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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 50813_00048009694_D.indb 2 7/3/12 3:12 PM 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 12 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 42 49 53 57 58 RocheUSA–50813 V4/2–00048009694/D–Cyan– RocheUSA–50813 V4/3–00048009694/D–Magenta– RocheUSA–50813 V4/4–00048009694/D–Yellow– 1 50813_00048009694_D.indb 1 7/3/12 3:12 PM 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 132 133 138 141 146 155 2 50813_00048009694_D.indb 2 7/3/12 3:12 PM 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 196 197 199 200 210 216 3 50813_00048009694_D.indb 3 7/3/12 3:12 PM 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 246 247 248 250 253 254 255 256 4 50813_00048009694_D.indb 4 7/3/12 3:12 PM Appendices 257 AppendixA:Abbreviations AppendixB:CarbUnits AppendixC:ExplanationofSymbols AppendixD:MeterSettingsandRangeLimits 257 259 260 261 Glossary 267 Index 275 5 50813_00048009694_D.indb 5 7/3/12 3:12 PM 6 50813_00048009694_D.indb 6 7/3/12 3:12 PM 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 7 50813_00048009694_D.indb 7 7/3/12 3:12 PM 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.” 8 50813_00048009694_D.indb 8 7/3/12 3:12 PM 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 9 50813_00048009694_D.indb 9 7/3/12 3:12 PM 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. 10 50813_00048009694_D.indb 10 7/3/12 3:12 PM 1 1 Understanding Your New System 1.1Overview 1.2TheAccu-ChekAvivaComboMeterataGlance 1.3TheAccu-ChekSpiritComboInsulinPumpataGlance 1.4SummaryofFeatures 1.5ScreenContentandNavigation 12 13 19 20 30 11 50813_00048009694_D.indb 11 7/3/12 3:12 PM 1.1 Overview Yournewmeterhasseveralfeaturestoassistyouinmanagingyourdiabetes.Itisimportantyouunderstand thefeaturesandhowtooperatethemetercorrectly. i NOTE •Thisbookletshowssamplescreens.Thescreensinthisbookletmaylookslightlydifferentfromthe screensonthemeter.Ifyouhaveanyquestionsaboutthemeterscreens,contactRoche. •Onthemeterdisplay,theactivationchipisreferredtoasacodekey.Codekeyandactivationchipare interchangeableandmeanthesamething. •BloodglucoseandbGareinterchangeableandmeanthesamething. 12 50813_00048009694_D.indb 12 7/3/12 3:12 PM 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 13 50813_00048009694_D.indb 13 7/3/12 3:12 PM Batteries Insertbatteriesaccordingtothe+and-symbolsin thebatterycompartment. Test Strip YellowWindowTouchblooddropor controlsolutionhere. GoldenEnd- Insertthisendofthetest stripintothemeter. Control Solution Bottle (forexample) Test Strip Container (forexample) 14 50813_00048009694_D.indb 14 7/3/12 3:12 PM 1 Top View Infrared(IR)Window Activation Chip (forexample) Side View Pre-insertedactivationchip i NOTE Yourmeterisalreadycodedandcomeswithapre-insertedblackactivationchipthatyouneverneed tochange.Evenifyouuseteststripsfromboxesthatcontainanotheractivationchipthatisadifferent colororhasdifferentnumbers,youneverneedtochangetheblackactivationchipagain. 15 50813_00048009694_D.indb 15 7/3/12 3:12 PM 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. 16 50813_00048009694_D.indb 16 7/3/12 3:12 PM 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. 17 50813_00048009694_D.indb 17 7/3/12 3:12 PM Table of Button Combinations Button Combination Name Function Whenthebuttonsarelocked,pressand hold,and.untiltheMainMenu appears. UnlockKeys jUnlocksthebuttons. Withthemeterturnedoff,pressandhold Meter/Pump *andthenpress+. Pairing jBeginsmeterandpumppairing. 18 50813_00048009694_D.indb 18 7/3/12 3:12 PM 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. 19 50813_00048009694_D.indb 19 7/3/12 3:12 PM 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.” 20 50813_00048009694_D.indb 20 7/3/12 3:12 PM 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. 21 50813_00048009694_D.indb 21 7/3/12 3:12 PM 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. 22 50813_00048009694_D.indb 22 7/3/12 3:12 PM 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.” 23 50813_00048009694_D.indb 23 7/3/12 3:12 PM 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.” 24 50813_00048009694_D.indb 24 7/3/12 3:12 PM Time Blocks •Timeblocksallowyoutodivideadayintodifferenttimeperiods. •Settingtimeblockstofityourownschedulehelpsyouandyourhealthcareprofessionalseehowpatternsin yourbloodglucoseareaffectedbyyourdailyactivitiesandlifestyle. •Timeblockscanbesetupwithorwithoutbolusadvice. •Talktoyourhealthcareprofessionalaboutthebestwaytosetupyourtimeblockstoassistyouinmanaging yourdiabetes. •Themeterhasfivedefaulttimeblocks. •Youmaysetuptoeighttimeblocks. •Formoreinformation,seeChapter5,“ChangingMeterSettings.” 1 25 50813_00048009694_D.indb 25 7/3/12 3:12 PM Withoutbolusadvice,youneedtoconsiderthefollowingwhensettinguptimeblocks: •Determinetheappropriatetimerangebyreviewingtheendtimeforeachtimeblock. •Reviewtheacceptablebloodglucosetargetrange(lowandhigh)foreachtimeblock. Withbolusadvice,youneedtoconsiderthefollowingwhensettinguptimeblocks: •Determinetheappropriatetimerangebyreviewingtheendtimeforeachtimeblock. •Reviewtheacceptablebloodglucosetargetrange(lowandhigh)foreachtimeblock. •Determineyourcarbratio(theamountofinsulinneededtocoveragivenamountofcarbohydrates)foreach timeblock. •Determineyourinsulinsensitivity(theamountofinsulinneededtoloweryourbloodglucosebyagiven amount)foreachtimeblock. 26 50813_00048009694_D.indb 26 7/3/12 3:12 PM 1 Health Events Healtheventscanbeselectedtoindicatehowyouarefeelingorwhatyouaredoingthatmightaffectyour diabetes.Themeterallowsyoutheoptionofsettingapercentageforeachhealtheventifyousetupbolus advice. Healtheventsavailableonthemeterare: •Fasting •Exercise1 •Stress •Illness •Exercise2 •Premenstrual Fastingdoesnotscalebolusadvicecalculationsandisnotadjustable.Discusstheappropriatepercentage foreachhealtheventwithyourhealthcareprofessional.Forinstructionsonhowtosetupbolusadvice,see Chapter5,“ChangingMeterSettings.” 27 50813_00048009694_D.indb 27 7/3/12 3:12 PM 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.” 