Time/Date invalid (Add Data entries cannot be set to occur in the future).
Page 267 Display Shows Possible Cause(s) Possible Solution(s) Meter and Pump Meter and pump have not You must pair the meter and pump to use these Not Paired been paired. You cannot use features. the pump functions without For instructions on how to pair the meter and pump, pairing the meter and the see the Advanced Owner’s Booklet.
Page 268 Insert a black code key. Make sure the time and date in the meter are correct. If you need a black code key, please contact ACCU-CHEK Customer Care Service Center at 1-800-688-4578. Ensure the time and date are correct and adjust, if necessary.
Page 269 NOTE • For additional information on errors and warnings, see Chapter 6, Icons, Reminders, Warnings, and Errors. • If you have a question or if you see any other error screen, please contact ACCU-CHEK Customer Care Service Center at 1-800-688-4578.
Page 271: Technical Information
Technical Information 10.1 Overview 10.2 Product Limitations 10.3 Speciﬁcations 10.4 Product Safety Information 10.5 Disposing of the Meter, Strips, Lancets, and Batteries 10.6 Warranty and Limited License 10.7 Additional Supplies...
Page 272: Overview
10.1 Overview This chapter provides you with important performance information regarding the meter.
Page 273: Product Limitations
10.2 Product Limitations Please read the literature packaged with your test strips to ﬁnd the latest information on product speciﬁcations and limitations.
Page 274: Speciﬁcations
10.3 Speciﬁcations Blood volume Refer to the test strip package insert. Sample type Fresh whole blood Measuring time Refer to the test strip package insert. Measuring range Refer to the test strip package insert. Test strip storage conditions Refer to the test strip package insert. Meter storage conditions (with -4 °F to 122 °F batteries inserted)
Page 275 3.7 x 2.1 x 1 inches (LWH) Weight Approximately 3.6 oz with batteries inserted Construction Hand-held Protection class The ACCU-CHEK Aviva Combo meter is suitable for continuous Meter type operation. Control solution storage conditions 36 °F to 90 °F Interface...
Page 276: Product Safety Information
10.4 Product Safety Information WARNING Choking hazard. Small parts. Keep away from children under the age of 3 years. Bluetooth Wireless Technology The meter and the pump utilize Bluetooth wireless technology to communicate and transfer information. Bluetooth wireless technology is a form of radio frequency (RF) technology that operates in the unlicensed industrial, scientiﬁc, and medical band at 2.4 to 2.485 GHz.
Page 277 In the event there is interference from another device, it is recommended that you increase distance between meter and that device. You may also turn o the interfering device. In addition, you may turn o Bluetooth wireless technology on the meter and deliver insulin directly using the pump. Changes or modiﬁcations to the device not expressly approved by Roche could void the user’s authority to operate the device.
Page 278 Performance Analysis The ACCU-CHEK Aviva Combo system (ACCU-CHEK Aviva Combo meter with ACCU-CHEK Aviva Plus test strips) is calibrated with venous blood containing various levels of glucose. The reference values are obtained using the hexokinase method. For method comparison, the results were compared with results obtained using the hexokinase method with deproteinization (automatic analyzer).
Page 279: Disposing Of The Meter, Strips, Lancets, And Batteries
10.5 Disposing of the Meter, Strips, Lancets, and Batteries WARNING • Any product coming in contact with blood is considered contaminated (potentially infectious).* • During normal testing any blood glucose meter may come in contact with blood. Lancing devices may also be considered sharps.
Page 280 • Decontaminate the meter before recycling or disposing. • Users in professional environments (i.e., healthcare professionals) should follow their existing policies and procedures that govern the proper handling and disposal of potentially infectious waste, e-scrap, and batteries. *29 CFR 1910.1030-Bloodborne pathogens (Code of Federal Regulations)
