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Accu-Chek Aviva Expert, Standard Owner’S Booklet

The Accu-Chek Aviva Expert is an advanced blood glucose monitoring system that ensures precise and personalized insulin dosing. For a smooth and hassle-free user experience, a comprehensive Quick Start Manual is available for download, absolutely free, from manualshive.com, providing you with all the necessary instructions to get started.

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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

Basal Injection

It is time for your scheduled 
basal injection

Snooze

Dismiss

15 minutes

bG Test

It is time for your scheduled bG 

test

Snooze

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

45702_std.indb   201

10/29/09   1:42:50 PM

Summary of Contents for Aviva Expert

Page 1: ...08 Bolus Advice My Data Settings bG Test 10 02 am 2 Feb 08 2009 Roche Diagnostics All rights reserved Assembled and distributed in the U S A by Roche Diagnostics 9115 Hague Road Indianapolis IN 46256 www accu chek com ACCU CHEK ACCU CHEK AVIVA ACCU CHEK AVIVA EXPERT and ACCU CHEK MULTICLIX are trademarks of Roche 45702_std indb 1 10 29 09 1 41 46 PM ...

Page 2: ...5 997 817 5 053 199 Re 36 268 5 438 271 5 366 609 6 645 368 6 662 439 5 122 244 7 073 246 7 276 146 7 276 147 7 338 639 7 386 937 7 407 811 7 452 457 7 488 601 7 494 816 7 556 723 7 569 126 Additional United States Patents pending The ACCU CHEK Multiclix device and its use are covered by the following U S patents 4 924 879 Re 35 803 6 419 661 Additional U S patents pending 45702_std indb 2 10 29 0...

Page 3: ...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 treatmen...

Page 4: ...though you always apply whole blood to the test strip the system has been calibrated to deliver plasma like values for easier comparison to lab results The meter test strips and control solution are only for use outside the body in vitro Do not eat the test strips Do not swallow or inject the control solution or use the control solution for any purpose other than testing the ACCU CHEK Aviva Expert...

Page 5: ...requently 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 sugar 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 w...

Page 6: ...H HOW YOU FEEL OR IF YOU BELIEVE THAT YOUR TEST RESULT COULD BE INCORRECT If your blood sugar 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 sugar if you or a person t...

Page 7: ... 1 1 Overview 12 1 2 The ACCU CHEK Aviva Expert Meter at a Glance 13 1 3 Summary of Features 18 1 4 Screen Content and Navigation 27 2 Testing Your Blood Sugar 33 2 1 Overview 34 2 2 Coding Your Meter 35 2 3 Using the ACCU CHEK Aviva Expert System 37 2 4 Performing a Blood Sugar Test 39 45702_std indb 1 10 29 09 1 41 47 PM ...

Page 8: ...g 61 3 1 Overview 62 3 2 Why Perform Control Tests 63 3 3 About the Control Solutions 64 3 4 Performing a Control Test 65 3 5 Understanding Control Test Results 71 4 Managing Your Data 77 4 1 Overview 78 4 2 Viewing or Modifying Your Data 81 4 3 Adding New Data 88 4 4 Reporting Your Data 91 4 5 Downloading Your Data to a Computer 128 45702_std indb 2 10 29 09 1 41 47 PM ...

Page 9: ...he First Time 149 5 6 Setting Time Blocks Health Events Advice Options Bolus Advice Set Up 158 5 7 Setting Warning Limits Hyper Hypo 167 5 8 Turning Key Lock On or Off 170 5 9 Setting the Language 173 5 10 Setting Units Carbs Insulin Increment Max Bolus 176 5 11 Setting the Beeper Vibrate Key Sound 179 5 12 Setting the Time Format Time Date 182 5 13 Setting Time Blocks Bolus Advice Not Set Up 185 ...

Page 10: ...ders 200 6 5 List of Warnings 210 6 6 List of Errors 215 7 Care and Maintenance 219 7 1 Overview 220 7 2 Changing the Batteries 221 7 3 Power Saving Tips 224 7 4 Cleaning the Meter 225 7 5 Maintenance and Testing 226 8 Troubleshooting 227 8 1 Overview 228 8 2 Troubleshooting the ACCU CHEK Aviva Expert Meter 229 45702_std indb 4 10 29 09 1 41 47 PM ...

Page 11: ...the Meter Strips Lancets and Batteries 250 9 6 Warranty 252 9 7 Additional Supplies 259 9 8 Information for Healthcare Professionals 260 Appendices 263 Appendix A Abbreviations 263 Appendix B Carb Units 265 Appendix C Explanation of Symbols 266 Appendix D Meter Settings and Range Limits 267 Glossary 273 Index 281 45702_std indb 5 10 29 09 1 41 47 PM ...

Page 12: ...6 45702_std indb 6 10 29 09 1 41 47 PM ...

Page 13: ...gar Control testing Managing your data Changing the meter settings Understanding the icons reminders warnings and errors Care and maintenance Troubleshooting Technical information Introduction Whether the ACCU CHEK Aviva Expert meter is your first blood sugar 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 Adv...

Page 14: ...that can be adjusted to fit your lifestyle Data management Data transfer Date reminders bG test reminders Alarm clock reminders Target bG levels and Health events An electronic diary that allows you to enter meal time carbs health and bolus information with your blood sugar test results For detailed information about the features of the meter see Chapter 1 Understanding Your New System 45702_std i...

Page 15: ... testing outside the body in vitro diagnostic use by people with diabetes and or by professionals in a clinical setting as an aid to effective diabetes management Testing sites include traditional fingertip site along with palm forearm upper arm thigh and calf The ACCU CHEK Aviva Expert meter is also indicated for the management of diabetes by calculating an insulin dose or carbohydrate intake bas...

Page 16: ...our 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 or forearm The meter is for outside the body in vitro use It should not be used to diagnose diabetes Thi...

Page 17: ...11 1 Understanding Your New System 1 1 Overview 12 1 2 The ACCU CHEK Aviva Expert Meter at a Glance 13 1 3 Summary of Features 18 1 4 Screen Content and Navigation 27 45702_std indb 11 10 29 09 1 41 47 PM ...

Page 18: ...eens 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 On the meter display the code chip is referred to as a code key Code key and code chip are interchangeable and mean the same thing Blood sugar and bG are interchangeable and mean the same thing 45702_std in...

Page 19: ... Soft Keys Press to select the menu or option above the key Power On Off Button Press to turn the meter on or off Test Strip Slot Insert golden end of test strip here Infrared IR Window Transfers data from the meter to a computer Code Key Slot Insert code key here with code number facing away from you Battery Door Remove the battery door by pushing the tab and pulling up the door Backlight Button ...

Page 20: ...rding to the and symbols in the battery compartment Test Strip Yellow Window Touch blood drop or control solution here Golden End Insert this end of the test strip into the meter Test Strip Container for example Control Solution Bottle for example 45702_std indb 14 10 29 09 1 41 52 PM ...

Page 21: ...e 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 press Left Soft Key Up Arrow Enter Left Arrow Power On Off Right Soft Key Right Arrow Down Arrow Backlight 45702_std indb 15 10 29 09 1 41 54 PM ...

Page 22: ... in a screen z 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 Power On Off j Turn the meter on and off 45702_std indb 16 10 29 09 1 41 54 PM ...

Page 23: ...able 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 45702_std indb 17 10 29 09 1 41 54 PM ...

Page 24: ...evel 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 s...

Page 25: ...ings The meter communicates reminders warnings and errors using sounds and vibrations For more information see Chapter 6 Icons Reminders Warnings and Errors Blood Sugar Test Your new meter allows you to enter detailed information for each blood sugar test to include Meal time pre meal post meal bedtime or other Carbs the amount of carbohydrates you are intending to eat Health events fasting exerci...

Page 26: ...ter 5 Changing Meter Settings w 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 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 sugar test averages trends standard day standard week and target tab...

Page 27: ...mits that best fit your needs Whenever a blood sugar 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 sugar 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 Setti...

Page 28: ...ar 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 five default time blocks You may set up to eight time blocks For more information see Chapter 5 Changing Meter Settings 45702_std indb 22 10 29 09 1 41 5...

Page 29: ...er 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 sugar 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 you...

Page 30: ... if you set up bolus advice Health events available on the meter are Fasting Exercise 1 Stress Illness Exercise 2 Premenstrual Fasting does not scale bolus advice calculations and is not adjustable 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 45702_std indb 24 10 29 09...

Page 31: ...of 240 mg dL and with a reminder time of 60 minutes You have a blood sugar test result higher than 240 mg dL perhaps 270 mg dL In 60 minutes the meter reminds you to perform another blood sugar 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 sugar test reminders can be turned on or off individually as needed ...

Page 32: ...ngs 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 and Injection 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 45702_std indb 26 10 29 09 1 41 54 PM ...

Page 33: ...s 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 45702_std indb 27 10 29 09 1 41 54 PM ...

Page 34: ... turned on Time Menu Options Vibrate Icon Appears when vibrate is turned on Date Low Battery Icon Appears when the meter batteries are low Features on the Main Menu i NOTE To select an item on a menu press x or z to highlight blue the menu item and then press 45702_std indb 28 10 29 09 1 41 55 PM ...