28 50813_00048009694_D.indb 28 7/3/12 3:12 PM 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.” 29 50813_00048009694_D.indb 29 7/3/12 3:12 PM 1.5 Screen Content and Navigation Thissectionprovidesanexplanationofhowtounderstandandnavigatethescreensonthemeter. Eachtimethemeteristurnedon,thissplashscreen(Accu-Cheklogoscreen)isdisplayedforashort periodoftime. 30 50813_00048009694_D.indb 30 7/3/12 3:12 PM 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. 31 50813_00048009694_D.indb 31 7/3/12 3:12 PM Bluetooth Wireless Technology Icon Communication States YoumayturnBluetoothwirelesstechnologyonoroffatanytimeusingthemeter. Icon Communication State Bluetoothwirelesstechnologyison.Themeterandpumparecommunicating. Bluetoothwirelesstechnologyisoff.Themeterandpumparenotcommunicating. Bluetoothwirelesstechnologyison.However,themeterandpumparenotcommunicating. 32 50813_00048009694_D.indb 32 7/3/12 3:12 PM 1 Connecting to the Pump screen: ThisscreenappearswhenBluetoothwirelesstechnologyisonandthemeterisconnectingtothepump. 33 50813_00048009694_D.indb 33 7/3/12 3:12 PM 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. 34 50813_00048009694_D.indb 34 7/3/12 3:12 PM Informationcanbeenteredonsomescreens.Numericalentryfieldsappearaspop-upentryfields.When anoptionmustbeselected,itappearsasapop-upmenu. •Toopenapop-upmenuorentryfield,press=. •Pressxorztoselecttheappropriatepop-upmenuoptionoruntilthecorrectnumericalentryis present,andthenpress=. •Pressandholdxorztoscrollfaster. 1 Pop-Up Entry Field Pop-Up Menu 35 50813_00048009694_D.indb 35 7/3/12 3:12 PM General Navigation Steps Tochangethesettingsorenterinformationintothemeter: 1. jPressxorztoselectamenuoptionandpress=. jRepeatthepreviousstepasnecessary. 36 50813_00048009694_D.indb 36 7/3/12 3:12 PM 2. 3. 1 4. jSelectSavebypressing.to savechangesandreturntothe previousscreen. jPressxorzor<or>to selectanoptionoradesired entryfieldandpress=. jPressxorztoselectthe desiredentryandpress=. jRepeatSteps2and3,as necessary. 37 50813_00048009694_D.indb 37 7/3/12 3:12 PM 38 50813_00048009694_D.indb 38 7/3/12 3:12 PM 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 39 50813_00048009694_D.indb 39 7/3/12 3:12 PM 2.1 Overview Itisimportanttounderstandhowtoperformabloodglucosetestproperly. i NOTE BloodglucoseandbGareinterchangeableandmeanthesamething. 40 50813_00048009694_D.indb 40 7/3/12 3:12 PM 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. 41 50813_00048009694_D.indb 41 7/3/12 3:12 PM 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. 42 50813_00048009694_D.indb 42 7/3/12 3:12 PM 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. 43 50813_00048009694_D.indb 43 7/3/12 3:13 PM 4. 5. 6. TheApplySamplescreen appears.Theteststripisready fortesting. Fingerstick: jPerformafingerstickwiththe fingerpricker. Fingerstick: jGentlysqueezeyourfingerto assisttheflowofblood.This helpsyougetablooddrop. 44 50813_00048009694_D.indb 44 7/3/12 3:13 PM 7. 8. 9. Whentheteststriphasenough blood,theAnalyzingscreen appears. Theresultappearsonthe display. 2 jTouchtheblooddroptothe front edgeoftheyellow windowoftheteststrip.Do notputbloodontopofthetest strip. 45 50813_00048009694_D.indb 45 7/3/12 3:13 PM 10. Approximately3secondslater, thedetailedbGResultscreen appears. jRemoveanddiscardtheused teststrip. 46 50813_00048009694_D.indb 46 7/3/12 3:13 PM 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. 47 50813_00048009694_D.indb 47 7/3/12 3:13 PM 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. 48 50813_00048009694_D.indb 48 7/3/12 3:13 PM 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. 49 50813_00048009694_D.indb 49 7/3/12 3:13 PM Detailed bG Results > Change Meal Time/Carbs/Health Events (Optional) ThedetailedbGResultscreenallowsyoutoviewandtoaddinformationtoabloodglucosetestresult. 50 50813_00048009694_D.indb 50 7/3/12 3:13 PM 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. 51 50813_00048009694_D.indb 51 7/3/12 3:13 PM 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. 52 50813_00048009694_D.indb 52 7/3/12 3:13 PM 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”). 53 50813_00048009694_D.indb 53 7/3/12 3:13 PM Status Bar ThestatusbaronthebGResultscreenindicateshowtheresultcomparestothetargetbloodglucoserange forthecurrenttimeblock.Thefollowingarestatusbardescriptionswithsampledisplays: Greenindicatestheresultis withinthetargetrangeforthe currenttimeblock. Yellowindicatestheresultis belowthetargetrangeforthe currenttimeblock.Theresult isnotbelowthehypowarning limit. Redwith“Hypo”indicatesthe resultisbelowthehypowarning limit. 54 50813_00048009694_D.indb 54 7/3/12 3:13 PM 2 Lightblueindicatestheresultis abovethetargetrangeforthe currenttimeblock.Theresult isnotabovethehyperwarning limit. Lightbluewith“Hyper” indicatestheresultisabovethe hyperwarninglimit. 55 50813_00048009694_D.indb 55 7/3/12 3:13 PM 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. 56 50813_00048009694_D.indb 56 7/3/12 3:13 PM 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. 57 50813_00048009694_D.indb 57 7/3/12 3:13 PM 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. 58 50813_00048009694_D.indb 58 7/3/12 3:13 PM 3 3 Control Testing 3.1Overview 3.2WhyPerformControlTests 3.3AbouttheControlSolutions 3.4PerformingaControlTest 3.5UnderstandingControlTestResults 60 61 62 63 69 59 50813_00048009694_D.indb 59 7/3/12 3:13 PM 3.1 Overview Thischapterdescribeshowandwhentoperformacontroltesttoensuretheaccuracyofyourbloodglucose meter.Itisrecommendedyoucompleteacontroltestpriortoperformingabloodglucosetestforthefirst time. i NOTE BloodglucoseandbGareinterchangeableandmeanthesamething. 60 50813_00048009694_D.indb 60 7/3/12 3:13 PM 3 3.2 Why Perform Control Tests Performingacontroltestletsyouknowthemeterandteststripsareworkingproperlytogivereliableblood glucosetestresults.Youshouldperformacontroltestwhen: •Youopenanewteststripbox. •Youlefttheteststripcontaineropen. •Youwanttocheckthemeterandteststrips. •Yourteststripswerestoredinextremetemperatures,humidity,orboth. •Youdroppedthemeter. •Yourtestresultdoesnotmatchwithhowyoufeel. •Youwanttocheckifyouareperformingthetestcorrectly. 