Page 281: Warranty And Limited License
4 years from the date of purchase. If during this 4-year period, the meter does not work properly because of a defect in materials or workmanship, Roche will replace it with a new ACCU-CHEK Aviva Combo meter or equivalent product free of charge. The warranty on the replacement meter will expire on the date of the original warranty expiration or 90 days after the shipment of a replacement system, whichever period is longer.
Page 282 THE PRECEDING WARRANTY IS EXCLUSIVE OF ALL OTHER WARRANTIES, AND ROCHE MAKES NO OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING WITHOUT LIMITATION, THE IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. IN NO EVENT SHALL ROCHE BE LIABLE TO THE PURCHASER OR ANY OTHER PERSON FOR ANY INCIDENTAL, CONSEQUENTIAL, INDIRECT, SPECIAL, OR PUNITIVE DAMAGES ARISING FROM OR IN ANY WAY CONNECTED WITH THE PURCHASE OR OPERATION OF THE METER OR ITS PARTS.
Page 283 Customers experiencing di culties should review the troubleshooting information in Chapter 9 of this booklet. Further inquiries should be directed to ACCU-CHEK Customer Care Service Center at 1-800-688-4578. Be sure to ﬁll out and mail the Warranty Card that comes with the ACCU-CHEK Aviva Combo system.
Page 284 A RESTRICTED LICENSE LIMITS USE OF THE ACCU-CHEK AVIVA COMBO SYSTEM—READ CAREFULLY THE LIMITATIONS RECITED BELOW. The ACCU-CHEK Aviva Combo system (meter, including the code key, and test strips) and its use are protected by U.S. Patent Nos. 6,645,368 (expires 22-December-2017); 7,276,146 (expires 4-October-2022); 7,276,147 (expires 4-October-2022);...
Page 285 ACCU-CHEK Aviva Combo system only with ACCU-CHEK Aviva Plus test strips and the corresponding ACCU-CHEK Aviva Plus code key. If you do not agree to the terms and conditions of the restricted license, you may return, at the place of purchase, the unused ACCU-CHEK Aviva Combo system for a full refund. If you have any questions, please call the ACCU-CHEK Customer Care Services Center at 1-800-688-4578.
Page 286 A RESTRICTED LICENSE LIMITS USE OF THE ACCU-CHEK FASTCLIX SYSTEM (device and lancet drums). READ CAREFULLY THE LIMITATIONS RECITED BELOW. The ACCU-CHEK FastClix system (device and lancet drums) and its use are protected by U.S. Patent Nos. 7,322,998 (expires 3-March-2020) and 7,785,338 (expires 5-January-2026). A license to use the ACCU-CHEK FastClix system is required until the expiration of the last-to-expire patent listed above and is only granted when ACCU-CHEK FastClix lancet drums are used with the ACCU-CHEK FastClix device.
Page 287 Using the ACCU-CHEK FastClix device indicates your acceptance of the restricted license to use the ACCU-CHEK FastClix device only with ACCU-CHEK FastClix lancet drums. If you do not agree to the terms and conditions of the restricted license, you may return, at the place of purchase, the unused ACCU-CHEK FastClix device for a full refund.
Page 288: Additional Supplies
10.7 Additional Supplies Test Strips ACCU-CHEK Aviva Plus 50 ct test strips ACCU-CHEK Aviva Plus 100 ct test strips Control Solutions ACCU-CHEK Aviva 2 level control solutions...
Page 289: Appendices
Appendices Appendix A: Abbreviations Abbreviation Deﬁnition Ante Meridiem (12-hour clock notation for “before noon”) Bread Equivalent (equal to 12 grams of carbohydrates) Blood Glucose Carbs Carbohydrates Carbohydrate Choice (equal to 15 grams of carbohydrates) °F Degrees Fahrenheit Federal Communications Commission (United States) Grams Gigahertz Hyper...
Page 290 Abbreviation Deﬁnition Infrared International Organization for Standardization Kohlenhydrateinheit (equal to 10 grams of carbohydrates) Liquid Crystal Display mg/dL Milligrams per Deciliter Not Applicable NIST National Institute of Standards and Technology (United States) Personal Identiﬁcation Number Post Meridiem (12-hour clock notation for “after noon”) Radio Frequency Standard Deviation Units (bolus insulin units)
Page 291: Appendix B: Carb Units
