Roche Diabetes Care 816 Hand Held Blood Glucose Meter User Manual manual pt 1

Roche Diagnostics Operations, Inc. Hand Held Blood Glucose Meter manual pt 1

Contents

manual pt 1

User’s ManualACCU-CHEK® Aviva Insight Diabetes ManagerRoche USA – 52297 V6/1 – 07167776001 – Black Roche USA – 52297 V6/2 – 07167776001 – Cyan Roche USA – 52297 V6/3 – 07167776001 – Magenta Roche USA – 52297 V6/4 – 07167776001 – Yellow 52297_07167776001.indb 1 10/20/14 11:17 AM
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IContents1 Important Safety Information 11.1 The ACCU-CHEK Aviva Insight System 11.2 Special Information for Caregivers 81.3 Before You Start Testing 92 Understanding Your Diabetes Manager 112.1 About This User’s Manual 112.2 The ACCU-CHEK Aviva Insight Diabetes Manager at a Glance 122.3 Home Screen 162.4 Turning the Meter On or Off and Power Management 212.5 Navigation 242.6 Quick Notes Screen 292.7 Using the Test Strips 302.8 Summary of Features 333 Startup 353.1 Before You Get Started 353.2 Charging the Battery 363.3 Setup Wizard 413.4 Completing the Setup Wizard 433.5 Important Information 504 Control Testing 574.1 When to Perform a Control Test 574.2 About the Control Solutions 584.3 Performing a Control Test 594.4 Out-of-Range Control Results 635 Testing Your Blood Glucose 675.1 Performing a Blood Glucose Test 675.2 Adding Information to a Blood Glucose Result 735.3 Delivering a Bolus Without Bolus Advice 765.4 Understanding Blood Glucose Results 795.5 Unusual Blood Glucose Results 835.6 Symptoms of Low or High Blood Glucose 8552297_07167776001.indb 1 10/20/14 11:17 AM
II6 Bolus Advice 876.1 Overview 876.2 Before Using Bolus Advice 886.3 Delivering a Bolus Using Bolus Advice 917 Changing Bolus Advice Settings 1017.1 Overview 1017.2 Setting Up Bolus Advice 1037.3 Bolus Advice: Time Block Settings 1097.4 Bolus Advice: Adding a Time Block 1137.5 Bolus Advice: Deleting Time Blocks 1197.6 Bolus Advice: Resetting All Time Blocks 1287.7 Health Event Percentages 1347.8 Advice Options: Meal Rise, Snack Size, Acting Time, Offset Time 1367.9 Turning Off Bolus Advice 1388 Changing Meter Settings 1398.1 Overview 1398.2 Date, Time, and Time Format 1418.3 Mode Settings: Sound, Vibration 1428.4 Mode Settings: Signal Suspension 1448.5 Home Screen Default 1468.6 Touchscreen: Tone, Vibration 1478.7 Brightness 1488.8 Background Color 1498.9 Language 1508.10 Time Block Settings 1518.11 Adding a Time Block 1548.12 Deleting Time Blocks 1598.13 Resetting All Time Blocks 1688.14 Warning Limits: Hypo, Hyper 1738.15 Insulin Increment 1758.16 Max Bolus Amount 1768.17 Carbohydrate Unit 17852297_07167776001.indb 2 10/20/14 11:17 AM
III9 Meter Reminders 1799.1 Overview 1799.2 Blood Glucose Test Reminder: After Meal 1829.3 Blood Glucose Test Reminder: After High Blood Glucose Result 1849.4 Blood Glucose Test Reminder: After Low Blood Glucose Result 1869.5 Doctor Visit Reminder 1889.6 Lab Test Reminder 1909.7 Customized Reminder 1929.8 Alarm Clock Reminder 1959.9 Medication Reminder 19910 Communication 20310.1 Overview 20310.2 Connecting the Meter to a PC using a USB Cable 20410.3 Changing USB Cable Connection Settings 20711 Travel Settings 20911.1 Overview 20911.2 Turning On Flight Mode 21011.3 Turning Off Flight Mode 21112 My Data 21312.1 Overview 21312.2 The Logbook 21412.3 The Trend Graph 22912.4 The Standard Week 23712.5 The Standard Day 24412.6 Target Data 25012.7 The bG Averages Table 25513 Cleaning and Disinfecting the Meter and Lancing Device 26113.1 Overview 26113.2 Cleaning and Disinfecting the Meter 26313.3 Cleaning and Disinfecting the Lancing Device 26714 Care and Maintenance 27114.1 Overview 27114.2 Charging the Battery 27114.3 Power-Saving Tips 27214.4 Changing the Battery 27314.5 Touchscreen Calibration 27614.6 Meter Function Test 27852297_07167776001.indb 3 10/20/14 11:17 AM
IV15 Troubleshooting 28115.1 Overview 28115.2 Troubleshooting the Meter 28216 Technical Information 29916.1 Product Limitations 29916.2 Specifications 29916.3 Product Safety Information 30416.4 Discarding the Meter, Test Strips, Lancing Devices, Lancets, and Batteries 30516.5 List of Icons 30716.6 Warranty and Limited License 31616.7 Additional Supplies 32016.8 Information for Healthcare Professionals 32016.9 Meter Information 32116.10 Error Log 32216.11 Radio Frequency (RF) Signal 32416.12 Meter Range Limits and Defaults 326Appendix A: Bolus Advice Overview 331Appendix B: Bolus Advice Calculations 343Glossary 349Index 35752297_07167776001.indb 4 10/20/14 11:17 AM
111 Important Safety InformationPlease read this user’s manual carefully before you use your ACCU-CHEK Aviva Insight Diabetes Manager (hereafter referred to as the meter). To use it correctly and dependably, you need to understand the meter’s operation, screen displays, and all individual features.The ACCU-CHEK Aviva Insight meter is indicated as an aid in the treatment of insulin requiring diabetes. The ACCU-CHEK Aviva Insight system consists of the ACCU-CHEK Aviva Insight meter, ACCU-CHEK Aviva Plus test strips, ACCU-CHEK Aviva control solutions, and ACCU-CHEK Bolus Advisor. The ACCU-CHEK Aviva Insight meter is intended to facilitate the optimization of glycemic control in patients who are trained in multiple daily insulin injection therapy and are under the supervision of healthcare professionals experienced in managing insulin treated patients.1.1 The ACCU-CHEK Aviva Insight System52297_07167776001.indb 1 10/20/14 11:17 AM
2The ACCU-CHEK Aviva Insight blood glucose monitoring system is intended to be used for the quantitative measurement of glucose in fresh capillary whole blood samples drawn from the fingertips. The ACCU-CHEK Aviva Insight blood glucose monitoring system is intended for self-testing outside the body (in vitro diagnostic use) by people with diabetes. The ACCU-CHEK Aviva Insight blood glucose monitoring system is intended to be used by a single person and should not be shared. The ACCU-CHEK Aviva Insight blood glucose monitoring system should not be used for the diagnosis or screening of diabetes or for neonatal use. Alternative site testing should NOT be used with the ACCU-CHEK Aviva Insight blood glucose monitoring system. The ACCU-CHEK Aviva Insight system is intended for prescription home use only.The ACCU-CHEK Aviva Insight meter is also indicated for the calculation of an insulin dose or carbohydrate intake based on user-entered data. The ACCU-CHEK Bolus Advisor, as a component of ACCU-CHEK Aviva Insight meter, is intended for use in providing insulin dose recommendations in response to blood glucose, health events, and carbohydrate input. The ACCU-CHEK Bolus Advisor is intended to provide direction for insulin adjustment within the scope of a pre-planned treatment program from a healthcare professional. Before its use, a physician or healthcare professional must prescribe the ACCU-CHEK Aviva Insight system and provide the patient-specific target blood glucose, insulin-to-carbohydrate ratio, and insulin sensitivity parameters to be programmed into the ACCU-CHEK Bolus Advisor. Once programmed, a patient must consult with his/her physician or healthcare professional before making any changes to these ACCU-CHEK Bolus Advisor settings.52297_07167776001.indb 2 10/20/14 11:17 AM
NOTE jThe term “blood glucose” is used when referring to “blood sugar.” jSample data displays are shown throughout the manual. Your data will dier. 13The ACCU-CHEK Aviva Insight system includes: jACCU-CHEK Aviva Insight Diabetes Manager with rechargeable battery and code chip jUSB cable jPower adapter with plug jACCU-CHEK Aviva Plus test strips* jACCU-CHEK Aviva control solutions* jACCU-CHEK FastClix lancing device* jACCU-CHEK FastClix lancet drums* *Some items may not be included in the kit. They are a separate purchase. w WARNINGChoking hazard. Small parts. Keep away from children under the age of 3 years. 52297_07167776001.indb 3 10/20/14 11:17 AM
Need Help? For questions, contact the ACCU-CHEK Customer Care Service Center toll free at 1-800-688-4578. We offer assistance in many languages. You can also visit http:\\www.ACCU-CHEK.com for diabetes management tools and product demonstrations. Please complete the warranty card and mail it, so you receive the best customer service possible and product update news. 452297_07167776001.indb 4 10/20/14 11:17 AM
w WARNING jDO NOT CHANGE YOUR THERAPY BASED ON A TEST RESULT THAT DOES NOT MATCH HOW YOU FEEL OR IF YOU BELIEVE THAT YOUR TEST RESULT COULD BE INCORRECT. jIt is always a good idea to have a back-up testing method available. Failure to test could cause a delay in therapy decisions and lead to a serious medical condition. Examples of back-up testing methods include a back-up meter or testing by a laboratory. Ask your healthcare professional or pharmacist about other possible back-up methods. jIf your blood glucose result does not match how you feel and you have followed the instructions in this user’s manual, follow your healthcare professional’s instructions, or contact your healthcare professional. jDuring normal testing, any blood glucose meter or lancing device may come in contact with blood. All parts of the kit are considered biohazardous and can potentially transmit infectious diseases from bloodborne pathogens, even after you have performed cleaning and disinfecting.1,2 About Testing Yourself or Others 1552297_07167776001.indb 5 10/20/14 11:17 AM
1 FDA Public Health Notification: “Use of Fingerstick Devices on More than One Person Poses Risk for Transmitting Bloodborne Pathogens: Initial Communication, (2010). Update 11/29/2010” http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ucm224025.htm. Accessed March 20, 2012. 2 CDC Clinical Reminder: “Use of Fingerstick Devices on More than One Person Poses Risk for Transmitting Bloodborne Pathogens, (2010).” http://www.cdc.gov/injectionsafety/Fingerstick-DevicesBGM.html. Accessed March 20, 2012 3 Healthcare Infection Control Practices Advisory Committee (HICPAC), WilliamA.Rutala,Ph.D.,M.P.H., and DavidJ.Weber,M.D., M.P.H. Centers for Disease Control and Prevention, 2008. “Guideline for Disinfection and Sterilization in Healthcare Facilities. Atlanta.” w WARNING jThe meter and lancing device should never be used by more than one person. Do not share the meter and lancing device with anyone, including family members, due to the risk of infection from bloodborne pathogens.1,2 jCleaning and disinfecting the meter and lancing device destroys most, but not necessarily all, bloodborne pathogens.3 jIf the meter is being operated by a second person who is providing testing assistance to the user, the meter and lancing device should be cleaned and disinfected prior to use by the second person. jDisinfect the meter and lancing device before allowing anyone else to handle them. Do not allow anyone else to test with the meter or lancing device. jIt is important to keep the meter and lancing device clean and disinfected. For instructions on how to clean and disinfect the meter and lancing device, see the chapter Cleaning and Disinfecting the Meter and Lancing Device in this manual. jWash hands thoroughly before and after handling the meter, lancing device, or test strips. 652297_07167776001.indb 6 10/20/14 11:17 AM
