Accu-Chek Combo system User manual

Accu-Chek Combo system User manual
00048010155/E-0316
Aviva Combo
© 2016 Roche Diabetes Care
Assembled in USA.
Distributed by:
Roche Diabetes Care, Inc.
Indianapolis, IN 46256
Phone: 1-800-280-7801
Fax: 1-888-810-0758
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ACCU-CHEK, ACCU-CHEK AVIVA, ACCU-CHEK
AVIVA COMBO, ACCU-CHEK SPIRIT COMBO, and
FASTCLIX are trademarks of Roche.
AvivaCombo
Combo
Aviva
BLOOD GLUCOSE METER
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Standard Owner’s Booklet
for Self-Testing Only
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The Bluetooth® word mark and logos are registered
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use of such marks by Roche is under license.
All other product names and trademarks are the
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Roche USA – 54528
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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.
Roche USA – 54528
V4/2 – 00048010155/E – Cyan
Roche USA – 54528
V4/3 – 00048010155/E – Magenta
• 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.
Roche USA – 54528
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• Carefully dispose of used test strips and lancets.
• Home use of the Accu-Chek Aviva Combo system is limited to capillary whole blood testing.
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
7
8
The Accu-Chek Aviva Combo System
1 Understanding Your New System
1.1 Overview
1.2 The Accu-Chek Aviva Combo Meter at a Glance
1.3 The Accu-Chek Spirit Combo Insulin Pump at a Glance
1.4 Summary of Features
1.5 Screen Content and Navigation
2 Testing Your Blood Glucose
2.1 Overview
2.2 Using the Accu-Chek Aviva Combo System
2.3 Performing a Blood Glucose Test
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2.4 Detailed Blood Glucose Test Results
2.5 Understanding Blood Glucose Test Results
2.6 Unusual Blood Glucose Test Results
2.7 Symptoms of High or Low Blood Glucose
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55
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61
3 Control Testing
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3.1 Overview
3.2 Why Perform Control Tests
3.3 About the Control Solutions
3.4 Performing a Control Test
3.5 Understanding Control Test Results
4 Managing Your Data
4.1 Overview
4.2 Viewing or Modifying Your Data
4.3 Adding New Data
4.4 Reporting Your Data
4.5 Downloading Your Data to a Computer
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92
95
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5 Changing Meter Settings
5.1 Overview
5.2 Setting bG Test Reminders: After High bG, After Low bG, After Meal
5.3 Setting Alarm Clock Reminders: bG Test, Other
5.4 Setting Date Reminders: Dr. Visit, Lab Test, Infusion Set Change
5.5 Setting Bolus Advice for the First Time
5.6 Setting Time Blocks, Health Events, Advice Options: Bolus Advice Set Up
5.7 Setting Warning Limits: Hyper, Hypo
5.8 Turning Key Lock On or Off
5.9 Setting the Language
5.10 Setting Units: Carbs
5.11 Turning Bluetooth® Wireless Technology On or Off
5.12 Pairing the Meter and Pump
5.13 Setting the Beeper, Vibrate, Key Sound
5.14 Setting the Time Format, Time, Date
5.15 Setting Time Blocks: Bolus Advice Not Set Up
5.16 Backlight Settings
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6 Icons, Reminders, Warnings, and Errors
6.1 Overview
6.2 List of Icons
6.3 Confirming a Reminder, Warning, or Error
6.4 List of Reminders
6.5 List of Warnings
6.6 List of Errors
7 Cleaning and Disinfecting the Meter and Lancing Device
7.1 Overview
7.2 Cleaning and Disinfecting the Meter
7.3 Cleaning and Disinfecting the Lancing Device
8 Maintenance
8.1 Overview
8.2 Changing the Batteries
8.3 Power-Saving Tips
8.4 Maintenance and Testing
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9 Troubleshooting
9.1 Overview
9.2 Troubleshooting the Accu-Chek Aviva Combo Meter
10 Technical Information
10.1 Overview
10.2 Product Limitations
10.3 Specifications
10.4 Product Safety Information
10.5 Disposing of the Meter, Strips, Lancets, and Batteries
10.6 Warranty and Limited License
10.7 Additional Supplies
Appendices
Appendix A: Abbreviations
Appendix B: Carb Units
Appendix C: Explanation of Symbols
Appendix D: Meter Settings and Range Limits
Appendix E: References
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Glossary
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Index
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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.
Your new meter includes three booklets:
This booklet includes information about:
• 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.
• Understanding your new Accu-Chek Aviva Combo
system
• Testing your blood glucose
• Control testing
• Managing your data
• Changing the meter settings
• Understanding the icons, reminders, warnings, and
errors
• Maintenance
• Cleaning and disinfecting the meter and lancing device
• Troubleshooting
• Technical information
Should you have any questions, please contact one
of our customer support and service centers. A
listing is at the back of this booklet.
If you have questions, we are here to help. Just call Accu-Chek Customer Care Service Center at
1-800-688-4578. You can also visit www.accu-chek.com for diabetes management tools.
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The Accu-Chek Aviva Combo System
The Accu-Chek Aviva Combo meter is for quantitative blood glucose testing using Accu-Chek Aviva Plus
test strips. The meter has many features including:
• Controlling your Accu-Chek Spirit Combo pump
• Administering a bolus
• Bolus advice
• Daily time blocks that can be adjusted to fit your lifestyle
• Data management
• Data transfer
• Date reminders
• bG test reminders: Alarm clock, Target bG levels, and Health events
• An electronic diary that allows you to enter meal time, carbs, health, and bolus information with your
blood glucose test results
For detailed information about the features of the meter, see Chapter 1, Understanding Your New System.
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NOTE
Blood glucose and bG are interchangeable and mean the same thing.
Intended Use
The Accu-Chek Aviva Combo blood glucose system is intended for self-testing outside the body (in vitro
diagnostic use) by people with diabetes at home as an aid to monitoring the effectiveness of diabetes control.
The Accu-Chek Aviva Combo blood glucose monitoring system should not be used for the diagnosis or
screening of diabetes or for neonatal use. Alternative site testing should NOT be used with the Accu-Chek
Aviva Combo blood glucose monitoring system. The Accu-Chek Aviva Plus test strips are for use with the
Accu-Chek Aviva Combo blood glucose meter to quantitatively measure glucose (sugar) in fresh capillary
whole blood samples drawn from the fingertips. The Accu-Chek Aviva Combo meter can also be used to
interface with, and remotely control, the Accu-Chek Spirit Combo insulin infusion pumps via radio frequency
communication. The Accu-Chek Aviva Combo meter is also indicated for the management of diabetes by
calculating an insulin dose or carbohydrate intake based on user-entered data.
The system includes:
• Accu-Chek Aviva Combo meter with batteries and pre-inserted black code key
• Accu-Chek Aviva Plus test strips and black code key*
• Accu-Chek Aviva control solution*
• Accu-Chek FastClix Lancing Device*
• Accu-Chek FastClix lancet drum*
*may be sold separately
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WARNING
• Any object coming into contact with human blood is a potential source of infection (see: Clinical and
Laboratory Standards Institute: Protection of Laboratory Workers from Occupationally Acquired Infections;
Approved Guideline – Third Edition; CLSI document M29-A3, 2005).
• Choking hazard. Small parts. Keep away from children under the age of 3 years.
Why Regular Blood Glucose Testing Is Important
Testing your blood glucose regularly can make a big difference in how you manage your diabetes every day.
Discussing your results with your healthcare professionals and following their advice about medicine,
exercise, and food plans can help you better control your diabetes.
Important Information About Your New Meter
• The meter is designed for testing fresh whole blood samples (for example, blood from your fingertip).
The meter is for outside the body (in vitro) use. It should not be used to diagnose diabetes.
• This meter requires Accu-Chek Aviva Plus test strips. Other test strips will give inaccurate results.
• The meter comes with the time and date preset. You may need to change the time to your time zone.
• If you have followed the steps in this booklet but still have symptoms that do not seem to match your test
results, or if you have questions, talk to your healthcare professional.
• The Accu-Chek Aviva Combo system is intended for single patient use and should not be shared.
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1
1
Understanding Your New System
1.1 Overview
1.2 The Accu-Chek Aviva Combo Meter at a Glance
1.3 The Accu-Chek Spirit Combo Insulin Pump at a Glance
1.4 Summary of Features
1.5 Screen Content and Navigation
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1.1 Overview
Your new meter has several features to assist you in managing your diabetes. It is important you understand
the features and how to operate the meter correctly.
NOTE
• This booklet shows sample screens. The screens in this booklet may look slightly different from
the screens on the 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 The Accu-Chek Aviva Combo Meter at a Glance
Infrared (IR) Window
Display
Transfers data from the
meter to a computer
Shows menus, results,
messages, and data stored in
the diary
Code Key Slot
Buttons
Black code key is
pre-inserted here
Press to enter menus or the
diary, adjust settings, and
scroll through results
Battery Door
Remove the battery door
by pushing the tab and
pulling up the door
Left/Right Soft Keys
Press to select the menu or
option above the key
Power On/Off Button
Turns the meter on or off
Test Strip Slot
Insert test strip here
Backlight Button
Press to adjust the backlight level
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Batteries
Insert batteries according to the + and - symbols in
the battery compartment.
Test Strip
Yellow Window Touch blood drop or
control solution here.
Insert this end of the test
strip into the meter.
Control Solution Bottle
(for example)
Test Strip Container
(for example)
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1
Top View
Infrared (IR) Window
Code Key
(for example)
Side View
Pre-inserted black code key
NOTE
The meter is already coded and comes with a pre-inserted black code key that you never need to
change. Even if you use test strips from test strip boxes that contain another code key that is a different
color or has different code numbers, you never need to change the black code key again.
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The meter has seven buttons and two soft keys.
Left Soft Key
Right Soft Key
Up Arrow
Right Arrow
Enter
Down Arrow
Left Arrow
Backlight
Power On/Off
NOTE
• You hear a sound every time an active button/soft key is pressed unless you turned off the key sound.
• Press + or insert a test strip to turn on the meter. If the meter displays the Time/Date screen, make
the necessary changes and select Save.
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1
Table of Buttons and Soft Keys
Button
<
>
x
z
,
.
=
Name
Function
Left Arrow
j Move or scroll to the left in a screen.
Right Arrow
j Move or scroll to the right in a screen.
Up Arrow
j Move or scroll up in a screen.
Down Arrow
j Move or scroll down in a screen.
Left Soft Key
j Select the option above the key on the display.
Right Soft Key j Select the option above the key on the display.
Enter
j Select a menu or option.
j Save changes and exit the entry field.
*
Backlight
j Adjust the backlight level (low, medium, high).
j Turn Bluetooth wireless technology on and off (press and hold * in the
BLUETOOTH screen).
+
Power On/Off
j Turn the meter on and off.
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Table of Button Combinations
Button Combination
Name
Function
When the buttons are locked, press and
hold , and . until the Main Menu
appears.
Unlock Keys
j Unlocks the buttons.
With the meter turned off, press and hold Meter/Pump
* and then press +.
Pairing
j Begins meter and pump pairing.
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1
1.3 The Accu-Chek Spirit Combo Insulin Pump at a Glance
Up Key
Menu Key
Moves forward in an information
screen, increases a setting, turns
on the backlight, programs a Quick
Bolus, cancels a Quick Bolus, and
turns off the STOP-Warning
Cycles through menus,
functions, and information
screens
OK Key
Selects current settings
displayed on screen, saves
changes, exits a screen, and
allows the user to view the
QUICK INFO screen
Display
Shows menus, messages,
and data stored in the pump
memory
Down Key
Cartridge
Moves backward in an information
screen, decreases a setting,
programs a Quick Bolus, cancels
a Quick Bolus, and turns off the
STOP-Warning
Holds insulin
Infusion Set
Adapter
Connects the cartridge to the
infusion set
Connects the pump to your body to
deliver insulin
For information about the pump, see the Accu-Chek Spirit Combo Insulin Pump User Guide.
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1.4 Summary of Features
Display
The meter has a full-color graphic LCD (Liquid Crystal Display) that displays current and historical
information.
Backlight
• The backlight helps you read the information on the meter display under different lighting conditions.
• When the meter is turned on, the backlight is set to the medium level.
• Adjust the backlight level by pressing and releasing the backlight button.
• The backlight adjusts from low, to medium, to high, and back to low again.
• If set to the medium or high level and the buttons are not pressed for about 15 seconds, the backlight
returns to the low level to save power.
• When the meter returns to the low level, pressing any button restores the previous backlight level.
• For more information about backlight settings, see Chapter 5, Changing Meter Settings.
• For more about power-saving tips, see Chapter 8, Maintenance.
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1
Key Lock
• The key lock feature allows you to lock all of the buttons on the meter, except for the power on/off button.
• The key lock serves as a safety measure against unintentional activation of meter functions.
• For more information, see Chapter 5, Changing Meter Settings.
Signal Settings
• The meter communicates reminders, warnings, and errors using sounds and vibrations.
• For more information, see Chapter 6, Icons, Reminders, Warnings, and Errors.
Blood Glucose Test
Your new meter allows you to enter detailed information for each blood glucose test to include:
• Meal time (Pre meal, Post meal, Bedtime, or other)
• Carbs (the amount of carbohydrates you are intending to eat)
• Health events (Exercise 1, Exercise 2, Stress, Illness, Premenstrual, or Fasting)
If bolus advice is set up on the meter and the meter recently communicated with the pump, the amount of
active insulin is displayed on the detailed bG Result screen.
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Bolus Advice (Optional)
• The term “bolus” refers to the delivery of insulin all at once rather than slowly throughout the day, usually
used to compensate for meals or high blood glucose.
• Bolus advice calculates a bolus for you that is adapted to the time of day and your changing situations.
• This function is activated only if you set up bolus advice on the meter.
• For instructions on how to set up bolus advice, see Chapter 5, Changing Meter Settings.
WARNING
Before setting up bolus advice, it is very important to read all of the safety information in the Advanced
Owner’s Booklet and talk to your healthcare professional.
Using the Meter with the Pump
• The meter can communicate with and remotely control your pump.
• Pump information is automatically downloaded to the meter when Bluetooth wireless technology is
activated.
• The meter must be paired with the pump.
• For more information, see the Advanced Owner’s Booklet.
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1
Administering a Bolus
Using your new meter, you can deliver a bolus:
• Remotely on your pump using Bluetooth wireless technology
• Using the bolus advice feature on the meter
• Independently on your pump
• Using an insulin pen or syringe
My Data
• Your new meter stores 1,000 records in the diary.
• You can view, modify, or add information to your diary.
• You can view blood glucose test averages, trends, standard day, standard week, and target tables and
graphs of the data in the diary.
• You can view the data in graph or table format for the last 7, 14, 30, 60, or 90 days.
• For more information, see Chapter 4, Managing Your Data.
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Data Transfer
• You can transfer your data stored on the meter to a computer.
• For more information, see Chapter 4, Managing Your Data.
Warning Limits for Hyper and Hypo Blood Glucose Levels
• You can select hyper (high) and hypo (low) blood glucose limits that best fit your needs. Whenever a blood
glucose test result is above or below this range, the meter displays a warning.
• In addition, Trend Graph screens indicate the hypo warning limit when displaying your blood glucose test
results. For more information, see Chapter 4, Managing Your Data.
• The meter has default warning limits that can be adjusted. For more information, see Chapter 5, Changing
Meter Settings.
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Time Blocks
• Time blocks allow you to divide a day into different time periods.
• Setting time blocks to fit your own schedule helps you and your healthcare professional see how patterns in
your blood glucose are affected by your daily activities and lifestyle.
• Time blocks can be set up with or without bolus advice.
• Talk to your healthcare professional about the best way to set up your time blocks to assist you in managing
your diabetes.
• The meter has 5 default time blocks.
• You may set up to 8 time blocks.
• For more information, see Chapter 5, Changing Meter Settings.
1
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Without bolus advice, you need to consider the following when setting up time blocks:
• Determine the appropriate time range by reviewing the end time for each time block.
• Review the acceptable blood glucose target range (low and high) for each time block.
With bolus advice, you need to consider the following when setting up time blocks:
• Determine the appropriate time range by reviewing the end time for each time block.
• Review the acceptable blood glucose target range (low and high) for each time block.
• Determine your carb ratio (the amount of insulin needed to cover a given amount of carbohydrates) for each
time block.
• Determine your insulin sensitivity (the amount of insulin needed to lower your blood glucose by a given
amount) for each time block.
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1
Health Events
Health events can be selected to indicate how you are feeling or what you are doing that might affect your
diabetes. The meter allows you the option of setting a percentage for each health event, except for Fasting, if
you set up bolus advice. Fasting does not scale bolus advice calculations and is not adjustable.
Health events available on the meter are:
• Exercise 1
• Exercise 2
• Stress
• Illness
• Premenstrual
• Fasting
Discuss the appropriate percentage for each health event with your healthcare professional. For instructions
on how to set up bolus advice, see Chapter 5, Changing Meter Settings.
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Blood Glucose Test Reminders (Optional)
The meter can be set up to remind you to retest your blood glucose after a high blood glucose test result,
after a low blood glucose test result, or after a meal.
An after high blood glucose test reminder example:
• The meter is set up with a high bG threshold level of 240 mg/dL and with a reminder time of 60 minutes.
• You have a blood glucose test result higher than 240 mg/dL, perhaps 270 mg/dL.
• In 60 minutes, the meter reminds you to perform another blood glucose test.
The after meal bG test reminder is set up with a carb value and occurs when the carb value exceeds the
snack size. Any of these blood glucose test reminders can be turned on or off individually, as needed. For
more information, see Chapter 5, Changing Meter Settings.
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Alarm Clock Reminders
• The meter has alarm clock reminders which can be used as a helpful way to remind you when to test
throughout the day.
• In addition to “bG Test,” you can set reminders for “Other” for any other daily reminder.
• You can set up to eight reminders per day.
• For more information, see Chapter 5, Changing Meter Settings.
1
Date Reminders
• The meter can be set up to remind you of upcoming appointments or dates, such as a “Dr. Visit,”
a “Lab Test,” or an “Infusion Set Change.”
• For more information, see Chapter 5, Changing Meter Settings.
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1.5 Screen Content and Navigation
This section provides an explanation of how to understand and navigate the screens on the meter.
Each time the meter is turned on, this splash screen (ACCU-CHEK logo screen) is displayed for a short
period of time.
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1
Features on the Main Menu:
Sound Icon
Appears when the beeper is
turned on
Time
Menu Options
Vibrate Icon
Appears when vibrate is turned on
Date
Low Battery Icon
Appears when the meter batteries are low
Bluetooth Wireless Technology Icon
Indicates whether the Bluetooth wireless
technology is on, off, or connecting
NOTE
• To select an item on a menu, press x or z to highlight (blue) the menu item and then press =.
• When using the meter to remotely control your pump, the buttons of your meter have differing
functions. For more information, see the Advanced Owner’s Booklet.
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Bluetooth Wireless Technology Icon Communication States
You may turn Bluetooth wireless technology on or off at any time using the meter.
Icon
Communication State
Bluetooth wireless technology is on. The meter and pump are communicating.
Bluetooth wireless technology is off. The meter and pump are not communicating.
Bluetooth wireless technology is on. However, the meter and pump are not communicating.
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1
Connecting to the Pump screen during pairing:
This screen appears when Bluetooth wireless technology is on and the meter is connecting to the pump.
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Features on a screen:
Title Bar
Highlighted Option
Secondary Title Bar
Scroll Bar
Primary menu title is displayed
here
When necessary, a secondary
title bar appears. Secondary
menu text is displayed here
Left Soft Key Option
Press , to select the option
above the button on the screen
When a menu choice or item is
selected, it is highlighted in blue
If there is more information
available than fits on the screen,
a vertical scroll bar appears on
the right side of the screen
Right Soft Key Option
Press . to select the option
above the button on the screen
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Information can be entered on some screens. Numerical entry fields appear as pop-up entry fields. When
an option must be selected, it appears as a pop-up menu.
