Roche Diabetes Care 361 Blood Sugar Monitor Transmitter User Manual

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05071739002-0809
Accu-Chek Aviva Combo
Aviva Combo
Blood SUGAR Meter
Standard Owner’s Booklet
©2009 Roche Diagnostics. All rights reserved.
Assembled in USA.
Distributed by:
Disetronic Medical Systems Inc.
11800 Exit 5 Parkway, Suite 120
Fishers, IN 46037
Phone 866-703-3476
Fax 888-810-0758
ACCU-CHEK, ACCU-CHEK AVIVA, ACCU-CHEK
AVIVA COMBO, ACCU-CHEK SPIRIT COMBO, and
ACCU-CHEK MULTICLIX are trademarks of Roche.
The Bluetooth® word mark and logos are registered
trademarks owned by Bluetooth SIG, Inc. and any
use of such marks by Roche is under license. Other
trademarks and product names are the property of
their respective owners.
Aspects of the ACCU-CHEK Aviva Combo system, including the meter, code key, and test strips,
and their use, are covered by one or more of the following United States patents: 5,352,351;
4,999,582; 5,997,817; 5,053,199; Re. 36,268; 5,438,271; 5,366,609; 6,645,368; 6,662,439;
5,122,244; 7,073,246; 7,276,146; 7,276,147; 7,338,639; 7,386,937; 7,407,811; 7,452,457;
7,488,601; 7,494,816; 7,556,723; 7,569,126. Additional United States Patents pending.
The ACCU-CHEK Multiclix device and its use are covered by the following U.S. patents:
4,924,879; Re. 35,803; 6,419,661. Additional U.S. patents pending.
LAST UPDATE: 2009-08
Before You Start Testing
About the meter and test strips
• Carefully read and follow the instructions in the Getting Started Guide, the Standard Owner’s Booklet, the
Advanced Owner’s Booklet, and Package Inserts for the test strips and control solutions. Not following the
instructions may lead to a wrong result or improper treatment, causing you health problems.
• Set the time and date on your meter before you begin testing.
• Inspect the test strip container before using the test strips for the first time. If you see any damage to the
container cap or if anything prevents the cap from closing properly, do not use the test strips. Contact
ACCU‑CHEK Pump Support at 1‑800‑688‑4578. Damaged test strips can cause inaccurate results, which
could lead to improper treatment.
• Carefully dispose of used test strips and lancets.
• Home use of the ACCU‑CHEK Aviva Combo system is limited to capillary whole blood testing.
About Your New Meter
• The meter is designed and can be used for testing fresh capillary whole blood samples (for example, blood
from a fingertip or forearm).
• Only use ACCU‑CHEK Aviva test strips. Other test strips will give inaccurate results.
• Although you always apply whole blood to the test strip, the system has been calibrated to deliver
plasma-like values for easier comparison to lab results.
• The meter, test strips, and control solution are only for use outside the body (in vitro). Do not eat the test
strips. Do not swallow or inject the control solution, or use the control solution for any purpose other than
testing the ACCU‑CHEK Aviva Combo system.
ii
About Testing Yourself or Others
w WARNING:
Certain substances can interfere with the ACCU‑CHEK Aviva Combo blood glucose system and cause
falsely high results. For example, peritoneal dialysis solutions containing icodextrin (such as Extraneal) or
certain immunoglobulin therapies that contain maltose (such as Octagam 5 %) cause inaccurate results.
For more information, refer to the Test Strip Package Insert or ask your healthcare professional.
• If you are very dehydrated or urinating frequently, you may get an inaccurate test result. If you think you are
dehydrated, call your healthcare professional right away.
• Some people with diabetes do not experience symptoms of low blood sugar (hypoglycemia). Others, such as
children or people who are unconscious or have certain disabilities, may not be able to communicate their
symptoms to caregivers. For these reasons, do not change any treatment without first talking to a
healthcare professional.
• Run a control test when you open a new box of test strips or if you think that your test result is incorrect.
Running a control test lets you know that the meter and test strips are working properly.
iii
• Refer to the Test Strip and Control Solution Package Inserts for additional health-related information.
• It is always a good idea to have a back-up testing method available. Failure to test could cause a delay in
treatment decisions and lead to a serious medical condition. Examples of back-up testing methods include
a back-up meter or testing by a lab. Ask your healthcare professional or pharmacist about other possible
back-up methods.
DO NOT CHANGE YOUR TREATMENT BASED ON A SINGLE RESULT THAT DOES NOT MATCH
HOW YOU FEEL OR IF YOU BELIEVE THAT YOUR TEST RESULT COULD BE INCORRECT.
If your blood sugar result doesn’t match how you feel and you have followed the instructions in your owner’s
booklets, follow your healthcare professional’s instructions or call your healthcare professional.
Special Information to Consider When Using This Meter
• Do not use this device to measure blood sugar if you or a person to whom you are providing care is
experiencing cardiovascular collapse (severe shock) or decreased peripheral blood flow.
• Consult your healthcare professional to determine if it is appropriate for your child to be taught how to use
the meter system or any other medical products.
iv
Contents
Before You Start Testing
Introduction
The ACCU‑CHEK Aviva Combo System
1	Understanding Your New System
1.2 The ACCU‑CHEK Aviva Combo Meter at a Glance
1.3 The ACCU‑CHEK Spirit Combo Insulin Pump at a Glance
1.4 Summary of Features
1.5 Screen Content and Navigation
2	Testing Your Blood Sugar
2.1 Overview
2.2 Coding Your Meter
2.3 Using the ACCU‑CHEK Aviva Combo System
2.4 Performing a Blood Sugar Test 
11
13
18
19
29
37
38
39
41
43
2.5 Detailed Blood Sugar Results
2.6 Understanding Blood Sugar Test Results
2.7 Unusual Test Results
2.8 Symptoms of High or Low Blood Sugar
52
56
60
62
3	Control Testing
65
66
67
68
69
75
3.1 Overview
3.2 Why Perform Control Tests
3.3 About the Control Solutions
3.4 Performing a Control Test
3.5 Understanding Control Test Results
4	Managing Your Data
4.1 Overview
4.2 Viewing or Modifying Your Data
4.3 Adding New Data
4.4 Reporting Your Data
4.5 Downloading Your Data to a Computer
81
82
85
94
97
135
5	Changing Meter Settings
5.1 Overview
5.2 Setting bG Test Reminders: After High bG, After Low bG, After Meal
5.3 Setting Alarm Clock Reminders: bG Test, Other
5.4 Setting Date Reminders: Dr. Visit, Lab Test, Infusion Set Change
5.5 Setting Bolus Advice for the First Time
5.6 Setting Time Blocks, Health Events, Advice Options: Bolus Advice Set Up
5.7 Setting Warning Limits: Hyper, Hypo
5.8 Turning Key Lock On or Off
5.9 Setting the Language
5.10 Setting Units: Carbs
5.11 Turning Bluetooth® Wireless Technology On or Off
5.12 Pairing the Meter and Pump
5.13 Setting the Beeper, Vibrate, and Key Sound
5.14 Setting the Time Format, Time, and Date
5.15 Setting Time Blocks: Bolus Advice Not Set Up
5.16 Backlight Settings 
139
140
141
146
149
154
163
172
175
178
181
184
186
187
190
193
201
6 Icons, Reminders, Warnings, and Errors
6.1 Overview
6.2 List of Icons
6.3 Confirming a Reminder, Warning, or Error
6.4 List of Reminders
6.5 List of Warnings
6.6 List of Errors
7 Care and Maintenance
7.1 Overview
7.2 Changing the Batteries
7.3 Power-Saving Tips
7.4 Cleaning the Meter
7.5 Maintenance and Testing
8 Troubleshooting
8.1 Overview
8.2 Troubleshooting the ACCU‑CHEK Aviva Combo Meter
203
204
205
207
208
218
224
227
228
229
232
233
234
235
236
237
9 Technical Information
9.1 Overview
9.2 Product Limitations
9.3 Specifications
9.4 Product Safety Information
9.5 Disposing of the Meter, Strips, Lancets, and Batteries
9.6 Warranty
9.7 Additional Supplies
9.8 Information for Healthcare Professionals
Appendices
255
256
257
258
260
263
265
272
273
Appendix A: Abbreviations
Appendix B: Carb Units
Appendix C: Explanation of Symbols
Appendix D: Meter Settings and Range Limits
275
275
278
279
280
Glossary
285
Index
295
6
Introduction
Whether the ACCU‑CHEK Aviva Combo meter is your first blood sugar meter or you have used a meter for
some time, please take the time to read the Getting Started Guide, the Standard Owner’s Booklet, and the
Advanced Owner’s Booklet carefully before you use your new meter. To use it correctly and dependably, you
need to understand its operation, screen displays, and all individual features.
Your new meter includes three booklets:
This booklet includes information about:
•	Getting Started Guide:
	Use this booklet to set up the meter.
• Understanding your new ACCU‑CHEK Aviva Combo
system
•
Coding the meter
•	Standard Owner’s Booklet:
	Use this booklet for instructions on how to operate • Testing your blood sugar
the standard features of the meter.
• Control testing
• Managing your data
•	Advanced Owner’s Booklet:
	Use this booklet for instructions on how to operate • Changing the meter settings
the advanced features of the meter.
• Understanding the icons, reminders, warnings, and
errors
Should you have any questions, please contact one
•
Care and maintenance
of our customer support and service centers. A
• Troubleshooting
listing is at the back of this booklet.
• Technical information
If you have questions, we are here to help. Just call ACCU‑CHEK Pump Support at 1‑800‑688‑4578. You can
also visit www.ACCU‑CHEK.com for diabetes management tools.
