Roche Diabetes Care 816 Hand Held Blood Glucose Meter User Manual manual pt 2

Roche Diagnostics Operations, Inc. Hand Held Blood Glucose Meter manual pt 2

Contents

manual pt 2

1 28.10 Time Block SettingsThis section is for changing the settings for individual time blocks when bolus advice is turned off. These time block settings include: jStart time jEnd time jTarget range Main Menu > Settings > Time BlocksNOTEIt is recommended that you discuss possible updates to your time block settings with your healthcare professional prior to making changes. From the Main Menu, select Settings.Select Time Blocks. 815152297_07167776001.indb 151 10/20/14 11:18 AM
3Select a time block to edit.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 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 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 Deleting Time Blocks section in this chapter. NOTETime Blocks cannot be selected if it is shaded. The shading means bolus advice is turned on. If Time Blocks is shaded, go to the Bolus Advice: Time Block Settings section in the Changing Bolus Advice Settings chapter in this user’s manual. 15252297_07167776001.indb 152 10/20/14 11:18 AM
4Set the End time. Select Next. 6Edit any other time block (reference Step3). Once all time blocks are complete, select Done. 5Set the Upper value and Lower value. Select Save. 815352297_07167776001.indb 153 10/20/14 11:18 AM
8.11 Adding a Time BlockThis section is for adding a time block if bolus advice is turned off. 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 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 start time, end time, and other information for each time block until all of the time blocks are set up the way you want them. NOTEIt is recommended that you discuss possible updates to your time block settings with your healthcare professional prior to making changes. 15452297_07167776001.indb 154 10/20/14 11:18 AM
3Select the last time block. NOTETime Blocks cannot be selected if it is shaded. The shading means bolus advice is turned on. If Time Blocks is shaded, go to the Bolus Advice: Adding a Time Block section in the Changing Bolus Advice Settings chapter in this user’s manual. 2Select Time Blocks. 1From the Main Menu, select Settings.Main Menu > Settings > Time Blocks815552297_07167776001.indb 155 10/20/14 11:18 AM
5Select Next. 4Decrease 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 Start time and 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. 15652297_07167776001.indb 156 10/20/14 11:18 AM
6 7Set the Upper value and Lower value for the new time block. Select Save. It may be necessary to change the start times, end times, and settings of other time blocks. Select a time block to edit and continue to Step8. If you do not need to make any changes, select Done and the addition of the time block is complete.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 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 Deleting Time Blocks section in this chapter. 815752297_07167776001.indb 157 10/20/14 11:18 AM
8 10Set the End time. Select Next. Edit any other time block (reference Step7). Once all time blocks are complete, select Done. 9Set the Upper value and Lower value. Select Save. 15852297_07167776001.indb 158 10/20/14 11:18 AM
8.12 Deleting Time BlocksThis section is for deleting time blocks if bolus advice is turned off. 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 for each time blockAfter time blocks are deleted, it may be necessary to change the start times, end times, and other information for the remaining time blocks until all of the time blocks are set up the way you want them.NOTEIt is recommended that you discuss possible updates to your time block settings with your healthcare professional prior to making changes.815952297_07167776001.indb 159 10/20/14 11:18 AM
8.12.1 Deleting One or More Time BlocksThis method of deleting one or more time blocks is accomplished by combining time blocks. Main Menu > Settings > Time Blocks1 2From the Main Menu, select Settings.Select Time Blocks. NOTETime Blocks cannot be selected if it is shaded. The shading means bolus advice is turned on. If Time Blocks is shaded, go to the Bolus Advice: Deleting Time Blocks section in the Changing Bolus Advice Settings chapter in this user’s manual.16052297_07167776001.indb 160 10/20/14 11:18 AM
