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Appendix

Fig. 5: Subsequent boluses

hyper

hypo

Target Value

Target Range

bG level

Bolus

Current
bG values

Where the measured value is greater than the 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). During the Acting Time of the first correction bolus (the width
of the blue area), only the currently allowed bG value is used to calculate the
second bolus.

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Содержание Aviva

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

Страница 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...

Страница 3: ......

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

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

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 25: ...25 Notes...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 38: ...38...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 57: ...57 Managing your data...

Страница 58: ......

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 76: ......

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 105: ...Experience what s possible ACCU CHEK and ACCU CHEK AVIVA Combo are trademarks of Roche 2014 Roche Diagnostics All rights reserved www accu chek ca 00048011192 C...

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