The ACCU‑CHEK Aviva Combo System
The ACCU‑CHEK Aviva Combo meter is for quantitative blood sugar testing using ACCU‑CHEK Aviva test
strips. The meter has many features including:
• Controlling your ACCU‑CHEK Spirit Combo pump
• Administering a bolus
• Bolus advice
• Daily time blocks that can be adjusted to fit your lifestyle
• Data management
• Data transfer
• Date reminders
• bG test reminders: Alarm clock, Target bG levels, and Health events
• An electronic diary that allows you to enter meal time, carbs, health, and bolus information with your
blood sugar test results
For detailed information about the features of the meter, see Chapter 1, “Understanding Your New System.”
i NOTE:
Blood sugar and bG are interchangeable and mean the same thing.
Intended Use
The ACCU‑CHEK Aviva Combo blood glucose monitoring system is intended for the quantitative measurement
of blood glucose. The ACCU‑CHEK Aviva Combo system is intended for self-testing outside the body (in vitro
diagnostic use) by people with diabetes and/or by professionals in a clinical setting as an aid to effective
diabetes management. Testing sites include traditional fingertip site along with palm, forearm, upper arm,
thigh, and calf.
The ACCU‑CHEK Aviva Combo meter can also be used to interface with and remotely control compatible
ACCU‑CHEK insulin infusion pumps via Bluetooth wireless technology (radio frequency communication).
The ACCU‑CHEK Aviva Combo meter is also indicated for the management of diabetes by calculating an
insulin dose or carbohydrate intake based on user-entered data.
The system includes:
• ACCU‑CHEK Aviva Combo meter with three AAA batteries (already inserted)
• ACCU‑CHEK Aviva test strips and code key
• ACCU‑CHEK Aviva control solution
w WARNING:
Any object coming into contact with human blood is a potential source of infection (see: Clinical and
Laboratory Standards Institute: Protection of Laboratory Workers from Occupationally Acquired Infections;
Approved Guideline – Third Edition; CLSI document M29-A3, 2005).
Why Regular Blood Sugar Testing Is Important
Testing your blood sugar regularly can make a big difference in how you manage your diabetes every day.
Discussing your results with your healthcare professionals and following their advice about medicine,
exercise, and food plans can help you better control your diabetes.
Important Information About Your New Meter
• The meter is designed for testing fresh whole blood samples (for example, blood from your fingertip or
forearm). The meter is for outside the body (in vitro) use. It should not be used to diagnose diabetes.
• This meter requires ACCU‑CHEK Aviva test strips. Other test strips will give inaccurate results.
• The meter comes with the time and date preset. You may need to change the time to your time zone.
• If you have followed the steps in this booklet but still have symptoms that do not seem to match your test
results, or if you have questions, talk to your healthcare professional.
10
1
	Understanding Your New System
1.1 Overview
1.2 The ACCU‑CHEK Aviva Combo Meter at a Glance
1.3 The ACCU‑CHEK Spirit Combo Insulin Pump at a Glance
1.4 Summary of Features
1.5 Screen Content and Navigation
12
13
18
19
29
11
1.1 Overview
Your new meter has several features to assist you in managing your diabetes. It is important you understand
the features and how to operate the meter correctly.
i NOTES:
• This booklet shows sample screens. The screens in this booklet may look slightly different from the
screens on the meter. If you have any questions about the meter screens, contact ACCU‑CHEK Pump
Support at 1‑800‑688‑4578.
• On the meter display, the code chip is referred to as a code key. Code key and code chip are
interchangeable and mean the same thing.
• Blood sugar and bG are interchangeable and mean the same thing.
12
1
1.2 The ACCU‑CHEK Aviva Combo Meter at a Glance
Infrared (IR) Window
Display
Transfers data from the
meter to a computer.
Shows menus, results,
messages, and data stored in
the diary.
Code Key Slot
Buttons
Insert code key here with
code number facing away
from you.
Press to enter menus or the
diary, adjust settings, and
scroll through results.
Battery Door
Left/Right Soft Keys
Remove the battery door
by pushing the tab and
pulling the door up.
Press to select the menu or
option above the key.
Power On/Off Button
Turns the meter on or off.
Test Strip Slot
Insert golden end of test strip
here.
Backlight Button
Press to adjust the backlight level.
13
Top View
Batteries
(for example)
Insert batteries according to the
+ and - symbols in the battery
compartment.
Test Strip
Test Strip Container
Control Solution Bottle
Yellow Window - Touch blood drop
or control solution here.
Golden End - Insert this end of the
test strip into the meter.
14
Code Key
Infrared (IR) Window
(for example)
(for example)
1
The meter has seven buttons and two soft keys.
Left Soft Key
Right Soft Key
Up Arrow
Right Arrow
Enter
Down Arrow
Left Arrow
Backlight
Power On/Off
i NOTES:
• You hear a sound every time an active button/soft key is pressed unless you turned off the key sound.
• Press + or insert a test strip to turn on the meter. If the meter displays the Time/Date screen, make
the necessary changes and press ..
15
Table of Buttons and Soft Keys
Button
16
Name
Function
Left Arrow
j Move or scroll to the left in a screen.
Right Arrow
j Move or scroll to the right in a screen.
Up Arrow
j Move or scroll up in a screen.
Down Arrow
j Move or scroll down in a screen.
Left Soft Key
j Select the option above the key on the display.
Right Soft Key j Select the option above the key on the display.
Enter
j Select a menu or option.
j Save changes and exit the entry field.
Backlight
j Adjust the backlight level (low, medium, high).
j From the Bluetooth screen, press and hold * to turn Bluetooth wireless
technology on and off.
Power On/Off
j Turn the meter on and off.
1
Table of Button Combinations
Button Combination
Name
Function
When the buttons are locked, press and
hold , and . until the Main Menu
appears.
Unlock Keys
j Unlocks the buttons.
With the meter turned off, press and hold Meter/Pump
* and then press +.
Pairing
j Begins meter and pump pairing.
17
1.3 T he ACCU‑CHEK Spirit Combo Insulin Pump at a Glance
Up Key
Menu Key
Moves forward in an information
screen, increases a setting, turns
on the backlight, programs a Quick
Bolus, cancels a Quick Bolus, and
turns off the STOP-Warning.
Cycles through menus,
functions, and information
screens.
OK Key
Selects current settings
displayed on screen, saves
changes, exits a screen, and
allows the user to view the
QUICK INFO screen.
Display
Shows menus, messages,
and data stored in the pump
memory.
Down Key
Cartridge
Moves backward in an information
screen, decreases a setting,
programs a Quick Bolus, cancels
a Quick Bolus, and turns off the
STOP-Warning.
Holds insulin.
Infusion Set
Adapter
Connects the cartridge to the
infusion set.
Connects the pump to your body to
deliver insulin.
For information about the pump, see the ACCU‑CHEK Spirit Combo Insulin Pump User Guide.
18
1
1.4 Summary of Features
Display
The meter has a full-color graphic LCD (Liquid Crystal Display) that displays current and historical
information.
Backlight
• The backlight helps you read the information on the meter display under different lighting conditions.
• When the meter is turned on, the backlight is set to the medium level.
• Adjust the backlight level by pressing and releasing the backlight button.
• The backlight adjusts from low, to medium, to high, and back to low again.
• If set to the medium or high level and the buttons are not pressed for about 15 seconds, the backlight
returns to the low level to save power.
• When the meter returns to the low level, pressing any button restores the previous backlight level.
• For more information about backlight settings, see Chapter 5, “Changing Meter Settings.”
• For more about power-saving tips, see Chapter 7, “Care and Maintenance.”
19
Key Lock
• The key lock feature allows you to lock all of the buttons on the meter, except for the power on/off button.
• The key lock serves as a safety measure against unintentional activation of meter functions.
• For more information, see Chapter 5, “Changing Meter Settings.”
Signal Settings
• The meter communicates reminders, warnings, and errors using sounds and vibrations.
• For more information, see Chapter 6, “Icons, Reminders, Warnings, and Errors.”
Blood Sugar Test
Your new meter allows you to enter detailed information for each blood sugar test to include:
• Meal time (pre-meal, post-meal, bedtime, or other)
• Carbs (the amount of carbohydrates you are intending to eat)
• Health events (fasting, exercise 1, stress, illness, exercise 2, or premenstrual).
If bolus advice is set up on the meter and the meter recently communicated with the pump, the amount of
active insulin is displayed on the detailed bG Result screen.
20
Bolus Advice (Optional)
• The term “bolus” refers to the delivery of insulin all at once rather than slowly throughout the day, usually
used to compensate for meals or high blood sugar.
• Bolus advice calculates a bolus for you that is adapted to the time of day and your changing situations.
• This function is activated only if you set up bolus advice on the meter.
• For instructions on how to set up bolus advice, see Chapter 5, “Changing Meter Settings.”
w WARNING:
 efore setting up bolus advice, it is very important to read all of the safety information in the Advanced
Owner’s Booklet and talk to your healthcare professional.
Using the Meter with the Pump
• The meter can communicate with and remotely control your pump.
• Pump information is automatically downloaded to the meter when Bluetooth wireless technology is
activated.
• The meter must be paired with the pump.
• For more information, see the Advanced Owner’s Booklet.
21
Administering a Bolus
Using your new meter, you can deliver a bolus:
• Remotely on your pump using Bluetooth wireless technology
• Using the bolus advice feature of the meter
• Independently on your pump
• Using an insulin pen or syringe
My Data
• Your new meter stores 1,000 records in the diary.
• You can view, modify, or add information to your diary.
• You can view blood sugar test averages, trends, standard day, standard week, and target tables and graphs
of the data in the diary.
• You can view the data in graph or table format for the last 7, 14, 30, 60, or 90 days.
• For more information, see Chapter 4, “Managing Your Data.”
22
Data Transfer
• You can transfer your data stored on the meter to a computer.
• For more information, see Chapter 4, “Managing Your Data.”