3Select the first time block that is to be combined.NOTE jFor this example, the last 3 time blocks are combined into one time block. jThe target range values in this first time block selected are used in the resulting time block. 4Increase the End time until it equals the End time of the last time block to be deleted. Select Next.5Select Yes. 816152297_07167776001.indb 161 10/20/14 11:18 AM
6It may be necessary to change the start times, end times, and other information for the remaining time blocks. Select a time block to edit and continue to Step7. If you do not need to make any changes, select Done. 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 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 Resetting All Time Blocks section in this chapter. 7Set the End time. Select Next. 16252297_07167776001.indb 162 10/20/14 11:18 AM
8 9Set the Upper value and Lower value. Select Save.Edit any other time block (reference Step6). Once all time blocks are complete, select Done. 816352297_07167776001.indb 163 10/20/14 11:18 AM
8.12.2 Deleting a Single Time BlockTo delete a time block, decrease the time block’s end time until it equals its start time. Main Menu > Settings > Time BlocksNOTETime Blocks cannot be selected if it is shaded. The shading means bolus advice is turned on. If Time Blocks is shaded, go to the Bolus Advice: Deleting Time Blocks section in the Changing Bolus Advice Settings chapter in this user’s manual.1From the Main Menu, select Settings. 2Select Time Blocks. 16452297_07167776001.indb 164 10/20/14 11:18 AM
5Select Yes. 4Decrease the End time until it equals the Start time. Select Next. 3Select the time block to delete. 816552297_07167776001.indb 165 10/20/14 11:18 AM
6It may be necessary to change the start times, end times, and other information for the remaining time blocks. Select a time block to edit and continue to Step7. If you do not need to make any changes, select Done.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 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 Resetting All Time Blocks section in this chapter. 16652297_07167776001.indb 166 10/20/14 11:18 AM
7Set the End time. Select Next.8Set the Upper value and Lower value. Select Save. 9Edit any other time block (reference Step6). Once all time blocks are complete, select Done. 816752297_07167776001.indb 167 10/20/14 11:18 AM
8.13 Resetting All Time BlocksThis section is for resetting and re‑entering the settings for all of the time blocks if bolus advice is turned off. 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 the start and end times for each jThe blood glucose target range for each time blockNOTEIt is recommended that you discuss possible updates to your time block settings with your healthcare professional prior to making changes.16852297_07167776001.indb 168 10/20/14 11:18 AM
Main Menu > Settings > Time Blocks1From the Main Menu, select Settings.3Select Reset.2Select Time Blocks.NOTETime Blocks cannot be selected if it is shaded. The shading means bolus advice is turned on. If Time Blocks is shaded, go to the Bolus Advice: Resetting All Time Blocks section in the Changing Bolus Advice Settings chapter in this user’s manual.816952297_07167776001.indb 169 10/20/14 11:18 AM
5Set the Start time and End time for the first time block. Select Next. 6Set the default Upper value and Lower value. Select Next. 7Select OK. 4Select Yes. 17052297_07167776001.indb 170 10/20/14 11:18 AM
8Select a time block to edit and continue to Step9. If you do not need to make any changes, select Done and the resetting of the time blocks is complete.9Set 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 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 Deleting Time Blocks section in this chapter. 817152297_07167776001.indb 171 10/20/14 11:18 AM
11Edit any other time block (reference Step8). Once all time blocks are complete, select Done. 10Set the Upper value and Lower value. Select Save. 17252297_07167776001.indb 172 10/20/14 11:18 AM
8.14 Warning Limits: Hypo, HyperYou can set blood glucose warning limits for hypoglycemia (hypo) or hyperglycemia (hyper) conditions. The meter displays the appropriate warning if your blood glucose result is below the hypo warning limit or above the hyper warning limit. w WARNINGConsult with your healthcare professional before changing your hypo and hyper warning limits.817352297_07167776001.indb 173 10/20/14 11:18 AM
