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17:33

1 Feb 08

16:06

13:52

10:02

20:06

3.3

8.6

7.0

3.8

5.9

mmol

The following table depicts the icons used to display your data:

Icon

Icon Name

Description

bG Test

Icon is displayed when information exists for
this diary record regarding a blood glucose test.

Meal Time

Icon is displayed when information exists for
this diary record regarding Meal Time.

Carbs

Icon is displayed when information exists for
this diary record regarding carbs.

Health Event

Icon is displayed when information exists for
this diary record regarding Health Events.

Bolus

A Bolus has been deliverd.

bG Value

Bolus Icon

Health Event Icon

Carbs Icon

Meal Time Icon

Date of Record(s)

Time of bG Test

bG Icon

Summary of Contents for Aviva

Page 1: ...Training Handbook mmol L Accu Chek Aviva Combo blood glucose monitoring system...

Page 2: ...ecomes part of your daily life Roche Diabetes Care This document is not intended to replace training by a qualified diabetes instructor or the Owner s Booklets Instructions for use provided with your...

Page 3: ......

Page 4: ...om your meter 9 2 1 About Bolus Advice 9 2 2 Setting up Bolus Advice 10 3 Measuring your blood glucose bG level 26 3 1 Running a control test 26 3 2 Performing a blood glucose bG test 29 3 3 Using Bol...

Page 5: ...llows testing from the fingertip j Provide Bolus Advice Unreliable test results are detected automatically j Keep record of events related to your diabetes management for example bG test results bolus...

Page 6: ...6 1 2 Button functions Left Right Soft Button Enter x Up z Down Right Left Power On Off Button Teststrip Slot Backlight Button Infrared IR Window...

Page 7: ...croll left in an information screen Right arrow move through screens scroll right in an information screen x Up arrow move through menus functions and information screen scroll up in an information sc...

Page 8: ...ect a menu or option save changes exit Left soft button select a menu on the display above the button Right soft button select a menu on the display above the button Press and hold simultane ously ena...

Page 9: ...a tions based on your Current bG test result Expected food intake Current health or activity Individual settings such as Carb Ratio Insulin Sensitivity and other settings that will be explained later...

Page 10: ...ty and Carb Ratio You only need to set the end time of a Time Block as this is also the starting time of the following Time Block Five Time Blocks are set up by default but you can set up up to eight...

Page 11: ...bG level by a given amount You may know this as the correction factor You must program this for each Time Block you wish to set up Health Events are percentages that allow you to adjust the calculate...

Page 12: ...ch new bolus Offset Time is the expected time taken for your bG level to fall after you inject a bolus The Offset Time starts afresh for each new bolus j j j Meal Rise is an increase in your bG level...

Page 13: ...13 Getting bolus advice from your meter...

Page 14: ...nguage press to select Next and continue with step 6 Otherwise press to display the language options Press x or z to select the language English Language Language Press enter to display available opti...

Page 15: ...d continue with step 12 Otherwise press to change Time Format Press x or z to select 12hr or 24hr Time Format Press to save the changes Time Format Time Date 10 00 1 Jan 08 Back Next HH MM DD MMM YY T...

Page 16: ...es AM or PM if needed Day Month Year Press to select Next Time Format Time Date 00 1 Jan 08 Cancel HH MM A P DD MMM YY Time Date 12 hr am 30 8 Time Format Time Date 00 am 1 Jan 08 Cancel HH MM A P DD...

Page 17: ...he Max Bolus Press to select Next The Warning Limits screen appears Use x z and to set the Hyper High bG Warning Limit Select the upper Hyper and lower Hypo limits of your bG 4 0 mmol L 16 5 mmol L Ba...

Page 18: ...ss to enter the first Time Block 16 Use x z and to set the Hypo Low bG Warning Limit Press to select Next Select the upper Hyper and lower Hypo limits of your bG 60 mg dL 12 5 mmol L Cancel Warning Li...

Page 19: ...er target limit Press to save and move to the insulin for carb box Press to enter Press x or z to enter the insulin amount Press to save and move to the carb box 0 00 Target Range 6 00 Cancel Time Blo...