Warning Limits for Hypo and Hyper Blood Sugar Levels
• You can select hypo (low) and hyper (high) blood sugar limits that best fit your needs. Whenever a blood
sugar test result is above or below this range, the meter displays a warning.
• In addition, Trend Graph screens indicate the hypo warning limit when displaying your blood sugar test
results. For more information, see Chapter 4, “Managing Your Data.”
• The meter has default warning limits that can be adjusted. For more information, see Chapter 5, “Changing
Meter Settings.”
23
Time Blocks
• Time blocks allow you to divide a day into different time periods.
• Setting time blocks to fit your own schedule helps you and your healthcare professional see how patterns in
your blood sugar are affected by your daily activities and lifestyle.
• Time blocks can be set up with or without bolus advice.
• Talk to your healthcare professional about the best way to set up your time blocks to assist you in managing
your diabetes.
• The meter has five default time blocks.
• You may set up to eight time blocks.
• For more information, see Chapter 5, “Changing Meter Settings.”
24
Without bolus advice, you need to consider the following when setting up time blocks:
• Determine the appropriate time range by reviewing the end time for each time block.
• Review the acceptable blood sugar target range (low and high) for each time block.
With bolus advice, you need to consider the following when setting up time blocks:
• Determine the appropriate time range by reviewing the end time for each time block.
• Review the acceptable blood sugar target range (low and high) for each time block.
• Determine your carb ratio (the amount of insulin needed to cover a given amount of carbohydrates) for each
time block.
• Determine your insulin sensitivity (the amount of insulin needed to lower your blood sugar by a given
amount) for each time block.
25
Health Events
Health events can be selected to indicate how you are feeling or what you are doing that might affect your
diabetes. The meter allows you the option of setting a percentage for each health event if you set up bolus
advice.
Health events available on the meter are:
• Fasting
• Exercise 1
• Stress
• Illness
• Exercise 2
• Premenstrual
Fasting does not scale bolus advice calculations and is not adjustable. Discuss the appropriate percentage
for each health event with your healthcare professional. For instructions on how to set up bolus advice, see
Chapter 5, “Changing Meter Settings.”
26
Blood Sugar Test Reminders (Optional)
The meter can be set up to remind you to retest your blood sugar after a high blood sugar test result, after a
low blood sugar test result, or after a meal.
An after high blood sugar test reminder example:
• The meter is set up with a high bG threshold level of 240 mg/dL and with a reminder time of 60 minutes.
• You have a blood sugar test result higher than 240 mg/dL, perhaps 270 mg/dL.
• In 60 minutes, the meter reminds you to perform another blood sugar test.
The after meal bG test reminder is set up with a carb value and occurs when the carb value exceeds the
snack size. Any of these blood sugar test reminders can be turned on or off individually, as needed. For more
information, see Chapter 5, “Changing Meter Settings.”
27
Date Reminders
• The meter can be set up to remind you of upcoming appointments or dates, such as a “Dr. Visit,” a “Lab
Test,” or an “Infusion Set Change.”
• For more information, see Chapter 5, “Changing Meter Settings.”
Alarm Clock Reminders
• The meter has alarm clock reminders which can be used as a helpful way to remind you when to test
throughout the day.
• In addition to “bG Test,” you can set reminders for “Other” for any other daily reminder.
• You can set up to eight reminders per day.
• For more information, see Chapter 5, “Changing Meter Settings.”
28
1
1.5 Screen Content and Navigation
This section provides an explanation of how to understand and navigate the screens on the meter.
Each time the meter is turned on, this splash screen (ACCU‑CHEK logo screen) is displayed for a short
period of time.
29
Features on the Main Menu:
Sound Icon
Appears when the beeper is
turned on.
Time
Menu Options
Vibrate Icon
10:02 am
bG Test
Bolus Advice
Pump
My Data
Settings
2 Feb 08
Appears when vibrate is turned on.
Date
Low Battery Icon
Appears when the meter batteries are low.
Bluetooth Wireless Technology Icon
Indicates whether the Bluetooth wireless
technology is on, off, or connecting.
i NOTES:
• To select an item on a menu, press x or z to highlight (blue) the menu item and then press =.
• When remotely controlling your pump, the buttons of your meter have differing functions. For more
information, see the Advanced Owner’s Booklet.
30
Bluetooth Wireless Technology Icon Communication States
You may turn Bluetooth wireless technology on or off at any time using the meter.
Icon
Communication State
Bluetooth wireless technology is on. The meter and pump are communicating.
Bluetooth wireless technology is off. The meter and pump are not communicating.
Bluetooth wireless technology is on. However, the meter and pump are not communicating.
31
Connecting to the Pump screen during pairing:
Connecting to the Pump
This screen appears when Bluetooth wireless technology is on and the meter is connecting to the pump.
32
1
Features on a screen:
Title Bar
Primary menu title is displayed
here.
Secondary Title Bar
When necessary, a secondary
title bar appears. Secondary
menu text is displayed here.
Left Soft Key Option
Press , to select the option
above the button on the screen.
View Data
2 Feb 08
69
8:06 pm
126
5:33 pm
4:06 pm
154
1:52 pm
60
9:03 am
397
Back
Select View
Highlighted Option
When a menu choice or item
is selected, it is highlighted in
blue.
Scroll Bar
If there is more information
available than fits on the screen,
a vertical scroll bar appears on
the right side of the screen.
Right Soft Key Option
Press . to select the option
above the button on the screen.
33
Information can be entered on some screens. Numerical entry fields appear as pop-up entry fields. When
an option must be selected, it appears as a pop-up menu.
• To open a pop-up menu or entry field, press =.
• Press x or z to select the appropriate pop-up menu option or until the correct numerical entry is
present, and then press =.
• Press and hold x or z to scroll faster.
Pop-Up Entry Field
Time Blocks
5:00 pm
70 mg/dL
9:30 pm
140 mg/dL
Cancel
Pop-Up Menu
34
View Data
2 Feb 08
8:06 pm
bG Value
5:33 pm
Bolus
4:06 pm
Carbs
1:52 pm
9:03 am
397
Cancel
1
General Navigation Steps
To change the settings or enter information into the meter:
1.
10:02 am
bG Test
Bolus Advice
Pump
My Data
Settings
2 Feb 08
10:02 am
Reminders
Bolus Advice
Meter
Sound/Vibrate
Time/Date
Time Blocks
Menu
2 Feb 08
Start
12:00 am
5:30 am
11:00 am
5:00 pm
9:30 pm
Back
Time Blocks
End
5:30 am
11:00 am
5:00 pm
9:30 pm
12:00 am
j Press x or z to select a menu option and press =.
j Repeat the previous step as necessary.
35
2.
3.
4.
Time Blocks
Time Blocks
12:00 am
Target Range
70 mg/dL
Cancel
5:30 am
140 mg/dL
Save
j Press x or z or < or > to
select an option or a desired
entry field and press =.
36
5:30 am
5:30 am
12:00 am
Target Range
70 mg/dL
140 mg/dL
Cancel
j Press x or z to select the
desired entry and press =.
j Repeat Steps 2 and 3, as
necessary.
j Select Save by pressing . to
save changes and return to the
previous screen.
7
Care and Maintenance
7.1 Overview
7.2 Changing the Batteries
7.3 Power-Saving Tips
7.4 Cleaning the Meter
7.5 Maintenance and Testing
228
229
232
233
234
227
7.1 Overview
It is important to properly care for and maintain your ACCU‑CHEK Aviva Combo meter. If you have
any questions about the care and maintenance of your meter, contact ACCU‑CHEK Pump Support at
1‑800‑688‑4578.
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7
7.2 Changing the Batteries
1.
2.
3.
j Remove the battery door
from the back of the meter by
pushing the tab in the direction
of the arrow and pulling the
door up.
j Remove the old batteries from
the meter.
j Insert three AAA batteries with
the + and - ends matching
the marks in the battery
compartment.
j Put the battery door back in
place and snap it closed.
229
c CAUTIONS:
• Using batteries other than those supplied or recommended for use with the meter may significantly
reduce the life of the batteries. Batteries other than those recommended may leak and corrode
the battery contacts within the meter. Using batteries not supplied or recommended may void the
warranty.
• Replace all batteries of a set at the same time. Newly purchased batteries should not be mixed with
partially exhausted ones. Batteries of different electrochemical systems, grades, or brands should
not be mixed. Failure to observe these precautions may result in some batteries in a set being driven
beyond their normal exhaustion point and thus increase the probability of leakage.
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7
i NOTES:
• Alkaline batteries are recommended for use with the meter.
• After you change the batteries, the meter prompts you to confirm the time and date settings.
• It is a good idea to have spare, packaged batteries available.
• All test results, diary information, and settings are saved in the meter memory when the batteries are
replaced.
• The meter remains paired with the pump when you remove and replace the batteries.
• Rechargeable batteries may be used in the meter. However, rechargeable batteries may not maintain
the same battery life as non-rechargeable batteries.
• When the Low Battery warning appears:
• Bluetooth wireless technology communication is disabled.
• If vibrate is set to On, it is disabled until the batteries are replaced.
• If the backlight level is set to high, the medium backlight level is used until the batteries are
replaced.
• If the beeper level is set to high, the medium beeper level is used until the batteries are replaced.
231
7.3 Power-Saving Tips
To conserve battery life:
• Use the low beeper setting
• Only turn on the vibration feature when it is needed
• Turn off the meter when you are finished rather than utilizing the auto power off feature
232
7
7.4 Cleaning the Meter
Caring for the meter is easy: just keep it free of dust. If you need to clean it, follow these guidelines carefully
to help you get the best performance possible:
DO
• Ensure the meter is off
• Gently wipe the meter’s surface with a soft cloth slightly dampened with one of these cleaning solutions:
- 70 % isopropyl alcohol
- Mild dishwashing liquid mixed with water
- 10 % household bleach solution (1 part bleach plus 9 parts water) made the same day
• Squeeze out any excess liquid from the cloth before you wipe the meter surface
DO NOT
• Get any moisture in the code key slot or test strip slot
• Spray any cleaning solution directly onto the meter
• Put the meter under water or liquid
• Pour liquid into the meter
For instructions on how to clean the pump, see the ACCU‑CHEK Spirit Combo Insulin Pump User Guide.