NOTE jPerform a control test when you open a new test strip box or if you think that a test result is incorrect. Performing a control test lets you know that the meter and test strips are working properly. jRefer to the test strip and control solution package inserts for additional health-related information. jThis user’s manual shows sample screens. The screens in this manual may look slightly dierent from the screens on the meter. If you have any questions about the meter screens, contact the ACCU-CHEK Customer Care Service Center toll free at 1-800-688-4578. jBlood glucose is sometimes shortened to bG, but it means the same thing. 1752297_07167776001.indb 7 10/20/14 11:17 AM
1.2 Special Information for Caregivers jDo not use the meter system to measure blood glucose in people who are experiencing cardiovascular collapse (severe shock) or decreased peripheral blood flow. jConsult 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. jSome people with diabetes do not experience symptoms of low blood glucose (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 therapy without first talking to a healthcare professional. jNot for use on critically ill patients, patients in shock, dehydrated patients, or hyperosmolar patients. 852297_07167776001.indb 8 10/20/14 11:17 AM
1.3 Before You Start Testing w WARNING jCarefully read and follow the instructions in this manual 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. jInspect 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 Customer Care Service Center at 1-800-688-4578. Damaged test strips can cause inaccurate results, which could lead to improper therapy. jThe 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 Insight system. 1952297_07167776001.indb 9 10/20/14 11:17 AM
NOTE jThe Setup Wizard activates every time you turn the meter on until you complete the process. jCheck the time and date on the meter before you begin testing. Adjust the time and date if necessary. 1052297_07167776001.indb 10 10/20/14 11:17 AM
w WARNINGA Warning is safety information that requires your careful attention and informs you about risks to your health. Neglecting this information may lead to life-threatening situations. NOTEA Note contains important information relating to the efficient and smooth operation of the meter. 2112 Understanding Your Diabetes ManagerTo help you fully benefit from your ACCU-CHEK Aviva Insight Diabetes Manager, the functions and features of this product are assigned as Basic and Optional. jBasic functions are essential for the intended purpose of this product and it is highly recommended to learn how to use them before you start using this product. jOptional functions help you get the maximum benefit from this product. Together with your healthcare professional you can choose to learn about and use these features at your own discretion and your own pace. This user’s manual includes the following for the safe and convenient use of the meter: 2.1 About This User’s Manual52297_07167776001.indb 11 10/20/14 11:17 AM
16723452.2 The ACCU-CHEK Aviva Insight Diabetes Manager at a Glance 1252297_07167776001.indb 12 10/20/14 11:17 AM
5 Touchscreen Display Touchscreen with a color display for navigating through meter menus and for viewing information. 6 Volume Buttons Changes the volume of a message, for example a Reminder. To mute the sound, press the Volume Down button until the sound is completely o. 7 Test Strip Slot Location for inserting the test strip for blood glucose testing and control testing. 1 Power Button Turns the meter on or o. See the Turning the Meter On or O and Power Management section in this chapter. 2 Lanyard Attachment Point Location for attaching a lanyard. 3 Micro USB Connector Plug the small end of the USB cable to this connector to recharge the battery or to communicate with a PC. 4 Memory Expansion Port Holds a memory card (included) which contains software for the meter. Do not remove the memory card. Roche will not replace a removed memory card. 21352297_07167776001.indb 13 10/20/14 11:17 AM
89NOTEThe meter is already coded and comes with a pre-inserted black code chip. You never need to change this code chip even if you use test strips from boxes that contain another code chip. 8 Code Chip The meter is provided with a black code chip. Do not remove the code chip. If the code chip is missing, contact ACCU-CHEK Customer Care Service Center at 1-800-688-4578. 9 Battery Door Only remove the battery door to replace the battery. See the Changing the Battery section in the Care and Maintenance chapter in this user’s manual. 1452297_07167776001.indb 14 10/20/14 11:17 AM
Test Strip Container (for example)Control Solution Bottle (for example) Test Strip Yellow Window - Touch blood drop or control solution here. Metallic End - Insert this end into the meter. 21552297_07167776001.indb 15 10/20/14 11:17 AM
2.3 Home ScreenHome screen refers to the screen that is displayed when the meter is powered on. Home screen can be either the Main Menu or Status screen. To change the Home screen default, see the Home Screen Default section in the Changing Meter Settings chapter in this user’s manual. 1652297_07167776001.indb 16 10/20/14 11:17 AM
Menu Selections 2.3.1 Main Menu ScreenTitle Bar Displays meter information. See the following table.Scroll Bar Appears when there is more information than fits on the screen. Go to Status Screen See the Status Screen section in this chapter. Go to Quick Notes Screen See the Quick Notes Screen section in this chapter. 21752297_07167776001.indb 17 10/20/14 11:17 AM
The Title Bar shows the time of day and date. In addition, the following icons may be displayed.Icon Name Description Sound / Vibrate Displayed when both sound and vibrate are turned on. Sound Displayed when only sound is turned on. Vibrate Displayed when only vibrate is turned on. Flight Mode Displayed when flight mode is turned on. Battery Displays the current battery charge condition. Temperature Displayed when the meter’s temperature is outside of the allowable temperature for performing a blood glucose test. 1852297_07167776001.indb 18 10/20/14 11:17 AM
2.3.2 Status ScreenThe Status screen displays information for the most recent valid blood glucose test.Title BarDisplays meter information.Last blood glucose test date and timeBlood glucose result with color status bar Additional informationSee the next page.Go to Main MenuSee the Main Menu Screen section in this chapter. Go to Meter MenuGo to Quick NotesSee the Quick Notes Screen section in this chapter.21952297_07167776001.indb 19 10/20/14 11:17 AM
Additional InformationThe following shows possible additional information and is stored in the electronic logbook with the blood glucose test: jMeal time icon with description (for example, BeforeMeal) jCarbohydrates icon with the carbohydrate amount (for example,60g), or the carbohydrates accepted icon or carbohydrates not accepted icon may be displayed. jHealth event icon with description (for example, Exercise1) jType of bolus icon with the total bolus insulin amount (for example, Pen/Syringe Bolus 5.00U) jBasal insulin icon with the basal insulin value (for example, 5.0U) jNote icon with note text (for example, Meeting)2052297_07167776001.indb 20 10/20/14 11:17 AM
2.4 Turning the Meter On or O and Power ManagementTurn meter on Press and release the power button. Turn meter off Press and release the power button. Reset the meter Press and hold the power button for at least 5seconds until the meter screen goes blank. Release the power button. Power Button NOTEReset the meter if the display freezes or does not respond. 22152297_07167776001.indb 21 10/20/14 11:17 AM
Power Management When the meter is on and the touchscreen is not touched, the meter automatically dims the brightness of the display after 15seconds and completely powers off after 2minutes, unless you are performing either a blood glucose test or a control test. To conserve battery power, turn the meter off when you are finished rather than utilizing the automatic power off feature. For more on conserving battery power, see the Power-Saving Tips section in the Care and Maintenance chapter in this user’s manual. The meter has a rechargeable battery. The battery icon on the Main Menu and the Status screens shows the battery power level or the charging status. The following table shows the different states of battery power level: Full Charge Partial Charge Low Charge Power level icon Charging status icon Battery charging screen 2252297_07167776001.indb 22 10/20/14 11:17 AM
When the battery power level is low, the meter displays a message to recharge. Allowing the battery to fully drain reduces the ability of the battery to hold its charge. It is suggested to recharge the battery on a regular basis, for example, once every day. Keeping the meter plugged in to charge does not harm the battery. Included with the meter is a USB cable and a power adapter to be used for recharging the battery. See the Charging the Battery section in the Startup chapter in this user’s manual. The rechargeable battery has a limited number of charge cycles. If you notice that the meter must be charged more often than it did when it was new, you may need to change the battery. See the Changing the Battery section in the Care and Maintenance chapter in this user’s manual. 22352297_07167776001.indb 23 10/20/14 11:17 AM
2.5 NavigationMaking a SelectionPress a selection until it is highlighted in blue, then release.To help you know when a selection is made, set up the touchscreen to emit a tone, vibrate, or do both. See the Touchscreen: Tone, Vibration section in the Changing Meter Settings chapter in this user’s manual.Scrolling the ScreenPress and hold your finger anywhere in the middle of the screen and then move your finger up or down to scroll the screen.The meter has a full color display utilizing touchscreen technology.2452297_07167776001.indb 24 10/20/14 11:17 AM
Setting a ValueSelect the value to be changed (Hour is selected).Press and release + to increase, or press and release - to decrease. Press and hold + or - to change the value quickly.Choosing from a ListSelect an item on the list. The radio button on the left side of the screen indicates the choice (Before Meal is chosen).22552297_07167776001.indb 25 10/20/14 11:17 AM
Message ScreensWhen a message screen appears, the selection choice (for example, No, Yes, and OK) is shaded and is inactive for 3seconds. This prevents accidental confirmation of the message before you read it.The > symbol on the right side of the screen indicates the selection displays another screen.2652297_07167776001.indb 26 10/20/14 11:17 AM
Navigation SelectionsOKThe screen displayed requires your acknowledgement (for example, confirmation to deliver a bolus). CancelDo not save or leave an activity without completing the action (for example, do not deliver a bolus).Save Save settings or data.BackReturn to the previous screen without saving any settings or data.NextProceed to the next screen without saving settings or data. Next is used when there are multiple steps or screens (for example, startup screens for setting up the meter). The settings or data remain available when Back is used and are saved once Done is selected.DoneSave settings or data. Done usually occurs at the end of a series of screens (for example, Setup Wizard screens for setting up the meter).22752297_07167776001.indb 27 10/20/14 11:17 AM
KeyboardReturn to the previous screen without savingChange between a keyboard with letters and a keyboard with numbers, punctuation, and charactersChange between lower case letters and capital lettersSave and return to the previous screenBackspace to eraseChange between a keyboard with letters and a keyboard with additional selectionsInsert a space2852297_07167776001.indb 28 10/20/14 11:17 AM
