Download Roche Accu-Chek Aviva Technical information

Aviva Combo
00048009694/D-0512
©2012­Roche­Diagnostics
Roche­Diagnostics­GmbH
Sandhofer­Strasse­116
68305­Mannheim,­Germany
­Roche­USA­–­50813­
V6/1­–­00048009694/D­–­Black­–
Aviva Combo
Blood glucose Meter
Roche­USA­–­50813
V6/3­–­00048009694/D­–­Magenta­–
Roche­USA­–­50813
V6/4­–­00048009694/D­–­Yellow­–
Roche­USA­–­50813­
V6/5­–­00048009694/D­–­PMS­287­–
Standard Owner’s Booklet
Roche­USA­–­50813­
V6/6­–00048009694/D­–­PMS­5445­–
www.accu-chek.com
ACCU-CHEK,­ACCU-CHEK­AVIVA,­ACCU-CHEK­AVIVA­COMBO,­and­ACCU-CHEK­SPIRIT­COMBO­
are­trademarks­of­Roche.
The­Bluetooth®­word­mark­and­logos­are­registered­trademarks­owned­by­Bluetooth­SIG,­Inc.­
and­any­use­of­such­marks­by­Roche­is­under­license.­Other­trademarks­and­­
product­names­are­the­property­of­their­respective­owners.
50813_00048009694_D.indb 1
Roche­USA­–­50813­
V6/2­–­00048009694/D­–­Cyan­–
7/3/12 3:12 PM
Distributed­in­the­United­Kingdom­by:­
Roche­Diagnostics­Limited
Charles­Avenue,­Burgess­Hill
West­Sussex,­RH15­9RY,­United Kingdom­
Accu-Chek­Pump­Care­Line:*
UK­Freephone­number:­0800­731­22­91
ROI­Freephone­number:­1800­88­23­51
[email protected]­
www.accu-chek.co.uk­
www.accu-chek.ie­
*Calls­may­be­recorded­for­training­purposes
LAST­UPDATE:­2012-01
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­Roche­USA­–­50813­
V4/1­–­00048009694/D­–­Black­–
Contents
Introduction
7
The­Accu-Chek­Aviva­Combo­System­
8
1 Understanding Your New System
11
1.1­Overview­
1.2­­The­Accu-Chek­Aviva­Combo­Meter­at­a­Glance­
1.3­­The­Accu-Chek­Spirit­Combo­Insulin­Pump­at­a­Glance­
1.4­Summary­of­Features­
1.5­Screen­Content­and­Navigation­
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13
19
20
30
2 Testing Your Blood Glucose
39
2.1­Overview­
2.2­­Using­the­Accu-Chek­Aviva­Combo­System­
2.3­Performing­a­Blood­Glucose­Test­­
2.4­Detailed­Blood­Glucose­Test­Results­
2.5­­Understanding­Blood­Glucose­Test­Results­
2.6­Unusual­Blood­Glucose­Test­Results­
2.7­­Symptoms­of­High­or­Low­Blood­Glucose­
40
41
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58
Roche­USA­–­50813­
V4/2­–­00048009694/D­–­Cyan­–
Roche­USA­–­50813
V4/3­–­00048009694/D­–­Magenta­–
Roche­USA­–­50813
V4/4­–­00048009694/D­–­Yellow­–
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3 Control Testing
59
3.1­Overview­
3.2­Why­Perform­Control­Tests­
3.3­About­the­Control­Solutions­
3.4­Performing­a­Control­Test­
3.5­Understanding­Control­Test­Results­
60
61
62
63
69
4 Managing Your Data
75
4.1­Overview­
4.2­Viewing­or­Modifying­Your­Data­
4.3­Adding­New­Data­
4.4­Reporting­Your­Data­
4.5­Downloading­Your­Data­to­a­Computer­
76
79
87
90
128
5 Changing Meter Settings
131
5.1­Overview­
5.2­­Setting­bG­Test­Reminders:­After­High­bG,­After­Low­bG,­After­Meal­
5.3­Setting­Alarm­Clock­Reminders:­bG­Test,­Other­
5.4­­Setting­Date­Reminders:­Dr.­Visit,­Lab­Test,­Infusion­Set­Change­
5.5­­Setting­Bolus­Advice­for­the­First­Time­
5.6­­Setting­Time­Blocks,­Health­Events,­Advice­Options:­Bolus­Advice­Set­Up­
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133
138
141
146
155
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5.7­Setting­Warning­Limits:­Hyper,­Hypo­
5.8­Turning­Key­Lock­On­or­Off­
5.9­Setting­the­Language­
5.10­Setting­Units:­Carbs­
5.11­Turning­Bluetooth®­Wireless­Technology­On­or­Off­
5.12­Pairing­the­Meter­and­Pump­
5.13­Setting­the­Beeper,­Vibrate,­and­Key­Sound­
5.14­Setting­the­Time­Format,­Time,­and­Date­
5.15­Setting­Time­Blocks:­Bolus­Advice­Not­Set­Up­
5.16­Backlight­Settings­­
164
167
170
173
176
178
179
182
185
193
6 Icons, Reminders, Warnings, and Errors
195
6.1­Overview­
6.2­List­of­Icons­
6.3­­Confirming­a­Reminder,­Warning,­or­Error­
6.4­List­of­Reminders­
6.5­List­of­Warnings­
6.6­List­of­Errors­
196
197
199
200
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216
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7 Care and Maintenance
219
7.1­Overview­
7.2­Changing­the­Batteries­
7.3­Power-Saving­Tips­
7.4­Cleaning­the­Meter­
7.5­Maintenance­and­Testing­
220
221
224
225
226
8 Troubleshooting
227
8.1­Overview­
8.2­­Troubleshooting­the­Accu-Chek­Aviva­Combo­Meter­
228
229
9 Technical Information
245
9.1­Overview­
9.2­Product­Limitations­
9.3­Specifications­
9.4­Product­Safety­Information­
9.5­Disposing­of­the­Meter­
9.6­Guarantee­
9.7­Additional­Supplies­
9.8­Information­for­Healthcare­Professionals­
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247
248
250
253
254
255
256
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Appendices
257
Appendix­A:­Abbreviations­
Appendix­B:­Carb­Units­
Appendix­C:­Explanation­of­Symbols­
Appendix­D:­Meter­Settings­and­Range­Limits­
257
259
260
261
Glossary
267
Index
275
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Introduction
Whether­the­Accu-Chek­Aviva­Combo­Meter­is­your­first­blood­glucose­meter­or­you­have­used­a­meter­for­
some­time,­please­take­the­time­to­read­the­Getting­Started­Guide,­the­Standard­Owner’s­Booklet,­and­the­
Advanced­Owner’s­Booklet­carefully­before­you­use­your­new­meter.­To­use­it­correctly­and­dependably,­you­
need­to­understand­its­operation,­screen­displays,­and­all­individual­features.
Your­new­meter­includes­three­booklets:
This­booklet­includes­information­about:
•­ G
­ etting­Started­Guide:
­ ­Use­this­booklet­to­set­up­the­meter.
•­­Understanding­your­new­Accu-Chek­Aviva­Combo­
System
•­ S­ tandard­Owner’s­Booklet:
•­Testing­your­blood­glucose
­ ­Use­this­booklet­for­instructions­on­how­to­operate­ •­Control­testing
the­standard­features­of­the­meter.
•­Managing­your­data
•­ A­ dvanced­Owner’s­Booklet:
•­Changing­the­meter­settings
­ ­Use­this­booklet­for­instructions­on­how­to­operate­
•­­Understanding­the­icons,­reminders,­warnings,­­
the­advanced­features­of­the­meter.
and­errors
Should­you­have­any­questions,­please­contact­one­
•­Care­and­maintenance
of­our­customer­support­and­service­centres.­A­
•­Troubleshooting
listing­is­at­the­back­of­this­booklet.
•­Technical­information
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The Accu-Chek Aviva Combo System
The­Accu-Chek­Aviva­Combo­Meter­is­for­quantitative­blood­glucose­testing­using­Accu-Chek­Aviva­Test­
Strips.­The­meter­has­many­features­including:
•­Controlling­your­Accu-Chek­Spirit­Combo­Pump­
•­Administering­a­bolus
•­Bolus­advice
•­Daily­time­blocks­that­can­be­adjusted­to­fit­your­lifestyle
•­Data­management
•­Data­transfer
•­Date­reminders
•­bG­test­reminders:­Alarm­clock,­Target­bG­levels,­and­Health­events
•­­An­electronic­diary­that­allows­you­to­enter­meal­time,­carbs,­health,­and­bolus­information­with­your­
blood­glucose­test­results
For­detailed­information­about­the­features­of­the­meter,­see­Chapter­1,­“Understanding­Your­New­System.”
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i NOTE
Blood­glucose­and­bG­are­interchangeable­and­mean­the­same­thing.
Intended Use
The­Accu-Chek­Aviva­Combo­blood­glucose­monitoring­system­is­intended­for­the­quantitative­measurement­
of­blood­glucose.­The­Accu-Chek­Aviva­Combo­System­is­intended­for­self-testing­outside­the­body­(in­vitro­
diagnostic­use)­by­people­with­diabetes­and/or­by­professionals­in­a­clinical­setting­as­an­aid­to­effective­
diabetes­management.
The­Accu-Chek­Aviva­Combo­Meter­can­also­be­used­to­interface­with­and­remotely­control­compatible­
Accu-Chek­insulin­infusion­pumps­via­Bluetooth­wireless­technology­(radio­frequency­communication).
The­Accu-Chek­Aviva­Combo­Meter­is­also­indicated­for­the­management­of­diabetes­by­calculating­an­insulin­
dose­or­carbohydrate­intake­based­on­user-entered­data.
Suitable­for­self-testing
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The­system­includes:
• Accu-Chek Aviva Combo Meter with three AAA batteries (already inserted)
• Accu-Chek Aviva Test Strips and pre-inserted activation chip
• Accu-Chek Aviva Control Solution
w WARNING
•­­Any­object­coming­into­contact­with­human­blood­is­a­potential­source­of­infection­(see:­Clinical­and­
Laboratory­Standards­Institute:­Protection­of­Laboratory­Workers­from­Occupationally­Acquired­Infections;­
Approved­Guideline­–­Third­Edition;­CLSI­document­M29-A3,­2005).
•­­Choking­hazard.­Small­parts.­Keep­away­from­children­under­the­age­of­3­years.
Why Regular Blood Glucose Testing Is Important
Testing­your­blood­glucose­regularly­can­make­a­big­difference­in­how­you­manage­your­diabetes­every­day.­
We­have­made­it­as­simple­as­possible.
Important Information About Your New Meter
•­­The­meter­is­designed­for­testing­fresh­whole­blood­samples­(for­example,­blood­from­your­fingertip­or­
forearm).­The­meter­is­for­outside­the­body­(in­vitro)­use.­It­should­not­be­used­to­diagnose­diabetes.
•­This­meter­requires­Accu-Chek­Aviva­Test­Strips.­Other­test­strips­will­give­inaccurate­results.
•­The­meter­comes­with­the­time­and­date­preset.­You­may­need­to­change­the­time­to­your­time­zone.
•­­If­you­have­followed­the­steps­in­this­booklet­but­still­have­symptoms­that­do­not­seem­to­match­your­test­
results,­or­if­you­have­questions,­talk­to­your­healthcare­professional.
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1
1
Understanding Your New System
1.1­Overview­
1.2­­The­Accu-Chek­Aviva­Combo­Meter­at­a­Glance­
1.3­­The­Accu-Chek­Spirit­Combo­Insulin­Pump­at­a­Glance­
1.4­Summary­of­Features­
1.5­Screen­Content­and­Navigation­
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30
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1.1 Overview
Your­new­meter­has­several­features­to­assist­you­in­managing­your­diabetes.­It­is­important­you­understand­
the­features­and­how­to­operate­the­meter­correctly.
i NOTE
•­­This­booklet­shows­sample­screens.­The­screens­in­this­booklet­may­look­slightly­different­from­the­
screens­on­the­meter.­If­you­have­any­questions­about­the­meter­screens,­contact­Roche.
•­­On­the­meter­display,­the­activation­chip­is­referred­to­as­a­code­key.­Code­key­and­activation­chip­are­
interchangeable­and­mean­the­same­thing.
•­Blood­glucose­and­bG­are­interchangeable­and­mean­the­same­thing.
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1
1.2 The Accu-Chek Aviva Combo Meter at a Glance
Infrared (IR) Window
Display
Transfers­data­from­the­
meter­to­a­computer
Shows­menus,­results,­
messages,­and­data­stored­in­
the­diary
Activation Chip Slot
Buttons
Activation­chip­is­­
pre-inserted­here
Press­to­enter­menus­or­the­
diary,­adjust­settings,­and­
scroll­through­results
Battery Door
Remove­the­battery­door­
by­pushing­the­tab­and­
pulling­up­the­door
Left/Right Soft Keys
Press­to­select­the­menu­or­
option­above­the­key
Power On/Off Button
Press­to­turn­the­meter­on
or­off
Test Strip Slot
Insert­golden­end­of­test­strip­
here
Backlight Button
Press­to­adjust­the­backlight­level
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Batteries
Insert­batteries­according­to­the­+­and­-­symbols­in­
the­battery­compartment.
Test Strip
Yellow­Window­Touch­blood­drop­or­
control­solution­here.­
Golden­End­-­
Insert­this­end­of­the­test­
strip­into­the­meter.­
Control Solution Bottle
(for­example)
Test Strip Container
(for­example)
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1
Top View
Infrared­(IR)­Window
Activation Chip
(for­example)
Side View
Pre-inserted­activation­chip
i NOTE
Your­meter­is­already­coded­and­comes­with­a­pre-inserted­black­activation­chip­that­you­never­need­
to­change.­Even­if­you­use­test­strips­from­boxes­that­contain­another­activation­chip­that­is­a­different­
color­or­has­different­numbers,­you­never­need­to­change­the­black­activation­chip­again.
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The­meter­has­seven­buttons­and­two­soft­keys.
Left Soft Key
Right Soft Key
Up Arrow
Right Arrow
Enter
Down Arrow
Left Arrow
Backlight
Power On/Off
i NOTE
•­­You­hear­a­sound­every­time­an­active­button/soft­key­is­pressed­unless­you­turned­off­the­key­sound.­
•­­Press­+­or­insert­a­test­strip­to­turn­on­the­meter.­If­the­meter­displays­the­Time/Date­screen,­make­
the­necessary­changes­and­select­Save.
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1
Table of Buttons and Soft Keys
Button
<
>
x
z
,
.
=
Name
Function
Left­Arrow
jMove­or­scroll­to­the­left­in­a­screen.
Right­Arrow
jMove­or­scroll­to­the­right­in­a­screen.
Up­Arrow
jMove­or­scroll­up­in­a­screen.
Down­Arrow
jMove­or­scroll­down­in­a­screen.
Left­Soft­Key
jSelect­the­option­above­the­key­on­the­display.
Right­Soft­Key jSelect­the­option­above­the­key­on­the­display.
Enter
jSelect­a­menu­or­option.
jSave­changes­and­exit­the­entry­field.
*
Backlight
jAdjust­the­backlight­level­(low,­medium,­high).­
j­Turn­Bluetooth­wireless­technology­on­and­off­(press­and­hold­*­in­the­
BLUETOOTH­screen).­
+
Power­On/Off
jTurn­the­meter­on­and­off.
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Table of Button Combinations
Button Combination
Name
Function
When­the­buttons­are­locked,­press­and­
hold­,and­.until­the­Main­Menu­
appears.
Unlock­Keys
jUnlocks­the­buttons.
With­the­meter­turned­off,­press­and­hold­ Meter/Pump­
*­and­then­press­+.
Pairing
jBegins­meter­and­pump­pairing.­
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1
1.3 The Accu-Chek Spirit Combo Insulin Pump at a Glance
Up Key
Menu Key
Moves­forward­in­an­information­
screen,­increases­a­setting,­turns­
on­the­backlight,­programmes­
a­Quick­Bolus,­cancels­a­Quick­
Bolus,­and­turns­off­the­STOPWarning
Cycles­through­menus,­
functions,­and­information­
screens
OK Key
Selects­current­settings­
displayed­on­screen,­saves­
changes,­exits­a­screen,­and­
allows­the­user­to­view­the­
QUICK­INFO­screen
Display
Shows­menus,­messages,­
and­data­stored­in­the­pump­
memory
Down Key
Holds­insulin
Moves­backward­in­an­information­
screen,­decreases­a­setting,­
programmes­a­Quick­Bolus,­
cancels­a­Quick­Bolus,­and­turns­
off­the­STOP-Warning
Adapter
Infusion Set
Cartridge
Connects­the­cartridge­to­the­
infusion­set
Connects­the­pump­to­your­body­to­
deliver­insulin
For information about the pump, see the Accu-Chek Spirit Combo Insulin Pump User Guide.
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1.4 Summary of Features
Display
The­meter­has­a­full-colour­graphic­LCD­(Liquid­Crystal­Display)­that­displays­current­and­historical­
information.
Backlight
•­The­backlight­helps­you­read­the­information­on­the­meter­display­under­different­lighting­conditions.­
•­When­the­meter­is­turned­on,­the­backlight­is­set­to­the­medium­level.­
•­Adjust­the­backlight­level­by­pressing­and­releasing­the­backlight­button.­
•­The­backlight­adjusts­from­low,­to­medium,­to­high,­and­back­to­low­again.­
•­­If­set­to­the­medium­or­high­level­and­the­buttons­are­not­pressed­for­about­15­seconds,­the­backlight­
returns­to­the­low­level­to­save­power.­
•­When­the­meter­returns­to­the­low­level,­pressing­any­button­restores­the­previous­backlight­level.­
•­For­more­information­about­backlight­settings,­see­Chapter­5,­“Changing­Meter­Settings.”­
•­For­more­about­power-saving­tips,­see­Chapter­7,­“Care­and­Maintenance.”
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1
Key Lock
•­The­key­lock­feature­allows­you­to­lock­all­of­the­buttons­on­the­meter,­except­for­the­power­on/off­button.­
•­The­key­lock­serves­as­a­safety­measure­against­unintentional­activation­of­meter­functions.
•­For­more­information,­see­Chapter­5,­“Changing­Meter­Settings.”
Signal Settings
•­The­meter­communicates­reminders,­warnings,­and­errors­using­sounds­and­vibrations.­
•­For­more­information,­see­Chapter­6,­“Icons,­Reminders,­Warnings,­and­Errors.”­
Blood Glucose Test
Your­new­meter­allows­you­to­enter­detailed­information­for­each­blood­glucose­test­to­include:
•­Meal­time­(pre-meal,­post-meal,­bedtime,­or­other)
•­Carbs­(the­amount­of­carbohydrates­you­are­intending­to­eat)
•­Health­events­(fasting,­exercise­1,­stress,­illness,­exercise­2,­or­premenstrual).­
If­bolus­advice­is­set­up­on­the­meter­and­the­meter­recently­communicated­with­the­pump,­the­amount­of­
active­insulin­is­displayed­on­the­detailed­bG­Result­screen.
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Bolus Advice (Optional)
•­­The­term­“bolus”­refers­to­the­delivery­of­insulin­all­at­once­rather­than­slowly­throughout­the­day,­usually­
used­to­compensate­for­meals­or­high­blood­glucose.­
•­­Bolus­advice­calculates­a­bolus­for­you­that­is­adapted­to­the­time­of­day­and­your­changing­situations.­
•­­This­function­is­activated­only­if­you­set­up­bolus­advice­on­the­meter.­
•­­For­instructions­on­how­to­set­up­bolus­advice,­see­Chapter­5,­“Changing­Meter­Settings.”
w WARNING
­ efore­setting­up­bolus­advice,­it­is­very­important­to­read­all­of­the­safety­information­in­the­Advanced­
B
Owner’s­Booklet.
Using the Meter with the Pump
•­The­meter­can­communicate­with­and­remotely­control­your­pump.­
•­­Pump­information­is­automatically­downloaded­to­the­meter­when­Bluetooth­wireless­technology­is­
activated.
•­The­meter­must­be­paired­with­the­pump.­
•­For­more­information,­see­the­Advanced­Owner’s­Booklet.
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1
Administering a Bolus
Using­your­new­meter,­you­can­deliver­a­bolus:
•­Remotely­on­your­pump­using­Bluetooth­wireless­technology
•­Using­the­bolus­advice­feature­on­the­meter
•­Independently­on­your­pump
•­Using­an­insulin­pen­or­syringe
My Data
•­Your­new­meter­stores­1,000­records­in­the­diary.­
•­You­can­view,­modify,­or­add­information­to­your­diary.­
•­­You­can­view­blood­glucose­test­averages,­trends,­standard­day,­standard­week,­and­target­tables­and­
graphs­of­the­data­in­the­diary.­
•­You­can­view­the­data­in­graph­or­table­format­for­the­last­7,­14,­30,­60,­or­90­days.­
•­For­more­information,­see­Chapter­4,­“Managing­Your­Data.”
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Data Transfer
•­You­can­transfer­your­data­stored­on­the­meter­to­a­computer.­
•­For­more­information,­see­Chapter­4,­“Managing­Your­Data.”
Warning Limits for Hyper and Hypo Blood Glucose Levels
•­­You­can­select­hyper­(high)­and­hypo­(low)­blood­glucose­limits­that­best­fit­your­needs.­Whenever­a­blood­
glucose­test­result­is­above­or­below­this­range,­the­meter­displays­a­warning.­
•­­In­addition,­Trend­Graph­screens­indicate­the­hypo­warning­limit­when­displaying­your­blood­glucose­test­
results.­For­more­information,­see­Chapter­4,­“Managing­Your­Data.”­
•­­The­meter­has­default­warning­limits­that­can­be­adjusted.­For­more­information,­see­Chapter­5,­“Changing­
Meter­Settings.”
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Time Blocks
•­Time­blocks­allow­you­to­divide­a­day­into­different­time­periods.
•­­Setting­time­blocks­to­fit­your­own­schedule­helps­you­and­your­healthcare­professional­see­how­patterns­in­
your­blood­glucose­are­affected­by­your­daily­activities­and­lifestyle.­
•­Time­blocks­can­be­set­up­with­or­without­bolus­advice.­
•­­Talk­to­your­healthcare­professional­about­the­best­way­to­set­up­your­time­blocks­to­assist­you­in­managing­
your­diabetes.­
•­The­meter­has­five­default­time­blocks.­
•­You­may­set­up­to­eight­time­blocks.­
•­For­more­information,­see­Chapter­5,­“Changing­Meter­Settings.”­
1
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Without­bolus­advice,­you­need­to­consider­the­following­when­setting­up­time­blocks:
•­Determine­the­appropriate­time­range­by­reviewing­the­end­time­for­each­time­block.
•­Review­the­acceptable­blood­glucose­target­range­(low­and­high)­for­each­time­block.­
With­bolus­advice,­you­need­to­consider­the­following­when­setting­up­time­blocks:
•­Determine­the­appropriate­time­range­by­reviewing­the­end­time­for­each­time­block.
•­Review­the­acceptable­blood­glucose­target­range­(low­and­high)­for­each­time­block.­
•­­Determine­your­carb­ratio­(the­amount­of­insulin­needed­to­cover­a­given­amount­of­carbohydrates)­for­each­
time­block.
•­­Determine­your­insulin­sensitivity­(the­amount­of­insulin­needed­to­lower­your­blood­glucose­by­a­given­
amount)­for­each­time­block.
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1
Health Events
Health­events­can­be­selected­to­indicate­how­you­are­feeling­or­what­you­are­doing­that­might­affect­your­
diabetes.­The­meter­allows­you­the­option­of­setting­a­percentage­for­each­health­event­if­you­set­up­bolus­
advice.­
Health­events­available­on­the­meter­are:
•­Fasting
•­Exercise­1
•­Stress
•­Illness
•­Exercise­2
•­Premenstrual
Fasting­does­not­scale­bolus­advice­calculations­and­is­not­adjustable.­Discuss­the­appropriate­percentage­
for­each­health­event­with­your­healthcare­professional.­For­instructions­on­how­to­set­up­bolus­advice,­see­
Chapter­5,­“Changing­Meter­Settings.”
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Blood Glucose Test Reminders (Optional)
The­meter­can­be­set­up­to­remind­you­to­retest­your­blood­glucose­after­a­high­blood­glucose­test­result,­
after­a­low­blood­glucose­test­result,­or­after­a­meal.
An­after­high­blood­glucose­test­reminder­example:
•­­The­meter­is­set­up­with­a­high­bG­threshold­level­of­13.3­mmol/L­and­with­a­reminder­time­of­60­minutes.