61 50813_00048009694_D.indb 61 7/3/12 3:13 PM 3.3 About the Control Solutions •OnlyuseAccu-ChekAvivaControlSolutions. •Themeterautomaticallyrecognizesthecontrolsolution. •Thecontroltestresultsarenotdisplayedinthediary. •Writethedateyouopenedthecontrolsolutionbottleonthebottlelabel.Thesolutionisgoodfor3months fromthatdateoruntiltheusebydateonthebottlelabel,whichevercomesfirst. •Donotusecontrolsolutionthatispasttheusebydate. •Thesolutioncanstainclothing.Ifyouspillit,washyourclotheswithsoapandwater. •Closethebottletightlyafteruse. 62 50813_00048009694_D.indb 62 7/3/12 3:13 PM 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. 63 50813_00048009694_D.indb 63 7/3/12 3:13 PM 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. 64 50813_00048009694_D.indb 64 7/3/12 3:13 PM 3 4. 5. 6. jSelectthecontrolsolutionto test.Youwillenterthelevel laterinthetest. jPlacethemeteronaflat surface,likeatable. jRemovethecontrolbottlecap. Wipethetipofthebottlewith atissue. 65 50813_00048009694_D.indb 65 7/3/12 3:13 PM 7. 8. 9. Whentheteststriphasenough controlsolution,theAnalyzing screenappears. jWipethetipofthebottlewitha tissueandthencapthebottle tightly. Thecontrolresultappearson thedisplay. jSelectLeveltodisplaythe controlsolutionlevelpop-up menu. jSqueezethebottleuntilatiny dropformsatthetip. jTouchthedroptothefront edgeoftheyellowwindow oftheteststrip.Donotput controlsolutionontopofthe teststrip. 66 50813_00048009694_D.indb 66 7/3/12 3:13 PM 10. 11. jSelectthecontrolsolutionlevel andpress=. jRemoveanddiscardthetest strip. jForinformationon understandingcontroltest results,proceedtothenext section,orselectMenuto savethisresultanddisplaythe MainMenuscreen. 3 67 50813_00048009694_D.indb 67 7/3/12 3:13 PM 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. 68 50813_00048009694_D.indb 68 7/3/12 3:13 PM 3 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 69 50813_00048009694_D.indb 69 7/3/12 3:13 PM 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. 70 50813_00048009694_D.indb 70 7/3/12 3:13 PM 3 Ifthecontroltestresultis outsideoftheacceptablerange, “Outofrange”appearsonthe detailedControlResultscreen. If“HI”isdisplayed,thecontrol testresultmaybeabovethe measurementrange. If“LO”isdisplayed,thecontrol testresultmaybebelowthe measurementrange. 71 50813_00048009694_D.indb 71 7/3/12 3:13 PM IfthemeterstoredNoEntryfor thecontrolsolutionlevel,then “---”appearswithnoindication ofinoroutofrange. 72 50813_00048009694_D.indb 72 7/3/12 3:13 PM 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. 73 50813_00048009694_D.indb 73 7/3/12 3:13 PM Troubleshooting Checks Actions 7.Didyouchoosethecorrectcontrolsolutionlevel, Ifyouchosethewrongcontrolsolutionlevel,you either1or2,whenyouperformedthecontroltest? canstillcomparethecontrolresulttotherange printedontheteststripcontainer. 8.Areyoustillunsureoftheproblem? ContactRoche. 74 50813_00048009694_D.indb 74 7/3/12 3:13 PM 4 4 Managing Your Data 4.1Overview 4.2ViewingorModifyingYourData 4.3AddingNewData 4.4ReportingYourData 4.5DownloadingYourDatatoaComputer 76 79 87 90 128 75 50813_00048009694_D.indb 75 7/3/12 3:13 PM 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. 76 50813_00048009694_D.indb 76 7/3/12 3:13 PM 4 Storing Test Results Themeterautomaticallystoresupto1,000diaryrecordswiththetimeanddate.Youcanreviewupto 250diaryrecordsonthemeterorupto1,000diaryrecordsusingacomputerwithcompatiblesoftware. Diaryrecordsarestoredfromthenewesttotheoldest.Itisveryimportanttohavethecorrecttimeand dateset.Havingthecorrecttimeanddatesettinghelpsensureaccurateinterpretationofbloodglucosetest resultsbyyouandyourhealthcareprofessional. Eachdiaryrecordcancontain: •Dateandtime •Bloodglucosetestresult •Mealtime(events) •Carbs •Healthevent •Bolustype •Bolusamount Youcandisplayfiltereddiarydataingraphicalortableformat. 77 50813_00048009694_D.indb 77 7/3/12 3:13 PM 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. 78 50813_00048009694_D.indb 78 7/3/12 3:13 PM 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 79 50813_00048009694_D.indb 79 7/3/12 3:13 PM i NOTE •Ifdataarenotavailable,theNoDataAvailablescreenisdisplayed. •TheViewDatascreendisplaystherecordsintheorderinwhichtheyoccurredwiththemostrecent recordshownontop. •Forthebloodglucosetestresult: •“HI”isdisplayedifthetestresultisabovethemeasurementrange. •“LO”isdisplayedifthetestresultisbelowthemeasurementrange. •Thebloodglucosetestresultisblankifabloodglucosetestvaluedoesnotexist. 80 50813_00048009694_D.indb 80 7/3/12 3:13 PM 4 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. 81 50813_00048009694_D.indb 81 7/3/12 3:13 PM Icon Icon Name Description ExtendedBolusConfirmed Deliveryhasbeenconfirmedbythepump. ManualPump Deliveryhasnotbeenconfirmedbythepump. Pen/SyringeBolus Pumpdoesnotdeliverbolus. 82 50813_00048009694_D.indb 82 7/3/12 3:13 PM Youcanviewadiaryrecordwithitsattributes(bloodglucosevalue,mealtime,carbs,healthevent,and bolus). 4 Main Menu > My Data > View Data 1. 2. jFromtheMainMenu,select MyDataandpress=. jSelectViewDataand press=. 83 50813_00048009694_D.indb 83 7/3/12 3:13 PM 3. Blood Glucose View: Bolus View: Carbs View: jShownaboveareViewDatascreensthatdisplayvaluesforbloodglucose,bolus,orcarbs.Tochoose anotherview,press.(apop-upmenuappears).Selecttheviewyouwantandpress=. jPressxorztoviewotherrecords(thescreenscrollsifthereareadditionalrecords). jToviewormodifyarecord’sdetails,selecttherecordandpress=. 84 50813_00048009694_D.indb 84 7/3/12 3:13 PM 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. 85 50813_00048009694_D.indb 85 7/3/12 3:13 PM 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 86 50813_00048009694_D.indb 86 7/3/12 3:13 PM 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 87 50813_00048009694_D.indb 87 7/3/12 3:13 PM 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. 