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

Hide thumbs Also See for Aviva Combo:
Table of Contents

Advertisement

Quick Links

Download this manual See also: Owner's Booklet, User Manual
Aviva Combo
Aviva Combo
BLOOD GLUCOSE METER
Advanced Owner's Booklet
for Self-Testing Only

Advertisement

Table of Contents
loading

Related Manuals for Accu-Chek Aviva Combo

Summary of Contents for Accu-Chek Aviva Combo

  • Page 1 Aviva Combo Aviva Combo BLOOD GLUCOSE METER Advanced 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

    Contents Before You Start Testing 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 8 4.2 Turning Bluetooth Wireless Technology On/O ® 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 9 Appendices Appendix A: Bolus Advice Appendix B: Bolus Advice Calculations Appendix C: Explanation of Symbols Appendix D: Limited License Index...

  • Page 11: 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 12 WARNING Choking hazard. Small parts. Keep away from children under the age of 3 years.

  • Page 13: Bolus Advice

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

  • Page 14: 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 15 • 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 ACCU-CHEK Customer Care Service Center at 1-800-688-4578.

  • Page 16: Before Using Bolus Advice

    1.2 Before Using Bolus Advice As with any specialized feature, you need to understand certain information in order to use bolus advice. Working closely with your healthcare professional, you must be completely familiar with your diabetes therapy. You must also be able to judge your current situation accurately. Bolus advice calculates boluses for you.
  • Page 17 Safety Information Regarding Bolus Advice WARNING • 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 18 Warning messages about your blood glucose test result After performing a blood glucose test, warning messages about your blood glucose test result may be displayed. Please take careful note of these messages. If your blood glucose test result is too low, you are prompted to eat a certain amount of fast acting carbohydrates to prevent the risk of hypoglycemia.

  • Page 19: Calculating And Delivering A Bolus Using Bolus Advice

    1.3 Calculating and Delivering a Bolus Using Bolus Advice bG Test Result Recommended Bolus Amount Active Insulin Carb Entry Health Event Entry Bolus Type...
  • Page 20 To Deliver a Bolus Main Menu > Bolus Advice Standard Owner’s Booklet for information on how to perform a blood glucose test. When the detailed bG Result screen appears, select Bolus. To Enter a Carbs Amount: Select the Carbs entry field and press =.
  • Page 21 To Adjust the Bolus Amount: To Deliver a Standard Bolus Select the Bolus entry field Select the Type entry field and and press =. press =. Set the Bolus insulin amount Select Standard and press =. and press =. To confirm the entries, select To deliver a …...
  • Page 22 You can choose one of the following: Select OK and display the Main To stop bolus delivery, select If no buttons are pressed, when Menu. Bolus delivery continues Stop Bolus. The Pump screen the bolus delivery is complete until it is complete. BOLUS CANCELLED appears.
  • Page 23 To Deliver a Multiwave Bolus To deliver the Multiwave bolus Select the Type entry field and remotely on your pump using press =. your meter, select Deliver. Select Multiwave and press To return to the Bolus Advice screen, select Back. To confirm the entries, select Confirm.
  • Page 24 You can choose one of the following: Select OK and display the Main To stop bolus delivery, select If no buttons are pressed, when Menu. Bolus delivery continues Stop Bolus. The Pump screen the bolus delivery is complete until it is complete. BOLUS CANCELLED appears.
  • Page 25 To Deliver an Extended Bolus Select the Type entry field and press =. Select Extended and press =. To confirm the entries, select Confirm. To adjust the duration, select Select Menu to go to the Main the Duration entry field and Menu.
  • Page 26 WARNING To Deliver a Bolus Manually Start the delivery of the on the Pump exact bolus amount on the Select the Type entry field and pump within 10 minutes. See press =. WARNING at the end of this Select Manual Pump and press section.
  • Page 27 To Deliver a Bolus Using an Insulin Pen or Syringe Select the Type entry field and press =. Select Pen/Syringe and press To confirm the entries, select Confirm. The bolus amount is displayed on the meter screen. Inject the bolus using an insulin pen or syringe or, if necessary, select Back and return to the Bolus Advice...
  • Page 28 WARNING • 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 29 NOTE • Bolus advice can also be accessed after you perform a bG Test (see the Standard Owner’s Booklet). When the detailed bG Result screen is displayed, press .. This is not available if your bG result is below your hypo warning limit (red color bar is displayed). •...

