Accu-Chek Aviva Installation guide

Training Handbook mmol/L
Accu-Chek®Aviva Combo blood glucose monitoring system

Dear User,
Congratulations on choosing the Accu-Chek®Aviva Combo meter!
Your new meter will help you to manage your diabetes easily,
quickly and discreetly.
This Handbook is provided as part of your training on the new
Accu-Chek Aviva Combo meter.
It will help you to set up your meter, so that it quickly becomes
part of your daily life.
Roche Diabetes Care
This document is not intended to replace training by a qualified diabetes
instructor, or the Owner’s Booklets (Instructions for use) provided with your
new meter.
Before starting therapy with your Accu-Chek Aviva Combo meter, please con-
sult your Accu-Chek Aviva Combo meter Owner’s booklets for detailed informa-
tion regarding warnings and precautions related to their use.
In this Handbook the term “meter” always refers to the Accu-Chek
Aviva Combo meter.
!

Table of Contents
1 Your Accu-Chek Aviva Combo meter.....................................................................5
1.1 Summary of functions and features................................................................5
1.2 Button functions ..................................................................................................... 6
2 Getting Bolus Advice from your meter...................................................................9
2.1 About Bolus Advice............................................................................................... 9
2.2 Setting up Bolus Advice ....................................................................................10
3 Measuring your blood glucose (bG) level .........................................................26
3.1 Running a control test........................................................................................26
3.2 Performing a blood glucose (bG) test..........................................................29
3.3 Using Bolus Advice .............................................................................................33
4 Managing your data....................................................................................................39
4.1 Transferring data to a Computer ...................................................................56
5 Using Reminders ..........................................................................................................59
6 Changing your meter Settings.................................................................................73
Appendix .............................................................................................................................77

5
1 Your Accu-Chek Aviva Combo meter
1.1 Summary of functions and features
Features
j
Convenient blood glucose (bG) testing.
j
Test results in five seconds.
j
j
Small sample size that allows testing from the fingertip.
j
Provide Bolus Advice.
Unreliable test results are detected automatically.
j
Keep record of events related to your diabetes management, for
example bG test results, bolus and basal insulin delivery, carbohydrate
intake, health events.
j
A variety of Reminders that help to remember tasks of your diabetes self-
management.
Your Accu-Chek Aviva Combo meter

6
1.2 Button functions
, . Left / Right Soft Button
= Enter
x Up
z Down
> Right
< Left
+Power On / Off Button
Teststrip Slot
*Backlight Button
Infrared (IR) Window

7
Your Accu-Chek Aviva Combo meter
Key Name Function
+Power
On / Off ·turn the meter on and off
*Backlight ·adjust the backlight level (low, medium high)
<Left arrow ·move through screens
·scroll left in an information screen
>Right
arrow
·move through screens
·scroll right in an information screen
xUp arrow
·move through menus, functions and information screen
·scroll up in an information screen
·increase a value in a setting screen
zDown
arrow
·move through menus, functions and information screen
·scroll down in an information screen
·reduce a value in a setting screen

8
Key Name Function
=Enter
·select a menu or option
·save changes
·exit
,Left soft
button ·select a menu on the display above the button
.Right soft
button ·select a menu on the display above the button
, .
Press and
hold
simultane-
ously
·enables Keylock / disables Keylock

9
Getting bolus advice from your meter
2 Getting Bolus Advice from your meter
The Bolus Advice function on your meter will provide you with recommendations
on the amount of insulin for food intake and for correcting bG levels that are
not within your Target Range. In the following chapter you will learn how to
program all your individual settings for the bolus advice calculation and how
to use Bolus Advice in your day-to-day life.
2.1 About Bolus Advice
The Bolus Advice function of your meter provides you with bolus recommenda-
tions based on your:
·Current bG test result
·Expected food intake
·Current health or activity
·Individual settings, such as Carb Ratio, Insulin Sensitivity, and other settings
that will be explained later in this chapter.
When you have programmed these settings, you will only need to:
·Measure your bG level
·Enter the amount of carbs you are currently planning to eat
·Enter your current health or activity state
Your meter will then calculate the required amount of insulin based on your
personal settings. You can adjust the calculated dose as appropriate. After
confirmation, administer the insulin using your pen or syringe.
If you are interested in details of the calculation for the recommended bolus,
please refer to Appendix A, B, and C.