23Select Warning Limits. Set the Hyper limit and the Hypo limit. Select Save.Main Menu > Meter > Warning Limits1Select Meter on either the Main Menu or Status screen.17452297_07167776001.indb 174 10/20/14 11:18 AM
3Choose the desired Insulin Increment. Select Save.8.15 Insulin IncrementInsulin increment is the amount by which your insulin dose is adjusted when programming a bolus or when entering a manual Logbook entry. The insulin increment can be set to either 0.5 or 1U.Main Menu > Settings > Insulin Increment1 2From the Main Menu, select Settings.Scroll the screen and select Insulin Increment.817552297_07167776001.indb 175 10/20/14 11:18 AM
8.16 Max Bolus AmountMax bolus serves as a safety measure against unintended large boluses. It is a meter setting that specifies a maximum amount of insulin that can be delivered in any single bolus. A bolus that is larger than the max bolus amount requires an additional confirmation. The max bolus can be set between 0 and 25U in increments of 1U or 0.5U (per the insulin increment value). w WARNINGConsult with your healthcare professional before changing your max bolus amount.17652297_07167776001.indb 176 10/20/14 11:18 AM
Main Menu > Settings > Max Bolus1From the Main Menu, select Settings.32Set the Max Bolus amount. Select Save.Scroll the screen and select Max Bolus.817752297_07167776001.indb 177 10/20/14 11:18 AM
1 32From the Main Menu, select Settings.Choose the desired Carbohydrate Unit. Select Save. Select Carbohydrate Unit.8.17 Carbohydrate UnitYou have a choice of different carbohydrate units (Grams, BE, KE, or CC). Main Menu > Settings > Carbohydrate UnitNOTEGrams (g) is the standard unit of measure in the U.S.17852297_07167776001.indb 178 10/20/14 11:18 AM
9 Meter Reminders9.1 OverviewNOTEBlood glucose is sometimes shortened to bG, but it means the same thing. w WARNINGThe meter will not display reminders while it is connected and communicating to a Continua Certified® manager.917952297_07167776001.indb 179 10/20/14 11:18 AM
bG Test Reminders: After Meal, After Low bG, After High bG jAfter Meal reminds you to test after you mark a blood glucose result as Before Meal. jAfter Low bG reminds you to test after your blood glucose result is less than the low blood glucose threshold setting. jAfter High bG reminds you to test after your blood glucose result is greater than the high blood glucose threshold setting. jAt the scheduled time, the meter turns on and displays the reminder (if a test strip has not been inserted). However, if the meter is already on when the reminder is scheduled and no blood glucose test was performed, the reminder is displayed when the meter powers down. jWhen you perform a blood glucose test, the meter dismisses any blood glucose test reminders which are pending within the next 30minutes. If necessary, a new reminder is scheduled based upon the blood glucose result. jAfter Meal Reminder and After Low bG Test Reminder: Select Snooze to reschedule the reminder in 5minutes, or select Dismiss to end the reminder. jAfter High bG Test Reminders: Select Snooze to reschedule the reminder in 15minutes, or select Dismiss to end the reminder. Date Reminders: Dr. Visit, Lab Test, CustomizedDate reminders are a helpful way to remind you of an upcoming Dr. visit or lab test. In addition, you can set up a customized date reminder. jThese reminders are displayed when you turn the meter on and a test strip has not been inserted. jSelect Snooze to reschedule the reminder in 15minutes, or select Dismiss to end the reminder.18052297_07167776001.indb 180 10/20/14 11:18 AM
Alarm Clock Reminders: bG Test, Other, Basal InjectionAlarm clock reminders are a helpful way to remind you to test your blood glucose, or for any other daily appointment. jAt the scheduled time, the meter turns on and displays the reminder (if a test strip has not been inserted). However, if the meter is already on when the reminder is scheduled and no blood glucose test was performed for an Alarm Clock bG Test Reminder, the reminder is displayed when the meter powers down. jWhen you perform a blood glucose test, the meter dismisses Alarm Clock bG Test reminders which are pending within the next 30minutes. jYou can set up to 8alarm clock reminders. jSelect Snooze to reschedule the reminder in 15minutes, or select Dismiss to end the reminder. Medication RemindersA medication reminder can be used to let you know when it is time to take a medication. A medication reminder can be set to occur one time or every day at the same time. jYou can set up to 5medication reminders. jYou can give each medication reminder a unique name. jSelect Snooze to reschedule the reminder for 15minutes, or select Dismiss to end the reminder. 918152297_07167776001.indb 181 10/20/14 11:18 AM