• To open a pop-up menu or entry field, press =.
• Press x or z to select the appropriate pop-up menu option or until the correct numerical entry is
present, and then press =.
• Press and hold x or z to scroll faster.
1
Pop-Up Entry Field
Pop-Up Menu
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General Navigation Steps
To change the settings or enter information into the meter:
1.
j Press x or z to select a menu option and press =.
j Repeat the previous step as necessary.
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2.
3.
1
4.
j Select Save by pressing . to
save changes and return to the
previous screen.
j Press x or z or < or > to
select an option or a desired
entry field and press =.
j Press x or z to select the
desired entry and press =.
j Repeat Steps 2 and 3, as
necessary.
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2
2
Testing Your Blood Glucose
2.1 Overview
2.2 Using the Accu-Chek Aviva Combo System
2.3 Performing a Blood Glucose Test
2.4 Detailed Blood Glucose Test Results
2.5 Understanding Blood Glucose Test Results
2.6 Unusual Blood Glucose Test Results
2.7 Symptoms of High or Low Blood Glucose
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55
59
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2.1 Overview
It is important to understand how to perform a blood glucose test properly.
NOTE
Blood glucose and bG are interchangeable and mean the same thing.
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2
2.2 Using the Accu-Chek Aviva Combo System
Before You Start Testing
Using Accu-Chek Aviva Plus Test Strips
• Only use Accu-Chek Aviva Plus test strips.
• Store the unused test strips in their original container. Do not remove test strips from the test strip
container and put them into another container, such as a plastic bag, pocket, purse, wallet, etc.
• Immediately after you take out a test strip, securely close the container. This helps keep the test strips dry.
• Use the test strip immediately after you take it out of the container.
• Be sure to check the “Use By” date on the test strip container. Do not use the test strips after that date.
• If the “Use By” date is missing or cannot be read, do not use the test strips.
• Do not refrigerate, freeze, or expose strips to heat, moisture or humidity. Temperatures outside the required
range, as well as moisture and humidity, can damage your test strips and lead to inaccurate results.
• Refer to the test strip package insert for system operating conditions.
• Do not apply blood or control solution to the test strip before you insert it into the meter. If the meter gives
you a result before applying blood or control solution, do not act on that result.
• Do not reuse test strips. Once you have put control solution or blood on a test strip, throw it away. If you
need to retest, use a new test strip.
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WARNING
Not following the precautions below can lead to inaccurate results:
• Do not store test strips in extreme temperatures or moisture areas (bathroom, kitchen, laundry room,
car, or garage). Heat and moisture can damage your test strips.
• Do not bend, cut, or alter the test strips.
• Do not get dirt, food, or other material on the test strips.
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2
2.3 Performing a Blood Glucose Test
Before you perform your first blood test, ensure the meter is set up correctly and that you perform a control
test. You need a meter with a pre-inserted black code key, a test strip, a lancing device, and a lancet.
WARNING
• During normal testing any blood glucose meter or lancing device may come in contact with blood. All
parts of the kit are considered biohazardous and can potentially transmit infectious diseases from
bloodborne pathogens, even after you have performed cleaning and disinfection.1,2
• Cleaning and disinfecting the meter and lancing device destroys most, but not necessarily all,
bloodborne pathogens.3
• The meter and lancing device should never be used by more than one person. Do not share the
meter and lancing device with anyone, including family members, due to the risk of infection from
bloodborne pathogens.1,2
• If the meter is being operated by a second person who is providing testing assistance to the user,
the meter and lancing device should be cleaned and disinfected prior to use by the second person.
• Disinfect the meter and lancing device before allowing anyone else to handle them. Do not allow
anyone else to test with the meter or lancing device.
• It is important to keep the meter and lancing device clean and disinfected. For instructions on how to
clean and disinfect the meter and lancing device, see Chapter 7, Cleaning and Disinfecting the Meter
and Lancing Device.
• Wash hands thoroughly before and after handling the meter, lancing device, or test strips.
1,2,3
See Appendix E
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WARNING
• Do not change your treatment because of one blood glucose test result.
• NEVER ignore symptoms of high or low blood glucose.
• If your blood glucose test result does not match how you feel, perform a fingertip test to confirm your
result. If the fingertip test result still does not match how you feel, contact your healthcare professional.
NOTE
If you need to perform a control test, only use Accu-Chek Aviva control solutions. See Chapter 3, Control
Testing for more information about control testing.
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2
Performing a Fingertip Blood Glucose Test
Prepare > Check the Use By Date > Insert Test Strip > Test Blood Sample > bG Test Result
1.
2.
3.
j Wash and dry your hands.
j Prepare the lancing device for
a fingertip test.
j Always use a new lancet with
each test.
j Check the Use By date on the
test strip container. Do not
use test strips past the Use
By date.
j Insert the test strip into the
meter in the direction of the
arrow. The meter turns on.
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4.
5.
6.
The Apply Sample screen
appears. The test strip is ready
for testing.
Fingerstick:
j Perform a fingerstick with the
lancing device.
Fingerstick:
j Gently squeeze your finger to
assist the flow of blood. This
helps you get a blood drop.
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7.
8.
9.
When the test strip has enough
blood, the Analyzing screen
appears.
The result appears on the
display.
2
j Touch the blood drop to the
front edge of the yellow
window of the test strip. Do
not put blood on top of the test
strip.
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10.
Approximately 3 seconds later,
the detailed bG Result screen
appears.
j Remove and discard the used
test strip.
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2
NOTE
• If the blood drop is too small, reapply pressure to get a sufficient blood drop.
• For more information regarding blood glucose test results, see Section 2.5, Understanding Blood
Glucose Test Results.
• To add detailed information to the blood glucose test (meal time, carbs, and health events) see
Section 2.4, Detailed Blood Glucose Test Results.
• If a test strip error occurs, remove and discard the used test strip and repeat the test with a new test
strip.
• Be careful not to put any fluids into the test strip slot.
• The meter cannot be turned off when the following screens are displayed:
• Match Code to Vial
• Apply Sample
• Analyzing
• bG Result
• When a test strip is in the meter, the buttons are inactive. The buttons become active when you remove
the test strip or when the test is complete.
• The meter turns off automatically in approximately 2 minutes if no buttons are pressed.
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NOTE
Other ways to start a blood glucose test:
• From the Main Menu, select bG Test and press =. Insert a test strip into the meter.
• When a reminder notification or the key lock icon is displayed, insert a test strip into the meter.
• From the Main Menu, select Bolus Advice and press =. If “bG Test” is displayed instead of an actual
blood glucose value, then you can start a blood glucose test by selecting bG Test. If an actual blood
glucose value is displayed, then you cannot start a blood glucose test using this process.
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2
2.4 Detailed Blood Glucose Test Results
The detailed bG Result screen displays the following information:
Test Time
Meal Time
Carbohydrates
Health Event
Active Insulin
Status Bar
Blood Glucose Test Result
Unit of Measure
Displayed only if bolus
advice is activated and
data has recently been
read from the pump
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Detailed bG Results > Change Meal Time/Carbs/Health Events (Optional)
The detailed bG Result screen allows you to view and to add information to a blood glucose test result.
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2
How to Add Information to a Blood Glucose Test Result
To Change Meal Time:
j Select the Meal Time entry
field and press =.
j Select either Pre Meal, Post
Meal, Bedtime, or Other and
press =.
To Change Carbs:
j Select the Carbs entry field
and press =.
j Set the number of carbs and
press =.
To Change Health Events:
j Select the Health entry field
and press =.
j Select either Exercise 1,
Exercise 2, Stress, Illness,
Premenstural, or Fasting and
press =.
Active Insulin Display:
The meter displays the
calculated amount of Active
Insulin.
To save the changes and exit
the detailed bG Result screen:
j To return to the Main Menu,
select Menu.
j To proceed to the Bolus Advice
screen, select Bolus.
Bolus Advice is not available
if:
j The blood glucose test result is
below the hypo warning limit.
j The detailed bG Result screen
has been displayed for more
than 5 minutes. The warning
message “Bolus Advice
Timeout” is displayed. Select
OK to return to the detailed
bG Result screen.
For more information about
bolus advice, see the Advanced
Owner’s Booklet.
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NOTE
• You can add information on the detailed bG Result screen for meal time, carbs, and health events.
• Review and, if necessary, update information for meal time, carbs, and health events to receive an
accurate bolus recommendation.
• Active insulin is bolus insulin that has been given to lower your blood glucose, but has not yet been fully
used.
• Active insulin appears only if bolus advice is activated.
• Calculation of the amount of the active insulin is completed automatically by the meter. If necessary,
the meter rounds the active insulin amount.
• If the active insulin amount is calculated as zero, then the value is displayed as 0.
• If active insulin data is not found, then active insulin value is displayed as “---U.”
• If Bolus is selected, then the Connecting to the Pump screen appears before the Bolus Advice screen is
displayed.
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2
2.5 Understanding Blood Glucose Test Results
The bG Result screen displays the following information:
Test Time
Blood Glucose
Test Result
Test Date
Status Bar
Unit of Measure
NOTE
• If the dosed test strip is removed from the meter before results or errors are displayed, a blood glucose
test result will not appear.
• After approximately 3 seconds, the meter displays the detailed bG Result screen (see Section 2.4,
Detailed Blood Glucose Test Results).
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Status Bar
The status bar on the bG Result screen indicates how the result compares to the target blood glucose range
for the current time block. The following are status bar descriptions with sample displays:
Green indicates the result is
within the target range for the
current time block.
Yellow indicates the result is
below the target range for the
current time block. The result
is not below the hypo warning
limit.
Red with “Hypo” indicates the
result is below the hypo warning
limit.
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2
Light blue indicates the result is
above the target range for the
current time block. The result
is not above the hyper warning
limit.
Light blue with “Hyper”
indicates the result is above the
hyper warning limit.
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LO or HI Display
NOTE
If “LO” is displayed, the test
result may be below the
measurement range.
j Contact your healthcare
professional.
If “HI” is displayed, the test
result may be above the
measurement range.
j Contact your healthcare
professional.
Blood Glucose Warnings
If the blood glucose test
results are outside the hyper
or hypo warning limits, or
outside the measurement
range of the meter, then a
warning is displayed after the
bG Test Result screen. Select
OK to acknowledge a warning
and continue.
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2
2.6 Unusual Blood Glucose Test Results
If your blood glucose test result does not match the way you feel, follow these steps:
Troubleshooting Checks
Actions
1. Are the test strips expired?
Discard the test strips if they are past the “Use By” date.
Repeat the blood glucose test with an unexpired test strip.
2. Has the cap on the test strip container
always been closed tightly?
Replace the test strips if you think the test strip container
was uncapped for some time and repeat the blood glucose
test.
3. Was the test strip used immediately
after it was removed from the test strip
container?
Repeat the blood glucose test with a new test strip.
4. Were the test strips stored in a cool, dry
place?
Repeat the blood glucose test with a properly stored test
strip.
5. Did you follow the directions?
Read Chapter 2, Testing Your Blood Glucose, and repeat the
blood glucose test. If you still have problems, contact
Accu-Chek Customer Care Service Center at
1-800-688-4578.
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Troubleshooting Checks
Actions
6. Are the meter and test strips working
properly?
Perform a control test. See Chapter 3, Control Testing.
7. Are you still unsure of the problem?
Contact Accu-Chek Customer Care Service Center at
1-800-688-4578.
After performing a control test and repeating a blood glucose test, if your blood glucose test results still do not
match the way you feel, contact your healthcare professional immediately.
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2
2.7 Symptoms of High or Low Blood Glucose
Being aware of the symptoms of high or low blood glucose can help you understand your test results and
decide what to do if they seem unusual. These symptoms may include, but are not limited to:
• High blood glucose (hyperglycemia): increased thirst, frequent urination, blurred vision, drowsiness,
and/or unexplained weight loss.
• Low blood glucose (hypoglycemia): anxiety, shakiness, sweating, headache, increased hunger, dizziness,
pale skin color, sudden change in mood or irritability, fatigue, difficulty concentrating, clumsiness,
palpitations, and/or confusion.
WARNING
• If you are experiencing any of these symptoms, test your blood glucose. If your blood glucose test
result is displayed as LO or HI, contact your healthcare professional immediately.
• The meter is designed to display blood glucose results from 20 to 600 mg/dL. If a result
below 20 mg/dL or over 600 mg/dL appears on the display, call Accu-Chek Customer Care
Service Center at 1-800-688-4578.
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Comparing Your Meter Result to a Lab Result
A common question is how the blood glucose results on your meter compare to the lab results. Your blood
glucose can change quickly, especially after eating, taking medication, or physical activity. If you test yourself
in the morning and then go to the healthcare professional’s office for a blood glucose test, your results will
probably not match, even if you are fasting. This is typically not a problem with your meter, it just means that
time has elapsed and your blood glucose has changed.
If you want to compare your meter result to the lab result, you must be fasting. Take your meter to the
healthcare professional’s office, and test yourself by fingerstick within five minutes of having blood drawn
from your arm by a healthcare professional. Keep in mind that the lab uses different technology than the
meter, and that blood glucose meters for self testing generally read somewhat lower than the lab result.
If you are fasting and you do a fingerstick test within five minutes of having your blood drawn, here are the
general guidelines to compare your meter result to the lab result:
• If your blood glucose is below 75 mg/dL, your results generally should fall within ±15 mg/dL of the lab
result.
• If your blood glucose is equal to or over 75 mg/dL, your results generally should fall within ±20 % of the
lab result.
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3
3
Control Testing
3.1 Overview
3.2 Why Perform Control Tests
3.3 About the Control Solutions
3.4 Performing a Control Test
3.5 Understanding Control Test Results
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65
66
67
73
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3.1 Overview
This chapter describes how and when to perform a control test to ensure the accuracy of your blood glucose
meter. It is recommended you complete a control test prior to performing a blood glucose test for the first
time.
NOTE
Blood glucose and bG are interchangeable and mean the same thing.
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3
3.2 Why Perform Control Tests
Performing a control test lets you know the meter and test strips are working properly to give reliable blood
glucose test results. You should perform a control test when:
• You open a new test strip box.
• You left the test strip container open.
• You want to check the meter and test strips.
• Your test strips were stored in extreme temperatures, humidity, or both.
• You dropped the meter.
• Your test result does not match how you feel.
• You want to check if you are performing the test correctly.
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3.3 About the Control Solutions
• Only use Accu-Chek Aviva control solutions.
• The meter automatically recognizes the control solution.
• The control test results are not displayed in the diary.
• Write the date you opened the control solution bottle on the bottle label. The solution is good for 3 months
from that date or until the “Use By” date on the bottle label, whichever comes first.
• Do not use control solution that is past the “Use By” date.
• The solution can stain clothing. If you spill it, wash your clothes with soap and water.
• Close the bottle tightly after use.
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3
3.4 Performing a Control Test
The Control Result screen displays the following information:
Test Time
Control Result
Test Date
Unit of Measure
You need a meter with a pre-inserted black code key, a test strip, and control solution Level 1, Level 2, or
both. The control level is printed on the bottle label.
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Check the Use By Date > Insert Test Strip > Test Control Solution > Control Result
1.
2.
3.
j Check the Use By date on the
test strip container. Do not use
test trips past the Use By date.
j Insert the test strip into the
meter in the direction of the
arrow. The meter turns on.
The Apply Sample screen
appears. The test strip is ready
for testing.
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3
4.
5.
6.
j Select the control solution to
test. You will enter the level
later in the test.
j Place the meter on a flat
surface, like a table.
j Remove the control bottle cap.
Wipe the tip of the bottle with
a tissue.
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7.
8.
9.
When the test strip has enough
control solution, the Analyzing
screen appears.
j Wipe the tip of the bottle with a
tissue and then cap the bottle
tightly.
The control result appears on
the display.
j Select Level to display the
control solution level pop-up
menu.
j Squeeze the bottle until a tiny
drop forms at the tip.
j Touch the drop to the front
edge of the yellow window
of the test strip. Do not put
control solution on top of the
test strip.
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10.
11.
j Select the control solution level
and press =.
j Remove and discard the test
strip.
j For information on
understanding control test
results, proceed to the next
section, or select Menu to
save this result and display
the Main Menu screen.
3
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NOTE
• If a test strip error occurs, remove and discard the used test strip and repeat the test with a new test
strip.
• Be careful not to put any fluids into the test strip slot.
• When the Control Level screen is displayed and you select Cancel without selecting a control solution
level, then No Entry is chosen. The meter stores the control test result along with No Entry and then
the Detailed Control Result screen is displayed.
• When the Control Level screen is displayed and you turn off the meter, or if the meter auto-powers
off, without selecting a control solution level, then No Entry is chosen. The meter stores the control
test result along with No Entry.
• Other ways to start a control test:
• From the Main Menu, select bG Test. Insert a test strip into the meter.
• When a reminder notification or the key lock icon is displayed, insert a test strip into the meter.
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3
3.5 Understanding Control Test Results
The detailed Control Result screen displays the following information:
Test Time
Test Date
Control Result
Control Solution Level
Result
Unit of Measure
Menu
Within range or Out of range
Select Menu to save
result and display
Main Menu screen
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Example Control Results
Example
Range (mg/dL)
Level 1 25-55
Level 2 255-345
j The label on your test
strip container shows the
acceptable ranges for both
the Level 1 and the Level 2
control solutions. The test
result you get should be inside
this range. Ensure you select
and compare the test result to
the correct level of control. For
the level selected, the meter
displays whether the result
is within or outside of the
acceptable range.
j When the control test result
is inside the range on the test
strip container, the test strips
and the meter are working
properly.
If the control test result is within
the acceptable range, “Within
range” appears on the detailed
Control Result screen.
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3
If the control test result is
outside of the acceptable range,
“Out of range” appears on the
detailed Control Result screen.
If “HI” is displayed, the control
test result may be above the
measurement range.
If “LO” is displayed, the control
test result may be below the
measurement range.
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If the meter stored No Entry for
the control solution level, then
“---” appears with no indication
of in or out of range.
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3
Out-of-Range Control Test Results
If the control test result is out of range, check this list to help solve the problem:
Troubleshooting Checks
Actions
1. Were either the test strips or control solutions
expired?
Discard the test strips or control solutions if either is
past the “Use By” date. If the control solution was
opened more than 3 months ago, discard it. Repeat
the control test with an unexpired test strip and an
unexpired control solution.
2. Did you wipe the tip of the control solution bottle
before use?
Wipe the tip of the bottle with a tissue. Repeat the
control test with a new test strip and a fresh drop of
control solution.
3. Were the caps on the test strip container and the
control solution bottle always closed tightly?
Replace the test strips or control solutions if you
think either was uncapped for some time and repeat
the control test.
4. Was the test strip used immediately after it was
removed from the test strip container?
Repeat the control test with a new test strip and a
fresh drop of control solution.
5. Were the test strips and control solutions stored in Repeat the control test with a properly stored test
a cool, dry place?
strip and control solution.
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Troubleshooting Checks
Actions
6. Did you follow the directions?
Read Chapter 3, Control Testing, and repeat the
control test. If you still have problems, contact
Accu-Chek Customer Care Service Center at
1-800-688-4578.
7. Did you choose the correct control solution level, If you chose the wrong control solution level, you
either 1 or 2, when you performed the control test? can still compare the control result to the range
printed on the test strip container.
8. Are you still unsure of the problem?
Contact Accu-Chek Customer Care Service Center
at 1-800-688-4578.
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4
4
Managing Your Data
4.1 Overview
4.2 Viewing or Modifying Your Data
4.3 Adding New Data
4.4 Reporting Your Data
4.5 Downloading Your Data to a Computer
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83
92
95
133
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4.1 Overview
Analyzing your blood glucose test results stored in the meter is an effective way for you and your healthcare
professional to determine how well you are controlling your diabetes. This analysis is a valuable tool for
making improvements to your diabetes management. The reports the meter displays help you get the most
from your Accu-Chek Aviva Combo meter.