Page 35: ...d here Left Soft Key Option Press 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 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 Features on a ...

Page 36: ...ens 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 Pop Up Entry Field Pop Up Menu 45702_std indb 30 10 29 09 1 41 56 PM ...

Page 37: ...ress j Repeat the previous step as necessary Bolus Advice My Data Settings bG Test 10 02 am 2 Feb 08 Bolus Advice Meter Sound Vibrate Menu Reminders 10 02 am 2 Feb 08 Time Date Time Blocks End Back 5 30 am Time Blocks Start 11 00 am 5 00 pm 9 30 pm 12 00 am 12 00 am 5 30 am 11 00 am 5 00 pm 9 30 pm 45702_std indb 31 10 29 09 1 41 57 PM ...

Page 38: ...tion or a desired entry field and press 2 j Press x or z to select the desired entry and press j Repeat Steps 2 and 3 as necessary 3 Target Range Cancel 5 30 am Time Blocks 12 00 am 140 mg dL Save 70 mg dL Target Range Cancel 5 30 am Time Blocks 12 00 am 140 mg dL 70 mg dL 5 30 am 45702_std indb 32 10 29 09 1 41 57 PM ...

Page 39: ...2 3 Using the ACCU CHEK Aviva Expert System 37 2 4 Performing a Blood Sugar Test 39 2 5 Detailed Blood Sugar Results 48 2 6 Understanding Blood Sugar Test Results 52 2 7 Unusual Test Results 56 2 8 Symptoms of High or Low Blood Sugar 58 45702_std indb 33 10 29 09 1 41 57 PM ...

Page 40: ...nderstand how to perform a blood sugar test properly You can perform a blood sugar test from your fingertip or an alternative site i NOTE Blood sugar and bG are interchangeable and mean the same thing 45702_std indb 34 10 29 09 1 41 57 PM ...

Page 41: ...35 2 1 2 2 2 Coding Your Meter j ensure the meter is off j Turn over the meter 3 j Remove the old code key if there is one in the meter and discard it 45702_std indb 35 10 29 09 1 41 58 PM ...

Page 42: ...x of test strips w WARNING change the code key every time you open a new box of test strips c CAUTION Do not force the code key into the meter It is designed to go in the meter only one way i NOTES A new code key is inside each new box of test strips If an improper expired or corrupted code key is inserted you cannot complete a blood sugar test 45702_std indb 36 10 29 09 1 41 59 PM ...

Page 43: ...rse 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 o...

Page 44: ...lood sugar system and cause falsely high results For example peritoneal dialysis solutions containing icodextrin such as Extraneal or certain immunoglobulin therapies that contain maltose such as Octagam 5 cause inaccurate results For more information refer to the Test Strip Package Insert or ask your healthcare professional Not following the precautions below can lead to inaccurate results Do not...

Page 45: ...ed meter a test strip and a lancing device w warningS Do not change your treatment because of one blood sugar test result NEVER ignore symptoms of high or low blood sugar i 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 45702_std indb 39 10 29 09 1 41 59 PM ...

Page 46: ...ot appropriate see next page This is because your blood sugar level changes quicker in your fingertip than in the alternative sites These differences may cause you to make the wrong therapeutic decision producing adverse health effects Please read the following section before you try testing from other sites Hypothenar Thenar IMPORTANT Talk to your healthcare professional about Alternative Site Te...

Page 47: ...act your healthcare professional Alternative site testing may be done Immediately before a meal Fasting DO NOT test from an alternative site Two hours or less after eating After exercising If you are sick If you think your blood sugar is low If you often do not notice when your blood sugar is low During peak action time of short acting insulin or rapid acting insulin analogues Up to two hours afte...

Page 48: ...ways use a new lancet with each test Performing a Fingertip Blood Sugar Test or an AST Prepare Insert Test Strip Match Code Number Test Blood Sample bG Test Result j Insert the golden end of a test strip into the meter in the direction of the arrow The meter turns on 2 Match Code to Vial Code 015 bG Test j ensure the code number on the display matches the code number on the test strip container If...

Page 49: ...Fingerstick j Perform a fingerstick with the lancing device 5 AST j Press the lancing device firmly against a fleshy area on the alternative site Press the lancing device up and down in a slow pumping motion to assist the flow of blood or Yellow Release Button 45702_std indb 43 10 29 09 1 42 02 PM ...

Page 50: ...d drop to the front edge of the yellow window of the test strip Do not put blood on top of the test strip 7 AST j Trigger the lancing device while keeping steady pressure on the site Apply pressure to the site with the lancing device to assist the flow of blood or Apply Sample bG Test 45702_std indb 44 10 29 09 1 42 06 PM ...

Page 51: ...e result appears on the display 10 02 am 2 Feb 08 mg dL 106 bG Result 10 02 am mg dL Carbs Health U Active Insulin Menu Bolus Meal Time bG Result 106 Approximately three seconds later the Detailed bG Result screen appears j Remove and discard the used test strip 45702_std indb 45 10 29 09 1 42 06 PM ...

Page 52: ...iled Blood Sugar 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 activ...

Page 53: ... 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 sugar value then you can start a blood sugar test by selecting bG Test If an actual blood sugar value is displayed then you cannot start a blood sugar test using this process 45702_std indb 47 10 29 09 1 42 07 PM ...

Page 54: ...g information 10 02 am mg dL Carbs Health U Active Insulin Menu Bolus Meal Time bG Result 106 Test Time Meal Time Carbohydrates Health Event Active Insulin Displayed only if bolus advice is activated Status Bar Blood Sugar Test Result Unit of Measure 45702_std indb 48 10 29 09 1 42 07 PM ...

Page 55: ...rbs Health Events Optional The detailed bG Result screen allows you to view and to add information to a blood sugar test result 10 02 am mg dL Carbs Health U Active Insulin Menu Bolus Meal Time bG Result 106 45702_std indb 49 10 29 09 1 42 07 PM ...

Page 56: ...ays the calculated amount of Active Insulin To save the changes and exit the detailed bG Result screen j To return to the Main Menu press j To proceed to the Bolus Advice screen press How to Add Information to a Blood Sugar Result Bolus Advice is not available if j The blood sugar result is below the hypo warning limit j The detailed bG Result screen has been displayed for more than five minutes T...

Page 57: ...on 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 45702_std indb 51 10 29 09 1 42 07 PM ...

Page 58: ...d Sugar Test Result Test Date Status Bar Unit of Measure i NOTES If the dosed test strip is removed from the meter before results or errors are displayed a blood sugar result will not appear After approximately three seconds the meter displays the detailed bG Result screen see Section 2 5 Detailed Blood Sugar Results 45702_std indb 52 10 29 09 1 42 07 PM ...

Page 59: ...icates the result is within the target range for the current time block 10 02 am 2 Feb 08 mg dL 106 bG Result Yellow indicates the result is below the target range for the current time block The result is not below the hypo warning limit 10 02 am 2 Feb 08 mg dL 68 bG Result Red with Hypo indicates the result is below the hypo warning limit 10 02 am 2 Feb 08 mg dL 50 bG Result Hypo 45702_std indb 5...

Page 60: ...the current time block The result is not above the hyper warning limit 10 02 am 2 Feb 08 mg dL 170 bG Result Light blue with Hyper indicates the result is above the hyper warning limit 10 02 am 2 Feb 08 mg dL 250 bG Result Hyper 45702_std indb 54 10 29 09 1 42 08 PM ...

Page 61: ...ay be above the measurement range j Contact your healthcare professional 10 02 am 2 Feb 08 HI bG Result i NOTE Blood Sugar Warnings If the blood sugar 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 45702_std indb 55 10 29 09 1 42 08 PM...

Page 62: ...d use a new vial of test strips if you think they were uncapped for some time 3 Check if the test strip was out of the container for a long time Repeat the test with a new test strip 4 Check if the test strips were stored in a cool dry place Repeat the test with a properly stored test strip 5 Check if you followed the testing steps Read Chapter 2 Testing Your Blood Sugar and test again If you stil...

Page 63: ...n 7 If you are still unsure of the problem Perform a control test and repeat the test with a new test strip If you still have problems contact ACCU CHEK Customer Care Service Center at 1 800 688 4578 After performing a control test and repeating a blood sugar test if your blood sugar results still do not reflect the way you feel contact your healthcare professional immediately 45702_std indb 57 10...

Page 64: ...Low blood sugar hypoglycemia sweating trembling blurred vision rapid heartbeat tingling or numbness around mouth or fingertips w WARNINGS If you are experiencing any of these symptoms test your blood sugar If your blood sugar result is displayed as LO or HI contact your healthcare professional immediately The meter is designed to display blood sugar results from 10 to 600 mg dL If a result below 1...

Page 65: ...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 sugar meters for self testing generally read somewhat lower than the lab result If you are fasting and you do a fingerstick ...

Page 66: ...60 45702_std indb 60 10 29 09 1 42 08 PM ...

Page 67: ...ntrol Testing 3 1 Overview 62 3 2 Why Perform Control Tests 63 3 3 About the Control Solutions 64 3 4 Performing a Control Test 65 3 5 Understanding Control Test Results 71 45702_std indb 61 10 29 09 1 42 09 PM ...