2.6 Quick Notes ScreenAn event (for example, Snack) may have an impact upon your blood glucose results or collected data. The Quick Notes feature is a convenient way to record events as they occur and are useful during data analysis. A Quick Notes record is not linked to a blood glucose result, nor does it influence the data used in calculating bolus advice.Choose up to 4 events. Scroll the screen for more choices. Select Save to store a Quick Notes record into the logbook with the current date / time stamp.You are able to change the event choices for a saved Quick Notes record by selecting it in the Logbook. You are also able to type a note to save with a Quick Notes record. See The Logbook section in the My Data chapter in this user’s manual.22952297_07167776001.indb 29 10/20/14 11:17 AM
2.7 Using the Test Strips jUse only ACCU-CHEK Aviva Plus test strips. jUse the test strip immediately after removing it from the test strip container. jDo not apply blood or control solution to the test strip before inserting it into the meter. If you applied blood or control solution before inserting the test strip into the meter, retest with a new test strip. If a result appears before applying blood or control solution, do not act on that result. jClose the test strip container tightly immediately after removing a test strip. Moisture can damage the test strips and produce incorrect results. jStore the unused test strips in their original container with the cap tightly closed. 3052297_07167776001.indb 30 10/20/14 11:17 AM
jDiscard the test strips if they are past the Use By date printed on the test strip container. If the Use By date is missing or cannot be read, do not use the test strips. Contact the ACCU-CHEK Customer Care Service Center at 1-800-688-4578. jRefer to the test strip package insert for test strip storage and system operating conditions. jDo not remove test strips from the test strip container and put them into another container, such as a plastic bag, pocket, purse, wallet, etc. jDo not reuse test strips. Once control solution or blood has been applied to a test strip, discard it. If a retest is necessary, use a new test strip. jPerform a control test every time you open a new test strip box. 23152297_07167776001.indb 31 10/20/14 11:17 AM
w WARNINGTo prevent inaccurate results: jDO NOT expose test strips to heat, moisture, or humidity. Temperatures outside the required range, as well as moisture and humidity, can damage the test strips and lead to inaccurate results. jDO NOT bend, cut, or alter the test strips. jDO NOT get dirt, food, or other material on the test strip. NOTEThe meter is already coded and comes with a pre-inserted black code chip. You never need to change this code chip even if you use test strips from boxes that contain another code chip. 3252297_07167776001.indb 32 10/20/14 11:17 AM
2.8 Summary of Features jThe Status screen gives you quick access to information about your most recent blood glucose test. jBolus advice is optional and it calculates an insulin bolus for you that is customized for the time of day and your changing situations. jDaily time blocks allow you to divide a day into different time periods and can be adjusted to fit your lifestyle. jData management:• Electronic logbook containing the record of each blood glucose result, including meal time, carbohydrates, health events, bolus, basal, and notes.• View, modify, or add information to the logbook.• View data (for example, blood glucose test averages) in a graph or table format for a specified time period (for example, the last 30days).• Transfer data between devices, such as the meter and a computer.23352297_07167776001.indb 33 10/20/14 11:17 AM
jReminders:• Alarm clock reminders for when to test throughout the day. • Reminders for testing after a high blood glucose result, after a low blood glucose result, or after a meal.• Appointments with your healthcare professional or for a laboratory test. • Unique tones for dierent reminders. jHealth events can be selected to indicate how you are feeling or what you are doing that might affect your blood glucose level. You have the option of setting a percentage for each health event which adjusts the bolus advice recommendation if you set up bolus advice. jHypo (low) and hyper (high) blood glucose limits that best fit your needs. Whenever a blood glucose result is above or below this range, the meter displays a warning. jFull color visual display utilizing touchscreen technology. 3452297_07167776001.indb 34 10/20/14 11:17 AM
3 Startup3.1 Before You Get StartedRemove and discard the tab from the back of the meter.Continue to the next section, Charging the Battery.1Before you can use the meter, it must be prepared as follows:33552297_07167776001.indb 35 10/20/14 11:17 AM
3.2 Charging the BatteryCharge the battery with the USB cable by utilizing either a power outlet or a computer. The preferred method is to use a power outlet since this is faster and takes about 3.5hours to charge a fully drained battery. Charging the meter from a computer takes much longer. NOTE jAllowing the battery to fully drain reduces the ability of the battery to hold its charge. It is suggested to recharge the battery on a regular basis, for example once every day. Keeping the meter plugged in to charge does not harm the battery. jA blood glucose test cannot be performed while the meter is plugged in. 3652297_07167776001.indb 36 10/20/14 11:17 AM
Charging the Battery Using a Power Outlet1If the power adapter is already assembled, proceed to Step4. 2Slide on the pronged plug where the clear plastic cover was located until it firmly clicks into place. Do not try to force the pronged plug. It only goes on one way. 3Plug the large end of the USB cable into the power adapter. To assemble the power adapter, remove the clear plastic cover by pressing the center of the release button. Slide the clear plastic cover o in the direction of the arrow. Clear Plastic CoverRelease Button 33752297_07167776001.indb 37 10/20/14 11:17 AM
5Plug the power adapter into a power outlet. When the connection is successful, the meter displays the battery charging screen for 3seconds. The next screen (either the Main Menu or Status screen) displays the battery icon in charging mode. When the battery icon is shown as fully charged you can unplug the meter. 64Plug the small end of the USB cable into the meter. 3852297_07167776001.indb 38 10/20/14 11:17 AM
Charging the Battery Using a Computer1Plug the small end of the USB cable into the meter. 2Plug the large end of the USB cable into an available USB port on the PC. 3Choose Charge only. As an option, choose Set as default to keep this screen from appearing each time you connect the USB cable to a PC. Select OK. NOTE jThe Connection Options screen does not appear if Set as default was chosen previously. jTo remove the default, go to the Main Menu and select Communication > Settings. Choose Prompt upon USB connect. Select Save. 33952297_07167776001.indb 39 10/20/14 11:17 AM
When the connection is successful, the meter displays the battery charging screen for 3seconds. The next screen (either the Main Menu or Status screen) displays the battery icon in charging mode. NOTEThe computer is not charging the battery if the meter does not display the battery charging screen or the battery charging icon, or if the Information screen Recharge meter soon is displayed. Charge the battery using a power outlet. 4When the battery icon is shown as fully charged , you can unplug the meter. NOTEThe PC must be turned on and not in sleep or standby mode to charge the battery. 4052297_07167776001.indb 40 10/20/14 11:17 AM
3.3 Setup Wizard w WARNINGIt is important to discuss your individual settings for warning limits, time blocks, bolus advice, and bG test reminders with your healthcare professional. The first time you turn the meter on, the Setup Wizard is activated. You must complete the Setup Wizard before performing a blood glucose test for the first time. The Setup Wizard assists you in selecting settings for: jMeter language jTime and date jUnits (carbohydrate) jWarning limits for hypo (low) and hyper (high) blood glucose levels jTime blocks jBolus advice (optional) jbG test reminders (optional) 34152297_07167776001.indb 41 10/20/14 11:17 AM
NOTE jThe Setup Wizard activates every time you turn the meter on until you complete the process. jIf you turn the meter o during the Setup Wizard, you must reconfirm all of the settings in order to complete the Setup Wizard. jTo return to a previous screen in the Setup Wizard, select Back. jIf you choose not to set up bolus advice and bG test reminders as part of the Setup Wizard, these features can be set up later. For information on how to set up these features after completion of the Setup Wizard, see the Setting Up Bolus Advice section in the Changing Bolus Advice Settings chapter and the Meter Reminders chapter in this user’s manual. jThe default settings in the meter and the settings illustrated in this user’s manual are for example only. 4252297_07167776001.indb 42 10/20/14 11:17 AM
3.4 Completing the Setup WizardRefer to the Important Information section of this user’s manual for detailed explanations of the various settings in the Setup Wizard. 1Power Button Starting with the meter turned off, press the power button to turn on the meter. 2The meter vibrates, beeps, and displays this splash screen for a short period of time (this screen appears each time the meter is turned on). 34352297_07167776001.indb 43 10/20/14 11:17 AM
3Choose the desired language from the list. Select Next. 4 5Select 12hr or 24hr to set the time format, if necessary. 6Set the date and time. Select Next. Choose Manual. Select Next.4452297_07167776001.indb 44 10/20/14 11:17 AM
7Choose the appropriate carbohydrate unit. Select Next. 8Set the Hyper (upper) and Hypo (lower) warning limits. Select Next. 9Choose the appropriate insulin increment. Select Next. 10Set the maximum amount for any single bolus. Select Next. 34552297_07167776001.indb 45 10/20/14 11:17 AM
11Choose Yes to receive bolus advice. Choose No to not receive bolus advice. Select Next. 12Set the start time and end time for the first time block. Select Next. 13Set the target range. Select Next. NOTEIf you choose not to receive bolus advice, the Setup Wizard skips Step14. 4652297_07167776001.indb 46 10/20/14 11:17 AM
14Set the Carbohydrate ratio and Insulin sensitivity. Select Next. 15Select OK. 34752297_07167776001.indb 47 10/20/14 11:17 AM
NOTE jIf bolus advice is on, you can also set the carbohydrate ratio and insulin sensitivity for each time block. jTo reset all edited time blocks to their default values, select Cancel and then Yes. This restarts the meter setup process. jIf you chose not to receive bolus advice, Done appears instead of Next on the screen. Select Done to complete the Setup Wizard. 17Set the percentage for any desired health events. Scroll to view additional options. Select Next. 16Select any additional time block to edit the End time, Upper value, and Lower value. Select Next when you are finished editing the time blocks. 4852297_07167776001.indb 48 10/20/14 11:17 AM