  • Page 31: 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 32: Overview

    2.1 Overview There are several methods to deliver a bolus.

  • Page 33: 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 is immediately delivered to cover a food or a blood glucose correction. When Standard is selected, the bolus is delivered by the pump. This option is available only when Bluetooth wireless technology is turned on and the meter and pump are communicating.
  • Page 34 • Extended A bolus delivered over a period of time. The Extended Bolus might be helpful, for example, during long meals, dinners, or receptions, or when you have meals that are digested slowly or 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 35: Delivering A Bolus

    2.3 Delivering a Bolus WARNING • 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 36 Follow the instructions of your healthcare professional when delivering a bolus using an insulin pen or a syringe. Delivering a Bolus Using the ACCU-CHEK Aviva Combo Meter and the ACCU-CHEK Spirit Combo Pump You can use the meter to remotely deliver a bolus on the pump through bolus advice or through the Pump Menu.

  • Page 37: 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 39: 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, Warnings, and Reminders with the Meter...

  • Page 40: 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 41: The System At A Glance

    3.2 The System at a Glance In the meter’s Pump Menu, the meter buttons have di erent 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 42 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 43 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 44: 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 45 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 46 NOTE • 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 47 Pump Screens on the Meter Pump Screen Corresponding Meter Buttons Return to Main Menu Bluetooth Wireless Back Technology Icon Pump double button press (d and a)
  • Page 48 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 49 Delivering a Bolus – Standard Bolus To Program a Standard Bolus Remotely Using the Meter From the Main Menu, select Repeatedly press and release Press to select the Standard > until the STANDARD BOLUS Pump and press =. < Bolus menu. screen appears.
  • Page 50 Press to increase or When the correct bolus The Standard Bolus icon blinks decrease the bolus amount. amount is displayed, press for 5 seconds (bolus delivery > confirm the bolus amount. start delay). The meter beeps three times and vibrates once, then the pump begins to deliver the bolus amount.
  • Page 51 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 52 Time Cancelling the Bolus Result During bolus delivery (meter is Press and hold Bolus delivery is interrupted and counting down the bolus amount) 3 seconds until the meter beeps. stopped. The meter displays the pump warning W8: BOLUS CANCELLED. Press twice to confirm and >...
  • Page 53 Programming a Temporary Basal Rate (TBR) Repeatedly press and release Press to select the > From the Main Menu, select Temporary Basal Rate (TBR) until the TEMPORARY BASAL < Pump and press =. RATE (TBR) screen appears. menu.
  • Page 54 Press to increase or The TBR DURATION screen The Run screen with the TBR decrease the TBR. appears. appears. When the correct TBR Press to set the The new TBR is activated. The percentage is selected, duration time. meter beeps when the activation press <.
  • Page 55 NOTE • 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 56 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 57 Changing a Basal Profile Press > to select the Basal Repeatedly press and release From the Main Menu, select Rate Selection menu. Pump and press =. < until the BASAL RATE SELECTION screen appears.
  • Page 58 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 59: Managing Pump Errors, Warnings, And Reminders With The Meter

    3.4 Managing Pump Errors, Warnings, and Reminders with the Meter If the meter is o 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 60 Cartridge Low Warning Cartridge Empty Error Follow the instructions in the pump User Guide for changing the insulin cartridge. 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 E1: CARTRIDGE EMPTY appears.

  • Page 61: Communication Between The Accu-Chek Aviva Combo Meter And Accu-Chek Spirit Combo Pump

    Spirit Combo Pump 4.1 Overview 4.2 Turning Bluetooth Wireless Technology On/O ® 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 62: 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 63: Turning Bluetooth ® Wireless Technology On/O

    4.2 Turning Bluetooth Wireless Technology On/O ® You may turn Bluetooth wireless technology on or o 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 64 Turning Pump Communication (Bluetooth Wireless Technology) On or Off Main Menu > Settings > Meter > Bluetooth Select Bluetooth and press =. From the Main Menu, select Select Meter and press =. Settings and press =.
  • Page 65 NOTE • You cannot use the meter to disable Bluetooth wireless technology on the pump. You must manually turn off Bluetooth wireless technology on the pump. • If you change the pump time and date, the meter time and date will automatically synchronize to match the pump the next time communication is established.

  • Page 66: 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 o 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 67: 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 following instructions. Pairing the Meter and Pump...
  • Page 68 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 69 Meter: Ensure the meter is turned o . Press and hold and then press +. Pump: Pump: Press f to confirm deletion Press d. of the paired device.
  • Page 70 Pump: Press f to initiate the pairing process. Pump: If NO DEVICE FOUND screen appears, see the pump User Guide for information on troubleshooting. Select the meter to add. On the pump, press f. Proceed to the next step for instructions on how to place the pump in pairing mode.
  • Page 71 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. pump screen. Select Confirm. the ADD DEVICE ENTER PIN Enter the PIN Shown on the CODE screen.
  • Page 72 NOTE Meter: • A blood glucose test cannot Turn o the meter. Once the be performed during the meter has turned o , the pairing process. pairing process is complete. • The meter and pump remain You may turn on the meter and paired when the batteries begin using it.

