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Bolus Advice Options

Meal rise, snack size, acting time, and offset time are bolus advice options. See below for 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.

•  An increase in your blood glucose test result is not tolerated since the meal rise factor is not triggered for 

bolus advice calculations.

Summary of Contents for AVIVA COMBO

Page 1: ...Testing Only 2013 Roche Diagnostics Assembled in USA Distributed by Roche Health Solutions Inc 11800 Exit 5 Parkway Suite 120 Fishers IN 46034 Phone 1 800 280 7801 Fax 1 888 810 0758 ACCU CHEK ACCU C...

Page 2: ...LAST UPDATE 2012 08...

Page 3: ...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 c...

Page 4: ...rate 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...

Page 5: ...nal 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 properl...

Page 6: ...T 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...

Page 7: ...New System 5 1 1 Overview 6 1 2 The ACCU CHEK Aviva Combo Meter at a Glance 7 1 3 The ACCU CHEK Spirit Combo Insulin Pump at a Glance 13 1 4 Screen Content and Navigation 14 2 Getting Started 23 2 1...

Page 8: ...2 3 Testing Your Blood Glucose 53 3 1 Overview 54 3 2 Performing a Blood Glucose Test 55 Appendices 61 Appendix A Explanation of Symbols 61 Appendix B References 62 Glossary 63 Index 69...

Page 9: ...es information about Understanding your new ACCU CHEK Aviva Combo system Getting started Completing the Setup Wizard Testing your blood glucose Introduction Whether the ACCU CHEK Aviva Combo meter is...

Page 10: ...information including a restricted limited license that limits the use of the ACCU CHEK Aviva Combo system Choking hazard Small parts Keep away from children under the age of 3 years Should you have a...

Page 11: ...1 5 1Understanding Your New System 1 1 Overview 6 1 2 The ACCU CHEK Aviva Combo Meter at a Glance 7 1 3 The ACCU CHEK Spirit Combo Insulin Pump at a Glance 13 1 4 Screen Content and Navigation 14...

Page 12: ...at 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 yo...

Page 13: ...ight 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 golden end of test strip here Infrared IR Window Transfers data fro...

Page 14: ...according to the and symbols in the battery compartment Control Solution Bottle for example Yellow Window Touch blood drop or control solution here Golden End Insert this end of the test strip into th...

Page 15: ...ver 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 a...

Page 16: ...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 Left Soft Key Up Arrow Enter Left Arrow Power On...

Page 17: ...w 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 Sav...

Page 18: ...ombination 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 and then press Meter Pump...

Page 19: ...red in the pump memory Cartridge Holds insulin Adapter Connects the cartridge to the infusion set Up Key Moves forward in an information screen increases a setting turns on the backlight programs a Qu...

Page 20: ...nd 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...

Page 21: ...luetoothWireless Technology Icon Indicates whether the Bluetooth wireless technology is on off or connecting Features on the Main Menu NOTE To select an item on a menu press x or z to highlight blue t...

Page 22: ...con 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 techno...

Page 23: ...1 17 This screen appears when Bluetooth wireless technology is on and the meter is connecting to the pump Connecting to the Pump screen during pairing...

Page 24: ...ess to select the option above the button on the screen Highlighted Option When a menu choice or item is selected it is highlighted in blue Scroll Bar If there is more information available than fits...

Page 25: ...lds 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 entr...

Page 26: ...20 1 General Navigation Steps To change the settings or enter information into the meter j Press x or z to select a menu option and press j Repeat the previous step as necessary...

Page 27: ...essing 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 2 j Press x or z to select the desired entry and press j Repeat Ste...

Page 28: ...22...

Page 29: ...23 2 2Getting Started 2 1 Overview 24 2 2 Setup Wizard 25 2 3 Setup Wizard Important Information 44...

Page 30: ...va Combo meter for the first time Set up the meter properly See Section 2 2 Setup Wizard Consult with your healthcare professional to ensure the appropriate settings are selected NOTE Blood glucose an...