From the diary records stored in the meter, you are able to view a specific blood glucose test record with its
attributes (e.g., meal time, carbs, health event, and bolus). In addition, for a specific diary record, you are able
to change or add to its attributes.
The meter generates reports, such as blood glucose averages with standard deviations for the time period
you select (e.g., the past 7 days or the past 30 days). Graphs can be a good way to view your blood glucose
test results. The meter can display a line graph to depict blood glucose record trends, a graph showing result
ranges for a standard day or a standard week, and a pie chart with different colors to illustrate the amount of
test results within, above, or below your blood glucose target range.
NOTE
• You must be the only user of the meter, because the diary data will be incorrect if the meter is
shared.
• Blood glucose and bG are interchangeable and mean the same thing.
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4
Storing Test Results
The meter automatically stores up to 1,000 diary records with the time and date. You can review up to
250 diary records on the meter or up to 1,000 diary records using a computer with compatible software.
Diary records are stored from the newest to the oldest. It is very important to have the correct time and
date set. Having the correct time and date setting helps ensure accurate interpretation of blood glucose test
results by you and your healthcare professional.
Each diary record can contain:
• Date and time
• Blood glucose test result
• Meal time (events)
• Carbs
• Health event
• Bolus type
• Bolus amount
You can display filtered diary data in graphical or table format.
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NOTE
• Do not change your therapy based on one individual record or test result in the diary.
• This chapter shows sample screens. The screens may look slightly different from the screens on the
meter. If you have any questions about the meter screens, contact Accu-Chek Customer Care Service
Center at 1-800-688-4578.
• The information in the diary is saved when you replace the batteries. You need to check the time and
date after you replace the batteries. For more information on changing the batteries, see Chapter 8,
Maintenance.
• Once 1,000 records are in the diary memory, adding a new record causes the oldest diary record to
be deleted.
• The control results are stored in memory, but cannot be reviewed on the meter.
• Before reviewing diary records or control results with software, the stored diary records must first be
downloaded to a compatible software application. For product availability, please contact Accu-Chek
Customer Care Service Center at 1-800-688-4578.
• Control results are not used in any report or graph.
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4
4.2 Viewing or Modifying Your Data
The View Data screen displays the following information:
Date of Record(s)
Carbs Icon
Time of Blood
Glucose Test
Unit of Measure
Blood Glucose Test
Icon
Meal Time Icon
Blood Glucose Test Result
Appropriate Bolus Icon
Select View
Change meter display between blood
glucose, bolus, and carbs views
Health Event Icon
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NOTE
• If data are not available, the No Data Available screen is displayed.
• The View Data screen displays the records in the order in which they occurred with the most recent
record shown on top.
• For the blood glucose test result:
• “HI” is displayed if the test result is above the measurement range.
• “LO” is displayed if the test result is below the measurement range.
• The blood glucose test result is blank if a blood glucose test value does not exist.
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4
Icon descriptions:
Icon
Icon Name
Description
bG Test
Icon is displayed when information exists for this diary
record regarding a blood glucose test.
Meal Time
Icon is displayed when information exists for this diary
record regarding meal time.
Carbs
Icon is displayed when information exists for this diary
record regarding carbs.
Health Event
Icon is displayed when information exists for this diary
record regarding health events.
Standard Bolus Not Confirmed
Delivery has not been confirmed by the pump.
Standard Bolus Confirmed
Delivery has been confirmed by the pump.
Multiwave Bolus Not Confirmed
Delivery has not been confirmed by the pump.
Multiwave Bolus Confirmed
Delivery has been confirmed by the pump.
Extended Bolus Not Confirmed
Delivery has not been confirmed by the pump.
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Icon
Icon Name
Description
Extended Bolus Confirmed
Delivery has been confirmed by the pump.
Manual Pump
Delivery has not been confirmed by the pump.
Pen/Syringe Bolus
Pump does not deliver bolus.
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You can view a diary record with its attributes (blood glucose value, meal time, carbs, health event, and bolus).
4
Main Menu > My Data > View Data
1.
2.
j From the Main Menu, select
My Data and press =.
j Select View Data and press
=.
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3.
Blood Glucose View:
Bolus View:
Carbs View:
Shown above are View Data screens that display values for blood glucose, bolus, or carbs.
To choose another view, press . (a pop-up menu appears). Select the view you want and press =.
Press x or z to view other records (the screen scrolls if there are additional records).
To view or modify a record’s details, select the record and press =.
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4.
4
5.
or
To modify a diary record,
select Modify and continue to
the next step.
j Press < to view the previous
record or press > to view the
next (newer) record.
To return to the previous
screen, select Back.
j Select the entry field to modify
and press =.
j Make the change in the entry
field and press =.
j Modify other fields, as needed.
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NOTE
To save the changes and
return to the View Detail
screen, select Save.
To cancel changes or return to the View Detail screen, select
Cancel.
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The following fields cannot be modified with the specified condition:
Fields
Cannot be modified if the …
Bolus
Bolus type is confirmed standard, extended, or multiwave
Bolus
Blood glucose test result was below the hypo warning limit
Meal Time
Record has no blood glucose value
Meal Time, Carbs, Health Event,
and Bolus
Record has been used for bolus advice
4
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4.3 Adding New Data
You can add data to a diary record for carbs, health, and bolus. The Add Data screen displays the following
information:
Time Entry Field
Carbs Entry Field
Date Entry Field
Health Entry Field
Bolus Entry Field
Save
Appears once data has been
entered to an entry field
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4
Main Menu > My Data > Add Data
1.
2.
3.
j From the Main Menu, select
My Data and press =.
j Select Add Data and press =.
j Select an entry field and press
=.
j Make addition in the entry field
and press =.
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NOTE
j Make additions to other entry
fields, as needed.
To save the changes and
return to the My Data screen,
select Save.
• The meter initially displays the current date and the current time.
You can change the date and time when adding a diary record,
although the date and time cannot be set in the future.
• Before a diary record can be saved, data must be entered (not
including date and time). “Save” is not displayed above . until
data has been entered.
• To cancel changes and return to the My Data screen, select
Cancel.
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4
4.4 Reporting Your Data
Time Range
Meal Times
Blood Glucose Standard
Deviation
Calculated for the time range
Number of Tests
Used to calculate the averages
and standard deviations
Blood Glucose Average
Calculated for the time range
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NOTE
• If data are not available to calculate averages, the No Data Available screen is displayed.
• Standard deviation measures how much the blood glucose test results are scattered around the
blood glucose average. A low standard deviation means the blood glucose test results are tightly
clustered around the blood glucose average; a high standard deviation means the blood glucose test
results are widely scattered around the blood glucose average.
• Calculations do not include corrupt results, control results, or HI and LO results.
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4
Reporting Your Blood Glucose Averages
The meter displays your blood glucose averages and standard deviations for the time range you choose
(7, 14, 30, 60, or 90 days).
Main Menu > My Data > Reports > bG Averages
1.
2.
3.
j From the Main Menu, select
My Data and press =.
j Select Reports and press =.
j Select bG Averages and press
=.
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4.
The blood glucose averages are
displayed.
j To display blood glucose
averages for another time
range (last 7, 14, 30, 60, or
90 days), press either < or >
to scroll the screen until you
reach the time range you need.
To return to the Reports
screen, select Back.
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4
Reporting Your Data Trends
The meter displays your blood glucose record trends for the time range you choose (last 8 hours, 24 hours,
48 hours, or 7 days).
Main Menu > My Data > Reports > Trend
1.
2.
3.
j From the Main Menu, select
My Data and press =.
j Select Reports and press =.
j Select Trend and press =.
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Trend Graph Screen
Time Range
Bolus Icon
Meal Time Selection
Bolus Unit of Measure
Blood Glucose Unit
of Measure
Maximum Bolus Amount Indicator
Blood Glucose Icon
Carbs Unit of Measure
Maximum Carbs Amount Indicator
Times or Days of
Month
Carbs Icon
Arrow
Bolus Value
Indicates blood glucose data
extends beyond screen
Blue bar: height shown is in relation
to the bolus insulin amount
Each Blood Glucose Value
Carb Value
Dark orange bar: height shown is in
relation to the carbs amount
Connected with lines
Warning Limit Hypo Level
Red horizontal line
Time Change Icon
Only shown when meter time has
been changed for this data
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4
Follow these tips to get the most value from My Data reports:
• If you delivered a bolus directly on the pump, go to My Data on the meter to receive the bolus information
automatically. Do this before your next blood glucose test.
• Replace the batteries when the Low Battery icon appears. This maintains the communication between
meter and pump.
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NOTE
• If data are not available to display the trend graph, the No Data Available screen is displayed.
• Trend graphs do not include corrupt results or control results.
(time change icon) is shown at the bottom of the Trend Graph screen, the time and date of one or more
• If
data points in the trend graph may not match the time stamp in My Data because the meter clock has been
changed. All times in the trend graph show the data relative to the current meter time.
For example:
1. You take a bG test and the value is stored in the meter at 9:00 am.
2. The meter time is changed ahead 1 hour.
3. The bG data on the trend graph is shown at 10:00 am.
• Trend graph data is cleared if bolus advice data is cleared.
• On the right side of the graph, the Maximum Bolus Amount Indicator is a horizontal line with the
corresponding value shown above it. The purpose of this indicator is to scale the top portion of the graph for
the Bolus Value blue bars. The Maximum Bolus Amount Indicator values available on the meter are 1, 5, 15,
30, and 60 U. The indicator displayed is based on the single largest bolus insulin amount delivered for the
time range chosen. For example, if the largest bolus delivered during the chosen time range is 8 U, then the
meter will scale the upper graph to be between 0 and 15 U.
• On the right side of the graph, the Maximum Carbs Amount Indicator is a horizontal line with the
corresponding value shown below it. The purpose of this indicator is to scale the bottom portion of the graph
for the Carb Value dark orange bars. The Maximum Carbs Amount Indicator values available on the meter are
30, 60, 120, 180, and 240 g, or the equivalent scale for BE, KE, or CC. The indicator displayed is based on
the single largest carbs amount for the time range chosen. For example, if the largest carbs amount for the
chosen time range is 86 g, then the meter will scale the lower graph to be between 0 and 120 g.
• Select Table to change the display to the Table View. The time range remains the same.
• The displayed insulin only includes bolus values.
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4
Trend Graph
1.
j To display a trend graph
for another time range
(last 8 hours, 24 hours,
48 hours, or 7 days),
press x to highlight the time
range selection field (top of
screen). Press either < or >
until you reach the time range
you need.
2.
3.
j To display a trend graph for
another meal time selection
(Overall, Pre Meal, Post Meal,
Bedtime, or Other), press
either x or z to highlight
the meal time selection field
(immediately below the time
range which is at the top of
the screen). Press either < or >
until you reach the meal time
selection you need.
j Press . to display the Table
(proceed to the next section
for more information).
To return to the Reports
screen, select Back.
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NOTE
The meter saves the current settings (time range, meal time, and graph view) when you select Back or
when the meter powers off.
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4
Trend Table Screen
Time Range
Meal Time Selection
Date of Records
Blood Glucose Icon
with Blood Glucose
Unit of Measure
Carbs Icon with Carbs Unit of
Measure
Bolus Icon with the Bolus Unit
of Measure
Time Change Icon
Only shown when meter
time has been changed for
this data
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NOTE
• If data are not available to display the trend table, the No Data Available screen is displayed.
• Trend tables do not include corrupt results or control results.
(time change icon) is shown at the bottom of the Trend Table screen, the time and date of one
• If
or more data points in the trend table may not match the time stamp in My Data because the meter
clock has been changed. All times in the trend table show the data relative to the current meter time.
For example:
1. You take a bG test and the value is stored in the meter at 9:00 am.
2. The meter time is changed ahead 1 hour.
3. The bG data on the trend table is shown at 10:00 am.
• Trend table data is cleared if bolus advice data is cleared.
• For a given record, if the blood glucose value, carb value, or bolus value is empty, the corresponding
field is blank.
• The most recent record is displayed first.
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4
Trend Table
1.
j When there are multiple
records, press x or z to view
other records.
2.
3.
j To display a trend table for
another time range
(last 8 hours, 24 hours,
48 hours, or 7 days),
press x to highlight the time
range selection field (top of
screen). Press either < or >
until you reach the time range
you need.
j To display a trend table for
another meal time selection
(Overall, Pre Meal, Post Meal,
Bedtime, or Other), press
either x or z to highlight
the meal time selection field
(immediately below the time
range which is at the top of
the screen). Press either < or >
until you reach the meal time
selection you need.
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4.
NOTE
j Press . to display the Graph
(see previous section for more
information).
The meter saves the current settings (time range, meal time, and
table view) when you select Back or when the meter powers off.
To return to the Reports
screen, select Back.
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4
Reporting Your Standard Day
The meter displays (for a standard day) your blood glucose averages, number of tests, and standard
deviations within predetermined time blocks for the time range you choose (last 7, 14, 30, 60, or 90 days).
Main Menu > My Data > Reports > Standard Day
1.
2.
3.
j From the Main Menu, select
My Data and press =.
j Select Reports and press =.
j Select Standard Day and press
=.
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Standard Day Graph Screen
Time Range
Meal Time Selection
Blood Glucose Unit
of Measure
Blood Glucose Icon
Time of Day
Warning Limit Hypo Level
Red horizontal line
Arrow
Indicates blood glucose
average is off the top of the
graph (“X” is not displayed)
Ending Time of Each Time
Block
Box for Each Time Block
• “X” in center of box indicates the
average of all blood glucose test
results for the selected criteria.
• The top of the box indicates
1 standard deviation above the
average and the bottom of the
box indicates 1 standard deviation
below the average. The box is
not displayed if there are not
enough data to determine standard
deviation.
• The top of box is open if the
standard deviation is off the top of
the graph.
• Box and “X” are not displayed for a
time block if no data are found.
Vertical dashed line
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4
NOTE
• If data are not available to display the standard day graph, the No Data Available screen is displayed.
• The standard day graph does not include corrupt results, control results, HI values, or LO values.
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Standard Day Graph
1.
j To display a standard day
graph for another time range
(last 7, 14, 30, 60, or 90 days),
press x to highlight the time
range selection field (top of
screen). Press either < or >
until you reach the time range
you need.
2.
3.
j To display a standard day
graph for another meal
time selection (Overall, Pre
Meal, Post Meal, Bedtime,
or Other), press either x or
z to highlight the meal time
selection field (immediately
below the time range which is
at the top of the screen). Press
either < or > until you reach
the meal time selection you
need.
j Press . to display the Table
(proceed to the next section for
more information).
To return to the Reports screen,
select Back.
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4
NOTE
The meter saves the current settings (time range, meal time, and graph view) when you select Back or
when the meter powers off.
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Standard Day Table Screen
Time Range
Standard Deviation (SD)
Meal Time Selection
Number of Tests
Time Block
Blood Glucose Average
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4
NOTE
• If data are not available to display the standard day table, the No Data Available screen is displayed.
• Standard day table calculations do not include corrupt results, control results, or HI and LO results.
• For a standard deviation to be displayed for a given time block, there must have been two or more
tests recorded during the time block.
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Standard Day Table
1.
j Press x or z to scroll screen.
2.
3.
j To display a standard day table
for another time range (last 7,
14, 30, 60, or 90 days), press
x to highlight the time range
selection field (top of screen).
Press either < or > until you
reach the time range you need.
j To display a standard day table
for another meal time selection
(Overall, Pre Meal, Post Meal,
Bedtime, or Other), press either
x or z to highlight the meal
time selection field (immediately
below the time range which is
at the top of the screen). Press
either < or > until you reach the
meal time selection you need.
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4
4.
NOTE
j Press . to display the Graph
(see previous section for more
information).
The meter saves the current settings (time range, meal time, and
table view) when you select Back or when the meter powers off.
To return to the Reports screen,
select Back.
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Reporting Your Standard Week
The meter displays (for a standard week) your blood glucose averages, number of tests, and standard
deviations for each day of the week for the time range you choose (last 7, 14, 30, 60, or 90 days).
Main Menu > My Data > Reports > Standard Week
1.
2.
3.
j From the Main Menu, select
My Data and press =.
j Select Reports and press =.
j Select Standard Week and
press =.
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4
Standard Week Graph Screen
Time Range
Arrow
Indicates blood glucose average is off the
top of the graph (“X” is not displayed)
Meal Time Selection
Blood Glucose Unit
of Measure
Box for Each Time Block
Blood Glucose Icon
Day of Week
Warning Limit Hypo Level
Red horizontal line
• “X” in center of box indicates the average
of all blood glucose test results for the
selected criteria.
• The top of the box indicates 1 standard
deviation above the average and the
bottom of the box indicates 1 standard
deviation below the average. The box is
not displayed if there are not enough data
to determine standard deviation.
• The top of box is open if the standard
deviation is off the top of the graph.
• Box and “X” are not displayed for a day if
no data are found.
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NOTE
• If data are not available to display the standard week graph, the No Data Available screen is
displayed.
• The standard week graph does not include corrupt results, control results, HI values, or LO values.
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4
Standard Week Graph
1.
j To display a standard week
graph for another time range
(last 7, 14, 30, 60, or 90 days),
press x to highlight the time
range selection field (top of
screen). Press either < or >
until you reach the time range
you need.
2.
3.
j To display a standard week
graph for another meal
time selection (Overall, Pre
Meal, Post Meal, Bedtime,
or Other), press either x or
z to highlight the meal time
selection field (immediately
below the time range which is
at the top of the screen). Press
either < or > until you reach
the meal time selection you
need.
j Press . to display the Table
(proceed to the next section for
more information).
To return to the Reports
screen, select Back.
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NOTE
The meter saves the current settings (time range, meal time, and graph view) when you select Back or
when the meter powers off.
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4
Standard Week Table Screen
Time Range
Standard Deviation (SD)
Meal Time Selection
Number of Tests
Day of Week
Blood Glucose Average
NOTE
• If data are not available to display the standard week table, the No Data Available screen is displayed.
• Standard week table calculations do not include corrupt results, control results, or HI and LO results.
• For a standard deviation to be displayed for a given day of the week, there must have been two or
more tests recorded during the day.
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Standard Week Table
1.
j Press x or z to scroll screen.
2.
3.
j To display a standard week
table for another time range
(last 7, 14, 30, 60, or 90 days),
select the time range selection
field (top of screen). Press
either < or > until you reach
the time range you need.
j To display a standard week
graph for another meal
time selection (Overall, Pre
Meal, Post Meal, Bedtime,
or Other), press either x or
z to highlight the meal time
selection field (immediately
below the time range which is
at the top of the screen). Press
either < or > until you reach
the meal time selection you
need.
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4
4.
NOTE
j Press . to display the Graph
(see previous section for more
information).
The meter saves the current settings (time range, meal time, and
table view) when you select Back or when the meter powers off.
To return to the Reports
screen, select Back.
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Reporting Your Target
The meter displays a pie chart illustrating your blood glucose records as “Above,” “Within,” “Below,” and
“Hypo” for the time range you choose (last 7, 14, 30, 60, or 90 days).
Main Menu > My Data > Reports > Target
1.
2.
3.
j From the Main Menu, select
My Data and press =.
j Select Reports and press =.
j Select Target and press =.
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4
Target Graph Screen
Time Range
Meal Time Selection
Legend
Pie Chart
Blood glucose test result
categories
Represents the percentages for the
blood glucose test result categories
NOTE
• If data are not available to display the target graph, the No Data Available screen is displayed.
• The target graph does not include corrupt results, control results, or HI and LO results.
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Target Graph
1.
j To display a target graph for
another time range (last 7, 14,
30, 60, or 90 days), select the
time range selection field (top
of screen). Press either < or >
until you reach the time range
you need.
2.
3.
j To display a target graph for
another meal time selection
(Overall, Pre Meal, Post Meal,
Bedtime, or Other), press
either x or z to highlight
the meal time selection field
(immediately below the time
range which is at the top of
the screen). Press either < or >
until you reach the meal time
selection you need.
j Press . to display the Table
(proceed to the next section for
more information).
To return to the Reports
screen, select Back.