233
7.5 Maintenance and Testing
• The meter needs little or no maintenance with normal use. It automatically tests its own systems every
time you turn it on and lets you know if something is wrong. For detailed information on troubleshooting the
meter, see Chapter 8, “Troubleshooting.”
• If you drop the meter or think it is not giving accurate results, ensure your test strips and control solution
have not expired, and then perform a control test.
• Perform a control test with each new vial of test strips.
• To test the meter display, turn off the meter, and then press and hold the + button. The display cycles
through colors (red, blue, green, and white). If any part of the display does not change colors, contact
ACCU‑CHEK Pump Support at 1‑800‑688‑4578.
• If the meter is not working properly, contact ACCU‑CHEK Pump Support at 1‑800‑688‑4578.
234
8
Troubleshooting
8.1 Overview
8.2 Troubleshooting the ACCU‑CHEK Aviva Combo Meter
236
237
235
8.1 Overview
For most problems, the meter displays a message with a short description of the symptom and, along with it,
a proposed solution. This chapter goes into more detail by describing the symptom, the possible cause, and
the possible solution. If the possible solutions do not fix the problem, contact ACCU‑CHEK Pump Support at
1‑800‑688‑4578.
w WARNING:
Never make treatment decisions based on a warning or error message. If you have any concerns,
contact ACCU‑CHEK Pump Support at 1‑800‑688‑4578.
i NOTES:
• If you drop the meter or think it is not giving accurate results, make sure your test strips and control
solution have not expired, and then perform a control test. For further assistance, contact ACCU‑CHEK
Pump Support at 1‑800‑688‑4578.
• Blood sugar and bG are interchangeable and mean the same thing.
236
8
8.2 T roubleshooting the ACCU‑CHEK Aviva Combo Meter
Display Shows
Possible Cause(s)
The display is
j Batteries are dead.
blank or the meter
will not turn on.
jD
 isplay is damaged.
Bluetooth icon
flashing
Possible Solution(s)
j Install new batteries. See Chapter 7, “Care and
Maintenance.”
j Contact ACCU‑CHEK Pump Support at
1‑800‑688‑4578.
j Meter is defective.
j Contact ACCU‑CHEK Pump Support at
1‑800‑688‑4578.
j Extreme temperature – the
temperature is outside the
meter operating range.
j Move the meter to an area with proper temperature.
Wait five minutes before turning on the meter. Do
not artificially heat or cool the meter.
j Communication ended due to j Check the pump and continue operation of the
a button press on the pump.
pump manually.
j Ensure the pump has Bluetooth wireless technology
turned on.
j Meter and pump are outside
of communication range.
j Ensure pump is within communication range.
237
238
Display Shows
Possible Cause(s)
Possible Solution(s)
Above Hyper
Warning Limit
j Your test result is above the j Treat your high blood sugar as recommended by
hyper warning limit set in the
your healthcare professional.
meter.
j Consider checking bG, ketones, and insulin.
j See the pump User Guide for additional solutions.
Beep/Vibrate Off
j Beep and Vibrate settings
cannot be turned off at the
same time.
j Ensure that either the Beep or Vibrate setting is
turned on. See Chapter 5, “Changing Meter
Settings.”
Below Hypo
Warning Limit
j Your test result is below the
hypo warning limit set in the
meter.
j Treat your low blood sugar as recommended by
your healthcare professional.
j The meter displays a recommended number of
carbohydrates for you to eat, and then retest your
blood sugar.
Display Shows
Possible Cause(s)
Possible Solution(s)
Bolus Advice
j Bolus advice data integrity
cannot be confirmed.
j Wait 8 hours for accurate bolus advice.
Bolus Advice data
deleted
Bolus Advice Not
Setup
Bolus Advice
Timeout
IMPORTANT:
• Insulin doses and meals taken before the Bolus Advice warning are no longer
reflected in the bolus advice calculation.
• The meter may not reflect the pump bolus history, however the bolus history is
available on the pump.
j A dvice is not provided unless it j Y ou can continue to use the meter without bolus
is set up through Bolus Advice
advice or see Chapter 5, “Changing Meter Settings”
in Settings Menu.
for instructions on how to set up bolus advice.
j Bolus advice is no longer
available for this bG result.
j R eview data that was saved in My Data. Then, decide
to modify data, add data, or begin a new bolus advice
session.
239
Display Shows
Possible Cause(s)
Possible Solution(s)
Bolus Delivery
Unavailable
j The meter cannot
j Retry or set to Manual Pump.
communicate with the pump. j Ensure the meter and pump have Bluetooth wireless
technology turned on.
j Ensure the meter and pump are within
communication range.
j If the low battery icon is displayed on the meter, the
meter cannot communicate with the pump. Replace
the batteries.
j The pump is currently in Stop j Take the pump out of Stop mode.
mode.
240
j The pump is currently
delivering a bolus.
j Allow the current bolus delivery to complete before
delivering the next bolus.
Bolus Too High
j The bolus is above the
allowed amount. The bolus
was set to 50 Units.
j Check the accuracy of all entries. If necessary,
contact your healthcare professional.
Bolus Too Low
j The insulin pump cannot
j The pump will adjust the bolus to 0.2 Units.
deliver a 0.1 Unit of multiwave
bolus.
Display Shows
Possible Cause(s)
Possible Solution(s)
Carbohydrate Ratio j Carbohydrate ratio is outside j Check your entries and contact your healthcare
of the acceptable meter
professional to determine the appropriate settings.
range.
Code Key Missing
j The meter is not coded or the j Turn off the meter and recode it. See Chapter 2,
code key is not inserted.
“Testing Your Blood Sugar.”
Communication
Lost
j Pump is out of range of the
meter.
j Bolus delivery continuing, see pump screen.
j Ensure the meter and pump have Bluetooth wireless
technology turned on.
j Ensure the meter and pump are within
communication range.
j If the low battery icon is displayed on the meter, the
meter cannot communicate with the pump. Replace
the batteries.
j Use the pump to monitor or cancel a bolus which is
in the process of being delivered.
241
242
Display Shows
Possible Cause(s)
Possible Solution(s)
Communication
Warning
j Communication of bolus data j Ensure the meter and pump have Bluetooth wireless
from the pump was not
technology turned on.
successful. Therefore, pump j Ensure the meter and pump are within
data are not available and the communication range.
bolus data may not be
j If the low battery icon is displayed on the meter, the
accurate.
meter cannot communicate with the pump. Replace
j Communication of bolus data the batteries.
from the pump was not
successful. Therefore, pump
data are not available and the
active insulin amount may not
be accurate.
Display Shows
Possible Cause(s)
Possible Solution(s)
Connection Lost
j The connection was lost
j Restart the pairing process. See the Advanced
between the meter and the
Owner’s Booklet.
pump during the pairing
j Ensure the meter and pump have Bluetooth wireless
process. Therefore, the
technology turned on.
attempt to pair the meter and j If the low battery icon is displayed on the meter, the
pump was unsuccessful.
meter cannot communicate with the pump. Replace
the batteries.
j Pump is out of range of the
meter.
j Ensure the meter and pump are within
communication range.
Diary Entry Used
For Advice
j The diary entry selected has
been used for bolus advice
and modifications are not
allowed.
j Carefully confirm all information involving bolus
advice. You cannot modify bolus advice-related
entries on the meter.
Diary Results
Expired
j Bolus advice is no longer
available for this result.
j Review data that was saved in My Data. Then,
decide to modify data, add data, or begin a new
bolus advice session.
243
Display Shows
Possible Cause(s)
Possible Solution(s)
E-51 Bad Strip
Error
j Your blood sugar may be
extremely low.
j If you see this error message after you applied
blood to the test strip, see Chapter 2, “Testing Your
Blood Sugar.”
j The test strip is damaged.
j The test strip is not properly
inserted into the meter.
j If you see this error message before you applied
blood to the test strip, remove the test strip and
reinsert it, or replace it if damaged. Verify that the
code number printed on the test strip container
matches the code number printed on the code key
currently inserted in the meter. If the message
reappears, contact ACCU‑CHEK Pump Support at
1‑800‑688‑4578.
j The code key is incorrect.
j Turn off the meter, remove the code key, and
reinsert the code key into the meter. If you continue
to receive this error message, turn off the meter,
remove the code key, and insert a new code key
into the meter. If this does not fix the problem,
contact ACCU‑CHEK Pump Support at
1‑800‑688‑4578.
E-52 Code Key
Error
244
Display Shows
Possible Cause(s)
E-53 Bad Test
Error
j A meter or test strip error has j Discard the test strip and repeat the test.
occurred.
j Your blood sugar may be
extremely high.
Possible Solution(s)
j If this confirms how you feel, contact your
healthcare professional immediately. If it does not
confirm how you feel, repeat the test and see
Chapter 2, “Testing Your Blood Sugar.” If this still
does not confirm the way you feel, run a control
test with your control solution and a new test strip.
If the control result is within the acceptable range,
review the proper testing procedure and repeat your
blood sugar test with a new test strip. If the E-53
error still appears for your blood sugar test, your
blood sugar result may be extremely high and
above the system’s reading range. Contact your
healthcare professional immediately. If the
control result is not within the acceptable range,
see Chapter 3, “Control Testing.”
245
246
Display Shows
Possible Cause(s)
Possible Solution(s)
E-54 Not Enough
Sample
j Not enough blood or control j Discard the test strip and repeat the test.
solution was drawn into the
test strip for measurement or
was applied after the test has
started.
