Accu-Chek Aviva Expert User manual

© 2015 Roche Diabetes Care
Roche Diabetes Care GmbH
Sandhofer Strasse 116
68305 Mannheim, Germany
www.accu-chek.com
ACCU-CHEK, ACCU-CHEK AVIVA, and ACCU-CHEK AVIVA EXPERT
are trademarks of Roche.
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05636922001(05)-0615
Advanced Owner’s Booklet
BLOOD GLUCOSE METER
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LAST UPDATE: 2015-06
United Kingdom
Roche Diabetes Care Limited
Charles Avenue, Burgess Hill
West Sussex, RH15 9RY, United Kingdom
Accu-Chek Customer Careline 1)
UK Freephone number: 0800 701 000
ROI Freephone number: 1 800 709 600
1) calls may be recorded for training purposes
www.accu-chek.co.uk
www.accu-chek.ie
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Contents
Introduction 3
1 Bolus Advice 5
1.1 Overview 6
1.2 Before Using Bolus Advice 8
1.3 Calculating a Bolus Using Bolus Advice 12
Appendices 17
Appendix A: Bolus Advice 17
Appendix B: Bolus Advice Calculations 37
Appendix C: Explanation of Symbols 41
Index 43
Roche USA - 53685
V4/1 - 05636922001(05) - Cyan
Roche USA - 53685
V4/2 - 05636922001(05) - Magenta
Roche USA - 53685
V4/3 - 05636922001(05) - Yellow
Roche USA - 53685
V4/4 - 05636922001(05) - Black
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Your new meter includes three booklets:
• Getting Started Guide:
Use this booklet to set up the meter.
• Standard Owner’s Booklet:
Use this booklet for instructions on how to operate
the standard features of the meter.
• Advanced Owner’s Booklet:
Use this booklet for instructions on how to operate
the advanced features of the meter.
This booklet includes information about:
• Taking bolus advice
• Bolus advice calculations
Introduction
Whether the Accu-Chek Aviva Expert 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.
Suitable for self-testing
Should you have any questions, please contact one of our customer support and service centers. A listing is
at the back of the Standard Owner’s Booklet.
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5
1 Bolus Advice
1.1 Overview 6
1.2 Before Using Bolus Advice 8
1.3 Calculating a Bolus Using Bolus Advice 12
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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.
• Bolus advice is intended exclusively for use by well-trained individuals who perform their own insulin
therapy.
• Bolus advice is only available if you have set up bolus advice on your meter. For instructions on how to set
up bolus advice, see the Standard Owner’s Booklet.
• Bolus advice calculates insulin doses for you based on many dierent pieces of information, such as:
• The values you entered in the setup of bolus advice
• Your current blood glucose test result
• The amount of carbohydrates you estimated for a meal
• Your current health event status
• The blood glucose lowering due to prior correction doses
• The blood glucose influence of your most recent meal
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iNOTE
• This booklet shows sample screens. The screens in this booklet may look slightly different from the
screens on your Accu-Chek Aviva Expert meter. If you have any questions about the meter screens,
contact the Accu-Chek Customer Careline on 0800 701 000 (UK) or 1 800 709 600 (ROI).
• Blood glucose and bG are interchangeable and mean the same thing.
w WARNING
Choking hazard. Small parts. Keep away from children under the age of 3 years.
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1.2 Before Using Bolus Advice
Intended Users
As with any specialised 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. This can help you determine the amount of insulin you currently require. You provide the information on
which the bolus advice calculations are based.
Bolus advice is not able to judge your current situation independently of your own estimation. It cannot
correct possible input errors. This is particularly true for the carbohydrate amount entered. Entries that
exceed possible limits are recognised as such and in this case you are prompted to check the entry and
correct it, if necessary. However, as long as the entries fall within a possible range, the accuracy cannot be
checked by your meter. No warning message is displayed if the data are possible (within the acceptable
ranges) but incorrect. Therefore, it is important to carefully review all of your entries.
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Safety Information Regarding Bolus Advice
wWARNING
• It is very important you follow the safety information in this chapter.
• Always compare your result with how 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.