Page 20: ...reen Press x or z to move to the next Time Block Press to enter The settings from the first Time Block will be copied to all other Time Blocks Press to select Next Repeat steps 20 to 26 accordingly to...

Page 21: ...x or z to move to the next Health Event you wish to setup Use x z and to setup all Health Events as needed Press to select next Exercise 1 Exercise 2 Stress Illness Premenstrual 0 0 0 0 0 Back Next H...

Page 22: ...er Press x or z to select the Snack Size Press to save and move to the Acting Time box Meal Rise Acting Time Snack Size Offset Time 4 00 1 00 5 5 mmol L Back Advice Options HH MM Meal Rise Acting Time...

Page 23: ...Press x or z to select the Offset Time Press to save Press to save all settings and select Next You receive the message that the new setting will be applied to the After Meal Reminder Snack Size Press...

Page 24: ...th the code chip accompanying the test strip container You should also perform a control test 39 Setup Completed Successfully Setup Next The Setup Wizard is complete Press to select Next and enter the...

Page 25: ...25 Notes...

Page 26: ...screen matches the code number on the test strip container 2 1 Place your meter on a flat surface for example a table and insert the test strip into the Test Strip Slot in the direction of the arrow...

Page 27: ...nd then put the cap on the bottle tightly 6 5 Squeeze the bottle until a tiny drop forms at the tip Apply the drop to the front edge of the yellow window of the test strip Analyzing bG Test Remove the...

Page 28: ...and meter are working properly Remove and dispose of the test strip 10 10 02 2 Feb 08 Control Result Menu mmol L Within range 6 4 Level 1 Compare the result to the acceptable range shown on the label...

Page 29: ...table and insert the test strip into the Test Strip Slot in the direction of the arrow The meter turns on 1 Prepare the lancing device according to the instructions provided Wash and dry your hands 2...

Page 30: ...of the yellow window of the test strip Prick your finger with your lancing device The Apply Sample screen appears and a beep indicates that the strip is ready for testing 4 Apply Sample bG Test 6 5 T...

Page 31: ...Result 5 9 Carbs Health U Active Insulin Meal Time mg dL Carbs Health Meal Time No Entry Pre Meal Post Meal Bedtime Other Press x or z to move to the Meal Time box or Carbs Health accordingly and pres...

Page 32: ...r ketones and measure your bG level frequently Blue above your Target Range but below Hyper Warning Limit Green within your Target Range Yellow below your Target Range but above your Hypo Warning Limi...

Page 33: ...erefore it is highly recommended that you always use Bolus Advice by starting with a bG test When you use Bolus Advice with out a current bG test result you will be prompted with a warning if the last...

Page 34: ...creen matches the code number on the test strip container 3 Place your meter on a flat surface for example a table and insert the test strip into the Test Strip slot in the direction of the arrow The...

Page 35: ...e front edge of the yellow window of the test strip Prick your finger with your lancing device Gently squeeze your finger to get a blood drop The Analyzing screen appears as soon as you have applied e...

Page 36: ...value If you enter values for carbs and health here they are adopted to the Bolus Advice screen Press to select Bolus and move to the Bolus Advice screen 10 02 Cancel bG Result 5 9 Carbs Health U Acti...

Page 37: ...ate of health as appropriate Press to save and move to the Bolus Amount box If you need to change the recommended bolus amount use x z and to change the bolus amount and move to the Basal box Otherwis...

Page 38: ...38...

Page 39: ...nterpret your blood glucose results and that the bolus advice uses the appropriate settings of the current time block Each diary record can contain Date and time bG test result Meal time events Carbs...

Page 40: ...cord regarding a blood glucose test Meal Time Icon is displayed when information exists for this diary record regarding Meal Time Carbs Icon is displayed when information exists for this diary record...

Page 41: ...if there are additional records 2 The Data screen is displayed and View Data is highlighted Press to enter 1 From main menu press x or z to select My Data Press to enter Menu 10 02 Data Transfer Add...