E-55 Code Key
Expired
j The code key is from an
expired lot of test strips.
E-56 Sample
Applied Early
j Blood or control solution was j Discard the test strip and repeat the test with a new
applied to the test strip before test strip.
the Apply Sample screen
appeared on the display.
j Ensure the code key number matches the code
number on the test strip container. Remove and
reinsert the code key and ensure the time and date
in the meter are correct. If this does not fix the
problem, turn off the meter, remove the expired
code key, and insert a new, valid code key into the
meter.
Display Shows
Possible Cause(s)
Possible Solution(s)
E-57 Electronic
Error
j An electronic error has
occurred or, in rare cases, a
used test strip was removed
and reinserted.
j Turn off the meter and remove the batteries. Wait at
least 30 seconds prior to reinserting the batteries.
Turn on the meter and perform a blood sugar or
control test. If the problem persists, contact
ACCU‑CHEK Pump Support at 1‑800‑688‑4578.
E-58 Temp. Error
j The temperature is above or
below the proper range for
the meter.
j Move the meter to an area within the proper
temperature range indicated for test strip use in the
test strip package insert. Wait five minutes before
turning on the meter. Repeat the test. Do not
artificially heat or cool the meter.
E-59 Battery
Empty
j The batteries are extremely
low.
j Insert new batteries. See Chapter 7, “Care and
Maintenance.”
E-60 Time/Date
Error
j The time and date settings
may be incorrect.
j You have changed the
batteries.
j Ensure the time and date are correct and adjust, if
necessary. See Chapter 5, “Changing Meter
Settings.”
247
248
Display Shows
Possible Cause(s)
Possible Solution(s)
HI bG Warning
j Your blood sugar may be
higher than the measuring
range of the system.
j If you are experiencing any of the common
symptoms of high blood sugar, contact your
healthcare professional immediately.
j Treat your high blood sugar as recommended by
your healthcare professional.
j Consider checking bG, ketones, and insulin.
j See the pump User Guide for additional solutions.
Incorrect Pump
Time/Date
j Pump time/date incorrect.
j Set time/date on the pump (see pump User Guide).
Infrequent Pump
Communication
j At least two weeks have
passed since the meter and
pump have communicated.
j Ensure the meter and pump have Bluetooth wireless
technology turned on.
j Ensure the meter and pump are within
communication range.
j If the low battery icon is displayed on the meter, the
meter cannot communicate with the pump. Replace
the batteries.
j It is important to use Bluetooth wireless technology
communication between the meter and pump
regularly if you utilize bolus advice.
Display Shows
Possible Cause(s)
Possible Solution(s)
Insulin Sensitivity
j Insulin sensitivity is outside of j Check your entries and contact your healthcare
the acceptable meter range.
professional to determine the appropriate settings.
Invalid Bolus
Advice Times
j The acting time value is less
than the offset time.
j The acting time value must be set equal to or
greater than the offset time. Reset the acting time
value or revise the offset time.
Invalid Date
j The date entered is invalid
(dates for reminders cannot
be set to occur in the past).
j Re-enter date.
Invalid Hyper
Values
j The hyper warning limit value j Reset the hyper warning limit or revise the target
must be greater than all of
ranges in time blocks and re-enter the hyper
your target ranges in the time warning limit.
block settings.
j Enter a hyper warning limit that is above the target
ranges of your time blocks. See Chapter 5,
“Changing Meter Settings.”
249
Display Shows
250
Possible Cause(s)
Possible Solution(s)
Invalid Hypo Values j The hypo warning limit value
must be less than all of your
target ranges in the time
block settings.
j Reset the hypo warning limit or revise the target
ranges in time blocks and re-enter the hypo
warning limit.
j Enter a hypo warning limit that is below the target
ranges of your time blocks. See Chapter 5,
“Changing Meter Settings.”
Invalid PIN
j The wrong PIN was entered.
j Select OK and re-enter the PIN shown on the pump
display.
Invalid Record
Time/Date
j The time/date entered is
invalid (Add Data entries
cannot be set to occur in the
future).
j Re-enter time/date.
Display Shows
Possible Cause(s)
Possible Solution(s)
Invalid Target
Range
j The lower target range value
is above the upper target
range value.
j Reset the target range values.
j Enter the correct lower target range value and
upper target range value. See Chapter 5, “Changing
Meter Settings.”
j The range selected conflicts
with your hyper and/or hypo
warning limit settings.
j Reset range or revise warning limit settings and
re-enter range.
j Enter the correct lower target range value and
upper target range value. See Chapter 5, “Changing
Meter Settings.”
j Your blood sugar may be
lower than the measuring
range of the system.
j If you are experiencing any of the common
symptoms of low blood sugar, contact your
healthcare professional immediately.
j Treat your low blood sugar as recommended by
your healthcare professional.
LO bG Warning
251
Display Shows
Possible Cause(s)
Possible Solution(s)
Meter and Pump
Not Paired
j Meter and pump have not
been paired. You cannot use
the pump functions without
pairing the meter and the
pump.
j You must pair the meter and pump to use these
features.
j For instructions on how to pair the meter and pump,
see the Advanced Owner’s Booklet.
Meter Battery Low j Battery power is low.
252
j Install new batteries. See Chapter 7, “Care and
Maintenance.”
No bG with Bolus
j You have not tested your bG j It is recommended to test bG before delivering
and are attempting to deliver
insulin.
a bolus.
Pairing Failed
j The attempt to pair the meter j Restart the pairing process. See the Advanced
and pump was unsuccessful. Owner’s Booklet.
Display Shows
Possible Cause(s)
Possible Solution(s)
Pump Not Available j The pump is out of the
communication range of the
meter.
j Ensure the meter and pump have Bluetooth wireless
technology turned on.
j Ensure the meter and pump are within
communication range.
j If the low battery icon is displayed, the meter
cannot communicate with the pump. Replace the
batteries.
Test Strips Expiring j The test strips expire at the
end of the current month.
j Before the end of the month, insert a new code key
from a new box of test strips (dispose of expiring
test strips) and ensure the code key number
matches the code number on the test strip
container.
j Ensure the time and date are correct and adjust, if
necessary. See Chapter 5, “Changing Meter
Settings.”
253
Display Shows
Possible Cause(s)
Possible Solution(s)
Time Mismatch
j The time or date on the meter j The meter time and date were changed to match
is more than five minutes
the pump time. Ensure the time and date are
different than the time or date correct. If the time or date are not correct, change
on the pump.
the time and date on the pump.
i NOTES:
• For additional information on errors and warnings, see Chapter 6, “Icons, Reminders, Warnings, and
Errors.”
• If you have a question or if you see any other error screen, please contact ACCU‑CHEK Pump Support
at 1‑800‑688‑4578.
254
9
Technical Information
9.1 Overview
9.2 Product Limitations
9.3 Specifications
9.4 Product Safety Information
9.5 Disposing of the Meter, Strips, Lancets, and Batteries
9.6 Warranty
9.7 Additional Supplies
9.8 Information for Healthcare Professionals
256
257
258
260
263
265
272
273
255
9.1 Overview
This chapter provides you with important performance information regarding the meter.
256
9
9.2 Product Limitations
Please read the literature packaged with your test strips to find the latest information on product
specifications and limitations.
257
9.3 Specifications
258
Blood volume
j Refer to the test strip package insert.
Sample type
j Fresh whole blood
Measuring time
j Refer to the test strip package insert.
Measuring range
j Refer to the test strip package insert.
Test strip storage conditions
j Refer to the test strip package insert.
Meter storage conditions (with
batteries inserted)
j -4 °F to 122 °F
System operating conditions
j Refer to the test strip package insert.
Relative humidity operating range
j Refer to the test strip package insert.
Memory capacity
j 1,000 diary records
Automatic power off
j 2 minutes
Power supply
j Three AAA batteries (recommended: alkaline)
Display
j LCD
Dimensions
j 3.7 x 2.1 x 1 inches (LWH)
Weight
j Approximately 3.6 oz with batteries inserted
Construction
j Hand-held
Protection class
j III
Meter type
j The ACCU‑CHEK Aviva Combo meter is suitable for continuous
operation.
Control solution storage conditions
j 36 °F to 90 °F
Interface
j IR; LED/IRED – Class 1
259
9.4 Product Safety Information
Bluetooth Wireless Technology
The meter and the pump utilize Bluetooth wireless technology to communicate and transfer information.
Bluetooth wireless technology is a form of radio frequency (RF) technology that operates in the unlicensed
industrial, scientific, and medical band at 2.4 to 2.485 GHz. The RF channel utilized for communication
between the meter and the pump is not an open channel. The meter can only communicate with the pump it
is paired with; therefore, other Bluetooth wireless technology devices (e.g., cell phone, printer, etc.) cannot be
paired with, communicate with, or access your personal information on the meter or the pump.
Radio Frequency Communication
FCC ID: WX3-361
The device complies with the United States Federal Communications Commission (FCC) standards. The
device complies with FCC Part 15 Rules. Operation of the device is subject to the following two conditions: (1)
this device may not cause harmful interference, and (2) this device must accept any interference received,
including interference that may cause undesired operation.
Compliance with these guidelines means that under normal, daily circumstances the device should not
affect the operation of other devices. In addition, the device should operate normally in the presence of other
devices.
260
In the event there is interference from another device, it is recommended that you increase distance between
meter and that device. You may also turn off the interfering device. In addition, you may turn off Bluetooth
wireless technology on the meter and deliver insulin directly using the pump.
Changes or modifications to the device not expressly approved by Roche could void the user’s authority to
operate the device.
The device has been tested and found to comply with the limits for a Class B digital device. The device
generates, uses, and can radiate radio frequency energy.
This equipment complies with FCC and IC radiation exposure limits set forth for an uncontrolled environment.