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4
NOTE
The meter saves the current settings (time range, meal time, and graph view) when you select Back or
when the meter powers off.
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Target Table Screen
Time Range
Meal Time Selection
Legend
Percentage of Occurrence
Blood glucose test result
categories
NOTE
• If results or data are not available for the selected time period and meal time, the No Data Available
screen is displayed.
• The target table does not include corrupt results, control results, or HI and LO results.
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4
Target Table
1.
j To display a target table for
another time range (last 7, 14,
30, 60, or 90 days), select the
time range selection field (top
of screen). Press either < or >
until you reach the time range
you need.
2.
3.
j To display a target table for
another meal time selection
(Overall, Pre Meal, Post Meal,
Bedtime, or Other), press
either x or z to highlight
the meal time selection field
(immediately below the time
range which is at the top of
the screen). Press either < or >
until you reach the meal time
selection you need.
j Press . to display the Target
Graph (see previous section for
more information).
To return to the Reports
screen, select Back.
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NOTE
The meter saves the current settings (time range, meal time, and table view) when you select Back or
when the meter powers off.
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4
4.5 Downloading Your Data to a Computer
You can transfer your stored results to a computer to track, identify patterns, and print.
1.
2.
j Install the software according
to the instructions.
j Connect the computer cable
according to the instructions.
j Run the software program and
follow the instructions about
how to download information.
Ensure the software is ready to
accept data from the meter.
3.
j From the Main Menu, select
My Data and press =.
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4.
5.
6.
Infrared (IR) Window
j Select Data Transfer and press
=.
j Locate the infrared (IR) window
on the top of the meter.
j Locate the IR window on the
computer’s infrared cable.
j Point the two IR windows
toward each other. They should
be 1 to 4 inches apart.
j Follow the prompts on your
computer software to start the
data transfer.
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7.
4
NOTE
If the data did not transfer successfully, turn off the meter, turn the
meter back on, and try again. If you still have problems, contact
Accu-Chek Customer Care Service Center at 1-800-688-4578.
Once the data transfer is
complete, the Data Transfer
Complete screen is displayed for
3 seconds and then the meter
turns off.
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5
5
Changing Meter Settings
5.1 Overview
5.2 Setting bG Test Reminders: After High bG, After Low bG, After Meal
5.3 Setting Alarm Clock Reminders: bG Test, Other
5.4 Setting Date Reminders: Dr. Visit, Lab Test, Infusion Set Change
5.5 Setting Bolus Advice for the First Time
5.6 Setting Time Blocks, Health Events, Advice Options: Bolus Advice Set Up
5.7 Setting Warning Limits: Hyper, Hypo
5.8 Turning Key Lock On or Off
5.9 Setting the Language
5.10 Setting Units: Carbs
5.11 Turning Bluetooth® Wireless Technology On or Off
5.12 Pairing the Meter and Pump
5.13 Setting the Beeper, Vibrate, Key Sound
5.14 Setting the Time Format, Time, Date
5.15 Setting Time Blocks: Bolus Advice Not Set Up
5.16 Backlight Settings
138
139
144
147
152
161
170
173
176
179
182
184
185
188
191
199
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5.1 Overview
You have the flexibility to change the Accu-Chek Aviva Combo meter settings that you initially selected
during the Setup Wizard process. You can make adjustments to the meter settings in order to meet changing
conditions. Consult with your healthcare professional to ensure the appropriate settings are selected.
Settings: Important Information
• When editing a setting, any unsaved changes are discarded if the meter turns off or if a test strip is inserted
into the meter.
• It is important to ensure that the time and date are correctly set in order to create accurate diary records.
• If you change the pump time and date, the meter time and date will automatically synchronize to match the
pump.
NOTE
Blood glucose and bG are interchangeable and mean the same thing.
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5
5.2 Setting bG Test Reminders: After High bG, After Low bG,
After Meal
bG Test Reminders: Important Information
• At the scheduled time, the meter turns on and displays the reminder (if a test strip has not been inserted).
However, if the meter is already on when the reminder is scheduled and no blood glucose test was
performed, the reminder is displayed when the meter powers down.
• Dismiss the reminder by pressing ..
• Reschedule (snooze) the reminder by pressing ,. The snooze time for After High bG is 15 minutes.
The snooze time for After Low bG and After Meal is 5 minutes.
• If not dismissed or snoozed, the reminder is displayed a total of four times at intervals of 2 minutes,
after which the meter dismisses the reminder.
• When you perform a blood glucose test, the meter dismisses any bG test reminders which are pending
within the next 30 minutes. If necessary, a new reminder is scheduled based upon the blood glucose test
result.
• For more information, see Chapter 6, Icons, Reminders, Warnings, and Errors.
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Main Menu > Settings > Reminders > bG Test Reminders
1.
2.
3.
j From the Main Menu, select
Settings and press =.
j Select Reminders and press
=.
j Select bG Test Reminders and
press =.
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5
4.
j Select either After High bG,
After Low bG, or After Meal
and press =.
j Proceed to either After High
bG, After Low bG, or After Meal
in this step.
To Turn the After High bG
Reminder On or Off:
j Select the Reminder entry field
and press =.
j Select On or Off and press =.
To Change the bG Threshold:
j Select the bG Threshold entry
field and press =.
j Set the bG Threshold level and
press =.
To Change the Remind After
Time:
j Select the Remind After entry
field and press =.
j Set the amount of time after a
high blood glucose test result
you want to be reminded to
retest your blood glucose and
press =.
To save the changes and
return to the bG Test
Reminders screen, select
Save.
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To Turn the After Low bG
Reminder On or Off:
j Select the Reminder entry field
and press =.
j Select On or Off and press =.
To Change the bG Threshold:
j Select the bG Threshold entry
field and press =.
j Set the bG Threshold level and
press =.
To Change the Remind After
Time:
j Select the Remind After entry
field and press =.
j Set the amount of time after a
low blood glucose test result
you want to be reminded to
retest your blood glucose and
press =.
To save the changes and
return to the bG Test
Reminders screen, select
Save.
To Turn the After Meal
Reminder On or Off:
j Select the Reminder entry field
and press =.
j Select On or Off and press =.
To Change the Snack Size:
j Select the Snack Size entry
field and press =.
j Set the Snack Size amount
and press =.
To Change the Remind After
Time:
j Select the Remind After entry
field and press =.
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5
NOTE
j Set the amount of time after
a meal (carb entry larger than
the snack size) you want to be
reminded to retest your blood
glucose and press =.
• Remind After is displayed
as “HH:MM” (e.g., 1:30)
where “H” is hour and “M”
is minute.
To save the changes, select
Save.
If you did not change the Snack
Size, the meter returns to the
bG Test Reminders screen.
If you changed the Snack
Size, the After Meal screen is
displayed.
j Select OK to return to the
bG Test Reminders screen.
• When the meter is
displaying the Remind After
Meal screen for the first
time, if bolus advice has
not been set up, the default
for Snack Size is no entry
(“---g”). If bolus advice has
been set up, the default
value is the value set for the
Snack Size on the Advice
Options screen.
• To cancel changes or to
return to the previous
screen, select Cancel.
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5.3 Setting Alarm Clock Reminders: bG Test, Other
Alarm clock reminders are a helpful way to remind you to test your blood glucose, or for any other daily
appointment. You can set up to eight reminders per day.
Alarm Clock Reminders: Important Information
• At the scheduled time, the meter turns on and displays the reminder (if a test strip has not been inserted).
However, if the meter is already on when the reminder is scheduled (and no blood glucose test was
performed for an Alarm Clock bG Test Reminder), the reminder is displayed when the meter powers down.
• Alarm Clock bG Test: Dismiss the reminder by pressing .. Reschedule (snooze) the reminder for
15 minutes by pressing ,.
• Alarm Clock Other: Dismiss the reminder either by pressing . or by inserting a test strip.
Reschedule (snooze) the reminder for 15 minutes by pressing ,.
• If not dismissed or snoozed, the reminder is displayed a total of four times at intervals of 2 minutes,
after which the meter dismisses the reminder.
• When you perform a blood glucose test, the meter dismisses Alarm Clock bG Test reminders which are
pending within the next 30 minutes.
• For more information, see Chapter 6, Icons, Reminders, Warnings, and Errors.
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5
Main Menu > Settings > Reminders > Alarm Clock
1.
2.
3.
j From the Main Menu, select
Settings and press =.
j Select Reminders and press
=.
j Select Alarm Clock and press
=.
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4.
NOTE
Other) and press =.
j Select Off and press =.
j Repeat the above steps to turn
off additional reminders.
To save the changes and
return to the Reminders
screen, select Save.
To Turn On or Change a
Reminder:
j Select the time entry field for a
Reminder and press =.
j Set the time to schedule the
Reminder and press =.
j Press =. Select the type
of Reminder (i.e., bG Test or
Other) and press =.
j Repeat the above steps to set
additional reminders.
To Turn Off a Reminder:
j Select the type of Reminder
entry field (i.e., bG Test or
• To cancel changes or return
to the Reminders screen,
select Cancel.
• Time for the Alarm Clock
reminders can be set in
15-minute increments,
where “HH” is hour, “MM”
is minutes, and with “am”
or “pm” for the 12-hour
format.
• If you tested within
30 minutes of a bG Test
Reminder, the reminder
does not occur.
• Exposure to extreme cold
conditions may disable
Alarm Clock reminders until
the meter is turned on.
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5
5.4 Setting Date Reminders: Dr. Visit, Lab Test, Infusion Set
Change
Date reminders are a helpful way to remind you of an upcoming Dr. visit or lab test. In addition, you can set
up an ongoing reminder for an infusion set change for the interval you choose (1 day, 2 days, or 3 days).
Date Reminders: Important Information
• Displayed when you turn on the meter and a test strip has not been inserted.
• Dismiss the reminder either by pressing . or by inserting a test strip.
• For more information, see Chapter 6, Icons, Reminders, Warnings, and Errors.
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Main Menu > Settings > Reminders > Date Reminders
1.
2.
3.
j From the Main Menu, select
Settings and press =.
j Select Reminders and press
=.
j Select Date Reminders and
press =.
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5
4.
To Set the Date:
j Select the Date entry field and
press =.
j Set the Day and press =.
j Set the Month and press =.
j Set the Year and press =.
j Select either Dr. Visit, Lab Test,
or Infusion Set Change and
press =.
j Proceed to either Dr. Visit, Lab
Test, or Infusion Set Change in
this step.
To Turn the Dr. Visit Reminder
On or Off:
j Select the Reminder entry field
and press =.
j Select On or Off and press =.
To Set the Time (Optional):
j Select the Time entry field and
press =.
j Set the Time and press =.
To save the changes and
return to the Date Reminders
screen, select Save.
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To Set the Time (Optional):
j Select the Time entry field and
press =.
j Set the Time and press =.
To Turn the Lab Test
Reminder On or Off:
j Select the Reminder entry field
and press =.
j Select On or Off and press =.
To Set the Date:
j Select the Date entry field and
press =.
j Set the Day and press =.
j Set the Month and press =.
j Set the Year and press =.
To save the changes and
return to the Date Reminders
screen, select Save.
To Turn the Infusion Set
Change Reminder On or Off:
j Select the Reminder entry field
and press =.
j Select On or Off and press =.
To Set the Interval:
j Select the Interval entry field
and press =.
j Select the Interval (1 day,
2 days, or 3 days) and
press =.
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5
NOTE
To save the changes and
return to the Date Reminders
screen, select Save.
• Setting a time for a Date Reminder is optional. If you choose
not to set a time, ensure the Time entry field value is “--:--”
(no entry).
• To cancel changes or to return to the Date Reminders screen,
select Cancel.
• Time for the Dr. Visit Reminder and the Lab Test Reminder can
be set in 15-minute increments, where “HH” is hour, “MM” is
minutes, and with “am” or “pm” for the 12-hour format.
• Date Reminders do not automatically turn on the meter and
display the Reminder. Date Reminders only occur when you
power on the meter on the appropriate date.
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5.5 Setting Bolus Advice for the First Time
Set Up Bolus Advice
If you did not set up bolus advice when you went through the Setup Wizard and have now decided to utilize
bolus advice, proceed with this section. Once you do set up bolus advice, you cannot turn it off.
It is suggested that you review the information in the Getting Started Guide before continuing. Prior to
setting up time blocks for bolus advice, it is recommended that you decide how many time blocks you
need and also determine the start/end times. Talk to your healthcare professional about arranging your
time blocks to help best manage your diabetes. For each time block, you can set up different blood glucose
target ranges, carb ratios, and insulin sensitivities to accommodate your differing insulin needs throughout
the day.
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5
Time Blocks–Bolus Advice Screen
Time Block Start Time
Time Block End Time
Target Range Lower
Limit Value
Target Range Upper Limit Value
Carb Ratio–Number of Carbs
Carb Ratio–Number of
Insulin Units
scroll down
Insulin Sensitivity–
Number of Insulin Units
Scroll Bar
Insulin Sensitivity–Change in
Glucose Level
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Main Menu > Settings > Bolus Advice
1.
2.
3.
j From the Main Menu, select
Settings and press =.
j Select Bolus Advice and press
=.
j If you do NOT want to set up
bolus advice, select No to
return to the Settings screen.
j To set up bolus advice, select
Yes and continue to the next
step.
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4.
5.
j To continue, select Next.
To Change Time Blocks:
j Select a time block to edit and
press =.
5
scroll down
To Change the End Time:
j Select the End Time entry field
and press =.
j Set the End Time and press
=.
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6.
To Change the Target Range:
j Select the entry field for the
lower value of the Target
Range and press =.
j Set the value and press =.
j Select the entry field for the
upper value of the Target
Range and press =.
j Set the value and press =.
To Change the Carb Ratio:
j Select the entry field for the
number of Insulin Units and
press =.
j Set the number of Insulin Units
and press =.
j Select the entry field for the
amount of Carbs and press
=.
j Set the amount of Carbs
covered by the number of
Insulin Units and press =.
To Change the Insulin
Sensitivity:
j Select the entry field for the
number of Insulin Units and
press =.
j Set the number of Insulin Units
and press =.
j Select the entry field for the
Insulin Sensitivity level and
press =.
j Set the Insulin Sensitivity level
and press =.
j Select Save.
The carb ratio and insulin
sensitivity are copied to all time
blocks. You may edit the target
range, carb ratio, and insulin
sensitivity for any other time
block, if necessary.
j Select OK.
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5
7.
To Remove a Time Block:
j Select the Time Block you
want to remove and press =.
j Return to Step 5 to change
another Time Block.
j Continue in order to add
or remove Time Blocks,
otherwise select Next and
proceed to Step 8.
To Add a Time Block:
j Select the last time block and
press =.
j Select the End Time entry field
and press =.
j Set the End Time of the
selected time block and press
=. This will be the start time
of the added time block.
j To save the changes and
return to the Time Blocks
screen, select Save.
j Add another Time Block, or
proceed to Step 8.
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j Select the End Time entry field
and press =.
j Set the End Time to match the
start time of the Time Block
and press =.
j To save the changes and
return to the Time Blocks
screen, select Save.
j Remove another Time Block, or
proceed to Step 8.
8.
9.
To Change the Health Events:
j Select the entry field of the
Health Event to be changed
and press =.
j Set the percentage and press
=.
j Repeat the previous steps to
change another Health Event.
j To continue, select Next.
To Change the Meal Rise:
j Select the Meal Rise entry field
and press =.
j Set the Meal Rise limit and
press =.
To Change the Snack Size:
j Select the Snack Size entry
field and press =.
j Set the Snack Size amount
and press =.
To Change the Acting Time:
j Select the Acting Time entry
field and press =.
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10.
11.
j Select OK.
j To return to the Settings
screen, select Back.
5
j Set the Acting Time duration
and press =.
To Change the Offset Time:
j Select the Offset Time entry
field and press =.
j Set the Offset Time duration
and press =.
To save the changes and exit,
select Save.
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Bolus Advice Options
Meal Rise, Snack Size, Acting Time, and Offset Time are Bolus Advice Options. Below are detailed
descriptions of each of these settings.
Meal Rise
During or after meals, an increase in blood glucose levels is considered normal within a certain range, even
though a meal bolus has been delivered. Enter the maximum increase in your blood glucose test result that
is to be tolerated without an additional correction bolus.
Snack Size
The snack size is the amount of carbohydrates that is not to be counted as a regular meal with the expected
meal rise. In this case (in contrast to regular meals), an increase in your blood glucose test result is not
tolerated since the meal rise factor is not triggered for bolus advice calculations.
Acting Time
The acting time is the period of time from the start of the meal rise or the delivery of a correction bolus until
your blood glucose level is expected to return to the target level. You can adjust the length of the acting time
to your individual needs, within a specified time interval (1½ hours to 8 hours).
Offset Time
Offset time takes into account the expected delay for the blood glucose level to actually fall during the
acting time of insulin in the body.
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5
5.6 Setting Time Blocks, Health Events, Advice Options: Bolus
Advice Set Up
If bolus advice has been set up, use this section for:
• Adding or removing time blocks
• Changing the time of day when time blocks occur
• Changing the values for target range, carb ratio, and insulin sensitivity for any time block
• Changing health event percentages
• Changing advice options (meal rise, snack size, acting time, offset time)
Before continuing, it is recommended that you review the Getting Started Guide, determine how many time
blocks you need, and determine the start/end times for each time block. To help best manage your diabetes,
talk to your healthcare professional about arranging your time blocks, including setting up different blood
glucose target ranges, carb ratios, and insulin sensitivities for each time block.
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Setting Time Blocks–Bolus Advice is Set Up
Main Menu > Settings > Bolus Advice > Time Blocks
1.
2.
3.
j From the Main Menu, select
Settings and press =.
j Select Bolus Advice and press
=.
j Select Time Blocks and press
=.
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5
4.
To Add a Time Block:
j Select the last time block and
press =.
To Add or Remove Time
Blocks:
If you do not need to add or
remove time blocks, then
proceed to To Change the Time
Blocks.
j Select the End Time entry field
and press =.
j Set the End Time of the
selected Time Block and press
=. This will be the start time
of the added time block.
j To save the changes and
return to the Time Blocks
screen, select Save.
j Proceed to To Change the
Time Blocks.
To Remove a Time Block:
j Select the Time Block you
want to remove and press =.
j Select the End Time entry field
and press =.
j Set the End Time to match the
start time of the Time Block
and press =.
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5.
j To save the changes and
return to the Time Blocks
screen, select Save.
j Proceed to To Change the
Time Blocks.
To Change the Time Blocks:
j Select a Time Block to edit and
press =.
To Change the End Time:
j Select the End Time entry field
and press =.
j Set the End Time and press
=.
To Change the Target Range:
j Select the entry field for the
lower value of the Target
Range and press =.
j Set the value and press =.
j Select the entry field for the
upper value of the Target
Range and press =.
j Set the value and press =.
To Change the Carb Ratio:
j Select the entry field for the
number of Insulin Units and
press =.
j Set the number of Insulin Units
and press =.
j Select the entry field for the
amount of Carbs and press
=.
j Set the amount of Carbs
covered by the selected units
of insulin and press =.
To Change the Insulin
Sensitivity:
j Select the entry field for the
number of Insulin Units and
press =.
j Set the number of Insulin Units
and press =.
j Select the entry field for the
Insulin Sensitivity level and
press =.
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6.
5
j Set the Insulin Sensitivity level
and press =.
j Select Save.
j To change another time block,
select the time block and press
=. Return to Step 5.
j To return to the Bolus Advice
screen, select Back.
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Setting Health Events–Bolus Advice is Set Up
Main Menu > Settings > Bolus Advice > Health Events
1.
2.
3.
j From the Main Menu, select
Settings and press =.
j Select Bolus Advice and press
=.
j Select Health Events and press
=.
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4.
5
To Change the Health Events:
j Select the entry field of the
Health Event to be changed
and press =.
j Set the percentage and press
=.
j Repeat the previous steps to
change other Health Events.
To save the changes and
return to the Bolus Advice
screen, select Save.