Page 42: ...r record 4 The screen shows the bG test results in the right column by default but you can also view bolus or carb data Press to select Select View Press x or z to select carbs or bolus Press to enter...

Page 43: ...he other fields accordingly as necessary Press to save the changes and exit You cannot go back and edit data that have been used with Bolus Advice Bolus Back Modify View Detail Health 60 g Pre Meal 2...

Page 44: ...ts 3 Press x or z to select a field Press to enter 2 Press z to move to Add Data Press to enter 1 From the main menu press x or z to select My Data Press to enter Menu 10 00 Data Transfer Add Data Rep...

Page 45: ...and to edit other entries accordingly 6 Press to save and return to the My Data screen Bolus Cancel Add Data Health Carbs 08 HH MM DD MMM YY Feb 2 20 9 45 g Bolus Cancel Save Add Data Health 45 g 08 H...

Page 46: ...ession that indicates how far the individual test results are scattered around the average 3 The Reports screen appears 2 The My Data screen appears Press z to select Reports Press to enter 1 From mai...

Page 47: ...Meal Post Meal Bedtime and Others Test results without Meal time entry only occur in the Overall category You can choose whether the averages and standard deviations include the results of the last 7...

Page 48: ...whether the results of the last 8 24 or 48 hours or 7 days are included j 2 The Trend screen appears Press x or z to switch between the selection of the included period of time and the Meal Time field...

Page 49: ...y you wish to view 3 When the time field is highlighted 8 24 or 48 hours or 7 days press or to select the included period of time 08 00 Back Table Last 48 hours Overall U 15 120 g 08 00 20 00 0 10 25...

Page 50: ...r as graphic You can choose whether the averages and standard deviations include the results of the last 7 14 30 60 or 90 days j 2 The Standard Day screen appears Press x or z to toggle between select...

Page 51: ...category you wish to view 3 When the time field is highlighted 7 14 30 60 or 90 days press or to select the included period of time Back Table Last 30 days Overall 6 00 12 00 18 00 0 10 25 20 mmol L...

Page 52: ...n choose whether the averages and standard deviations include the results of the last 7 14 30 60 or 90 days j 2 The Standard Week screen appears Press x or z to toggle between the selection of include...

Page 53: ...tegory you wish to view 3 When the time field is highlighted 7 14 30 60 or 90 days press or to select the included period of time Back Table Last 14 days Overall M T W T F S S 0 10 25 20 mmol L 5 Back...

Page 54: ...bG target limit below your Hypo Warning Limit You can view them either as a table or as a pie chart You can choose whether the percentages include the results of the last 7 14 30 60 or 90 days j 2 Th...

Page 55: ...hted press or to select the Meal Time category you wish to view 3 When time field is highlighted 7 14 30 60 or 90 days press or to select the included period of time Hypo Back Table Last 14 days Below...

Page 56: ...mputer for data transfer for detailed instructions see the instructions provided with the according software on your computer 3 Press x or z to move to Data Transfer Press to enter 4 The data transfer...

Page 57: ...57 Managing your data...

Page 58: ......

Page 59: ...ccommodate for different requirements bG Test Reminders remind you to test your bG level in special situations after a high bG test result hyperglycaemia After High bG after a low bG test result hypog...

Page 60: ...Press to enter Reminders The Reminders screen appears 1 From main menu press x or z to select Settings Press to enter Bolus Advice Meter Sound Vibrate Menu Reminders 10 02 2 Feb 08 Time Date Alarm Cl...

Page 61: ...irm and move to the bG Thres hold box The Hyper Warning Limit is set as bG threshold for triggering the reminder by default 2 The bG Test Reminders screen appears Press to enter After High bG 1 From t...

Page 62: ...ss to enter Press x or z to change the period after which the reminder sounds as needed Press to confirm Press to save and return to the bG Test Reminders screen Reminder bG Threshold Remind After 300...

Page 63: ...e to the bG Thres hold box The Hypo Warning Limit is set as bG threshold for triggering the reminder by default 2 The bG Test Reminders screen appears Press x or z to select After Low bG Press to ente...