  • Page 73: 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 74 Select Next to go to the Main Proceed to Step 2. Menu. Or, to begin the pairing process select Next. Go to the section, Pairing the ACCU-CHEK Aviva Combo Meter with the ACCU-CHEK Spirit Combo Pump.

  • Page 75: Troubleshooting

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

  • Page 76: Overview

    If the possible solutions do not fix the problem, contact ACCU-CHEK Customer Care Service Center at 1-800-688-4578. For information about troubleshooting the standard meter features, see the Standard Owner’s Booklet.

  • Page 77: 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 Ensure the pump has Bluetooth wireless technology turned on.
  • Page 78 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 79 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 80 Restart the pairing process. See the meter and the pump during the Chapter 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 81 Display Shows Possible Cause(s) Possible Solution(s) It is important to use Bluetooth wireless Infrequent Pump At least two weeks have passed Communication since the meter and pump have technology communication between the communicated. meter and pump regularly if you utilize bolus advice.
  • Page 82 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.
  • Page 83 Display Shows Possible Cause(s) Possible Solution(s) Pump Not Available The pump is out of the Ensure the meter and pump have Bluetooth wireless technology turned on. communication range of the meter. 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 84 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. For assistance, please contact ACCU-CHEK Customer Care Service Center at 1-800-688-4578. NOTE...

  • Page 85: Appendix A: Bolus Advice

    ACCU-CHEK Bolus advice is only available if you have set up bolus advice on the 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 86 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 87 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 88 Target Range • The desired upper and lower limits of your blood glucose level considered acceptable as set by your healthcare professional. • The meter automatically calculates the target blood glucose level as the average between the upper and lower blood glucose target limits. •...
  • Page 89 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 12-Hour Format...
  • Page 90 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 91 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 92 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 93 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 is expected to return to the target level.
  • Page 94 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 95 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 96 The calculation for the recommended correction bolus depends on your current blood glucose test 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 97 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 98 Acting Time bG Level Hyper O set Time Target Value Target Range Hypo Time Current Currently Allowed bG Value: Bolus Not Bolus Meal bG Values Meal Rise Required The dotted line shows how your blood 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 99 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 100 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 101 After a Correction Bolus Acting Time bG Level O set Time Hyper Target Value Target Range Hypo Time Current Currently Allowed bG Value: Bolus Not Bolus bG Values Corrected bG Required The above diagram shows an example of the effect of this rule. The first correction bolus at 12:00 pm remains active during the acting time (the width of the blue area).
  • Page 102 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 103 Acting Time bG Level Hyper O set 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 104: 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 accurately calculate a bolus yourself using these formulas when the acting time and offset time of recent meals and correction boluses are considered.
  • Page 105 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 106 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 107 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 test results that fall within the target range if: •...

  • Page 108: 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 109: Appendix D: Limited License

    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 110 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 111 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 112 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 113 Index bolus advice calculations, acting time, carbohydrate suggestion, active insulin, correction bolus, aircraft. See Bluetooth wireless technology, correction bolus with carbohydrate intake, using while traveling currently allowed blood sugar value, meal bolus, basal profile, changing, 51–52 bolus advice options, 86–87 Bluetooth wireless technology, bolus advice recommendations, examples, communication states,...
  • Page 114 carbohydrate units, health events, 14, 85–86 carb ratio, carbs amount, cartridge, insulin sensitivity, empty, low, communication, meter and pump, lower blood sugar target limit, overview, 34–37, troubleshooting, 71–78 correction bolus, 91–93 manual bolus, insulin pen/syringe delivery using bolus advice, 20–22 deliver a bolus.
  • Page 115 o set time, safety information, bolus advice, 10–12 bolus delivery, 22–23, pairing, delete device, snack size, pairing meter with pump, 61–66 standard bolus, pairing prompt, cancelling, 67–68 cancel programmed meter delivery, 45–46 pen bolus, description, delivery using bolus advice, 15–16 PIN, enter into meter, description, pump control using meter,...
  • Page 116 TBR, program through meter, 47–49 time blocks, 81, 83–85 troubleshooting. See communication, meter and pump, troubleshooting upper blood sugar target limit, warning limits, warnings, pump, 53–54 warranty. See Standard Owner’s Booklet for ACCU-CHEK Aviva Combo Blood Glucose Meter...
  • Page 119 LAST UPDATE: 2012-08...
  • Page 120 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.

Table of Contents