10
2.2 Setting up Bolus Advice
Before you can start setting up the Bolus Advice function, you need to discuss
the required setting parameters with your healthcare professional. The following
settings are necessary:
Time Block settings
Time Blocks … split the day into periods, to facilitate the pro-
gramming of those settings that change
throughout the day, such as Insulin Sensitivity
and Carb Ratio. You only need to set the end-
time of a Time Block, as this is also the starting
time of the following Time Block. Five Time
Blocks are set up by default, but you can set up
up to eight if necessary. The following para-
meters can be set up separately for each Time
Block.
j
Target Range … is the range of your blood glucose, consisting of
a lower and an upper bG value that is conside-
red to be acceptable as long as you are fasting
(in the morning or before a meal). The target bG
will be calculated automatically as the average
between the upper and lower bG values.
j

11
Getting bolus advice from your meter
Health Event settings
Carb Ratio … is the amount of insulin you need for one unit of
carbohydrates. You must program the Carb
Ratio for each Time Block you wish to set up.
j
Insulin Sensitivity … is the amount of insulin you need to lower your
bG level by a given amount. You may know this
as the “correction factor”. You must program
this for each Time Block you wish to set up.
Health Events … are percentages that allow you to adjust the
calculated insulin amount to allow for individual
needs and health status; for example, when you
are planning physical activity (subtract percent-
ages) or you are ill (add percentages). You can
set percentages for:
·Exercise 1
·Exercise 2
·Stress
·Illness
·Premenstrual
You cannot adjust Fasting.
j
j

12
Advice Option settings
Snack Size … is the amount of carbohydrates that is not to
be counted as a regular meal. A bolus will be
recommended but no Meal Rise is triggered.
Acting Time … is the time during which a bolus is effective.
The Acting Time starts afresh for each new
bolus.
Offset Time … is the expected time taken for your bG level to
fall after you inject a bolus. The Offset Time starts
afresh for each new bolus.
j
j
j
Meal Rise … is an increase in your bG level that is acceptable
after a meal. After a meal, the Meal Rise is
added to your bG target. After a meal, the bG
target value plus the Meal rise value is accepted
without a correction bolus, as long as Acting
time and Offset time are effective (see the
explanations below).
j

13
Getting bolus advice from your meter

14
3
2
1
4
Press +until the meter powers up.
The Accu-Chek screen appears for a few
seconds.
The Language screen appears. If you wish to
keep the default language, press .to select
Next and continue with step 6.
Otherwise press =to display the language
options.
Press xor zto select the language.
English
Language
Language
Press enter to display
available options
Cancel
Deutsch
English
Españiol
Français
English
Language
Language
Press enter to display
available options
Cancel
Deutsch
English
Españiol
Français

15
Getting bolus advice from your meter
5
7
6
8
Press =to save the setting.
Press .to select Save.
The Time/Date screen appears. If you wish to
keep the default time, press .to select Next
and continue with step 12.
Otherwise press =to change Time Format.
Press xor zto select 12hr or 24 hr Time Format.
Press =to save the changes.
Time Format
Time
Date
10 00
1Jan 08
Back Next
HH MM
DD MMM YY
Time/Date
24 hr
Time Format
Time
Date
10 00 am
1Jan 08
Cancel
HH MM
DD MMM YY
Time/Date
12 hr
24 hr
Time Format
Time
Date
10 00 am
1Jan 08
Cancel
HH MM
DD MMM YY
Time/Date
12 hr
12 hr

16
10
11
9
Press =to change the hour.
Press xor zto select the hour and =to save.
Continue using =, x, zand =to set
·Minutes
·AM or PM if needed
·Day
·Month
·Year
Press .to select Next.
Time Format
Time
Date
00
1Jan 08
Cancel
HH MM A/P
DD MMM YY
Time/Date
12 hr
am
30
8
Time Format
Time
Date
00
am
1Jan 08
Cancel
HH MM A/P
DD MMM YY
Time/Date
12 hr
30
10
Time Format
Time
Date
am
Back
HH MM A/P
DD MMM YY
Time/Date
12 hr
30
10
2Feb 08
Next