Page 31: ...e optional bG test reminders optional Pairing the meter and pump optional 1 You must set up these items in order to complete a blood glucose test WARNING It is important to discuss your individual set...

Page 32: ...complete the Setup Wizard prior to performing a blood glucose test for the first time To return to the previous screen in the Setup Wizard select Back A selected option is highlighted in blue If you c...

Page 33: ...short period of time this screen appears each time the meter is turned on To Change the Language j Press to display the Language options j Select the desired Language and press To Continue j Select N...

Page 34: ...unit of measure in the U S To Change the Hyper Upper Blood Glucose Level j Select the Hyper entry field and press j Set the Hyper upper blood glucose level and press To Change the Time j Select the Ti...

Page 35: ...d glucose level and press To Continue j Select Next j To receive Bolus Advice select Yes and proceed to Step 8 j If you do NOT want to receive Bolus Advice select No and continue to Step 7 If you Choo...

Page 36: ...try 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 lower value and press j Select the entr...

Page 37: ...r any other Time Block if necessary j Select OK j Repeat the previous steps to change another Time Block j To continue select Next and proceed to Step 11 8 If you Choose to set up Bolus Advice You mus...

Page 38: ...e 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 scroll down To Change the Target Range j Select the entry field for the lower...

Page 39: ...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...

Page 40: ...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 To Continue j Select Next 10 You must edit the Snack Size t...

Page 41: ...et 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 Continue j Select Next 11 j To set up bG Test...

Page 42: ...er entry field and press j Set the amount of time after a high bG test you want to be reminded to retest your blood glucose and press To Continue j Select Next 13 To Turn On the After Low bG Reminder...

Page 43: ...after a meal you want to be reminded to test your blood glucose and press To Continue j Select Next If Bolus Advice is set up and the Snack Size is changed then this screen appears j Select OK To Cha...

Page 44: ...ter and pump are NOT paired the Pair with Pump screen appears j Turn off the meter To Cancel Pairing j Proceed to Step 17 To Pair the Meter and Pump j Proceed to Step 19 15 If the meter and pump are p...

Page 45: ...the pump repeatedly press and release d until the BLUETOOTH SETTINGS screen appears j On the pump press f 18 j Turn on the meter j Select Cancel j Select Yes to cancel the pairing process and then pr...

Page 46: ...ess f to initiate the pairing process 21 20 On the pump the BLUETOOTH ON OFF screen appears j Ensure Bluetooth wireless technology is turned on If turned off on the pump press a to turn on j Ensure th...

Page 47: ...of the numbers have been entered 23 24 j If the NO DEVICE FOUND screen appears see the pump User Guide for information on troubleshooting j On the pump select the meter to add and then press f On the...

Page 48: ...reen j Select Confirm If the correct PIN was entered this Pair with Pump screen appears on the meter and the DEVICE PAIRED screen appears on the pump j On the pump press f to confirm the pairing j Tur...

Page 49: ...nced Owner s Booklet For more detailed instructions on pairing and unpairing devices see the Advanced Owner s Booklet 28 29 You are ready to begin using your new meter Congratulations on completing th...

Page 50: ...t 10 grams BE Bread Equivalent 12 grams CC Carbohydrate Choice 15 grams Standard unit of measure in the U S Warning Limits You can select hyper high and hypo low blood glucose limits that best fit you...

Page 51: ...0 minutes long and can only be set in 30 minute increments When you set the end time for a time block the meter automatically sets this end time as the start time for the next time block You can set a...

Page 52: ...46 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 Your meter comes with the following default time blocks...

Page 53: ...lunch 3 Lunch 1 hours before you normally eat lunch 1 hours before you normally eat dinner 4 Dinner 1 hours before you normally eat dinner 1 hours before you normally go to bed 5 Bedtime 1 hours befo...

