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After a Correction Bolus

bG Level

Hyper

Hypo

Acting Time

Target Range

Time

Target Value

Offset Time

Current

bG Values

Currently Allowed bG Value:

Corrected bG

Bolus

Bolus Not

Required

Corrected bG

The above diagram shows an example of the effect of this rule. The first correction bolus at 12:00 remains
active during the acting time (the width of the blue area). If the blood glucose value at 14:00 falls below the
currently allowed blood glucose value (top of the blue area), another correction bolus is not calculated.

53685_05636922001_05.indb 34

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Содержание Aviva Expert

Страница 1: ...2001 05 Cyan Print Proof Number 209 Roche USA 53685 V7 3 05636922001 05 Magenta Print Proof Number 209 Roche USA 53685 V7 4 05636922001 05 Yellow Print Proof Number 209 Roche USA 53685 V7 5 0563692200...

Страница 2: ...e Burgess Hill West Sussex RH15 9RY United Kingdom Accu Chek Customer Careline 1 UK Freephone number 0800 701 000 ROI Freephone number 1 800 709 600 1 calls may be recorded for training purposes www a...

Страница 3: ...pendices 17 Appendix A Bolus Advice 17 Appendix B Bolus Advice Calculations 37 Appendix C Explanation of Symbols 41 Index 43 Roche USA 53685 V4 1 05636922001 05 Cyan Roche USA 53685 V4 2 05636922001 0...

Страница 4: ...2 53685_05636922001_05 indb 2 7 2 15 10 31 AM...

Страница 5: ...duction Whether the Accu Chek Aviva Expert meter is your first blood glucose meter or you have used a meter for some time please take the time to read the Getting Started Guide the Standard Owner s Bo...

Страница 6: ...4 53685_05636922001_05 indb 4 7 2 15 10 31 AM...

Страница 7: ...1 5 1Bolus Advice 1 1 Overview 6 1 2 Before Using Bolus Advice 8 1 3 Calculating a Bolus Using Bolus Advice 12 53685_05636922001_05 indb 5 7 2 15 10 31 AM...

Страница 8: ...therapy Bolus advice is only available if you have set up bolus advice on your meter For instructions on how to set up bolus advice see the Standard Owner s Booklet Bolus advice calculates insulin dos...

Страница 9: ...a Expert meter If you have any questions about the meter screens contact the Accu Chek Customer Careline on 0800 701 000 UK or 1 800 709 600 ROI Blood glucose and bG are interchangeable and mean the s...

Страница 10: ...s advice calculations are based Bolus advice is not able to judge your current situation independently of your own estimation It cannot correct possible input errors This is particularly true for the...

Страница 11: ...rry out the actions entered into bolus advice in a timely fashion Eat the carbohydrate amount you entered and administer the insulin dose Bolus advice should not be used if you are using an intermedia...

Страница 12: ...reflected in the calculation The same applies for bolus insulin doses and meals that were taken but not entered into your meter If you delivered a bolus without using bolus advice you can enter the b...

Страница 13: ...blood glucose as recommended by your healthcare professional Summary It is recommended you set up bolus advice with your healthcare professional Carefully check all of your entries Make sure all recen...

Страница 14: ...12 1 3 Calculating a Bolus Using Bolus Advice bG Test Result Active Insulin Carb Entry Health Event Entry Bolus Basal Recommended Bolus Amount 53685_05636922001_05 indb 12 7 2 15 10 31 AM...

Страница 15: ...e meter screen rather than an actual bG value it is recommended you complete a blood glucose test Select bG Test and press See the Standard Owner s Booklet for information on how to perform a blood gl...

Страница 16: ...Adjust the Basal Amount j Select the Basal entry field and press j Set the basal insulin amount and press To confirm the entries select Confirm 3 The bolus amount is displayed on the meter screen j I...

Страница 17: ...the carbohydrate ratio and insulin sensitivity If you select the wrong ratio the basis for all calculations all future bolus advice recommendations will be wrong Ensure the bolus information in the d...

Страница 18: ...rd Owner s Booklet When the detailed bG Result screen is displayed press This is not available if your bG result is below your hypo warning limit red colour bar is displayed You can only select one he...

Страница 19: ...gs required to optimize the bolus advice feature so the recommendations match your insulin needs to the greatest possible extent You must set up bolus advice correctly Bolus advice is not available wi...

Страница 20: ...s selected The right choice of carbohydrate units is important for bolus advice recommendations to be accurate Carbohydrate units must be selected whether or not you set up bolus advice The following...

Страница 21: ...diary The insulin increment can be set to 0 5 or 1 U Max Bolus The maximum amount of bolus insulin to be delivered at one time A bolus that is larger than the max bolus amount requires an additional...