17
Getting bolus advice from your meter
12
13
14
The Units screen appears.
Use =,x, z and = to set
·the units for carbohydrates
·the Insulin Increment
·the Max Bolus
Press .to select Next
The Warning Limits screen appears.
Use =, x, zand =to set the Hyper- (High bG)
Warning Limit.
Select the upper (Hyper)
and lower (Hypo)
limits of your bG
4.0 mmol/L
16.5 mmol/L
Back Next
Warning Limits
Hypo
Hyper
Select the upper (Hyper)
and lower (Hypo)
limits of your bG
220 mg/dL
Cancel
Warning Limits
Hypo
Hyper
12.5
mmol/L

18
18
19
17
The Setup screen “Would you like to receive
bolus advice from your meter?” appears.
Press .to select Yes.
The Setup screen “Edit at least one time block
by selecting a time block and pressing enter”
appears.
Press .to select Next.
The Time Blocks screen appears.
Press =to enter the first Time Block.
16
Use =, x, zand =to set the Hypo- (Low bG)
Warning Limit.
Press .to select Next.
Select the upper (Hyper)
and lower (Hypo)
limits of your bG
60 mg/dL
12.5 mmol/L
Cancel
Warning Limits
Hypo
Hyper
3.0
mmol/L
Would you like to
receive bolus advice
from your Meter?
Setup
No Yes
Edit at least one
time block by selecting
a time block
and pressing enter
Setup
Back Next
StartEnd
5:30
11:00
17:00
21:30
21:30
17:00
11:00
5:30
0:00
0:00
Back
Time Blocks

19
Getting bolus advice from your meter
20
22
21
23
The first Time Blocks screen appears.
Press =to enter the end time box.
Press xor zto select the end time.
Press =to save the setting and move to the
lower target limit box.
Press =to enter.
Press xor zto select your lower target limit.
Press =to save and move to the upper target
limit box.
Press =to enter.
Press xor zto select your upper target limit.
Press =to save and move to the insulin for carb
box.
Press =to enter.
Press xor zto enter the insulin amount.
Press =to save and move to the carb box.
0:00
Target Range
6:00
Cancel
Time Blocks
140 mol/L
---
1 U
Carb Ratio
for
Insulin Sensitivity
4.5 mmol/L
0:00
Target Range
6:00
Cancel
Time Blocks
4.5 mg/dL
---
1 U
Carb Ratio
for
Insulin Sensitivity
6.5 mmol/L
0:00
Target Range
6:00
Cancel
Time Blocks
4.5 mmol/L6.5 mmol/L
---
Carb Ratio
for
Insulin Sensitivity
1 U
0:00 am
Target Range
5:30 am
Cancel
Time Blocks
4.0 mmol/L8.0 mmol/L
---
1 U
Carb Ratio
for
Insulin Sensitivity
6:00

20
27
25
26
24
Press =to enter.
Press xor zto select the amount of carbs
covered by the amount of insulin.
Press =to save and move to the insulin for bG
box.
Press =to enter.
Press xor zto select the insulin amount.
Press =to save and move to the bG box.
Press =to enter.
Press xor zto select the decrease in bG
expected for the insulin amount.
Press =to enter.
Press .to save and exit to the Time Blocks
screen.
Press xor zto move to the next Time Block.
Press =to enter.
The settings from the first Time Block will be
copied to all other Time Blocks.
Press .to select Next.
Repeat steps 20 to 26 accordingly to setup all Time Blocks as necessary.
Press .to select Next.
1 U
Target Range
---
Cancel
Time Blocks
4.5 mmol/L6.5 mmol/L
1.2 BE
1 U
Carb Ratio
for
Insulin Sensitivity
for
12 g
Target Range
Cancel Save
Time Blocks
4.5 mmol/L6.5 mmol/L
12 g
1 U
Carb Ratio
for
Insulin Sensitivity
for ---
1 U 2.5 mmol/L
StartEnd
5:30 am
11:00
17:00
21:30
21:30
17:00
11:00 am
6:00
0:00
0:00
Back Next
Time Blocks
6:00 11:00