88 50813_00048009694_D.indb 88 7/3/12 3:13 PM 4 i NOTE •Themeterinitiallydisplaysthecurrentdateandthecurrenttime.Youcanchangethedateandtime whenaddingadiaryrecord,althoughthedateandtimecannotbesetinthefuture. •Beforeadiaryrecordcanbesaved,datamustbeentered(notincludingdateandtime).“Save”isnot displayedabove.untildatahasbeenentered. •TocancelchangesandreturntotheMyDatascreen,selectCancel. 89 50813_00048009694_D.indb 89 7/3/12 3:13 PM 4.4 Reporting Your Data Time Range Meal Times Blood Glucose Standard Deviation Calculatedforthetimerange Number of Tests Usedtocalculatetheaverages andstandarddeviations Blood Glucose Average Calculatedforthetimerange 90 50813_00048009694_D.indb 90 7/3/12 3:13 PM 4 i NOTE •Ifdataarenotavailabletocalculateaverages,theNoDataAvailablescreenisdisplayed. •Standarddeviationmeasureshowmuchthebloodglucosetestresultsarescatteredaroundthe bloodglucoseaverage.Alowstandarddeviationmeansthebloodglucosetestresultsaretightly clusteredaroundthebloodglucoseaverage;ahighstandarddeviationmeansthebloodglucosetest resultsarewidelyscatteredaroundthebloodglucoseaverage. •Calculationsdonotincludecorruptresults,controlresults,orHIandLOresults. 91 50813_00048009694_D.indb 91 7/3/12 3:13 PM 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=. 92 50813_00048009694_D.indb 92 7/3/12 3:13 PM 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. 93 50813_00048009694_D.indb 93 7/3/12 3:13 PM Reporting Your Data Trends Themeterdisplaysyourbloodglucoserecordtrendsforthetimerangeyouchoose(last8hours,24hours, 48hours,or7days). Main Menu > My Data > Reports > Trend 1. 2. 3. jFromtheMainMenu,select MyDataandpress=. jSelectReportsandpress=. jSelectTrendandpress=. 94 50813_00048009694_D.indb 94 7/3/12 3:13 PM 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 95 50813_00048009694_D.indb 95 7/3/12 3:13 PM Follow these tips to get the most value from My Data reports: •Ifyoudeliveredabolusdirectlyonthepump,gotoMyDataonthemetertoreceivethebolusinformation automatically.Dothisbeforeyournextbloodglucosetest. •ReplacethebatterieswhentheLowBatteryiconappears.Thismaintainsthecommunicationbetween meterandpump. 96 50813_00048009694_D.indb 96 7/3/12 3:13 PM 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. 97 50813_00048009694_D.indb 97 7/3/12 3:13 PM 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. 98 50813_00048009694_D.indb 98 7/3/12 3:13 PM 4 i NOTE Themetersavesthecurrentsettings(timerange,mealtime,andgraphview)whenyouselectBackor whenthemeterpowersoff. 99 50813_00048009694_D.indb 99 7/3/12 3:13 PM 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 100 50813_00048009694_D.indb 100 7/3/12 3:13 PM 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. 101 50813_00048009694_D.indb 101 7/3/12 3:13 PM 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. 102 50813_00048009694_D.indb 102 7/3/12 3:13 PM 4. jPress.todisplaytheGraph (seeprevioussectionformore information). 4 i NOTE Themetersavesthecurrentsettings(timerange,mealtime,and tableview)whenyouselectBackorwhenthemeterpowersoff. To return to the Reports screen, select Back. 103 50813_00048009694_D.indb 103 7/3/12 3:13 PM 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=. 104 50813_00048009694_D.indb 104 7/3/12 3:13 PM 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 105 50813_00048009694_D.indb 105 7/3/12 3:13 PM i NOTE •Ifdataarenotavailabletodisplaythestandarddaygraph,theNoDataAvailablescreenisdisplayed. •Thestandarddaygraphdoesnotincludecorruptresults,controlresults,HIvalues,orLOvalues. 106 50813_00048009694_D.indb 106 7/3/12 3:13 PM 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. 107 50813_00048009694_D.indb 107 7/3/12 3:13 PM i NOTE Themetersavesthecurrentsettings(timerange,mealtime,andgraphview)whenyouselectBackor whenthemeterpowersoff. 108 50813_00048009694_D.indb 108 7/3/12 3:13 PM 4 Standard Day Table Screen Time Range Standard Deviation (SD) Meal Time Selection Number of Tests Time Block Blood Glucose Average 109 50813_00048009694_D.indb 109 7/3/12 3:13 PM i NOTE •Ifdataarenotavailabletodisplaythestandarddaytable,theNoDataAvailablescreenisdisplayed. •Standarddaytablecalculationsdonotincludecorruptresults,controlresults,orHIandLOresults. •Forastandarddeviationtobedisplayedforagiventimeblock,theremusthavebeentwoormore testsrecordedduringthetimeblock. 110 50813_00048009694_D.indb 110 7/3/12 3:13 PM 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. 111 50813_00048009694_D.indb 111 7/3/12 3:13 PM 4. jPress.todisplaytheGraph (seeprevioussectionformore information). i NOTE Themetersavesthecurrentsettings(timerange,mealtime,and tableview)whenyouselectBackorwhenthemeterpowersoff. To return to the Reports screen, select Back. 112 50813_00048009694_D.indb 112 7/3/12 3:13 PM 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=. 113 50813_00048009694_D.indb 113 7/3/12 3:13 PM 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. 114 50813_00048009694_D.indb 114 7/3/12 3:13 PM 4 i NOTE •Ifdataarenotavailabletodisplaythestandardweekgraph,theNoDataAvailablescreenis displayed. •Thestandardweekgraphdoesnotincludecorruptresults,controlresults,HIvalues,orLOvalues. 115 50813_00048009694_D.indb 115 7/3/12 3:13 PM 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. 116 50813_00048009694_D.indb 116 7/3/12 3:13 PM 4 i NOTE Themetersavesthecurrentsettings(timerange,mealtime,andgraphview)whenyouselectBackor whenthemeterpowersoff. 117 50813_00048009694_D.indb 117 7/3/12 3:13 PM 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. 118 50813_00048009694_D.indb 118 7/3/12 3:13 PM 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 50813_00048009694_D.indb 119 7/3/12 3:13 PM 4. jPress.todisplaytheGraph (seeprevioussectionformore information). i NOTE Themetersavesthecurrentsettings(timerange,mealtime,and tableview)whenyouselectBackorwhenthemeterpowersoff. To return to the Reports screen, select Back. 120 50813_00048009694_D.indb 120 7/3/12 3:13 PM 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=. 