Page 68: ...trol test to ensure the accuracy of your blood sugar meter It is recommended you complete a control test prior to performing a blood sugar test for the first time i NOTE Blood sugar and bG are interchangeable and mean the same thing 45702_std indb 62 10 29 09 1 42 09 PM ...

Page 69: ...ld perform a control test when You open a new box of test strips You left the test strip container open You want to check the meter and test strips Your test strips were stored in extreme temperatures and or humidity You dropped the meter Your test result does not agree with how you feel You want to check if you are testing correctly 45702_std indb 63 10 29 09 1 42 09 PM ...

Page 70: ... date you opened the control solution bottle on the bottle label The solution is good for three 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 45702_std indb 64 10 29 09 1 42 09 PM...

Page 71: ... The control level is printed on the bottle label 10 02 am 2 Feb 08 Control Result Menu Level mg dL 50 Test Time Control Result Test Date Unit of Measure 3 4 Performing a Control Test The Control Result screen displays the following information 45702_std indb 65 10 29 09 1 42 09 PM ...

Page 72: ...The meter turns on 2 Match Code to Vial Code 015 bG Test j ensure the code number on the display matches the code number on the test strip container If you miss seeing the code number remove the test strip and reinsert it into the meter 3 Apply Sample bG Test The Apply Sample screen appears The test strip is ready for testing 45702_std indb 66 10 29 09 1 42 10 PM ...

Page 73: ... a flat surface like a table j Select the control solution you want to test You will enter the level later in the test 6 j Remove the control bottle cap Wipe the tip of the bottle with a tissue 45702_std indb 67 10 29 09 1 42 11 PM ...

Page 74: ...eb 08 Control Result Menu Level mg dL 50 The control result appears on the display j Select Level to display the control solution level pop up menu 7 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 Apply Sample bG Test 45702_std indb 68 10 29 09 1 42 12 PM ...

Page 75: ...Control Result 11 10 02 am 2 Feb 08 Control Result Menu mg dL Within range 50 Level 1 j Remove and discard the test strip j For information on understanding control test results proceed to the next section or press to save this result and display the Main Menu screen 45702_std indb 69 10 29 09 1 42 13 PM ...

Page 76: ...ult 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 ...

Page 77: ...Result Unit of Measure Menu Press to save result and display Main Menu screen Test Date Control Solution Level Result Within range or Out of range 3 5 Understanding Control Test Results The detailed Control Result screen displays the following information 45702_std indb 71 10 29 09 1 42 13 PM ...

Page 78: ...lays whether the result is within or outside of the acceptable range Example Range mg dL Level 1 25 55 Level 2 255 345 j When the control test result is inside the range on the test strip container the test strips and the meter are working properly 10 02 am 2 Feb 08 Control Result Menu mg dL Within range 50 Level 1 If the control test result is within the acceptable range Within range appears on t...

Page 79: ...range appears on the detailed Control Result screen 10 02 am 2 Feb 08 Control Result Menu HI Level 1 If HI is displayed the control test result may be above the measurement range 10 02 am 2 Feb 08 Control Result Menu LO Level 1 If LO is displayed the control test result may be below the measurement range 45702_std indb 73 10 29 09 1 42 14 PM ...

Page 80: ...74 10 02 am 2 Feb 08 Control Result Menu mg dL 50 If the meter stored No Entry for the control solution level then appears with no indication of in or out of range 45702_std indb 74 10 29 09 1 42 14 PM ...

Page 81: ...st strip and a fresh drop of control solution 3 Check if the caps on the test strip container and the control solution bottle were always closed tightly Replace the test strips or control solutions if you think either may have been uncapped for some time 4 Check if the test strip was out of the container for a long time Repeat the control test with a new test strip 5 Check if the test strips and c...

Page 82: ... printed on the test strip container 8 Check if the code number on the meter display matches the code number on the test strip container If they do not match insert the correct code key into the meter and test again 9 If you are still unsure of the problem Repeat the control test with a new test strip If you still have problems contact ACCU CHEK Customer Care Service Center at 1 800 688 4578 45702...

Page 83: ...4 Managing Your Data 4 1 Overview 78 4 2 Viewing or Modifying Your Data 81 4 3 Adding New Data 88 4 4 Reporting Your Data 91 4 5 Downloading Your Data to a Computer 128 45702_std indb 77 10 29 09 1 42 14 PM ...

Page 84: ...a specific diary record you are able to change or add to its attributes The meter generates reports such as blood sugar 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 sugar results The meter can display a line graph to depict blood sugar record trends a graph showing result ranges for a standard d...

Page 85: ... 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 sugar results by you and your healthcare professional Each diary record can contain Date and time Blood sugar test result Meal time events Carbs Health event Bolus Insulin Basal Insulin You can display filtered diary data in gra...

Page 86: ...ou replace the batteries For more information on changing the batteries see Chapter 7 Care and 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 downl...

Page 87: ...Feb 08 4 06 pm 1 52 pm 9 03 am 8 06 pm 60 154 126 69 397 Date of Record s Time of Blood Sugar Test Blood Sugar Test Icon Meal Time Icon Carbs Icon Unit of Measure Blood Sugar Result Appropriate Bolus Icon Select View Change meter display between blood sugar bolus and carbs views Health Event Icon 45702_std indb 81 10 29 09 1 42 15 PM ...

Page 88: ...er in which they occurred with the most recent record shown on top For the blood sugar 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 sugar result is blank if a blood sugar value does not exist 45702_std indb 82 10 29 09 1 42 15 PM ...

Page 89: ...regarding a blood sugar test Meal Time j Icon is displayed when information exists for this diary record regarding meal time carbs j Icon is displayed when information exists for this diary record regarding carbs health event j Icon is displayed when information exists for this diary record regarding health events Bolus Insulin j Bolus insulin entered into the diary record 45702_std indb 83 10 29 ...

Page 90: ...lth event bolus and basal Main Menu My Data View Data 1 j From the Main Menu select My Data and press 2 Menu 10 02 am Data Transfer Add Data Reports View Data 2 Feb 08 Bolus Advice My Data Settings bG Test 10 02 am 2 Feb 08 j Select View Data and press 45702_std indb 84 10 29 09 1 42 16 PM ...

Page 91: ...f there are additional records j To view or modify a record s details select the record and press Back Select View View Data 5 33 pm 2 Feb 08 4 06 pm 1 52 pm 9 03 am 8 06 pm 60 154 126 69 397 U Back Select View View Data 5 33 pm 2 Feb 08 5 4 06 pm 1 52 pm 9 03 am 8 06 pm g Back Select View View Data 5 33 pm 2 Feb 08 4 06 pm 1 52 pm 9 03 am 8 06 pm 60 20 60 60 Blood Sugar View Bolus View Carbs View...

Page 92: ...ess and continue to the next step 5 Bolus Cancel Save Modify Data Health 60 g 2 Feb 08 10 02 am 69 mg dL Meal Time 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 To save the changes and return to the View Detail screen press i NOTES To cancel changes or return to the View Detail screen press Scroll down to select the basa...

Page 93: ... condition Fields Cannot be modified if the Bolus Blood sugar result was below the hypo warning limit Meal Time Record has no blood sugar value Meal Time Carbs Health Event Bolus and Basal Record has been used for bolus advice 45702_std indb 87 10 29 09 1 42 17 PM ...

Page 94: ... Cancel Save Add Data am Health Carbs 08 HH MM A P DD MMM YY Feb 2 02 10 Time Entry Field Date Entry Field Carbs Entry Field Health Entry Field Bolus Entry Field Save Appears once data has been entered to an entry field Basal Entry Field Bolus Cancel Save Health Carbs 08 DD MMM YY Feb 2 Add Data Basal scroll down 45702_std indb 88 10 29 09 1 42 18 PM ...

Page 95: ...Add Data Reports View Data 2 Feb 08 Bolus Cancel Save Add Data am Health Carbs 08 HH MM A P DD MMM YY Feb 2 02 10 Bolus Advice My Data Settings bG Test 10 02 am 2 Feb 08 j Select Add Data and press j Select an entry field and press j Make addition in the entry field and press 45702_std indb 89 10 29 09 1 42 18 PM ...

Page 96: ...d 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 press 45702_std indb 90 10 29 09 1 42 18 PM ...

Page 97: ... 202 55 175 Overall Pre Meal Post Meal Bedtime Other Time Range Meal Times Blood Sugar Standard Deviation Calculated for the time range Number of Tests Used to calculate the averages and standard deviations Blood Sugar Average Calculated for the time range 45702_std indb 91 10 29 09 1 42 18 PM ...

Page 98: ...red around the blood sugar average A low standard deviation means the blood sugar test results are tightly clustered around the blood sugar average a high standard deviation means the blood sugar test results are widely scattered around the blood sugar average Calculations do not include corrupt results control results or HI and LO results 45702_std indb 92 10 29 09 1 42 18 PM ...

Page 99: ...n Menu My Data Reports bG Averages 1 Bolus Advice My Data Settings bG Test 10 02 am 2 Feb 08 j From the Main Menu select My Data and press 2 Menu 10 02 am Data Transfer Add Data Reports View Data 2 Feb 08 j Select Reports and press 3 j Select bG Averages and press Back Reports Target Standard Week Trend Standard Day bG Averages 45702_std indb 93 10 29 09 1 42 19 PM ...