Page 64: ...ress to enter Press x or z to change the period after which the reminder sounds as needed Press to confirm Press to save and return to the bG Test Reminders screen Reminder bG Threshold Remind After 3...

Page 65: ...ox 2 The bG Test Reminders screen appears Press x or z to select After Meal Press to enter 1 From the Reminders screen press x or z to select bG Test Reminders Press to enter The Snack Size is the sam...

Page 66: ...After box 5 Press to enter Press x or z to select an appropriate period of time as needed Press to confirm Press to save and return to the bG Test Reminders screen Reminder Snack Size Remind After 20...

Page 67: ...he Off or purpose box 2 The Alarm Clock screen appears Press x or z to move to the alarm clock you wish to change Press to enter the time box 1 From the Reminders screen press x or z to select Alarm C...

Page 68: ...Where appropriate repeat steps 2 to 4 to set more Alarm Clocks accordingly Press to save and return to the Reminders screen Off Cancel Alarm Clock Off Off Off Off 0 00 0 00 0 00 0 00 9 00 HH MM A P bG...

Page 69: ...the Reminder box Press x or z to select On or Off Press to confirm an move to the Date line Reminder Off Appointment Date Time Date Time Optional 2 Feb 08 Cancel Dr Visit DD MMM YY HH MM On Off Off 2...

Page 70: ...ect the year 5 Press to confirm and move to the Time box Press to enter 6 Press x or z to select the time Press to confirm Press to save and return to the Date Reminders screen Reminder On Appointment...

Page 71: ...the Reminder box Press x or z to select On or Off Press to confirm and move to the Date line 2 The Date Reminder screen appears Press x or z to move to Lab Test Press to enter 1 From the Reminders sc...

Page 72: ...ime box Press to enter 6 Press x or z to select the time Press to confirm Press to save and return to the Date Reminders screen Reminder On Appointment Date Time Date Time Optional 2 Feb 08 Cancel Sav...

Page 73: ...our meter settings Discuss with your healthcare professional before you change settings 3 Use x z and to edit the particular setting as needed 2 Press to enter The Settings screen appears 1 From main...

Page 74: ...ers Dr Visit Lab Test Time Blocks End Target Range Carb Ratio Insulin Sensitivity Health Events Exercise 1 Exercise 2 Stress Illness Premenstrual Advice Options Meal Rise Snack Size Acting Time Offset...

Page 75: ...Grams BE KE CC Insulin Increment Max Bolus Beeper Off low medium high Vibrate ON OFF Key Sound ON OFF Time Format Time Date Meter Sound Vibrate Time Date Beeper Vibrate Key Sound Off On Medium Cancel...

Page 76: ......

Page 77: ...sh amount of carbohydrates Your current insulin to Carb Ratio A fresh blood glucose bG test result Your current bG target level Your current insulin sensitivity also called your correction factor The...

Page 78: ...the carbohydrates by your current insulin to Carb Ratio The carbohydrates must be fresh and must not have been used for a previous bolus 2 Put the result aside This is your meal bolus 3 Perform a bG...

Page 79: ...lus to the meal bolus that you prepared earlier If the result is less than 0 you do not need to inject insulin at the moment 7 Add or take away the health percentage for exercise stress illness or pre...

Page 80: ...ombo meter automatically considers the current time your insulin to Carb Ratio for the current time your current Insulin Sensitivity also called the correction factor and the percentages for exercise...

Page 81: ...k Combo meter 2 Access Bolus Advice from the bG Test Result screen 3 In Bolus Advice enter the amount of carbs you are planning to consume and any information about Health Events as required Bolus Adv...

Page 82: ...Your Accu Chek Aviva Combo meter will automati cally ensure that neither a carb amount nor a bG test result is re used for a second bolus For further details see Appendix B and C Bolus Advice Calculat...

Page 83: ...ocks Insulin Sensitivity correction factor Insulin Sensitivity Within each Time Block in Settings Bolus Advice Time Blocks bG target level Target Range Within each Time Block in Settings Bolus Advice...