This equipment is in direct contact with the body of the user under normal operating conditions. This
transmitter must not be co-located or operating in conjunction with any other antenna or transmitter.
Electromagnetic Compatibility
This meter meets the electromagnetic immunity requirements as per ISO 15197 Annex A. The chosen
basis for electrostatic discharge immunity testing was basic standard IEC 61000-4-2. In addition, it meets
the electromagnetic emissions requirements as per EN 61326. Its electromagnetic emission is thus low.
Interference from other electrically driven equipment is not to be anticipated.
261
Performance Analysis
The performance data for the ACCU‑CHEK Aviva Combo system (ACCU‑CHEK Aviva Combo meter with
ACCU‑CHEK Aviva test strips) were obtained using capillary blood from diabetic patients (method comparison,
accuracy), venous blood (repeatability), and control solution (reproducibility). The system is calibrated with
venous blood containing various levels of sugar. The reference values are obtained using the hexokinase
method. For method comparison, the results were compared with results obtained using the hexokinase
method with deproteinization (automatic analyzer). The hexokinase method is traceable to an NIST standard.
Measuring Principle
Refer to your test strip package insert for more information.
w warningS:
• Strong electromagnetic fields may interfere with the proper operation of the meter. Do not use this
meter close to sources of strong electromagnetic radiation.
• To avoid electrostatic discharge, do not use the meter in a very dry environment, especially one in
which synthetic materials are present.
262
9
9.5 Disposing of the Meter, Strips, Lancets, and Batteries
w warningS:
• Any product coming in contact with blood is considered contaminated (potentially infectious).*
• During normal testing any blood sugar meter may come in contact with blood. Lancing devices may
also be considered sharps. Disposal of sharps is regulated by law in many jurisdictions.
The European Union has a requirement for improving waste management practices for certain electronic
equipment, but meters fall outside the scope of the European Directive 2002/96/EC.** This is not a
requirement for the U.S.A.; however, Roche is committed to recycling and sustainability. Please consider the
following points when disposing of your used testing materials:
• Comply with any laws or ordinances relating to the disposal of sharps and/or contaminated products.
Contact your local health department or other appropriate authorities for proper handling and disposal of
used meters, used test strips, used lancets, and used batteries.
• Consider recycling of the meters and batteries at an appropriate facility. Be aware the meter is potentially
hazardous electronics scrap (e-scrap) and should be disposed of accordingly. The batteries are potentially
hazardous also and should be disposed of accordingly.
263
• Decontaminate the meter before recycling or disposing. Wipe the outside of the meter with a dilution of
bleach solution, one part bleach to nine parts water.
• Users in professional environments (i.e., healthcare professionals) should follow their existing policies
and procedures that govern the proper handling and disposal of potentially infectious waste, e-scrap, and
batteries.
*29 CFR 1910.1030-Bloodborne pathogens
**Directive 2002/96/EC-Directive on waste electrical and electronic equipment (WEEE)
264
9
9.6 Warranty
ACCU‑CHEK Aviva Combo Meter Limited 4-Year Warranty
Disetronic Medical Systems Inc., a member of the Roche Group warrants to the original purchaser of the
meter that your ACCU‑CHEK Aviva Combo meter will be free from defects in materials and workmanship for
4 years from the date of purchase. If during this 4-year period, the meter does not work properly because
of a defect in materials or workmanship, Disetronic Medical Systems will replace it with a new ACCU‑CHEK
Aviva Combo meter or equivalent product free of charge. The warranty on the replacement meter will expire
on the date of the original warranty expiration or 90 days after the shipment of a replacement system,
whichever period is longer. The purchaser’s exclusive remedy with respect to the ACCU‑CHEK Aviva Combo
meter shall be replacement.
This warranty does not apply to the performance of an ACCU‑CHEK Aviva Combo meter that has been
damaged by accident or has been altered, misused, tampered with, or abused in any way.
265
THE PRECEDING WARRANTY IS EXCLUSIVE OF ALL OTHER WARRANTIES, AND DISETRONIC MEDICAL
SYSTEMS MAKES NO OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING WITHOUT LIMITATION,
THE IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. IN NO EVENT
SHALL DISETRONIC MEDICAL SYSTEMS BE LIABLE TO THE PURCHASER OR ANY OTHER PERSON FOR ANY
INCIDENTAL, CONSEQUENTIAL, INDIRECT, SPECIAL, OR PUNITIVE DAMAGES ARISING FROM OR IN ANY
WAY CONNECTED WITH THE PURCHASE OR OPERATION OF THE METER OR ITS PARTS. NO WARRANTY OF
MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, IF ANY IS IMPLIED FROM THE SALE OF THE
METER, SHALL EXTEND FOR A LONGER DURATION THAN THREE YEARS FROM THE DATE OF PURCHASE.
Some states do not allow limitations on how long an implied warranty will last or the exclusion of incidental
or consequential damages, so the above limitation and exclusion may not apply to you. This warranty gives
you specific legal rights, which vary from state to state.
266
Warranty Instructions
All requests for return of ACCU‑CHEK Aviva Combo meters under the preceding warranty must be made to
ACCU‑CHEK Pump Support. You will be mailed a return authorization label, which must be affixed to your
carton for shipping the system to Disetronic Medical Systems. Cartons received without this label will be
returned to you at your expense.
Customers experiencing difficulties should review the troubleshooting information in Chapter 8 of this booklet.
Further inquiries should be directed to ACCU‑CHEK Pump Support at 1‑800‑688‑4578.
Be sure to fill out and mail the Warranty Card that comes with the ACCU‑CHEK Aviva Combo system
267
Limited License
c CAUTION:
A RESTRICTED LICENSE LIMITS USE OF THE ACCU‑CHEK AVIVA COMBO SYSTEM—READ CAREFULLY THE
LIMITATIONS RECITED BELOW.
The ACCU‑CHEK Aviva Combo system (meter, including the code key, and test strips) and its use are protected
by U.S. Patent Nos. 6,645,368; 5,366,609; 5,352,351; 5,053,199; 5,122,244; 7,276,146; 7,276,147; and
Re. 36,268. A license to use the ACCU‑CHEK Aviva Combo system is only granted when the ACCU‑CHEK
Aviva Combo meter is used with the ACCU‑CHEK Aviva test strips and ACCU‑CHEK Aviva code keys.
ACCU‑CHEK Aviva test strips are provided with a specifically matched ACCU‑CHEK Aviva code key. These test
strips and code keys are specifically manufactured for operation with the ACCU‑CHEK Aviva Combo meter.
Use of other test strips with an unmatched code key or even with the matched code key supplied by another
manufacturer may prevent or impair the proper function of the ACCU‑CHEK Aviva Combo system.
268
Using the ACCU‑CHEK Aviva Combo system indicates your acceptance of the restricted license to use the
ACCU‑CHEK Aviva Combo system only with ACCU‑CHEK Aviva test strips and the ACCU‑CHEK Aviva code key.
Further, if you have purchased an ACCU‑CHEK Aviva Combo monitoring kit or an ACCU‑CHEK Aviva Combo
meter that includes this restricted license, then this restricted license applies regardless of any additional
offers found in ACCU‑CHEK Aviva test strip packages. If you do not agree to the terms and conditions of the
restricted license, you may return, at the place of purchase, the unused ACCU‑CHEK Aviva Combo system for
a full refund. If you have any questions, please call ACCU‑CHEK Pump Support at 1‑800‑688‑4578.
Except where prohibited by statute, all warranties covering the ACCU‑CHEK Aviva Combo system are voided
by use of the ACCU‑CHEK Aviva Combo system with any test strips or code keys other than ACCU‑CHEK Aviva
test strips or code keys.
Patent Information
Aspects of the ACCU‑CHEK Aviva Combo system, including the meter, code key, and test strips, and their
use are covered by one or more of the following United States patents: 5,352,351; 4,999,582; 5,997,817;
5,053,199; Re. 36,268; 5,438,271; 5,366,609; 6,645,368; 6,662,439; 5,122,244; 7,073,246; 7,276,146;
7,276,147; 7,338,639; 7,386,937; 7,407,811; 7,452,457; 7,488,601; 7,494,816; 7,556,723; 7,569,126.
Additional United States Patents pending.
The ACCU‑CHEK Multiclix device and its use are covered by the following U.S. patents: 4,924,879; Re.
35,803; 6,419,661. Additional U.S. patents pending.
269
c CAUTION:
A RESTRICTED LICENSE LIMITS USE OF THE ACCU‑CHEK MULTICLIX DEVICE (lancet driver and lancets).
READ CAREFULLY THE LIMITATIONS RECITED BELOW.
The ACCU‑CHEK Multiclix device and its use are protected by U.S. Patent Nos. 4,924,879; Re. 35,803;
6,419,661. A license to use the ACCU‑CHEK Multiclix device is only granted when ACCU‑CHEK Multiclix
lancet drums are used with the ACCU‑CHEK Multiclix device.
ACCU‑CHEK Multiclix lancet drums are high precision components that are produced to the close tolerances
required for satisfactory operation with the ACCU‑CHEK Multiclix device. Use of other lancets or lancet drums
with the ACCU‑CHEK Multiclix device may prevent or impair proper function of the ACCU‑CHEK Multiclix
device.
270
Using the ACCU‑CHEK Multiclix device indicates your acceptance of the restricted license to use the
ACCU‑CHEK Multiclix device only with ACCU‑CHEK Multiclix lancet drums. Further, if you have purchased an
ACCU‑CHEK Multiclix device that includes this restricted license, then this restricted license applies regardless
of any additional offers found in ACCU‑CHEK Multiclix device packages. If you do not agree to the terms and
conditions of the restricted license, you may return, at the place of purchase, the unused ACCU‑CHEK Multiclix
device for a full refund. If you have any questions, please call ACCU‑CHEK Pump Support at 1‑800‑688‑4578.