•­­You­have­a­blood­glucose­test­result­higher­than­13.3­mmol/L,­perhaps­15.0­mmol/L.
•­In­60­minutes,­the­meter­reminds­you­to­perform­another­blood­glucose­test.­
The­after­meal­bG­test­reminder­is­set­up­with­a­carb­value­and­occurs­when­the­carb­value­exceeds­the­
snack­size.­Any­of­these­blood­glucose­test­reminders­can­be­turned­on­or­off­individually,­as­needed.­For­
more­information,­see­Chapter­5,­“Changing­Meter­Settings.”
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Alarm Clock Reminders
•­­The­meter­has­alarm­clock­reminders­which­can­be­used­as­a­helpful­way­to­remind­you­when­to­test­
throughout­the­day.­
•­In­addition­to­“bG­Test,”­you­can­set­reminders­for­“Other”­for­any­other­daily­reminder.­
•­You­can­set­up­to­eight­reminders­per­day.­
•­For­more­information,­see­Chapter­5,­“Changing­Meter­Settings.”
1
Date Reminders
•­­The­meter­can­be­set­up­to­remind­you­of­upcoming­appointments­or­dates,­such­as­a­“Dr.­Visit,”­­
a­“Lab­Test,”­or­an­“Infusion­Set­Change.”­
•­For­more­information,­see­Chapter­5,­“Changing­Meter­Settings.”
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1.5 Screen Content and Navigation
This­section­provides­an­explanation­of­how­to­understand­and­navigate­the­screens­on­the­meter.
Each­time­the­meter­is­turned­on,­this­splash­screen­(Accu-Chek­logo­screen)­is­displayed­for­a­short­
period­of­time.­
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1
Features on the Main Menu:
Sound Icon
Appears­when­the­beeper­is­
turned­on
Time
Menu Options
Vibrate Icon
Appears­when­vibrate­is­turned­on
Date
Low Battery Icon
Appears­when­the­meter­batteries­are­low
Bluetooth Wireless Technology Icon
Indicates­whether­the­Bluetooth­wireless­
technology­is­on,­off,­or­connecting
i NOTE
•­­To­select­an­item­on­a­menu,­press­x­or­z­to­highlight­(blue)­the­menu­item­and­then­press­=.­
•­­When­using­the­meter­to­remotely­control­your­pump,­the­buttons­of­the­meter­have­differing­
functions.­For­more­information,­see­the­Advanced­Owner’s­Booklet.
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Bluetooth Wireless Technology Icon Communication States
You­may­turn­Bluetooth­wireless­technology­on­or­off­at­any­time­using­the­meter.
Icon
Communication State
Bluetooth­wireless­technology­is­on.­The­meter­and­pump­are­communicating.
Bluetooth­wireless­technology­is­off.­The­meter­and­pump­are­not­communicating.
Bluetooth­wireless­technology­is­on.­However,­the­meter­and­pump­are­not­communicating.
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1
Connecting to the Pump screen:
This­screen­appears­when­Bluetooth­wireless­technology­is­on­and­the­meter­is­connecting­to­the­pump.
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Features on a screen:
Title Bar
Primary­menu­title­is­displayed­
here.
Secondary Title Bar
When­necessary,­a­secondary­
title­bar­appears.­Secondary­
menu­text­is­displayed­here.
Left Soft Key Option
Press­,­to­select­the­option­
above­the­button­on­the­screen.
Highlighted Option
When­a­menu­choice­or­item­
is­selected,­it­is­highlighted­in­
blue.
Scroll Bar
If­there­is­more­information­
available­than­fits­on­the­screen,­
a­vertical­scroll­bar­appears­on­
the­right­side­of­the­screen.
Right Soft Key Option
Press­.­to­select­the­option­
above­the­button­on­the­screen.
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Information­can­be­entered­on­some­screens.­Numerical­entry­fields­appear­as­pop-up­entry­fields.­When­
an­option­must­be­selected,­it­appears­as­a­pop-up­menu.
•­To­open­a­pop-up­menu­or­entry­field,­press­=.
•­­Press­x­or­z­to­select­the­appropriate­pop-up­menu­option­or­until­the­correct­numerical­entry­is­
present,­and­then­press­=.
•­Press­and­hold­x­or­z­to­scroll­faster.
1
Pop-Up Entry Field
Pop-Up Menu
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General Navigation Steps
To­change­the­settings­or­enter­information­into­the­meter:
1.
j­­Press­x­or­z­to­select­a­menu­option­and­press­=.
j­­Repeat­the­previous­step­as­necessary.
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2.
3.
1
4.
j­­Select­Save­by­pressing­.­to­
save­changes­and­return­to­the­
previous­screen.
j­­Press­x­or­z­or­<­or­>­to­
select­an­option­or­a­desired­
entry­field­and­press­=.
j­­Press­x­or­z­to­select­the­
desired­entry­and­press­=.
j­­Repeat­Steps­2­and­3,­as­
necessary.
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2
2
Testing Your Blood Glucose
2.1­Overview­
2.2­­Using­the­Accu-Chek­Aviva­Combo­System­
2.3­Performing­a­Blood­Glucose­Test­­
2.4­Detailed­Blood­Glucose­Test­Results­
2.5­­Understanding­Blood­Glucose­Test­Results­
2.6­Unusual­Blood­Glucose­Test­Results­
2.7­­Symptoms­of­High­or­Low­Blood­Glucose­
40
41
42
49
53
57
58
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2.1 Overview
It­is­important­to­understand­how­to­perform­a­blood­glucose­test­properly.
i NOTE
Blood­glucose­and­bG­are­interchangeable­and­mean­the­same­thing.
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2
2.2 Using the Accu-Chek Aviva Combo System
Before You Start Testing
•­Only­use­Accu-Chek­Aviva­Test­Strips.
•­Store­the­unused­test­strips­in­their­original­container.
•­Immediately­after­you­take­out­a­test­strip,­securely­close­the­container.­This­helps­keep­the­test­strips­dry.
•­Use­the­test­strip­immediately­after­you­take­it­out­of­the­container.
•­Be­sure­to­check­the­use­by­date­on­the­test­strip­container.­Do­not­use­the­test­strips­after­the­use­by­date.
•­­Store­the­test­strip­container­and­the­meter­in­a­cool,­dry­place,­such­as­a­bedroom.­Do­not­freeze.­Refer­to­
the­test­strip­package­insert­for­specifications­on­storage­conditions.
•­Use­test­strips­at­temperatures­within­the­range­indicated­in­the­test­strip­package­insert.
•­Do­not­apply­blood­or­control­solution­to­the­test­strip­before­you­insert­it­into­the­meter.
w WARNING
Do­not­store­test­strips­in­high­heat­and­moisture­areas­(bathroom­or­kitchen).­Heat­and­moisture­can­
damage­the­test­strips.
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2.3 Performing a Blood Glucose Test
Before­you­perform­your­first­blood­test,­ensure­the­meter­is­set­up­correctly­and­that­you­perform­a­control­
test.­You­need­the­meter­with­a­pre-inserted­activation­chip,­a­test­strip,­and­a­finger­pricker.
w WARNING
•­­Do­not­change­your­treatment­because­of­one­blood­glucose­test­result.
•­NEVER­ignore­symptoms­of­high­or­low­blood­glucose.
i NOTE
If­you­need­to­perform­a­control­test,­only­use­Accu-Chek­Aviva­Control­Solutions.­See­Chapter­3,­“Control­
Testing”­for­more­information­about­control­testing.
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2
Performing a Fingertip Blood Glucose Test
Prepare > Check the Use By Date > Insert Test Strip > Test Blood Sample > bG Test Result
1.
2.
3.
j­­Check­the­use­by­date­date­on­
the­test­strip­container.­Do­not­
use­test­strips­past­the­use­
by­date.
j­­Insert­the­golden­end­of­a­
test­strip­into­the­meter­in­the­
direction­of­the­arrow.­The­
meter­turns­on.
j­­Wash­and­dry­your­hands.­
j­­Prepare­the­finger­pricker­for­a­
fingertip­test.
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4.
5.
6.
The­Apply­Sample­screen­
appears.­The­test­strip­is­ready­
for­testing.
Fingerstick:
j­­Perform­a­fingerstick­with­the­
finger­pricker.­
Fingerstick:
j­­Gently­squeeze­your­finger­to­
assist­the­flow­of­blood.­This­
helps­you­get­a­blood­drop.
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7.
8.
9.
When­the­test­strip­has­enough
blood,­the­Analyzing­screen
appears.
The­result­appears­on­the­
display.­
2
j­­Touch­the­blood­drop­to­the­
front edge­of­the­yellow­
window­of­the­test­strip.­Do­
not­put­blood­on­top­of­the­test­
strip.
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10.
Approximately­3­seconds­later,­
the­detailed­bG­Result­screen­
appears.
j­­Remove­and­discard­the­used­
test­strip.
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2
i NOTE
•­If­the­blood­drop­is­too­small,­reapply­pressure­to­get­a­sufficient­blood­drop.­
•­­For­more­information­regarding­blood­glucose­test­results,­see­Section­2.5,­“Understanding­Blood­
Glucose­Test­Results.”
•­­To­add­detailed­information­to­the­blood­glucose­test­(meal­time,­carbs,­and­health­events)­see­­
Section­2.4,­“Detailed­Blood­Glucose­Test­Results.”­
•­­If­a­test­strip­error­occurs,­remove­and­discard­the­used­test­strip­and­repeat­the­test­with­a­­
new­test­strip.
•­Be­careful­not­to­put­any­fluids­into­the­test­strip­slot.
•­The­meter­cannot­be­turned­off­when­the­following­screens­are­displayed:
•­Match­Code­to­Vial
•­Apply­Sample
•­Analyzing
•­bG­Result
•­­When­a­test­strip­is­in­the­meter,­the­buttons­are­inactive.­The­buttons­become­active­when­you­remove­
the­test­strip­or­when­the­test­is­complete.
•­The­meter­turns­off­automatically­in­approximately­2­minutes­if­no­buttons­are­pressed.
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i NOTE
Other ways to start a blood glucose test:
•­From­the­Main­Menu,­select­bG­Test­and­press­=.­Insert­a­test­strip­into­the­meter.
•­When­a­reminder­notification­or­the­key­lock­icon­is­displayed,­insert­a­test­strip­into­the­meter.
•­­From­the­Main­Menu,­select­Bolus­Advice­and­press­=.­If­“bG­Test”­is­displayed­instead­of­an­actual­
blood­glucose­value,­then­you­can­start­a­blood­glucose­test­by­selecting­bG­Test.­If­an­actual­blood­
glucose­value­is­displayed,­then­you­cannot­start­a­blood­glucose­test­using­this­process.
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2
2.4 Detailed Blood Glucose Test Results
The­detailed­bG­Result­screen­displays­the­following­information:
Test Time
Meal Time
Carbohydrates
Health Event
Active Insulin
Status Bar
Blood Glucose Test Result
Unit of Measure
Displayed­only­if­bolus­
advice­is­activated­and­
data­has­recently­been­
read­from­the­pump.
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Detailed bG Results > Change Meal Time/Carbs/Health Events (Optional)
The­detailed­bG­Result­screen­allows­you­to­view­and­to­add­information­to­a­blood­glucose­test­result.
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2
How to Add Information to a Blood Glucose Result
To Change Meal Time:
j­­Select­the­Meal­Time­entry­
field­and­press­=.
j­­Select­either­Pre­Meal,­
Post­Meal,­Bedtime,­or­Other­
and­press­=.
To Change Carbs:
j­­Select­the­Carbs­entry­field­
and­press­=.
j­­Set­the­number­of­carbs­and­
press­=.
To Change Health Events:
j­­Select­the­Health­entry­field­
and­press­=.­
j­­Select­either­Fasting,­
Exercise­1,­Stress,­Illness,­
Exercise­2,­or­Premenstrual­
and­press­=.­
Active Insulin Display:
The­meter­displays­the­
calculated­amount­of­Active­
Insulin.
To save the changes and exit
the detailed bG Result screen:
j­­To­return­to­the­Main­Menu,­
select­Menu.
j­­To­proceed­to­the­Bolus­Advice­
screen,­select­Bolus.
Bolus Advice is not available
if:
j­­The­blood­glucose­test­result­is­
below­the­hypo­warning­limit.
j­­The­detailed­bG­Result­screen­
has­been­displayed­for­more­
than­5­minutes.­The­warning­
message­“Bolus­Advice­
Timeout”­is­displayed.­Select­
OK­to­return­to­the­detailed­bG­
Result­screen.
For­more­information­about­
bolus­advice,­see­the­Advanced­
Owner’s­Booklet.
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i NOTE
•­You­can­add­information­on­the­detailed­bG­Result­screen­for­meal­time,­carbs,­and­health­events.
•­­Review­and,­if­necessary,­update­information­for­meal­time,­carbs,­and­health­events­to­receive­an­
accurate­bolus­recommendation.
•­­Active­insulin­is­bolus­insulin­that­has­been­given­to­lower­your­blood­glucose,­but­has­not­yet­been­­
fully­used.­
•­Active­insulin­appears­only­if­bolus­advice­is­activated.­
•­­Calculation­of­the­amount­of­the­active­insulin­is­completed­automatically­by­the­meter.­If­necessary,­
the­meter­rounds­the­active­insulin­amount.
•­If­the­active­insulin­amount­is­calculated­as­zero,­then­the­value­is­displayed­as­0.
•­If­active­insulin­data­is­not­found,­then­active­insulin­value­is­displayed­as­“---U.”
•­­If­Bolus­is­selected,­then­the­Connecting­to­the­Pump­screen­appears­before­the­Bolus­Advice­screen­­
is­displayed.
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2
2.5 Understanding Blood Glucose Test Results
The­bG­Result­screen­displays­the­following­information:
Test Time
Blood Glucose
Test Result
Test Date
Status Bar
Unit of Measure
i NOTE
•­­If­the­dosed­test­strip­is­removed­from­the­meter­before­results­or­errors­are­displayed,­a­blood­glucose­
test­result­will­not­appear.
•­­After­approximately­3­seconds,­the­meter­displays­the­detailed­bG­Result­screen­(see­Section­2.4,­
“Detailed­Blood­Glucose­Test­Results”).
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Status Bar
The­status­bar­on­the­bG­Result­screen­indicates­how­the­result­compares­to­the­target­blood­glucose­range­
for­the­current­time­block.­The­following­are­status­bar­descriptions­with­sample­displays:
Green­indicates­the­result­is­
within­the­target­range­for­the­
current­time­block.
Yellow­indicates­the­result­is­
below­the­target­range­for­the­
current­time­block.­The­result­
is­not­below­the­hypo­warning­
limit.
Red­with­“Hypo”­indicates­the­
result­is­below­the­hypo­warning­
limit.
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2
Light­blue­indicates­the­result­is­
above­the­target­range­for­the­
current­time­block.­The­result­
is­not­above­the­hyper­warning­
limit.
Light­blue­with­“Hyper”­
indicates­the­result­is­above­the­
hyper­warning­limit.
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LO or HI Display
i NOTE
If­“LO”­is­displayed,­the­test­
result­may­be­below­the­
measurement­range.
j­­Contact­your­healthcare­
professional.
If­“HI”­is­displayed,­the­test­
result­may­be­above­the­
measurement­range.
j­­Contact­your­healthcare­
professional.
Blood Glucose Warnings
If­the­blood­glucose­test­
results­are­outside­the­hyper­
or­hypo­warning­limits,­or­
outside­the­measurement­
range­of­the­meter,­then­a­
warning­is­displayed­after­the­
bG­Test­Result­screen.­Select­
OK­to­acknowledge­a­warning­
and­continue.
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2
2.6 Unusual Blood Glucose Test Results
If­your­blood­glucose­result­does­not­match­the­way­you­feel,­follow­these­steps:
Troubleshooting Checks
Actions
1.­Are­the­test­strips­expired?
Discard­the­test­strips­if­they­are­past­the­use­by­date.­Repeat­
the­blood­glucose­test­with­an­unexpired­test­strip.
2.­­Has­the­cap­on­the­test­strip­container­ Replace­the­test­strips­if­you­think­the­test­strip­container­was­
always­been­closed­tightly?
uncapped­for­some­time­and­repeat­the­blood­glucose­test.
3.­­Was­the­test­strip­used­immediately­
Repeat­the­blood­glucose­test­with­a­new­test­strip.
after­it­was­removed­from­the­test­strip­
container?
4.­­Were­the­test­strips­stored­in­a­cool,­
dry­place?
Repeat­the­blood­glucose­test­with­a­properly­stored­test­strip.
5.­Did­you­follow­the­directions?
Read­Chapter­2,­“Testing­Your­Blood­Glucose”­and­repeat
the­blood­glucose­test­again.­Contact­Roche­if­you­still­have
problems.
6.­­Are­the­meter­and­test­strips­working­
properly?
Perform­a­control­test.­See­Chapter­3,­“Control­Testing”.
7.­Are­you­still­unsure­of­the­problem?
Contact­Roche.
After­performing­a­control­test­and­repeating­a­blood­glucose­test,­if­your­blood­glucose­test­results­still­do­
not­reflect­the­way­you­feel,­contact­your­healthcare­professional­immediately.
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2.7 Symptoms of High or Low Blood Glucose
Being­aware­of­the­symptoms­of­high­or­low­blood­glucose­can­help­you­understand­your­test­results­and­
decide­what­to­do­if­they­seem­unusual.­Here­are­the­most­common­symptoms:
•­­High­blood­glucose­(hyperglycaemia):­fatigue,­increased­appetite­or­thirst,­frequent­urination,­blurred­
vision,­headache,­or­general­aching.
•­­Low­blood­glucose­(hypoglycaemia):­sweating,­trembling,­blurred­vision,­rapid­heartbeat,­tingling,­or­
numbness­around­mouth­or­fingertips.
w WARNING
If­you­are­experiencing­any­of­these­symptoms,­test­your­blood­glucose.­If­your­blood­glucose­test­
result­is­displayed­as­LO­or­HI,­contact­your­healthcare­professional­immediately.
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3
3
Control Testing
3.1­Overview­
3.2­Why­Perform­Control­Tests­
3.3­About­the­Control­Solutions­
3.4­Performing­a­Control­Test­
3.5­Understanding­Control­Test­Results­
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3.1 Overview
This­chapter­describes­how­and­when­to­perform­a­control­test­to­ensure­the­accuracy­of­your­blood­glucose­
meter.­It­is­recommended­you­complete­a­control­test­prior­to­performing­a­blood­glucose­test­for­the­first­
time.
i NOTE
Blood­glucose­and­bG­are­interchangeable­and­mean­the­same­thing.
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3.2 Why Perform Control Tests
Performing­a­control­test­lets­you­know­the­meter­and­test­strips­are­working­properly­to­give­reliable­blood­
glucose­test­results.­You­should­perform­a­control­test­when:
•­You­open­a­new­test­strip­box.
•­You­left­the­test­strip­container­open.
•­You­want­to­check­the­meter­and­test­strips.
•­Your­test­strips­were­stored­in­extreme­temperatures,­humidity,­or­both.
•­You­dropped­the­meter.
•­Your­test­result­does­not­match­with­how­you­feel.
•­You­want­to­check­if­you­are­performing­the­test­correctly.
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3.3 About the Control Solutions
•­Only­use­Accu-Chek­Aviva­Control­Solutions.
•­The­meter­automatically­recognizes­the­control­solution.
•­The­control­test­results­are­not­displayed­in­the­diary.
•­­Write­the­date­you­opened­the­control­solution­bottle­on­the­bottle­label.­The­solution­is­good­for­3­months­
from­that­date­or­until­the­use­by­date­on­the­bottle­label,­whichever­comes­first.
•­Do­not­use­control­solution­that­is­past­the­use­by­date.
•­The­solution­can­stain­clothing.­If­you­spill­it,­wash­your­clothes­with­soap­and­water.
•­Close­the­bottle­tightly­after­use.
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3
3.4 Performing a Control Test
The­Control­Result­screen­displays­the­following­information:
Test Time
Control Result
Test Date
Unit of Measure
You­need­the­meter­with­a­pre-inserted­activation­chip,­a­test­strip,­and­control­solution­Level­1,­Level­2,­or­
both.­The­control­level­is­printed­on­the­bottle­label.
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Check the Use By Date > Insert Test Strip > Test Control Solution > Control Result
1.
2.
3.
j­­Check­the­use­by­date­on­the­
test­strip­container.­Do­not­
use­test­strips­past­the­use­
by­date.
j­­Insert­the­golden­end­of­a­
test­strip­into­the­meter­in­the­
direction­of­the­arrow.­The­
meter­turns­on.
The­Apply­Sample­screen­
appears.­The­test­strip­is­ready­
for­testing.
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3
4.
5.
6.
j­­Select­the­control­solution­to­
test.­You­will­enter­the­level­
later­in­the­test.
j­­Place­the­meter­on­a­flat­
surface,­like­a­table.
j­­Remove­the­control­bottle­cap.­
Wipe­the­tip­of­the­bottle­with­
a­tissue.
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7.
8.
9.
When­the­test­strip­has­enough
control­solution,­the­Analyzing
screen­appears.­
j­­Wipe­the­tip­of­the­bottle­with­a­
tissue­and­then­cap­the­bottle­
tightly.
The­control­result­appears­on­
the­display.
j­­Select­Level­to­display­the­
control­solution­level­pop-up­
menu.
j­­Squeeze­the­bottle­until­a­tiny­
drop­forms­at­the­tip.
j­­Touch­the­drop­to­the­front
edge­of­the­yellow­window­
of­the­test­strip.­Do­not­put­
control­solution­on­top­of­the­
test­strip.
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10.
11.
j­­Select­the­control­solution­level­
and­press­=.
j­­Remove­and­discard­the­test­
strip.
j­­For­information­on­
understanding­control­test­
results,­proceed­to­the­next­
section,­or­select­Menu­to­
save­this­result­and­display­the­
Main­Menu­screen.
3
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iNOTE
•­­If­a­test­strip­error­occurs,­remove­and­discard­the­used­test­strip­and­repeat­the­test­with­a­new­test­
strip.
•­Be­careful­not­to­put­any­fluids­into­the­test­strip­slot.
•­­When­the­Control­Level­screen­is­displayed­and­you­select­Cancel­without­selecting­a­control­solution­
level,­then­No­Entry­is­chosen.­The­meter­stores­the­control­test­result­along­with­No­Entry­and­then­
the­Detailed­Control­Result­screen­is­displayed.
•­­When­the­Control­Level­screen­is­displayed­and­you­turn­off­the­meter,­or­if­the­meter­auto-powers­
off,­without­selecting­a­control­solution­level,­then­No­Entry­is­chosen.­The­meter­stores­the­control­
test­result­along­with­No­Entry.
•­Other ways to start a control test:
•­­From­the­Main­Menu,­select­bG­Test.­Insert­a­test­strip­into­the­meter.
•­­When­a­reminder­notification­or­the­key­lock­icon­is­displayed,­insert­a­test­strip­into­the­meter.
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3.5 Understanding Control Test Results
The­detailed­Control­Result­screen­displays­the­following­information:
Test Time
Test Date
Control Result
Control Solution Level
Result
Unit of Measure
Menu
Within­range­or­Out­of­range
Select­Menu­to­save­
result­and­display­
Main­Menu­screen
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Example Control Results
Example
Range­(mmol/L)
Level­1­1.4-3.1
Level­2­14.2-19.1
j­­The­label­on­your­test­
strip­container­shows­the­
acceptable­ranges­for­both­
the­Level­1­and­the­Level­2­
control­solutions.­The­test­
result­you­get­should­be­inside­
this­range.­Ensure­you­select­
and­compare­the­test­result­to­
the­correct­level­of­control.­For­
the­level­selected,­the­meter­
displays­whether­the­result­
is­within­or­outside­of­the­
acceptable­range.
j­­When­the­control­test­result­
is­inside­the­range­on­the­test­
strip­container,­the­test­strips­
and­the­meter­are­working­
properly.
If­the­control­test­result­is­within­
the­acceptable­range,­“Within­
range”­appears­on­the­detailed­
Control­Result­screen.
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3
If­the­control­test­result­is­
outside­of­the­acceptable­range,­
“Out­of­range”­appears­on­the­
detailed­Control­Result­screen.
If­“HI”­is­displayed,­the­control­
test­result­may­be­above­the­
measurement­range.
If­“LO”­is­displayed,­the­control­
test­result­may­be­below­the­
measurement­range.
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If­the­meter­stored­No­Entry­for­
the­control­solution­level,­then­
“---”­appears­with­no­indication­
of­in­or­out­of­range.