Page 84: ...ention of double dosage after meal Meal Rise In connection with Acting Time and Offset Time in Settings Bolus Advice Advice Options Prevention of double dosage after a high bG test result Offset Time...

Page 85: ...glucose bG and carbohydrate values As a safety measure Bolus Advice will not work without this information Your healthcare professional will give you the information that you need for the Bolus Advice...

Page 86: ...shows the Time Blocks feature within Bolus Advice Time Blocks consider your time dependent requirements when calculating your insulin dose at different times of the day You can program up to eight Ti...

Page 87: ...ill be calculated automatically as the average between the upper and lower bG values Carb Ratio The Carb carbohydrate Ratio defines how much insulin is needed to compen sate for a certain amount of ca...

Page 88: ...arning bG Target bG Insulin Sensitivity between Upper and Lower Target Limit No correction bolus necessary between lower Target Limit and Hypo Warning No correction bolus recommended below Hypo Warnin...

Page 89: ...bG more frequently and check for ketones between Upper Target Limit and Hyper Warning bG Target bG Insulin Sensitivity Meal bolus between Upper and Lower Target Limit bG Target bG Insulin Sensitivity...

Page 90: ...ur insulin needs You can choose different Health Events depending on how you are feeling or what you are doing For example sport or physical activity could decrease your insulin needs whereas illness...

Page 91: ...se Health with the icon Within Health on the Bolus Advice and bG Result screen you can also select Fasting However you cannot adjust Fasting by percentage and it does not scale advice calculations Adv...

Page 92: ...e hyper hypo Meal Rise bG level Target Value Bolus Current bG values Bolus not required Currently allowed bG value Meal Rise Meal Time The dotted line shows how your bG level typically changes after a...

Page 93: ...ich an increase in bG after a meal bolus or a correction bolus is taken into account Bolus Advice will not recommend a correction bolus for this time if your current bG level is less than the bG level...

Page 94: ...effect After the Offset Time your bG level should decrease because of the insulin and at the end of the Acting Time it should return to the target level The Offset Time must be at least 45 minutes an...

Page 95: ...lus at 12 o clock The insulin needs time to become effective so your bG value dotted line may not be significantly reduced even by 2 o clock If you had not administered the correction bolus your bG mi...

Page 96: ...e ongoing effect of your correction bolus It would then recommend an additional bolus to compensate for the raised bG value Where the effect of the two boluses overlap it could lead to a hypo glycemia...

Page 97: ...nd the Target Value that have had a correction bolus that is still active Acting Time bG values that were tolerated as a Meal Rise and which have had a meal bolus that is still active Acting Time The...

Page 98: ...Currently allowed bG value corrected bG Time The above diagram shows an example of the effect of this rule The first correc tion bolus at 12 o clock remains active during the Acting Time the width of...

Page 99: ...currently allowed bG value the newly calculated bolus light blue only considers the difference between the current bG value dotted line and the currently allowed bG value the height of the blue area D...

Page 100: ...G level Time Target Range Bolus Current bG values Bolus not required Currently allowed bG value Meal Rise Meal Fig 6 Subsequent meal boluses Subsequent meals If you eat several meals in a row the Meal...

Page 101: ...avoids the risk of mistakes in your calculations Carbohydrates This calculation is required when the bG result falls below the Hypo Warning Limit It is based on the other values defined for the curre...

Page 102: ...Generally a correction bolus is only calculated if your current bG value is above the hypo bG warning limit and outside of the Target Range Addi tionally it must be above the currently allowed bG valu...

Page 103: ...any correction bolus even negative When you eat a meal Bolus Advice also calculates the correction bolus for bG results that are within the Target Range more specifically if your current bG result is...

Page 104: ...bG Test Reminders After High bG After Low bG After Meal Alarm Clock hh mm 8 Date Reminders Dr Visit Lab Test Bolus Advice Time Blocks End Target Range Carb Ratio Insulin Sensitivity Health Events Exe...

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