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Setting Bolus Advice Options–Bolus Advice is Set Up
Main Menu > Settings > Bolus Advice > Advice Options
1.
2.
3.
j From the Main Menu, select
Settings and press =.
j Select Bolus Advice and press
=.
j Select Advice Options and
press =.
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5
4.
To Change the Snack Size:
j Select the Snack Size entry
field and press =.
j Set the Snack Size amount
and press =.
To Change the Meal Rise:
j Select the Meal Rise entry field
and press =.
j Set the Meal Rise limit and
press =.
If you did not change the Snack
Size, the meter returns to the
Bolus Advice screen.
To Change the Acting Time:
j Select Acting Time entry field
and press =.
j Set the Acting Time duration
and press =.
To Change the Offset Time:
j Select the Offset Time entry
field and press =.
j Set the Offset Time duration
and press =.
If you changed the Snack Size,
the meter displays the Advice
Options screen.
j Select OK to return to the
Bolus Advice screen.
To save the changes, select
Save.
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5.7 Setting Warning Limits: Hyper, Hypo
You can set blood glucose warning limits for hyperglycemia (Hyper) or hypoglycemia (Hypo) conditions.
Once these blood glucose limit values have been set, if your test result is above the hyper warning limit,
the meter displays the Above Hyper Warning Limit message: “Consider checking for ketones, bG and insulin
regularly.” If your test result is below the hypo warning limit, the meter displays the Below Hypo Warning
Limit message: “Eat fast carbs of at least (number of carbs)¹ Retest bG.”
1
The meter displays a recommended amount of fast carbohydrates.
WARNING
This function is no substitute for hyperglycemia or hypoglycemia training by your healthcare professional.
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5
Main Menu > Settings > Meter > Warning Limits
1.
2.
3.
j From the Main Menu, select
Settings and press =.
j Select Meter and press =.
j Select Warning Limits and
press =.
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4.
To Change the Hypo Blood
Glucose Level:
j Select the Hypo entry field and
press =.
j Set the Hypo (lower) blood
glucose level and press =.
To Change the Hyper Blood
Glucose Level:
j Select the Hyper entry field
and press =.
j Set the Hyper (upper) blood
glucose level and press =.
To save the changes and
return to the Meter Menu
screen, select Save.
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5
5.8 Turning Key Lock On or Off
The key lock feature allows you to lock all of the buttons on the meter, except for the power on/off button.
This serves as a safety measure against unintentional activation of meter functions.
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Main Menu > Settings > Meter > Key Lock
1.
2.
3.
j From the Main Menu, select
Settings and press =.
j Select Meter and press =.
j Select Key Lock and press =.
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5
4.
j Press = to display the Key
Lock pop-up menu.
j Select On or Off.
To save the change and return
to the Meter Menu screen,
select Save.
If the buttons are locked when
you turn on the meter, the Key
Lock screen is displayed.
j To unlock the buttons, press
and hold , and . at the
same time until the Main Menu
is displayed.
The buttons remain unlocked for
the current session. When the
meter is turned on again, the
buttons are locked.
you can still turn the meter on
and off. You can also adjust the
backlight.
j The buttons are unlocked
when:
• A test strip is inserted into
the meter
• The meter is turned on and
a pump error or a pump
warning occurs
For these occurrences, the
buttons remain unlocked for the
current session. When the meter
is turned on again, the buttons
are locked.
Key Lock: Important
Information
j When the buttons are locked,
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5.9 Setting the Language
You can select a language from the predefined list.
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5
Main Menu > Settings > Meter > Language
1.
2.
3.
j From the Main Menu, select
Settings and press =.
j Select Meter and press =.
j Select Language and press
=.
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4.
j Press = to display the
Language options.
j Select the desired Language
and press =.
To save the change and return
to the Meter Menu screen,
select Save.
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5
5.10 Setting Units: Carbs
You can set up the meter for different carbohydrate (carbs) units (Grams, BE, KE, or CC). Once the Carbs
Units are set and bolus advice is activated, the Carbs Units cannot be changed.
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Main Menu > Settings > Meter > Units
1.
2.
3.
j From the Main Menu, select
Settings and press =.
j Select Meter and press =.
j Select Units and press =.
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4.
5
NOTE
Once this is set and bolus
advice is activated, this unit
cannot be changed. If this unit
needs to be changed, contact
the Accu-Chek Customer
Care Service Center at
1-800-688-4578.
NOTE
For more information on the
units for carbohydrates and
carbohydrate equivalents, see
Appendix B, Carb Units.
j Press = to display the list of
units for carbs.
j Select the units (Grams, BE,
KE, or CC) and press =.
To save the change and return
to the Meter Menu screen,
select Save.
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5.11 Turning Bluetooth® Wireless Technology On or Off
Main Menu > Settings > Meter > Bluetooth
1.
2.
3.
j From the Main Menu, select
Settings and press =.
j Select Meter and press =.
j Select Bluetooth and press =.
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4.
5
j To turn Bluetooth wireless
technology either On or Off,
press and hold * until the
Bluetooth wireless technology
icon changes. Release *.
To save the change and return
to the Meter Menu screen,
select Back.
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5.12 Pairing the Meter and Pump
For complete pairing instructions, see the Advanced Owner’s Booklet.
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5
5.13 Setting the Beeper, Vibrate, Key Sound
You can set up the meter for sound mode and/or vibrate mode. The meter features different sound (beeper)
tones. Sounds may occur for:
• Button presses
• Errors
• Warnings
• Reminders
NOTE
• Beeper and vibrate cannot both be turned off at the same time.
• When Key Sound is on, the meter beeps each time a button is pressed.
• Even when the beeper is turned off, the meter still beeps when an error message occurs.
• When in the low battery condition, the meter uses the medium beeper level (if the beeper level is
set to high) and disables vibrate. In the low battery condition, the main menu screen will continue
to display the icons for vibrate and beeper, unless you have set them to Off. After the batteries are
replaced with new ones, the meter returns to the beeper/vibrate settings you have set.
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Main Menu > Settings > Sound/Vibrate
1.
2.
3.
j From the Main Menu, select
Settings and press =.
j Select Sound/Vibrate and
press =.
To Change the Beeper Sound
Level:
j Select the Beeper entry field
and press =.
j Select the Beeper sound level
(Off, Low, Medium, or High)
and press =.
To Turn the Vibrate On or Off:
j Select the Vibrate entry field
and press =.
j Select the Vibrate mode (On or
Off) and press =.
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5
To Change the Key Sound:
j Select the Key Sound entry
field and press =.
j Select the Key Sound mode
(On or Off) and press =.
To save the changes and
return to the Settings Menu
screen, select Save.
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5.14 Setting the Time Format, Time, Date
NOTE
• It is recommended you set the date and time on the pump (the date and time on the meter will
automatically synchronize to match the pump).
• Changing the date and time will impact the Trend Graph and the Trend Table (see Reporting Your
Data Trends in Section 4.4, Reporting Your Data).
• For 12-hour time format, time is displayed as “HH:MM A/P” (example: 3:53 pm) and for 24-hour time
format, time is displayed as “HH:MM” (example: 15:53) where “H” is hour and “M” is minute.
• The date format is displayed as “DD MMM YY” (example: 02 Feb 08) where “D” is day, “M” is month,
and “Y” is year.
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5
Main Menu > Settings > Time/Date
1.
2.
3.
j From the Main Menu, select
Settings and press =.
j Select Time/Date and press
=.
To Change the Time Format:
j Select the Time Format entry
field and press =.
j Select 12 hr or 24 hr Time
Format and press =.
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To Change the Time:
j Select the Time entry field and
press =.
j Set the Hour and press =.
j Set the Minutes and press =.
j If Time Format is 12 hr, select
am or pm and press =.
To Change the Date:
j Select the Date entry field and
press =.
j Set the Day and press =.
j Set the Month and press =.
j Set the Year and press =.
To save the changes and
return to the Settings Menu
screen, select Save.
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5
5.15 Setting Time Blocks: Bolus Advice Not Set Up
This section is for changing, adding, and removing time blocks only if bolus advice has not been set up.
For each time block, you can set up different blood glucose target ranges. It is suggested that you review
the Getting Started Guide before continuing. Prior to setting up time blocks, it is recommended that you
determine how many time blocks you need and also determine the start/end times. Talk to your healthcare
professional about arranging your time blocks in order to help best manage your diabetes.
Target Range Lower Value
Time Block End Time
Target Range Upper Value
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Change End Time, Target Range Lower Value, and/or Target Range Upper Value
Main Menu > Settings > Time Blocks
1.
2.
3.
j From the Main Menu, select
Settings and press =.
Time Blocks does not appear if
bolus advice has been set up.
j Select Time Blocks and press
=.
j Select the time block to edit
and press =.
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4.
To Change the End Time:
j Select the End Time entry field
and press =.
j Set the End Time and press
=.
5
5.
To Change the Target Range:
j Select the entry field for the
lower value of the Target
Range and press =.
j Set the value and press =.
j Select the entry field for the
upper value of the Target
Range and press =.
j Set the value and press =.
To save the changes and
return to the Time Blocks
screen, select Save.
j Repeat Steps 3 and 4 to
change another time block.
Otherwise, select Back to
return to the Settings screen.
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NOTE
• When you set the end time, the meter sets this end time as the start time for the next time block.
• The end time can be set in 30-minute increments.
• To cancel changes press ,.
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5
Add a Time Block
Main Menu > Settings > Time Blocks
1.
2.
3.
j From the Main Menu, select
Settings and press =.
Time Blocks does not appear if
bolus advice has been set up.
j Select Time Blocks and press
=.
j Select the last time block and
press =.
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4.
5.
j Set the End Time of the
selected Time Block and press
=. This will be the start time
of the added time block.
j Select the End Time entry field
and press =.
To save the changes and
return to the Time Blocks
screen, select Save.
j Update the End Times and
Target Ranges for all time
blocks, as needed. See
Change End Time, Target
Range Lower Value, and/or
Target Range Upper Value in
this section.
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5
Remove a Time Block
Main Menu > Settings > Time Blocks
1.
2.
3.
j From the Main Menu, select
Settings and press =.
Time Blocks does not appear if
bolus advice has been set up.
j Select Time Blocks and press
=.
j Select the Time Block you
want to remove and press =.
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4.
5.
j Update the End Times
and Target Ranges for the
remaining time blocks, as
needed. See Change End
Time, Target Range Lower
Value, and/or Target Range
Upper Value in this section.
j Select the End Time entry field
and press =.
j Set the End Time to match the
start time of the Time Block
and press =.
To save the changes and
return to the Time Blocks
screen, select Save.
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5
5.16 Backlight Settings
The backlight on your Accu-Chek Aviva Combo meter helps you read the information on the meter display
under different lighting conditions. You can adjust the backlight level by pressing the backlight button on the
front of the meter. The backlight adjusts from low, to medium, to high, and back to low again.
Backlight Button
Press to adjust the backlight level.
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NOTE
• When the meter is turned on, the backlight is set to medium.
• When the backlight is set to high or medium and no button activity has occurred for approximately
15 seconds, the meter goes to low backlight (to conserve battery life). The meter restores the original
backlight setting when you press a button, insert a test strip, or when the meter displays the bG Results
screen.
• When in the low battery condition, the meter uses the medium backlight level (if the backlight level is
set to high). After the batteries are replaced with new ones, the meter again allows the high backlight
setting.
• The backlight button is disabled during a blood glucose test, a control test, and when the meter is
transferring data.
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6
6
Icons, Reminders, Warnings, and Errors
6.1 Overview
6.2 List of Icons
6.3 Confirming a Reminder, Warning, or Error
6.4 List of Reminders
6.5 List of Warnings
6.6 List of Errors
202
203
205
206
216
222
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6.1 Overview
This chapter provides you with detailed listings of all the icons, reminders, warnings, and errors included in
the meter.
NOTE
Blood glucose and bG are interchangeable and mean the same thing.
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6
6.2 List of Icons
The icons and icon names in the meter are:
Icon Name
Icon
Icon Name
Active Insulin
Control Test
Add Data
Date
Analyzing
Download (Data Transfer)
Beeper
Error
Blood Glucose Averages
Extended Bolus Confirmed
Blood Glucose Test
Extended Bolus Not Confirmed
Bluetooth Wireless Technology Enabled
Health
Bolus Advice
Low Battery
Bolus Advice (Settings)
Meal Time
Carbs
Meter
Icon
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Icon Name
Icon
Icon Name
Meter (Settings)
Sound/Vibrate (Settings)
Multiwave Bolus Not Confirmed
Standard Bolus Confirmed
Multiwave Bolus Confirmed
Standard Bolus Not Confirmed
My Data
Time
Pen/Syringe Bolus
Time Block (Settings)
Pump
Time Change
Reminder
Time/Date (Settings)
Reminders (Settings)
Vibrate
Reports
View Data
Settings
Warning
Icon
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6
6.3 Confirming a Reminder, Warning, or Error
To confirm (or dismiss) most reminders or warnings, press .. Some error messages require a different
confirmation, such as “Retest with new Strip” or “Replace batteries now.” To place some reminders in the
snooze mode, press ,. See the following sections for more details on a specific reminder, warning, or error.
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6.4 List of Reminders
Reminder Screen Example
Reminder Icon
Reminder Title
Snooze
Reminder Message
Reschedule the reminder.
This is not available for all
reminders
Dismiss
NOTE
• The meter beeps when it displays any reminder if the beeper setting is on.
• The meter vibrates when it displays any of the following reminders if the vibrate setting is on: After
Meal Retest, bG Test, High bG Retest, Low bG Retest, and Other.
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For instructions on how to set up meter reminders, see Chapter 5, Changing Meter Settings. The reminders
available on the meter are:
Reminder Title
Reminder Message
Left Soft Key Right Soft Key Snooze Time
After Meal Retest
Carbs entry higher than Snack
Size setting. Retest.
Snooze
Dismiss
5 minutes
bG Test
It is time for your scheduled bG Snooze
test
Dismiss
15 minutes
Dr. Visit Today
If the Dr. Visit time has been
set:
You have a Dr. Appointment
today at (Settings Dr. Visit Time)1
Or, if the Dr. Visit time has not
been set:
You have a Dr. Appointment
today
Dismiss
6
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Reminder Title
Reminder Message
Dr. Visit Tomorrow
If the Dr. Visit time has been
set:
You have a Dr. Appointment
tomorrow at (Settings Dr. Visit
Time)¹
Or, if the Dr. Visit time has not
been set:
You have a Dr. Appointment
tomorrow
High bG Retest
High bG Result on last test.
Retest.
Left Soft Key Right Soft Key Snooze Time
Dismiss
Snooze
Dismiss
15 minutes
Infusion Set Change It is time to change your Infusion Snooze
Set
Dismiss
Displayed the
next time the
meter is
powered-on
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Reminder Title
Reminder Message
Left Soft Key Right Soft Key Snooze Time
Lab Test Today
If the lab test time has been
set:
You have a Lab Test today at
(Settings Lab Test Time)1
Or, if the lab test time has not
been set:
You have a Lab Test today
Dismiss
Lab Test Tomorrow
If the lab test time has been
set:
You have a Lab Test tomorrow at
(Settings Lab Test Time)1
Or, if the lab test time has not
been set:
You have a Lab Test tomorrow
Dismiss
Low bG Retest
Low bG Result on last test.
Retest.
Snooze
Dismiss
5 minutes
Other
It is time for your Other activity
Snooze
Dismiss
15 minutes
6
If set, the time of the Dr. Visit or the Lab Test is displayed on the screen.
1
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Reminders: Important Information
• When two or more event reminders occur at the same time, the meter displays the event reminder with
the highest priority first:
1. bG Test Reminders (After High bG, After Low bG, and After Meal)
2. Alarm Clock Reminders (bG Test and Other)
3. Date Reminders (Dr. Visit, Lab Test, and Infusion Set Change)
The following occur when the particular reminder is enabled and scheduled:
Dr. Visit Today, Dr. Visit Tomorrow, Lab Test Today, and Lab Test Tomorrow Reminders
• Displayed when you turn on the meter and a test strip has not been inserted.
• Dismiss the reminder either by pressing . or by inserting a test strip.
Infusion Set Change Reminder
• Displayed when you turn on the meter and a test strip has not been inserted.
• Dismiss the reminder by pressing ..
• Snooze the reminder either by pressing , or by inserting a test strip.
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Low bG Retest Reminder
• When your blood glucose test result is less than the low blood glucose threshold setting you have set up
(see Chapter 5, Changing Meter Settings), then the meter schedules a Low bG Retest reminder for the time
duration you have set up. The meter maintains the duration of this scheduled reminder regardless of meter
time and date changes.
6
• At the scheduled time, the meter turns on and displays the reminder (if a test strip has not been inserted).
• If the meter is already on when the reminder is scheduled and no blood glucose test was performed, the
reminder is displayed when the meter powers down.
• When the meter displays the reminder and you do not press any meter buttons within 30 seconds, the
meter turns off and displays the reminder again in 2 minutes. After the fourth time the meter displays the
reminder, then the meter dismisses the reminder.
• Dismiss the reminder by pressing ..
• Snooze the reminder for 5 minutes either by pressing , or by inserting a test strip.
• When you perform a blood glucose test, the meter dismisses any Low bG Retest reminders pending within
the next 30 minutes. If necessary, a new reminder is scheduled based upon the blood glucose test result.
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High bG Retest Reminder
• When your blood glucose test result is greater than the high blood glucose threshold setting you have set
up (see Chapter 5, Changing Meter Settings), then the meter schedules a High bG Retest reminder for the
time duration you have set up. The meter maintains the duration of this scheduled reminder regardless of
meter time and date changes.
• At the scheduled time, the meter turns on and displays the reminder (if a test strip has not been inserted).
• If the meter is already on when the reminder is scheduled and no blood glucose test was performed, the
reminder is displayed when the meter powers down.
• When the meter displays the reminder and you do not press any meter buttons within 30 seconds, the
meter turns off and displays the reminder again in 2 minutes. After the fourth time the meter displays the
reminder, then the meter dismisses the reminder.
• Dismiss the reminder by pressing ..
• Snooze the reminder for 15 minutes either by pressing , or by inserting a test strip.
• When you perform a blood glucose test, the meter dismisses any High bG Retest reminders pending within
the next 30 minutes. If necessary, a new reminder is scheduled based upon the blood glucose test result.
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6
After Meal Reminder
• When you enter carbohydrates into the diary through one of the following screens and the carbohydrates
entered are greater than the Snack Size setting, then the meter schedules an After Meal reminder for the
time duration you have set up (see Chapter 5, Changing Meter Settings). The meter maintains the duration
of this scheduled reminder regardless of meter time and date changes.
• Add Data screen (see Chapter 4, Managing Your Data)
• Modify Data screen (see Chapter 4, Managing Your Data)
• Detailed bG Result screen (see Chapter 2, Testing Your Blood Glucose)
• Bolus Advice screen (see the Advanced Owner’s Booklet)
• At the scheduled time, the meter turns on and displays the reminder (if a test strip has not been inserted).
• If the meter is already on when the reminder is scheduled and no blood glucose test was performed, the
reminder is displayed when the meter powers down.
• When the meter displays the reminder and you do not press any meter buttons within 30 seconds, the
meter turns off and displays the reminder again in 2 minutes. After the fourth time the meter displays the
reminder, then the meter dismisses the reminder.
• Dismiss the reminder by pressing ..
• Snooze the reminder for 5 minutes either by pressing , or by inserting a test strip.
• When you perform a blood glucose test, the meter dismisses any After Meal reminders pending within the
next 30 minutes. If necessary, a new reminder is scheduled based upon the blood glucose test result.
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Alarm Clock Reminders for bG Test and Other
• At the scheduled time, the meter turns on and displays the reminder (if a test strip has not been inserted).
• When the meter displays an Alarm Clock reminder and you do not press any meter buttons, after
30 seconds the meter turns off and displays the reminder again in 2 minutes. After the fourth time the
meter displays the reminder, then the meter dismisses the reminder.