121 50813_00048009694_D.indb 121 7/3/12 3:13 PM Target Graph Screen Time Range Meal Time Selection Legend Pie Chart Bloodglucosetestresult categories Representsthepercentagesforthe bloodglucosetestresultcategories iNOTE •Ifdataarenotavailabletodisplaythetargetgraph,theNoDataAvailablescreenisdisplayed. •Thetargetgraphdoesnotincludecorruptresults,controlresults,orHIandLOresults. 122 50813_00048009694_D.indb 122 7/3/12 3:13 PM 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 50813_00048009694_D.indb 123 7/3/12 3:13 PM i NOTE Themetersavesthecurrentsettings(timerange,mealtime,andgraphview)whenyouselectBackor whenthemeterpowersoff. 124 50813_00048009694_D.indb 124 7/3/12 3:13 PM 4 Target Table Screen Time Range Meal Time Selection Legend Percentage of Occurrence Bloodglucosetestresult categories i NOTE •Ifresultsordataarenotavailablefortheselectedtimeperiodandmealtime,theNoDataAvailable screenisdisplayed. •Thetargettabledoesnotincludecorruptresults,controlresults,orHIandLOresults. 125 50813_00048009694_D.indb 125 7/3/12 3:13 PM 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. 126 50813_00048009694_D.indb 126 7/3/12 3:13 PM 4 i NOTE Themetersavesthecurrentsettings(timerange,mealtime,andtableview)whenyouselectBackor whenthemeterpowersoff. 127 50813_00048009694_D.indb 127 7/3/12 3:13 PM 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=. 128 50813_00048009694_D.indb 128 7/3/12 3:13 PM 4. 5. 4 6. Infrared(IR)Window jSelectDataTransferand press=. jLocatetheinfrared(IR)window onthetopofthemeter. jLocatetheIRwindowonthe computer’sinfraredcable. jPointthetwoIRwindows towardeachother.Theyshould be3to10cmapart. jFollowthepromptsonyour computersoftwaretostartthe datatransfer. 129 50813_00048009694_D.indb 129 7/3/12 3:13 PM 7. i NOTE Ifthedatadidnottransfersuccessfully,turnoffthemeter,turnthe meterbackon,andtryagain.Ifyoustillhaveproblems,contact Roche. jOncethedatatransferis complete,theDataTransfer Completescreenisdisplayed for3secondsandthenthe meterturnsoff. 130 50813_00048009694_D.indb 130 7/3/12 3:13 PM 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 132 133 138 141 146 155 164 167 170 173 176 178 179 182 185 193 131 50813_00048009694_D.indb 131 7/3/12 3:13 PM 5.1 Overview YouhavetheflexibilitytochangetheAccu-ChekAvivaComboMetersettingsthatyouinitiallyselected duringtheSetupWizardprocess.Youcanmakeadjustmentstothemetersettingsinordertomeetchanging conditions.Consultwithyourhealthcareprofessionaltoensuretheappropriatesettingsareselected. Settings: Important Information •Wheneditingasetting,anyunsavedchangesarediscardedifthemeterturnsofforifateststripis insertedintothemeter. •Itisimportanttoensurethatthetimeanddatearecorrectlysetinordertocreateaccuratediaryrecords. •Ifyouchangethepumptimeanddate,themetertimeanddatewillautomaticallysynchronizetomatchthe pump. i NOTE BloodglucoseandbGareinterchangeableandmeanthesamething. 132 50813_00048009694_D.indb 132 7/3/12 3:13 PM 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.” 133 50813_00048009694_D.indb 133 7/3/12 3:13 PM Main Menu > Settings > Reminders > bG Test Reminders 1. 2. 3. jFromtheMainMenu,select Settingsandpress=. jSelectRemindersand press=. jSelectbGTestRemindersand press=. 134 50813_00048009694_D.indb 134 7/3/12 3:13 PM 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. 135 50813_00048009694_D.indb 135 7/3/12 3:13 PM 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=. 136 50813_00048009694_D.indb 136 7/3/12 3:13 PM 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. 137 50813_00048009694_D.indb 137 7/3/12 3:13 PM 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.” 138 50813_00048009694_D.indb 138 7/3/12 3:13 PM 5 Main Menu > Settings > Reminders > Alarm Clock 1. 2. 3. jFromtheMainMenu,select Settingsandpress=. jSelectRemindersand press=. jSelectAlarmClockand press=. 139 50813_00048009694_D.indb 139 7/3/12 3:13 PM 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. 140 50813_00048009694_D.indb 140 7/3/12 3:13 PM 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.” 141 50813_00048009694_D.indb 141 7/3/12 3:13 PM Main Menu > Settings > Reminders > Date Reminders 1. 2. 3. jFromtheMainMenu,select Settingsandpress=. jSelectRemindersand press=. jSelectDateRemindersand press=. 142 50813_00048009694_D.indb 142 7/3/12 3:13 PM 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. 143 50813_00048009694_D.indb 143 7/3/12 3:13 PM 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. 144 50813_00048009694_D.indb 144 7/3/12 3:13 PM 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. 145 50813_00048009694_D.indb 145 7/3/12 3:13 PM 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. 146 50813_00048009694_D.indb 146 7/3/12 3:13 PM 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 147 50813_00048009694_D.indb 147 7/3/12 3:13 PM Main Menu > Settings > Bolus Advice 1. 2. 3. jFromtheMainMenu,select Settingsandpress=. jSelectBolusAdviceand press=. jIfyoudoNOTwanttosetup bolusadvice,selectNoto returntotheSettingsscreen. jTosetupbolusadvice,select Yesandcontinuetothenext step. 148 50813_00048009694_D.indb 148 7/3/12 3:13 PM 4. 5. jTocontinue,selectNext. To Change Time Blocks: jSelectatimeblocktoeditand press=. 5 scrolldown To Change the End Time: jSelecttheEndTimeentryfield andpress=. jSettheEndTimeand press=. 149 50813_00048009694_D.indb 149 7/3/12 3:13 PM 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. 150 50813_00048009694_D.indb 150 7/3/12 3:13 PM 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=. 151 50813_00048009694_D.indb 151 7/3/12 3:13 PM 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. 152 50813_00048009694_D.indb 152 7/3/12 3:13 PM 10. 11. jSelectOK. jToreturntotheSettings screen,selectBack. 5 153 50813_00048009694_D.indb 153 7/3/12 3:13 PM 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. 154 50813_00048009694_D.indb 154 7/3/12 3:13 PM 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. 155 50813_00048009694_D.indb 155 7/3/12 3:13 PM 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=. 156 50813_00048009694_D.indb 156 7/3/12 3:13 PM 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=. 