3Select After Meal.4Set the Remind after time. To change the tone, select Tone and continue to the next step; otherwise go to Step6.9.2 Blood Glucose Test Reminder: After MealMain Menu > Meter > bG Test Reminders > After Meal1Select Meter on either the Main Menu or Status screen.2Select bG Test Reminders.18252297_07167776001.indb 182 10/20/14 11:18 AM
5Choose a tone. Select Save.NOTE jSelect to hear the tone. jScroll the screen for more tone choices.6Select On to activate the reminder. Select Save.918352297_07167776001.indb 183 10/20/14 11:18 AM
9.3 Blood Glucose Test Reminder: After High Blood Glucose Result1Select Meter on either the Main Menu or Status screen.2Select bG Test Reminders.3Select After High bG.4Set the bG threshold. Set the Remind after time. To change the tone, select Tone and continue to the next step; otherwise go to Step6.Main Menu > Meter > bG Test Reminders > After High bG18452297_07167776001.indb 184 10/20/14 11:18 AM
5Choose a tone. Select Save.NOTE jSelect to hear the tone. jScroll the screen for more tone choices.6Select On to activate the reminder. Select Save.918552297_07167776001.indb 185 10/20/14 11:19 AM
3Select After Low bG.4Set the bG threshold. Set the Remind after time. To change the tone, select Tone and continue to the next step; otherwise go to Step6.9.4 Blood Glucose Test Reminder: After Low Blood Glucose Result1Select Meter on either the Main Menu or Status screen.2Select bG Test Reminders.Main Menu > Meter > bG Test Reminders > After Low bG18652297_07167776001.indb 186 10/20/14 11:19 AM
Choose a tone. Select Save.NOTE jSelect to hear the tone. jScroll the screen for more tone choices.6Select On to activate the reminder. Select Save.5918752297_07167776001.indb 187 10/20/14 11:19 AM
9.5 Doctor Visit ReminderMain Menu > Settings > Reminders > Dr. Visit1From the Main Menu, select Settings.2Select Reminders.3Select Dr. Visit.4Set the date and time. To change the tone, select Tone and continue to the next step; otherwise go to Step6.18852297_07167776001.indb 188 10/20/14 11:19 AM
5Choose a tone. Select Save.NOTE jSelect to hear the tone. jScroll the screen for more tone choices.6Select On to activate the reminder. Select Save.918952297_07167776001.indb 189 10/20/14 11:19 AM
4Set the date and time. To change the tone, select Tone and continue to the next step; otherwise go to Step6.9.6 Lab Test ReminderMain Menu > Settings > Reminders > Lab Test1 2 3From the Main Menu, select Settings.Select Reminders. Select Lab Test.19052297_07167776001.indb 190 10/20/14 11:19 AM
5Choose a tone. Select Save.NOTE jSelect to hear the tone. jScroll the screen for more tone choices.6Select On to activate the reminder. Select Save.919152297_07167776001.indb 191 10/20/14 11:19 AM
9.7 Customized ReminderMain Menu > Settings > Reminders > Customized1 2 3From the Main Menu, select Settings.Select Reminders. Select Customized.NOTEIf you previously named the reminder, the name is displayed instead of Customized.19252297_07167776001.indb 192 10/20/14 11:19 AM
6To change the reminder name, scroll the screen and select Edit Name; otherwise go to Step8.4 5Set the date and time. To change the tone, select Tone and continue to the next step; otherwise go to Step6.Choose a tone. Select Save.NOTE jSelect to hear the tone. jScroll the screen for more tone choices.919352297_07167776001.indb 193 10/20/14 11:19 AM
7Delete the previous name. Type a name. Select .8Select On to activate the reminder. Select Save.19452297_07167776001.indb 194 10/20/14 11:19 AM
9.8 Alarm Clock ReminderMain Menu > Settings > Reminders > Alarm Clock1 2 3From the Main Menu, select Settings.Select Reminders. Select Alarm Clock.4Select a reminder.919552297_07167776001.indb 195 10/20/14 11:19 AM
NOTE jScroll the screen to display additional reminders. jReminders that are On are shown with a green indicator.5Select On to activate the reminder or select Off to turn off the reminder. To change this reminder: Select the field to change and refer to the instructions on the following pages. When setup is completed, select Save.19652297_07167776001.indb 196 10/20/14 11:19 AM