18Set the Meal rise, Snack size, Acting time, and Offset time. Select Done to complete the Setup Wizard. NOTEConsult your healthcare professional and read the next section Important Information for help with the settings in the Setup Wizard. For additional assistance with the bolus advice settings, read the Bolus Advice chapter of this user’s manual. 34952297_07167776001.indb 49 10/20/14 11:17 AM
3.5 Important Information3.5.1 Carbohydrate UnitYou have a choice among dierent carbohydrate units in the meter that best fit your needs. The following carbohydrate units are available: Abbreviation Unit of Measurement Gram Equivalent g*Grams 1gram KE Kohlenhydrateinheit (Carbohydrate Unit) 10grams BE Bread Equivalent 12grams CC Carbohydrate Choice 15grams * Standard unit of measure in the U.S. 5052297_07167776001.indb 50 10/20/14 11:17 AM
3.5.2 Warning LimitsYou can select hyper (high) and hypo (low) blood glucose warning limits that best fit your needs.Whenever a blood glucose result is above the hyper warning limit or below the hypo warning limit, the meter displays a warning. jSet the hyper warning limit greater than the target range of all time blocks. jSet the hypo warning limit less than the target range of all time blocks.3.5.3 Insulin IncrementInsulin increment is the amount in units(U) by which your insulin dose is adjusted when programming a bolus or when entering a manual Logbook entry.The meter rounds off the insulin amount to be delivered, which the meter calculates if bolus advice is set up, or when you manually enter the bolus and basal insulin data into the logbook.The insulin increment can be set to 0.5 or 1U.3.5.4 Max BolusMax bolus serves as a safety measure against unintended large boluses. It is a meter setting that specifies a maximum bolus insulin amount. A bolus that is larger than the max bolus amount requires an additional confirmation.Max bolus can be set to a maximum of 25U in increments of 1U or 0.5U (per the insulin increment value).35152297_07167776001.indb 51 10/20/14 11:17 AM
3.5.5 Time BlocksSetting time blocks to fit your own schedule helps you and your healthcare professional see how patterns in your blood glucose levels may be affected by your daily activities and lifestyle. Time blocks combine to cover a 24-hour time period. The meter comes with 4default time blocks. You may set up to 8time blocks. You can change the time period for any of the default time blocks. To complete the Setup Wizard, you must complete and save the default settings for the time blocks. Each time block must be at least 15minutes long and can only be set in 15-minute increments. When you set the end time for a time block, the meter automatically sets this end time as the start time for the next time block. You can set a different blood glucose target range for each time block. The target range for each time block must be within the hypo and hyper warning limits. When the default time blocks are set up, the settings are applied to all of the other time blocks. If bolus advice is set up, you must also set the carbohydrate ratio and insulin sensitivity for the default time block. You can set a different carbohydrate ratio and insulin sensitivity for each time block. Talk to your healthcare professional about setting up time blocks.5252297_07167776001.indb 52 10/20/14 11:17 AM
3.5.6 Bolus AdviceThe bolus advice feature calculates a bolus for you that is customized to the time of day and your changing situations. This function is activated only if you set up bolus advice on your meter. Bolus advice provided by the meter is intended solely as advice. For more detailed information on bolus advice, see the Bolus Advice chapter in this user’s manual.Carbohydrate RatioThe carbohydrate ratio is the amount of insulin necessary to account for a certain amount of carbohydrates.Talk with your healthcare professional to determine the appropriate carbohydrate ratio for you.35352297_07167776001.indb 53 10/20/14 11:17 AM
Insulin SensitivityThe insulin sensitivity is the amount of insulin necessary to lower your blood glucose by a certain amount.Talk with your healthcare professional to determine the appropriate insulin sensitivity settings for you.Health EventsHealth events can be selected to indicate how you are feeling or what you are doing that might affect your blood glucose level. You have the option of setting a percentage for each health event which adjusts the bolus advice recommendation if you set up bolus advice.Health events available on the meter are: jExercise 1 jExercise 2 jStress jIllness jPremenstrual jCustomized (1 - 3)A positive percentage increases the bolus amount and a negative percentage(-) decreases the bolus amount. Talk with your healthcare professional to determine the appropriate percentage for each health event for you.5452297_07167776001.indb 54 10/20/14 11:17 AM
Advice OptionsMeal rise, snack size, acting time, and offset time are advice options. Below are detailed descriptions of each of these settings. Meal RiseDuring or after meals, an increase in blood glucose level is considered normal within a certain range, even though a bolus has been delivered. Enter the maximum increase in your blood glucose level that is to be tolerated after a meal without an additional correction bolus. Snack SizeThe snack size defines a threshold of carbohydrates above which a meal rise is triggered. Acting TimeThe period of time from the start of bolus until your blood glucose level is expected to return to the target level. You can adjust the length of the acting time to fit your individual needs within a specified time interval (1½hours to 8hours). If you are unsure of your insulin acting time, check with your healthcare professional. The total acting time includes the offset time. Offset TimeThe expected amount of time before the insulin begins to lower blood glucose levels in the body. 35552297_07167776001.indb 55 10/20/14 11:17 AM
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4574 Control Testing 4.1 When to Perform a Control TestPerforming a control test lets you know the meter and test strips are working properly. You should perform a control test when: jyou open a new test strip box. jyou left the test strip container open. jyou think the test strips are damaged. jyou want to check the meter and test strips. jthe test strips were stored in extreme temperatures, humidity, or both. jyou dropped the meter. jyour test result does not match how you feel. jyou want to check if you are performing the test correctly. 52297_07167776001.indb 57 10/20/14 11:17 AM
584.2 About the Control Solutions jUse only ACCU-CHEK Aviva control solutions. jClose the control solution bottle tightly after use. jWrite the date you open the control solution bottle on the bottle label. The control solution must be discarded 3 months from the date the control solution bottle was opened (discard date) or on the Use By date on the bottle label, whichever comes first. jDo not use control solution that is past the Use By or discard date. jRefer to the control solution package insert for control solution storage conditions. jThe meter automatically recognizes the difference between the control solution and blood. jThe control results are not displayed in memory. jThe control solution can stain fabric. Remove stains by washing with soap and water. jControl solution is available for purchase. To order the control solution, talk to your pharmacist or visit accu-chek.com to order online. 52297_07167776001.indb 58 10/20/14 11:17 AM
459NOTE jBe careful not to put any fluids into the test strip slot. jIf a test strip error occurs, remove and discard the test strip and repeat the test with a new test strip. jDo not apply the control solution to the test strip before you insert it into the meter. jWhen a test strip is in the meter the buttons and touchscreen selections are inactive, including the power button. The buttons become active when you remove the test strip or when the test is complete. jAnother way to start a control test is from the Main Menu. Select Meter > bG Test and insert a test strip into the meter. 1Check the Use By date on the test strip container. Do not use test strips past the Use By date. 2Insert the test strip into the meter in the direction of the arrow. The meter turns on. 4.3 Performing a Control TestYou need the meter, a test strip, and control solution Level1, Level2, or both. The control level is printed on the bottle label. 52297_07167776001.indb 59 10/20/14 11:17 AM
60This screen only applies when the meter has a white code chip. If the meter has a black code chip, do not match the code to the container; continue to the next step.The Apply Drop screen appears. The test strip is ready for testing. 4Select the control solution to test. You will enter the level later in the test. 5Put the meter on a flat surface, such as a table. 352297_07167776001.indb 60 10/20/14 11:17 AM
4616Remove the bottle cap. Wipe the tip of the bottle with a tissue. 7Squeeze the bottle until a tiny drop forms at the tip. Touch the drop to the front edge of the yellow window of the test strip. Do not put control solution on top of the test strip. The Analyzing screen appears when there is enough control solution in the test strip.8Wipe the tip of the bottle with a tissue. Cap the bottle tightly. 52297_07167776001.indb 61 10/20/14 11:17 AM
629 10The control result appears on the display. Choose the control solution level and select Done. Within range means that the meter and test strips are working properly. Out of range, LO, or HI means that the control result is outside of the acceptable range; see the Out-of-Range Control Results section in this chapter. Select OK. 11Remove and discard the used test strip.NOTEIf you choose No Entry and select Done, the Control result screen shown in Step10 is not displayed. Go to Step11. 52297_07167776001.indb 62 10/20/14 11:17 AM
4634.4 Out-of-Range Control Results w WARNING jThe control range applies only to a control result. It only indicates that the test strips and meter are working properly. Do not use a control result to interpret blood glucose results. jIf the control result is out of range, do not use the meter until you solve the problem. Check this list in the following table to help solve the problem. 52297_07167776001.indb 63 10/20/14 11:17 AM
64Troubleshooting Checks Actions1. Are either the test strips or control solutions expired? Discard the test strips or control solutions if either is past the Use By date. If the control solution was opened more than 3months ago, discard it. Repeat the control test with an unexpired test strip and an unexpired control solution. 2. Did you wipe the tip of the control solution bottle before use? Wipe the tip of the bottle with a tissue. Repeat the control test with a new test strip and a fresh drop of control solution. 3. Were the caps on the test strip container and the control solution bottle always closed tightly? Replace the test strips or control solutions if you think either was uncapped for some time. Repeat the control test. 52297_07167776001.indb 64 10/20/14 11:17 AM