157 50813_00048009694_D.indb 157 7/3/12 3:13 PM 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. 158 50813_00048009694_D.indb 158 7/3/12 3:13 PM 6. 5 jTochangeanothertimeblock, selectthetimeblockand press=.ReturntoStep5. jToreturntotheBolusAdvice screen,selectBack. 159 50813_00048009694_D.indb 159 7/3/12 3:13 PM 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=. 160 50813_00048009694_D.indb 160 7/3/12 3:13 PM 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. 161 50813_00048009694_D.indb 161 7/3/12 3:13 PM 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=. 162 50813_00048009694_D.indb 162 7/3/12 3:13 PM 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. 163 50813_00048009694_D.indb 163 7/3/12 3:13 PM 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. 164 50813_00048009694_D.indb 164 7/3/12 3:13 PM 5 Main Menu > Settings > Meter > Warning Limits 1. 2. 3. jFromtheMainMenu,select Settingsandpress=. jSelectMeterandpress=. jSelectWarningLimitsand press=. 165 50813_00048009694_D.indb 165 7/3/12 3:13 PM 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=. 166 50813_00048009694_D.indb 166 7/3/12 3:13 PM 5 5.8 Turning Key Lock On or Off Thekeylockfeatureallowsyoutolockallofthebuttonsonthemeter,exceptforthepoweron/offbutton. Thisservesasasafetymeasureagainstunintentionalactivationofmeterfunctions. 167 50813_00048009694_D.indb 167 7/3/12 3:13 PM Main Menu > Settings > Meter > Key Lock 1. 2. 3. jFromtheMainMenu,select Settingsandpress=. jSelectMeterandpress=. jSelectKeyLockandpress=. 168 50813_00048009694_D.indb 168 7/3/12 3:13 PM 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. 169 50813_00048009694_D.indb 169 7/3/12 3:13 PM 5.9 Setting the Language Youcanselectalanguagefromthepredefinedlist. 170 50813_00048009694_D.indb 170 7/3/12 3:13 PM 5 Main Menu > Settings > Meter > Language 1. 2. 3. jFromtheMainMenu,select Settingsandpress=. jSelectMeterandpress=. jSelectLanguageand press=. 171 50813_00048009694_D.indb 171 7/3/12 3:13 PM 4. jPress=todisplaythe Languageoptions. jSelectthedesiredLanguage andpress=. To save the change and return to the Meter Menu screen, select Save. 172 50813_00048009694_D.indb 172 7/3/12 3:13 PM 5 5.10 Setting Units: Carbs Youcansetupthemeterfordifferentcarbohydrate(carbs)units(Grams,BE,KE,orCC). 173 50813_00048009694_D.indb 173 7/3/12 3:13 PM Main Menu > Settings > Meter > Units 1. 2. 3. jFromtheMainMenu,select Settingsandpress=. jSelectMeterandpress=. jSelectUnitsandpress=. 174 50813_00048009694_D.indb 174 7/3/12 3:13 PM 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. 175 50813_00048009694_D.indb 175 7/3/12 3:13 PM 5.11 Turning Bluetooth® Wireless Technology On or Off Main Menu > Settings > Meter > Bluetooth 1. 2. jFromtheMainMenu,select Settingsandpress=. jSelectMeterandpress=. 3. jSelectBluetoothandpress=. 176 50813_00048009694_D.indb 176 7/3/12 3:13 PM 4. 5 jToturnBluetoothwireless technologyeitherOnorOff, pressandhold*untilthe Bluetoothwirelesstechnology iconchanges.Release*. To save the change and return to the Meter Menu screen, select Back. 177 50813_00048009694_D.indb 177 7/3/12 3:13 PM 5.12 Pairing the Meter and Pump Forcompletepairinginstructions,seetheAdvancedOwner’sBooklet. 178 50813_00048009694_D.indb 178 7/3/12 3:13 PM 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. 179 50813_00048009694_D.indb 179 7/3/12 3:13 PM 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=. 180 50813_00048009694_D.indb 180 7/3/12 3:13 PM 5 To Change the Key Sound: jSelecttheKeySoundentry fieldandpress=. jSelecttheKeySoundmode (OnorOff)andpress=. To save the changes and return to the Settings Menu screen, select Save. 181 50813_00048009694_D.indb 181 7/3/12 3:13 PM 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. 182 50813_00048009694_D.indb 182 7/3/12 3:13 PM 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=. 183 50813_00048009694_D.indb 183 7/3/12 3:13 PM To Change the Date: jSelecttheDateentryfieldand press=. jSettheDayandpress=. jSettheMonthandpress=. jSettheYearandpress=. To save the changes and return to the Settings Menu screen, select Save. 184 50813_00048009694_D.indb 184 7/3/12 3:13 PM 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 185 50813_00048009694_D.indb 185 7/3/12 3:13 PM 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=. 186 50813_00048009694_D.indb 186 7/3/12 3:13 PM 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. 187 50813_00048009694_D.indb 187 7/3/12 3:13 PM i NOTE •Whenyousettheendtime,themetersetsthisendtimeasthestarttimeforthenexttimeblock. •Theendtimecanbesetin30-minuteincrements. •Tocancelchangespress,. 188 50813_00048009694_D.indb 188 7/3/12 3:13 PM 5 Add a Time Block Main Menu > Settings > Time Blocks 1. 2. 3. jFromtheMainMenu,select Settingsandpress=. TimeBlocksdoesnotappearif bolusadvicehasbeensetup. jSelectTimeBlocksand press=. jSelectthelasttimeblock andpress=. 189 50813_00048009694_D.indb 189 7/3/12 3:13 PM 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. 190 50813_00048009694_D.indb 190 7/3/12 3:13 PM 5 Remove a Time Block Main Menu > Settings > Time Blocks 1. 2. 3. jFromtheMainMenu,select Settingsandpress=. TimeBlocksdoesnotappearif bolusadvicehasbeensetup. jSelectTimeBlocksand press=. jSelecttheTimeBlockyou wanttoremoveandpress=. 191 50813_00048009694_D.indb 191 7/3/12 3:13 PM 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. 192 50813_00048009694_D.indb 192 7/3/12 3:13 PM 5 5.16 Backlight Settings ThebacklightonyourAccu-ChekAvivaComboMeterhelpsyoureadtheinformationonthemeterdisplay underdifferentlightingconditions.Youcanadjustthebacklightlevelbypressingthebacklightbuttononthe frontofthemeter.Thebacklightadjustsfromlow,tomedium,tohigh,andbacktolowagain. Backlight Button Presstoadjustthebacklightlevel. 