• bG Test Alarm Clock Reminder
• If the meter is already on when the reminder is scheduled and no blood glucose test was performed,
the reminder is displayed when the meter powers down.
• Dismiss all active bG Test reminders by pressing ..
• Snooze the reminder for 15 minutes either by pressing , or by inserting a test strip.
• When you perform a blood glucose test, the meter dismisses any bG Test reminders that have been
snoozed or that are pending within the next 30 minutes.
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6
• Other Alarm Clock Reminder
• If the meter is already on when the reminder is scheduled, the reminder is displayed when the meter
powers down.
• Dismiss this reminder either by pressing . or by inserting a test strip.
• Snooze the reminder for 15 minutes by pressing ,.
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6.5 List of Warnings
Warning Screen Example
Warning Icon
Warning Title
No
Warning Message
Only shown on a few
warning screens
Yes or OK
NOTE
The meter beeps when it displays a warning if the beeper setting is on.
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6
The warnings the meter may display are:
Warning Title
Warning Message
Left Soft Key Right Soft Key
Above Hyper Warning
Limit
Consider checking for ketones, bG and
insulin regularly
OK
Beep/Vibrate Off
Beep and Vibrate settings cannot both be
turned off at same time
OK
Below Hypo Warning Limit Eat fast carbs of at least (number of carbs)1
Retest bG
OK
Bolus Advice
Bolus Advice data deleted
OK
Bolus Advice Not Setup
Advice not provided unless setup through
Bolus Advice in Settings
OK
Bolus Advice Timeout
Bolus Advice no longer possible for this bG
result
OK
Bolus Delivery Unavailable Communication lost. Retry or set to Manual
Pump.
OK
Bolus Delivery Unavailable Pump unable to start Bolus. See Pump.
OK
Bolus Delivery Unavailable Pump currently in Stop mode
OK
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Warning Title
Warning Message
Left Soft Key Right Soft Key
Bolus Too High
Bolus above allowed amount. Bolus set to
maximum.
OK
Bolus Too Low
Bolus below allowed amount. Bolus set to
minimum.
OK
Calculation Out of Range
No Bolus Advice available
OK
Carbohydrate Ratio
Carb Ratio seems unusual. Check entries.
OK
Code Key Missing
Turn off Meter and insert valid Code Key
OK
Communication Lost
See Pump
OK
Communication Warning
Pump data not available, Active Insulin may
not be accurate
OK
Communication Warning
Pump data not available, recent Bolus data
may not be accurate
OK
Connection Lost
Ensure Pump is within range of Meter
OK
Connection Lost
Restart Meter, select “Settings”, “Meter”,
“Pair with Pump”
OK
Corrupt Language
Choose another language
OK
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Warning Title
Warning Message
Left Soft Key Right Soft Key
Diary Entry Used For
Advice
Diary entry used for Advice, modifications
not allowed
OK
Diary Results Expired
New data cannot be saved with this record
OK
HI bG Warning
Consider checking bG, ketones and insulin
OK
Incorrect Pump Time/Date Pump time/date incorrect. Set time/date on
the Pump.2
OK
Infrequent Pump
Communication
Two weeks since last communication with
Pump
OK
Insulin Sensitivity
Insulin Sensitivity seems unusual. Check
entries.
OK
Invalid Active Insulin
Unable to calculate the Active Insulin. Bolus
Advice not available.
OK
Invalid Bolus Advice
Times
Acting time must be greater than or equal
to offset time
OK
Invalid Date
Reenter valid date
OK
Invalid Hyper Values
Hyper value must be greater than Time
Block target ranges
OK
6
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Warning Title
Warning Message
Left Soft Key Right Soft Key
Invalid Hypo Values
Hypo value must be less than Time Block
target ranges
OK
Invalid PIN
Reenter PIN shown on Pump display
OK
Invalid Record Time/Date Record time/date must be older than the
current meter time/date
OK
Invalid Target Range
Lower target range value above upper
target range value
OK
Invalid Target Range
Range selected conflicts with Hyper and/or
Hypo Warning Limit settings
OK
LO bG Warning
Retest bG. Contact your doctor.
OK
Meter and Pump Not
Paired
Pair with Pump to use this feature
OK
Meter Battery Low
Replace soon. No Pump connection.
OK
No bG with Bolus
Consider testing bG before delivering
Insulin. Continue?
Pairing Failed
Restart Meter, select “Settings”, “Meter”,
“Pair with Pump”
No
Yes
OK
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Warning Title
Warning Message
Pump Not Available
Ensure Bluetooth is on and Pump is within
range of Meter
OK
Test Strips Expiring
Change Code Key and Strips soon
OK
Time Mismatch
Meter time has been changed by more than
5 minutes to match Pump
OK
1
2
Left Soft Key Right Soft Key
6
The meter displays a recommended amount of fast carbohydrates.
The meter keeps its current date and time. The meter turns off Bluetooth wireless technology
communication for this session.
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6.6 List of Errors
Error Screen Example
Error Icon
Error Title
Menu
Error Message
This option is not available
for all errors.
NOTE
The meter beeps when it displays an error, even if the beeper setting is turned off.
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6
The errors the meter may display are:
Error Title
Error Message
E-51
Bad Strip Error
Reinsert or replace with new Strip
E-52
Code Key Error
Turn Meter off, reinsert or replace Code Key
E-53
Bad Test Error
Retest with new Strip
E-54
Not Enough Sample
Retest with new Strip
E-55
Code Key Expired
Turn Meter off, replace Code Key and Strips
E-56
Sample Applied Early
Retest with new Strip
E-57
Electronic Error
Remove batteries, wait 20 seconds, replace
batteries
E-58
Temp. Error
Move Meter to correct temperature and
wait 5 minutes
Left Soft Key Right Soft Key
Menu1
OK2
Menu1
OK2
Menu3
OK3
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Error Title
Error Message
E-59
Battery Empty
Replace batteries now
E-60
Time/Date Error
Correct time/date if necessary
Left Soft Key Right Soft Key
Menu
“Menu” is only displayed when the meter is on a bG test screen.
“OK” is only displayed after the splash screen (ACCU-CHEK logo screen).
3
If the meter is powering up, then “OK” is displayed above the right soft key and “Menu” is not displayed
above the left soft key.
1
2
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7
7
Cleaning and Disinfecting the Meter and
Lancing Device
7.1 Overview
7.2 Cleaning and Disinfecting the Meter
7.3 Cleaning and Disinfecting the Lancing Device
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228
233
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7.1 Overview
WARNING
• During normal testing any blood glucose meter or lancing device may come in contact with blood.
All parts of the kit are considered biohazardous and can potentially transmit infectious diseases from
bloodborne pathogens, even after you have performed cleaning and disinfection.1,2
• Cleaning and disinfecting the meter and lancing device destroys most, but not necessarily all,
bloodborne pathogens.3
• The meter and lancing device should never be used by more than one person. Do not share the
meter and lancing device with anyone, including family members, due to the risk of infection from
bloodborne pathogens.1,2
• If the meter is being operated by a second person who is providing testing assistance to the user,
the meter and lancing device should be cleaned and disinfected prior to use by the second person.
• Disinfect the meter and lancing device before allowing anyone else to handle them. Do not allow
anyone else to test with the meter or lancing device.
• It is important to keep the meter and lancing device clean and disinfected.
• Wash hands thoroughly before and after handling the meter, lancing device, or test strips.
1,2,3,
See Appendix E
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What is the difference between cleaning and disinfecting?
Cleaning is the removal of dirt from the meter or lancing device.3
Disinfecting is the removal of most, but not all, disease-causing and other types of microorganisms
(bloodborne pathogens) from the meter or lancing device.3
3
See Appendix E
7
When should the meter and lancing device be cleaned and disinfected?
Clean and disinfect the meter and lancing device:
• Once per week
• When blood gets on the meter or lancing device
• Before allowing anyone else to handle the meter or lancing device
NOTE
For technical assistance or questions on cleaning and disinfecting, please contact the Accu-Chek
Customer Care Service Center at 1-800-688-4578.
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7.2 Cleaning and Disinfecting the Meter
To clean and disinfect without damaging the meter, follow these procedures carefully.
When to Clean and Disinfect the Meter
• Clean the meter to remove visible dirt or other material prior to disinfecting.
• Clean and disinfect the meter at least once per week, or when blood is present on the surface of the
meter.
• Clean and disinfect the meter before allowing anyone else to handle the meter. Do not allow anyone else
to use the meter on themselves for testing purposes.
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7
Approved Cleaning and Disinfecting Products
• Super Sani-Cloth (EPA* reg. no. 9480-4)
*Environmental Protection Agency
The above product has been approved for use and can be purchased from the following sources:
• Amazon.com
• Officedepot.com
• Walmart.com
NOTE
Using cleaning and disinfecting products could result in damage to the meter. If you notice any of the
following signs of deterioration after cleaning and disinfecting your meter, stop using your meter and
contact the Accu-Chek Customer Care Service Center at 1-800-688-4578: residue around buttons,
clouding of display, button malfunction, out of range controls results.
What to Clean and Disinfect
The following parts of the meter should be cleaned and disinfected:
• The area around slots and openings (do not get any moisture in slots or openings)
• The meter display
• The entire meter surface
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How to Clean and Disinfect the Meter
WARNING
j DO NOT clean or
disinfect the meter
while performing a
blood glucose or control
test.
j DO NOT get any
moisture in slots or
openings.
j DO NOT spray anything
onto the meter.
j DO NOT immerse the
meter in liquid.
Failure to follow these instructions will damage the meter
and stop it from working properly.
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7
1.
2.
3.
j Wash hands thoroughly with
soap and water.
j Turn off the meter and place
it on a flat surface, such as a
table.
j Wipe the entire meter surface
with the approved cleaning and
disinfecting product. Always
use the same product for both
cleaning and disinfecting.
WARNING
The effect of using more than one product interchangeably to clean and disinfect the meter has not been
tested. Always use the same product to clean and disinfect the meter.
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4.
j Carefully wipe around the test
strip slot and other openings.
Make sure that no liquid enters
any slot or opening.
5.
j A separate Super Sani-Cloth
should be used for cleaning
and disinfection. For
disinfecting the meter, get a
new cloth and repeat steps 3
and 4, making sure that the
surface stays wet for
2 minutes.
6.
j Wash hands thoroughly with
soap and water.
NOTE
Roche has tested the approved product for a total of 416 cycles, which is equal to cleaning and
disinfecting once per week for a 4 year period.
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7
7.3 Cleaning and Disinfecting the Lancing Device
NOTE
• Do not throw away the lancing device cap after each use. Use approved cleaning and disinfecting
products on it.
• Always remove the lancet drum before cleaning or disinfecting the lancing device.
To clean and disinfect without damaging the lancing device, follow these procedures carefully.
When to Clean and Disinfect the Lancing Device
• Clean the lancing device to remove visible dirt or other material prior to disinfecting.
• Clean and disinfect the lancing device once per week to remove visible dirt or other material for safe
handling.
• Clean and disinfect the lancing device before allowing anyone else to handle the lancing device, for
instance, if you have someone assisting you. Do not allow anyone else to use the lancing device.
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Approved Cleaning and Disinfecting Products
• Super Sani-Cloth (EPA* reg. no. 9480-4)
*Environmental Protection Agency
The above product has been approved for use and can be purchased from the following sources:
• Amazon.com
• Officedepot.com
• Walmart.com
NOTE
Using cleaning and disinfecting products could result in damage to the lancing device. If you notice any
of the following signs of deterioration after cleaning and disinfecting your lancing device, stop using your
lancing device and contact the Accu-Chek Customer Care Service Center at 1-800-688-4578: residue
around buttons, difficulty in priming the device, difficulty in inserting the lancet drum.
What to Clean and Disinfect
The following parts of the lancing device may be cleaned and disinfected:
• The entire lancing device surface
• The cap
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7
How to Clean and Disinfect the Lancing Device
WARNING
• DO NOT get any moisture into opening around button.
• Failure to follow these instructions may damage the lancing device and stop it from working properly.
1.
j Wash hands thoroughly with
soap and water.
2.
j Wipe the entire surface of the
lancing device and the inside
of the lancing device cap with
the approved cleaning and
disinfecting product. Always
use the same product for both
cleaning and disinfecting.
3.
j A separate Super Sani-Cloth
should be used for cleaning
and disinfection. For
disinfecting the lancing device,
get a new cloth and repeat
step 2, making sure that the
surface stays wet for
2 minutes.
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4.
WARNING
The effect of using more than one product interchangeably to
clean and disinfect the lancing device has not been tested. Always
use Super Sani-Cloth (EPA reg. no. 9480-4) to clean and disinfect
the lancing device. Do not use any other cleaning or disinfecting
solutions. Using solutions other than the Super Sani-Cloth could
result in damage to the lancing device.
j Wash hands thoroughly with
soap and water.
NOTE
Roche has tested the approved product for a total of 520 cycles,
which is equal to cleaning and disinfecting once per week for a
5-year period.
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8
8
Maintenance
8.1 Overview
8.2 Changing the Batteries
8.3 Power-Saving Tips
8.4 Maintenance and Testing
238
239
242
243
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8.1 Overview
It is important to properly care for and maintain your Accu-Chek Aviva Combo meter. If you have any
questions about the care and maintenance of your meter, contact Accu-Chek Customer Care Service Center
at 1-800-688-4578.
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8
8.2 Changing the Batteries
1.
2.
3.
j Remove the battery door
from the back of the meter by
pushing the tab in the direction
of the arrow and pulling up
the door.
j Remove the old batteries from
the meter.
j Insert three AAA batteries with
the + and - ends matching
the marks in the battery
compartment.
j Put the battery door back in
place and snap it closed.
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WARNING
• Using batteries other than those supplied or recommended for use with the meter may significantly
reduce the life of the batteries. Batteries other than those recommended may leak and corrode
the battery contacts within the meter. Using batteries not supplied or recommended may void the
warranty.
• Replace all batteries of a set at the same time. Newly purchased batteries should not be mixed with
partially exhausted ones. Batteries of different electrochemical systems, grades, or brands should
not be mixed. Failure to observe these precautions may result in some batteries in a set being driven
beyond their normal exhaustion point and thus increase the probability of leakage.
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8
NOTE
• Alkaline batteries are recommended for use with the meter.
• After you change the batteries, the meter prompts you to confirm the time and date settings.
• It is a good idea to have spare, packaged batteries available.
• All test results, diary information, and settings are saved in the meter memory when the batteries are
replaced.
• The meter remains paired with the pump when you remove and replace the batteries.
• Rechargeable batteries may be used in the meter. However, rechargeable batteries may not maintain
the same battery life as non-rechargeable batteries.
• When the Low Battery warning appears:
• Bluetooth wireless technology communication is disabled.
• If vibrate is set to On, it is disabled until the batteries are replaced.
• If the backlight level is set to high, the medium backlight level is used until the batteries are
replaced.
• If the beeper level is set to high, the medium beeper level is used until the batteries are replaced.
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8.3 Power-Saving Tips
To conserve battery life:
• Use the low beeper setting.
• Only turn on the vibrate feature when it is needed.
• Turn off the meter when you are finished rather than utilizing the auto power off feature.
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8
8.4 Maintenance and Testing
• The meter needs little or no maintenance with normal use. It automatically tests its own systems every
time you turn it on and lets you know if something is wrong. For detailed information on troubleshooting the
meter, see Chapter 9, Troubleshooting.
• If you drop the meter or think it is not giving accurate results, ensure your test strips and control solution
have not expired, and then perform a control test.
• Perform a control test with each new vial of test strips.
• To test the meter display, turn off the meter, and then press and hold the + button. The display cycles
through colors (red, blue, green, and white). If any part of the display does not change colors, contact
Accu-Chek Customer Care Service Center at 1-800-688-4578.
• If the meter is not working properly, contact Accu-Chek Customer Care Service Center at 1-800-688-4578.
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9
9
Troubleshooting
9.1 Overview
9.2 Troubleshooting the Accu-Chek Aviva Combo Meter
246
247
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9.1 Overview
For most problems, the meter displays a message with a short description of the symptom and, along with
it, a proposed solution. This chapter goes into more detail by describing the symptom, the possible cause,
and the possible solution. If the possible solutions do not fix the problem, contact Accu-Chek Customer Care
Service Center at 1-800-688-4578.
WARNING
Never make treatment decisions based on a warning or error message. If you have any concerns,
contact Accu-Chek Customer Care Service Center at 1-800-688-4578.
NOTE
• If you drop the meter or think it is not giving accurate results, make sure your test strips and control
solution have not expired, and then perform a control test. For further assistance, 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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9
9.2 Troubleshooting the Accu-Chek Aviva Combo Meter
Display Shows
Possible Cause(s)
The display is blank j Batteries are dead.
or the meter will
j Display is damaged.
not turn on.
Bluetooth icon
flashing
Possible Solution(s)
j Install new batteries. See Chapter 8, Maintenance.
j Contact Accu-Chek Customer Care Service Center
at 1-800-688-4578.
j Meter is defective.
j Contact Accu-Chek Customer Care Service Center
at 1-800-688-4578.
j Extreme temperature – the
temperature is outside the
meter operating range.
j Move the meter to an area with proper temperature.
Wait five minutes before turning on the meter. Do
not artificially heat or cool the meter.
j Communication ended due to j Check the pump and continue operation of the
a button press on the pump.
pump manually.
j Ensure the pump has Bluetooth wireless technology
turned on.
j Meter and pump are outside
of communication range.
j Ensure pump is within communication range.
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Display Shows
Possible Cause(s)
Possible Solution(s)
Above Hyper
Warning Limit
j Your test result is above the j Treat your high blood glucose as recommended by
hyper warning limit set in the
your healthcare professional.
meter.
j Consider checking bG, ketones, and insulin.
j See the pump User Guide for additional solutions.
Beep/Vibrate Off
j Beep and Vibrate settings
cannot be turned off at the
same time.
j Ensure that either the Beep or Vibrate setting is
turned on. See Chapter 5, Changing Meter Settings.
Below Hypo
Warning Limit
j Your test result is below the
hypo warning limit set in the
meter.
j Treat your low blood glucose as recommended by
your healthcare professional.
j The meter displays a recommended number of
carbohydrates for you to eat, and then retest your
blood glucose.
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Display Shows
Possible Cause(s)
Possible Solution(s)
Bolus Advice
j Bolus advice data integrity
cannot be confirmed.
j Wait 8 hours for accurate bolus advice.
Bolus Advice data
deleted
Bolus Advice Not
Setup
Bolus Advice
Timeout
9
IMPORTANT
• Insulin doses and meals taken before the Bolus Advice warning are no longer
reflected in the bolus advice calculation.
• The meter may not reflect the pump bolus history, however the bolus history is
available on the pump.
j Advice is not provided unless it j You can continue to use the meter without bolus
is set up through Bolus Advice
advice or see Chapter 5, Changing Meter Settings for
in Settings Menu.
instructions on how to set up bolus advice.
j Bolus advice is no longer
available for this bG result.
j Review data that was saved in My Data. Then, decide
to modify data, add data, or begin a new bolus advice
session.
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Display Shows
Possible Cause(s)
Possible Solution(s)
Bolus Delivery
Unavailable
j The meter cannot
j Retry or set to Manual Pump.
communicate with the pump. j Ensure the meter and pump have Bluetooth wireless
technology turned on.
j Ensure the meter and pump are within
communication range.
j If the low battery icon is displayed on the meter, the
meter cannot communicate with the pump. Replace
the batteries.
j The pump is currently in Stop j Take the pump out of Stop mode.
mode.
j The pump is currently
delivering a bolus.
j Allow the current bolus delivery to complete before
delivering the next bolus.
Bolus Too High
j The bolus is above the
allowed amount. The bolus
was set to 50 Units.
j Check the accuracy of all entries. If necessary,
contact your healthcare professional.
Bolus Too Low
j The insulin pump cannot
j The pump will adjust the bolus to 0.2 Units.
deliver a 0.1 Unit of multiwave
bolus.