465Troubleshooting Checks Actions4. Was the test strip used immediately after it was removed from the test strip container? Repeat the control test with a new test strip and a fresh drop of control solution. 5. Were the test strips and control solutions stored in a cool, dry place? Repeat the control test with a properly stored test strip and control solution. 6. Did you follow the directions? Read the Control Testing chapter and repeat the control test. 7. Did you choose the correct control solution level, either 1or2, when you performed the control test? If you chose the wrong control solution level, you can still compare the control result to the range printed on the test strip container. 8. Are you still unsure of the problem? Contact the ACCU-CHEK Customer Care Service Center at 1-800-688-4578. 52297_07167776001.indb 65 10/20/14 11:17 AM
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5 Testing Your Blood Glucose5.1 Performing a Blood Glucose TestRefer to the Important Safety Information chapter at the beginning of this manual. NOTE jYou need the meter, a test strip, a lancing device, and a lancet. jBefore you perform your first blood glucose test, set up the meter correctly and perform a control test. jA blood glucose test cannot be performed while the meter is plugged in. jBlood glucose is sometimes shortened to bG, but it means the same thing. w WARNING jDo not change your treatment because of one blood glucose test result. jNEVER ignore symptoms of high or low blood glucose. 56752297_07167776001.indb 67 10/20/14 11:17 AM
1Wash and dry your hands. Prepare the lancing device.Always use a new lancet with each test. 2Check the Use By date on the test strip container. Do not use test strips past the Use By date. 3Insert the test strip into the meter in the direction of the arrow. The meter turns on. 6852297_07167776001.indb 68 10/20/14 11:17 AM
NOTE jBe careful not to put any fluids into the test strip slot. jIf a test strip error occurs, remove and discard the test strip. Repeat the test with a new test strip. jDo not apply a blood drop to the test strip before you insert it into the meter. jWhen a test strip is in the meter, the buttons and touchscreen selections are inactive, including the power button. The buttons become active when you remove the test strip or when the test is complete. jOther ways to start a blood glucose test: • From the Main Menu, select Meter > bG Test or select Bolus > bG Test. Insert a test strip into the meter. • When a bG test reminder notification is displayed, insert a test strip into the meter. This screen only applies when the meter has a white code chip. If the meter has a black code chip, do not match the code to the container; continue to the next step.56952297_07167776001.indb 69 10/20/14 11:17 AM
4The Apply Drop screen appears. The test strip is ready for testing. 5Perform a fingerstick with the lancing device. 6Gently squeeze your finger to assist the flow of blood. This helps you get a blood drop. 7Touch the blood drop to the front edge of the yellow window of the test strip. Do not put blood on top of the test strip. 7052297_07167776001.indb 70 10/20/14 11:17 AM
The Analyzing screen appears when there is enough blood in the test strip. NOTE jFor information about blood glucose results, see the Understanding Blood Glucose Results and Unusual Blood Glucose Results sections in this chapter. jThe blood glucose result must be used within 10minutes for bolus advice. The result appears on the display. w WARNINGThe meter is designed to display blood glucose results from 10 to 600mg/dL. If a result below 10mg/dL or over 600mg/dL appears on the display, call ACCU-CHEK Customer Care Service Center at 1-800-688-4578. 57152297_07167776001.indb 71 10/20/14 11:18 AM
8In approximately 3seconds the Detailed bG Result screen appears. Remove and discard the used test strip. Perform one of the following: jComplete the blood glucose test without adding information or delivering a bolus: Select Done. jIf bolus advice is enabled: Go to the Delivering a Bolus Using Bolus Advice section in the Bolus Advice Administering Boluses chapter in this user’s manual. jIf bolus advice is not enabled: • Add information to be saved with the blood glucose result: Continue to the next section Adding Information to a Blood Glucose Result. A bolus can be delivered after adding the information. • Deliver a bolus without adding information: Select Bolus and go to the Delivering a Bolus Without Bolus Advice section in this chapter. 7252297_07167776001.indb 72 10/20/14 11:18 AM
5.2 Adding Information to a Blood Glucose Result1To add an entry, select it and refer to the instructions on the following pages. Adding information to the entry fields provides you with a record of the circumstances surrounding your blood glucose result. This information is helpful later for determining patterns in your blood glucose levels. The steps in this section only apply if the bolus advice feature is not being used. If bolus advice is enabled, go to the Delivering a Bolus Using Bolus Advice section in the Bolus Advice chapter in this user’s manual.57352297_07167776001.indb 73 10/20/14 11:18 AM
Screens for Adding Entries for Detailed bG Result Meal Time Choose the meal time. Select Save. Carbohydrates Set the amount of carbohydrates consumed. Select Save. Health Events Choose up to 4 health events. Select Save. Basal Insulin Set the basal insulin amount. Select Save. 7452297_07167776001.indb 74 10/20/14 11:18 AM
2Note Type a note (up to 60 characters) to save with this record. Select . Perform one of the following: jSave the entries and proceed with bolus delivery: Select Bolus and continue to Delivering a Bolus Without Bolus Advice. jSave the entries and do not proceed with bolus delivery: Select Done. 57552297_07167776001.indb 75 10/20/14 11:18 AM
5.3 Delivering a Bolus Without Bolus AdvicebG Result No bG Test is displayed if there is no current bG result. Correction Bolus Insulin to return an out-of-target blood glucose result to a target value. Carbohydrate Bolus Insulin to account for the food you eat. Total Bolus Sum of the Correction Bolus and Carbohydrate Bolus amounts. Carbohydrate Amount No Entry is displayed if no amount is entered.NOTEWhen the Bolus screen first appears there are no bolus amounts. The bolus amounts are entered by you. 7652297_07167776001.indb 76 10/20/14 11:18 AM
1Enter the bolus amounts, as necessary. To input a bolus amount, select the entry field for Correction Bolus, Carbohydrate Bolus, or Total Bolus and set the amount. NOTE jIf you set either the Correction Bolus or Carbohydrate Bolus first: The Total Bolus is disabled and cannot be adjusted; however, the Total Bolus updates accordingly. jIf you set the Total Bolus first: The Correction Bolus and Carbohydrate Bolus are disabled and cannot be adjusted; however, the Correction Bolus updates accordingly. jIf a Carbohydrate Bolus is entered and no Carbohydrate Amount has been entered (Carbs displays No Entry), you should consider entering an amount for carbohydrates. Select Back to enter an amount. An amount is not required, but the more complete the data the more accurate any future bolus advice recommendations are when using bolus advice.57752297_07167776001.indb 77 10/20/14 11:18 AM
2Select Next. 3Review the bolus amount. Select Back to adjust or select OK to record the bolus. Deliver the bolus using your pen or syringe. 7852297_07167776001.indb 78 10/20/14 11:18 AM
5.4 Understanding Blood Glucose ResultsThe status bar indicates how the blood glucose result compares to the target blood glucose range for the current time block.Status BarNOTETreat low or high blood glucose as recommended by your healthcare professional.57952297_07167776001.indb 79 10/20/14 11:18 AM
Status Bar Descriptions The following are status bar descriptions with sample displays:Green indicates the result is within the target range for the current time block.Blue indicates the result is above the target range for the current time block. The result is not above the hyper warning limit.Blue with Hyper indicates the result is above the hyper warning limit.8052297_07167776001.indb 80 10/20/14 11:18 AM
Yellow indicates the result is below the target range for the current time block. The blood glucose result is not below the hypo warning limit.Red with Hypo indicates the result is below the hypo warning limit.58152297_07167776001.indb 81 10/20/14 11:18 AM
LO or HI DisplayThe blood glucose result may be below the measuring range of the meter. If you are experiencing any of the common symptoms of low blood glucose, contact your healthcare professional immediately. Treat low blood glucose as recommended by your healthcare professional. The blood glucose result may be above the measuring range of the meter. If you are experiencing any of the common symptoms of high blood glucose, contact your healthcare professional immediately. Treat high blood glucose as recommended by your healthcare professional.8252297_07167776001.indb 82 10/20/14 11:18 AM
5.5 Unusual Blood Glucose ResultsIf your blood glucose result does not match the way you feel, follow these steps: Troubleshooting Checks Actions 1. Are the test strips expired? Discard the test strips if they are past the use by date. Repeat the blood glucose test with an unexpired test strip. 2. Has the cap on the test strip container always been closed tightly? Replace the test strips if you think the test strip container was uncapped for some time. Repeat the blood glucose test. 3. Was the test strip used immediately after it was removed from the test strip container? Repeat the blood glucose test with a new test strip. 4. Were the test strips stored in a cool, dry place? Repeat the blood glucose test with a properly stored test strip. 58352297_07167776001.indb 83 10/20/14 11:18 AM
Troubleshooting Checks Actions 5. Did you follow the directions? Read the Performing a Blood Glucose Test section in this chapter and repeat the blood glucose test. Contact ACCU-CHEK Customer Care Service Center at 1-800-688-4578 if you still have problems. 6. Are the meter and test strips working properly? Perform a control test. See the Performing a Control Test section in the Control Testing chapter in this user’s manual. 7. Are you still unsure of the problem? Contact ACCU-CHEK Customer Care Service Center at 1-800-688-4578. 8452297_07167776001.indb 84 10/20/14 11:18 AM
Being aware of the symptoms of low or high blood glucose can help you understand your test results and decide what to do if they seem unusual. Symptoms of low blood glucose (hypoglycemia) may include, but are not limited to: anxiety, shakiness, sweating, headache, increased hunger, dizziness, pale skin color, sudden change in mood or irritability, fatigue, difficulty concentrating, clumsiness, palpitations, and/or confusion. Symptoms of high blood glucose (hyperglycemia) may include, but are not limited to: increased thirst, frequent urination, blurred vision, drowsiness, and/or unexplained weight loss. w WARNINGIf you are experiencing any of these symptoms, test your blood glucose. If your blood glucose result is displayed as hypo, LO, hyper, or HI, contact your healthcare professional immediately. 5.6 Symptoms of Low or High Blood Glucose58552297_07167776001.indb 85 10/20/14 11:18 AM