Page 100: ...Post Meal Bedtime Other The blood sugar averages are displayed j To display blood sugar 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 press 45702_std indb 94 10 29 09 1 42 19 PM ...

Page 101: ...in Menu My Data Reports Trend 1 Bolus Advice My Data Settings bG Test 10 02 am 2 Feb 08 j From the Main Menu select My Data and press 2 j Select Reports and press Menu 10 02 am Data Transfer Add Data Reports View Data 2 Feb 08 3 j Select Trend and press Back Reports Target Standard Week Trend Standard Day bG Averages 45702_std indb 95 10 29 09 1 42 20 PM ...

Page 102: ...nit of Measure Bolus Amount Indicator Value Carbs Amount Indicator Value Carbs Unit of Measure Carbs Icon Arrow Indicates blood sugar data extends beyond screen Each Blood Sugar Value Connected with lines Warning Limit Hypo Level Red horizontal line Bolus Value Blue bar height shown is in relation to the bolus insulin amount Carb Value Dark orange bar height shown is in relation to the carbs amoun...

Page 103: ...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 insulin amount indicator value is displayed e g the value is less than or equal to 1 5 15 30 or 60 U On the right side of the graph the maximum carbs amount i...

Page 104: ...l 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 Trend Graph 100 0 mg dL Back Table Last 7 days Overall 400 300 U 15 120 g Feb 26 27 28 29 01 02 03 3 j Press to display the Table proceed to the next section for more ...

Page 105: ...99 4 i NOTE The meter saves the current settings time range meal time and graph view when you select Back or when the meter powers off 45702_std indb 99 10 29 09 1 42 20 PM ...

Page 106: ...26 154 60 66 60 20 60 Time Range Meal Time Selection Date of Records Blood Sugar Icon with Blood Sugar Unit of Measure Time Change Icon Only shown when meter time has been changed for this data Carbs Icon with Carbs Unit of Measure Bolus Icon with the Bolus Unit of Measure 45702_std indb 100 10 29 09 1 42 21 PM ...

Page 107: ...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 sugar value c...

Page 108: ... range you need 3 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 Trend Table mg dL Back Graph Last 8 hours Overall 2 Feb 08 U g 8 06 pm 5 33 pm 4 06 ...

Page 109: ...revious section for more information To return to the Reports screen press i NOTE The meter saves the current settings time range meal time and table view when you select Back or when the meter powers off 45702_std indb 103 10 29 09 1 42 21 PM ...

Page 110: ...last 7 14 30 60 or 90 days Main Menu My Data Reports Standard Day 1 Bolus Advice My Data Settings bG Test 10 02 am 2 Feb 08 j From the Main Menu select My Data and press 2 Menu 10 02 am Data Transfer Add Data Reports View Data 2 Feb 08 j Select Reports and press 3 j Select Standard Day and press Back Reports Target Standard Week Trend Standard Day bG Averages 45702_std indb 104 10 29 09 1 42 21 PM...

Page 111: ... Ending Time of a Time Block Vertical dashed line Box for Each Time Block X in center of box indicates the average of all blood sugar results for the selected criteria The top of the box indicates one standard deviation above the average and the bottom of the box indicates one standard deviation below the average The box is not displayed if there are not enough data to determine standard deviation...

Page 112: ... 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 45702_std indb 106 10 29 09 1 42 22 PM ...

Page 113: ... 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 Standard Day Graph 100 0 mg dL Back Table Last 7 days Overall 6 am 12 pm 6 pm 400 300 3 j Press to display the Table proceed to the next section for more inform...

Page 114: ...108 i NOTE The meter saves the current settings time range meal time and graph view when you select Back or when the meter powers off 45702_std indb 108 10 29 09 1 42 22 PM ...

Page 115: ...h Last 7 days Overall Tests SD 156 144 199 134 67 48 144 74 3 4 4 9 12 00 4 00 4 00 8 00 8 00 12 00 12 00 4 00 Time Range Meal Time Selection Time Block Blood Sugar Average Standard Deviation SD Number of Tests 45702_std indb 109 10 29 09 1 42 23 PM ...

Page 116: ...e 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 45702_std indb 110 10 29 09 1 42 23 PM ...

Page 117: ...ndard 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 Standard Day Table mg dL Back Graph Last 7 days Overall Tests SD 156 144 199 134 67 48 144 74 3 4 4 9 12 00 4 00 ...

Page 118: ...evious section for more information To return to the Reports screen press i NOTE The meter saves the current settings time range meal time and table view when you select Back or when the meter powers off 45702_std indb 112 10 29 09 1 42 23 PM ...

Page 119: ...t 7 14 30 60 or 90 days Main Menu My Data Reports Standard Week 1 Bolus Advice My Data Settings bG Test 10 02 am 2 Feb 08 j From the Main Menu select My Data and press 2 Menu 10 02 am Data Transfer Add Data Reports View Data 2 Feb 08 j Select Reports and press 3 j Select Standard Week and press Back Reports Target Standard Week Trend Standard Day bG Averages 45702_std indb 113 10 29 09 1 42 23 PM ...

Page 120: ...s the average of all blood sugar results for the selected criteria The top of the box indicates one standard deviation above the average and the bottom of the box indicates one 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 displ...

Page 121: ... 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 45702_std indb 115 10 29 09 1 42 24 PM ...

Page 122: ...n 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 Standard Week Graph 100 0 mg dL Back Table Last 7 days Overall 400 300 M T W T F S S 3 j Press to display the Table proceed to the next section for more inform...

Page 123: ...117 4 i NOTE The meter saves the current settings time range meal time and graph view when you select Back or when the meter powers off 45702_std indb 117 10 29 09 1 42 24 PM ...

Page 124: ...dard Deviation SD Number of Tests i NOTES 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 45702_std indb 118 10 ...

Page 125: ...rd 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 Standard Week Table mg dL Back Graph Last 7 days Overall Tests SD Monday Tuesday Wednesday Thursday 223 180 156 159...

Page 126: ...evious section for more information To return to the Reports screen press i NOTE The meter saves the current settings time range meal time and table view when you select Back or when the meter powers off 45702_std indb 120 10 29 09 1 42 24 PM ...

Page 127: ...ain Menu My Data Reports Target 1 Bolus Advice My Data Settings bG Test 10 02 am 2 Feb 08 j From the Main Menu select My Data and press 2 The My Data screen appears j Select Reports and press Menu 10 02 am Data Transfer Add Data Reports View Data 2 Feb 08 3 j Select Target and press Back Reports Target Standard Week Trend Standard Day bG Averages 45702_std indb 121 10 29 09 1 42 25 PM ...

Page 128: ...s Meal Time Selection Pie Chart Represents the percentages for the blood sugar test result categories i NOTES 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 45702_std indb 122 10 29 09 1 42 25 PM ...

Page 129: ...rall 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 3 j Press to display the Table proceed to the next section for more information To return to the Reports screen press Target Graph Hypo Back Table Last 7 days Below...

Page 130: ...124 i NOTE The meter saves the current settings time range meal time and graph view when you select Back or when the meter powers off 45702_std indb 124 10 29 09 1 42 25 PM ...

Page 131: ...test result categories Meal Time Selection Percentage of Occurrence i NOTES 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 45702_std indb 125 10 29 09 1 42 26 PM ...

Page 132: ...re 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 3 j Press to display the Target Graph see previous section for more information To return to the Reports screen press Target Table Hypo Back Graph Last 7 days Below Withi...

Page 133: ...127 4 i NOTE The meter saves the current settings time range meal time and table view when you select Back or when the meter powers off 45702_std indb 127 10 29 09 1 42 26 PM ...

Page 134: ...o the instructions j Connect the computer cable according to the instructions 2 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 Bolus Advice My Data Settings bG Test 10 02 am 2 Feb 08 45702_std indb 128 10 29 09 1 42 26 PM ...

Page 135: ... 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 6 Transferring Data Data Transfer j Follow the prompts on your computer software to start the data transfer Transferring Data Data Transfer 45702_std indb 129 10 29 09 1 42 27 PM ...

Page 136: ...en is displayed for three seconds and then the meter turns off i 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 45702_std indb 130 10 29 09 1 42 27 PM ...

Page 137: ...e First Time 149 5 6 Setting Time Blocks Health Events Advice Options Bolus Advice Set Up 158 5 7 Setting Warning Limits Hyper Hypo 167 5 8 Turning Key Lock On or Off 170 5 9 Setting the Language 173 5 10 Setting Units Carbs Insulin Increment Max Bolus 176 5 11 Setting the Beeper Vibrate Key Sound 179 5 12 Setting the Time Format Time Date 182 5 13 Setting Time Blocks Bolus Advice Not Set Up 185 5...

Page 138: ... 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 i NOTE Blood sugar and bG are interchangeable and mean t...

Page 139: ...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 sugar test the meter dismisses any bG test reminders which are pending withi...

Page 140: ...olus Advice Meter Sound Vibrate Menu Reminders 10 02 am 2 Feb 08 Time Date Time Blocks Alarm Clock Back bG Test Reminders Reminders Date Reminders Bolus Advice My Data Settings bG Test 10 02 am 2 Feb 08 j Select Reminders and press j Select bG Test Reminders and press 45702_std indb 134 10 29 09 1 42 28 PM ...