Page 54: ...to changing your diabetes therapy For more detailed information on bolus advice see the Advanced Owner s Booklet Carb Ratio The carb ratio is the amount of insulin necessary to account for a certain...

Page 55: ...nt 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 Pr...

Page 56: ...in 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 Th...

Page 57: ...e level is expected to return to the target level You can adjust the length of the acting time to fit your individual needs within a specified time interval 1 hours to 8 hours Offset Time Offset time...

Page 58: ...ually as needed Pairing Pairing is when your meter and pump exclusively communicate and transfer information with each other When obtained as a kit your meter and pump come paired utilizing Bluetooth...

Page 59: ...53 3 3Testing Your Blood Glucose 3 1 Overview 54 3 2 Performing a Blood Glucose Test 55...

Page 60: ...evice and a lancet WARNING Do not change your treatment because of one blood glucose test result NEVER ignore symptoms of high or low blood glucose NOTE If you need to perform a control test only use...

Page 61: ...lancing device for instance if you have someone assisting you Do not allow anyone else to use the lancing device 1 2 If the meter is being operated by a second person who is providing testing assistan...

Page 62: ...ys use a new lancet with each test 2 j Check the Use By date on the test strip container Do not use test strips past the Use By date 3 Prepare Check the Use By Date Insert Test Strip Test Blood Sample...

Page 63: ...le screen appears The test strip is ready for testing 4 Fingerstick j Perform a fingerstick with the lancing device 5 Fingerstick j Gently squeeze your finger to assist the flow of blood This helps yo...

Page 64: ...blood drop to the front edge of the yellow window of the test strip Do not put blood on top of the test strip 7 9 The result appears on the display When the test strip has enough blood the Analyzing s...

Page 65: ...59 3 10 Approximately 3 seconds later the detailed bG Result screen appears j Remove and discard the used test strip...

Page 66: ...s see the Standard Owner s Booklet 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 sl...

Page 67: ...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 Federal...

Page 68: ...ed 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 DevicesBG...

Page 69: ...abled 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...

Page 70: ...han 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 fo...

Page 71: ...blood glucose test result or in a diary record and percentages that could adjust bolus advice recommendations for your current health status or activities Hyper Hyperglycemia an abnormally high level...

Page 72: ...time period Meal Time A pop up menu selection Pre Meal Post Meal Bedtime or other that allows information to be stored with a blood glucose test result or in a diary record Meter Blood glucose meter m...

Page 73: ...bohydrates that is not to be counted as a regular meal with the expected meal rise Soft Keys Two keys under the meter display used to navigate through the user interface Just above each soft key the m...

Page 74: ...68 Term Definition Warning Describes items and conditions that present hazards and may cause personal injury Warning Limits See Hyper Warning Limit or Hypo Warning Limit...

Page 75: ...bG test reminders 25 35 37 52 bG threshold 36 37 blood glucose testing 54 60 Bluetooth wireless technology 11 15 17 52 bolus advice 25 26 29 31 34 37 45 48 50 buttons 7 9 11 10 12 15 60 Index C carboh...

Page 76: ...evel 25 29 44 hypo warning limit 25 29 44 45 I infrared IR window 7 8 insulin pump 13 insulin sensitivity 32 33 45 48 K KE 44 L lancing device 54 58 language 25 27 M meal rise 34 50 meal time 60 meter...

Page 77: ...target range 30 31 32 44 45 test strip 7 8 54 60 time 15 25 28 time blocks 25 29 34 45 47 time format 27 U Units of Measure See carbohydrates units of measure W warning 61 warning limits 25 28 44 warr...

Page 78: ...72...

Page 79: ...LAST UPDATE 2012 08...

Page 80: ...Testing Only 2013 Roche Diagnostics Assembled in USA Distributed by Roche Health Solutions Inc 11800 Exit 5 Parkway Suite 120 Fishers IN 46034 Phone 1 800 280 7801 Fax 1 888 810 0758 ACCU CHEK ACCU C...

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