Accu-Chek Aviva Setup guide

Aviva Combo
00048010156/C-0613
BLOOD GLUCOSE METER
Advanced Owner’s Booklet
for Self-Testing Only
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Aviva Combo
©2013 Roche Diagnostics
Assembled in USA.
Distributed by:
Roche Health Solutions Inc.
11800 Exit 5 Parkway, Suite 120
Fishers, IN 46034
Phone: [phone]
Fax: [phone]
ACCU-CHEK, ACCU-CHEK AVIVA, ACCU-CHEK
AVIVA COMBO, ACCU-CHEK SPIRIT COMBO, and
FASTCLIX are trademarks of Roche.
The Bluetooth® word mark and logos are registered
trademarks owned by Bluetooth SIG, Inc. and any
use of such marks by Roche is under license. Other
trademarks and product names are the property of
their respective owners.
Aviva Combo
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LAST UPDATE: 2012-08
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Before You Start Testing
About the meter and test strips
• Carefully read and follow the instructions in the Getting Started Guide, the Standard Owner’s Booklet, the
Advanced Owner’s Booklet, and Package Inserts for the test strips and control solutions. Not following the
instructions may lead to a wrong result or improper treatment, causing you health problems.
• Set the time and date on your meter before you begin testing.
• Inspect the test strip container before using the test strips for the first time. If you see any damage to the
container cap or if anything prevents the cap from closing properly, do not use the test strips. Contact
ACCU-CHEK Customer Care Service Center at 1-800-688-4578. Damaged test strips can cause inaccurate
results, which could lead to improper treatment.
• Carefully dispose of used test strips and lancets.
• Home use of the ACCU-CHEK Aviva Combo system is limited to capillary whole blood testing.
Roche USA – 51639
V4/1 – 00048010156/C – Black –
Roche USA – 51639
V4/2 – 00048010156/C – Cyan –
Roche USA – 51639
V4/3 – 00048010156/C – Magenta –
Roche USA – 51639
V4/4 – 00048010156/C – Yellow –
NOTE
The terms “blood sugar” and “blood glucose” have the same meaning. In this manual we will use the
term “blood glucose” when referring to “blood sugar.”
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About Your New Meter
• 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.
• The meter, test strips, and control solution are only for use outside the body (in vitro). Do not eat the test
strips. Do not swallow or inject the control solution, or use the control solution for any purpose other than
testing the ACCU-CHEK Aviva Combo system.
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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. For these reasons, do not change any treatment without first talking to a
healthcare professional.
• Run a control test when you open a new box of test strips or if you think that your test result is incorrect.
Running a control test lets you know that the meter and test strips are working properly.
• If peripheral circulation is impaired, collection of fresh capillary whole blood from the approved sample sites
is not advised as the results might not be a true reflection of the physiological blood glucose level. This may
apply in the following circumstances: severe dehydration as a result of diabetic ketoacidosis or due to
hyperglycemic hyperosmolar non-ketotic syndrome, hypotension, shock, decompensated heart failure NYHA
Class IV, or peripheral arterial occlusive disease.
• Not to be used for patients who are critically ill.
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• 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. Ask your healthcare professional or pharmacist about other possible
back-up methods.
DO NOT CHANGE YOUR TREATMENT BASED ON A SINGLE RESULT THAT DOES NOT MATCH
HOW YOU FEEL OR IF YOU BELIEVE THAT YOUR TEST RESULT COULD BE INCORRECT.
If your blood glucose result doesn’t match how you feel and you have followed the instructions in your
owner’s booklets, follow your healthcare professional’s instructions or call your healthcare professional.
Special Information to Consider When Using This Meter
• Do not use this device to measure blood glucose if you or a person to whom you are providing care is
experiencing cardiovascular collapse (severe shock) or decreased peripheral blood flow.
• Consult your healthcare professional to determine if it is appropriate for your child to be taught how to use
the meter system or any other medical products.
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Contents
Before You Start Testing i
Introduction 5
1 Bolus Advice 7
1.1 Overview 8
1.2 Before Using Bolus Advice 10
1.3 Calculating and Delivering a Bolus Using Bolus Advice 13
2 Administering a Bolus 25
2.1 Overview 26
2.2 Choosing Your Bolus Type 27
2.3 Delivering a Bolus 29
2.4 Updating the Diary with Bolus Information 31
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3 Using the ACCU-CHEK Aviva Combo Meter with the
ACCU-CHEK Spirit Combo Pump 33
3.1 Overview 34
3.2 The System at a Glance 35
3.3 Controlling the Pump with the Meter 38
3.4 Managing Pump Errors, Warnings, and Reminders with the Meter 53
4 Communication between the ACCU-CHEK Aviva Combo Meter and
ACCU-CHEK SpiritCombo Pump 55
4.1 Overview 56
4.2 Turning Bluetooth® Wireless Technology On/O 57
4.3 Using the System While Traveling 60
4.4 Pairing the ACCU-CHEK Aviva Combo Meter with the ACCU-CHEK Spirit Combo Pump 61
4.5 Cancelling the Pairing of the Meter and Pump Prompt 67
5 Troubleshooting 69
5.1 Overview 70
5.2 Troubleshooting Communication Between the Meter and Pump 71
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Appendices 79
Appendix A: Bolus Advice 79
Appendix B: Bolus Advice Calculations 98
Appendix C: Explanation of Symbols 102
Appendix D: Limited License 103
Index 107
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4
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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.
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.
Should you have any questions, please contact ACCU-CHEK Customer Care Service Center at
1-800-688-4578.
This booklet includes information about:
• Taking bolus advice
• Administering a bolus
• Using the ACCU-CHEK Aviva Combo meter with the
ACCU-CHEK Spirit Combo pump
• Communication between the ACCU-CHEK
Aviva Combo meter and the ACCU-CHEK
Spirit Combo pump
• Bolus advice calculations
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WARNING
Choking hazard. Small parts. Keep away from children under the age of 3 years.
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7
1 Bolus Advice
1.1 Overview 8
1.2 Before Using Bolus Advice 10
1.3 Calculating and Delivering a Bolus Using Bolus Advice 13
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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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9
NOTE
• 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.
• Blood glucose and bG are interchangeable and mean the same thing.
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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. 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 recognized 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
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.
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 the way 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 on your pump without using bolus advice, this information is entered in 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 hypoglycemia. A
bolus is not calculated in this situation. Treat your low blood glucose as recommended by your healthcare
professional.
Summary
• It is recommended that 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.
• If you administer a bolus manually on your pump:
• 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 the way 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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13
1.3 Calculating and Delivering a Bolus Using Bolus Advice
bG Test Result
Active Insulin
Carb Entry
Health Event Entry
Bolus Type
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 =.
To Enter a Health Event:
j Select the Health entry field
and press =.
j Select a Health Event and
press =.
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