Page 141: ...r 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 sugar test result you want to be reminded to retest your blo...

Page 142: ...s 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 Reminder Snack Size Remind After 24 g 2 00 Off Cancel Save After Meal HH MM To Change the Remind After Time j Select the Remind After entry field and press j Set the amount of time...

Page 143: ...To save the changes press If you did not change the Snack Size the meter returns to the bG Test Reminders screen New Snack Size has also been applied to After Meal Reminder OK Advice Options If you changed the Snack Size the After Meal screen is displayed j Press to return to the bG Test Reminders screen 45702_std indb 137 10 29 09 1 42 30 PM ...

Page 144: ... 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 press 45702_std indb 138 10 29 09 1 42 30 PM ...

Page 145: ...ady on when the reminder is scheduled and no blood sugar test was performed for an Alarm Clock bG Test Reminder or no basal insulin data was entered for an Alarm Clock Injection Reminder the reminder is displayed when the meter powers down Dismiss the reminder by pressing Reschedule snooze the reminder for 15 minutes by pressing Alarm Clock Injection Reminder Dismiss the reminder by entering basal...

Page 146: ...rs which are pending within the next 30 minutes When you enter basal insulin data the meter dismisses Alarm Clock Injection Reminders which are pending within the next 30 minutes For more information see Chapter 6 Icons Reminders Warnings and Errors 45702_std indb 140 10 29 09 1 42 30 PM ...

Page 147: ...b 08 j From the Main Menu select Settings and press 2 Bolus Advice Meter Sound Vibrate Menu Reminders 10 02 am 2 Feb 08 Time Date Time Blocks j Select Reminders and press 3 j Select Alarm Clock and press Alarm Clock Back bG Test Reminders Reminders Date Reminders 45702_std indb 141 10 29 09 1 42 30 PM ...

Page 148: ...inder and press j Press Select the type of Reminder i e bG Test Injection 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 Injection or 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 press 4 4570...

Page 149: ...utes 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 If you entered basal insulin data within 30 minutes of an Injection reminder the reminder does not occur Exposure to extreme cold conditions may disable Alarm Clock reminders until the meter is turned on 45702_std indb 143 10 29 09 1 42 31 PM ...

Page 150: ...Dr visit or lab test 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 45702_std indb 144 10 29 09 1 42 31 PM ...

Page 151: ...Bolus Advice Meter Sound Vibrate Menu Reminders 10 02 am 2 Feb 08 Time Date Time Blocks Alarm Clock Back bG Test Reminders Reminders Date Reminders Bolus Advice My Data Settings bG Test 10 02 am 2 Feb 08 j Select Reminders and press j Select Date Reminders and press 45702_std indb 145 10 29 09 1 42 31 PM ...

Page 152: ...M YY HH MM A P 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 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 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 Reminder...

Page 153: ...er 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 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 press 45702_std indb 147 10 29 09 1 42 32 PM ...

Page 154: ...Reminders screen press 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 45702_std indb 148 10 29 09 1 42 32 PM ...

Page 155: ...on 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 sugar target ranges carb ratios and insulin...

Page 156: ...n Units Time Block End Time Target Range Upper Value Carb Ratio Number of Carbs 1 U Target Range 40 mg dL Cancel Save Time Blocks 70 mg dL 140 mg dL 10 g 1 U Carb Ratio for Insulin Sensitivity for Insulin Sensitivity Number of Insulin Units Scroll Bar Insulin Sensitivity Change in Sugar Level Time Blocks Bolus Advice Screen scroll down 45702_std indb 150 10 29 09 1 42 33 PM ...

Page 157: ... j If you do NOT want to set up bolus advice press to return to the Settings screen j To set up bolus advice press and continue to the next step Bolus Advice My Data Settings bG Test 10 02 am 2 Feb 08 Bolus Advice Meter Sound Vibrate Menu Reminders 10 02 am 2 Feb 08 Time Date Time Blocks j Select Bolus Advice and press 45702_std indb 151 10 29 09 1 42 34 PM ...

Page 158: ... pm To Change Time Blocks j Select a time block to edit and press 12 00 am Target Range 5 30 am Cancel Save Time Blocks 70 mg dL 140 mg dL 10 g 1 U Carb Ratio for 1 U Target Range 40 mg dL Cancel Save Time Blocks 70 mg dL 140 mg dL 10 g 1 U Carb Ratio for Insulin Sensitivity for scroll down To Change the End Time j Select the End Time entry field and press j Set the End Time and press 45702_std in...

Page 159: ... 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 Press 6 Settings copied to all Time Blocks Adjust as necessary T...

Page 160: ...Back Next 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 press j Add another Time Block or proceed to Step 8 To Remove a Time Block j Select the Time Block you want to remove and press 9 30 pm Target Range 12 00 am Cancel Sa...

Page 161: ...Rise Acting Time Snack Size Offset Time 4 00 1 00 24 g 100 mg dL Advice Options HH MM Save Cancel 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 press To Change the Meal Rise j Select the Meal Rise entry field and press j Set the Meal Rise limit ...

Page 162: ...t Time j Select the Offset Time entry field and press j Set the Offset Time duration and press To save the changes and exit press New Snack Size has also been applied to After Meal Reminder OK Advice Options Time Blocks Back Bolus Advice Health Events Advice Options j Press 45702_std indb 156 10 29 09 1 42 36 PM ...

Page 163: ...a regular meal with the expected meal rise In this case in contrast to regular meals an increase in your blood sugar 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 sugar level is expected to return to the target ...

Page 164: ... 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...

Page 165: ...select Settings and press 3 Bolus Advice My Data Settings bG Test 10 02 am 2 Feb 08 Bolus Advice Meter Sound Vibrate Menu Reminders 10 02 am 2 Feb 08 Time Date j Select Bolus Advice and press j Select Time Blocks and press Time Blocks Back Bolus Advice Health Events Advice Options 45702_std indb 159 10 29 09 1 42 37 PM ...

Page 166: ...o for 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 press j Proceed to To Change the Time Blocks To Remove a Time Block j Select the Time Block you want to remove and press 12 00 am Target Range 5 30 am Cancel Save Time Blocks 70 mg dL...

Page 167: ...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 covere...

Page 168: ...y level and press j Press 6 j To change another time block select the time block and press Return to Step 5 j To return to the Bolus Advice screen press End Back 5 30 am Time Blocks Start 11 00 am 5 00 pm 9 30 pm 12 00 am 12 00 am 5 30 am 11 00 am 5 00 pm 9 30 pm 45702_std indb 162 10 29 09 1 42 37 PM ...

Page 169: ... select Settings and press 3 Bolus Advice My Data Settings bG Test 10 02 am 2 Feb 08 Bolus Advice Meter Sound Vibrate Menu Reminders 10 02 am 2 Feb 08 Time Date j Select Bolus Advice and press j Select Health Events and press Time Blocks Back Bolus Advice Health Events Advice Options 45702_std indb 163 10 29 09 1 42 38 PM ...

Page 170: ...0 0 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 press 45702_std indb 164 10 29 09 1 42 38 PM ...

Page 171: ... Menu select Settings and press j Select Bolus Advice and press j Select Advice Options and press Time Blocks Back Bolus Advice Health Events Advice Options Bolus Advice My Data Settings bG Test 10 02 am 2 Feb 08 Bolus Advice Meter Sound Vibrate Menu Reminders 10 02 am 2 Feb 08 Time Date 45702_std indb 165 10 29 09 1 42 38 PM ...

Page 172: ...set Time j Select the Offset Time entry field and press j Set the Offset Time duration and press To save the changes press 4 Meal Rise Acting Time Snack Size Offset Time 4 00 1 00 24 g 100 mg dL Advice Options HH MM Save Cancel If you did not change the Snack Size the meter returns to the Bolus Advice screen If you changed the Snack Size the meter displays the Advice Options screen j Press to retu...

Page 173: ...bove 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 Retest bG 1 The meter displays a recommended amount of fast carbohydrates w WARNING This function is no substitute for hyperglycemia or hypoglycemia training by ...

Page 174: ...s j Select Meter and press Bolus Advice My Data Settings bG Test 10 02 am 2 Feb 08 Bolus Advice Meter Sound Vibrate Menu Reminders 10 02 am 2 Feb 08 Time Date Time Blocks 3 Key Lock Warning Limits Back Meter Language Units j Select Warning Limits and press 45702_std indb 168 10 29 09 1 42 39 PM ...

Page 175: ...blood sugar level and press 60 mg dL Cancel Save Warning Limits 220 mg dL Hyper Hypo To Change the Hypo Blood Sugar Level j Select the Hypo entry field and press j Set the Hypo lower blood sugar level and press To save the changes and return to the Meter Menu screen press 45702_std indb 169 10 29 09 1 42 39 PM ...

Page 176: ...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 45702_std indb 170 10 29 09 1 42 39 PM ...

Page 177: ...ss j Select Meter and press Bolus Advice My Data Settings bG Test 10 02 am 2 Feb 08 Bolus Advice Meter Sound Vibrate Menu Reminders 10 02 am 2 Feb 08 Time Date Time Blocks 3 Key Lock Warning Limits Back Meter Language Units j Select Key Lock and press 45702_std indb 171 10 29 09 1 42 40 PM ...