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3
Out-of-Range Control Test Results
If­the­control­test­result­is­out­of­range,­check­this­list­to­help­solve­the­problem:
Troubleshooting Checks
Actions
1.­­Were­either­the­test­strips­or­control­solutions­
expired?
Discard­the­test­strips­or­control­solutions­if­either­is­
past­the­use­by­date.­If­the­control­solution­was­
opened­more­than­3­months­ago,­discard­it.­Repeat­
the­control­test­with­an­unexpired­test­strip­and­an­
unexpired­control­solution.
2.­­Did­you­wipe­the­tip­of­the­control­solution­bottle­ Wipe­the­tip­of­the­bottle­with­a­tissue.­Repeat­the­
before­use?
control­test­with­a­new­test­strip­and­a­fresh­drop­of­
control­solution.
3.­­Were­the­caps­on­the­test­strip­container­and­the­ Replace­the­test­strips­or­control­solutions­if­you­
control­solution­bottle­always­closed­tightly?
think­either­was­uncapped­for­some­time­and­repeat­
the­control­test.
4.­­Was­the­test­strip­used­immediately­after­it­was­
removed­from­the­test­strip­container?
Repeat­the­control­test­with­a­new­test­strip­and­a­
fresh­drop­of­control­solution.
5.­­Were­the­test­strips­and­control­solutions­stored­in­ Repeat­the­control­test­with­a­properly­stored­test­
a­cool,­dry­place?
strip­and­control­solution.
6.­Did­you­follow­the­directions?
Read­Chapter­3,­“Control­Testing”­and­repeat­the­
control­test.­Contact­Roche­if­you­still­have­problems.
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Troubleshooting Checks
Actions
7.­­Did­you­choose­the­correct­control­solution­level,­ If­you­chose­the­wrong­control­solution­level,­you­
either­1­or­2,­when­you­performed­the­control­test? can­still­compare­the­control­result­to­the­range­
printed­on­the­test­strip­container.
8.­­Are­you­still­unsure­of­the­problem?
Contact­Roche.
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4
4
Managing Your Data
4.1­Overview­
4.2­Viewing­or­Modifying­Your­Data­
4.3­Adding­New­Data­
4.4­Reporting­Your­Data­
4.5­Downloading­Your­Data­to­a­Computer­
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4.1 Overview
Analyzing­your­blood­glucose­test­results­stored­in­the­meter­is­an­effective­way­for­you­and­your­healthcare­
professional­to­determine­how­well­you­are­controlling­your­diabetes.­This­analysis­is­a­valuable­tool­for­
making­improvements­to­your­diabetes­management.­The­reports­the­meter­displays­help­you­get­the­most­
from­your­Accu-Chek­Aviva­Combo­Meter.
From­the­diary­records­stored­in­the­meter,­you­are­able­to­view­a­specific­blood­glucose­test­record­with­its­
attributes­(e.g.,­meal­time,­carbs,­health­event,­and­bolus).­In­addition,­for­a­specific­diary­record,­you­are­able­
to­change­or­add­to­its­attributes.
The­meter­generates­reports,­such­as­blood­glucose­averages­with­standard­deviations­for­the­time­period­
you­select­(e.g.,­the­past­7­days­or­the­past­30­days).­Graphs­can­be­a­good­way­to­view­your­blood­glucose­
test­results.­The­meter­can­display­a­line­graph­to­depict­blood­glucose­record­trends,­a­graph­showing­result­
ranges­for­a­standard­day­or­a­standard­week,­and­a­pie­chart­with­different­colours­to­illustrate­the­amount­
of­test­results­within,­above,­or­below­your­blood­glucose­target­range.
i NOTE
•­­You­must­be­the­only­user­of­the­meter­because­the­diary­data­will­be­incorrect­if­the­meter­is­shared.
•­Blood­glucose­and­bG­are­interchangeable­and­mean­the­same­thing.
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4
Storing Test Results
The­meter­automatically­stores­up­to­1,000­diary­records­with­the­time­and­date.­You­can­review­up­to­­
250­diary­records­on­the­meter­or­up­to­1,000­diary­records­using­a­computer­with­compatible­software.­
Diary­records­are­stored­from­the­newest­to­the­oldest.­It­is­very­important­to­have­the­correct­time­and­
date­set.­Having­the­correct­time­and­date­setting­helps­ensure­accurate­interpretation­of­blood­glucose­test­
results­by­you­and­your­healthcare­professional.
Each­diary­record­can­contain:
•­Date­and­time
•­Blood­glucose­test­result
•­Meal­time­(events)
•­Carbs
•­Health­event
•­Bolus­type
•­Bolus­amount
You­can­display­filtered­diary­data­in­graphical­or­table­format.
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i NOTE
•­­Do not change your therapy based on one individual record or test result in the diary.
•­­This­chapter­shows­sample­screens.­The­screens­may­look­slightly­different­from­the­screens­on­the­
meter.­If­you­have­any­questions­about­the­meter­screens,­contact­Roche.
•­­The­information­in­the­diary­is­saved­when­you­replace­the­batteries.­You­need­to­check­the­time­and­
date­after­you­replace­the­batteries.­For­more­information­on­changing­the­batteries,­see­Chapter­7,­
“Care­and­Maintenance.”
•­­Once­1,000­records­are­in­the­diary­memory,­adding­a­new­record­causes­the­oldest­diary­record­to­
be­deleted.
•­The­control­results­are­stored­in­memory,­but­cannot­be­reviewed­on­the­meter.
•­­Before­reviewing­diary­records­or­control­results­with­software,­the­stored­diary­records­must­first­be­
downloaded­to­a­compatible­software­application.­For­product­availability,­please­contact­Roche.­
•­Control­results­are­not­used­in­any­report­or­graph.
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4
4.2 Viewing or Modifying Your Data
The­View­Data­screen­displays­the­following­information:
Date of Record(s)
Carbs Icon
Time of Blood
Glucose Test
Unit of Measure
Blood Glucose Test
Icon
Meal Time Icon
Blood Glucose Test Result
Appropriate Bolus Icon
Select View
Change­meter­display­between­blood­
glucose,­bolus,­and­carbs­views.
Health Event Icon
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i NOTE
•­­If­data­are­not­available,­the­No­Data­Available­screen­is­displayed.
•­­The­View­Data­screen­displays­the­records­in­the­order­in­which­they­occurred­with­the­most­recent­
record­shown­on­top.
•­For­the­blood­glucose­test­result:
•­“HI”­is­displayed­if­the­test­result­is­above­the­measurement­range.
•­“LO”­is­displayed­if­the­test­result­is­below­the­measurement­range.
•­The­blood­glucose­test­result­is­blank­if­a­blood­glucose­test­value­does­not­exist.
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Refer to the following two tables for icon descriptions:
Icon
Icon Name
Description
bG­Test
Icon­is­displayed­when­information­exists­for­this­diary­
record­regarding­a­blood­glucose­test.
Meal­Time
Icon­is­displayed­when­information­exists­for­this­diary­
record­regarding­meal­time.
Carbs
Icon­is­displayed­when­information­exists­for­this­diary­
record­regarding­carbs.
Health­Event
Icon­is­displayed­when­information­exists­for­this­diary­
record­regarding­health­events.
Standard­Bolus­Not­Confirmed
Delivery­has­not­been­confirmed­by­the­pump.
Standard­Bolus­Confirmed
Delivery­has­been­confirmed­by­the­pump.
Multiwave­Bolus­Not­Confirmed
Delivery­has­not­been­confirmed­by­the­pump.
Multiwave­Bolus­Confirmed
Delivery­has­been­confirmed­by­the­pump.
Extended­Bolus­Not­Confirmed
Delivery­has­not­been­confirmed­by­the­pump.
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Icon
Icon Name
Description
Extended­Bolus­Confirmed
Delivery­has­been­confirmed­by­the­pump.
Manual­Pump
Delivery­has­not­been­confirmed­by­the­pump.
Pen/Syringe­Bolus
Pump­does­not­deliver­bolus.
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You­can­view­a­diary­record­with­its­attributes­(blood­glucose­value,­meal­time,­carbs,­health­event,­and­
bolus).
4
Main Menu > My Data > View Data
1.
2.
j­­From­the­Main­Menu,­select­
My­Data­and­press­=.
j­­Select­View­Data­and­
press­=.
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3.
Blood Glucose View:
Bolus View:
Carbs View:
j­­Shown­above­are­View­Data­screens­that­display­values­for­blood­glucose,­bolus,­or­carbs.­To­choose­
another­view,­press­.­(a­pop-up­menu­appears).­Select­the­view­you­want­and­press­=.
j­­Press­x­or­z­to­view­other­records­(the­screen­scrolls­if­there­are­additional­records).
j­­To­view­or­modify­a­record’s­details,­select­the­record­and­press­=.
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4.
5.
4
i NOTE
To­cancel­changes­or­return­to­
the­View­Detail­screen,­select­
Cancel.
j­­Press­<­to­view­the­previous­
record­or­press­>­to­view­the­
next­(newer)­record.­
To return to the previous
screen, select Back.
or
To modify a diary record,
select Modify and continue to
the next step.
j­­Select­the­entry­field­to­modify­
and­press­=.
j­­Make­the­change­in­the­entry­
field­and­press­=.
j­­Modify­other­fields,­as­needed.
To save the changes and
return to the View Detail
screen, select Save.
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The following fields cannot be modified with the specified condition:
Fields
Cannot be modified if the …
Bolus
Bolus­type­is­confirmed­standard,­extended,­or­multiwave
Bolus
Blood­glucose­test­result­was­below­the­hypo­warning­limit
Meal­Time
Record­has­no­blood­glucose­value
Meal­Time,­Carbs,­Health­Event,­
and­Bolus­
Record­has­been­used­for­bolus­advice
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4
4.3 Adding New Data
You­can­add­data­to­a­diary­record­for­carbs,­health,­and­bolus.­The­Add­Data­screen­displays­the­following­
information:
Time Entry Field
Carbs Entry Field
Date Entry Field
Health Entry Field
Bolus Entry Field
Save
Appears­once­data­has­been­
entered­to­an­entry­field
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Main Menu > My Data > Add Data
1.
2.
3.
j­­From­the­Main­Menu,­select­
My­Data­and­press­=.
j­­Select­Add­Data­and­press­=.
j­­Select­an­entry­field­and­
press­=.
j­­Make­addition­in­the­entry­field­
and­press­=.
j­­Make­additions­to­other­entry­
fields,­as­needed.
To save the changes and
return to the My Data screen,
select Save.
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i NOTE
•­­The­meter­initially­displays­the­current­date­and­the­current­time.­You­can­change­the­date­and­time­
when­adding­a­diary­record,­although­the­date­and­time­cannot­be­set­in­the­future.
•­­Before­a­diary­record­can­be­saved,­data­must­be­entered­(not­including­date­and­time).­“Save”­is­not­
displayed­above­.­until­data­has­been­entered.
•­­To­cancel­changes­and­return­to­the­My­Data­screen,­select­Cancel.
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4.4 Reporting Your Data
Time Range
Meal Times
Blood Glucose Standard
Deviation
Calculated­for­the­time­range
Number of Tests
Used­to­calculate­the­averages­
and­standard­deviations
Blood Glucose Average
Calculated­for­the­time­range
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i NOTE
•­­If­data­are­not­available­to­calculate­averages,­the­No­Data­Available­screen­is­displayed.
•­­Standard­deviation­measures­how­much­the­blood­glucose­test­results­are­scattered­around­the­
blood­glucose­average.­A­low­standard­deviation­means­the­blood­glucose­test­results­are­tightly­
clustered­around­the­blood­glucose­average;­a­high­standard­deviation­means­the­blood­glucose­test­
results­are­widely­scattered­around­the­blood­glucose­average.
•­Calculations­do­not­include­corrupt­results,­control­results,­or­HI­and­LO­results.
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Reporting Your Blood Glucose Averages
The­meter­displays­your­blood­glucose­averages­and­standard­deviations­for­the­time­range­you­choose­­
(7,­14,­30,­60,­or­90­days).
Main Menu > My Data > Reports > bG Averages
1.
2.
3.
j­­From­the­Main­Menu,­select­
My­Data­and­press­=.
­­Select­Reports­and­press­=.
j­­Select­bG­Averages­and­
press­=.
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4.
4
The­blood­glucose­averages­are­
displayed.
j­­To­display­blood­glucose­
averages­for­another­time­
range­(last­7,­14,­30,­60,­or­
90­days),­press­either­<­or­>­
to­scroll­the­screen­until­you­
reach­the­time­range­you­need.
To return to the Reports
screen, select Back.
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Reporting Your Data Trends
The­meter­displays­your­blood­glucose­record­trends­for­the­time­range­you­choose­(last­8­hours,­24­hours,­
48­hours,­or­7­days).
Main Menu > My Data > Reports > Trend
1.
2.
3.
j­­From­the­Main­Menu,­select­
My­Data­and­press­=.
j­­Select­Reports­and­press­=.
j­­Select­Trend­and­press­=.
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4
Trend Graph Screen
Time Range
Bolus Icon
Meal Time Selection
Bolus Unit of Measure
Blood Glucose Unit of
Measure
Bolus Amount Indicator Value
Blood Glucose Icon
Carbs Unit of Measure
Carbs Amount Indicator Value
Times or Days of
Month
Carbs Icon
Arrow
Bolus Value
Indicates­blood­glucose­data­
extends­beyond­screen
Blue­bar:­height­shown­is­in­relation­
to­the­bolus­insulin­amount
Each Blood Glucose Value
Carb Value
Dark­orange­bar:­height­shown­is­in­
relation­to­the­carbs­amount
Connected­with­lines
Warning Limit Hypo Level
Red­horizontal­line
Time Change Icon
Only­shown­when­meter­time­has­
been­changed­for­this­data
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Follow these tips to get the most value from My Data reports:
•­­If­you­delivered­a­bolus­directly­on­the­pump,­go­to­My­Data­on­the­meter­to­receive­the­bolus­information­
automatically.­Do­this­before­your­next­blood­glucose­test.
•­­Replace­the­batteries­when­the­Low­Battery­icon­appears.­This­maintains­the­communication­between­
meter­and­pump.
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4
i NOTE
•­­If­data­are­not­available­to­display­the­trend­graph,­the­No­Data­Available­screen­is­displayed.
•­Trend­graphs­do­not­include­corrupt­results­or­control­results.
•­­Trend­graph­data­is­cleared­if­bolus­advice­data­is­cleared.
•­­If­ ­(time­change­icon)­is­shown­at­the­bottom­of­the­Trend­Graph­screen,­the­time­and­date­of­one­or­more­
data­points­in­the­trend­graph­may­not­match­the­time­stamp­in­My­Data­because­the­meter­clock­has­been­
changed.­All­times­in­the­trend­graph­show­the­data­relative­to­the­current­meter­time.
For­example:
1.­You­take­a­bG­test­and­the­value­is­stored­in­the­meter­at­9:00.
2.­The­meter­time­is­changed­ahead­1­hour.
3.­The­bG­data­on­the­trend­graph­is­shown­at­10:00.
•­­On­the­right­side­of­the­graph,­the­Maximum­Bolus­Amount­Indicator­is­a­horizontal­line­with­the­corresponding­
value­shown­above­it.­The­purpose­of­this­indicator­is­to­scale­the­top­portion­of­the­graph­for­the­Bolus­Value­
blue­bars.­The­Maximum­Bolus­Amount­Indicator­values­available­on­the­meter­are­1,­5,­15,­30,­and­60­U.­The­
indicator­displayed­is­based­on­the­single­largest­bolus­insulin­amount­delivered­for­the­time­range­chosen.­For­
example,­if­the­largest­bolus­delivered­during­the­chosen­time­range­is­8­U,­then­the­meter­will­scale­the­upper­
graph­to­be­between­0­and­15­U.
•­­On­the­right­side­of­the­graph,­the­Maximum­Carbs­Amount­Indicator­is­a­horizontal­line­with­the­corresponding­
value­shown­below­it.­The­purpose­of­this­indicator­is­to­scale­the­bottom­portion­of­the­graph­for­the­Carb­
Value­dark­orange­bars.­The­Maximum­Carbs­Amount­Indicator­values­available­on­the­meter­are­30,­60,­120,­
180,­and­240­g,­or­the­equivalent­scale­for­BE,­KE,­or­CC.­The­indicator­displayed­is­based­on­the­single­largest­
carbs­amount­for­the­time­range­chosen.­For­example,­if­the­largest­carbs­amount­for­the­chosen­time­range­is­
86­g,­then­the­meter­will­scale­the­lower­graph­to­be­between­0­and­120­g.
•­Select­Table­to­change­the­display­to­the­Table­View.­The­time­range­remains­the­same.
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Trend Graph
1.
j­­To­display­a­trend­graph­for­
another­time­range­(last­­
8­hours,­24­hours,­48­hours,­­
or­7­days),­press­x­to­highlight­
the­time­range­selection­field­
(top­of­screen).­Press­either­­
<­or­>­until­you­reach­the­time­
range­you­need.
2.
3.
j­­To­display­a­trend­graph­for­
another­meal­time­selection­
(Overall,­Pre­Meal,­Post­Meal,­
Bedtime,­or­Other),­press­
either­x­or­z­to­highlight­
the­meal­time­selection­field­
(immediately­below­the­time­
range­which­is­at­the­top­of­
the­screen).­Press­either­<­or­>­
until­you­reach­the­meal­time­
selection­you­need.
j­­Press­.­to­display­the­Table­
(proceed­to­the­next­section­
for­more­information).
To return to the Reports
screen, select Back.
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4
i NOTE
The­meter­saves­the­current­settings­(time­range,­meal­time,­and­graph­view)­when­you­select­Back­or­
when­the­meter­powers­off.
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Trend Table Screen
Time Range
Meal Time Selection
Date of Records
Blood Glucose Icon
with Blood Glucose
Unit of Measure
Carbs Icon with Carbs Unit of
Measure
Bolus Icon with the Bolus Unit
of Measure
Time Change Icon
Only­shown­when­meter­
time­has­been­changed­for­
this­data
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4
i NOTE
•­If­data­are­not­available­to­display­the­trend­table,­the­No­Data­Available­screen­is­displayed.
•­Trend­tables­do­not­include­corrupt­results­or­control­results.
•­­If­ ­(time­change­icon)­is­shown­at­the­bottom­of­the­Trend­Table­screen,­the­time­and­date­of­one­
or­more­data­points­in­the­trend­table­may­not­match­the­time­stamp­in­My­Data­because­the­meter­
clock­has­been­changed.­All­times­in­the­trend­table­show­the­data­relative­to­the­current­meter­time.
For­example:
1.­You­take­a­bG­test­and­the­value­is­stored­in­the­meter­at­9:00.
2.­The­meter­time­is­changed­ahead­1­hour.
3.­The­bG­data­on­the­trend­table­is­shown­at­10:00.
•­Trend­table­data­is­cleared­if­bolus­advice­data­is­cleared.
•­­For­a­given­record,­if­the­blood­glucose­value,­carb­value,­or­bolus­value­is­empty,­the­corresponding­
field­is­blank.
•­The­most­recent­record­is­displayed­first.
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Trend Table
1.
j­­When­there­are­multiple­
records,­press­x­or­z­to­view­
other­records.
2.
3.
j­­To­display­a­trend­table­for­
another­time­range­(last­­
8­hours,­24­hours,­48­hours,­­
or­7­days),­press­x­to­highlight­
the­time­range­selection­field­
(top­of­screen).­Press­­
either­<­or­>­until­you­reach­
the­time­range­you­need.
j­­To­display­a­trend­table­for­
another­meal­time­selection­
(Overall,­Pre­Meal,­Post­Meal,­
Bedtime,­or­Other),­press­
either­x­or­z­to­highlight­
the­meal­time­selection­field­
(immediately­below­the­time­
range­which­is­at­the­top­of­
the­screen).­Press­either­<­or­>­
until­you­reach­the­meal­time­
selection­you­need.
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4.
j­­Press­.­to­display­the­Graph­
(see­previous­section­for­more­
information).
4
i NOTE
The­meter­saves­the­current­settings­(time­range,­meal­time,­and­
table­view)­when­you­select­Back­or­when­the­meter­powers­off.
To return to the Reports
screen, select Back.
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Reporting Your Standard Day
The­meter­displays­(for­a­standard­day)­your­blood­glucose­averages,­number­of­tests,­and­standard­
deviations­within­predetermined­time­blocks­for­the­time­range­you­choose­(last­7,­14,­30,­60,­or­90­days).
Main Menu > My Data > Reports > Standard Day
1.
2.
3.
j­­From­the­Main­Menu,­select­
My­Data­and­press­=.
j­­Select­Reports­and­press­=.
j­­Select­Standard­Day­and­
press­=.
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4
Standard Day Graph Screen
Time Range
Meal Time Selection
Blood Glucose Unit of
Measure
Blood Glucose Icon
Time of Day
Warning Limit Hypo Level
Red­horizontal­line
Arrow
Indicates­blood­glucose­
average­is­off­the­top­of­the­
graph­(“X”­is­not­displayed)
Box for Each Time Block
•­­“X”­in­centre­of­box­indicates­the­
average­of­all­blood­glucose­test­
results­for­the­selected­criteria.
•­­The­top­of­the­box­indicates­1­standard­
deviation­above­the­average­and­the­
bottom­of­the­box­indicates­1­standard­
deviation­below­the­average.­The­box­
is­not­displayed­if­there­are­not­enough­
data­to­determine­standard­deviation.
•­­The­top­of­box­is­open­if­the­standard­
deviation­is­off­the­top­of­the­graph.
•­­Box­and­“X”­are­not­displayed­for­a­
time­block­if­no­data­are­found.
Ending Time of Each Time
Block
Vertical­dashed­line
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i NOTE
•­If­data­are­not­available­to­display­the­standard­day­graph,­the­No­Data­Available­screen­is­displayed.
•­The­standard­day­graph­does­not­include­corrupt­results,­control­results,­HI­values,­or­LO­values.
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4
Standard Day Graph
1.
j­­To­display­a­standard­day­
graph­for­another­time­range­
(last­7,­14,­30,­60,­or­90­days),­
press­x­to­highlight­the­time­
range­selection­field­(top­of­
screen).­Press­either­<­or­>­
until­you­reach­the­time­range­
you­need.
2.
3.
j­­To­display­a­standard­day­
graph­for­another­meal­time­
selection­(Overall,­Pre­Meal,­­
Post­Meal,­Bedtime,­or­Other),­­
press­either­x­or­z­to­
highlight­the­meal­time­
selection­field­(immediately­
below­the­time­range­which­is­
at­the­top­of­the­screen).­Press­
either­<­or­>­until­you­reach­
the­meal­time­selection­you­
need.
j­­Press­.­to­display­the­Table­
(proceed­to­the­next­section­for­
more­information).
To return to the Reports screen,
select Back.
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i NOTE
The­meter­saves­the­current­settings­(time­range,­meal­time,­and­graph­view)­when­you­select­Back­or­
when­the­meter­powers­off.
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4
Standard Day Table Screen
Time Range
Standard Deviation (SD)
Meal Time Selection
Number of Tests
Time Block
Blood Glucose Average
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i NOTE
•­If­data­are­not­available­to­display­the­standard­day­table,­the­No­Data­Available­screen­is­displayed.
•­Standard­day­table­calculations­do­not­include­corrupt­results,­control­results,­or­HI­and­LO­results.
•­­For­a­standard­deviation­to­be­displayed­for­a­given­time­block,­there­must­have­been­two­or­more­
tests­recorded­during­the­time­block.
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4
Standard Day Table
1.
j­­Press­x­or­z­to­scroll­screen.
2.
3.
j­­To­display­a­standard­day­table­
for­another­time­range­(last­7,­
14,­30,­60,­or­90­days),­press­
x­to­highlight­the­time­range­
selection­field­(top­of­screen).­
Press­either­<­or­>­until­you­
reach­the­time­range­you­need.
j­­To­display­a­standard­day­table­
for­another­meal­time­selection­
(Overall,­Pre­Meal,­Post­Meal,­
Bedtime,­or­Other),­press­­
either­x­or­z­to­highlight­
the­meal­time­selection­field­
(immediately­below­the­time­
range­which­is­at­the­top­of­
the­screen).­Press­either­<­or­>­
until­you­reach­the­meal­time­
selection­you­need.
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4.
j­­Press­.­to­display­the­Graph­
(see­previous­section­for­more­
information).
i NOTE
The­meter­saves­the­current­settings­(time­range,­meal­time,­and­
table­view)­when­you­select­Back­or­when­the­meter­powers­off.
To return to the Reports screen,
select Back.