Alarm Clock Detail Entries Screens for Entries of an Alarm Clock ReminderTypeChoose the type of reminder. Select Save.TimeSet the reminder time. Select Save.Type The reminder type is displayed when the reminder occurs.Time The time of day the reminder occurs.Recurrence The reminder occurs one time or every day at the same time.Tone Choose a unique tone for each reminder.919752297_07167776001.indb 197 10/20/14 11:19 AM
RecurrenceChoose Once or Repeat. Select Save.NOTE jSelect to hear the tone. jScroll the screen for more tone choices.ToneChoose a tone. Select Save.19852297_07167776001.indb 198 10/20/14 11:19 AM
9.9 Medication ReminderMain Menu > Settings > Reminders > Medication1 2 3 4From the Main Menu, select Settings.Select Reminders. Select Medication. Select a Medication reminder.919952297_07167776001.indb 199 10/20/14 11:19 AM
5NOTE jIf you previously named the reminder, the name is displayed instead of Medication. jReminders that are On are shown with a green indicator.Select On to activate the reminder or select Off to turn off the reminder. To change this reminder: Select the field to change and refer to the instructions on the following pages. When entries are completed, select Save.20052297_07167776001.indb 200 10/20/14 11:19 AM
Medication Reminder EntriesTime The time of day the reminder occurs.Recurrence Reminder occurs one time or every day at the same time.Tone Choose a unique tone for each reminder.Edit Name Name the reminder.Screens for Entries of a Medication ReminderTimeSet the reminder time. Select Save.RecurrenceChoose Once or Repeat. Select Save.920152297_07167776001.indb 201 10/20/14 11:19 AM
ToneChoose a tone. Select Save.NOTE jSelect to hear the tone. jScroll the screen for more tone choices.Edit NameDelete the previous name. Type a name. Select .20252297_07167776001.indb 202 10/20/14 11:19 AM
1020310 Communication10.1 OverviewThe meter can communicate with a PC using a USB connection to control and share data, as well as send and receive data from any compatible software. 52297_07167776001.indb 203 10/20/14 11:19 AM
1220410.2 Connecting the Meter to a PC using a USB CablePlug the small end of the USB cable into the meter.Plug the large end of the USB cable into an available USB port on the PC.NOTE jIf the meter is already connected to a PC with a USB cable but is charging in idle status, you can establish a data connection. From the Main Menu, select Communication > Connect to PC. jThe meter cannot be used to perform a bG test while connected to a PC.52297_07167776001.indb 204 10/20/14 11:19 AM
102053Select Connect to PC. Select OK.The meter attempts to connect to the PC.NOTE jIf the meter does not respond automatically to being connected to a PC, select Connect to PC from the Communication menu. jBy selecting Charge only, the meter charges its battery through the USB connection and does not otherwise communicate with the PC. jSelect Set as default to not see this screen again in the future. Every time you connect a USB cable, the meter automatically performs the selected action.52297_07167776001.indb 205 10/20/14 11:19 AM
206The battery charge screen appears. After about 3seconds, the meter screen goes blank. Charging continues.When the meter successfully connects to the PC, the Connected screen appears and data transfer begins. Do not disconnect the USB cable during data transfer.When the meter has completed transferring data, the Complete screen appears.52297_07167776001.indb 206 10/20/14 11:19 AM
10.3 Changing USB Cable Connection Settings12The Communication Settings menu allows you to choose what the meter does when you connect it to a PC with a USB cable. Main Menu > Communication > SettingsFrom the Main Menu, select Communication.Select Settings.1020752297_07167776001.indb 207 10/20/14 11:19 AM
Option Description Connect to PC The meter automatically connects to the PC. Charge only The meter takes no immediate action upon being connected and charges the battery only. Prompt upon USB connect The meter prompts you to choose your desired communication setting upon being connected. 3Select the desired option. Select Save.20852297_07167776001.indb 208 10/20/14 11:19 AM