Page 178: ...ess 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 Key Lock Important Information j When 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 For these occurre...

Page 179: ...173 5 5 9 Setting the Language You can select a language from the predefined list 45702_std indb 173 10 29 09 1 42 40 PM ...

Page 180: ...s j Select Meter and press Bolus Advice My Data Settings bG Test 10 02 am 2 Feb 08 Bolus Advice Meter Sound Vibrate Menu Reminders 10 02 am 2 Feb 08 Time Date Time Blocks 3 Key Lock Warning Limits Back Meter Language Units j Select Language and press 45702_std indb 174 10 29 09 1 42 41 PM ...

Page 181: ...uage Save Cancel English Language 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 press 45702_std indb 175 10 29 09 1 42 41 PM ...

Page 182: ... Max Bolus You can set up the meter for different carbohydrate carbs units Grams BE KE or CC The insulin increment can be set to either 0 5 or 1U You can set the max bolus for any whole number between 0 and 50 45702_std indb 176 10 29 09 1 42 41 PM ...

Page 183: ...ss j Select Meter and press Bolus Advice My Data Settings bG Test 10 02 am 2 Feb 08 Bolus Advice Meter Sound Vibrate Menu Reminders 10 02 am 2 Feb 08 Time Date Time Blocks 3 Key Lock Warning Limits Back Meter Language Units j Select Units and press 45702_std indb 177 10 29 09 1 42 42 PM ...

Page 184: ...he Insulin Increment entry field and press j Select 0 5 U or 1 U Insulin Increment and press i NOTE For more information on the units for carbohydrates and carbohydrate equivalents see Appendix B Carb Units To Change the Max Bolus j Select the Max Bolus entry field and press j Set the Max Bolus level and press To save the change and return to the Meter Menu screen press 45702_std indb 178 10 29 09...

Page 185: ...h 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 vibration and beeper unless you have set them to Off After the batter...

Page 186: ...eminders 10 02 am 2 Feb 08 Time Date Time Blocks 3 Beeper Vibrate Key Sound Off On Medium Cancel Save Sound Vibrate 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 Vibration On or Off j Select the Vibrate entry field and press j Select the Vibration mode On or Off and press 45702_std indb 180 10...

Page 187: ...nge 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 press 45702_std indb 181 10 29 09 1 42 43 PM ...

Page 188: ...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 45702_std indb 182 10 29 09 1 42 43 PM ...

Page 189: ... 10 02 am 2 Feb 08 Bolus Advice Meter Sound Vibrate Menu Reminders 10 02 am 2 Feb 08 Time Date Time Blocks 3 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 Cancel Save Time Date Time Format 12 hr Time Date 2 Feb 08 10 00 am HH MM A P DD MMM YY 45702_std indb 183 10 29 09 1 42 44 PM ...

Page 190: ...inutes and press j If 12 hour format 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 press 45702_std indb 184 10 29 09 1 42 44 PM ...

Page 191: ...ting 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 Cancel 5 30 am Time Blocks 12 00 am 140 mg dL Save 70 mg dL Target Range Lower Value Time Block End...

Page 192: ... Target Range Upper Value Main Menu Settings Time Blocks Bolus Advice My Data Settings bG Test 10 02 am 2 Feb 08 Bolus Advice Meter Sound Vibrate Menu Reminders 10 02 am 2 Feb 08 Time Date Time Blocks 3 j Select the Time Block to edit and press End Back 5 30 am Time Blocks Start 11 00 am 5 00 pm 9 30 pm 12 00 am 12 00 am 5 30 am 11 00 am 5 00 pm 9 30 pm 45702_std indb 186 10 29 09 1 42 45 PM ...

Page 193: ... 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 press Target Range Cancel 5 30 am Time Blocks 12 00 am 140 mg dL Save 70 mg dL 5 j Repeat Steps 3 and 4 to change another time block Otherwise press to return to the Settings screen End Back 5 30 am Time Blocks Start 11 00 am 5 00 pm 9 30 pm 12 00 am 12 00 am 5 30 am 11...

Page 194: ...ES 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 45702_std indb 188 10 29 09 1 42 45 PM ...

Page 195: ...er Sound Vibrate Menu Reminders 10 02 am 2 Feb 08 Time Date Time Blocks Add a Time Block Main Menu Settings Time Blocks Bolus Advice My Data Settings bG Test 10 02 am 2 Feb 08 3 j Select the last Time Block and press End Back 5 30 am Time Blocks Start 11 00 am 5 00 pm 9 30 pm 12 00 am 12 00 am 5 30 am 11 00 am 5 00 pm 9 30 pm 45702_std indb 189 10 29 09 1 42 45 PM ...

Page 196: ... selected Time Block and press This will be the start time of the added time block To save the changes and return to the Time Blocks screen press 5 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 45702_std indb 190 10 29 09 1 42 46 PM ...

Page 197: ...Menu Settings Time Blocks Bolus Advice My Data Settings bG Test 10 02 am 2 Feb 08 Bolus Advice Meter Sound Vibrate Menu Reminders 10 02 am 2 Feb 08 Time Date Time Blocks 3 j Select the Time Block you want to remove and press End Back 5 30 am Time Blocks Start 11 00 am 5 00 pm 9 30 pm 12 00 am 12 00 am 5 30 am 11 00 am 5 00 pm 9 30 pm 45702_std indb 191 10 29 09 1 42 46 PM ...

Page 198: ...anges and return to the Time Blocks screen press Target Range Cancel 5 30 am Time Blocks 12 00 am 140 mg dL Save 70 mg dL 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 45702_std indb 192 10 29 09 1 42 46 PM ...

Page 199: ...ifferent 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 Bolus Advice My Data Settings bG Test 10 02 am 2 Feb 08 45702_std indb 193 10 29 09 1 42 47 PM ...

Page 200: ...cklight 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 sugar test a control test and wh...

Page 201: ...rs Warnings and Errors 6 1 Overview 196 6 2 List of Icons 197 6 3 Confirming a Reminder Warning or Error 199 6 4 List of Reminders 200 6 5 List of Warnings 210 6 6 List of Errors 215 45702_std indb 195 10 29 09 1 42 48 PM ...

Page 202: ... chapter provides you with detailed listings of all the icons reminders warnings and errors included in the meter i NOTE Blood sugar and bG are interchangeable and mean the same thing 45702_std indb 196 10 29 09 1 42 48 PM ...

Page 203: ...od Sugar Test Bolus Advice Bolus Advice Settings Bolus Insulin carbs 6 2 List of Icons The icons and icon names in the meter are Icon Name Icon control Test Date Download Data Transfer error health Low Battery Meal Time Meter Meter Settings My Data 45702_std indb 197 10 29 09 1 42 48 PM ...

Page 204: ...ame Icon Reminder Reminders Settings Reports Settings Sound Vibrate Settings Time Icon Name Icon Time Block Settings Time change Time Date Settings Vibrate View Data Warning 45702_std indb 198 10 29 09 1 42 49 PM ...

Page 205: ...rnings 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 45702_std indb 199 10 29 09 1 42 49 PM ...

Page 206: ...iss Reminder Icon Snooze Reschedule the reminder This is not available for all reminders i NOTES 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 Injection Low bG Retest and Other 45702_std indb 200 10 29 09 1 42 49 PM ...

Page 207: ... than Snack Size setting Retest Snooze Dismiss 5 minutes Basal Injection It is time for your scheduled basal injection Snooze Dismiss 15 minutes bG Test It is time for your scheduled bG test Snooze 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 D...

Page 208: ...it Time Or if the Dr Visit time has not been set You have a Dr Appointment tomorrow Dismiss High bG Retest High bG Result on last test Retest Snooze Dismiss 15 minutes 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 45702_std indb 202 10 29 09 1 42 50 PM ...

Page 209: ...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 1 If set the time of the Dr Visit or the Lab Test is displayed on the screen 45702_std indb 203 10 29 09 1 42 50 PM ...

Page 210: ... Alarm Clock Reminders bG Test Injection and Other 3 Date Reminders Dr Visit and Lab Test 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 45702_std i...

Page 211: ... is scheduled and no blood sugar 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 ...

Page 212: ...r is scheduled and no blood sugar 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...

Page 213: ...d 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 sugar 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 Af...

Page 214: ...eter 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 sugar 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 ...

Page 215: ...y pressing or by inserting a test strip When you enter basal insulin data the meter dismisses any Injection reminders that have been snoozed or that are pending within the next 30 minutes 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 Snoo...

Page 216: ... entry amount Continue Bolus Too High Warning Yes No Warning Icon No Only shown on a few warning screens Warning Title Warning Message Yes or OK i NOTE The meter beeps when it displays a warning if the beeper setting is on 45702_std indb 210 10 29 09 1 42 50 PM ...

Page 217: ...oth be turned off at same time OK Below Hypo Warning Limit Eat fast carbs of at least number of carbs 1 Retest bG OK bG Test Missed Perform bG est as soon as possible 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 Too High Bolus above allowed amount Bolus set to maximum ...