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4
Reporting Your Standard Week
The­meter­displays­(for­a­standard­week)­your­blood­glucose­averages,­number­of­tests,­and­standard­
deviations­for­each­day­of­the­week­for­the­time­range­you­choose­(last­7,­14,­30,­60,­or­90­days).
Main Menu > My Data > Reports > Standard Week
1.
2.
3.
j­­From­the­Main­Menu,­select­
My­Data­and­press­=.
j­­Select­Reports­and­press­=.
j­­Select­Standard­Week­and­
press­=.
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Standard Week Graph Screen
Time Range
Meal Time Selection
Blood Glucose Unit of
Measure
Blood Glucose Icon
Day of Week
Warning Limit Hypo Level
Red­horizontal­line
Arrow
Indicates­blood­glucose­average­is­off­the­
top­of­the­graph­(“X”­is­not­displayed)
Box for Each Time Block
•­­“X”­in­centre­of­box­indicates­the­average­
of­all­blood­glucose­test­results­for­the­
selected­criteria.
•­­The­top­of­the­box­indicates­1­standard­
deviation­above­the­average­and­the­
bottom­of­the­box­indicates­1­standard­
deviation­below­the­average.­The­box­is­
not­displayed­if­there­are­not­enough­data­
to­determine­standard­deviation.
•­­The­top­of­box­is­open­if­the­standard­
deviation­is­off­the­top­of­the­graph.
•­­Box­and­“X”­are­not­displayed­for­a­day­if­
no­data­are­found.
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4
i NOTE
•­­If­data­are­not­available­to­display­the­standard­week­graph,­the­No­Data­Available­screen­is­
displayed.
•­The­standard­week­graph­does­not­include­corrupt­results,­control­results,­HI­values,­or­LO­values.
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Standard Week Graph
1.
j­­To­display­a­standard­week­
graph­for­another­time­range­
(last­7,­14,­30,­60,­or­90­days),­
press­x­to­highlight­the­time­
range­selection­field­(top­of­
screen).­Press­either­<­or­>­
until­you­reach­the­time­range­
you­need.­
2.
3.
j­­To­display­a­standard­week­
graph­for­another­meal­time­
selection­(Overall,­Pre­Meal,­­
Post­Meal,­Bedtime,­or­Other),­­
press­either­x­or­z­to­
highlight­the­meal­time­
selection­field­(immediately­
below­the­time­range­which­is­
at­the­top­of­the­screen).­Press­
either­<­or­>­until­you­reach­
the­meal­time­selection­you­
need.
j­­Press­.­to­display­the­Table­
(proceed­to­the­next­section­for­
more­information).
To return to the Reports
screen, select Back.
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4
i NOTE
The­meter­saves­the­current­settings­(time­range,­meal­time,­and­graph­view)­when­you­select­Back­or­
when­the­meter­powers­off.
117
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Standard Week Table Screen
Time Range
Standard Deviation (SD)
Meal Time Selection
Number of Tests
Day of Week
Blood Glucose Average
i NOTE
•­If­data­are­not­available­to­display­the­standard­week­table,­the­No­Data­Available­screen­is­displayed.
•­Standard­week­table­calculations­do­not­include­corrupt­results,­control­results,­or­HI­and­LO­results.
•­­For­a­standard­deviation­to­be­displayed­for­a­given­day­of­the­week,­there­must­have­been­two­or­
more­tests­recorded­during­the­day.
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4
Standard Week Table
1.
j­­Press­x­or­z­to­scroll­screen.
2.
3.
j­­To­display­a­standard­week­
table­for­another­time­range­
(last­7,­14,­30,­60,­or­90­days),­
select­the­time­range­selection­
field­(top­of­screen).­Press­
either­<­or­>­until­you­reach­
the­time­range­you­need.
j­­To­display­a­standard­week­
graph­for­another­meal­time­
selection­(Overall,­Pre­Meal,­­
Post­Meal,­Bedtime,­or­Other),­­
press­either­x­or­z­to­
highlight­the­meal­time­
selection­field­(immediately­
below­the­time­range­which­is­
at­the­top­of­the­screen).­Press­
either­<­or­>­until­you­reach­
the­meal­time­selection­you­
need.
119
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4.
j­­Press­.­to­display­the­Graph­
(see­previous­section­for­more­
information).
i NOTE
The­meter­saves­the­current­settings­(time­range,­meal­time,­and­
table­view)­when­you­select­Back­or­when­the­meter­powers­off.
To return to the Reports
screen, select Back.
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4
Reporting Your Target
The­meter­displays­a­pie­chart­illustrating­your­blood­glucose­records­as­“Above,”­“Within,”­“Below,”­and­
“Hypo”­for­the­time­range­you­choose­(last­7,­14,­30,­60,­or­90­days).
Main Menu > My Data > Reports > Target
1.
2.
3.
j­­From­the­Main­Menu,­select­
My­Data­and­press­=.
j­­Select­Reports­and­press­=.
j­­Select­Target­and­press­=.
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Target Graph Screen
Time Range
Meal Time Selection
Legend
Pie Chart
Blood­glucose­test­result­
categories
Represents­the­percentages­for­the­
blood­glucose­test­result­categories
iNOTE
•­If­data­are­not­available­to­display­the­target­graph,­the­No­Data­Available­screen­is­displayed.
•­The­target­graph­does­not­include­corrupt­results,­control­results,­or­HI­and­LO­results.
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4
Target Graph
1.
j­­To­display­a­target­graph­for­
another­time­range­(last­7,­14,­
30,­60,­or­90­days),­select­the­
time­range­selection­field­(top­
of­screen).­Press­either­<­or­>­
until­you­reach­the­time­range­
you­need.
2.
3.
j­­To­display­a­target­graph­for­
another­meal­time­selection­
(Overall,­Pre­Meal,­Post­Meal,­
Bedtime,­or­Other),­press­
either­x­or­z­to­highlight­
the­meal­time­selection­field­
(immediately­below­the­time­
range­which­is­at­the­top­of­
the­screen).­Press­either­<­or­>­
until­you­reach­the­meal­time­
selection­you­need.
j­­Press­.­to­display­the­Table­
(proceed­to­the­next­section­for­
more­information).
To return to the Reports
screen, select Back.
123
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i NOTE
The­meter­saves­the­current­settings­(time­range,­meal­time,­and­graph­view)­when­you­select­Back­or­
when­the­meter­powers­off.
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4
Target Table Screen
Time Range
Meal Time Selection
Legend
Percentage of Occurrence
Blood­glucose­test­result­
categories
i NOTE
•­­If­results­or­data­are­not­available­for­the­selected­time­period­and­meal­time,­the­No­Data­Available­
screen­is­displayed.
•­The­target­table­does­not­include­corrupt­results,­control­results,­or­HI­and­LO­results.
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Target Table
1.
j­­To­display­a­target­table­for­
another­time­range­(last­7,­14,­
30,­60,­or­90­days),­select­the­
time­range­selection­field­(top­
of­screen).­Press­either­<­or­>­
until­you­reach­the­time­range­
you­need.
2.
3.
j­­To­display­a­target­table­for­
another­meal­time­selection­
(Overall,­Pre­Meal,­Post­Meal,­
Bedtime,­or­Other),­press­
either­x­or­z­to­highlight­
the­meal­time­selection­field­
(immediately­below­the­time­
range­which­is­at­the­top­of­
the­screen).­Press­either­<­or­>­
until­you­reach­the­meal­time­
selection­you­need.
j­­Press­.­to­display­the­Target­
Graph­(see­previous­section­for­
more­information).
To return to the Reports
screen, select Back.
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4
i NOTE
The­meter­saves­the­current­settings­(time­range,­meal­time,­and­table­view)­when­you­select­Back­or­
when­the­meter­powers­off.
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4.5 Downloading Your Data to a Computer
You­can­transfer­your­stored­results­to­a­computer­to­track,­identify­patterns,­and­print.­
1.
2.
j­­Install­the­software­according­
to­the­instructions.
j­­Connect­the­computer­cable­
according­to­the­instructions.­
j­­Run­the­software­programme­
and­follow­the­instructions­
about­how­to­download­
information.­Ensure­the­
software­is­ready­to­accept­
data­from­the­meter.
3.
j­­From­the­Main­Menu,­select­
My­Data­and­press­=.
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4.
5.
4
6.
Infrared­(IR)­Window
j­­Select­Data­Transfer­and­
press­=.
j­­Locate­the­infrared­(IR)­window­
on­the­top­of­the­meter.­
j­­Locate­the­IR­window­on­the­
computer’s­infrared­cable.
j­­Point­the­two­IR­windows­
toward­each­other.­They­should­
be­3­to­10­cm­apart.
j­­Follow­the­prompts­on­your­
computer­software­to­start­the­
data­transfer.
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7.
i NOTE
If­the­data­did­not­transfer­successfully,­turn­off­the­meter,­turn­the­
meter­back­on,­and­try­again.­If­you­still­have­problems,­contact­
Roche.
j­­Once­the­data­transfer­is­
complete,­the­Data­Transfer­
Complete­screen­is­displayed­
for­3­seconds­and­then­the­
meter­turns­off.
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5
5
Changing Meter Settings
5.1­Overview­
5.2­­Setting­bG­Test­Reminders:­After­High­bG,­After­Low­bG,­After­Meal­
5.3­Setting­Alarm­Clock­Reminders:­bG­Test,­Other­
5.4­­Setting­Date­Reminders:­Dr.­Visit,­Lab­Test,­Infusion­Set­Change­
5.5­­Setting­Bolus­Advice­for­the­First­Time­
5.6­­Setting­Time­Blocks,­Health­Events,­Advice­Options:­Bolus­Advice­Set­Up­
5.7­Setting­Warning­Limits:­Hyper,­Hypo­
5.8­Turning­Key­Lock­On­or­Off­
5.9­Setting­the­Language­
5.10­Setting­Units:­Carbs­
5.11­Turning­Bluetooth®­Wireless­Technology­On­or­Off­
5.12­Pairing­the­Meter­and­Pump­
5.13­Setting­the­Beeper,­Vibrate,­and­Key­Sound­
5.14­Setting­the­Time­Format,­Time,­and­Date­
5.15­Setting­Time­Blocks:­Bolus­Advice­Not­Set­Up­
5.16­Backlight­Settings­­
132
133
138
141
146
155
164
167
170
173
176
178
179
182
185
193
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5.1 Overview
You­have­the­flexibility­to­change­the­Accu-Chek­Aviva­Combo­Meter­settings­that­you­initially­selected­
during­the­Setup­Wizard­process.­You­can­make­adjustments­to­the­meter­settings­in­order­to­meet­changing­
conditions.­Consult­with­your­healthcare­professional­to­ensure­the­appropriate­settings­are­selected.
Settings: Important Information
•­­When­editing­a­setting,­any­unsaved­changes­are­discarded­if­the­meter­turns­off­or­if­a­test­strip­is­
inserted­into­the­meter.
•­It­is­important­to­ensure­that­the­time­and­date­are­correctly­set­in­order­to­create­accurate­diary­records.
•­­If­you­change­the­pump­time­and­date,­the­meter­time­and­date­will­automatically­synchronize­to­match­the­
pump.
i NOTE
­Blood­glucose­and­bG­are­interchangeable­and­mean­the­same­thing.
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5
5.2 Setting bG Test Reminders: After High bG, After Low bG,
After Meal
bG Test Reminders: Important Information
•­­At­the­scheduled­time,­the­meter­turns­on­and­displays­the­reminder­(if­a­test­strip­has­not­been­inserted).­
However,­if­the­meter­is­already­on­when­the­reminder­is­scheduled­and­no­blood­glucose­test­was­
performed,­the­reminder­is­displayed­when­the­meter­powers­down.
•­Dismiss­the­reminder­by­pressing­..
•­­Reschedule­(snooze)­the­reminder­by­pressing­,.­The­snooze­time­for­After­High­bG­is­15­minutes.­
The­snooze­time­for­After­Low­bG­and­After­Meal­is­5­minutes.
•­­If­not­dismissed­or­snoozed,­the­reminder­is­displayed­a­total­of­four­times­at­intervals­of­2­minutes,­
after­which­the­meter­dismisses­the­reminder.
•­­When­you­perform­a­blood­glucose­test,­the­meter­dismisses­any­bG­test­reminders­which­are­pending­
within­the­next­30­minutes.­If­necessary,­a­new­reminder­is­scheduled­based­upon­the­blood­glucose­test­
result.
•­For­more­information,­see­Chapter­6,­“Icons,­Reminders,­Warnings,­and­Errors.”
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Main Menu > Settings > Reminders > bG Test Reminders
1.
2.
3.
j­­From­the­Main­Menu,­select­
Settings­and­press­=.
j­­Select­Reminders­and­
press­=.
j­­Select­bG­Test­Reminders­and­
press­=.
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5
4.
To Change the bG Threshold:­
j­­Select­the­bG­Threshold­entry­
field­and­press­=.
j­­Set­the­bG­Threshold­level­and­
press­=.
j­­Select­either­After­High­bG,­
After­Low­bG,­or­After­Meal­
and­press­=.
j­­Proceed­to­either­After­High­
bG,­After­Low­bG,­or­After­Meal­
in­this­step.
To Turn the After High bG
Reminder On or Off:­
j­­Select­the­Reminder­entry­field­
and­press­=.­
j­­Select­On­or­Off­and­press­=.
To Change the Remind After
Time:­
j­­Select­the­Remind­After­entry­
field­and­press­=.­
j­­Set­the­amount­of­time­after­a­
high­blood­glucose­test­result­
you­want­to­be­reminded­to­
retest­your­blood­glucose­and­
press­=.
To save the changes and
return to the bG Test
Reminders screen, select
Save.
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To Turn the After Low bG
Reminder On or Off:­
j­­Select­the­Reminder­entry­field­
and­press­=.­
j­­Select­On­or­Off­and­press­=.
To Change the bG Threshold:­
j­­Select­the­bG­Threshold­entry­
field­and­press­=.
j­­Set­the­bG­Threshold­level­and­
press­=.
To Change the Remind After
Time:­
j­­Select­the­Remind­After­entry­
field­and­press­=.
j­­Set­the­amount­of­time­after­a­
low­blood­glucose­test­result­
you­want­to­be­reminded­to­
retest­your­blood­glucose­and­
press­=.
To save the changes and
return to the bG Test
Reminders screen, select
Save.
To Turn the After Meal
Reminder On or Off: ­
j­­Select­the­Reminder­entry­field­
and­press­=.­
j­­Select­On­or­Off­and­press­=.
To Change the Snack Size:
j­­Select­the­Snack­Size­entry­
field­and­press­=.
j­­Set­the­Snack­Size­amount­
and­press­=.
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5
To Change the Remind After
Time:
j­­Select­the­Remind­After­entry­
field­and­press­=.­
j­­Set­the­amount­of­time­after­
a­meal­(carb­entry­larger­than­
the­snack­size)­you­want­to­be­
reminded­to­retest­your­blood­
glucose­and­press­=.
To save the changes, select
Save.­
If­you­did­not­change­the­Snack­
Size,­the­meter­returns­to­the­­
bG­Test­Reminders­screen.
i NOTE
•­­Remind­After­is­displayed­
as­“HH:MM”­(e.g.,­1:30)­
where­“H”­is­hour­and­“M”­
is­minute.
If­you­changed­the­Snack­
Size,­the­After­Meal­screen­is­
displayed.
j­­Select­OK­to­return­to­the­
bG­Test­Reminders­screen.
•­­When­the­meter­is­
displaying­the­Remind­After­
Meal­screen­for­the­first­
time,­if­bolus­advice­has­
not­been­set­up,­the­default­
for­Snack­Size­is­no­entry­
(“---g”).­If­bolus­advice­has­
been­set­up,­the­default­
value­is­the­value­set­for­the­
Snack­Size­on­the­Advice­
Options­screen.
•­­To­cancel­changes­or­to­
return­to­the­previous­
screen,­select­Cancel.
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5.3 Setting Alarm Clock Reminders: bG Test, Other
Alarm­clock­reminders­are­a­helpful­way­to­remind­you­to­test­your­blood­glucose,­or­for­any­other­daily­
appointment.­You­can­set­up­to­eight­reminders­per­day.
Alarm Clock Reminders: Important Information
•­­At­the­scheduled­time,­the­meter­turns­on­and­displays­the­reminder­(if­a­test­strip­has­not­been­inserted).­
However,­if­the­meter­is­already­on­when­the­reminder­is­scheduled­(and­no­blood­glucose­test­was­
performed­for­an­Alarm­Clock­bG­Test­Reminder),­the­reminder­is­displayed­when­the­meter­powers­down.
•­­Alarm­Clock­bG­Test:­Dismiss­the­reminder­by­pressing­..­Reschedule­(snooze)­the­reminder­for­
15­minutes­by­pressing­,.
•­­Alarm­Clock­Other:­Dismiss­the­reminder­either­by­pressing­.­or­by­inserting­a­test­strip.­
Reschedule­(snooze)­the­reminder­for­15­minutes­by­pressing­,.
•­­If­not­dismissed­or­snoozed,­the­reminder­is­displayed­a­total­of­four­times­at­intervals­of­2­minutes,­
after­which­the­meter­dismisses­the­reminder.
•­­When­you­perform­a­blood­glucose­test,­the­meter­dismisses­Alarm­Clock­bG­Test­reminders­which­are­
pending­within­the­next­30­minutes.
•­For­more­information,­see­Chapter­6,­“Icons,­Reminders,­Warnings,­and­Errors.”
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5
Main Menu > Settings > Reminders > Alarm Clock
1.
2.
3.
j­­From­the­Main­Menu,­select­
Settings­and­press­=.
j­­Select­Reminders­and­
press­=.
j­­Select­Alarm­Clock­and­
press­=.
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4.
To Turn Off a Reminder:
j­­Select­the­type­of­Reminder­
entry­field­(i.e.,­bG­Test­or­
Other)­and­press­=.
j­­Select­Off­and­press­=.
j­­Repeat­the­above­steps­to­turn­
off­additional­reminders.
To Turn On or Change a
Reminder:
j­­Select­the­time­entry­field­for­a­
Reminder­and­press­=.
j­­Set­the­time­to­schedule­the­
Reminder­and­press­=.
j­­Press­=.­Select­the­type­
of­Reminder­(i.e.,­bG­Test­or­
Other)­and­press­=.
j­­Repeat­the­above­steps­to­set­
additional­reminders.
To save the changes and
return to the Reminders
screen, select Save.
i NOTE
•­­To­cancel­changes­or­return­
to­the­Reminders­screen,­
select­Cancel.
•­­Time­for­the­Alarm­Clock­
reminders­can­be­set­in­
15-minute­increments,­
where­“HH”­is­hour,­­
“MM”­is­minutes,­and­
with­“am”­or­“pm”­for­the­
12-hour­format.­
•­­If­you­tested­within­­
30­minutes­of­a­bG­Test­
Reminder,­the­reminder­
does­not­occur.
•­­Exposure­to­extreme­cold­
conditions­may­disable­
Alarm­Clock­reminders­until­
the­meter­is­turned­on.
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5
5.4 Setting Date Reminders: Dr. Visit, Lab Test, Infusion Set
Change
Date­reminders­are­a­helpful­way­to­remind­you­of­an­upcoming­Dr.­visit­or­lab­test.­In­addition,­you­can­set­
up­an­ongoing­reminder­for­an­infusion­set­change­for­the­interval­you­choose­(1­day,­2­days,­or­3­days).
Date Reminders: Important Information
•­Displayed­when­you­turn­on­the­meter­and­a­test­strip­has­not­been­inserted.
•­Dismiss­the­reminder­either­by­pressing­.­or­by­inserting­a­test­strip.
•­For­more­information,­see­Chapter­6,­“Icons,­Reminders,­Warnings,­and­Errors.”
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Main Menu > Settings > Reminders > Date Reminders
1.
2.
3.
j­­From­the­Main­Menu,­select­
Settings­and­press­=.
j­­Select­Reminders­and­
press­=.
j­­Select­Date­Reminders­and­
press­=.
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5
4.
To Set the Date:
j­­Select­the­Date­entry­field­and­
press­=.­
j­­Set­the­Day­and­press­=.­
j­­Set­the­Month­and­press­=.­
j­­Set­the­Year­and­press­=.
j­­Select­either­Dr.­Visit,­Lab­Test,­
or­Infusion­Set­Change­and­
press­=.
j­­Proceed­to­either­Dr.­Visit,­Lab­
Test,­or­Infusion­Set­Change­in­
this­step.
To Turn the Dr. Visit Reminder
On or Off:
j­­Select­the­Reminder­entry­field­
and­press­=.­
j­­Select­On­or­Off­and­press­=.
To Set the Time (Optional):
j­­Select­the­Time­entry­field­and­
press­=.
j­­Set­the­Time­and­press­=.
To save the changes and
return to the Date Reminders
screen, select Save.
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To Set the Time (Optional):
j­­Select­the­Time­entry­field­and­
press­=.
j­­Set­the­Time­and­press­=.
To Turn the Lab Test
Reminder On or Off:
j­­Select­the­Reminder­entry­field­
and­press­=.­
j­­Select­On­or­Off­and­press­=.
To Set the Date:
j­­Select­the­Date­entry­field­and­
press­=.­
j­­Set­the­Day­and­press­=.­
j­­Set­the­Month­and­press­=.­
j­­Set­the­Year­and­press­=.
To save the changes and
return to the Date Reminders
screen, select Save.­
To Turn the Infusion Set
Change Reminder On or Off:
j­­Select­the­Reminder­entry­field­
and­press­=.­
j­­Select­On­or­Off­and­press­=.
To Set the Interval:
j­­Select­the­Interval­entry­field­
and­press­=.­
j­­Select­the­Interval­(1­day,­
2­days,­or­3­days)­and­­
press­=.
To save the changes and
return to the Date Reminders
screen, select Save.­
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5
i NOTE
•­­Setting­a­time­for­a­Date­Reminder­is­optional.­If­you­choose­not­to­set­a­time,­ensure­the­Time­entry­
field­value­is­“--:--”­(no­entry).­
•­­To­cancel­changes­or­to­return­to­the­Date­Reminders­screen,­select­Cancel.
•­­Time­for­the­Dr.­Visit­Reminder­and­the­Lab­Test­Reminder­can­be­set­in­15-minute­increments,­where­
“HH”­is­hour,­“MM”­is­minutes,­and­with­“am”­or­“pm”­for­the­12-hour­format.
•­­Date­Reminders­do­not­automatically­turn­on­the­meter­and­display­the­Reminder.­Date­Reminders­
only­occur­when­you­power­on­the­meter­on­the­appropriate­date.­
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5.5 Setting Bolus Advice for the First Time
Set Up Bolus Advice
If­you­did­not­set­up­bolus­advice­when­you­went­through­the­Setup­Wizard­and­have­now­decided­to­utilize­
bolus­advice,­proceed­with­this­section.­Once­you­do­set­up­bolus­advice,­you­cannot­turn­it­off.
It­is­suggested­that­you­review­the­information­in­the­Getting­Started­Guide­before­continuing.­Prior­to­
setting­up­time­blocks­for­bolus­advice,­it­is­recommended­that­you­decide­how­many­time­blocks­you­
need­and­also­determine­the­start/end­times.­Talk­to­your­healthcare­professional­about­arranging­your­
time­blocks­to­help­best­manage­your­diabetes.­For­each­time­block,­you­can­set­up­different­blood­glucose­
target­ranges,­carb­ratios,­and­insulin­sensitivities­to­accommodate­your­differing­insulin­needs­throughout­
the­day.
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5
Time Blocks > Bolus Advice Screen
Time Block Start Time
Time Block End Time
Target Range Lower
Value
Target Range Upper Value
Carb Ratio–Number of Carbs
Carb Ratio–Number of
Insulin Units
scroll­down
Insulin Sensitivity–
Number of Insulin Units
Scroll Bar
Insulin Sensitivity–Change in
Glucose Level
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Main Menu > Settings > Bolus Advice
1.
2.
3.
j­­From­the­Main­Menu,­select­
Settings­and­press­=.
j­­Select­Bolus­Advice­and­
press­=.
j­­If­you­do­NOT­want­to­set­up­
bolus­advice,­select­No­to­
return­to­the­Settings­screen.­
j­­To­set­up­bolus­advice,­select­
Yes­and­continue­to­the­next­
step.
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4.
5.
j­­To­continue,­select­Next.
To Change Time Blocks:
j­­Select­a­time­block­to­edit­and­
press­=.
5
scroll­down
To Change the End Time:
j­­Select­the­End­Time­entry­field­
and­press­=.
j­­Set­the­End­Time­and­
press­=.