Страница 22: ...t Time Blocks Time blocks allow you to select settings to take into account the fact that your insulin requirement varies throughout the day Using the same values and factors for the day would not nec...

Страница 23: ...he current time block Blood glucose test results within the lower target limit and the upper target limit are considered within the target range Lower Blood Glucose Target Limit The lower limit of the...

Страница 24: ...wer your blood glucose by a certain amount Talk with your healthcare professional to determine the appropriate insulin sensitivity settings Your meter comes with the following preset time blocks Time...

Страница 25: ...The time you normally wake up 2 Breakfast The time you normally wake up 1 hours before you normally eat lunch 3 Lunch 1 hours before you normally eat lunch 1 hours before you normally eat dinner 4 Din...

Страница 26: ...ypo and hyper warning limits When a time block is edited for the first time the settings target range carb ratio and insulin sensitivity are applied to all of the other time blocks Health Events Healt...

Страница 27: ...descriptions of each of these settings Meal Rise During or after meals an increase in blood glucose levels is considered normal within a certain range even though a meal bolus has been delivered A mea...

Страница 28: ...o fit your individual needs within a specified time interval 1 hours to 8 hours Offset Time Offset time takes into account the expected delay for the blood glucose level to actually fall during the ac...

Страница 29: ...is not within the target range The correction bolus can be positive if your current blood glucose level is above your target range or negative if it is below your target range Meal Bolus A meal bolus...

Страница 30: ...your target range a correction bolus is recommended Blood Glucose Limits Hyper Warning bG Result Upper Target Limit Target Lower Target Limit Hypo Warning Discuss your blood glucose limits with your...

Страница 31: ...Between Upper and Lower Target Limit No correction bolus is necessary bG Target bG x Insulin Sensitivity Meal Bolus A correction bolus can be negative Between Lower Target Limit and Hypo Warning No b...

Страница 32: ...nistered the correct meal bolus The allowed blood glucose level rise is called meal rise After a certain period of time offset time the meal rise decreases from its maximum until your blood glucose le...

Страница 33: ...meal bolus Bolus advice tolerates an increase in your blood glucose level within the meal rise range green without calculating an extra correction bolus When you enter a carbohydrate amount that is g...

Страница 34: ...fset time At the end of the acting time your blood glucose level should return to the target limit You receive a recommendation for another correction bolus only if your current blood glucose test res...

Страница 35: ...vide differing examples of how bolus advice considers different factors when calculations are made The currently allowed blood glucose value considers the following factors Target Range Mean Value Mea...

Страница 36: ...uired Corrected bG The above diagram shows an example of the effect of this rule The first correction bolus at 12 00 remains active during the acting time the width of the blue area If the blood gluco...

Страница 37: ...is calculated light blue that only considers the difference between the current blood glucose value orange dots and the currently allowed blood glucose value the top of the blue area bG Level Hyper Hy...

Страница 38: ...s in a row the meal rise is restarted for each new meal bolus bG Level Hyper Hypo Target Range Time Target Value Current bG Values Bolus Meal Bolus Not Required Currently Allowed bG Value Meal Rise 53...

Страница 39: ...glucose test result falls below the hypo warning limit It is based on the other values defined for the current time block and the result is calculated as a carbohydrate intake recommendation Carbohydr...

Страница 40: ...definition for the time blocks Consequently the currently allowed blood glucose value is calculated as follows Blood Glucose Range Covered by Correction Bolus currently acting correction boluses accor...

Страница 41: ...than 0 trigger a corresponding acting time Correction Bolus Current bG Currently Allowed bG Insulin bG from insulin sensitivity The blood glucose correction portion depends on the following requiremen...

Страница 42: ...results that fall within the target range if The current blood glucose test result falls below the target range average value or The current blood glucose test result is above the currently allowed bl...

Страница 43: ...tion refer to safety related notes in the instructions for use accompanying this product i A NOTE is used to provide additional information Temperature limitation Store at Manufacturer Catalogue numbe...

Страница 44: ...42 53685_05636922001_05 indb 42 7 2 15 10 31 AM...

Страница 45: ...bolus with carbohydrate intake 40 currently allowed blood glucose value 38 meal bolus 38 bolus advice options 25 26 bolus advice recommendations examples 33 36 bolus amount adjust 14 bolus calculatio...

Страница 46: ...ax bolus 19 meal rise 25 N neutral protamine hagedorn NPH 9 O offset time 26 S safety information bolus advice 9 11 bolus delivery 15 16 snack size 26 symbols explanation 41 T target range 21 time blo...

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