Comparing Your Meter Result to a Lab Result A common question is how the blood glucose results on your meter compare to the lab results. Your blood glucose can change quickly, especially after eating, taking medication, or physical activity. If you test yourself in the morning and then go to the healthcare professional’s office for a blood glucose test, your results will probably not match, even if you are fasting. This is typically not a problem with your meter, it just means that time has elapsed and your blood glucose has changed. If you want to compare your meter result to the lab result, you must be fasting. Take your meter to the healthcare professional’s office, and test yourself by fingerstick within five minutes of having blood drawn from your arm by a healthcare professional. Keep in mind that the lab uses different technology than the meter, and that blood glucose meter for self testing generally read somewhat lower than the lab result. jIf you are fasting and you do a fingerstick test within 5 minutes of having your blood drawn, here are the general guidelines to compare your meter to the lab result: If your blood glucose is below 75mg/dL, your results generally should fall within ±15mg/dL of the lab result. jIf your blood glucose is equal to or over 75mg/dL, your results generally should fall within ±20% of the lab result. 8652297_07167776001.indb 86 10/20/14 11:18 AM
6 Bolus Advice6.1 OverviewImportant information regarding the use of bolus advice is presented in Overview and Before Using Bolus Advice in this chapter. jBolus advice is intended exclusively for use by well-trained individuals who carry out their own insulin therapy with multiple daily injections(MDI) and who are using bolus and basal insulin separately. It is recommended you discuss your bolus advice settings with your healthcare professional prior to setting up this feature. jBolus advice is only available if it is set up in the initial meter startup (see the Startup chapter in this user’s manual) or through Settings on the Main Menu (see the Setting Up Bolus Advice section in the Changing Bolus Advice Settings chapter in this user’s manual). jDefinitions of the bolus advice settings are in the Important Information section in the Startup chapter in this user’s manual. jAfter it is set up, bolus advice may be turned off. See the Turning Off Bolus Advice section in the Changing Bolus Advice Settings chapter in this user’s manual. jBolus advice calculates insulin doses for you based on many dierent pieces of information, such as:• The values you entered in the setup of bolus advice• Your current blood glucose result• The amount of carbohydrates you estimated for a meal• Your current health event status• Bolus and/or meal history68752297_07167776001.indb 87 10/20/14 11:18 AM
6.2 Before Using Bolus Advice w WARNING jAlways compare the recommendation with how you actually feel and adjust the recommended bolus, if necessary. jAlways carry out the actions entered into bolus advice in a timely fashion. Eat the carbohydrate amount you entered and administer the insulin amount you confirmed. jBolus advice should not be used if you are using an intermediate-acting insulin like Neutral Protamine Hagedorn(NPH) insulin or any other intermediate-acting insulin. jRemember, long-acting insulin should not be used as a meal or correction bolus. 6.2.1 Intended UsersFor safe use, you need to understand certain information in order to use bolus advice. Working closely with your healthcare professional, you must be very familiar with your diabetes therapy. Bolus advice calculates recommended boluses for you. This can help you determine the amount of insulin you currently require. You provide the information on which the bolus advice recommendations are based. Bolus advice is not able to judge your current situation independent of your own estimation. It cannot correct possible input errors. This is particularly true for the carbohydrate amount entered. Warnings are displayed for entries that exceed possible limits. You are prompted to check these entries and make corrections, if necessary. No warning message is displayed if the data is possible (within the acceptable ranges) but incorrect. Therefore, it is important to carefully review all of your entries. 8852297_07167776001.indb 88 10/20/14 11:18 AM
6.2.2 Information not taken into account when bolus advice is used jIt is possible that the values entered when setting up bolus advice do not match how you actually feel. In this case, you can increase or decrease the recommended bolus amount to your needs. jBolus amounts and meals that were consumed but not entered into the meter cannot be reflected in the calculation. jIf you delivered a bolus without using bolus advice, you can enter the bolus information into the electronic logbook. It is important that you enter bolus and carbohydrate information into the logbook in order to obtain accurate bolus advice recommendations. See The Logbook section in the My Data chapter in this user’s manual. jThe basal insulin doses you record do not influence the bolus advice. 6.2.3 Warning messagesAfter performing a blood glucose test, warning messages about your blood glucose result may be displayed. Please take careful note of these messages. jIf your blood glucose result is too low, you are prompted to eat a certain amount of fast acting carbohydrates. A bolus will not be recommended in this situation. Treat your low blood glucose as recommended by your healthcare professional. jIf your blood glucose result is high and above the hyper warning limit, you are prompted to consider checking bG, ketones, and insulin until your blood glucose is below the hyper warning limit. 68952297_07167776001.indb 89 10/20/14 11:18 AM
6.2.4 Summary jIt is recommended you set up bolus advice with your healthcare professional. jCarefully check all of your entries. jMake sure meals and boluses are recorded in the meter for accurate bolus advice recommendations. jTake note of all warning messages, especially those regarding low or high blood glucose results. Immediate action may be necessary. jAlways compare the recommendation with how you actually feel and adjust the bolus, if necessary. jAlways carry out the actions entered in bolus advice in a timely fashion. jIf your blood glucose result is outside the meter’s measurement range, the meter displays a message of either LO or HI. No bolus advice will be recommended for a LO or HI result. Retest your blood glucose and contact your healthcare professional if you need more assistance. jSee the Troubleshooting chapter in this user’s manual for more information regarding blood glucose warning messages. 9052297_07167776001.indb 90 10/20/14 11:18 AM
6.3 Delivering a Bolus Using Bolus Advice1Perform a blood glucose test. See the Testing Your Blood Glucose chapter in this user’s manual. Select Bolus on the Main Menu. orNOTE jBolus advice is only available if it has been set up, which is indicated by this icon for the Bolus selection on the Main Menu and on other screens: . If bolus advice has not been set up or it has been turned o, this icon is displayed: . See the Setting Up Bolus Advice section in the Changing Bolus Advice Settings chapter in this user’s manual for instructions on how to set up bolus advice. jBlood glucose is sometimes shortened to bG, but it means the same thing. 69152297_07167776001.indb 91 10/20/14 11:18 AM
2To add or adjust an entry, select it and refer to the instructions on the following pages. When the entries are complete, choose one of the following: jSelect Bolus to proceed with bolus advice (go to Step3). jSelect Done to save the entries and not proceed with bolus advice. or 9252297_07167776001.indb 92 10/20/14 11:18 AM
NOTE jThe Detailed bG Result screen is displayed if a bG test was performed in Step1. The Bolus Input screen is displayed if Bolus was selected on the Main Menu in Step1. jThe bG Result, Carbohydrates, and Health Events entries are used in the calculation of the bolus advice recommendation. All of the entries are saved as a record. jOn the Bolus Input screen, if the bG Test text is displayed instead of bG Result, there is no current blood glucose result that can be used for bolus advice. Continue with bolus advice with one of the following: • Perform a blood glucose test by selecting bG Test. See the Testing Your Blood Glucose chapter in this user’s manual. After testing your blood glucose, return to this step. • Do not perform a blood glucose test, but add entries as described in Step2. If a Carbohydrates amount is entered and you proceed with selecting Bolus, a Carbohydrate Bolus is recommended. Proceed to Step3. 69352297_07167776001.indb 93 10/20/14 11:18 AM
NOTE jThe latest blood glucose result can only be used for bolus advice within 10minutes after the test. At 2minutes, a countdown timer appears on the top of the screen displaying the remaining time. Once the 10minutes have elapsed, it is not possible to proceed with bolus advice and the selection on the screen is deactivated. When the countdown timer has elapsed, continue with one of the following: • Begin again with bolus advice: Remove all entries and select Done. Return to Step1 in this chapter. • Do not use bolus advice, but save the record: Complete all entries and select Done. jIf the displayed blood glucose result is below your hypo warning limit (indicated by the Below hypo warning limit Warning after your blood glucose test), it is not possible to proceed to obtain a bolus advice recommendation. The Bolus selection on the Bolus Input screen is deactivated. Select Done. 9452297_07167776001.indb 94 10/20/14 11:18 AM
Basal Insulin Set the basal insulin amount. Select Save. Meal Time Health Events Choose up to 4 health events. Select Save.Choose an applicable meal time. Select Save. Carbohydrates Screens for Adding or Adjusting Entries for Bolus Advice Set the amount of carbohydrates consumed. Select Save. 69552297_07167776001.indb 95 10/20/14 11:18 AM
Note Type a note (up to 60 characters) to save with this record. Select . 3If multiple health events have been chosen, this screen is displayed; otherwise proceed to the next step. Set a single, summarized health event percentage to cover the impact of the chosen health events. Select Save. 9652297_07167776001.indb 96 10/20/14 11:18 AM
123451 Icon Indicates if bolus advice is enabled or disabled. 2 bG Result Current bG result. No bG Test is displayed if there is no current blood glucose result. 3 Active Insulin A calculated value representing the eective amount of insulin currently in the body that is working to lower blood glucose. This amount does not include any insulin that is working to account for carbohydrate intake. It also does not include basal insulin. 4 Carbohydrate Amount No Entry is displayed if no amount is entered. 5 Health Event Percentage Percentage based upon 1 to 4 chosen health events. No Entry is displayed if no health event is chosen. 69752297_07167776001.indb 97 10/20/14 11:18 AM
6 Countdown Timer Only displayed if less than 2minutes are remaining to use the bG result for bolus advice. 7 Correction Bolus Insulin to return an out-of-target blood glucose to a target value. The amount displayed has been adjusted by the Health Event Percentage. 8 Carbohydrate Bolus Insulin to account for the food you eat. The amount displayed has been adjusted by the Health Event Percentage. 9 Total Bolus Sum of items 7 and 8. 67899852297_07167776001.indb 98 10/20/14 11:18 AM
