Accu-Chek Avwa Expert User manual

07006314001-1013
BLOOD GLUCOSE METER
Getting Started Guide
for Single Patient Use Only
© 2013 Roche Diagnostics
Assembled in USA.
Roche Diagnostics Corporation
9115 Hague Road
Indianapolis, IN 46256
www.accu-chek.com
ACCU-CHEK, ACCU-CHEK AVIVA, ACCU-CHEK
AVIVA EXPERT, and FASTCLIX are trademarks of
Roche.
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LAST UPDATE: 2013-07
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i
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 Expert system is limited to capillary whole blood testing.
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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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ii
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 Expert system.
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iii
WARNING
• Bolus advice should be used only if you are using U100, rapid-acting insulin for bolus dosing.
• Do not use bolus advice with Neutral Protamine Hagedorn (NPH) or any other intermediate-acting
insulin.
• Do not use bolus advice if basal insulin dose is unstable.
• Long-acting insulin should not be used as a meal bolus or as a correction bolus.
About Bolus Advice
• Bolus advice is only available if you set up bolus advice on the ACCU-CHEK Aviva Expert meter. For
information on how to set up bolus advice, see the Standard Owner’s Booklet.
• If you deliver a bolus without using bolus advice, you should enter the bolus advice into your diary. It is
important that you enter all bolus insulin doses and the time they were administered, so the Bolus Advisor
is assessing the total amount of insulin in your body. This step can help to reduce insulin stacking (the
over-delivery of insulin) which causes hypoglycemia. It is also important that you enter the associated
carbohydrate information into the diary 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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iv
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.
• Refer to the Test Strip and Control Solution Package Inserts for additional health-related information.
• Failure to test could cause a delay in treatment decisions and lead to a serious medical condition. Contact
your healthcare professional if you are unable to test.
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v
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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vi
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1
Contents
Before You Start Testing i
Introduction 3
1 Understanding Your New System 7
1.1 Overview 8
1.2 The ACCU-CHEK Aviva Expert Meter at a Glance 9
1.3 Screen Content and Navigation 15
2 Getting Started 21
2.1 Overview 22
2.2 Setup Wizard 23
2.3 Setup Wizard: Important Information 37
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2
3 Testing Your Blood Glucose 47
3.1 Overview 48
3.2 Performing a Blood Glucose Test 49
Appendices 55
Appendix A: Explanation of Symbols 55
Appendix B: References 56
Glossary 57
Index 63
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