Except where prohibited by statute, all warranties covering the ACCU‑CHEK Multiclix device are voided by use
of the ACCU‑CHEK Multiclix device with any lancets or lancet drums other than ACCU‑CHEK Multiclix lancet
drums.
Patent Information
The ACCU‑CHEK Multiclix device and its use are protected by U.S. Patent Nos. 4,924,879; Re. 35,803;
6,419,661.
271
9.7 Additional Supplies
The following supplies and accessories are available from your authorized Roche Diabetes Healthcare Center,
pharmacies, or your medical/surgical supply dealer:
Test Strips
ACCU‑CHEK Aviva test strips
Control Solutions
ACCU‑CHEK Aviva control solutions
272
9
9.8 Information for Healthcare Professionals
w warning:
Healthcare Professionals: Follow the infection control procedures appropriate for your facility.
A drop of fresh, whole blood is required to perform a blood sugar test. Refer to the test strip package insert
for additional healthcare professional information.
273
Recommending Alternative Site Testing to Patients
Decisions about whether to recommend alternative site testing (AST) should take into account the motivation
and knowledge level of the patient and his or her ability to understand the considerations relative to diabetes
and AST. If you are considering recommending AST for your patients, you need to understand that there is
a potential for a significant difference between fingertip and alternative site blood sugar test results. The
difference in capillary bed concentration and blood perfusion throughout the body can lead to sample siteto-site differences in blood sugar results. These physiological effects vary between individuals and can vary
within a single individual based upon his or her behavior and relative physical condition. Our studies involving
AST of adults with diabetes show that most persons will find their sugar level changes more quickly in the
fingers’ blood than the alternative sites’ blood.¹ This is especially important when sugar levels are falling or
rising rapidly. If your patient is used to making treatment decisions based upon fingertip readings, he or she
should consider the delay, or lag-time, affecting the results obtained from an alternative site.
¹Data on file.
274
Appendices
Appendix A: Abbreviations
Abbreviation
Definition
AM
j Ante Meridiem (12-hour clock notation for “before noon”)
AST
j Alternative Site Testing
BE
j Bread Equivalent (equal to 12 grams of carbohydrates)
bG
j Blood Sugar
Carbs
j Carbohydrates
CC
j Carbohydrate Choice (equal to 15 grams of carbohydrates)
°F
j Degrees Fahrenheit
FCC
j Federal Communications Commission (United States)
j Grams
GHz
j Gigahertz
275
276
Abbreviation
Definition
Hyper
j Hyperglycemia (high blood sugar)
Hypo
j Hypoglycemia (low blood sugar)
IR
j Infrared
ISO
j International Organization for Standardization
KE
j Kohlenhydrateinheit (equal to 10 grams of carbohydrates)
LCD
j Liquid Crystal Display
mg/dL
j Milligrams per Deciliter
N/A
j Not Applicable
NIST
j National Institute of Standards and Technology (United States)
PIN
j Personal Identification Number
PM
j Post Meridiem (12-hour clock notation for “after noon”)
RF
j Radio Frequency
Abbreviation
Definition
SD
j Standard Deviation
j Units (bolus insulin units)
277
Appendix B: Carb Units
For carbohydrates, the following units of measure are available on the meter.
Abbreviation
Unit of Measurement
Gram Equivalent
j Grams*
j 1 gram
KE
j Kohlenhydrateinheit
j 10 grams
BE
j Bread Equivalent
j 12 grams
CC
j Carbohydrate Choice
j 15 grams
*Standard unit of measure in the U.S.
278
Appendix C: Explanation of Symbols
You may encounter the following symbols on the packaging, on the type plate, and in the instructions for the
meter, shown here with their meaning.
j Warning (refer to accompanying documents). Please refer to safety-related notes
in the owner’s booklets accompanying this instrument.
j Caution (refer to accompanying documents). Please refer to safety-related notes
in the owner’s booklets accompanying this instrument.
j Note (additional information)
j Store at
j 1.5V AAA
279
Appendix D: Meter Settings and Range Limits
mg/dL
280
Data Type
Unit of Measurement MIN
MAX Increments Default Setting
Acting Time
hours:minutes
1:30
8:00
0:15
4:00
Active Insulin
Units
99.9
0.1
No entry (“--- u”)
bG Threshold (High) mg/dL
120
350
Hyper Warning Limit
bG Threshold (Low) mg/dL
50
100
Hypo Warning Limit
Carb Ratio (carbs)
grams
BE
KE
CC
0.1
0.1
0.1
240
20
24
16
0.1
0.1
0.1
No entry (“--- g”)
No entry (“--- BE”)
No entry (“--- KE”)
No entry (“--- CC”)
Carb Ratio (insulin)
Units
0.1
50
0.1
Carbohydrates
grams
BE
KE
CC
240
20
24
16
0.1
0.1
0.1
No entry (“--- g”)
No entry (“--- BE”)
No entry (“--- KE”)
No entry (“--- CC”)
Data Type
Unit of Measurement MIN
MAX Increments Default Setting
Exercise 1 (health
event)
-50
50
Exercise 2 (health
event)
-50
50
Extended Bolus
(insulin)
Units
501
0.1
No entry (“--- u”)
Hyper Warning Limit mg/dL
180
350
300
Hypo Warning Limit mg/dL
50
90
70
Illness (health
event)
-50
50
Insulin Sensitivity
(bG)
mg/dL
999
No entry (“---mg/dL”)
Insulin Sensitivity
(insulin)
Units
0.1
50
0.1
Meal Rise (bG)
mg/dL
50
200
50
Multiwave Bolus
(insulin)
Units
0.2
501
0.1
No entry (“--- u”)
281
Data Type
Unit of Measurement MIN
MAX Increments Default Setting
Offset Time
hours:minutes
0:45
Acting 0:15
Time
1:00
Premenstrual
(health event)
-50
50
Snack Size (carbs)
grams
BE
KE
CC
24
2.4
1.6
0.1
0.1
0.1
No entry (“--- g”)
No entry (“--- BE”)
No entry (“--- KE”)
No entry (“--- CC”)
Standard Bolus
(insulin)
Units
501
0.1
No entry (“--- u”)
Stress (health event) %
-50
50
Target Range Upper
Value
100
300
140
50
140
70
mg/dL
Target Range Lower mg/dL
Value
The maximum that can actually be delivered may be less due to the ACCU‑CHEK Spirit Combo pump’s maximum
insulin amount.
282
The following are the default settings for bG test reminders. To turn on a bG test reminder, see “Setting
Alarm Clock Reminders: bG Test, Other” in Chapter 5, “Changing Meter Settings.”
Test Reminder
Default Time of Day
7:00 am
9:00 am
11:00 am
12:00 pm
2:00 pm
4:00 pm
7:00 pm
10:00 pm
283
The following are the default settings for the time blocks. Talk to your healthcare professional about setting
up time blocks to help you manage your diabetes. To adjust the time blocks, see Chapter 5, “Changing Meter
Settings.”
284
Time Block
12-Hour Format
12:00 am–5:30 am
5:30 am–11:00 am
11:00 am–5:00 pm
5:00 pm–9:30 pm
9:30 pm–12:00 am
Glossary
Term
Definition
7-day average
j Includes results generated today and the previous 6 days.
Acting Time
j The period of time from the start of the meal rise or the delivery of a
correction bolus until your blood sugar level is expected to return to the
target level.
Active Insulin
j Bolus insulin that has been given to lower your blood sugar but has not
yet been fully used.
Advice Options
j Factors that influence bolus advice calculations including meal rise,
snack size, acting time, and offset time.
After High bG Reminder
j A reminder to retest your blood sugar. When enabled, this reminder
occurs after a high blood sugar test result.
After Low bG Reminder
j A reminder to retest your blood sugar. When enabled, this reminder
occurs after a low blood sugar test result.
285
286
Term
Definition
After Meal Reminder
j A reminder to retest your blood sugar. When enabled, this reminder
occurs after a meal. For this reminder to occur, you must enter
carbohydrate data greater than the snack size amount.
Alarm
j Audible or vibrating (silent) notification indicating a reminder, warning,
or error.
Alternative Site Testing (AST)
j Blood sugar test from another place on your body besides the fingertip.
bG Test Reminders
j Reminders to retest your blood sugar after a high blood sugar test
result, after a low blood sugar test result, or after a meal.
bG Threshold
j A bG test reminder setting. The upper limit for your blood sugar for a
high bG test reminder and the lower limit for your blood sugar for a low
bG test reminder.
Blood Sugar (bG)
j The level of sugar in blood.
Bluetooth Wireless Technology
j Wireless short-range communications technology which connects
devices (such as meter and pump) in order to exchange information.
Bolus
j The delivery of insulin all at once rather than slowly throughout the day,
usually used to compensate for meals or high blood sugar.
Term
Definition
Bolus Advice
j When enabled, bolus advice provides recommendations on the amount
of insulin for food intake and for correcting blood sugar levels that are
not within your target range.
Bolus Advice Options
j See Advice Options.
Bolus Delivery Start Delay
j The Standard Bolus icon blinks for five seconds and then the meter
communicates to the pump to begin delivery of the bolus amount.
During this delay you are able to cancel the bolus delivery by pressing
x or z. The meter beeps and returns to the Pump Run screen.
Carb Ratio
j The amount of insulin necessary to account for a certain number of
carbohydrates.
Carbohydrates (or Carbs)
j Carbohydrate foods include sugars and starches. Carbohydrates can
raise blood sugar levels slowly or rapidly. Carbohydrates are generally
counted to calculate a bolus insulin dose.
Caution
j Provides information that, if not followed, could result in material
hazards (damage to or destruction of equipment or materials).
287
288
Term
Definition
Control Result
j Value displayed on meter as the result of a control test. When the
Control Result is within the range shown on the label of the test strip
container, then the test strips and the meter are working properly.