NOTE jIf a Carbohydrate Bolus (callout 8) is entered and no Carbohydrate Amount has been entered (Carbs displays No Entry), you should consider entering an amount for carbohydrates. Select Back to enter an amount. An amount is not required, but the more complete the data the more accurate any future bolus advice recommendations are when using bolus advice. jIf you adjust either the Correction Bolus or Carbohydrate Bolus first: The ability to edit the Total Bolus is disabled; however, the Total Bolus updates accordingly. jIf you adjust the Total Bolus first: The ability to edit the Correction Bolus and Carbohydrate Bolus is disabled. • If Total Bolus is increased: The Correction Bolus is increased accordingly. • If Total Bolus is decreased: The Carbohydrate Bolus is decreased accordingly; once the Carbohydrate Bolus becomes 0, then the Correction Bolus is decreased accordingly. 4Review the bolus amounts (see the next page for more information). To adjust a bolus amount, select it and set the amount. Select Next to proceed with bolus delivery.69952297_07167776001.indb 99 10/20/14 11:18 AM
5Review the bolus amount. Select Back to adjust or select OK to record the bolus. Deliver the bolus using your pen or syringe. 10052297_07167776001.indb 100 10/20/14 11:18 AM
7.1 OverviewYou can make changes to bolus advice to adjust for your individual therapy requirements:Bolus advice settings jSet up bolus advice jHealth event percentages jAdvice options: meal rise, snack size, acting time, and offset time jTurn off bolus adviceTime blocks jStart times, end times, target ranges, carbohydrate ratio, and insulin sensitivity for time blocks jAdd or delete a time block jReset all time blocks 7 Changing Bolus Advice Settings w WARNINGIt is strongly recommended that you discuss possible updates to your bolus advice settings with your healthcare professional prior to making changes.710152297_07167776001.indb 101 10/20/14 11:18 AM
NOTE jWhen editing a setting, any unsaved changes are discarded if the meter turns o or if a test strip is inserted into the meter. jIf bolus advice is turned o, see the Changing Meter Settings chapter in this user’s manual to change the time blocks and other meter settings.10252297_07167776001.indb 102 10/20/14 11:18 AM
Bolus advice provides recommendations for the amount of insulin to be delivered for food intake and to correct blood glucose levels. Proceed with this section if you did not set up bolus advice when you completed the Setup Wizard (see the Startup chapter in this user’s manual) or if you have turned off bolus advice.Review the following in this user’s manual: jOverview section in the Bolus Advice chapter jBefore Using Bolus Advice section in the Bolus Advice chapter jImportant Information section in the Startup chapter7.2 Setting Up Bolus Advice w WARNING jThe bolus advice feature should not be used if you are using an intermediate-acting insulin like Neutral Protamine Hagedorn (NPH) insulin or any other intermediate-acting insulin. jIt is strongly recommended that you discuss bolus advice with your healthcare professional prior to setting up bolus advice.Before setting up bolus advice, have the following information available: jThe number of time blocks with start and end times jThe blood glucose target range, carbohydrate ratio, and insulin sensitivity for each time block jThe percentage for each health event jThe meal rise, snack size, acting time, and offset time710352297_07167776001.indb 103 10/20/14 11:18 AM
NOTEAfter bolus advice is set up the settings can be changed, or bolus advice can be turned off. If bolus advice is turned off, the settings are discarded.10452297_07167776001.indb 104 10/20/14 11:18 AM
Main Menu > Settings > Bolus Advice1 3From the Main Menu, select Settings.Select Yes.24Select Bolus Advice. Set the default Carbohydrate ratio and Insulin sensitivity. Select Next.710552297_07167776001.indb 105 10/20/14 11:18 AM
5Select OK.6Select a time block to edit and continue to Step7, or if you do not need to make any changes, select Next and go to Step11.NOTE jThe End time of a time block is the same as the Start time of its following time block. Only an End time can be changed, which changes the Start time of the following time block. jChanging the End time of the last time block does not change the Start time of the first time block, but it creates a new time block. See the Bolus Advice: Adding a Time Block section in this chapter. jTo change the Start time of the first time block, the time blocks must be reset. See the Bolus Advice: Resetting All Time Blocks section in this chapter. jIf the End time of a time block is decreased until it is the same as its Start time, the time block is deleted. See the Bolus Advice: Deleting Time Blocks section in this chapter.10652297_07167776001.indb 106 10/20/14 11:18 AM
7 9Set the End time. Select Next. Set the Carbohydrate ratio and Insulin sensitivity. Select Done.8 10Set the Upper value and Lower value. Select Next.Edit any other time block (reference Step6). Once all time blocks are complete, select Next and continue to Step11.710752297_07167776001.indb 107 10/20/14 11:18 AM
12Set the Meal rise, Snack size, Acting time, and Offset time. Select Next.11 13Set the percentages for health events. Scroll the screen to see more health events. Select Next.Select OK.10852297_07167776001.indb 108 10/20/14 11:18 AM
Main Menu > Settings > Bolus Advice > Time Blocks1From the Main Menu, select Settings. 2Select Bolus Advice.7.3 Bolus Advice: Time Block SettingsThis section is for changing the settings for individual time blocks if bolus advice has been set up. These time block settings include: jStart time jEnd time jTarget range jCarbohydrate ratio jInsulin sensitivity w WARNINGIt is strongly recommended that you discuss possible updates to your bolus advice settings with your healthcare professional prior to making changes. 710952297_07167776001.indb 109 10/20/14 11:18 AM
3Select Time Blocks. 4Select a time block to edit. 11052297_07167776001.indb 110 10/20/14 11:18 AM
5Set the End time. Select Next.NOTE jThe End time of a time block is the same as the Start time of its following time block. Only an End time can be changed, which changes the Start time of the following time block. jChanging the End time of the last time block does not change the Start time of the first time block, but it creates a new time block. See the Bolus Advice: Adding a Time Block section in this chapter. jTo change the Start time of the first time block, the time blocks must be reset. See the Bolus Advice: Resetting All Time Blocks section in this chapter. jIf the End time of a time block is decreased until it is the same as its Start time, the time block is deleted. See the Bolus Advice: Deleting Time Blocks section in this chapter. 711152297_07167776001.indb 111 10/20/14 11:18 AM
9Select Save. 7Set the Carbohydrate ratio and Insulin sensitivity. Select Done. 8Edit any other time block (reference Step4). Once all time blocks are complete, select Done and continue to Step9. 6Set the Upper value and Lower value. Select Next. 11252297_07167776001.indb 112 10/20/14 11:18 AM
7.4 Bolus Advice: Adding a Time BlockThis section is for adding a time block if bolus advice has been set up. Before adding a time block, have the following information available: jThe number of time blocks you need with the start and end times for each jThe blood glucose target range, carbohydrate ratio, and insulin sensitivity for each time block To add a time block, decrease the last time block’s end time. After the time block is created, it may be necessary to change the end time and other information for each time block until all of the time blocks are set up the way you want them. w WARNINGIt is strongly recommended that you discuss possible updates to your bolus advice settings with your healthcare professional prior to making changes. 711352297_07167776001.indb 113 10/20/14 11:18 AM
3 4Select Time Blocks. Select the last time block.2Select Bolus Advice.1From the Main Menu, select Settings.Main Menu > Settings > Bolus Advice > Time Blocks11452297_07167776001.indb 114 10/20/14 11:18 AM
5Decrease the End time.NOTE jDecrease the End time for the last time block by any amount in order to create a new time block. This creates a time block by splitting the last time block into 2 time blocks. jDo not decrease the End time until it equals the Start time because the meter deletes the time block when you select Next. jOnce the new time block is created, you can change the End time for all appropriate time blocks. jFor this example, a time block is added with a Start time of 9:30 pm and an End time of 11:00 pm. 6Select Next.711552297_07167776001.indb 115 10/20/14 11:18 AM
98Set the Carbohydrate ratio and Insulin sensitivity for the new time block. Select Done.IIt may be necessary to change the end times and settings of other time blocks. Select a time block to edit and continue to Step10, or if you do not need to make any changes, select Done and go to Step14.7Set the Upper value and Lower value for the new time block. Select Next.11652297_07167776001.indb 116 10/20/14 11:18 AM
NOTE jThe End time of a time block is the same as the Start time of its following time block. Only an End time can be changed, which changes the Start time of the following time block. jTo change the Start time of the first time block, the time blocks must be reset. See the Bolus Advice: Resetting All Time Blocks section in this chapter. jIf the End time of a time block is decreased until it is the same as its Start time, the time block is deleted. See the Bolus Advice: Deleting Time Blocks section in this chapter. 10Set the End time. Select Next.11Set the Upper value and Lower value. Select Next.711752297_07167776001.indb 117 10/20/14 11:18 AM
14Select Save.12Set the Carbohydrate ratio and Insulin sensitivity. Select Done.13Edit any other time block (reference Step9). Once all time blocks are complete, select Done and continue to Step14.11852297_07167776001.indb 118 10/20/14 11:18 AM
7.5 Bolus Advice: Deleting Time BlocksThis section is for deleting time blocks if bolus advice has been set up. There are 2 different methods for deleting time blocks. The first method deletes one or more time blocks by combining time blocks. The alternative method deletes a single time block. Before deleting time blocks, have the following information available: jThe number of time blocks you need with the start and end times for each jThe blood glucose target range, carbohydrate ratio, and insulin sensitivity for each time blockAfter time blocks are deleted, it may be necessary to change the end times and other information for the remaining time blocks until all of the time blocks are set up the way you want them. w WARNINGIt is strongly recommended that you discuss possible updates to your bolus advice settings with your healthcare professional prior to making changes.711952297_07167776001.indb 119 10/20/14 11:18 AM
1 2 3 4From the Main Menu, select Settings.Select Bolus Advice. Select Time Blocks. Select the first time block that is to be combined.7.5.1 Bolus Advice: Deleting One or More Time BlocksThis method of deleting one or more time blocks is accomplished by combining time blocks. Main Menu > Settings > Bolus Advice > Time Blocks12052297_07167776001.indb 120 10/20/14 11:18 AM
NOTE jFor this example, the last 3 time blocks are combined into one time block. jThe target range, carbohydrate ratio, and insulin sensitivity values in this first time block selected are used in the resulting time block. 5 6Increase the End time until it equals the End time of the last time block to be deleted. Select Next.Select Yes.712152297_07167776001.indb 121 10/20/14 11:18 AM
