Roche Accu-Chek Aviva Solo Installation guide

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7. Delivering a bolus
SCREEN FOR BOLUS ENTRY
Getting to know the bolus entry screen
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Name Description
Blood glucose result If no current test result exists, --- is displayed.
Active Insulin If no active insulin exists, --- is displayed. This screen element is only
available with activated bolus advice feature.
Carbohydrate amount If no carbohydrate amount is entered, --- is displayed.
Total amount Tap this entry field to enter the total amount for the bolus. The total
amount is the sum from correction bolus and meal bolus.
Correction insulin
Tap this entry field to enter the amount of insulin needed to return from
an out-of-target blood glucose value back to values within target.
Correction insulin can be negative, if the BG value is below the target
value. This will be taken away from a pending meal bolus.
Meal insulin Tap this entry field to enter the amount of insulin to compensate for the
food ingested.
Bolus type Tap this element to select one of the following bolus types: standard
bolus, extended bolus, multiwave bolus, quick bolus, pen/syringe bolus.
The information displayed on the diabetes manager for the carbohydrate amount ( 3), is only visible if you have
entered it in the detailed BG test result screen.
When the screen for bolus entry appears for the first time, there are no bolus amounts specified. You must
enter the bolus amount.
If you first set the correction bolus or the meal bolus, the total bolus amount is deactivated and cannot be
adjusted. The value, however, is updated accordingly.
If you first set the total amount, all insulin will be set as correction bolus. The entry fields for correction bolus
and meal bolus are deactivated.
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6
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Note
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Therefore, it is recommended to start by entering correction bolus and meal bolus, seperately. Without Bolus
advice setup, distinguishing between correction and meal insulin mainly affects the bolus types you can use.
With Bolus advice set up, it may help to better control high BG values after meals.
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7. Delivering a bolus
STANDARD BOLUS
What is the standard bolus
The standard bolus delivers the programmed insulin dose all at once, similar to an injection. This bolus can be helpful
for foods that contain rapid-acting carbohydrates, such as cake or bread. The standard bolus is also the right bolus for
correcting high blood glucose levels.
Initiating a bolus
01
Status screen >
Bolus
Option 1:
Tap New bolus or
on the Status screen.
Continue with Step 2.
Main menu > Bolus
Option 2:
Tap the Bolus menu
from within the Main
menu.
Continue with Step 2.
Test result > Bolus
Option 3:
After testing your
blood glucose:
Tap Bolus on the Test
result in detail screen.
Continue with Step 3.
If you have already set up the Bolus advice function, tapping "Bolus", in option 3, will lead you directly to the
bolus advice result screen. (For more information on Bolus advice, see (Accu-Chek Solo micropump system)
Chapter 9.1).
Note
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02
Tap Manual bolus.
Entering the bolus
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03
Tap the entry field that
is appropriate for your
situation: enter the
correction bolus, the
meal bolus or the total
bolus amount.
04
Use and to set
the desired amount for
the correction bolus.
Tap Save.
05
Use and to set
the desired amount for
the meal bolus.
Tap Save.
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06
Tap Bolus.
07
This screen shows you
the details of the bolus.
Check that they are
correct and then press
the insulin button to
deliver the bolus.
08
The micropump
delivers the standard
bolus. The display
shows the Status
screen with a progress
bar illustrating the
progress of the bolus
delivery.
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7. Delivering a bolus
EXTENDED BOLUS
What is the extended bolus
For situations that require delivery of bolus insulin over a period of time instead of all at once, you can use an extended
bolus. The extended bolus is a feature special to insulin infusion pumps where the amount is delivered over a period of
time that you can adjust, as necessary. This can be especially useful for slowly digestible meals, e.g. foods with complex
carbohydrates or foods that are high in fat and protein. An extended bolus can also be helpful for meals that extend
over a longer period of time (e.g. a buffet). The duration of bolus delivery can be programmed in 15-minute increments
for a period of up to 24 hours. Delivery begins immediately after you confirm the bolus. Throughout bolus delivery, the
Status screen shows the remaining time and amount of the extended bolus. You can add a standard or quick bolus to an
ongoing extended bolus and one additional extended or multiwave bolus.
You can only program an Extended bolus when you program insulin for carbohydrates and no insulin for
corrections. Therefore do not start by programming the total bolus.