• Bolus advice should not be used if you are using an intermediate-acting insulin like Neutral Protamine
Hagedorn (NPH) insulin or any other intermediate-acting insulin.
• Remember, long-acting insulin should not be used as a meals bolus or as a correction bolus.
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The following information is not taken into account when bolus advice is used:
• It is possible the values entered when setting up bolus advice do not match how your body actually feels.
In this case, you can increase or decrease the bolus insulin dose to adjust it to your needs.
• Bolus insulin doses and meals taken before bolus advice is used for the first time cannot be reflected in
the calculation. The same applies for bolus insulin doses and meals that were taken but not entered into
your meter.
• If you delivered a bolus without using bolus advice, you can enter the bolus into your diary. It is important
that you enter carbohydrate information into the diary with this bolus in order to obtain accurate bolus
advice recommendations. For information on how to enter information into the diary, see the Standard
Owner’s Booklet.
• The basal insulin doses you record do not influence the bolus advice.
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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 hypoglycaemia. A
bolus is not calculated in this situation. Treat your low blood glucose as recommended by your healthcare
professional.
Summary
• It is recommended you set up bolus advice with your healthcare professional.
• Carefully check all of your entries.
• Make sure all recent meals and insulin doses are in My Data for accurate bolus advice recommendations.
• Take note of all warning messages, especially those regarding high or low blood glucose test results.
Immediate action may be necessary.
• Always compare your result with how you actually feel and adjust the bolus, if necessary.
• Always carry out the actions entered in bolus advice in a timely fashion.
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1.3 Calculating a Bolus Using Bolus Advice
bG Test Result
Active Insulin
Carb Entry
Health Event Entry
Bolus
Basal
Recommended Bolus
Amount
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To Deliver a Bolus
Main Menu > Bolus Advice
1.
j From the Main Menu, select
Bolus Advice and press =.
2.
j If you have not completed
a recent blood glucose test
(this is indicated when “bG
Test” is displayed near the
top of the meter screen rather
than an actual bG value), it is
recommended you complete
a blood glucose test. Select
bG Test and press =. See the
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:
j Select the Carbs entry field and
press =.
j Set the amount of
Carbohydrates and press =.
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To Enter a Health Event:
j Select the Health entry field and
press =.
j Select a health event and
press =.
To Adjust the Bolus Amount:
j Select the Bolus entry field and
press =.
j Set the bolus insulin amount
and press =.
To Adjust the Basal Amount:
j Select the Basal entry field and
press =.
j Set the basal insulin amount
and press =.
To confirm the entries, select
Confirm.
3.
The bolus amount is displayed on
the meter screen.
j Inject the bolus using an insulin
pen or syringe or, if necessary,
select Back and return to the
Bolus Advice screen to adjust
the bolus.
j Select OK to go to the Main
Menu.
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wWARNING
• 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.
• Ensure the bolus information in the diary is correct prior to starting a new bolus advice calculation.
For information on how to view and edit diary data, see the Standard Owner’s Booklet.
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iNOTE
• Bolus advice can also be accessed after you perform a bG Test (see the Standard Owner’s Booklet).
When the detailed bG Result screen is displayed, press
. . This is not available if your bG result is
below your hypo warning limit (red colour bar is displayed).
• You can only select one health event for each bolus recommendation.
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Appendices
Appendix A: Bolus Advice
Bolus advice is only available if you have set up bolus advice on the Accu-Chek Aviva Expert 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. You must set up bolus advice correctly. Bolus advice is not available without these settings. It is
important to discuss the bolus advice settings with your healthcare professional.
i NOTE
• Blood glucose and bG are interchangeable and mean the same thing.
• Bolus advice factors are items that influence the bolus calculations of the meter.
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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 carbohydrate units is important for bolus advice recommendations to be accurate.
• Carbohydrate units must be selected, whether or not you set up bolus advice.
The following carbohydrate units are available on the meter:
Abbreviation Unit of Measurement Gram Equivalent
gGrams 1 gram
KE Kohlenhydrateinheit 10 grams
BE Bread Equivalent 12 grams
CC Carbohydrate Choice 15 grams
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