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Display Shows
Possible Cause(s)
9
Possible Solution(s)
Carbohydrate Ratio j Carbohydrate ratio is outside j Check your entries and contact your healthcare
of the acceptable meter
professional to determine the appropriate settings.
range.
Code Key Missing
j The black code key is not
inserted.
j Turn off the meter and insert the black code key.
If you need a black code key, please contact
Accu-Chek Customer Care Service Center at
1-800-688-4578.
Communication
Lost
j Pump is out of range of the
meter.
j Bolus delivery continuing, see pump screen.
j Ensure the meter and pump have Bluetooth wireless
technology turned on.
j Ensure the meter and pump are within
communication range.
j If the low battery icon is displayed on the meter, the
meter cannot communicate with the pump. Replace
the batteries.
j Use the pump to monitor or cancel a bolus which is
in the process of being delivered.
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Display Shows
Possible Cause(s)
Possible Solution(s)
Communication
Warning
j Communication of bolus data j Ensure the meter and pump have Bluetooth wireless
technology turned on.
from the pump was not
successful. Therefore, pump j Ensure the meter and pump are within
data are not available and the communication range.
bolus data may not be
j If the low battery icon is displayed on the meter, the
accurate.
meter cannot communicate with the pump. Replace
j Communication of bolus data the batteries.
from the pump was not
successful. Therefore, pump
data are not available and the
active insulin amount may not
be accurate.
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9
Display Shows
Possible Cause(s)
Possible Solution(s)
Connection Lost
j The connection was lost
j Restart the pairing process. See the Advanced
between the meter and the
Owner’s Booklet.
pump during the pairing
j Ensure the meter and pump have Bluetooth wireless
process. Therefore, the
technology turned on.
attempt to pair the meter and j If the low battery icon is displayed on the meter, the
pump was unsuccessful.
meter cannot communicate with the pump. Replace
the batteries.
j Pump is out of range of the
meter.
j Ensure the meter and pump are within
communication range.
Diary Entry Used
For Advice
j The diary entry selected has
been used for bolus advice
and modifications are not
allowed.
j Carefully confirm all information involving bolus
advice. You cannot modify bolus advice-related
entries on the meter.
Diary Results
Expired
j Bolus advice is no longer
available for this result.
j Review data that was saved in My Data. Then,
decide to modify data, add data, or begin a new
bolus advice session.
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Display Shows
Possible Cause(s)
Possible Solution(s)
E-51 Bad Strip
Error
j The test strip is damaged.
j The test strip is not properly
inserted into the meter.
If you see this error message before you applied
blood to the test strip:
j Remove the test strip and reinsert it, or replace it if
damaged. Check the Use By date on the test strip
container. Do not use test strips past the Use By
date. If the message reappears call the Accu-Chek
Customer Care Service Center at 1-800-688-4578.
E-52 Code Key
Error
j The code key is incorrect.
j Please contact Accu-Chek Customer Care Service
Center at 1-800-688-4578.
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Display Shows
Possible Cause(s)
E-53 Bad Test
Error
j A meter or test strip error has j Discard the test strip and repeat the test.
occurred.
j Your blood glucose may be
extremely high.
9
Possible Solution(s)
j If this matches how you feel, contact your
healthcare professional immediately. If it does not
match how you feel, repeat the blood glucose test
and see Chapter 2, Testing Your Blood Glucose. If
this still does not match the way you feel, run a
control test with your control solution and a new
test strip. If the control result is within the
acceptable range, review the proper testing
procedure and repeat your blood glucose test with a
new test strip. If the E-53 error still appears for your
blood glucose test, your blood glucose test result
may be extremely high and above the system’s
reading range. Contact your healthcare
professional immediately. If the control test result
is not within the acceptable range, see Chapter 3,
Control Testing.
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Display Shows
Possible Cause(s)
Possible Solution(s)
E-54 Not Enough
Sample
j Not enough blood or control j Discard the test strip and repeat the test.
solution was drawn into the
test strip for measurement or
was applied after the test has
started.
E-55 Code Key
Expired
j The white code key is from an j This message may appear when using a white code
expired lot of test strips.
key in the meter. It means the test strips expire at
the end of the current month. At the end of the
month, discard the white code key and any
remaining test strips. Insert a black code key. Make
sure the time and date in the meter are correct. If
you need a black code key, please contact
Accu-Chek Customer Care Service Center at
1-800-688-4578.
E-56 Sample
Applied Early
j Blood or control solution was j Discard the test strip and repeat the test with a new
applied to the test strip before test strip.
the Apply Sample screen
appeared on the display.
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9
Display Shows
Possible Cause(s)
Possible Solution(s)
E-57 Electronic
Error
j An electronic error has
occurred or, in rare cases, a
used test strip was removed
and reinserted.
j Turn off the meter and remove the batteries. Wait at
least 30 seconds prior to reinserting the batteries.
Turn on the meter and perform a blood glucose or
control test. If the problem persists, contact
Accu-Chek Customer Care Service Center at
1-800-688-4578.
E-58 Temp. Error
j The temperature is above or
below the proper range for
the meter.
j Move the meter to an area within the proper
temperature range indicated for test strip use in the
test strip package insert. Wait 5 minutes before
turning on the meter. Repeat the test. Do not
artificially heat or cool the meter.
E-59 Battery
Empty
j The batteries are extremely
low.
j Insert new batteries. See Chapter 8, Maintenance.
E-60 Time/Date
Error
j The time and date settings
may be incorrect.
j You have changed the
batteries.
j Ensure the time and date are correct and adjust, if
necessary. See Chapter 5, Changing Meter
Settings.
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Display Shows
Possible Cause(s)
Possible Solution(s)
HI bG Warning
j Your blood glucose may be
higher than the measuring
range of the system.
j If you are experiencing any of the common
symptoms of high blood glucose, contact your
healthcare professional immediately.
j Treat your high blood glucose as recommended by
your healthcare professional.
j Consider checking bG, ketones, and insulin.
j See the pump User Guide for additional solutions.
Incorrect Pump
Time/Date
j Pump time/date incorrect.
j Set time/date on the pump (see pump User Guide).
Infrequent Pump
Communication
j At least two weeks have
passed since the meter and
pump have communicated.
j Ensure the meter and pump have Bluetooth wireless
technology turned on.
j Ensure the meter and pump are within
communication range.
j If the low battery icon is displayed on the meter, the
meter cannot communicate with the pump. Replace
the batteries.
j It is important to use Bluetooth wireless technology
communication between the meter and pump
regularly if you utilize bolus advice.
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9
Display Shows
Possible Cause(s)
Possible Solution(s)
Insulin Sensitivity
j Insulin sensitivity is outside
of the acceptable meter
range.
j The acting time value is less
than the offset time.
j Check your entries and contact your healthcare
professional to determine the appropriate settings.
Invalid Bolus
Advice Times
j The acting time value must be set equal to or
greater than the offset time. Reset the acting time
value or revise the offset time.
j Re-enter date.
Invalid Date
j The date entered is invalid
(dates for reminders cannot
be set to occur in the past).
Invalid Hyper
Values
j The hyper warning limit value j Reset the hyper warning limit or revise the target
ranges in time blocks and re-enter the hyper
must be greater than all of
your target ranges in the time warning limit.
block settings.
j Enter a hyper warning limit that is above the target
ranges of your time blocks. See Chapter 5,
Changing Meter Settings.
Invalid Hypo Values j The hypo warning limit value
must be less than all of your
target ranges in the time
block settings.
j Reset the hypo warning limit or revise the target
ranges in time blocks and re-enter the hypo
warning limit.
j Enter a hypo warning limit that is below the target
ranges of your time blocks. See Chapter 5,
Changing Meter Settings.
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Display Shows
Possible Cause(s)
Possible Solution(s)
Invalid PIN
j The wrong PIN was entered.
j Select OK and re-enter the PIN shown on the pump
display.
Invalid Record
Time/Date
j The time/date entered is
invalid (Add Data entries
cannot be set to occur in the
future).
j Re-enter time/date.
Invalid Target
Range
j The lower target range value
is above the upper target
range value.
j Reset the target range values.
j Enter the correct lower target range value and
upper target range value. See Chapter 5, Changing
Meter Settings.
j The range selected conflicts
with your hyper and/or hypo
warning limit settings.
j Reset range or revise warning limit settings and
re-enter range.
j Enter the correct lower target range value and
upper target range value. See Chapter 5, Changing
Meter Settings.
j Your blood glucose may be
lower than the measuring
range of the system.
j Treat your low blood glucose as recommended by
your healthcare professional.
j If you are experiencing any of the common
symptoms of low blood glucose, contact your
healthcare professional immediately.
LO bG Warning
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9
Display Shows
Possible Cause(s)
Possible Solution(s)
Meter and Pump
Not Paired
j Meter and pump have not
been paired. You cannot use
the pump functions without
pairing the meter and the
pump.
j You must pair the meter and pump to use these
features.
j For instructions on how to pair the meter and pump,
see the Advanced Owner’s Booklet.
Meter Battery Low j Battery power is low.
j Install new batteries. See Chapter 8, Maintenance.
No bG with Bolus
j You have not tested your bG
and are attempting to deliver
a bolus.
j It is recommended to test bG before delivering
insulin.
Pairing Failed
j The attempt to pair the meter j Restart the pairing process. See the Advanced
and pump was unsuccessful. Owner’s Booklet.
Pump Not Available j The pump is out of the
communication range of the
meter.
j Ensure the meter and pump have Bluetooth wireless
technology turned on.
j Ensure the meter and pump are within
communication range.
j If the low battery icon is displayed, the meter
cannot communicate with the pump. Replace the
batteries.
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Display Shows
Possible Cause(s)
Test Strips Expiring j The test strips expire at the
end of the current month.
Time Mismatch
Possible Solution(s)
j This message may appear when using a white code
key in the meter. It means the test strips expire at
the end of the current month. At the end of the
month, discard the white code key and any
remaining test strips. Insert a black code key. Make
sure the time and date in the meter are correct. If
you need a black code key, please contact
Accu-Chek Customer Care Service Center at
1-800-688-4578.
j Ensure the time and date are correct and adjust, if
necessary. See Chapter 5, Changing Meter
Settings.
j The time or date on the meter j The meter time and date were changed to match
is more than five minutes
the pump time. Ensure the time and date are
different than the time or date correct. If the time or date are not correct, change
on the pump.
the time and date on the pump.
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9
NOTE
• For additional information on errors and warnings, see Chapter 6, Icons, Reminders, Warnings, and
Errors.
• If you have a question or if you see any other error screen, please contact Accu-Chek Customer Care
Service Center at 1-800-688-4578.
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10
10
Technical Information
10.1 Overview
10.2 Product Limitations
10.3 Specifications
10.4 Product Safety Information
10.5 Disposing of the Meter, Strips, Lancets, and Batteries
10.6 Warranty and Limited License
10.7 Additional Supplies
266
267
268
270
273
275
282
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10.1 Overview
This chapter provides you with important performance information regarding the meter.
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10
10.2 Product Limitations
Please read the literature packaged with your test strips to find the latest information on product
specifications and limitations.
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10.3 Specifications
Blood volume
Refer to the test strip package insert.
Sample type
Fresh whole blood
Measuring time
Refer to the test strip package insert.
Measuring range
Refer to the test strip package insert.
Test strip storage conditions
Refer to the test strip package insert.
Meter storage conditions (with
batteries inserted)
-4 °F to 122 °F
System operating conditions
Refer to the test strip package insert.
Relative humidity operating range
Refer to the test strip package insert.
Memory capacity
1,000 diary records
Automatic power off
2 minutes
Power supply
Three AAA batteries (recommended: alkaline)
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10
Display
LCD
Dimensions
3.7 x 2.1 x 1 inches (LWH)
Weight
Approximately 3.6 oz with batteries inserted
Construction
Hand-held
Protection class
III
Meter type
The Accu-Chek Aviva Combo meter is suitable for continuous
operation.
Control solution storage conditions
36 °F to 90 °F
Interface
IR; LED/IRED – Class 1
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10.4 Product Safety Information
WARNING
Choking hazard. Small parts. Keep away from children under the age of 3 years.
Bluetooth Wireless Technology
The meter and the pump utilize Bluetooth wireless technology to communicate and transfer information.
Bluetooth wireless technology is a form of radio frequency (RF) technology that operates in the unlicensed
industrial, scientific, and medical band at 2.4 to 2.485 GHz. The RF channel utilized for communication
between the meter and the pump is not an open channel. The meter can only communicate with the pump it
is paired with; therefore, other Bluetooth wireless technology devices (e.g., cell phone, printer, etc.) cannot be
paired with, communicate with, or access your personal information on the meter or the pump.
Radio Frequency Communication
FCC ID: WX3-361
The device complies with the United States Federal Communications Commission (FCC) standards. The
device complies with FCC Part 15 Rules. Operation of the device is subject to the following two conditions:
(1) this device may not cause harmful interference, and (2) this device must accept any interference received,
including interference that may cause undesired operation.
Compliance with these guidelines means that under normal, daily circumstances the device should not
affect the operation of other devices. In addition, the device should operate normally in the presence of other
devices.
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In the event there is interference from another device, it is recommended that you increase distance between
meter and that device. You may also turn off the interfering device. In addition, you may turn off Bluetooth
wireless technology on the meter and deliver insulin directly using the pump.
10
Changes or modifications to the device not expressly approved by Roche could void the user’s authority to
operate the device.
The device has been tested and found to comply with the limits for a Class B digital device. The device
generates, uses, and can radiate radio frequency energy.
This equipment complies with FCC and IC radiation exposure limits set forth for an uncontrolled environment.
This equipment is in direct contact with the body of the user under normal operating conditions. This
transmitter must not be co-located or operated in conjunction with any other antenna or transmitter.
Electromagnetic Compatibility
This meter meets the electromagnetic immunity requirements as per EN ISO 15197 Annex A. The chosen
basis for electrostatic discharge immunity testing was basic standard IEC 61000-4-2. In addition, it meets
the electromagnetic emissions requirements as per EN 61326. Its electromagnetic emission is thus low.
Interference from the meter to other electrically driven equipment is not to be anticipated.
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Performance Analysis
The Accu-Chek Aviva Combo system (Accu-Chek Aviva Combo meter with Accu-Chek Aviva Plus test strips)
is calibrated with venous blood containing various levels of glucose. The reference values are obtained using
the hexokinase method. For method comparison, the results were compared with results obtained using the
hexokinase method with deproteinization (automatic analyzer). The hexokinase method is traceable to an
NIST standard.
Measuring Principle
Refer to your test strip package insert for more information.
WARNING
• Strong electromagnetic fields may interfere with the proper operation of the meter. Do not use this
meter close to sources of strong electromagnetic radiation.
• To avoid electrostatic discharge, do not use the meter in a very dry environment, especially one in
which synthetic materials are present.
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10
10.5 Disposing of the Meter, Strips, Lancets, and Batteries
WARNING
• Any product coming in contact with blood is considered contaminated (potentially infectious).*
• During normal testing any blood glucose meter may come in contact with blood. Lancing devices may
also be considered sharps. Disposal of sharps is regulated by law in many jurisdictions.
Roche is committed to recycling and sustainability. Please consider the following points when disposing of
your used testing materials:
• Comply with any laws or ordinances relating to the disposal of sharps and/or contaminated products.
Contact your local health department or other appropriate authorities for proper handling and disposal of
used meters, used test strips, used lancets, and used batteries.
• Consider recycling of the meters and batteries at an appropriate facility. Be aware the meter is potentially
hazardous electronics scrap (e-scrap) and should be disposed of accordingly. The batteries are potentially
hazardous also and should be disposed of accordingly.
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• Decontaminate the meter before recycling or disposing.
• Users in professional environments (i.e., healthcare professionals) should follow their existing policies
and procedures that govern the proper handling and disposal of potentially infectious waste, e-scrap, and
batteries.
*29 CFR 1910.1030-Bloodborne pathogens (Code of Federal Regulations)
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10
10.6 Warranty and Limited License
Accu-Chek Aviva Combo Meter Limited 4-Year Warranty
Roche Diabetes Care, Inc. warrants to the original purchaser of the meter that your Accu-Chek Aviva Combo
meter will be free from defects in materials and workmanship for 4 years from the date of purchase. If during
this 4-year period, the meter does not work properly because of a defect in materials or workmanship, Roche
Diabetes Care, Inc. will replace it with a new Accu-Chek Aviva Combo meter or equivalent product free of
charge. The warranty on the replacement meter will expire on the date of the original warranty expiration or
90 days after the shipment of a replacement system, whichever period is longer. The purchaser’s exclusive
remedy with respect to the Accu-Chek Aviva Combo meter shall be replacement.
This warranty does not apply to the performance of an Accu-Chek Aviva Combo meter that has been
damaged by accident or has been altered, misused, tampered with, or abused in any way.
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THE PRECEDING WARRANTY IS EXCLUSIVE OF ALL OTHER WARRANTIES, AND ROCHE DIABETES CARE, INC.
MAKES NO OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING WITHOUT LIMITATION, THE IMPLIED
WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. IN NO EVENT SHALL ROCHE
DIABETES CARE, INC. BE LIABLE TO THE PURCHASER OR ANY OTHER PERSON FOR ANY INCIDENTAL,
CONSEQUENTIAL, INDIRECT, SPECIAL, OR PUNITIVE DAMAGES ARISING FROM OR IN ANY WAY CONNECTED
WITH THE PURCHASE OR OPERATION OF THE METER OR ITS PARTS. NO WARRANTY OF MERCHANTABILITY
OR FITNESS FOR A PARTICULAR PURPOSE, IF ANY IS IMPLIED FROM THE SALE OF THE METER, SHALL
EXTEND FOR A LONGER DURATION THAN FOUR YEARS FROM THE DATE OF PURCHASE.
Some states do not allow limitations on how long an implied warranty will last or the exclusion of incidental
or consequential damages, so the above limitation and exclusion may not apply to you. This warranty gives
you specific legal rights, which vary from state to state.
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10
Warranty Instructions
All requests for return of Accu-Chek Aviva Combo meters under the preceding warranty must be made to
Accu-Chek Customer Care Service Center. You will be mailed a return authorization label, which must be
affixed to your carton for shipping the system to Roche Diabetes Care, Inc. Cartons received without this label
will be returned to you at your expense.
Customers experiencing difficulties should review the troubleshooting information in Chapter 9 of this booklet.
Further inquiries should be directed to Accu-Chek Customer Care Service Center at 1-800-688-4578.
Be sure to fill out and mail the Warranty Card that comes with the Accu-Chek Aviva Combo system.
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Limited License
CAUTION
A RESTRICTED LICENSE LIMITS USE OF THE ACCU-CHEK AVIVA COMBO SYSTEM—READ CAREFULLY THE
LIMITATIONS RECITED BELOW.
The Accu-Chek Aviva Combo system (meter, including the code key, and test strips) and its use are protected
by U.S. Patent Nos. 6,645,368 (expires 22-December-2017); 7,276,146 (expires 4-October-2022); 7,276,147
(expires 4-October-2022); 7,407,811 (expires 9-May-2020); 7,452,457 (expires 2-May-2026); 7,488,601
(expires 1-February-2026); 7,494,816 (expires 29-December-2019); 7,569,126 (expires 28-December-2026);
7,604,721 (expires 12-August-2026); 8,298,401 (expires 4-October-2022); 8,303,801 (expires
4-October-2022); and 8,329,026 (expires 4-October-2022). A license to use the Accu-Chek Aviva Combo
system is required until the expiration of the last-to-expire patent listed above and is only granted when the
Accu-Chek Aviva Combo meter is used with the Accu-Chek Aviva Plus test strips and Accu-Chek Aviva Plus
code keys.
Accu-Chek Aviva Plus test strips are provided with a specifically matched Accu-Chek Aviva Plus code key.
These test strips and code keys are specifically manufactured for operation with the Accu-Chek Aviva Combo
meter. Use of other test strips with an unmatched code key or even with the matched code key supplied by
another manufacturer may prevent or impair the proper function of the Accu-Chek Aviva Combo system.