Appendix B: Carb Units For carbohydrates, the following units of measure are available on the meter. Abbreviation Unit of Measurement Gram Equivalent Grams* 1 gram Kohlenhydrateinheit 10 grams Bread Equivalent 12 grams Carbohydrate Choice 15 grams *Standard unit of measure in the U.S.
Page 292: Appendix C: Explanation Of Symbols
You may encounter the following symbols on the packaging, on the type plate (back of meter), and in the instructions for the ACCU-CHEK Aviva Combo meter, shown here with their meaning. Caution, refer to safety-related notes in the instructions for use accompanying this product.
Page 293: Appendix D: Meter Settings And Range Limits
Appendix D: Meter Settings and Range Limits mg/dL Data Type Unit of Measurement MIN MAX Increments Default Setting Acting Time hours:minutes 1:30 8:00 0:15 4:00 Active Insulin Units 99.9 bG Threshold (High) mg/dL Hyper Warning Limit bG Threshold (Low) mg/dL Hypo Warning Limit Carb Ratio (carbs) grams...
Page 294 Data Type Unit of Measurement MIN MAX Increments Default Setting Exercise 1 (health event) Exercise 2 (health event) Extended Bolus Units (insulin) Hyper Warning Limit mg/dL Hypo Warning Limit mg/dL Illness (health event) % Insulin Sensitivity mg/dL No entry (“---mg/dL”) (bG) Insulin Sensitivity Units...
Page 295 No entry (“--- CC”) Standard Bolus Units (insulin) Stress (health event) % Target Range Upper mg/dL Value Target Range Lower mg/dL Value The maximum that can actually be delivered may be less due to the ACCU-CHEK Spirit Combo pump’s maximum insulin amount.
Page 296 The following are the default settings for bG test reminders. To turn on a bG test reminder, see Setting Alarm Clock Reminders: bG Test, Other in Chapter 5, Changing Meter Settings. Test Reminder Default Time of Day 7:00 am 9:00 am 11:00 am 12:00 pm 2:00 pm...
Page 297 The following are the default settings for the time blocks. Talk to your healthcare professional about setting up time blocks to help you manage your diabetes. To adjust the time blocks, see Chapter 5, Changing Meter Settings. Time Block 12-Hour Format 12:00 am–5:30 am 5:30 am–11:00 am 11:00 am–5:00 pm...
Page 298: Appendix E: References
Appendix E: References 1. FDA Public Health Notiﬁcation: “Use of Fingerstick Devices on More than One Person Poses Risk for Transmitting Bloodborne Pathogens: Initial Communication, (2010). Update 11/29/2010” http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ucm224025.htm. Accessed March 20, 2012. 2. CDC Clinical Reminder: “Use of Fingerstick Devices on More than One Person Poses Risk for Transmitting Bloodborne Pathogens, (2010).”...
Page 299 Glossary Term Deﬁnition 7-day average Includes results generated today and the previous 6 days. Acting Time The period of time from the start of the meal rise or the delivery of a correction bolus until your blood glucose level is expected to return to the target level.
Page 300 Term Deﬁnition bG Test Reminders Reminders to retest your blood glucose after a high blood glucose test result, after a low blood glucose test result, or after a meal. bG Threshold A bG test reminder setting. The upper limit for your blood glucose for a high bG test reminder and the lower limit for your blood glucose for a low bG test reminder.
Page 301 Term Deﬁnition Carb Ratio The amount of insulin necessary to account for a certain number of carbohydrates. Carbohydrates (or Carbs) Carbohydrate foods include sugars and starches. Carbohydrates can raise blood glucose levels slowly or rapidly. Carbohydrates are generally counted to calculate a bolus insulin dose. Control Result Value displayed on meter as the result of a control test.
Page 302 Term Deﬁnition Extended Bolus A bolus delivered over a period of time. It might be helpful during long meals or when you have meals that are digested slowly. The Extended Bolus may also be appropriate for people who have gastroparesis (delayed digestion).
Page 303 Term Deﬁnition Insulin Sensitivity The amount of insulin necessary to lower your blood glucose by a certain amount. Ketones A by-product or waste product when your body burns stored fat for energy. Ketones are produced when there is not enough insulin to help your body use glucose for energy.