Page 218: ...lable OK Carbohydrate Ratio Carb Ratio seems unusual Check entries OK Code Key Missing Turn off Meter and insert valid Code Key OK Corrupt Language Choose another language OK 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 45702_std indb 212 10 29 09 1 42 50 PM ...

Page 219: ...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 Invalid Hypo Values Hypo value must be less than Time Block target ranges OK Invalid Record Time Date Record time date must be older than the current meter time date OK 45702_std indb 213 10 29 09 1 42 50...

Page 220: ...d conflicts with Hyper and or Hypo Warning Limit settings OK LO bG Warning Retest bG Contact your doctor OK Meter Battery Low Replace soon OK No bG with Bolus Consider testing bG before delivering Insulin Continue No Yes Test Strips Expiring Change Code Key and Strips soon OK 1 The meter displays a recommended amount of fast carbohydrates 45702_std indb 214 10 29 09 1 42 50 PM ...

Page 221: ...e Code Key and Strips E 55 Code Key Expired Menu Error Error Title Error Message Error Icon Menu This option is not available for all errors i NOTE The meter beeps when it displays an error even if the beeper setting is turned off 45702_std indb 215 10 29 09 1 42 51 PM ...

Page 222: ...Key Menu1 OK2 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 Menu1 OK2 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 Menu3 OK3 45702_std indb 216 10 29...

Page 223: ...ect time date if necessary Menu 1 Menu is only displayed when the meter is in a bG test screen 2 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 45702_std indb 217 10 29 09 1 42 51 PM ...

Page 224: ...218 45702_std indb 218 10 29 09 1 42 51 PM ...

Page 225: ...7 219 7Care and Maintenance 7 1 Overview 220 7 2 Changing the Batteries 221 7 3 Power Saving Tips 224 7 4 Cleaning the Meter 225 7 5 Maintenance and Testing 226 45702_std indb 219 10 29 09 1 42 51 PM ...

Page 226: ...roperly care for and maintain your ACCU CHEK Aviva Expert 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 45702_std indb 220 10 29 09 1 42 51 PM ...

Page 227: ...hing 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 3 j Put the battery door back in place and snap it closed 45702_std indb 221 10 29 09 1 42 52 PM ...

Page 228: ...t 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 t...

Page 229: ...ies are replaced 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 If vibrate is set to On it is disabled until the batteries are replaced I f the backlight level is set to high the medium backlight level is used until the batteries are replaced If the beeper level...

Page 230: ...conserve battery life Use the low beeper setting Only turn on the vibration feature when it is needed Turn off the meter when you are finished rather than utilizing the auto power off feature 45702_std indb 224 10 29 09 1 42 52 PM ...

Page 231: ...ened with one of these cleaning solutions 70 isopropyl alcohol Mild dishwashing liquid mixed with water 10 household bleach solution 1 part bleach plus 9 parts water made the same day Squeeze out any excess liquid from the cloth before you wipe the meter surface DO NOT Get any moisture in the code key slot or test strip slot Spray any cleaning solution directly onto the meter Put the meter under w...

Page 232: ...old 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 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 st...

Page 233: ...227 8 8Troubleshooting 8 1 Overview 228 8 2 Troubleshooting the ACCU CHEK Aviva Expert Meter 229 45702_std indb 227 10 29 09 1 42 52 PM ...

Page 234: ... at 1 800 688 4578 w 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 i NOTES 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 Cus...

Page 235: ...fective 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 Above Hyper Warning Limit j Your test result is above the hyper warning limit set in the meter j Treat your h...

Page 236: ...ofessional j The meter displays a recommended number of carbohydrates for you to eat and then retest your blood sugar Bolus Advice Not Setup j Advice is not provided unless it is set up through Bolus Advice in Settings Menu j You can continue to use the meter without bolus advice or see Chapter 5 Changing Meter Settings for instructions on how to set up bolus advice Bolus Advice Timeout j Bolus ad...

Page 237: ...e meter and recode it See Chapter 2 Testing Your Blood Sugar 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 s...

Page 238: ... this does not confirm how you feel repeat the test and see Chapter 2 Testing Your Blood Sugar 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 Verify that the code number printed on the test strip container matches the code n...

Page 239: ...einsert the code key into the meter If you continue to receive this error message turn off the meter and remove the code key Discard the code key and its accompanying test strips Insert a new code key into the meter If this does not fix the problem contact ACCU CHEK Customer Care Service Center at 1 800 688 4578 45702_std indb 233 10 29 09 1 42 52 PM ...

Page 240: ...gar If this still does not confirm 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 sugar test with a new test strip If the E 53 error still appears for your blood sugar test your blood sugar result may be extremely high and above the system s reading ra...

Page 241: ... the code number on the test strip container Remove and reinsert the code key and ensure the time and date in the meter are correct If this does not fix the problem turn off the meter and remove the expired code key Discard the expired code key and its accompanying test strips Insert a new valid code key into the meter E 56 Sample Applied Early j Blood or control solution was applied to the test s...

Page 242: ...e 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 five minutes before turning on the meter Repeat the test Do not artificially heat or cool the meter E ...

Page 243: ...od sugar contact your healthcare professional immediately j Treat your high blood sugar as recommended by your healthcare professional j Consider checking bG ketones and insulin Insulin Sensitivity j Insulin sensitivity is outside of the acceptable meter range j Check your entries and contact your healthcare professional to determine the appropriate settings Invalid Bolus Advice Times j The acting...

Page 244: ... time blocks and re enter the hyper warning limit 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 limi...

Page 245: ...r 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...

Page 246: ...gar contact your healthcare professional immediately j Treat your low blood sugar as recommended by your healthcare professional Meter Battery Low j Battery power is low j Install new batteries See Chapter 7 Care and 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 45702_std indb 240 10 29 09 1...

Page 247: ...sure the code key number matches the code number on the test strip container j Ensure the time and date are correct and adjust if necessary See Chapter 5 Changing Meter Settings i NOTES 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 ...

Page 248: ...242 45702_std indb 242 10 29 09 1 42 53 PM ...

Page 249: ...itations 245 9 3 Specifications 246 9 4 Product Safety Information 248 9 5 Disposing of the Meter Strips Lancets and Batteries 250 9 6 Warranty 252 9 7 Additional Supplies 259 9 8 Information for Healthcare Professionals 260 45702_std indb 243 10 29 09 1 42 53 PM ...

Page 250: ...244 9 1 Overview This chapter provides you with important performance information regarding the meter 45702_std indb 244 10 29 09 1 42 53 PM ...

Page 251: ...9 245 9 2 Product Limitations Please read the literature packaged with your test strips to find the latest information on product specifications and limitations 45702_std indb 245 10 29 09 1 42 53 PM ...

Page 252: ...ip package insert Test strip storage conditions j Refer to the test strip package insert Meter storage conditions with batteries inserted j 4 F to 122 F System operating conditions j Refer to the test strip package insert Relative humidity operating range j Refer to the test strip package insert Memory capacity j 1 000 diary records Automatic power off j 2 minutes 45702_std indb 246 10 29 09 1 42 ...

Page 253: ... LWH Weight j Approximately 3 6 oz with batteries inserted Construction j Hand held Protection class j III Meter type j The ACCU CHEK Aviva Expert meter is suitable for continuous operation Control solution storage conditions j 36 F to 90 F Interface j IR LED IRED Class 1 45702_std indb 247 10 29 09 1 42 53 PM ...

Page 254: ...nce Analysis The performance data for the ACCU CHEK Aviva Expert system ACCU CHEK Aviva Expert meter with ACCU CHEK Aviva test strips were obtained using capillary blood from diabetic patients method comparison accuracy venous blood repeatability and control solution reproducibility The system is calibrated with venous blood containing various levels of sugar The reference values are obtained usin...

Page 255: ...gnetic 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 45702_std indb 249 10 29 09 1 42 53 PM ...

Page 256: ...gement practices for certain electronic equipment but meters fall outside the scope of the European Directive 2002 96 EC This is not a requirement for the U S A however 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 product...

Page 257: ...re recycling or disposing Wipe the outside of the meter with a dilution of bleach solution one part bleach to nine parts water 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 Directive 2002 96 E...

Page 258: ...s will replace it with a new ACCU CHEK Aviva Expert 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 Expert meter shall be replacement This warranty does not ...

Page 259: ... 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 con...

Page 260: ... carton for shipping the system to Roche Diagnostics Cartons received without this label will be returned to you at your expense Customers experiencing difficulties should review the troubleshooting information in Chapter 8 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 ...

Page 261: ...a Expert system is only granted when the ACCU CHEK Aviva Expert meter is used with the ACCU CHEK Aviva test strips and ACCU CHEK Aviva code keys ACCU CHEK Aviva test strips are provided with a specifically matched ACCU CHEK Aviva code key These test strips and code keys are specifically manufactured for operation with the ACCU CHEK Aviva Expert meter Use of other test strips with an unmatched code...

Page 262: ...er Care Service Center at 1 800 688 4578 Except where prohibited by statute all warranties covering the ACCU CHEK Aviva Expert system are voided by use of the ACCU CHEK Aviva Expert system with any test strips or code keys other than ACCU CHEK Aviva test strips or code keys Patent Information Aspects of the ACCU CHEK Aviva Expert system including the meter code key and test strips and their use ar...