193 50813_00048009694_D.indb 193 7/3/12 3:13 PM i NOTE •Whenthemeteristurnedon,thebacklightissettomedium. •Whenthebacklightissettohighormediumandnobuttonactivityhasoccurredforapproximately 15seconds,themetergoestolowbacklight(toconservebatterylife).Themeterrestorestheoriginal backlightsettingwhenyoupressabutton,insertateststrip,orwhenthemeterdisplaysthebGResults screen. •Wheninthelowbatterycondition,themeterusesthemediumbacklightlevel(ifthebacklightlevelis settohigh).Afterthebatteriesarereplacedwithnewones,themeteragainallowsthehighbacklight setting. •Thebacklightbuttonisdisabledduringabloodglucosetest,acontroltest,andwhenthemeteris transferringdata. 194 50813_00048009694_D.indb 194 7/3/12 3:13 PM 6 6 Icons, Reminders, Warnings, and Errors 6.1Overview 6.2ListofIcons 6.3ConfirmingaReminder,Warning,orError 6.4ListofReminders 6.5ListofWarnings 6.6ListofErrors 196 197 199 200 210 216 195 50813_00048009694_D.indb 195 7/3/12 3:13 PM 6.1 Overview Thischapterprovidesyouwithdetailedlistingsofalltheicons,reminders,warnings,anderrorsincludedin themeter. i NOTE BloodglucoseandbGareinterchangeableandmeanthesamething. 196 50813_00048009694_D.indb 196 7/3/12 3:13 PM 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 197 50813_00048009694_D.indb 197 7/3/12 3:13 PM 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 198 50813_00048009694_D.indb 198 7/3/12 3:13 PM 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. 199 50813_00048009694_D.indb 199 7/3/12 3:13 PM 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. 200 50813_00048009694_D.indb 200 7/3/12 3:13 PM 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 6 201 50813_00048009694_D.indb 201 7/3/12 3:13 PM 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 202 50813_00048009694_D.indb 202 7/3/12 3:13 PM 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. 203 50813_00048009694_D.indb 203 7/3/12 3:13 PM 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. 204 50813_00048009694_D.indb 204 7/3/12 3:13 PM 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. 205 50813_00048009694_D.indb 205 7/3/12 3:13 PM 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. 206 50813_00048009694_D.indb 206 7/3/12 3:13 PM 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. 207 50813_00048009694_D.indb 207 7/3/12 3:13 PM 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. 208 50813_00048009694_D.indb 208 7/3/12 3:13 PM 6 • Other Alarm Clock Reminder •Ifthemeterisalreadyonwhenthereminderisscheduled,thereminderisdisplayedwhenthemeter powersdown. •Dismissthisremindereitherbypressing.orbyinsertingateststrip. •Snoozethereminderfor15minutesbypressing,. 209 50813_00048009694_D.indb 209 7/3/12 3:13 PM 6.5 List of Warnings Warning Screen Example Warning Icon Warning Title No Warning Message Onlyshownonafew warningscreens Yes or OK i NOTE Themeterbeepswhenitdisplaysawarningifthebeepersettingison. 210 50813_00048009694_D.indb 210 7/3/12 3:13 PM 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 211 50813_00048009694_D.indb 211 7/3/12 3:13 PM 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 212 50813_00048009694_D.indb 212 7/3/12 3:13 PM 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 6 213 50813_00048009694_D.indb 213 7/3/12 3:13 PM 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 214 50813_00048009694_D.indb 214 7/3/12 3:13 PM 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 2 215 50813_00048009694_D.indb 215 7/3/12 3:13 PM 6.6 List of Errors Error Screen Example Error Icon Error Title Menu Error Message Thisoptionisnotavailable forallerrors. i NOTE Themeterbeepswhenitdisplaysanerror,evenifthebeepersettingisturnedoff. 216 50813_00048009694_D.indb 216 7/3/12 3:13 PM 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 217 50813_00048009694_D.indb 217 7/3/12 3:13 PM 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. 1 218 50813_00048009694_D.indb 218 7/3/12 3:13 PM 7 7 Care and Maintenance 7.1Overview 7.2ChangingtheBatteries 7.3Power-SavingTips 7.4CleaningtheMeter 7.5MaintenanceandTesting 220 221 224 225 226 219 50813_00048009694_D.indb 219 7/3/12 3:13 PM 7.1 Overview ItisimportanttoproperlycareforandmaintainyourAccu-ChekAvivaComboMeter.Ifyouhaveany questionsaboutthecareandmaintenanceofyourmeter,contactRoche. 220 50813_00048009694_D.indb 220 7/3/12 3:13 PM 7 7.2 Changing the Batteries 1. 2. 3. jRemovethebatterydoor fromthebackofthemeterby pushingthetabinthedirection ofthearrowandpullingup thedoor. jRemovetheoldbatteriesfrom themeter. jInsertthreeAAAbatterieswith the+and-endsmatching themarksinthebattery compartment. Putthebatterydoorbackin placeandsnapitclosed. 221 50813_00048009694_D.indb 221 7/3/12 3:13 PM w WARNING •Usingbatteriesotherthanthosesuppliedorrecommendedforusewiththemetermaysignificantly reducethelifeofthebatteries.Batteriesotherthanthoserecommendedmayleakandcorrode thebatterycontactswithinthemeter.Usingbatteriesnotsuppliedorrecommendedmayvoidthe warranty. •Replaceallbatteriesofasetatthesametime.Newlypurchasedbatteriesshouldnotbemixedwith partiallyexhaustedones.Batteriesofdifferentelectrochemicalsystems,grades,orbrandsshould notbemixed.Failuretoobservetheseprecautionsmayresultinsomebatteriesinasetbeingdriven beyondtheirnormalexhaustionpointandthusincreasetheprobabilityofleakage. 222 50813_00048009694_D.indb 222 7/3/12 3:13 PM 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. 223 50813_00048009694_D.indb 223 7/3/12 3:13 PM 7.3 Power-Saving Tips Toconservebatterylife: •Usethelowbeepersetting •Onlyturnonthevibrationfeaturewhenitisneeded •Turnoffthemeterwhenyouarefinishedratherthanutilizingtheautopowerofffeature 224 50813_00048009694_D.indb 224 7/3/12 3:13 PM 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. 225 50813_00048009694_D.indb 225 7/3/12 3:13 PM 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. 226 50813_00048009694_D.indb 226 7/3/12 3:13 PM 8 8 Troubleshooting 8.1Overview 8.2TroubleshootingtheAccu-ChekAvivaComboMeter 228 229 227 50813_00048009694_D.indb 227 7/3/12 3:13 PM 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. 228 50813_00048009694_D.indb 228 7/3/12 3:13 PM 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. 229 50813_00048009694_D.indb 229 7/3/12 3:13 PM 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. 