Accu-Chek Aviva Setup guide

Aviva Combo
00048009695/C-0709
BLOOD GLUCOSE METER
Advanced Owner’s Booklet
©2009 Roche Diagnostics. All rights reserved.
Roche Diagnostics GmbH
Sandhofer Strasse 116
68305 Mannheim, Germany
www.accu-chek.com
ACCU-CHEK, ACCU-CHEK AVIVA, ACCU-CHEK AVIVA COMBO, ACCU-CHEK SPIRIT COMBO, and
ACCU-CHEK MULTICLIX 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.
Bolus Advice
Pump
My Data
Settings
bG T e st
10:02 2 Feb 08
Bolus Advice
Pump
My Data
Settings
bG T e st
10:02 2 Feb 08
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LAST UPDATE: 2009-07
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1
Contents
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 and Warnings 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/Off 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 71
5.1 Overview 72
5.2 Troubleshooting Communication Between the Meter and Pump 73
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Appendices 81
Appendix A: Bolus Advice 81
Appendix B: Bolus Advice Calculations 100
Appendix C: Explanation of Symbols 104
Index 105
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4
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5
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 one of our customer support and service centres. A listing is
at the back of the Standard Owner’s Booklet.
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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6
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1
7
1Bolus 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 may make delivering a bolus more precise and reduce errors. Bolus advice calculates insulin
doses for you based on many different 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 inuence of your most recent meal
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1
9
iNOTES:
• 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 Roche.
• Blood glucose and bG are interchangeable and mean the same thing.
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1.2 Before Using Bolus Advice
Intended Users
As with any specialized feature, you need to understand certain information in order to use bolus advice. You
must be completely familiar with your diabetes therapy and be able to judge your current situation as well
as possible. 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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11
Safety Information Regarding Bolus Advice
wWARNINGS:
• 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 reduce the bolus insulin dose to adjust it to your needs.
• Bolus insulin doses and meals taken before bolus advice is used for the rst time cannot be reected 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.
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Warning messages about your blood glucose result
After performing a blood glucose test, warning messages about your blood glucose result may be displayed.
Please take careful note of these messages. If your blood glucose 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 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 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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1
13
5.8 mmol/L
19 g
Exercise 1
Bolus
Type
ConfirmCancel
2 U
--- U
Bolus Advice
0.0 U
2.1 U
-0.1 U
Standard
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.
jIf 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 eld
and press =.
jSet the amount of
Carbohydrates and press =.
Bolus Advice
Pump
My Data
Settings
bG Te st
10:02 2 Feb 08
5.8 mmol/L
19 g
Exercise 1
Bolus
Type
ConfirmCancel
2 U
--- U
Bolus Advice
0.0 U
2.1 U
-0.1 U
Standard
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15
To Enter a Health Event:
j Select the Health entry eld
and press =.
jSelect a Health Event and
press =.
To Adjust the Bolus Amount:
j Select the Bolus entry eld
and press =.
jSet the Bolus insulin amount
and press =.
To deliver a …
jStandard Bolus: Step 3
jMultiwave Bolus: Step 6
jExtended Bolus: Step 9
jBolus manually on the
Pump: Step 12
jBolus using an Insulin Pen
or Syringe: Step 14
3. 4.
Deliver Bolus?
Standard Bolus
Back Deliver
Confirm Bolus
2 U
To Deliver a Standard Bolus
j Select the Type entry eld and
press =.
jSelect Standard and press =.
To conrm the entries, select
Conrm.
jTo deliver the Standard bolus
remotely on your pump, select
Deliver and proceed to the
next step.
jTo return to the Bolus Advice
screen, select Back.
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5.
Pump Delivering
Standard Bolus
Stop BolusOK
Deliver Bolus
2 U
Pump
Exit Back
BOLUS CANCELLED
TO SNOOZE
W8
!
Delivery Completed
Menu
Deliver Bolus
jSelect OK and display the Main
Menu. Bolus delivery continues
until it is complete.
jTo stop bolus delivery, select
Stop Bolus. The Pump screen
BOLUS CANCELLED appears.
If no buttons are pressed, when
the bolus delivery is complete
the Delivery Completed screen
appears.
jSelect Menu to go to the Main
Menu.
You can choose one of the following:
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1
17
6. 7.
Deliver Bolus?
Multiwave Bolus
Back Deliver
Confirm Bolus
2 U
Duration
0.5 U
HH MM
4:00
Immediate
To Deliver a Multiwave Bolus
j Select the Type entry eld and
press =.
jSelect Multiwave and
press =.
To conrm the entries, select
Conrm.
jTo change the immediate
bolus, select Immediate entry
eld and press =.
jSet the bolus amount and
press =.
jTo change the duration, select
Duration entry eld and press
=.
jSet the length of duration and
press =.
jTo deliver the Multiwave bolus
remotely on your pump, select
Deliver.
jTo return to the Bolus Advice
screen, select Back.
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Pump
Exit Back
BOLUS CANCELLED
TO SNOOZE
W8
!
Multiwave Bolus Delivery
Continuing
Menu
Deliver Bolus
Immediate Delivery
Completed
jTo stop bolus delivery, select
Stop Bolus. The Pump screen
BOLUS CANCELLED appears.
If no buttons are pressed, when
the bolus delivery is complete
the Immediate Delivery
Completed screen appears.
jSelect Menu to go to the Main
Menu.
8.
Pump Delivering
Multiwave Bolus
Stop BolusOK
Deliver Bolus
2 U
jSelect OK and display the Main
Menu. Bolus delivery continues
until it is complete.
You can choose one of the following:
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