Page 263: ...U CHEK Multiclix device is only granted when ACCU CHEK Multiclix lancet drums are used with the ACCU CHEK Multiclix device ACCU CHEK Multiclix lancet drums are high precision components that are produced to the close tolerances required for satisfactory operation with the ACCU CHEK Multiclix device Use of other lancets or lancet drums with the ACCU CHEK Multiclix device may prevent or impair prope...

Page 264: ...terms and conditions of the restricted license you may return at the place of purchase the unused ACCU CHEK Multiclix device for a full refund If you have any questions please call ACCU CHEK Customer Care Service Center at 1 800 688 4578 Except where prohibited by statute all warranties covering the ACCU CHEK Multiclix device are voided by use of the ACCU CHEK Multiclix device with any lancets or ...

Page 265: ...ccessories are available from your authorized Roche Diabetes Healthcare Center pharmacies or your medical surgical supply dealer Test Strips ACCU CHEK Aviva test strips Control Solutions ACCU CHEK Aviva control solutions 45702_std indb 259 10 29 09 1 42 53 PM ...

Page 266: ...ssionals Follow the infection control procedures appropriate for your facility A drop of fresh whole blood is required to perform a blood sugar test Refer to the test strip package insert for additional healthcare professional information 45702_std indb 260 10 29 09 1 42 53 PM ...

Page 267: ...ion throughout the body can lead to sample site to site differences in blood sugar results These physiological effects vary between individuals and can vary within a single individual based upon his or her behavior and relative physical condition Our studies involving AST of adults with diabetes show that most persons will find their sugar level changes more quickly in the fingers palms blood than...

Page 268: ...262 45702_std indb 262 10 29 09 1 42 53 PM ...

Page 269: ...ative Site Testing BE j Bread Equivalent equal to 12 grams of carbohydrates bG j Blood Glucose blood sugar Carbs j Carbohydrates CC j Carbohydrate Choice equal to 15 grams of carbohydrates F j Degrees Fahrenheit g j Grams Hyper j Hyperglycemia high blood sugar Hypo j Hypoglycemia low blood sugar 45702_std indb 263 10 29 09 1 42 53 PM ...

Page 270: ...o 10 grams of carbohydrates LCD j Liquid Crystal Display mg dL j Milligrams per Deciliter N A j Not Applicable NIST j National Institute of Standards and Technology United States PM j Post Meridiem 12 hour clock notation for after noon SD j Standard Deviation U j Units basal insulin units 45702_std indb 264 10 29 09 1 42 53 PM ...

Page 271: ... are available on the meter Abbreviation Unit of Measurement Gram Equivalent g j Grams j 1 gram KE j Kohlenhydrateinheit j 10 grams BE j Bread Equivalent j 12 grams CC j Carbohydrate Choice j 15 grams Standard unit of measure in the U S 45702_std indb 265 10 29 09 1 42 54 PM ...

Page 272: ...ir meaning w j Warning refer to accompanying documents Please refer to safety related notes in the owner s booklets accompanying this instrument c j Caution refer to accompanying documents Please refer to safety related notes in the owner s booklets accompanying this instrument i j Note additional information j Store at j 1 5V AAA 45702_std indb 266 10 29 09 1 42 54 PM ...

Page 273: ...0 350 1 Hyper Warning Limit bG Threshold Low mg dL 50 100 1 Hypo Warning Limit Bolus Insulin Units 0 99 Insulin Increment 0 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 45702_s...

Page 274: ...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 Increment Units 0 5 1 0 5 Insulin Sensitivity bG mg dL 1 999 1 No entry mg dL Insulin Sensitivity insulin Units 0 1 50 0 1 1 Max Bolus Units 0 50 1 or 0 5 per the insulin increment value No entry U 45702_std indb 268 10 29 09 1 42 54 PM ...

Page 275: ...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 Stress health event 50 50 1 0 Target Range Upper Value mg dL 100 300 1 140 Target Range Lower Value mg dL 50 140 1 70 1 The insulin increment is used when entering bolus and basal insulin data 45702_std indb 269 10 29 09 1 42 54 PM ...

Page 276: ... 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 45702_std indb 270 10 29 09 1 42 54 PM ...

Page 277: ...essional 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 45702_std indb 271 10 29 09 1 42 54 PM ...

Page 278: ...272 45702_std indb 272 10 29 09 1 42 54 PM ...

Page 279: ...our blood sugar When enabled this reminder occurs after a high blood sugar test result After Low bG Reminder j A reminder to retest your blood sugar When enabled this reminder occurs after a low blood sugar test result After Meal Reminder j A reminder to retest your blood sugar When enabled this reminder occurs after a meal For this reminder to occur you must enter carbohydrate data greater than t...

Page 280: ...d sugar for a high bG test reminder and the lower limit for your blood sugar for a low bG test reminder Blood Sugar bG j The level of sugar in blood Bolus j The delivery of insulin all at once rather than slowly throughout the day usually used to compensate for meals or high blood sugar Bolus Advice j When enabled bolus advice provides recommendations on the amount of insulin for food intake and f...

Page 281: ...l hazards damage to or destruction of equipment or materials Control Result j 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 j A meter test using control solution which lets you know that the meter and test strips are working prop...

Page 282: ...xercise 2 or premenstrual that allows information to be stored with a blood sugar test result or in a diary record and percentages that could adjust bolus advice recommendations for your current health status or activities HI j The test result is above the meter s measurement range Hyper j Hyperglycemia an abnormally high level of sugar in the blood Hyper Warning Limit j When your blood sugar test...

Page 283: ...olus and basal insulin data into the diary The insulin increment can be set to 0 5 or 1 U Insulin Sensitivity j The amount of insulin necessary to lower your blood sugar by a certain amount Ketones j 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 sugar for energy Without enough insulin sugar build...

Page 284: ...unintended large boluses Meal Rise j During or after meals an increase in blood sugar levels is considered normal within a certain range even though a meal bolus has been delivered A meal rise is in effect for a specified time period Meal Time j A pop up menu selection pre meal post meal bedtime or other that allows information to be stored with a blood sugar test or in a diary record Meter j Bloo...

Page 285: ... after a meal you want the reminder to occur Reminder j When enabled reminders occur to remind you to test your blood sugar to retest your blood sugar or of an event or activity Snack Size j The amount of carbohydrates that is not to be counted as a regular meal with the expected meal rise Snooze j Delay of some reminders for a defined time period Soft Keys j Two buttons under the meter display us...

Page 286: ...get Range j The range of your blood sugar results considered acceptable Time Blocks j Up to eight time periods within one day to facilitate your changing insulin needs throughout the day Time Range j The user sets the duration of time There is a start and end time User j A person using the meter Warning j Describes items and conditions that present hazards and may cause personal injury Warning Lim...

Page 287: ...tion 26 139 142 204 208 209 other 26 139 142 204 208 209 alternative site test description 40 performing 39 47 appetite increased 58 B backlight 18 193 194 button 13 15 16 batteries 14 changing 221 223 low 28 179 194 type 221 223 BE 176 178 265 beeper setting 28 179 181 bG test reminder 25 201 204 270 bG threshold 135 136 blood sugar averages 93 94 blood sugar test performing 39 47 reminder 25 res...

Page 288: ...ution 14 64 67 control test performing 63 65 70 results 68 69 71 74 results troubleshooting 75 76 D data 20 adding 49 51 88 90 downloading to a computer 21 128 130 modifying 81 87 reporting 91 127 time change 96 97 100 101 trends 95 103 viewing 81 87 date reminders 26 144 148 204 setting 182 184 display 13 18 229 disposing meter strips lancets batteries 250 251 Dr visit reminder 144 148 201 202 20...

Page 289: ...t 21 167 169 229 238 hypo warning limit 21 167 169 230 238 I icons listing 83 197 198 infrared IR window 13 14 129 injection reminder See alarm clock reminder injection insulin sensitivity 150 153 161 162 237 K KE 176 178 265 key lock 17 19 170 172 key sound setting 179 181 L lab test reminder 144 148 202 204 lancing device 43 44 language setting 173 175 lock See key lock low bG retest reminder 20...

Page 290: ...ton 13 15 16 power saving tips 224 R rapid heartbeat 58 reminders important information 204 209 list of 200 203 priority 204 S safety information 248 249 screen features 28 30 scroll bar 29 snack size 136 137 155 157 166 snooze 133 139 199 200 soft keys 13 15 17 sound 28 setting 179 181 specifications meter 246 247 standard day reporting 104 112 standard deviation 91 92 standard week reporting 113...

Page 291: ...unusual 56 57 test strip 14 43 66 232 241 thirst increased 58 time blocks 22 23 149 162 185 192 271 time format setting 182 183 time setting 182 184 tingling 58 trembling 58 troubleshooting 229 242 U units of measure See carbohydrates units of measure unlock keys 17 170 172 Use by date 37 56 64 75 V vibrate setting 28 179 181 W warnings list of 210 215 warranty 252 254 45702_std indb 285 10 29 09 ...

Page 292: ...286 45702_std indb 286 10 29 09 1 42 55 PM ...

Page 293: ...287 45702_std indb 287 10 29 09 1 42 55 PM ...

Page 294: ...288 45702_std indb 288 10 29 09 1 42 55 PM ...

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