230 50813_00048009694_D.indb 230 7/3/12 3:13 PM 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. 231 50813_00048009694_D.indb 231 7/3/12 3:13 PM 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. 232 50813_00048009694_D.indb 232 7/3/12 3:13 PM 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. 233 50813_00048009694_D.indb 233 7/3/12 3:13 PM 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. 234 50813_00048009694_D.indb 234 7/3/12 3:13 PM 8 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 235 50813_00048009694_D.indb 235 7/3/12 3:13 PM 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.” 236 50813_00048009694_D.indb 236 7/3/12 3:13 PM 8 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. 237 50813_00048009694_D.indb 237 7/3/12 3:13 PM 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). 238 50813_00048009694_D.indb 238 7/3/12 3:13 PM 8 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. 239 50813_00048009694_D.indb 239 7/3/12 3:13 PM 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). 240 50813_00048009694_D.indb 240 7/3/12 3:13 PM 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.” 241 50813_00048009694_D.indb 241 7/3/12 3:13 PM 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. 242 50813_00048009694_D.indb 242 7/3/12 3:13 PM 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. 243 50813_00048009694_D.indb 243 7/3/12 3:13 PM 244 50813_00048009694_D.indb 244 7/3/12 3:13 PM 9 9 Technical Information 9.1Overview 9.2ProductLimitations 9.3Specifications 9.4ProductSafetyInformation 9.5DisposingoftheMeter 9.6Guarantee 9.7AdditionalSupplies 9.8InformationforHealthcareProfessionals 246 247 248 250 253 254 255 256 245 50813_00048009694_D.indb 245 7/3/12 3:13 PM 9.1 Overview Thischapterprovidesyouwithimportantperformanceinformationregardingthemeter. 246 50813_00048009694_D.indb 246 7/3/12 3:13 PM 9 9.2 Product Limitations Pleasereadtheliteraturepackagedwithyourteststripstofindthelatestinformationonproduct specificationsandlimitations. 247 50813_00048009694_D.indb 247 7/3/12 3:13 PM 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 248 50813_00048009694_D.indb 248 7/3/12 3:13 PM 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 249 50813_00048009694_D.indb 249 7/3/12 3:13 PM 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. 250 50813_00048009694_D.indb 250 7/3/12 3:13 PM 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. 251 50813_00048009694_D.indb 251 7/3/12 3:13 PM 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. 252 50813_00048009694_D.indb 252 7/3/12 3:13 PM 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). 253 50813_00048009694_D.indb 253 7/3/12 3:13 PM 9.6 Guarantee Thestatutoryprovisionsonrightsinconsumergoodssalesinthecountryofpurchaseshallapply. 254 50813_00048009694_D.indb 254 7/3/12 3:13 PM 9 9.7 Additional Supplies ThefollowingsuppliesandaccessoriesareavailablefromyourauthorizedRocheDiabetesHealthcareCentre, pharmacies,oryourmedical/surgicalsupplydealer: Test Strips Accu-ChekAvivaTestStrips Control Solutions Accu-ChekAvivaControlSolutions 255 50813_00048009694_D.indb 255 7/3/12 3:13 PM 9.8 Information for Healthcare Professionals w WARNING Healthcare Professionals: Follow the infection control procedures appropriate for your facility. Adropoffresh,wholebloodisrequiredtoperformabloodglucosetest.Refertotheteststrippackageinsert foradditionalhealthcareprofessionalinformation. 256 50813_00048009694_D.indb 256 7/3/12 3:13 PM 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 257 50813_00048009694_D.indb 257 7/3/12 3:13 PM 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) 258 50813_00048009694_D.indb 258 7/3/12 3:13 PM Appendix B: Carb Units Forcarbohydrates,thefollowingunitsofmeasureareavailableonthemeter. Abbreviation Unit of Measurement Gram Equivalent g Grams 1gram KE Kohlenhydrateinheit 10grams BE BreadEquivalent 12grams CC CarbohydrateChoice 15grams 259 50813_00048009694_D.indb 259 7/3/12 3:13 PM 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 260 50813_00048009694_D.indb 260 7/3/12 3:13 PM 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 261 50813_00048009694_D.indb 261 7/3/12 3:14 PM 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 262 50813_00048009694_D.indb 262 7/3/12 3:14 PM 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. 1 263 50813_00048009694_D.indb 263 7/3/12 3:14 PM 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 22:00 264 50813_00048009694_D.indb 264 7/3/12 3:14 PM 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 21:30–0:00 265 50813_00048009694_D.indb 265 7/3/12 3:14 PM 266 50813_00048009694_D.indb 266 7/3/12 3:14 PM 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. 267 50813_00048009694_D.indb 267 7/3/12 3:14 PM 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. 268 50813_00048009694_D.indb 268 7/3/12 3:14 PM 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. 269 50813_00048009694_D.indb 269 7/3/12 3:14 PM 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. 270 50813_00048009694_D.indb 270 7/3/12 3:14 PM 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. 271 50813_00048009694_D.indb 271 7/3/12 3:14 PM 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. 272 50813_00048009694_D.indb 272 7/3/12 3:14 PM 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). 273 50813_00048009694_D.indb 273 7/3/12 3:14 PM 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. 274 50813_00048009694_D.indb 274 7/3/12 3:14 PM 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,176–177 275 50813_00048009694_D.indb 275 7/3/12 3:14 PM 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,216–218 276 50813_00048009694_D.indb 276 7/3/12 3:14 PM 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,203–205 277 50813_00048009694_D.indb 277 7/3/12 3:14 PM 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,255 278 50813_00048009694_D.indb 278 7/3/12 3:14 PM 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,210–215 279 50813_00048009694_D.indb 279 7/3/12 3:14 PM 280 50813_00048009694_D.indb 280 7/3/12 3:14 PM