Control Test
j A meter test using control solution which lets you know that the meter
and test strips are working properly.
Corrupt Result
j bG test result that had an error.
Current Date
j Refers to the date you set through the menu Settings and then in the
Time/Date screen.
Current Time
j Refers to the time you set through the menu Settings and then in the
Time/Date screen.
Day
j Period of time starting at 12:00 am and ending at 11:59 pm.
Term
Definition
End Time
j The end time of a time block.
Extended Bolus
j A bolus delivered over a period of time. It can be helpful during long
meals or when you have meals that are digested slowly. The Extended
Bolus may also be appropriate for people who have gastroparesis
(delayed digestion). This option is available only when Bluetooth
wireless technology is turned on and the meter and pump are
communicating.
Health Events
j A pop-up menu selection (fasting, exercise 1, stress, illness, exercise 2,
or premenstrual) that allows information to be stored with a blood
sugar test result or in a diary record and percentages that could adjust
bolus advice recommendations for your current health status or
activities.
HI
j The test result is above the meter’s measurement range.
Hyper
j Hyperglycemia: an abnormally high level of sugar in the blood.
Hyper Warning Limit
j When your blood sugar test result is above the hyper warning limit, a
warning is displayed.
289
290
Term
Definition
Hypo
j Hypoglycemia: an abnormally low level of sugar in the blood.
Hypo Warning Limit
j When your blood sugar test result is below the hypo warning limit, a
warning is displayed.
Insulin Pump
j A device that delivers a continuous supply of insulin into the body.
Insulin Sensitivity
j The amount of insulin necessary to lower your blood sugar by a certain
amount.
Ketones
j A by-product or waste product when your body burns stored fat for
energy. Ketones are produced when there is not enough insulin to help
your body use sugar for energy. Without enough insulin, sugar builds up
in the blood.
Key Lock
j A meter function which disables the keys (buttons) in order to prevent
its unintended use.
Term
Definition
LO
j The test result is below the meter’s measurement range.
Meal Rise
j During or after meals, an increase in blood sugar levels is considered
normal within a certain range, even though a meal bolus has been
delivered. A meal rise is in effect for a specified time period.
Meal Time
j A pop-up menu selection (pre-meal, post-meal, bedtime, or other) that
allows information to be stored with a blood sugar test or in a diary
record.
Meter
j Blood sugar meter.
Multiwave Bolus
j A bolus designed to better simulate the body’s insulin delivery. It
combines an immediate bolus delivery followed by an Extended Bolus
delivery. A Multiwave Bolus can be helpful when you have meals that
include both rapidly and slowly absorbed carbohydrates. This option is
available only when Bluetooth wireless technology is turned on and the
meter and pump are communicating.
Note
j Additional information.
291
292
Term
Definition
Offset Time
j Offset time takes into account the expected delay for the blood sugar
level to actually fall during the acting time of insulin in the body. It
describes the first time period within the acting time.
Paired
j A pump and meter exclusively communicating and transferring
information with each other.
Pump
j See Insulin Pump.
Quick Bolus
j A bolus delivery on the pump using the pump UP and DOWN keys. One
key press equals one bolus increment (i.e., 0.1, 0.2, 0.5, 1.0, 2.0). See
the pump User Guide for more information.
Remind After
j A bG test reminder setting. The amount of time after a high blood sugar
test result, after a low blood sugar test result, or after a meal you want
the reminder to occur.
Reminder
j When enabled, reminders occur to remind you to test your blood sugar,
to retest your blood sugar or of an event or activity.
Term
Definition
Snack Size
j The amount of carbohydrates that is not to be counted as a regular
meal with the expected meal rise.
Snooze
j Delay of some reminders for a defined time period.
Soft Keys
j Two buttons under the meter display used to navigate through the user
interface. Just above each soft key, the meter display shows the
selection (i.e., Save, Cancel, Back, etc.).
Standard Bolus
j A bolus that is immediately delivered to cover a food or a blood sugar
correction. When Standard is selected, the bolus is delivered by the
pump. This option is available only when Bluetooth wireless technology
is turned on and the meter and pump are communicating.
Standard Deviation
j As it is used in this owner’s booklet, standard deviation measures how
widely spread the bG test results are (e.g., if the bG test results are
close to the bG average, then the standard deviation is small).
Start Time
j The start time of a time block.
293
294
Term
Definition
Target Range
j The range of your blood sugar results considered acceptable when you
are fasting.
Time Blocks
j Up to eight time periods within one day to facilitate your changing
insulin needs throughout the day.
Time Range
j The user sets the duration of time. There is a start and end time.
User
j A person using the meter or pump.
Warning
j Describes items and conditions that present hazards and may cause
personal injury.
Warning Limits
j See Hyper Warning Limit or Hypo Warning Limit.
Index
abbreviations, 275–277
acting time, 160–162, 171
active insulin, 52–55
advice options, 170–171
after high bG test reminder, 141–145, 208, 210,
212
after low bG test reminder, 141–145, 208,
211–212
after meal bG test reminder, 141–145,
208–209, 212, 215
alarm clock reminders,
bG test, 28, 146–148, 212, 216
other, 28, 146–148, 212, 216–217
alternative site test,
description, 44
performing, 43–51
appetite, increased, 62
backlight, 19, 201–202
button, 13, 16–17
batteries,
changing, 229–231
low, 30
type, 229, 231
BE, 181–183, 278
beeper, setting, 30, 187–189
bG test reminder, 27, 209, 212, 283
bG threshold, 143–144
blood sugar averages, 99–100
blood sugar test,
features, 20
performing, 43–51
reminders, 27
results, 49, 52–61
unusual results, 56–61
295
Bluetooth wireless technology, 260–261
turning on or off, 16, 31, 184–185
blurred vision, 62
bolus advice, 21, 154–162
bolus advice options. See advice options
bolus, delivery, 22, 240
buttons, 13, 15–17
carbohydrates, 52–55, 91, 95
units of measure, 181–183, 278
carb ratio, 158, 241
carbs. See carbohydrates
CC, 181–183, 278
cleaning meter, 233
code chip. See code key
code key, 14, 39–40, 241, 244, 246
code number, 46
coding the meter, 39–40
communication, 237, 241–243, 248
control solution, 14, 68, 71
296
control test,
performing, 67, 69–74
results, 72–73, 75–78
results, troubleshooting, 79–80
data, 22
adding, 53–55, 94–96
downloading to a computer, 23, 135–137
modifying, 85–93
reporting, 97–134
trends, 101–110
viewing, 85–93
date,
reminders, 28, 149–153, 212
setting, 190–192
display, 13, 19, 237
disposing, meter, 263–264
Dr. visit reminder, 149–153, 209–210, 212
E
electromagnetic compatibility, 261
errors, list of, 224–226
fatigue, 62
frequent urination, 62
g (grams), 181–183, 278
graph,
standard day, 112–115
standard week, 121–124
target, 129–131
trend, 102–106
headache, 62
health events, 26, 52–55, 91, 95, 160, 168–169
high bG retest reminder, 210, 214
hyper warning limit, 23, 172–174, 238, 249
hypo warning limit, 23, 172–174, 238, 250
icons, listing, 87–88, 205–206
infrared (IR) window, 13–14, 136
infusion set change reminder, 149–153, 210,
212
insulin pump, 18
insulin pump, connecting. See pairing
insulin sensitivity, 158, 249
KE, 181–183, 278
key lock, 17, 20, 175–177
key sound, setting, 187–189
297
L
lab test reminder, 149–153, 211–212
lancing device, 47–48
language, 178–180
lock. See key lock
low bG retest reminder, 211–213
pairing, 17, 186
patent information, 268–271
power button, 13, 15–17
power-saving tips, 232
pump. See insulin pump
maintenance, meter, 234
meal rise, 160, 162, 171
meal time, 52–55, 91
meter,
settings and range limits, 280–284
summary of features, 13, 19–28
rapid heartbeat, 62
reminders,
important information, 212–217
list of, 208–211
other, 211
priority, 212
navigation, 35–36
numbness, 62
safety information, product, 260–262
screen, features, 30, 33–34
scroll bar, 33
signal settings, 20
snack size, 144–145, 160–162, 171
offset time, 161–162, 171
298
snooze, 141, 146, 207, 217
soft keys, 13, 15–17
sound. See beeper, setting
specifications, meter, 258–259
standard day, reporting, 111–119
standard deviation, 97–98
standard week, reporting, 120–127
supplies, 272
sweating, 62
symbols, explanation, 279
table,
standard day, 116–119
standard week 125–127
target, 132–134
trend, 107–110
target range, 155, 158, 166, 193–195, 251
target, reporting, 128–135
test results,
storing, 83–84
unusual, 60–61
test strip, 14, 244, 253
thirst, increased, 62
time blocks, 24–25, 154–167, 193–200, 284
time change, data, 102, 104, 107–108
time format, setting, 190–191
time, setting, 190–192
tingling, 62
trembling, 62
troubleshooting, 237–254
units of measure. See carbohydrates, units of
measure
Use by date, 41, 60, 68, 79
299
V
vibrate, setting, 187–189
warnings, list of, 218–223
warranty, 265–267
300

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Create Date                     : 2009:08:19 08:10:37-04:00
Modify Date                     : 2009:09:21 10:25:08-05:00
Metadata Date                   : 2009:09:21 10:25:08-05:00
Creator Tool                    : Adobe InDesign CS3 (5.0.4)
Thumbnail Format                : JPEG
Thumbnail Width                 : 256
Thumbnail Height                : 256
Thumbnail Image                 : (Binary data 6149 bytes, use -b option to extract)
Format                          : application/pdf
Producer                        : Adobe PDF Library 8.0
Trapped                         : False
Has XFA                         : No
Page Count                      : 116
Creator                         : Adobe InDesign CS3 (5.0.4)

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