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Using the Accu-Chek Aviva Combo system indicates your acceptance of the restricted license to use the
Accu-Chek Aviva Combo system only with Accu-Chek Aviva Plus test strips and the corresponding Accu-Chek
Aviva Plus code key. If you do not agree to the terms and conditions of the restricted license, you may return,
at the place of purchase, the unused Accu-Chek Aviva Combo system for a full refund. If you have any
questions, please call the Accu-Chek Customer Care Services Center at 1-800-688-4578.
10
Except where prohibited by statute, all warranties covering the Accu-Chek Aviva Combo system are voided by
use of the Accu-Chek Aviva Combo system with any test strips or code keys other than Accu-Chek
Aviva Plus test strips or code keys.
Patent Information
U.S. Pat.:http://www.roche-diagnostics.us/patents
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CAUTION
A RESTRICTED LICENSE LIMITS USE OF THE ACCU-CHEK FASTCLIX SYSTEM (device and lancet drums).
READ CAREFULLY THE LIMITATIONS RECITED BELOW.
The Accu-Chek FastClix system (device and lancet drums) and its use are protected by U.S. Patent Nos.
7,322,998 (expires 3-March-2020) and 7,785,338 (expires 5-January-2026). A license to use the Accu-Chek
FastClix system is required until the expiration of the last-to-expire patent listed above and is only granted
when Accu-Chek FastClix lancet drums are used with the Accu-Chek FastClix device.
Accu-Chek FastClix lancet drums are high precision components that are produced to the close tolerances
required for satisfactory operation with the Accu-Chek FastClix device. Use of other lancet drums with the
Accu-Chek FastClix device may prevent or impair proper function of the Accu-Chek FastClix device.
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Using the Accu-Chek FastClix device indicates your acceptance of the restricted license to use the Accu-Chek
FastClix device only with Accu-Chek FastClix lancet drums. If you do not agree to the terms and conditions of
the restricted license, you may return, at the place of purchase, the unused Accu-Chek FastClix device for a full
refund. If you have any questions, please call the Accu-Chek Customer Care Services Center at 1-800-688-4578.
10
Except where prohibited by statute, all warranties covering the Accu-Chek FastClix device are voided by use
of the Accu-Chek FastClix device with any lancet drums other than Accu-Chek FastClix lancet drums.
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10.7 Additional Supplies
Test Strips
Accu-Chek Aviva Plus 50 ct test strips
Accu-Chek Aviva Plus 100 ct test strips
Control Solutions
Accu-Chek Aviva 2 level control solutions
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Appendices
Appendix A: Abbreviations
Abbreviation
Definition
AM
Ante Meridiem (12-hour clock notation for “before noon”)
BE
Bread Equivalent (equal to 12 grams of carbohydrates)
bG
Blood Glucose
Carbs
Carbohydrates
CC
Carbohydrate Choice (equal to 15 grams of carbohydrates)
°F
Degrees Fahrenheit
FCC
Federal Communications Commission (United States)
g
Grams
GHz
Gigahertz
Hyper
Hyperglycemia (high blood glucose)
Hypo
Hypoglycemia (low blood glucose)
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Abbreviation
Definition
IR
Infrared
ISO
International Organization for Standardization
KE
Kohlenhydrateinheit (equal to 10 grams of carbohydrates)
LCD
Liquid Crystal Display
mg/dL
Milligrams per Deciliter
N/A
Not Applicable
NIST
National Institute of Standards and Technology (United States)
PIN
Personal Identification Number
PM
Post Meridiem (12-hour clock notation for “after noon”)
RF
Radio Frequency
SD
Standard Deviation
U
Units (bolus insulin units)
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Appendix B: Carb Units
For carbohydrates, the following units of measure are available on the meter.
Abbreviation
Unit of Measurement
Gram Equivalent
g
Grams*
1 gram
KE
Kohlenhydrateinheit
10 grams
BE
Bread Equivalent
12 grams
CC
Carbohydrate Choice
15 grams
*Standard unit of measure in the U.S.
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Appendix C: Explanation of Symbols
You may encounter the following symbols on the packaging, on the type plate (back of meter), and in the
instructions for the Accu-Chek Aviva Combo meter, shown here with their meaning.
w
Caution, refer to safety-related notes in the instructions for use accompanying this
product.
Global Trade Item Number
Federal law (USA) restricts this device to sale by or on the order of a physician per
21 CFR 801.109.*
1.5V AAA
* Code of Federal Regulations
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Appendix D: Meter Settings and Range Limits
mg/dL
Data Type
Unit of Measurement MIN
MAX Increments Default Setting
Acting Time
hours:minutes
1:30
8:00
0:15
4:00
Active Insulin
Units
0
99.9
0.1
N/A
bG Threshold (High) mg/dL
120
350
1
Hyper Warning Limit
bG Threshold (Low) mg/dL
50
100
1
Hypo Warning Limit
Carb Ratio (carbs)
grams
BE
KE
CC
1
0.1
0.1
0.1
240
20
24
16
1
0.1
0.1
0.1
No entry (“--- g”)
No entry (“--- BE”)
No entry (“--- KE”)
No entry (“--- CC”)
Carb Ratio (insulin)
Units
0.1
50
0.1
1
Carbohydrates
grams
BE
KE
CC
0
0
0
0
240
20
24
16
1
0.1
0.1
0.1
No entry (“--- g”)
No entry (“--- BE”)
No entry (“--- KE”)
No entry (“--- CC”)
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Data Type
Unit of Measurement MIN
MAX Increments Default Setting
Exercise 1 (health
event)
%
-50
50
1
0
Exercise 2 (health
event)
%
-50
50
1
0
Extended Bolus
(insulin)
Units
0
501
0.1
N/A
Hyper Warning Limit mg/dL
180
350
1
300
Hypo Warning Limit mg/dL
50
90
1
70
Illness (health event) %
-50
50
1
0
Insulin Sensitivity
(bG)
mg/dL
1
999
1
No entry (“---mg/dL”)
Insulin Sensitivity
(insulin)
Units
0.1
50
0.1
1
Meal Rise (bG)
mg/dL
50
200
1
50
Multiwave Bolus
(insulin)
Units
0.2
501
0.1
N/A
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Data Type
Unit of Measurement MIN
MAX Increments Default Setting
Offset Time
hours:minutes
0:45
Acting 0:15
Time
1:00
Premenstrual
(health event)
%
-50
50
1
0
Snack Size (carbs)
grams
BE
KE
CC
0
0
0
0
24
2
2.4
1.6
1
0.1
0.1
0.1
No entry (“--- g”)
No entry (“--- BE”)
No entry (“--- KE”)
No entry (“--- CC”)
Standard Bolus
(insulin)
Units
0
501
0.1
N/A
Stress (health event) %
-50
50
1
0
Target Range Upper
Value
100
300
1
140
50
140
1
70
mg/dL
Target Range Lower mg/dL
Value
The maximum that can actually be delivered may be less due to the Accu-Chek Spirit Combo pump’s maximum
insulin amount.
1
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The following are the default settings for bG test reminders. To turn on a bG test reminder, see Setting Alarm
Clock Reminders: bG Test, Other in Chapter 5, Changing Meter Settings.
Test Reminder
Default Time of Day
1
7:00 am
2
9:00 am
3
11:00 am
4
12:00 pm
5
2:00 pm
6
4:00 pm
7
7:00 pm
8
10:00 pm
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The following are the default settings for the time blocks. Talk to your healthcare professional about setting
up time blocks to help you manage your diabetes. To adjust the time blocks, see Chapter 5, Changing Meter
Settings.
Time Block
12-Hour Format
1
12:00 am–5:30 am
2
5:30 am–11:00 am
3
11:00 am–5:00 pm
4
5:00 pm–9:30 pm
5
9:30 pm–12:00 am
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Appendix E: References
1. FDA Public Health Notification: “Use of Fingerstick Devices on More than One Person Poses Risk
for Transmitting Bloodborne Pathogens: Initial Communication, (2010). Update 11/29/2010”
http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ucm224025.htm. Accessed March 20, 2012.
2. CDC Clinical Reminder: “Use of Fingerstick Devices on More than One Person Poses Risk for Transmitting
Bloodborne Pathogens, (2010).” http://www.cdc.gov/injectionsafety/Fingerstick-DevicesBGM.html.
Accessed March 20, 2012.
3. Healthcare Infection Control Practices Advisory Committee (HICPAC), William A. Rutala, Ph.D., M.P.H., and
David J. Weber, M.D., M.P.H. Centers for Disease Control and Prevention, 2008. “Guideline for Disinfection
and Sterilization in Healthcare Facilities. Atlanta.”
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Glossary
Term
Definition
7-day average
Includes results generated today and the previous 6 days.
Acting Time
The period of time from the start of the meal rise or the delivery of a
correction bolus until your blood glucose level is expected to return to the
target level.
Active Insulin
Bolus insulin that has been given to lower your blood glucose but has not
yet been fully used.
Advice Options
Factors that influence bolus advice calculations including meal rise,
snack size, acting time, and offset time.
After High bG Reminder
A reminder to retest your blood glucose. When enabled, this reminder
occurs after a high blood glucose test result.
After Low bG Reminder
A reminder to retest your blood glucose. When enabled, this reminder
occurs after a low blood glucose test result.
After Meal Reminder
A reminder to retest your blood glucose. When enabled, this reminder
occurs after a meal. For this reminder to occur, you must enter
carbohydrate data greater than the snack size amount.
Alarm
Audible or vibrating (silent) notification indicating a reminder, warning, or
error.
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Term
Definition
bG Test Reminders
Reminders to retest your blood glucose after a high blood glucose test
result, after a low blood glucose test result, or after a meal.
bG Threshold
A bG test reminder setting. The upper limit for your blood glucose for a
high bG test reminder and the lower limit for your blood glucose for a low
bG test reminder.
Blood Glucose (bG)
The level of glucose in blood.
Bluetooth Wireless Technology
Wireless short-range communications technology which connects
devices (such as meter and pump) in order to exchange information.
Bolus
The delivery of insulin all at once rather than slowly throughout the day,
usually used to compensate for meals or high blood glucose.
Bolus Advice
When enabled, bolus advice provides recommendations on the amount of
insulin for food intake and for correcting blood glucose levels that are not
within your target range.
Bolus Advice Options
See Advice Options.
Bolus Delivery Start Delay
The Standard Bolus icon blinks for five seconds and then the meter
communicates to the pump to begin delivery of the bolus amount. During
this delay you are able to cancel the bolus delivery by pressing x or z.
The meter beeps and returns to the Pump Run screen.
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Term
Definition
Carb Ratio
The amount of insulin necessary to account for a certain number of
carbohydrates.
Carbohydrates (or Carbs)
Carbohydrate foods include sugars and starches. Carbohydrates can
raise blood glucose levels slowly or rapidly. Carbohydrates are generally
counted to calculate a bolus insulin dose.
Control Result
Value displayed on meter as the result of a control test. When the Control
Result is within the range shown on the label of the test strip container,
then the test strips and the meter are working properly.
Control Test
A meter test using control solution which lets you know that the meter
and test strips are working properly.
Corrupt Result
bG test result that had an error.
Current Date
Refers to the date you set through the menu Settings and then in the
Time/Date screen.
Current Time
Refers to the time you set through the menu Settings and then in the
Time/Date screen.
Day
Period of time starting at 12:00 am and ending at 11:59 pm.
End Time
The end time of a time block.
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Term
Definition
Extended Bolus
A bolus delivered over a period of time. It might be helpful during long
meals or when you have meals that are digested slowly. The Extended
Bolus may also be appropriate for people who have gastroparesis
(delayed digestion). This option is available only when Bluetooth wireless
technology is turned on and the meter and pump are communicating.
Health Events
A pop-up menu selection (exercise 1, exercise 2, stress, illness,
premenstrual, or fasting) that allows information to be stored with a
blood glucose test result or in a diary record and percentages that could
adjust bolus advice recommendations for your current health status or
activities.
HI
The test result is above the meter’s measurement range.
Hyper
Hyperglycemia: an abnormally high level of glucose in the blood.
Hyper Warning Limit
When your blood glucose test result is above the hyper warning limit, a
warning is displayed.
Hypo
Hypoglycemia: an abnormally low level of glucose in the blood.
Hypo Warning Limit
When your blood glucose test result is below the hypo warning limit, a
warning is displayed.
Insulin Pump
A device that delivers a continuous supply of insulin into the body.
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Term
Definition
Insulin Sensitivity
The amount of insulin necessary to lower your blood glucose by a certain
amount.
Ketones
A by-product or waste product when your body burns stored fat for
energy. Ketones are produced when there is not enough insulin to help
your body use glucose for energy. Without enough insulin, glucose builds
up in the blood.
Key Lock
A meter function which disables the keys (buttons) in order to prevent its
unintended use.
LO
The test result is below the meter’s measurement range.
Meal Rise
During or after meals, an increase in blood glucose levels is considered
normal within a certain range, even through a meal bolus has been
delivered. Enter the maximum increase in your blood glucose test result
that is to be tolerated without an additional correction bolus.
Meal Time
During or after meals, an increase in blood glucose levels is considered
normal within a certain range, even though a meal bolus has been
delivered.
Meter
Blood glucose meter.
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Term
Definition
Multiwave Bolus
A bolus designed to better simulate the body’s insulin delivery. It
combines an immediate bolus delivery followed by an Extended Bolus
delivery. A Multiwave Bolus can be helpful when you have meals that
include both rapidly and slowly absorbed carbohydrates. This option is
available only when Bluetooth wireless technology is turned on and the
meter and pump are communicating.
Note
Additional information.
Offset Time
Offset time takes into account the expected delay for the blood glucose
level to actually fall during the acting time of insulin in the body. It
describes the first time period within the acting time.
Paired
A pump and meter exclusively communicating and transferring
information with each other.
Pump
See Insulin Pump.
Quick Bolus
A bolus delivery on the pump using the pump UP and DOWN keys. One
key press equals one bolus increment (i.e., 0.1, 0.2, 0.5, 1.0, 2.0). See
the pump User Guide for more information.
Remind After
A bG test reminder setting. The amount of time after a high blood glucose
test result, after a low blood glucose test result, or after a meal you want
the reminder to occur.
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Term
Definition
Reminder
When enabled, reminders occur to remind you to test your blood glucose,
to retest your blood glucose or of an event or activity.
Snack Size
The amount of carbohydrates that is not to be counted as a regular meal
with the expected meal rise.
Snooze
Delay of some reminders for a defined time period.
Soft Keys
Two buttons under the meter display used to navigate through the user
interface. Just above each soft key, the meter display shows the
selection (i.e., Save, Cancel, Back, etc.).
Standard Bolus
A bolus that is immediately delivered to cover a food or a blood glucose
correction. When Standard is selected, the bolus is delivered by the
pump. This option is available only when Bluetooth wireless technology is
turned on and the meter and pump are communicating.
Standard Deviation
As it is used in this owner’s booklet, standard deviation measures how
widely spread the bG test results are (e.g., if the bG test results are close
to the bG average, then the standard deviation is small).
Start Time
The start time of a time block.
Target Range
The desired upper and lower limits of your blood glucose level considered
acceptable as set by your healthcare professional.
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Term
Definition
Time Blocks
Up to eight time periods within one day to facilitate your changing insulin
needs throughout the day.
Time Range
The user sets the duration of time. There is a start and end time.
User
A person using the meter or pump.
Warning
Describes items and conditions that present hazards and may cause
personal injury.
Warning Limits
See Hyper Warning Limit or Hypo Warning Limit.
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Index
A
abbreviations, 283–285
acting time, 158–160, 169
active insulin, 51–54
advice options, 168–169
after high bG test reminder, 139–143, 206, 208,
210
after low bG test reminder, 139–143, 206,
209–210
after meal bG test reminder, 139–143, 206–
207, 210, 213
alarm clock reminders,
bG test, 29, 144–146, 210, 214
other, 29, 144–146, 210, 214–215
appetite, increased, 61
B
backlight,
button, 13, 17–18
display, 20
settings, 199–200
54528_00048010155_E.indb 301
batteries, 14
changing, 239–241
low, 31
type, 239, 241
BE, 179–181, 285
beeper, settings, 31, 185–187
bG threshold, 141–142
blood glucose averages, 97–98
blood glucose test,
features, 21
performing, 43–51
reminder, 28, 206, 290
results, 48, 51–60
unusual results, 55–60
Bluetooth wireless technology,
communication, 270–271
turning on or off, 17, 32, 182–183
blurred vision, 61
bolus advice, 22, 152–160
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bolus advice options. See advice options
bolus, delivery, 23, 250
buttons, 13, 15–17, 16–18
C
carbohydrates,
adjustments, 51–54
units of measure, 179–181, 285
carb ratio, 156, 251
carbs. See carbohydrates
CC, 179–181, 285
cleaning,
lancing device, 233–235
meter, 228–232
code chip. See code key
code key, 15, 251, 254, 256
communication, 247, 251–253, 258
control solution, 14, 66, 69
control test,
performing, 65, 67–72
results, 70–71, 73–76
results, troubleshooting, 77–78
D
data,
adding, 52–54, 92–94
downloading to a computer, 24, 133–135
modifying, 83–91
reporting, 95–132
trends, 23, 99–108
viewing, 83–91
date,
reminders, 29, 147–151, 210
setting, 188–190
display, 13, 20, 247
disposing, meter, 273–274
dr. visit reminder, 147–151, 207–208, 210
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E
electromagnetic compatibility, 271
errors, list of, 222–224
F
fatigue, 61
frequent urination, 61
G
g (grams), 179–181, 285
graph,
standard day, 110–113
standard week, 119–122
target, 127–129
trend, 100–104
H
headache, 61
health events, 27, 51–54, 89, 93, 158, 166–167
high bG retest reminder, 208, 212
hyper warning limit, 24, 170–172, 248, 259
hypo warning limit, 24, 170–172, 248, 259
I
icons, listing, 85–86, 203–204
infrared (IR) window, 13–14, 134
infusion set change reminder, 147–151, 208,
210
insulin pump, 19
insulin pump, connecting. See pairing
insulin sensitivity, 156, 259
K
KE, 179–181, 285
key lock, 18, 21, 173–175
key sound, settings, 185–187
L
lab test reminder, 147–151, 209–210
lancing device, 46–47
language, setting, 176–178
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lock. See key lock
low bG retest reminder, 209–211
M
maintenance, meter, 243
meal rise, 158, 160, 169
meal time, 51–54, 89
meter,
settings and range limits, 287–292
summary of features, 13, 20–29
N
navigation, 36–37
numbness, 61
O
offset time, 159–160, 169
P
pairing, 18, 184
power button, 13, 16–18
power-saving tips, 242
pump. See insulin pump
R
rapid heartbeat, 61
reminders,
blood glucose test. See blood glucose test,
reminder
important information, 210–215
list of, 206–209
other, 209
priority, 210
S
safety information, product, 270–272
screen, features, 31, 34–35
scroll bar, 34
signal settings, 21
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snack size, 142–143, 158–160, 169
snooze, 139, 144, 205, 215
soft keys, 13, 16–18
sound. See beeper, settings
specifications, meter, 268–269
standard day, reporting, 109–117
standard deviation, 95–96
standard week, reporting, 118–125
supplies, 282
sweating, 61
symbols, explanation, 286
T
table,
standard day, 114–117
standard week, 123–125
target, 130–132
trend, 105–108
target range, 153, 156, 164, 191–193, 260
target, reporting, 126–133
test results,
storing, 81–82
unusual, 59–60
test strip, 254, 262
thirst, increased, 61
time blocks, 25–26, 152–165, 191–198, 291
time change, data, 100, 102, 105–106
time format, setting, 188–189
time, setting, 188–190
tingling, 61
trembling, 61
troubleshooting, 247–263
U
units of measure. See carbohydrates, units of
measure
unlock. See key lock
use by date, 41, 59, 66, 77
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V
vibrate, settings, 185–187
W
warnings, list of, 216–221
warranty, 275–277
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