Note
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01
Status screen >
Bolus
Option 1:
Tap New bolus or
on the Status screen.
Continue with Step 2.
Main menu > Bolus
Option 2:
Tap the Bolus menu
from within the Main
menu.
Continue with Step 2.
Test result > Bolus
Option 3:
After testing your
blood glucose:
Tap Bolus on the Test
result in detail screen.
Continue with Step 3.
If you have already set up the Bolus advice function, tapping "Bolus", in option 3, will lead you directly to the
bolus advice result screen. (For more information on Bolus advice, see (Accu-Chek Solo micropump system)
Chapter 9.1).
Note
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02
Tap Manual bolus.
03
Tap the entry field that
is appropriate for your
situation: enter meal
bolus.
You cannot deliver correction insulin over a period of time. Therefore, do not enter insulin in the correction or
total field. If you need a correction bolus rather use the Standard or Multiwave bolus.
Note
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04
Use and to set
the desired amount for
the meal bolus.
Tap Save.
05
Tap Type.
06
Tap Extended bolus.
Then tap Save.
07
Tap Duration.
08
Use and to set
the hours and minutes
for the extended bolus
duration.
Tap Save.
09
Tap Bolus.
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This screen shows you
the details of the bolus.
Check that they are
correct and then press
the insulin button to
deliver the bolus.
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The micropump
delivers the extended
bolus. The display
shows the Status
screen with a progress
bar illustrating the
progress of the bolus
delivery and the time
remaining until
completion.
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7. Delivering a bolus
MULTIWAVE BOLUS
What is the multiwave bolus?
The multiwave bolus is another feature unique to insulin pumps and combines a standard bolus with an extended bolus:
part of the bolus amount is delivered immediately while the other part is delivered over a specified period of time. This
kind of bolus can be helpful when you eat meals that contain both fast and slowly digestible carbohydrates as well as
proteins and fats or long meals with several courses. You can also use this bolus type when you are planning to eat
slowly digestible carbohydrates, but have an elevated blood glucose level before the meal. You then program the
immediate part of the bolus for the correction of the blood glucose level and the extended part for the carbohydrates.
The duration of the delayed bolus delivery can be programmed in 15-minute increments for a period of up to 24 hours,
and begins immediately after you confirm the bolus. You can add a standard or quick bolus to an ongoing multiwave
bolus, and one additional extended or multiwave bolus.
01
Status screen >
Bolus
Option 1:
Tap New bolus or
on the Status screen.
Continue with Step 2.
Main menu > Bolus
Option 2:
Tap the Bolus menu
from within the Main
menu.
Continue with Step 2.
Test result > Bolus
Option 3:
After testing your
blood glucose:
Tap Bolus on the Test
result in detail screen.
Continue with Step 3.
Note
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02
Tap Manual bolus.
Note
You can only program a
multiwave bolus if the
bolus contains meal
insulin. Therefore, do
not start by
programming the total
bolus.
03
Tap the entry field that
is appropriate for your
situation: enter the
correction bolus or the
meal bolus.
If you have already set up the Bolus advice function, tapping "Bolus", in option 3, will lead you directly to the
bolus advice result screen. (For more information on Bolus advice, see (Accu-Chek Solo micropump system)
Chapter 9.1).
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04
Use and to set
the desired amount for
the meal bolus.
Tap Save.
05
Use and to set
the desired amount for
the correction bolus.
Tap Save.
06
Tap Type.
07
Tap Multiwave bolus.
Then tap Save.
08
Tap Immediate
amount or Delayed
amount.
09
Use and to
set the Immediate
amount or Delayed
amount.
Tap Save.
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Since the Total amount will remain the same, it does not matter whether you set the Delayed amount or the
Immediate amount, as the other will be calculated accordingly. You cannot set an immediate amount that is
lower than the correction insulin.
Note
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10
Tap Duration.
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Use and to
set the duration of the
delayed part of the
multiwave bolus.
Tap Save.
12
Tap Bolus.
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This screen shows you
the details of the bolus.
Check that they are
correct and then press
the insulin button to
deliver the bolus.
14
The micropump
delivers the multiwave
bolus. The display
shows the Status
screen with a progress
bar illustrating the
progress of the bolus
delivery and the
remaining time until
completion.
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7. Delivering a bolus
QUICK BOLUS
What is a quick bolus
QUICK BOLUS
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