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6.
To Change the Target Range:
j­­Select­the­entry­field­for­the­
lower­value­of­the­Target­
Range­and­press­=.
j­­Set­the­value­and­press­=.
j­­Select­the­entry­field­for­the­
upper­value­of­the­Target­
Range­and­press­=.
j­­Set­the­value­and­press­=.
To Change the Carb Ratio:
j­­Select­the­entry­field­for­the­
number­of­Insulin­Units­and­
press­=.
j­­Set­the­number­of­Insulin­Units­
and­press­=.
j­­Select­the­entry­field­for­the­
amount­of­Carbs­and­­
press­=.
j­­Set­the­amount­of­Carbs­
covered­by­the­number­of­
Insulin­Units­and­press­=.
To Change the Insulin
Sensitivity:
j­­Select­the­entry­field­for­the­
number­of­Insulin­Units­and­
press­=.
j­­Set­the­number­of­Insulin­Units­
and­press­=.
j­­Select­the­entry­field­for­the­
Insulin­Sensitivity­level­and­
press­=.
j­­Set­the­Insulin­Sensitivity­level­
and­press­=.
j­­Select­Save.
The­carb­ratio­and­insulin­
sensitivity­are­copied­to­all­time­
blocks.­You­may­edit­the­target­
range,­carb­ratio,­and­insulin­
sensitivity­for­any­other­time­
block,­if­necessary.
j­­Select­OK.
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5
7.
j­­Return­to­Step­5­to­change­
another­Time­Block.
j­­Continue­in­order­to­add­
or­remove­Time­Blocks,­
otherwise­select­Next­and­
proceed­to­Step­8.­
To Add a Time Block:
j­­Select­the­last­time­block­and­
press­=.
j­­Select­the­End­Time­entry­field­
and­press­=.
j­­Set­the­End­Time­of­the­
selected­time­block­and­press­
=.­This­will­be­the­start­time­
of­the­added­time­block.
j­­To­save­the­changes­and­
return­to­the­Time­Blocks­
screen,­select­Save.
j­­Add­another­Time­Block,­or­
proceed­to­Step­8.
j­­Select­the­End­Time­entry­field­
and­press­=.
j­­Set­the­End­Time­to­match­the­
start­time­of­the­Time­Block­
and­press­=.
j­­To­save­the­changes­and­
return­to­the­Time­Blocks­
screen,­select­Save.
j­­Remove­another­Time­Block,­or­
proceed­to­Step­8.
To Remove a Time Block:
j­­Select­the­Time­Block­you­
want­to­remove­and­press­=.
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8.
9.
To Change the Acting Time:
j­­Select­the­Acting­Time­entry­
field­and­press­=.­
j­­Set­the­Acting­Time­duration­
and­press­=.
To Change the Health Events:
j­­Select­the­entry­field­of­the­
Health­Event­to­be­changed­
and­press­=.
j­­Set­the­percentage­and­
press­=.
j­­Repeat­the­previous­steps­to­
change­another­Health­Event.
j­­To­continue,­select­Next.
To Change the Meal Rise:
j­­Select­the­Meal­Rise­entry­field­
and­press­=.­
j­­Set­the­Meal­Rise­limit­and­
press­=.­
To Change the Snack Size:
j­­Select­the­Snack­Size­entry­
field­and­press­=.
j­­Set­the­Snack­Size­amount­
and­press­=.
To Change the Offset Time:
j­­Select­the­Offset­Time­entry­
field­and­press­=.­
j­­Set­the­Offset­Time­duration­
and­press­=.
To save the changes and exit,
select Save.­
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10.
11.
j­­Select­OK.
j­­To­return­to­the­Settings­
screen,­select­Back.­
5
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Bolus Advice Options
Meal­Rise,­Snack­Size,­Acting­Time,­and­Offset­Time­are­Bolus­Advice­Options.­Below­are­detailed­
descriptions­of­each­of­these­settings.
Meal Rise
During­or­after­meals,­an­increase­in­blood­glucose­levels­is­considered­normal­within­a­certain­range,­even­
though­a­meal­bolus­has­been­delivered.­Enter­the­maximum­increase­in­your­blood­glucose­test­result­that­
is­to­be­tolerated­without­an­additional­correction­bolus.
Snack Size
The­snack­size­is­the­amount­of­carbohydrates­that­is­not­to­be­counted­as­a­regular­meal­with­the­expected­
meal­rise.­In­this­case­(in­contrast­to­regular­meals),­an­increase­in­your­blood­glucose­test­result­is­not­
tolerated­since­the­meal­rise­factor­is­not­triggered­for­bolus­advice­calculations.
Acting Time
The­acting­time­is­the­period­of­time­from­the­start­of­the­meal­rise­or­the­delivery­of­a­correction­bolus­­
until­your­blood­glucose­level­is­expected­to­return­to­the­target­level.­You­can­adjust­the­length­of­the­acting­
time­to­your­individual­needs,­within­a­specified­time­interval­(1½­hours­to­8­hours).
Offset Time
Offset­time­takes­into­account­the­expected­delay­for­the­blood­glucose­level­to­actually­fall­during­the­
acting­time­of­insulin­in­the­body.­
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5
5.6 Setting Time Blocks, Health Events, Advice Options: Bolus
Advice Set Up
If­bolus­advice­has­been­set­up,­use­this­section­for:
•­Adding­or­removing­time­blocks
•­Changing­the­time­of­day­when­time­blocks­occur
•­Changing­the­values­for­target­range,­carb­ratio,­and­insulin­sensitivity­for­any­time­block
•­Changing­health­event­percentages
•­Changing­advice­options­(meal­rise,­snack­size,­acting­time,­offset­time)
Before­continuing,­it­is­recommended­that­you­review­the­Getting­Started­Guide,­determine­how­many­time­
blocks­you­need,­and­determine­the­start/end­times­for­each­time­block.­To­help­best­manage­your­diabetes,­
talk­to­your­healthcare­professional­about­arranging­your­time­blocks,­including­setting­up­different­blood­
glucose­target­ranges,­carb­ratios,­and­insulin­sensitivities­for­each­time­block.
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Setting Time Blocks–Bolus Advice is Set Up
Main Menu > Settings > Bolus Advice > Time Blocks
1.
2.
3.
j­­From­the­Main­Menu,­select­
Settings­and­press­=.
j­­Select­Bolus­Advice­and­
press­=.
j­­Select­Time­Blocks­and­
press­=.
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5
4.
To Add or Remove Time
Blocks:
If­you­do­not­need­to­add­or­
remove­time­blocks,­then­
proceed­to­“To­Change­the­Time­
Blocks.”
To Add a Time Block:
j­­Select­the­last time­block­and­
press­=.
j­­Select­the­End­Time­entry­field­
and­press­=.
j­­Set­the­End­Time­of­the­
selected­Time­Block­and­press­
=.­This­will­be­the­start­time­
of­the­added­time­block.
j­­To­save­the­changes­and­
return­to­the­Time­Blocks­
screen,­select­Save.
j­­Proceed­to­“To­Change­the­
Time­Blocks.”
To Remove a Time Block:
j­­Select­the­Time­Block­you­
want­to­remove­and­press­=.
j­­Select­the­End­Time­entry­field­
and­press­=.
j­­Set­the­End­Time­to­match­the­
start­time­of­the­Time­Block­
and­press­=.
j­­To­save­the­changes­and­
return­to­the­Time­Blocks­
screen,­select­Save.
j­­Proceed­to­“To­Change­the­
Time­Blocks.”
To Change the Time Blocks:
j­­Select­a­Time­Block­to­edit­and­
press­=.
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5.
To Change the End Time:
j­­Select­the­End­Time­entry­field­
and­press­=.­
j­­Set­the­End­Time­and­
press­=.
To Change the Target Range:
j­­Select­the­entry­field­for­the­
lower­value­of­the­Target­
Range­and­press­=.
j­­Set­the­value­and­press­=.
j­­Select­the­entry­field­for­the­
upper­value­of­the­Target­
Range­and­press­=.
j­­Set­the­value­and­press­=.
To Change the Carb Ratio:
j­­Select­the­entry­field­for­the­
number­of­Insulin­Units­and­
press­=.
j­­Set­the­number­of­Insulin­Units­
and­press­=.
j­­Select­the­entry­field­for­the­
amount­of­Carbs­and­­
press­=.
j­­Set­the­amount­of­Carbs­
covered­by­the­selected­units­
of­insulin­and­press­=.
To Change the Insulin
Sensitivity:
j­­Select­the­entry­field­for­the­
number­of­Insulin­Units­and­
press­=.
j­­Set­the­number­of­Insulin­Units­
and­press­=.
j­­Select­the­entry­field­for­the­
Insulin­Sensitivity­level­and­
press­=.
j­­Set­the­Insulin­Sensitivity­level­
and­press­=.
j­­Select­Save.
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6.
5
j­­To­change­another­time­block,­
select­the­time­block­and­­
press­=.­Return­to­Step­5.
j­­To­return­to­the­Bolus­Advice­
screen,­select­Back.
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Setting Health Events–Bolus Advice is Set Up
Main Menu > Settings > Bolus Advice > Health Events
1.
2.
3.
j­­From­the­Main­Menu,­select­
Settings­and­press­=.
j­­Select­Bolus­Advice­and­
press­=.
j­­Select­Health­Events­and­
press­=.
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4.
5
To Change the Health Events:
j­­Select­the­entry­field­of­the­
Health­Event­to­be­changed­
and­press­=.
j­­Set­the­percentage­and­
press­=.
j­­Repeat­the­previous­steps­to­
change­other­Health­Events.
To save the changes and
return to the Bolus Advice
screen, select Save.
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Setting Bolus Advice Options–Bolus Advice is Set Up
Main Menu > Settings > Bolus Advice > Advice Options
1.
2.
3.
j­­From­the­Main­Menu,­select­
Settings­and­press­=.
j­­Select­Bolus­Advice­and­
press­=.
j­­Select­Advice­Options­and­
press­=.
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5
4.
To Change the Snack Size:
j­­Select­the­Snack­Size­entry­
field­and­press­=.
j­­Set­the­Snack­Size­amount­
and­press­=.
To Change the Meal Rise:
j­­Select­the­Meal­Rise­entry­field­
and­press­=.
j­­Set­the­Meal­Rise­limit­and­
press­=.
If­you­did­not­change­the­Snack­
Size,­the­meter­returns­to­the­
Bolus­Advice­screen.
To Change the Acting Time:
j­­Select­Acting­Time­entry­field­
and­press­=.
j­­Set­the­Acting­Time­duration­
and­press­=.
To Change the Offset Time:
j­­Select­the­Offset­Time­entry­
field­and­press­=.
j­­Set­the­Offset­Time­duration­
and­press­=.
If­you­changed­the­Snack­Size,­
the­meter­displays­the­Advice­
Options­screen.
j­­Select­OK­to­return­to­the­
Bolus­Advice­screen.
To save the changes, select
Save.­
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5.7 Setting Warning Limits: Hyper, Hypo
You­can­set­blood­glucose­warning­limits­for­hyperglycaemia­(Hyper)­or­hypoglycaemia­(Hypo)­conditions.­
Once­these­blood­glucose­limit­values­have­been­set,­if­your­test­result­is­above­the­hyper­warning­limit,­
the­meter­displays­the­Above­Hyper­Warning­Limit­message:­“Consider­checking­for­ketones,­bG­and­insulin­
regularly.”­If­your­test­result­is­below­the­hypo­warning­limit,­the­meter­displays­the­Below­Hypo­Warning­
Limit­message:­“Eat­fast­carbs­of­at­least­(number­of­carbs)¹­Retest­bG.”
1
The­meter­displays­a­recommended­amount­of­fast­carbohydrates.
w WARNING
This­function­is­no­substitute­for­hyperglycaemia­or­hypoglycaemia­training­by­your­healthcare­professional.
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5
Main Menu > Settings > Meter > Warning Limits
1.
2.
3.
j­­From­the­Main­Menu,­select­
Settings­and­press­=.
j­­Select­Meter­and­press­=.
j­­Select­Warning­Limits­and­
press­=.
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4.
To save the changes and
return to the Meter Menu
screen, select Save.
To Change the Hyper Blood
Glucose Level:
j­­Select­the­Hyper­entry­field­
and­press­=.
j­­Set­the­Hyper­(upper)­blood­
glucose­level­and­press­=.
To Change the Hypo Blood
Glucose Level:
j­­Select­the­Hypo­entry­field­and­
press­=.
j­­Set­the­Hypo­(lower)­blood­
glucose­level­and­press­=.
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5
5.8 Turning Key Lock On or Off
The­key­lock­feature­allows­you­to­lock­all­of­the­buttons­on­the­meter,­except­for­the­power­on/off­button.­
This­serves­as­a­safety­measure­against­unintentional­activation­of­meter­functions.
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Main Menu > Settings > Meter > Key Lock
1.
2.
3.
j­­From­the­Main­Menu,­select­
Settings­and­press­=.
j­­Select­Meter­and­press­=.
j­­Select­Key­Lock­and­press­=.
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5
4.
j­­Press­=­to­display­the­Key­
Lock­pop-up­menu.
j­­Select­On­or­Off.
To save the change and return
to the Meter Menu screen,
select Save.
If­the­buttons­are­locked­when­
you­turn­on­the­meter,­the­Key­
Lock­screen­is­displayed.
j­­To­unlock­the­buttons,­press­
and­hold­,­and­.­at­the­
same­time­until­the­Main­Menu­
is­displayed.
The­buttons­remain­unlocked­for­
the­current­session.­When­the­
meter­is­turned­on­again,­the­
buttons­are­locked.
Key Lock: Important
Information
j­­When­the­buttons­are­locked,­
you­can­still­turn­the­meter­on­
and­off.­You­can­also­adjust­the­
backlight.
j­­The­buttons­are­unlocked­
when:
•­­A­test­strip­is­inserted­into­
the­meter
•­­The­meter­is­turned­on­and­
a­pump­error­or­a­pump­
warning­occurs
For­these­occurrences,­the­
buttons­remain­unlocked­for­the­
current­session.­When­the­meter­
is­turned­on­again,­the­buttons­
are­locked.
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5.9 Setting the Language
You­can­select­a­language­from­the­predefined­list.­
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5
Main Menu > Settings > Meter > Language
1.
2.
3.
j­­From­the­Main­Menu,­select­
Settings­and­press­=.
j­­Select­Meter­and­press­=.
j­­Select­Language­and­
press­=.
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4.
j­­Press­=­to­display­the­
Language­options.
j­­Select­the­desired­Language­
and­press­=.
To save the change and return
to the Meter Menu screen,
select Save.
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5
5.10 Setting Units: Carbs
You­can­set­up­the­meter­for­different­carbohydrate­(carbs)­units­(Grams,­BE,­KE,­or­CC).
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Main Menu > Settings > Meter > Units
1.
2.
3.
j­­From­the­Main­Menu,­select­
Settings­and­press­=.
j­­Select­Meter­and­press­=.
j­­Select­Units­and­press­=.
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4.
5
i NOTE
For­more­information­on­the­units­for­carbohydrates­and­
carbohydrate­equivalents,­see­Appendix­B,­“Carb­Units.”
j­­Press­=­to­display­the­list­of­
units­for­carbs.
j­­Select­the­units­(Grams,­BE,­
KE,­or­CC)­and­press­=.
To save the change and return
to the Meter Menu screen,
select Save.
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5.11 Turning Bluetooth® Wireless Technology On or Off
Main Menu > Settings > Meter > Bluetooth
1.
2.
j­­From­the­Main­Menu,­select­
Settings­and­press­=.
j­­Select­Meter­and­press­=.
3.
j­­Select­Bluetooth­and­press­=.
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4.
5
j­­To­turn­Bluetooth­wireless­
technology­either­On­or­Off,­
press­and­hold­*­until­the­
Bluetooth­wireless­technology­
icon­changes.­Release­*.
To save the change and return
to the Meter Menu screen,
select Back.
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5.12 Pairing the Meter and Pump
For­complete­pairing­instructions,­see­the­Advanced­Owner’s­Booklet.
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5
5.13 Setting the Beeper, Vibrate, and Key Sound
You­can­set­up­the­meter­for­sound­mode­and/or­vibration­mode.­The­meter­features­different­sound­
(beeper)­tones.­Sounds­may­occur­for:
•­Button­presses­
•­Errors
•­Warnings
•­Reminders
i NOTE
•­Beeper­and­vibrate­cannot­both­be­turned­off­at­the­same­time.
•­When­Key­Sound­is­on,­the­meter­beeps­each­time­a­button­is­pressed.
•­Even­when­the­beeper­is­turned­off,­the­meter­still­beeps­when­an­error­message­occurs.
•­­When­in­the­low­battery­condition,­the­meter­uses­the­medium­beeper­level­(if­the­beeper­level­is­
set­to­high)­and­disables­vibrate.­In­the­low­battery­condition,­the­main­menu­screen­will­continue­
to­display­the­icons­for­vibration­and­beeper,­unless­you­have­set­them­to­Off.­After­the­batteries­are­
replaced­with­new­ones,­the­meter­returns­to­the­beeper/vibrate­settings­you­have­set.
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Main Menu > Settings > Sound/Vibrate
1.
2.
3.
j­­From­the­Main­Menu,­select­
Settings­and­press­=.
j­­Select­Sound/Vibrate­and­
press­=.
To Change the Beeper Sound
Level:
j­­Select­the­Beeper­entry­field­
and­press­=.
j­­Select­the­Beeper­Sound­Level­
(Off,­Low,­Medium,­or­High)­
and­press­=.
To Turn the Vibration On or
Off:
j­­Select­the­Vibrate­entry­field­
and­press­=.
j­­Select­the­Vibration­mode­(On­
or­Off)­and­press­=.
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5
To Change the Key Sound:
j­­Select­the­Key­Sound­entry­
field­and­press­=.
j­­Select­the­Key­Sound­mode­
(On­or­Off)­and­press­=.
To save the changes and
return to the Settings Menu
screen, select Save.
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5.14 Setting the Time Format, Time, and Date
i NOTE
•­­It­is­recommended­you­set­the­date­and­time­on­the­pump­(the­date­and­time­on­the­meter­will­
automatically­synchronize­to­match­the­pump).
•­­Changing­the­date­and­time­will­impact­the­Trend­Graph­and­the­Trend­Table­(see­“Reporting­Your­
Data­Trends”­in­Section­4.4,­“Reporting­Your­Data”).
•­­For­12-hour­time­format,­time­is­displayed­as­“HH:MM­A/P”­(example:­3:53­pm)­and­for­24-hour­time­
format,­time­is­displayed­as­“HH:MM”­(example:­15:53)­where­“H”­is­hour­and­“M”­is­minute.
•­­The­date­format­is­displayed­as­“DD­MMM­YY”­(example:­02­Feb­08)­where­“D”­is­day,­“M”­is­month,­
and­“Y”­is­year.
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5
Main Menu > Settings > Time/Date
1.
2.
3.
j­­From­the­Main­Menu,­select­
Settings­and­press­=.
j­­Select­Time/Date­and­
press­=.
To Change the Time Format:
j­­Select­the­Time­Format­entry­
field­and­press­=.
j­­Select­12-hr­or­24-hr­Time­
Format­and­press­=.
To Change the Time:
j­­Select­the­Time­entry­field­and­
press­=.
j­­Set­the­Hour­and­press­=.
j­­Set­the­Minutes­and­press­=.
j­­If­Time­Format­is­12-hour,­
select­am­or­pm­and­press­=.­
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To Change the Date:
j­­Select­the­Date­entry­field­and­
press­=.
j­­Set­the­Day­and­press­=.
j­­Set­the­Month­and­press­=.
j­­Set­the­Year­and­press­=.
To save the changes and
return to the Settings Menu
screen, select Save.
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5
5.15 Setting Time Blocks: Bolus Advice Not Set Up
This­section­is­for­changing,­adding,­and­removing­time­blocks­only­if­bolus­advice­has­not­been­set­up.­
For­each­time­block,­you­can­set­up­different­blood­glucose­target­ranges.­It­is­suggested­that­you­review­
the­Getting­Started­Guide­before­continuing.­Prior­to­setting­up­time­blocks,­it­is­recommended­that­you­
determine­how­many­time­blocks­you­need­and­also­determine­the­start/end­times.­Talk­to­your­healthcare­
professional­about­arranging­your­time­blocks­in­order­to­help­best­manage­your­diabetes.­
Target Range Lower Value
Time Block End Time
Target Range Upper Value
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Change End Time, Target Range Lower Value, and/or Target Range Upper Value
Main Menu > Settings > Time Blocks
1.
2.
3.
j­­From­the­Main­Menu,­select­
Settings­and­press­=.
Time­Blocks­does­not­appear­if­
bolus­advice­has­been­set­up.
j­­Select­Time­Blocks­and­
press­=.
j­­Select­the­time­block­to­edit­
and­press­=.
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4.
5
5.
To save the changes and
return to the Time Blocks
screen, select Save.
To Change the End Time:
j­­Select­the­End­Time­entry­field­
and­press­=.
j­­Set­the­End­Time­and­
press­=.
To Change the Target Range:
j­­Select­the­entry­field­for­the­
lower­value­of­the­Target­
Range­and­press­=.
j­­Set­the­value­and­press­=.
j­­Select­the­entry­field­for­the­
upper­value­of­the­Target­
Range­and­press­=.
j­­Set­the­value­and­press­=.
j­­Repeat­Steps­3­and­4­to­
change­another­time­block.­
Otherwise,­select­Back­to­
return­to­the­Settings­screen.
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i NOTE
•­­When­you­set­the­end­time,­the­meter­sets­this­end­time­as­the­start­time­for­the­next­time­block.
•­The­end­time­can­be­set­in­30-minute­increments.­
•­To­cancel­changes­press­,.
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5
Add a Time Block
Main Menu > Settings > Time Blocks
1.
2.
3.
j­­From­the­Main­Menu,­select­
Settings­and­press­=.
Time­Blocks­does­not­appear­if­
bolus­advice­has­been­set­up.
j­­Select­Time­Blocks­and­
press­=.
j­­Select­the­last­time­block­
and­press­=.
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4.
5.
j­­Update­the­End­Times­and­
Target­Ranges­for­all­time­
blocks,­as­needed.­See­
“Change­End­Time,­Target­
Range­Lower­Value,­and/or­
Target­Range­Upper­Value”­in­
this­section.
j­­Select­the­End­Time­entry­field­
and­press­=.
j­­Set­the­End­Time­of­the­
selected­Time­Block­and­­
press­=.­This­will­be­the­start­
time­of­the­added­time­block.
To save the changes and
return to the Time Blocks
screen, select Save.
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5
Remove a Time Block
Main Menu > Settings > Time Blocks
1.
2.
3.
j­­From­the­Main­Menu,­select­
Settings­and­press­=.
Time­Blocks­does­not­appear­if­
bolus­advice­has­been­set­up.
j­­Select­Time­Blocks­and­
press­=.
j­­Select­the­Time­Block­you­
want­to­remove­and­press­=.
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4.
5.
j­­Update­the­End­Times­
and­Target­Ranges­for­the­
remaining­time­blocks,­as­
needed. See­“Change­End­
Time,­Target­Range­Lower­
Value,­and/or­Target­Range­
Upper­Value”­in­this­section.
j­­Select­the­End­Time­entry­field­
and­press­=.
j­­Set­the­End­Time­to­match­the­
start­time­of­the­Time­Block­
and­press­=.
To save the changes and
return to the Time Blocks
screen, select Save.
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5
5.16 Backlight Settings
The­backlight­on­your­Accu-Chek­Aviva­Combo­Meter­helps­you­read­the­information­on­the­meter­display­
under­different­lighting­conditions.­You­can­adjust­the­backlight­level­by­pressing­the­backlight­button­on­the­
front­of­the­meter.­The­backlight­adjusts­from­low,­to­medium,­to­high,­and­back­to­low­again.
Backlight Button­
Press­to­adjust­the­backlight­level.
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i NOTE
•­­When­the­meter­is­turned­on,­the­backlight­is­set­to­medium.
•­­When­the­backlight­is­set­to­high­or­medium­and­no­button­activity­has­occurred­for­approximately­
15­seconds,­the­meter­goes­to­low­backlight­(to­conserve­battery­life).­The­meter­restores­the­original­
backlight­setting­when­you­press­a­button,­insert­a­test­strip,­or­when­the­meter­displays­the­bG­Results­
screen.
•­­When­in­the­low­battery­condition,­the­meter­uses­the­medium­backlight­level­(if­the­backlight­level­is­
set­to­high).­After­the­batteries­are­replaced­with­new­ones,­the­meter­again­allows­the­high­backlight­
setting.