NOTE jThe End time of a time block is the same as the Start time of its following time block. Only an End time can be changed, which changes the Start time of the following time block. jChanging the End time of the last time block does not change the Start time of the first time block, but it creates a new time block. See the Bolus Advice: Adding a Time Block section in this chapter. jTo change the Start time of the first time block, the time blocks must be reset. See the Bolus Advice: Resetting All Time Blocks section in this chapter. 8Set the End time. Select Next.7It may be necessary to change the end times and other information for the remaining time blocks. Select a time block to edit and continue to Step8, or if you do not need to make any changes, select Done and go to Step12.12252297_07167776001.indb 122 10/20/14 11:18 AM
9Set the Upper value and Lower value. Select Next.10Set the Carbohydrate ratio and Insulin sensitivity. Select Done.11Edit any other time block (reference Step7). Once all time blocks are complete, select Done and continue to Step12.12Select Save.712352297_07167776001.indb 123 10/20/14 11:18 AM
2Select Bolus Advice.1From the Main Menu, select Settings.7.5.2 Bolus Advice: Deleting a Single Time Block3Select Time Blocks.To delete a time block, decrease the time block’s end time until it equals its start time. Main Menu > Settings > Bolus Advice > Time Blocks12452297_07167776001.indb 124 10/20/14 11:18 AM
6Select Yes.5Decrease the End time until it equals the Start time. Select Next.4Select the time block to delete.712552297_07167776001.indb 125 10/20/14 11:18 AM
8Set the End time. Select Next.NOTE jThe End time of a time block is the same as the Start time of its following time block. Only an End time can be changed, which changes the Start time of the following time block. jChanging the End time of the last time block does not change the Start time of the first time block, but it creates a new time block. See the Bolus Advice: Adding a Time Block section in this chapter. jTo change the Start time of the first time block, the time blocks must be reset. See the Bolus Advice: Resetting All Time Blocks section in this chapter. 7It may be necessary to change the end times and other information for the remaining time blocks. Select a time block to edit and continue to Step8, or if you do not need to make any changes, select Done and go to Step12.12652297_07167776001.indb 126 10/20/14 11:18 AM
11Edit any other time block (reference Step7). Once all time blocks are complete, select Done and continue to Step12.10 12Set the Carbohydrate ratio and Insulin sensitivity. Select Done.Select Save.9Set the Upper value and Lower value. Select Next.712752297_07167776001.indb 127 10/20/14 11:18 AM
7.6 Bolus Advice: Resetting All Time BlocksThis section is for resetting and re-entering the settings for all of the time blocks if bolus advice has been set up. One reason for resetting the time blocks is to change the start time of the first time block. Before you reset the time blocks, have the following information available: jThe number of time blocks you need with start and end times for each jThe blood glucose target range, carbohydrate ratio, and insulin sensitivity for each time block The health event percentages and the advice options (meal rise, snack size, acting time, and offset time) are not reset. w WARNINGIt is strongly recommended that you discuss possible updates to your bolus advice settings with your healthcare professional prior to making changes.12852297_07167776001.indb 128 10/20/14 11:18 AM
Main Menu > Settings > Bolus Advice > Time Blocks2Select Bolus Advice.1From the Main Menu, select Settings.4Select Reset.3Select Time Blocks.712952297_07167776001.indb 129 10/20/14 11:18 AM
6Set the Start time and End time for the first time block. Select Next.5Select Yes.7Set the default Upper value and Lower value. Select Next.8Set the default Carbohydrate ratio and Insulin sensitivity. Select Next.13052297_07167776001.indb 130 10/20/14 11:18 AM
9Select OK.10Select a time block to edit and continue to Step11, or if you do not need to make any changes, select Done and go to Step15.NOTE jThe End time of a time block is the same as the Start time of its following time block. Only an End time can be changed, which changes the Start time of the following time block. jChanging the End time of the last time block does not change the Start time of the first time block, but it creates a new time block. See the Bolus Advice: Adding a Time Block section in this chapter. jIf the End time of a time block is decreased until it is the same as its Start time, the time block is deleted. See the Bolus Advice: Deleting Time Blocks section in this chapter. 713152297_07167776001.indb 131 10/20/14 11:18 AM
11Set the End time. Select Next.12Set the Upper value and Lower value. Select Next.13Set the Carbohydrate ratio and Insulin sensitivity. Select Done.13252297_07167776001.indb 132 10/20/14 11:18 AM
15Select Save.14Edit any other time block (reference Step10). Once all time blocks are complete, select Done and continue to Step15.713352297_07167776001.indb 133 10/20/14 11:18 AM
Main Menu > Settings > Bolus Advice > Health Events2Select Bolus Advice.1From the Main Menu, select Settings.7.7 Health Event PercentagesThis section is for changing Health Event percentages if bolus advice has been set up. w WARNINGIt is strongly recommended that you discuss possible updates to your bolus advice settings with your healthcare professional prior to making changes.13452297_07167776001.indb 134 10/20/14 11:18 AM
3Select Health Events.4Set the percentages for health events. Scroll the screen to see more health events. Select Save.5Select Save.713552297_07167776001.indb 135 10/20/14 11:18 AM
Main Menu > Settings > Bolus Advice > Advice Options2Select Bolus Advice. 1From the Main Menu, select Settings.7.8 Advice Options: Meal Rise, Snack Size, Acting Time, Offset TimeThis section is for changing the values for meal rise, snack size, acting time, and offset time if bolus advice has been set up. w WARNINGIt is strongly recommended that you discuss possible updates to your bolus advice settings with your healthcare professional prior to making changes.13652297_07167776001.indb 136 10/20/14 11:18 AM
5Select Save.3Select Advice Options.4Set the Meal rise, Snack size, Acting time, and Offset time. Select Save.713752297_07167776001.indb 137 10/20/14 11:18 AM
1From the Main Menu, select Settings.2Select Bolus Advice.3 4Select Off. Select Save. All bolus advice settings are deleted if you continue. Select Yes to turn off bolus advice.7.9 Turning Off Bolus AdviceOnce turned off, bolus advice must be set up to be used again.Main Menu > Settings > Bolus Advice > Bolus Advice Settings13852297_07167776001.indb 138 10/20/14 11:18 AM
81398.1 OverviewYou can make the following changes to the meter to adjust it to your individual therapy requirements and personal preferences. Consult with your healthcare professional to ensure the appropriate settings are selected.Device settings jDate and time jMode settings: sound, vibration, and signal suspension jHome screen default jTouchscreen: tone and vibration jDisplay brightness jBackground color jLanguageTime blocks jStart times, end times, and target ranges for time blocks jAdd or delete a time block jReset all time blocksTherapy settings jWarning limits: Hyper and Hypo jInsulin increment jMax bolus amount jCarbohydrate unit8 Changing Meter Settings52297_07167776001.indb 139 10/20/14 11:18 AM
NOTE jWhen editing a setting, any unsaved changes are discarded if the meter turns o or if a test strip is inserted into the meter. jIf bolus advice is turned on, see the Changing Bolus Advice Settings chapter in this user’s manual to change the time blocks, health events, and advice options (meal rise, snack size, acting time, and oset time).14052297_07167776001.indb 140 10/20/14 11:18 AM
8.2 Date, Time, and Time FormatMain Menu > Settings > Date and Time1 3From the Main Menu, select Settings.Date and Time: Select and set the appropriate fields. Time Format: Choose 12hr or 24hr. Select Save.2Select Date and Time.814152297_07167776001.indb 141 10/20/14 11:18 AM
1 28.3 Mode Settings: Sound, VibrationFrom the Main Menu, select Settings.Select Mode Settings.You can choose whether you want the meter to sound, vibrate, or do both at the same time as an event occurs (such as a Warning). You can adjust the sound volume.Main Menu > Settings > Mode Settings14252297_07167776001.indb 142 10/20/14 11:18 AM
3Choose a mode.4 5Choose the desired mode setting. Set the volume, if applicable. Select Save.Select Save.814352297_07167776001.indb 143 10/20/14 11:18 AM
18.4 Mode Settings: Signal SuspensionMain Menu > Settings > Mode Settings > Signal Suspension2Select Mode Settings.NOTEWarnings that occur during the signal suspension period are displayed when the meter turns on, or when the signal suspension period ends.From the Main Menu, select Settings.You can suspend the signals for Warnings for a specified period of time. However, since Error and Maintenance messages require your immediate attention, you cannot suspend these event signals. Also, the Reminders you programmed will not be suspended.A signal suspension can be set to occur once or it can be set to repeat at the same time every day.14452297_07167776001.indb 144 10/20/14 11:18 AM
3Select Signal Suspension.4 5 6Select On: Set the Start time and End time. Continue to Step5.Select Off: Select Save. Go to Step6.If On is selected, scroll the screen and choose either Once or Repeat. Select Save. Select Save. 814552297_07167776001.indb 145 10/20/14 11:18 AM
28.5 Home Screen Default1From the Main Menu, select Settings.Scroll the screen and select Meter Settings.4Choose a screen. Select Save.3Select Home Screen.The Home screen is the screen displayed when the meter is powered on or after you complete a meter function, like delivering a bolus or changing a setting. You can choose either the Main Menu or Status screen to be the Home screen.Main Menu > Settings > Meter Settings > Home Screen14652297_07167776001.indb 146 10/20/14 11:18 AM
8.6 Touchscreen: Tone, Vibration1 2From the Main Menu, select Settings.Scroll the screen and select Meter Settings.4Choose the desired touchscreen setting. Select Save.3Select Touchscreen.You can choose whether you want the meter to emit a tone, vibrate, do both at the same time, or do neither when you make a selection on the touchscreen.Main Menu > Settings > Meter Settings > Touchscreen814752297_07167776001.indb 147 10/20/14 11:18 AM
8.7 BrightnessYou can adjust the brightness level of the meter display for different lighting conditions.Main Menu > Settings > Meter Settings > Brightness12From the Main Menu, select Settings.Scroll the screen and select Meter Settings.4Set the brightness level. Select Save.3Select Brightness.14852297_07167776001.indb 148 10/20/14 11:18 AM
8.8 Background ColorYou can choose the background color of the meter display to be either dark or light.Main Menu > Settings > Meter Settings > Background Color1 2From the Main Menu, select Settings.Scroll the screen and select Meter Settings.4Choose the desired background color. Select Save.3Select Background Color.814952297_07167776001.indb 149 10/20/14 11:18 AM
3Choose the desired language. Select Save.8.9 LanguageYou can select a language for the screen text from a predefined list.Main Menu > Settings > Language2Scroll the screen and select Language.1From the Main Menu, select Settings.15052297_07167776001.indb 150 10/20/14 11:18 AM

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