Page 304 Term Deﬁnition Multiwave Bolus A bolus designed to better simulate the body’s insulin delivery. It combines an immediate bolus delivery followed by an Extended Bolus delivery. A Multiwave Bolus can be helpful when you have meals that include both rapidly and slowly absorbed carbohydrates. This option is available only when Bluetooth wireless technology is turned on and the meter and pump are communicating.
Page 305 Term Deﬁnition Reminder When enabled, reminders occur to remind you to test your blood glucose, to retest your blood glucose or of an event or activity. Snack Size The amount of carbohydrates that is not to be counted as a regular meal with the expected meal rise.
Page 306 Term Deﬁnition Time Blocks Up to eight time periods within one day to facilitate your changing insulin needs throughout the day. Time Range The user sets the duration of time. There is a start and end time. User A person using the meter or pump. Warning Describes items and conditions that present hazards and may cause personal injury.
Page 307 Index abbreviations, 283–285 batteries, acting time, 158–160, changing, 239–241 active insulin, 51–54 low, advice options, 168–169 type, 239, after high bG test reminder, 139–143, 206, 208, BE, 179–181, beeper, settings, 31, 185–187 after low bG test reminder, 139–143, 206, bG threshold, 141–142 209–210 blood glucose averages,...
Page 308 bolus advice options. See advice options control test, bolus, delivery, 23, performing, 65, 67–72 buttons, 13, 15–17, 16–18 results, 70–71, 73–76 results, troubleshooting, 77–78 carbohydrates, adjustments, 51–54 data, units of measure, 179–181, adding, 52–54, 92–94 carb ratio, 156, downloading to a computer, 24, 133–135 carbs.
Page 309 hypo warning limit, 24, 170–172, 248, electromagnetic compatibility, errors, list of, 222–224 icons, listing, 85–86, 203–204 infrared (IR) window, 13–14, fatigue, infusion set change reminder, 147–151, 208, frequent urination, insulin pump, insulin pump, connecting. See pairing g (grams), 179–181, insulin sensitivity, 156, graph, standard day, 110–113...
Page 310 lock. See key lock pairing, 18, low bG retest reminder, 209–211 power button, 13, 16–18 power-saving tips, pump. See insulin pump maintenance, meter, meal rise, 158, 160, meal time, 51–54, rapid heartbeat, meter, reminders, blood glucose test. See blood glucose test, settings and range limits, 287–292 summary of features, 13,...
Page 311 snack size, 142–143, 158–160, test results, snooze, 139, 144, 205, storing, 81–82 soft keys, 13, 16–18 unusual, 59–60 sound. See beeper, settings test strip, 254, speciﬁcations, meter, 268–269 thirst, increased, standard day, reporting, 109–117 time blocks, 25–26, 152–165, 191–198, standard deviation, 95–96 time change, data, 100, 102, 105–106...
Page 312 vibrate, settings, 185–187 warnings, list of, 216–221 warranty, 275–277...
Page 315 LAST UPDATE: 2012-08...
Page 316 Aviva Combo ©2013 Roche Diagnostics ACCU-CHEK, ACCU-CHEK AVIVA, ACCU-CHEK AVIVA COMBO, ACCU-CHEK SPIRIT COMBO, and Assembled in USA. FASTCLIX are trademarks of Roche. Distributed by: The Bluetooth Roche Health Solutions Inc. ® word mark and logos are registered 11800 Exit 5 Parkway, Suite 120 trademarks owned by Bluetooth SIG, Inc.

Accu-Chek Aviva Combo Owner's Booklet

Before You Start Testing

Introduction

1 Understanding Your New System

2 Testing Your Blood Glucose

3 Control Testing

4 Managing Your Data

5 Changing Meter Settings

6 Icons, Reminders, Warnings, and Errors

7 Cleaning and Disinfecting the Meter and Lancing Device

8 Maintenance

9 Troubleshooting

10 Technical Information

Appendices

Appendix A: Abbreviations

Appendix B: Carb Units

Appendix C: Explanation of Symbols

Appendix D: Meter Settings and Range Limits

Appendix E: References

Quick Links

Troubleshooting

Related Manuals for Accu-Chek Aviva Combo

Summary of Contents for Accu-Chek Aviva Combo

Table of Contents