•­­The­backlight­button­is­disabled­during­a­blood­glucose­test,­a­control­test,­and­when­the­meter­is­
transferring­data.
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6
6
Icons, Reminders, Warnings, and Errors
6.1­Overview­
6.2­List­of­Icons­
6.3­­Confirming­a­Reminder,­Warning,­or­Error­
6.4­List­of­Reminders­
6.5­List­of­Warnings­
6.6­List­of­Errors­
196
197
199
200
210
216
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6.1 Overview
This­chapter­provides­you­with­detailed­listings­of­all­the­icons,­reminders,­warnings,­and­errors­included­in­
the­meter.
i NOTE
Blood­glucose­and­bG­are­interchangeable­and­mean­the­same­thing.
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6
6.2 List of Icons
The­icons­and­icon­names­in­the­meter­are:
Icon Name
Icon
Icon Name
Active­Insulin
Control­Test
Add­Data
Date
Analyzing
Download­(Data­Transfer)
Beeper
Error
Blood­Glucose­Averages
Extended­Bolus­Not­Confirmed
Blood­Glucose­Test
Extended­Bolus­Confirmed
Bluetooth­Wireless­Technology­Enabled
Health
Bolus­Advice
Low­Battery
Bolus­Advice­(Settings)
Meal­Time
Carbs
Meter
Icon
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Icon Name
Icon
Icon Name
Meter­(Settings)
Sound/Vibrate­(Settings)
Multiwave­Bolus­Not­Confirmed
Standard­Bolus­Not­Confirmed
Multiwave­Bolus­Confirmed
Standard­Bolus­Confirmed
My­Data
Time
Pen/Syringe­Bolus
Time­Block­(Settings)
Pump
Time­Change
Reminder
Time/Date­(Settings)
Reminders­(Settings)
Vibrate
Reports
View­Data
Settings
Warning
Icon
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6
6.3 Confirming a Reminder, Warning, or Error
To­confirm­(or­dismiss)­most­reminders­or­warnings,­press­..­Some­error­messages­require­a­different­
confirmation,­such­as­“Retest­with­new­Strip”­or­“Replace­batteries­now.”­To­place­some­reminders­in­the­
snooze­mode,­press­,.­See­the­following­sections­for­more­details­on­a­specific­reminder,­warning,­or­error.­
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6.4 List of Reminders
Reminder Screen Example
Reminder Icon
Reminder Title
Snooze
Reminder Message
Reschedule­the­reminder.­
This­is­not­available­for­all­
reminders.
Dismiss
i NOTE
•­The­meter­beeps­when­it­displays­any­reminder­if­the­beeper­setting­is­on.
•­­The­meter­vibrates­when­it­displays­any­of­the­following­reminders­if­the­vibrate­setting­is­on:­After­
Meal­Retest,­bG­Test,­High­bG­Retest,­Low­bG­Retest,­and­Other.
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For­instructions­on­how­to­set­up­meter­reminders,­see­Chapter­5,­“Changing­Meter­Settings.”­The­reminders­
available­on­the­meter­are:
Reminder Title
Reminder Message
Left Soft Key Right Soft Key Snooze Time
After­Meal­Retest
Carbs­entry­higher­than­Snack­
Size­setting.­Retest.
Snooze
Dismiss
5­minutes
bG­Test
It­is­time­for­your­scheduled­bG­ Snooze
test
Dismiss
15­minutes
Dr.­Visit­Today
If the Dr. Visit time has been
set:
You­have­a­Dr.­Appointment­
today­at­(Settings­Dr.­Visit­Time)1
Or, if the Dr. Visit time has not
been set:
You­have­a­Dr.­Appointment­
today
Dismiss
6
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Reminder Title
Reminder Message
Dr.­Visit­Tomorrow
If the Dr. Visit time has been
set:
You­have­a­Dr.­Appointment­
tomorrow­at­(Settings­Dr.­Visit­
Time)¹
Or, if the Dr. Visit time has not
been set:
You­have­a­Dr.­Appointment­
tomorrow
High­bG­Retest
High­bG­Result­on­last­test.­
Retest.
Left Soft Key Right Soft Key Snooze Time
Dismiss
Snooze
Dismiss
15­minutes
Infusion­Set­Change It­is­time­to­change­your­Infusion­ Snooze
Set
Dismiss
Displayed­the­
next­time­the­
meter­is­
powered-on
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Reminder Title
Reminder Message
Lab­Test­Today
If the lab test time has been
set:
You­have­a­Lab­Test­today­at­
(Settings­Lab­Test­Time)1
Or, if the lab test time has not
been set:
You­have­a­Lab­Test­today
Dismiss
Lab­Test­Tomorrow
If the lab test time has been
set:
You­have­a­Lab­Test­tomorrow­at­
(Settings­Lab­Test­Time)1
Or, if the lab test time has not
been set:
You­have­a­Lab­Test­tomorrow
Dismiss
Low­bG­Retest
Low­bG­Result­on­last­test.­
Retest.
Snooze
Dismiss
5­minutes
Other
It­is­time­for­your­Other­activity
Snooze
Dismiss
15­minutes
1
Left Soft Key Right Soft Key Snooze Time
6
If­set,­the­time­of­the­Dr.­Visit­or­the­Lab­Test­is­displayed­on­the­screen.
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Reminders: Important Information
•­­When­two­or­more­event­reminders­occur­at­the­same­time,­the­meter­displays­the­event­reminder­with­
the­highest­priority­first:
1.­bG­Test­Reminders­(After­High­bG,­After­Low­bG,­and­After­Meal)
2.­Alarm­Clock­Reminders­(bG­Test­and­Other)
3.­Date­Reminders­(Dr.­Visit,­Lab­Test,­and­Infusion­Set­Change)
The­following­occur­when­the­particular­reminder­is­enabled­and­scheduled:
Dr. Visit Today, Dr. Visit Tomorrow, Lab Test Today, and Lab Test Tomorrow Reminders
•­Displayed­when­you­turn­on­the­meter­and­a­test­strip­has­not­been­inserted.
•­Dismiss­the­reminder­either­by­pressing­.­or­by­inserting­a­test­strip.
Infusion Set Change Reminder
•­Displayed­when­you­turn­on­the­meter­and­a­test­strip­has­not­been­inserted.
•­Dismiss­the­reminder­by­pressing­..
•­Snooze­the­reminder­either­by­pressing­,­or­by­inserting­a­test­strip.
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Low bG Retest Reminder
•­­When­your­blood­glucose­test­result­is­less­than­the­low­blood­glucose­threshold­setting­you­have­set­up­
(see­Chapter­5,­“Changing­Meter­Settings”),­then­the­meter­schedules­a­Low­bG­Retest­reminder­for­the­
time­duration­you­have­set­up.­The­meter­maintains­the­duration­of­this­scheduled­reminder­regardless­of­
meter­time­and­date­changes.
6
•­­At­the­scheduled­time,­the­meter­turns­on­and­displays­the­reminder­(if­a­test­strip­has­not­been­inserted).
•­­If­the­meter­is­already­on­when­the­reminder­is­scheduled­and­no­blood­glucose­test­was­performed,­the­
reminder­is­displayed­when­the­meter­powers­down.
•­­When­the­meter­displays­the­reminder­and­you­do­not­press­any­meter­buttons­within­30­seconds,­the­
meter­turns­off­and­displays­the­reminder­again­in­2­minutes.­After­the­fourth­time­the­meter­displays­the­
reminder,­then­the­meter­dismisses­the­reminder.
•­Dismiss­the­reminder­by­pressing­..
•­Snooze­the­reminder­for­5­minutes­either­by­pressing­,­or­by­inserting­a­test­strip.
•­­When­you­perform­a­blood­glucose­test,­the­meter­dismisses­any­Low­bG­Retest­reminders­pending­within­
the­next­30­minutes.­If­necessary,­a­new­reminder­is­scheduled­based­upon­the­blood­glucose­test­result.
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High bG Retest Reminder
•­­When­your­blood­glucose­test­result­is­greater­than­the­high­blood­glucose­threshold­setting­you­have­set­
up­(see­Chapter­5,­“Changing­Meter­Settings”),­then­the­meter­schedules­a­High­bG­Retest­reminder­for­
the­time­duration­you­have­set­up.­The­meter­maintains­the­duration­of­this­scheduled­reminder­regardless­
of­meter­time­and­date­changes.
•­­At­the­scheduled­time,­the­meter­turns­on­and­displays­the­reminder­(if­a­test­strip­has­not­been­inserted).
•­­If­the­meter­is­already­on­when­the­reminder­is­scheduled­and­no­blood­glucose­test­was­performed,­the­
reminder­is­displayed­when­the­meter­powers­down.
•­­When­the­meter­displays­the­reminder­and­you­do­not­press­any­meter­buttons­within­30­seconds,­the­
meter­turns­off­and­displays­the­reminder­again­in­2­minutes.­After­the­fourth­time­the­meter­displays­the­
reminder,­then­the­meter­dismisses­the­reminder.
•­Dismiss­the­reminder­by­pressing­..
•­Snooze­the­reminder­for­15­minutes­either­by­pressing­,­or­by­inserting­a­test­strip.
•­­When­you­perform­a­blood­glucose­test,­the­meter­dismisses­any­High­bG­Retest­reminders­pending­within­
the­next­30­minutes.­If­necessary,­a­new­reminder­is­scheduled­based­upon­the­blood­glucose­test­result.
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6
After Meal Reminder
•­­When­you­enter­carbohydrates­into­the­diary­through­one­of­the­following­screens­and­the­carbohydrates­
entered­are­greater­than­the­Snack­Size­setting,­then­the­meter­schedules­an­After­Meal­reminder­for­
the­time­duration­you­have­set­up­(see­Chapter­5,­“Changing­Meter­Settings”).­The­meter­maintains­the­
duration­of­this­scheduled­reminder­regardless­of­meter­time­and­date­changes.
•­Add­Data­screen­(see­Chapter­4,­“Managing­Your­Data”)
•­Modify­Data­screen­(see­Chapter­4,­“Managing­Your­Data”)
•­Detailed­bG­Result­screen­(see­Chapter­2,­“Testing­Your­Blood­Glucose”)
•­Bolus­Advice­screen­(see­the­Advanced­Owner’s­Booklet)
•­­At­the­scheduled­time,­the­meter­turns­on­and­displays­the­reminder­(if­a­test­strip­has­not­been­inserted).
•­­If­the­meter­is­already­on­when­the­reminder­is­scheduled­and­no­blood­glucose­test­was­performed,­the­
reminder­is­displayed­when­the­meter­powers­down.
•­­When­the­meter­displays­the­reminder­and­you­do­not­press­any­meter­buttons­within­30­seconds,­the­
meter­turns­off­and­displays­the­reminder­again­in­2­minutes.­After­the­fourth­time­the­meter­displays­the­
reminder,­then­the­meter­dismisses­the­reminder.
•­Dismiss­the­reminder­by­pressing­..
•­Snooze­the­reminder­for­5­minutes­either­by­pressing­,­or­by­inserting­a­test­strip.
•­­When­you­perform­a­blood­glucose­test,­the­meter­dismisses­any­After­Meal­reminders­pending­within­the­
next­30­minutes.­If­necessary,­a­new­reminder­is­scheduled­based­upon­the­blood­glucose­test­result.
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Alarm Clock Reminders for bG Test and Other
•­­At­the­scheduled­time,­the­meter­turns­on­and­displays­the­reminder­(if­a­test­strip­has­not­been­inserted).
•­­When­the­meter­displays­an­Alarm­Clock­reminder­and­you­do­not­press­any­meter­buttons,­­
after­30­seconds­the­meter­turns­off­and­displays­the­reminder­again­in­2­minutes.­After­the­fourth­time­
the­meter­displays­the­reminder,­then­the­meter­dismisses­the­reminder.
• bG Test Alarm Clock Reminder
•­­If­the­meter­is­already­on­when­the­reminder­is­scheduled­and­no­blood­glucose­test­was­performed,­
the­reminder­is­displayed­when­the­meter­powers­down.
•­Dismiss­all­active­bG­Test­reminders­by­pressing­..
•­Snooze­the­reminder­for­15­minutes­either­by­pressing­,­or­by­inserting­a­test­strip.
•­­When­you­perform­a­blood­glucose­test,­the­meter­dismisses­any­bG­Test­reminders­that­have­been­
snoozed­or­that­are­pending­within­the­next­30­minutes.
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6
• Other Alarm Clock Reminder
•­­If­the­meter­is­already­on­when­the­reminder­is­scheduled,­the­reminder­is­displayed­when­the­meter­
powers­down.
•­Dismiss­this­reminder­either­by­pressing­.­or­by­inserting­a­test­strip.
•­Snooze­the­reminder­for­15­minutes­by­pressing­,.­
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6.5 List of Warnings
Warning Screen Example
Warning Icon
Warning Title
No
Warning Message
Only­shown­on­a­few­
warning­screens
Yes or OK
i NOTE
The­meter­beeps­when­it­displays­a­warning­if­the­beeper­setting­is­on.
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6
The­warnings­the­meter­may­display­are:
Warning Title
Warning Message
Left Soft Key Right Soft Key
Above­Hyper­Warning­
Limit
Consider­checking­for­ketones,­bG­and­
insulin­regularly
OK
Beep/Vibrate­Off
Beep­and­Vibrate­settings­cannot­both­be­
turned­off­at­same­time
OK
Below­Hypo­Warning­Limit Eat­fast­carbs­of­at­least­(number­of­carbs)1­
Retest­bG
OK
Bolus­Advice
Bolus­Advice­data­deleted
OK
Bolus­Advice­Not­Setup
Advice­not­provided­unless­setup­through­
Bolus­Advice­in­Settings
OK
Bolus­Advice­Timeout
Bolus­Advice­no­longer­possible­for­this­bG­
result
OK
Bolus­Delivery­Unavailable Communication­lost.­Retry­or­set­to­Manual­
Pump.
OK
Bolus­Delivery­Unavailable Pump­unable­to­start­Bolus.­See­Pump.
OK
Bolus­Delivery­Unavailable Pump­currently­in­Stop­mode
OK
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Warning Title
Warning Message
Left Soft Key Right Soft Key
Bolus­Too­High
Bolus­above­allowed­amount.­Bolus­set­to­
maximum.
OK
Bolus­Too­Low
Bolus­below­allowed­amount.­Bolus­set­to­
minimum.
OK
Calculation­Out­of­Range
No­Bolus­Advice­available
OK
Carbohydrate­Ratio
Carb­Ratio­seems­unusual.­Check­entries.
OK
Code­Key­Missing
Turn­off­Meter­and­insert­valid­Code­Key²
OK
Communication­Lost
See­Pump
OK
Communication­Warning
Pump­data­not­available,­Active­Insulin­may­
not­be­accurate
OK
Communication­Warning
Pump­data­not­available,­recent­Bolus­data­
may­not­be­accurate
OK
Connection­Lost
Ensure­Pump­is­within­range­of­Meter
OK
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Warning Title
Warning Message
Left Soft Key Right Soft Key
Connection­Lost
Restart­Meter,­select­“Settings”,­“Meter”,­
“Pair­with­Pump”
OK
Corrupt­Language
Choose­another­language
OK
Diary­Entry­Used­For­
Advice
Diary­entry­used­for­Advice,­modifications­
not­allowed
OK
Diary­Results­Expired
New­data­cannot­be­saved­with­this­record
OK
HI­bG­Warning
Consider­checking­bG,­ketones­and­insulin
OK
Incorrect­Pump­Time/Date Pump­time/date­incorrect.­Set­time/date­on­
the­Pump.3
OK
Infrequent­Pump­
Communication
Two­weeks­since­last­communication­with­
Pump
OK
Insulin­Sensitivity
Insulin­Sensitivity­seems­unusual.­Check­
entries.
OK
Invalid­Active­Insulin
Unable­to­calculate­the­Active­Insulin.­Bolus­
Advice­not­available.
OK
Invalid­Bolus­Advice­
Times
Acting­time­must­be­greater­than­or­equal­
to­offset­time
OK
6
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Warning Title
Warning Message
Left Soft Key Right Soft Key
Invalid­Date
Reenter­valid­date
OK
Invalid­Hyper­Values
Hyper­value­must­be­greater­than­Time­
Block­target­ranges
OK
Invalid­Hypo­Values
Hypo­value­must­be­less­than­Time­Block­
target­ranges
OK
Invalid­PIN
Reenter­PIN­shown­on­Pump­display
OK
Invalid­Record­Time/Date Record­time/date­must­be­older­than­the­
current­meter­time/date
OK
Invalid­Target­Range
Lower­target­range­value­above­upper­
target­range­value
OK
Invalid­Target­Range
Range­selected­conflicts­with­Hyper­and/or­
Hypo­Warning­Limit­settings
OK
LO­bG­Warning
Retest­bG.­Contact­your­doctor.
OK
Meter­and­Pump­Not­
Paired
Pair­with­Pump­to­use­this­feature
OK
Meter­Battery­Low
Replace­soon.­No­Pump­connection.
OK
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Warning Title
Warning Message
No­bG­with­Bolus
Consider­testing­bG­before­delivering­
Insulin.­Continue?
Pairing­Failed
Restart­Meter,­select­“Settings”,­“Meter”,­
“Pair­with­Pump”
OK
Pump­Not­Available
Ensure­Bluetooth­is­on­and­Pump­is­within­
range­of­Meter
OK
Test­Strips­Expiring
Change­Code­Key­and­Strips­soon²
OK
Time­Mismatch
Meter­time­has­been­changed­by­more­than­
5­minutes­to­match­Pump
OK
6
Left Soft Key Right Soft Key
No
Yes
The­meter­displays­a­recommended­amount­of­fast­carbohydrates.
­On­the­meter­display,­the­activation­chip­is­referred­to­as­a­code­key.­Code­key­and­activation­chip­are­
interchangeable­and­mean­the­same­thing.­If­you­need­an­activation­chip,­please­contact­Roche.
3­
The­meter­keeps­its­current­date­and­time.­The­meter­turns­off­Bluetooth­wireless­technology­communication­­
for­this­session.
1
2
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6.6 List of Errors
Error Screen Example
Error Icon
Error Title
Menu
Error Message
This­option­is­not­available­
for­all­errors.
i NOTE
The­meter­beeps­when­it­displays­an­error,­even­if­the­beeper­setting­is­turned­off.
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6
The­errors­the­meter­may­display­are:
Error Title
Error Message
E-51
Bad­Strip­Error
Reinsert­or­replace­with­new­Strip
E-52
Code­Key­Error
Turn­Meter­off,­reinsert­or­replace­Code­­
Key1
E-53
Bad­Test­Error
Retest­with­new­Strip
E-54
Not­Enough­Sample
Retest­with­new­Strip
E-55
Code­Key­Expired
Turn­Meter­off,­replace­Code­Key­and­
Strips1
E-56
Sample­Applied­Early
Retest­with­new­Strip
E-57
Electronic­Error
Remove­batteries,­wait­20­seconds,­replace­
batteries
E-58
Temp.­Error
Move­Meter­to­correct­temperature­and­
wait­5­minutes
Left Soft Key Right Soft Key
Menu2
OK3
Menu2
OK3
Menu4
OK4
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Error Title
Error Message
E-59
Battery­Empty
Replace­batteries­now
E-60
Time/Date­Error
Correct­time/date­if­necessary
Left Soft Key Right Soft Key
Menu
­ n­the­meter­display,­the­activation­chip­is­referred­to­as­a­code­key.­Code­key­and­activation­chip­are­
O
interchangeable­and­mean­the­same­thing.­If­you­need­an­activation­chip,­please­contact­Roche.
2­
“Menu”­is­only­displayed­when­the­meter­is­in­a­bG­test­screen.
3
“OK”­is­only­displayed­after­the­Splash­screen­(Accu-Chek­logo­screen).
4
­­If­the­meter­is­powering­up,­then­“OK”­is­displayed­above­the­right­soft­key­and­“Menu”­is­not­displayed­
above­the­left­soft­key.­
1­
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7
7
Care and Maintenance
7.1­Overview­
7.2­Changing­the­Batteries­
7.3­Power-Saving­Tips­
7.4­Cleaning­the­Meter­
7.5­Maintenance­and­Testing­
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221
224
225
226
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7.1 Overview
It­is­important­to­properly­care­for­and­maintain­your­Accu-Chek­Aviva­Combo­Meter.­If­you­have­any­
questions­about­the­care­and­maintenance­of­your­meter,­contact­Roche.
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7
7.2 Changing the Batteries
1.
2.
3.
j­­Remove­the­battery­door­
from­the­back­of­the­meter­by­
pushing­the­tab­in­the­direction­
of­the­arrow­and­pulling­up­
the­door.­
j­­Remove­the­old­batteries­from­
the­meter.
j­­Insert­three­AAA­batteries­with­
the­+­and­-­ends­matching­
the­marks­in­the­battery­
compartment.­
­­Put­the­battery­door­back­in­
place­and­snap­it­closed.
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w WARNING
•­­Using­batteries­other­than­those­supplied­or­recommended­for­use­with­the­meter­may­significantly­
reduce­the­life­of­the­batteries.­Batteries­other­than­those­recommended­may­leak­and­corrode­
the­battery­contacts­within­the­meter.­Using­batteries­not­supplied­or­recommended­may­void­the­
warranty.
•­­Replace­all­batteries­of­a­set­at­the­same­time.­Newly­purchased­batteries­should­not­be­mixed­with­
partially­exhausted­ones.­Batteries­of­different­electrochemical­systems,­grades,­or­brands­should­
not­be­mixed.­Failure­to­observe­these­precautions­may­result­in­some­batteries­in­a­set­being­driven­
beyond­their­normal­exhaustion­point­and­thus­increase­the­probability­of­leakage.
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7
i NOTE
•­­Alkaline­batteries­are­recommended­for­use­with­the­meter.
•­­After­you­change­the­batteries,­the­meter­prompts­you­to­confirm­the­time­and­date­settings.
•­It­is­a­good­idea­to­have­spare,­packaged­batteries­available.
•­­All­test­results,­diary­information,­and­settings­are­saved­in­the­meter­memory­when­the­batteries­are­
replaced.
•­The­meter­remains­paired­with­the­pump­when­you­remove­and­replace­the­batteries.
•­­Rechargeable­batteries­may­be­used­in­the­meter.­However,­rechargeable­batteries­may­not­maintain­
the­same­battery­life­as­non-rechargeable­batteries.
•­When­the­Low­Battery­warning­appears:
•­Bluetooth­wireless­technology­communication­is­disabled.
•­If­vibrate­is­set­to­On,­it­is­disabled­until­the­batteries­are­replaced.
•­I­f­the­backlight­level­is­set­to­high,­the­medium­backlight­level­is­used­until­the­batteries­are­
replaced.
•­If­the­beeper­level­is­set­to­high,­the­medium­beeper­level­is­used­until­the­batteries­are­replaced.
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7.3 Power-Saving Tips
To­conserve­battery­life:
•­Use­the­low­beeper­setting
•­Only­turn­on­the­vibration­feature­when­it­is­needed
•­­Turn­off­the­meter­when­you­are­finished­rather­than­utilizing­the­auto­power­off­feature
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7
7.4 Cleaning the Meter
Caring­for­the­meter­is­easy:­just­keep­it­free­of­dust.­If­you­need­to­clean­it,­follow­these­guidelines­carefully­
to­help­you­get­the­best­performance­possible:
•­Ensure­the­meter­is­off
•­Gently­wipe­the­meter’s­surface­with­a­soft­cloth­slightly­dampened­with­one­of­these­cleaning­solutions:
-­70­%­isopropyl­alcohol
-­Mild­dishwashing­liquid­mixed­with­water
-­10­%­household­bleach­solution­(1­part­bleach­plus­9­parts­water)­made­the­same­day
•­Squeeze­out­any­excess­liquid­from­the­cloth­before­you­wipe­the­meter­surface
•­Get­any­moisture­in­the­activation­chip­slot­or­test­strip­slot
•­Spray­any­cleaning­solution­directly­onto­the­meter
•­Put­the­meter­under­water­or­liquid
•­Pour­liquid­into­the­meter
For instructions on how to clean the pump, see the Accu-Chek Spirit Combo Insulin Pump User Guide.
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7.5 Maintenance and Testing
•­­The­meter­needs­little­or­no­maintenance­with­normal­use.­It­automatically­tests­its­own­systems­every­
time­you­turn­it­on­and­lets­you­know­if­something­is­wrong.­For­detailed­information­on­troubleshooting­the­
meter,­see­Chapter­8,­“Troubleshooting.”
•­­If­you­drop­the­meter­or­think­it­is­not­giving­accurate­results,­ensure­your­test­strips­and­control­solution­
have­not­expired,­and­then­perform­a­control­test.
•­Perform­a­control­test­with­each­new­vial­of­test­strips.
•­­To­test­the­meter­display,­turn­off­the­meter,­and­then­press­and­hold­+.­The­display­cycles­through­colours­
(red,­blue,­green,­and­white).­If­any­part­of­the­display­does­not­change­colours,­contact­Roche.
•­If­the­meter­is­not­working­properly,­contact­Roche.
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8
8
Troubleshooting
8.1­Overview­
8.2­­Troubleshooting­the­Accu-Chek­Aviva­Combo­Meter­
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229
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8.1 Overview
For­most­problems,­the­meter­displays­a­message­with­a­short­description­of­the­symptom­and,­along­with­it,­
a­proposed­solution.­This­chapter­goes­into­more­detail­by­describing­the­symptom,­the­possible­cause,­and­
the­possible­solution.­If­the­possible­solutions­do­not­fix­the­problem,­contact­Roche.
w WARNING
Never­make­treatment­decisions­based­on­a­warning­or­error­message.­If­you­have­any­concerns,­
contact­Roche.
i NOTE
•­­If­you­drop­the­meter­or­think­it­is­not­giving­accurate­results,­make­sure­your­test­strips­and­control­
solution­have­not­expired,­and­then­perform­a­control­test.­For­further­assistance,­contact­Roche.
•­Blood­glucose­and­bG­are­interchangeable­and­mean­the­same­thing.
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8
8.2 Troubleshooting the Accu-Chek Aviva Combo Meter
Display Shows
Possible Cause(s)
The­display­is­blank­ j­­Batteries­are­dead.
or­the­meter­will­
not­turn­on.
j­­Display­is­damaged.
Bluetooth­icon­
flashing
Possible Solution(s)
j­­Install­new­batteries.­See­Chapter­7,­“Care­and­
Maintenance.”
j­­Contact­Roche.
j­­Meter­is­defective.
j­­Contact­Roche.
j­­E xtreme­temperature­–­the­
temperature­is­outside­the­
meter­operating­range.
j­­Move­the­meter­to­an­area­with­proper­temperature.­
Wait­five­minutes­before­turning­on­the­meter.­Do­
not­artificially­heat­or­cool­the­meter.
j­­Communication­ended­due­to­ j­­Check­the­pump­and­continue­operation­of­the­
a­button­press­on­the­pump.
pump­manually.
j­­Ensure­the­pump­has­Bluetooth­wireless­technology­
turned­on.
j­­Meter­and­pump­are­outside­ j­­Ensure­pump­is­within­communication­range.
of­communication­range.
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Display Shows
Possible Cause(s)
Possible Solution(s)
Above­Hyper­
Warning­Limit
j­­Your­test­result­is­above­the­ j­­Treat­your­high­blood­glucose­as­recommended­by­
hyper­warning­limit­set­in­the­ your­healthcare­professional.
meter.
j­­Consider­checking­bG,­ketones,­and­insulin.
j­­See­the­pump­User­Guide­for­additional­solutions.
Beep/Vibrate­Off
j­­Beep­and­Vibrate­settings­
cannot­be­turned­off­at­the­
same­time.
Below­Hypo­
Warning­Limit
j­­Your­test­result­is­below­the­ j­­Treat­your­low­blood­glucose­as­recommended­by­
hypo­warning­limit­set­in­the­
your­healthcare­professional.
j­­The­meter­displays­a­recommended­number­of­
meter.
carbohydrates­for­you­to­eat,­and­then­retest­your­
blood­glucose.
j­­­Ensure­that­either­the­Beep­or­Vibrate­setting­is­
turned­on.­See­Chapter­5,­“Changing­Meter­
Settings.”
Bolus­Advice
j­­Bolus­advice­data­integrity­
j­­Wait­8­hours­for­accurate­bolus­advice.
cannot­be­confirmed.
Bolus­Advice­data­
deleted
IMPORTANT:
•­­Insulin­doses­and­meals­taken­before­the­Bolus­Advice­warning­are­no­longer­
reflected­in­the­bolus­advice­calculation.
•­­The­meter­may­not­reflect­the­pump­bolus­history,­however­the­bolus­history­is­
available­on­the­pump.
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8
Display Shows
Possible Cause(s)
Possible Solution(s)
Bolus­Advice­Not­
Setup
j­­Advice­is­not­provided­unless­it­ j­­You­can­continue­to­use­the­meter­without­bolus­
is­set­up­through­Bolus­Advice­ advice­or­see­Chapter­5,­“Changing­Meter­Settings”­
in­Settings­Menu.
for­instructions­on­how­to­set­up­bolus­advice.
Bolus­Advice­
Timeout
j­­­Bolus­advice­is­no­longer­
available­for­this­bG­result.
Bolus­Delivery­
Unavailable
j­­The­meter­cannot­
j­­Retry­or­set­to­Manual­Pump.
communicate­with­the­pump. j­­Ensure­the­meter­and­pump­have­Bluetooth­wireless­
technology­turned­on.
j­­Ensure­the­meter­and­pump­are­within­
communication­range.
j­­If­the­low­battery­icon­is­displayed­on­the­meter,­the­
meter­cannot­communicate­with­the­pump.­Replace­
the­batteries.
j­­Review­data­that­was­saved­in­My­Data.­Then,­decide­
to­modify­data,­add­data,­or­begin­a­new­bolus­advice­
session.
j­­The­pump­is­currently­in­Stop­ j­­Take­the­pump­out­of­Stop­mode.
mode.
j­­The­pump­is­currently­
delivering­a­bolus.
j­­Allow­the­current­bolus­delivery­to­complete­before­
delivering­the­next­bolus.
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Display Shows
Possible Cause(s)
Possible Solution(s)
Bolus­Too­High
j­­The­bolus­is­above­the­
allowed­amount.­The­bolus­
was­set­to­50­Units.
j­­Check­the­accuracy­of­all­entries.­If­necessary,­
contact­your­healthcare­professional.
Bolus­Too­Low
j­­The­insulin­pump­cannot­
j­­The­pump­will­adjust­the­bolus­to­0.2­Units.
deliver­a­0.1­Unit­of­multiwave­
bolus.
Carbohydrate­Ratio j­­Carbohydrate­ratio­is­outside­ j­­Check­your­entries­and­contact­your­healthcare­
professional­to­determine­the­appropriate­settings.
of­the­acceptable­meter­
range.
Code­Key­Missing
j­­The­activation­chip­is­not­
inserted.
j­­Turn­the­meter­off­and­insert­the­activation­chip.­If­
you­need­an­activation­chip,­please­contact­Roche.
Communication­
Lost
j­­Pump­is­out­of­range­of­the­
meter.
j­­Bolus­delivery­continuing,­see­pump­screen.
j­­Ensure­the­meter­and­pump­have­Bluetooth­wireless­
technology­turned­on.
j­­Ensure­the­meter­and­pump­are­within­
communication­range.
j­­If­the­low­battery­icon­is­displayed­on­the­meter,­the­
meter­cannot­communicate­with­the­pump.­Replace­
the­batteries.
j­­Use­the­pump­to­monitor­or­cancel­a­bolus­which­is­
in­the­process­of­being­delivered.
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8
Display Shows
Possible Cause(s)
Possible Solution(s)
Communication­
Warning
j­­Communication­of­bolus­data­
from­the­pump­was­not­
successful.­Therefore,­pump­
data­are­not­available­and­the­
bolus­data­may­not­be­
accurate.
j­­Communication­of­bolus­data­
from­the­pump­was­not­
successful.­Therefore,­pump­
data­are­not­available­and­the­
active­insulin­amount­may­not­
be­accurate.
j­­Ensure­the­meter­and­pump­have­Bluetooth­wireless­
technology­turned­on.
j­­Ensure­the­meter­and­pump­are­within­
communication­range.
j­­If­the­low­battery­icon­is­displayed­on­the­meter,­the­
meter­cannot­communicate­with­the­pump.­Replace­
the­batteries.
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Display Shows
Possible Cause(s)
Connection­Lost
j­­The­connection­was­lost­
j­­Restart­the­pairing­process.­See­the­Advanced­
between­the­meter­and­the­
Owner’s­Booklet.
pump­during­the­pairing­
process.­Therefore,­the­
attempt­to­pair­the­meter­and­
pump­was­unsuccessful.
j­­Pump­is­out­of­range­of­the­
meter.
Possible Solution(s)
j­­Ensure­the­meter­and­pump­have­Bluetooth wireless­
technology turned­on.
j­­Ensure­the­meter­and­pump­are­within­
communication­range.
j­­If­the­low­battery­icon­is­displayed­on­the­meter,­the­
meter­cannot­communicate­with­the­pump.­Replace­
the­batteries.
Diary­Entry­Used­
For­Advice
j­­The­diary­entry­selected­has­ j­­Carefully­confirm­all­information­involving­bolus­
advice.­You­cannot­modify­bolus­advice­related­
been­used­for­bolus­advice­
entries­on­the­meter.­
and­modifications­are­not­
allowed.
Diary­Results­
Expired
j­­­Bolus­advice­is­no­longer­
available­for­this­result.
j­­Review­data­that­was­saved­in­My­Data.­Then,­
decide­to­modify­data,­add­data,­or­begin­a­new­
bolus­advice­session.
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Display Shows
Possible Cause(s)
Possible Solution(s)
E-51­Bad­Strip­
Error
j­­Your­blood­glucose­may­be­
extremely­low.­
If­you­see­this­error­message­after­you­applied­blood
to­the­test­strip:
j­­If­you­are­experiencing­any­of­the­common­
symptoms­of­low­blood­sugar,­contact­your­
healthcare­professional­immediately.
j­­Treat­your­low­blood­sugar­as­recommended­by­
your­healthcare­professional.
j­­If­this­does­not­match­how­you­feel,­repeat­the­
blood­glucose­test­and­see­Chapter­2,­“Testing­Your­
Blood­Glucose.”
j­­The­test­strip­is­damaged.
j­­The­test­strip­is­not­properly­
inserted­into­the­meter.
If­you­see­this­error­message­before­you­applied­
blood­to­the­test­strip:
j­­Remove­the­test­strip­and­reinsert­it,­or­replace­it­if­
damaged.­If­the­message­reappears,­contact­
Roche.
j­­The­activation­chip­is­
incorrect.
j­­Please­contact­Roche.
E-52­Code­Key­
Error
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Display Shows
Possible Cause(s)
E-53­Bad­Test­
Error
j­­A­meter­or­test­strip­error­has­ j­­Discard­the­test­strip­and­repeat­the­test.
occurred.
j­­Your­blood­glucose­may­be­
extremely­high.
Possible Solution(s)
j­­If­this­matches­how­you­feel,­contact­your­
healthcare­professional­immediately.­If­it­does­not­
match­how­you­feel,­repeat­the­blood­glucose­test­
and­see­Chapter­2,­“Testing­Your­Blood­Glucose.”­If­
this­still­does­not­match­the­way­you­feel,­run­a­
control­test­with­your­control­solution­and­a­new­
test­strip.­If­the­control­result­is­within­the­
acceptable­range,­review­the­proper­testing­
procedure­and­repeat­your­blood­glucose­test­with­a­
new­test­strip.­If­the­E-53­error­still­appears­for­your­
blood­glucose­test,­your­blood­glucose­test­result­
may­be­extremely­high­and­above­the­system’s­
reading­range.­Contact your healthcare
professional immediately.­If­the­control­result­is­
not­within­the­acceptable­range,­see­Chapter­3,­
“Control­Testing.”
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Display Shows
Possible Cause(s)
Possible Solution(s)
E-54­Not­Enough­
Sample
j­­Not­enough­blood­or­control­ j­­Discard­the­test­strip­and­repeat­the­test.
solution­was­drawn­into­the­
test­strip­for­measurement­or­
was­applied­after­the­test­has­
started.
E-55­Code­Key­
Expired
j­­The­code­key­is­from­an­
expired­lot­of­test­strips.
E-56­Sample­
Applied­Early
j­­Blood­or­control­solution­was­ j­­Discard­the­test­strip­and­repeat­the­test­with­a­new­
applied­to­the­test­strip­before­ test­strip.
the­Apply­Sample­screen­
appeared­on­the­display.
E-57­Electronic­
Error
j­­Turn­off­the­meter­and­remove­the­batteries.­Wait­at­
j­­An­electronic­error­has­
occurred­or,­in­rare­cases,­a­
least­30­seconds­prior­to­reinserting­the­batteries.­
used­test­strip­was­removed­
Turn­on­the­meter­and­perform­a­blood­glucose­or­
and­reinserted.
control­test.­If­the­problem­persists,­contact­Roche.
j­­This­message­may­appear­when­using­a­white­
activation­chip­in­the­meter.­It­means­the­test­strips­
expire­at­the­end­of­the­current­month.­At­the­end­of­
the­month,­discard­the­white­activation­chip­and­
any­remaining­test­strips.­Insert­a­black­activation­
chip.­Make­sure­the­time­and­date­in­the­meter­are­
correct.­If­you­need­a­black­activation­chip,­please­
contact­Roche.
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Display Shows
Possible Cause(s)
Possible Solution(s)
E-58­Temp.­Error
j­­The­temperature­is­above­or­
below­the­proper­range­for­
the­meter.
j­­Move­the­meter­to­an­area­within­the­proper­
temperature­range­indicated­for­test­strip­use­in­the­
test­strip­package­insert.­Wait­5­minutes­before­
turning­on­the­meter.­Repeat­the­test.­Do­not­
artificially­heat­or­cool­the­meter.
E-59­Battery­
Empty
j­­The­batteries­are­extremely­
low.
j­­Insert­new­batteries.­See­Chapter­7,­“Care­and­
Maintenance.”
E-60­Time/Date­
Error
j­­The­time­and­date­settings­
may­be­incorrect.
j­­You­have­changed­the­
batteries.
j­­Ensure­the­time­and­date­are­correct­and­adjust,­if­
necessary.­See­Chapter­5,­“Changing­Meter­
Settings.”
HI­bG­Warning
j­­Your­blood­glucose­may­be­
higher­than­the­measuring­
range­of­the­system.
j­­If­you­are­experiencing­any­of­the­common­
symptoms­of­high­blood­glucose,­contact­your­
healthcare­professional­immediately.
j­­Treat­your­high­blood­glucose­as­recommended­by­
your­healthcare­professional.
j­­Consider­checking­bG,­ketones,­and­insulin.
j­­See­the­pump­User­Guide­for­additional­solutions.
Incorrect­Pump­
Time/Date
j­­Pump­time/date­incorrect.
j­­Set­time/date­on­the­pump­(see­pump­User­Guide).
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Display Shows
Possible Cause(s)
Possible Solution(s)
Infrequent­Pump­
Communication
j­­­At­least­2­weeks­have­passed­ j­­Ensure­the­meter­and­pump­have­Bluetooth­wireless­
since­the­meter­and­pump­
technology­turned­on.
have­communicated.
j­­Ensure­the­meter­and­pump­are­within­
communication­range.
j­­If­the­low­battery­icon­is­displayed­on­the­meter,­the­
meter­cannot­communicate­with­the­pump.­Replace­
the­batteries.­
j­­It­is­important­to­use­Bluetooth­wireless­technology­
communication­between­the­meter­and­pump­
regularly­if­you­utilize­bolus­advice.
Insulin­Sensitivity
j­­Insulin­sensitivity­is­outside­of­ j­­Check­your­entries­and­contact­your­healthcare­
the­acceptable­meter­range.
professional­to­determine­the­appropriate­settings.
Invalid­Bolus­
Advice­Times
j­­The­acting­time­value­is­less­ j­­The­acting­time­value­must­be­set­equal­to­or­
than­the­offset­time.
greater­than­the­offset­time.­Reset­the­acting­time­
value­or­revise­the­offset­time.
Invalid­Date
j­­The­date­entered­is­invalid­
(dates­for­reminders­cannot­
be­set­to­occur­in­the­past).
j­­Re-enter­date.
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Display Shows
Possible Cause(s)
Possible Solution(s)
Invalid­Hyper­
Values
j­­The­hyper­warning­limit­value­ j­­Reset­the­hyper­warning­limit­or­revise­the­target­
must­be­greater­than­all­of­
ranges­in­time­blocks­and­re-enter­the­hyper­
your­target­ranges­in­the­time­ warning­limit.
block­settings.
j­­Enter­a­hyper­warning­limit­that­is­above­the­target­
ranges­of­your­time­blocks.­See­Chapter­5,­
“Changing­Meter­Settings.”
Invalid­Hypo­Values j­­The­hypo­warning­limit­value­ j­­Reset­the­hypo­warning­limit­or­revise­the­target­
ranges­in­time­blocks­and­re-enter­the­hypo­
must­be­less­than­all­of­your­
warning­limit.
target­ranges­in­the­time­
block­settings.
j­­Enter­a­hypo­warning­limit­that­is­below­the­target­
ranges­of­your­time­blocks.­See­Chapter­5,­
“Changing­Meter­Settings.”
Invalid­PIN
j­­The­wrong­PIN­was­entered.
j­­Select­OK­and­re-enter­the­PIN­shown­on­the­pump­
display.
Invalid­Record­
Time/Date
j­­Re-enter­time/date.
j­­The­time/date­entered­is­
invalid­(Add­Data­entries­
cannot­be­set­to­occur­in­the­
future).
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8
Display Shows
Possible Cause(s)
Possible Solution(s)
Invalid­Target­
Range
j­­The­lower­target­range­value­ j­­Reset­the­target­range­values.
is­above­the­upper­target­
j­­Enter­the­correct­lower­target­range­value­and­
range­value.
upper­target­range­value.­See­Chapter­5,­“Changing­
Meter­Settings.”
j­­The­range­selected­conflicts­ j­­Reset­range­or­revise­warning­limit­settings­and­
with­your­hyper­and/or­hypo­
re-enter­range.
warning­limit­settings.
j­­Enter­the­correct­lower­target­range­value­and­
upper­target­range­value.­See­Chapter­5,­“Changing­
Meter­Settings.”
j­­Treat­your­low­blood­glucose­as­recommended­by­
your­healthcare­professional.
j­­If­you­are­experiencing­any­of­the­common­
symptoms­of­low­blood­glucose,­contact­your­
healthcare­professional­immediately.
LO­bG­Warning
j­­Your­blood­glucose­may­be­
lower­than­the­measuring­
range­of­the­system.
Meter­and­Pump­
Not­Paired
j­­You­must­pair­the­meter­and­pump­to­use­these­
j­­Meter­and­pump­have­not­
features.
been­paired.­You­cannot­use­
the­pump­functions­without­ j­­For­instructions­on­how­to­pair­the­meter­and­pump,­
see­the­Advanced­Owner’s­Booklet.
pairing­the­meter­and­the­
pump.
Meter­Battery­Low j­­Battery­power­is­low.
j­­Install­new­batteries.­See­Chapter­7,­“Care­and­
Maintenance.”
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Display Shows
Possible Cause(s)
No­bG­with­Bolus
j­­You­have­not­tested­your­bG­ j­­It­is­recommended­to­test­bG­before­delivering­
and­are­attempting­to­deliver­ insulin.
a­bolus.
Pairing­Failed
j­­The­attempt­to­pair­the­meter­ j­­Restart­the­pairing­process.­See­the­Advanced­
and­pump­was­unsuccessful. Owner’s­Booklet.
Pump­Not­Available j­­The­pump­is­out­of­the­
communication­range­of­the­
meter.
Possible Solution(s)
j­­Ensure­the­meter­and­pump­have­Bluetooth­wireless­
technology­turned­on.
j­­Ensure­the­meter­and­pump­are­within­
communication­range.
j­­If­the­low­battery­icon­is­displayed,­the­meter­
cannot­communicate­with­the­pump.­Replace­the­
batteries.
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Display Shows
Possible Cause(s)
8
Possible Solution(s)
Test­Strips­Expiring j­­The­test­strips­expire­at­the­
end­of­the­current­month.
j­­This­message­may­appear­when­using­a­white­
activation­chip­in­the­meter.­It­means­the­test­strips­
expire­at­the­end­of­the­current­month.­At­the­end­of­
the­month,­discard­the­white­activation­chip­and­
any­remaining­test­strips.­Insert­a­black­activation­
chip.­Make­sure­the­time­and­date­in­the­meter­are­
correct.­If­you­need­a­black­activation­chip,­please­
contact­Roche.
j­­Ensure­the­time­and­date­are­correct­and­adjust,­if­
necessary.­See­Chapter­5,­“Changing­Meter­
Settings.”
Time­Mismatch
j­­The­meter­time­and­date­were­changed­to­match­
the­pump­time.­Ensure­the­time­and­date­are­
correct.­If­the­time­or­date­are­not­correct,­change­
the­time­and­date­on­the­pump.
j­­The­time­or­date­on­the­meter­
is­more­than­5­minutes­
different­than­the­time­or­date­
on­the­pump.
i NOTE
•­­For­additional­information­on­errors­and­warnings,­see­Chapter­6,­“Icons,­Reminders,­Warnings,­and­
Errors.”­
•­If­you­have­a­question­or­if­you­see­any­other­error­screen,­please­contact­Roche.
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9
9
Technical Information
9.1­Overview­
9.2­Product­Limitations­
9.3­Specifications­
9.4­Product­Safety­Information­
9.5­Disposing­of­the­Meter­
9.6­Guarantee­
9.7­Additional­Supplies­
9.8­Information­for­Healthcare­Professionals­
246
247
248
250
253
254
255
256
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9.1 Overview
This­chapter­provides­you­with­important­performance­information­regarding­the­meter.
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9
9.2 Product Limitations
Please­read­the­literature­packaged­with­your­test­strips­to­find­the­latest­information­on­product­
specifications­and­limitations.
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9.3 Specifications
Blood­volume­
j­­Refer­to­the­test­strip­package­insert.
Sample­type­
j­­Fresh­whole­blood
Measuring­time­
j­­Refer­to­the­test­strip­package­insert.
Measuring­range­
j­­Refer­to­the­test­strip­package­insert.
Test­strip­storage­conditions­
j­­Refer­to­the­test­strip­package­insert.
Meter­storage­conditions­(with­
batteries­inserted)
j­­-20­ºC­to­50­ºC­
System­operating­conditions­
j­­Refer­to­the­test­strip­package­insert.
Relative­humidity­operating­range
j­­Refer­to­the­test­strip­package­insert.
Memory­capacity­
j­­1,000­diary­records
Automatic­power­off
j­­2­minutes
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9
Power­supply­
j­­Three­AAA­batteries­(recommended:­alkaline)
Display
j­­LCD
Dimensions­
j­­94­x­55­x­25­mm­LWH
Weight
j­­­Approximately­103­g­with­batteries­inserted
Construction­
j­­Hand-held
Protection­class
j­­III
Meter­type
j­­The­Accu-Chek­Aviva­Combo­Meter­is­suitable­for­continuous­
operation.
Control­solution­storage­conditions
j­­2­°C­to­32­°C
Interface
j­­IR;­LED/IRED­–­Class­1
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9.4 Product Safety Information
Bluetooth Wireless Technology
The­meter­and­the­pump­utilize­Bluetooth­wireless­technology­to­communicate­and­transfer­information.­
Bluetooth­wireless­technology­is­a­form­of­radio­frequency­(RF)­technology­that­operates­in­the­unlicensed­
industrial,­scientific,­and­medical­band­at­2.4­to­2.485­GHz.­The­RF­channel­utilized­for­communication­
between­the­meter­and­the­pump­is­not­an­open­channel.­The­meter­can­only­communicate­with­the­pump­it­
is­paired­with;­therefore,­other­Bluetooth­wireless­technology­devices­(e.g.,­cell­phone,­printer,­etc.)­cannot­be­
paired­with,­communicate­with,­or­access­your­personal­information­on­the­meter­or­the­pump.
Radio Frequency Communication
The­device­complies­with­the­United­States­Federal­Communications­Commission­(FCC)­standards.­The­­
device­complies­with­FCC­Part­15­Rules.­Operation­of­the­device­is­subject­to­the­following­two­conditions:­­
(1)­this­device­may­not­cause­harmful­interference,­and­(2)­this­device­must­accept­any­interference­received,­
including­interference­that­may­cause­undesired­operation.
Compliance­with­these­guidelines­means­that­under­normal,­daily­circumstances­the­device­should­not­
affect­the­operation­of­other­devices.­In­addition,­the­device­should­operate­normally­in­the­presence­of­other­
devices.
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In­the­event­there­is­interference­from­another­device,­it­is­recommended­that­you­increase­distance­between­
meter­and­that­device.­You­may­also­turn­off­the­interfering­device.­In­addition,­you­may­turn­off­Bluetooth­
wireless­technology­on­the­meter­and­deliver­insulin­directly­using­the­pump.
9
Changes­or­modifications­to­the­device­not­expressly­approved­by­Roche­could­void­the­user’s­authority­to­
operate­the­device.
The­device­has­been­tested­and­found­to­comply­with­the­limits­for­a­Class­B­digital­device.­The­device­
generates,­uses,­and­can­radiate­radio­frequency­energy.
Electromagnetic Compatibility
This­meter­meets­the­electromagnetic­immunity­requirements­as­per­EN­ISO­15197­Annex­A.­The­chosen­
basis­for­electrostatic­discharge­immunity­testing­was­basic­standard­IEC­61000-4-2.­In­addition,­it­meets­
the­electromagnetic­emissions­requirements­as­per­EN­61326.­Its­electromagnetic­emission­is­thus­low.­
Interference­from­the­meter­to­other­electrically­driven­equipment­is­not­to­be­anticipated.­
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Performance Analysis
The­performance­data­for­the­Accu-Chek­Aviva­Combo­System­(Accu-Chek­Aviva­Combo­Meter­with­
Accu-Chek­Aviva­Test­Strips)­were­obtained­using­capillary­blood­from­diabetic­patients­(method­comparison,­
accuracy),­venous­blood­(repeatability),­and­control­solution­(reproducibility).­The­system­is­calibrated­with­
venous­blood­containing­various­levels­of­glucose.­The­reference­values­are­obtained­using­the­hexokinase­
method.­For­method­comparison,­the­results­were­compared­with­results­obtained­using­the­hexokinase­
method­with­deproteinization­(automatic­analyzer).­The­hexokinase­method­is­traceable­to­an­NIST­standard.­
Measuring Principle
Refer­to­your­test­strip­package­insert­for­more­information.
w WARNING
•­­Strong­electromagnetic­fields­may­interfere­with­the­proper­operation­of­the­meter.­Do­not­use­this­
meter­close­to­sources­of­strong­electromagnetic­radiation.
•­­To­avoid­electrostatic­discharge,­do­not­use­the­meter­in­a­very­dry­environment,­especially­one­in­
which­synthetic­materials­are­present.
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9
9.5 Disposing of the Meter
w WARNING
•­­During­blood­glucose­measurement,­the­meter­itself­may­come­into­contact­with­blood.­Used­meters­
therefore­carry­a­risk­of­infection.­Dispose­of­your­used­meter,­after­removing­the­batteries,­according­
to­the­regulations­applicable­in­your­country.­For­information­about­correct­disposal,­contact­your­local­
council­and­authority.
•­­The­meter­falls­outside­the­scope­of­the­European­Directive­2002/96/EC­-­Directive­on­waste­electrical­
and­electronic­equipment­(WEEE).
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9.6 Guarantee
The­statutory­provisions­on­rights­in­consumer­goods­sales­in­the­country­of­purchase­shall­apply.
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9
9.7 Additional Supplies
The­following­supplies­and­accessories­are­available­from­your­authorized­Roche­Diabetes­Healthcare­Centre,­
pharmacies,­or­your­medical/surgical­supply­dealer:
Test Strips
Accu-Chek­Aviva­Test­Strips
Control Solutions
Accu-Chek­Aviva­Control­Solutions
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9.8 Information for Healthcare Professionals
w WARNING
Healthcare Professionals: Follow the infection control procedures appropriate for your facility.
A­drop­of­fresh,­whole­blood­is­required­to­perform­a­blood­glucose­test.­Refer­to­the­test­strip­package­insert­
for­additional­healthcare­professional­information.
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Appendices
Appendix A: Abbreviations
Abbreviation
Definition
BE
Bread­Equivalent­(equal­to­12­grams­of­carbohydrates)
bG
Blood­Glucose
°C
Degrees­Celsius­(or­Centigrade)
Carbs
Carbohydrates
CC
Carbohydrate­Choice­(equal­to­15­grams­of­carbohydrates)
FCC
Federal­Communications­Commission­(United­States)
g
Grams
GHz
Gigahertz
Hyper
Hyperglycaemia­(high­blood­glucose)
Hypo
Hypoglycaemia­(low­blood­glucose)
IC
Industry­Canada
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Abbreviation
Definition
IR
Infrared
ISO
International­Organization­for­Standardization
KE
Kohlenhydrateinheit­(equal­to­10­grams­of­carbohydrates)
LCD
Liquid­Crystal­Display
mmol/L
Millimoles­per­Liter­
N/A
Not­Applicable
NIST
National­Institute­of­Standards­and­Technology­(United­States)
PIN
Personal­Identification­Number
RF
Radio­Frequency
SD
Standard­Deviation
U
Units­(bolus­insulin­units)
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Appendix B: Carb Units
For­carbohydrates,­the­following­units­of­measure­are­available­on­the­meter.
Abbreviation
Unit of Measurement
Gram Equivalent
g
Grams
1­gram
KE
Kohlenhydrateinheit
10­grams
BE
Bread­Equivalent
12­grams
CC
Carbohydrate­Choice
15­grams
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Appendix C: Explanation of Symbols
You­may­encounter­the­following­symbols­on­the­packaging,­on­the­type­plate­(back­of­meter),­and­in­the­
instructions­for­the­meter,­shown­here­with­their­meaning.
Consult­instructions­for­use
w
­Caution,­refer­to­safety-related­notes­in­the­instructions­for­use­accompanying­this­
product.
i
A­NOTE­is­used­to­provide­additional­information
Temperature­limitation­(store­at)
Manufacturer
Catalogue­number
In­vitro­diagnostic­medical­device
­ lood­glucose­meter­and­test­strips:­These­products­fulfil­the­requirements­of­the
B
European­Directive­98/79/EC­on­in­vitro­diagnostic­medical­devices.
1.5V­AAA
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Appendix D: Meter Settings and Range Limits
mmol/L
Data Type
Unit of Measurement
MIN
MAX
Increments
Default Setting
Acting­Time
hours:minutes
1:30
8:00
0:15
4:00
Active­Insulin
Units
0
99.9
0.1
N/A
bG­Threshold­(High) mmol/L
6.5
19.5
0.1
Hyper­Warning­Limit
bG­Threshold­(Low) mmol/L
3
5.5
0.1
Hypo­Warning­Limit
Carb­Ratio­(carbs)
1
0.1
0.1
0.1
240
20
24
16
1
0.1
0.1
0.1
No­entry­(“---­g”)
No­entry­(“---­BE”)
No­entry­(“---­KE”)
No­entry­(“---­CC”)
Carb­Ratio­(insulin) Units
0.1
50
0.1
1
Carbohydrates
0
0
0
0
240
20
24
16
1
0.1
0.1
0.1
No­entry­(“---­g”)
No­entry­(“---­BE”)
No­entry­(“---­KE”)
No­entry­(“---­CC”)
grams
BE
KE
CC
grams
BE
KE
CC
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Data Type
Unit of Measurement
MIN
MAX
Increments
Default Setting
Exercise­1­­
(health­event)
%
-50
50
1
0
Exercise­2­­
(health­event)
%
-50
50
1
0
Extended­Bolus­
(insulin)
Units
0
501
0.1
N/A
Hyper­Warning­
Limit
mmol/L
10
19.4
0.1
16.5
3
5
0.1
4
Hypo­Warning­Limit mmol/L
Illness­(health­
event)
%
-50
50
1
0
Insulin­Sensitivity­
(bG)
mmol/L
0.1
55.4
0.1
No­entry­(“---mmol/L”)
Insulin­Sensitivity­
(insulin)
Units
0.1
50
0.1
1
Meal­Rise­(bG)
mmol/L
2.8
11.1
0.1
2.8
Multiwave­Bolus­
(insulin)
Units
0.2
501
0.1
N/A
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Data Type
Unit of Measurement
MIN
MAX
Offset­Time
hours:minutes
0:45
Acting­ 0:15
Time
1:00
Premenstrual­
(health­event)
%
-50
50
1
0
Snack­Size­(carbs)
grams
BE
KE
CC
0
0
0
0
24
2
2.4
1.6
1
0.1
0.1
0.1
No­entry­(“---­g”)
No­entry­(“---­BE”)
No­entry­(“---­KE”)
No­entry­(“---­CC”)
Standard­Bolus­
(insulin)
Units
0
50
0.1
N/A
Stress­(health­
event)
%
-50
50
1
0
Target­Range­Upper­ mmol/L
Value
5.5
15
0.1
8
Target­Range­
Lower­Value
3
8
0.1
4
mmol/L
Increments
Default Setting
T­ he­maximum­that­can­actually­be­delivered­may­be­less­due­to­the­Accu-Chek­Spirit­Combo­Pump’s­
maximum­insulin­amount.
1
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The­following­are­the­default­settings­for­bG­test­reminders.­To­turn­on­a­bG­test­reminder,­see­“Setting­the­
Alarm­Clock­Reminders:­bG­Test,­Other”­in­Chapter­5,­“Changing­Meter­Settings.”
Test Reminder
Default Time of Day
1
07:00
2
09:00
3
11:00
4
12:00
5
14:00
6
16:00
7
19:00
8
22:00
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The­following­are­the­default­settings­for­the­time­blocks.­Talk­to­your­healthcare­professional­about­setting­
up­time­blocks­to­help­you­manage­your­diabetes.­To­adjust­the­time­blocks,­see­Chapter­5,­“Changing­Meter­
Settings.”
Time Block
24-Hour Format
1
0:00–5:30
2
5:30–11:00
3
11:00–17:00
4
17:00–21:30
5
21:30–0:00
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Glossary
Term
Definition
7-day­average
Includes­results­generated­today­and­the­previous­6­days.
Acting­Time
The­period­of­time­from­the­start­of­the­meal­rise­or­the­delivery­of­a­
correction­bolus­until­your­blood­glucose­level­is­expected­to­return­to­the­
target­level.
Active­Insulin
Bolus­insulin­that­has­been­given­to­lower­your­blood­glucose­but­has­not­
yet­been­fully­used.
Advice­Options
Factors­that­influence­bolus­advice­calculations­including­meal­rise,­
snack­size,­acting­time,­and­offset­time.
After­High­bG­Reminder
A­reminder­to­retest­your­blood­glucose.­When­enabled,­this­reminder­
occurs­after­a­high­blood­glucose­test­result.
After­Low­bG­Reminder
A­reminder­to­retest­your­blood­glucose.­When­enabled,­this­reminder­
occurs­after­a­low­blood­glucose­test­result.
After­Meal­Reminder
A­reminder­to­retest­your­blood­glucose.­When­enabled,­this­reminder­
occurs­after­a­meal.­For­this­reminder­to­occur,­you­must­enter­
carbohydrate­data­greater­than­the­snack­size­amount.
Alarm
Audible­or­vibrating­(silent)­notification­indicating­a­reminder,­warning,­or­
error.
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Term
Definition
bG­Test­Reminders
Reminders­to­retest­your­blood­glucose­after­a­high­blood­glucose­test­
result,­after­a­low­blood­glucose­test­result,­or­after­a­meal.
bG­Threshold
A­bG­test­reminder­setting.­The­upper­limit­for­your­blood­glucose­for­a­
high­bG­test­reminder­and­the­lower­limit­for­your­blood­glucose­for­a­low­
bG­test­reminder.
Blood­Glucose­(bG)
The­level­of­sugar­in­blood.
Bluetooth­Wireless­Technology
Wireless­short-range­communications­technology­which­connects­
devices­(such­as­meter­and­pump)­in­order­to­exchange­information.
Bolus
The­delivery­of­insulin­all­at­once­rather­than­slowly­throughout­the­day,­
usually­used­to­compensate­for­meals­or­high­blood­glucose.
Bolus­Advice
When­enabled,­bolus­advice­provides­recommendations­on­the­amount­of­
insulin­for­food­intake­and­for­correcting­blood­glucose­levels­that­are­not­
within­your­target­range.
Bolus­Advice­Options­
See­Advice­Options.
Bolus­Delivery­Start­Delay
The­Standard­Bolus­icon­blinks­for­5­seconds­and­then­the­meter­
communicates­to­the­pump­to­begin­delivery­of­the­bolus­amount.­During­
this­delay­you­are­able­to­cancel­the­bolus­delivery­by­pressing­x­or­z.­
The­meter­beeps­and­returns­to­the­Pump­Run­screen.
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Term
Definition
Carb­Ratio
The­amount­of­insulin­necessary­to­account­for­a­certain­number­of­
carbohydrates.
Carbohydrates­(or­Carbs)
Carbohydrate­foods­include­sugars­and­starches.­Carbohydrates­can­
raise­blood­glucose­levels­slowly­or­rapidly.­Carbohydrates­are­generally­
counted­to­calculate­a­bolus­insulin­dose.
Caution
Provides­information­that,­if­not­followed,­could­result­in­material­hazards­
(damage­to­or­destruction­of­equipment­or­materials).
Control­Result
Value­displayed­on­meter­as­the­result­of­a­control­test.­When­the­Control­
Result­is­within­the­range­shown­on­the­label­of­the­test­strip­container,­
then­the­test­strips­and­the­meter­are­working­properly.
Control­Test
A­meter­test­using­control­solution­which­lets­you­know­that­the­meter­
and­test­strips­are­working­properly.
Corrupt­Result
bG­test­result­that­had­an­error.
Current­Date
Refers­to­the­date­you­set­through­the­menu­Settings­and­then­the­Time/
Date­screen.
Current­Time
Refers­to­the­time­you­set­through­the­menu­Settings­and­then­the­Time/
Date­screen.
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Term
Definition
Day
Period­of­time­starting­at­00:00­and­ending­at­23:59.
End­Time
The­end­time­of­a­time­block.
Extended­Bolus
A­bolus­delivered­over­a­period­of­time.­It­can­be­helpful­during­long­
meals­or­when­you­have­meals­that­are­digested­slowly.­The­Extended­
Bolus­may­also­be­appropriate­for­people­who­have­gastroparesis­
(delayed­digestion).­This­option­is­available­only­when­Bluetooth­wireless­
technology­is­turned­on­and­the­meter­and­pump­are­communicating.
Health­Events
A­pop-up­menu­selection­(fasting,­exercise­1,­stress,­illness,­exercise­2,­
or­premenstrual)­that­allows­information­to­be­stored­with­a­blood­
glucose­test­result­or­in­a­diary­record­and­percentages­that­could­adjust­
bolus­advice­recommendations­for­your­current­health­status­or­
activities.
HI
The­test­result­is­above­the­meter’s­measurement­range.
Hyper
Hyperglycaemia:­an­abnormally­high­level­of­glucose­in­the­blood.
Hyper­Warning­Limit
When­your­blood­glucose­test­result­is­above­the­hyper­warning­limit,­a­
warning­is­displayed.
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Term
Definition
Hypo
Hypoglycaemia:­an­abnormally­low­level­of­glucose­in­the­blood.
Hypo­Warning­Limit
When­your­blood­glucose­test­result­is­below­the­hypo­warning­limit,­a­
warning­is­displayed.
Insulin­Pump
A­device­that­delivers­a­continuous­supply­of­insulin­into­the­body.
Insulin­Sensitivity
The­amount­of­insulin­necessary­to­lower­your­blood­glucose­by­a­certain­
amount.
Ketones
A­by-product­or­waste­product­when­your­body­burns­stored­fat­for­
energy.­Ketones­are­produced­when­there­is­not­enough­insulin­to­help­
your­body­use­glucose­for­energy.­Without­enough­insulin,­glucose­builds­
up­in­the­blood.
Key­Lock
A­meter­function­which­disables­the­keys­(buttons)­in­order­to­prevent­its­
unintended­use.
LO
The­test­result­is­below­the­meter’s­measurement­range.
Meal­Rise
During­or­after­meals,­an­increase­in­blood­glucose­levels­is­considered­
normal­within­a­certain­range,­even­though­a­meal­bolus­has­been­
delivered.­A­meal­rise­is­in­effect­for­a­specified­time­period.
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Term
Definition
Meal­Time
A­pop-up­menu­selection­(Pre­Meal,­Post­Meal,­Bedtime,­or­other)­that­
allows­information­to­be­stored­with­a­blood­glucose­test­or­in­a­diary­
record.
Meter
Blood­glucose­meter.
Multiwave­Bolus
A­bolus­designed­to­better­simulate­the­body’s­insulin­delivery.­It­
combines­an­immediate­bolus­delivery­followed­by­an­Extended­Bolus­
delivery.­A­Multiwave­Bolus­can­be­helpful­when­you­have­meals­that­
include­both­rapidly­and­slowly­absorbed­carbohydrates.­This­option­is­
available­only­when­Bluetooth­wireless­technology­is­turned­on­and­the­
meter­and­pump­are­communicating.
Note
Additional­information.
Offset­Time
Offset­time­takes­into­account­the­expected­delay­for­the­blood­glucose­
level­to­actually­fall­during­the­acting­time­of­insulin­in­the­body.­It­
describes­the­first­time­period­within­the­acting­time.
Paired
A­pump­and­meter­exclusively­communicating­and­transferring­
information­with­each­other.
Pump
See­Insulin­Pump.
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Term
Definition
Quick­Bolus
A­bolus­delivery­on­the­pump­using­the­pump­UP­and­DOWN­keys.­One­
key­press­equals­one­bolus­increment­(i.e.,­0.1,­0.2,­0.5,­1.0,­2.0).­See­
the­pump­User­Guide­for­more­information.
Remind­After
A­bG­test­reminder­setting.­The­amount­of­time­after­a­high­blood­glucose­
test­result,­after­a­low­blood­glucose­test­result,­or­after­a­meal­you­want­
the­reminder­to­occur.
Reminder
When­enabled,­reminders­occur­to­remind­you­to­test­your­blood­glucose,­
to­retest­your­blood­glucose­or­of­an­event­or­activity.
Snack­Size
The­amount­of­carbohydrates­that­should­not­be­counted­as­a­regular­
meal­with­the­expected­meal­rise.
Snooze
Delay­of­some­reminders­for­a­defined­time­period.
Soft­Keys
Two­buttons­under­the­meter­display­used­to­navigate­through­the­user­
interface.­Just­above­each­soft­key,­the­meter­display­shows­the­
selection­(i.e.,­Save,­Cancel,­Back,­etc.).­
Standard­Deviation
As­it­is­used­in­this­owner’s­booklet,­standard­deviation­measures­how­
widely­spread­the­bG­test­results­are­(e.g.,­if­the­bG­test­results­are­close­
to­the­bG­average,­then­the­standard­deviation­is­small).
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Term
Definition
Standard­Bolus
A­bolus­that­is­immediately­delivered­to­cover­a­food­or­a­blood­glucose
correction.­When­Standard­is­selected,­the­bolus­is­delivered­by­the­
pump.­This­option­is­available­only­when­Bluetooth­wireless­technology­is­
turned­on­and­the­meter­and­pump­are­communicating.
Start­Time
The­start­time­of­a­time­block.
Target­Range
The­desired­upper­and­lower­limits­of­your­blood­glucose­level­considered­
acceptable­as­set­by­your­healthcare­professional.
Time­Blocks
Up­to­eight­time­periods­within­one­day­to­facilitate­your­changing­insulin­
needs­throughout­the­day.
Time­Range
The­user­sets­the­duration­of­time.­There­is­a­start­and­end­time.­
User
A­person­using­the­meter­or­pump.
Warning
Describes­items­and­conditions­that­present­hazards­and­may­cause­
personal­injury.
Warning­Limits
See­Hyper­Warning­Limit­or­Hypo­Warning­Limit.­
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Index
A
abbreviations,­­257–259
acting­time,­­152–154, 163
activation­chip,­­12–13, 15
activation­chip­slot,­­13
active­insulin,­­49–52
advice­options,­­162–163
after­high­bG­test­reminder,­­133–137, 200, 204
after­low­bG­test­reminder,­­133–137, 200, 204
after­meal­bG­test­reminder,­­133–137, 201,
204, 207
alarm­clock­reminders,
bG­test,­­29, 138–140, 204, 208
other,­­29, 138–140, 204, 208–209
appetite,­increased,­­58
B
backlight,­­20, 193
button,­­13, 17
batteries,­­14
changing,­­221–223
low,­­31
type,­­221
BE,­­173–175
beeper,­setting,­­179–181
bG­test­reminder,­­28, 201, 264
bG­threshold,­­135–136
blood­glucose­averages,­­92–93
blood­glucose­test,
performing,­­42–50
reminder,­­28
results,­­46, 49–57
unusual­results,­­53–57
Bluetooth­wireless­technology,­­17, 32, 250–251
turning­on­or­off,­­176–177
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blurred­vision,­­58
bolus­advice,­­22, 146–154
bolus­advice­options. See advice­options
bolus,­delivery,­­23, 230–232
buttons,­­13, 15–17, 16–18
C
carbohydrates,­­49–52, 85, 88
units­of­measure,­­173–175, 259
carb­ratio,­­150, 232
carbs. See carbohydrates
CC,­­173–175
cleaning­meter,­­225
code­chip. See activation­chip
communication,­­229, 231–233
control­solution,­­14, 62, 65
control­test,
performing,­­61, 63–68
results,­­66–67, 69–72
results,­troubleshooting,­­73–74
D
data,­­23
adding,­­50–52, 87–89
downloading­to­a­computer,­­24, 128–130
modifying,­­79–87
reporting,­­90–127
trends,­­94–103
viewing,­­79–87
date,
reminders,­­, 29, 141–145
settings,­­182–184
display,­­13, 20, 229
disposing,­meter,­­253
Dr.­visit­reminder,­­141–145, 201–202, 204
E
electromagnetic­compatibility,­­251
errors,­list­of,­­216–218
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F
fatigue,­­58
frequent­urination,­­58
G
g­(grams),­­173–175
graph,
standard­day,­­105–108
standard­week,­­114–117
target,­­122–124
trend,­­95–98
guarantee,­­254
H
headache,­­58
health­events,­­27, 50–51, 85, 88, 152,
160–161
high­bG­retest­reminder,­­202, 206
hyper­warning­limit,­­24, 164–166, 230, 240
hypo­warning­limit,­­24, 164–166, 230, 240
I
icons,­listing,­­81–82, 197–198
infrared­(IR)­window,­­13–14, 129
infusion­set­change­reminder,­­141–145, 202,
204
insulin­pump,­­19
insulin­pump,­connecting. See pairing
insulin­sensitivity,­­150, 239
K
KE,­­173–175
key­lock,­­18, 21, 167–169
key­sound,­setting,­­179–181
L
lab­test­reminder,­­141–145, 203–204
lancing­device,­­44–45
language,­­170–172
lock. See key­lock
low­bG­retest­reminder,­­203–205
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M
maintenance,­meter,­­226
meal­rise,­­152, 154, 163
meal­time,­­49–52, 85
meter,
settings­and­range­limits,­­261–266
summary­of­features,­­13, 20–28
N
navigation,­­36–37
numbness,­­58
O
offset­time,­­152–153, 163
P
pairing,­­18, 178
power­button,­­13, 16–17
power-saving­tips,­­224
pump. See insulin­pump
R
rapid­heartbeat,­­58
reminders,
list­of,­­200–201
others,­­203
priority,­­204
S
safety­information,­­250–252
screen,­features,­­31, 34–35
scroll­bar,­­34
snack­size,­­136–137, 152–153, 163
snooze,­­133, 138, 199, 209
soft­keys,­­13, 16–18
sound. See beeper­setting
sound,­­31
specifications,­meter,­­248–249
standard­day,­reporting,­­104–112
standard­deviation,­­90–91
standard­week,­reporting,­­113–121
supplies,­­255
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sweating,­­58
symbols,­explanation,­­260
T
table,
standard­day,­­109–112
standard­week­­118–120
target,­­125–127
trend,­­100–103
target­range,­­150, 187, 240–241
target,­reporting,­­121–127
test­results,
storing,­­77–78
unusual,­­57
test­strip,­­235–237, 243
thirst,­increased,­­58
time­blocks,­­25–26, 146–154, 155–159,
185–192, 265
time­change,­­95, 97, 100–101
time­format,­setting,­­182–183
time,­setting,­­182–183
tingling,­­58
trembling,­­58
troubleshooting,­­229–243
U
units­of­measure. See carbohydrates,­units­of­
measure
unlock. See key­lock
use­by­date,­­41, 57, 62, 73
V
vibrate,­setting,­­179–181
W
warnings,­list­of,­­210–215
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280
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