11 Travel Settings11.1 OverviewNOTETurning the Flight Mode on can also help to conserve battery power. Most airlines and many governments ban the use of wireless radio devices during flight. Flight Mode enables the meter to comply with these regulations while retaining your ability to safely use the non‑wireless functions of the meter. 1120952297_07167776001.indb 209 10/20/14 11:19 AM
11.2 Turning On Flight ModeMain Menu > Flight Mode1 2 3From the Main Menu, select Flight Mode. Select Flight Mode on. Select OK. 21052297_07167776001.indb 210 10/20/14 11:19 AM
11.3 Turning Off Flight ModeMain Menu > Flight Mode1 2 3From the Main Menu, select Flight Mode. Select Flight Mode off. Select OK. 1121152297_07167776001.indb 211 10/20/14 11:19 AM
21252297_07167776001.indb 212 10/20/14 11:19 AM
1221312 My Data12.1 OverviewNOTEBlood glucose is sometimes shortened to bG, but it means the same thing.Analyzing your information stored in the meter is an effective way for you and your healthcare professional to determine how well you are controlling your diabetes. This analysis is a valuable tool for making improvements to your diabetes management. The reports the meter displays help you get the most from your ACCU‑CHEK Aviva Insight Diabetes Manager. The meter generates graphs and reports to help you analyze the information stored in the meter. Graphs can be a good way to view your blood glucose results. The meter can display a line graph to depict the trends of your blood glucose results with other information, such as your bolus history, a graph showing result ranges for a standard day or a standard week, and a pie chart with different colors to illustrate the number of test results within, above, or below your blood glucose target range.52297_07167776001.indb 213 10/20/14 11:19 AM
21412.2 The LogbookNOTE jThe logbook on the meter replaces the physical blood glucose diary you may have kept in the past. jLogbook data cannot be changed if that data was used to calculate bolus advice. The meter automatically stores up to 2,000 logbook records with the time and date. You can review up to the last 250 logbook records on the meter or up to 2,000 logbook records using a computer with compatible software. Logbook records are stored from the newest to the oldest. jEach logbook record can contain: Date and time jBlood glucose result jMeal time (events) jCarbohydrate intake jHealth event jBolus type jBolus amount jNote jQuick Notes From the logbook records stored in the meter, you are able to view a specific blood glucose result with its attributes (e.g., meal time, carbohydrates, health event, and bolus). In addition, for a specific logbook record, you are able to change or add to its attributes. 52297_07167776001.indb 214 10/20/14 11:19 AM
12215NOTE jDo not change your therapy based on one individual record or test result in the logbook. jThis chapter shows sample screens. The screens may look slightly dierent from the screens on the meter. If you have any questions about the meter screens, contact ACCU‑CHEK Customer Care Service Center at 1‑800‑688‑4578. jThe information in the logbook is saved when you replace the meter battery. You should check the time and date after replacing the battery. For more information on changing the battery, see the Care and Maintenance chapter of this user’s manual. jIt is very important to have the correct time and date set. Having the correct time and date setting helps ensure accurate interpretation of information by you and your healthcare professional. jOnce 2,000 records are in the logbook, adding a new record causes the oldest logbook record to be deleted. jControl results are stored in the meter, but cannot be reviewed in the logbook. Control results can be reviewed using a computer with compatible software. jBefore reviewing logbook records or control results on a PC, the stored logbook records must first be transferred to a PC running a compatible software application. For product availability, contact ACCU‑CHEK Customer Care Service Center at 1‑800‑688‑4578. jControl results are not used in any report or graph on the meter. 52297_07167776001.indb 215 10/20/14 11:19 AM
21612.2.1 Understanding the Logbook1 Meal time icon 2 Health event icon 3 Time of record 4 Date of record5 Quick Notes icon 6 Basal icon7 Indicates bG column 8 Indicates bolus column 9 Indicates carbohydrate column 10 Blood glucose result 11 Bolus type icon 5 6432187IFGJKCDE9AHB52297_07167776001.indb 216 10/20/14 11:19 AM
12217NOTEThe Logbook screen displays the records in the order in which they occurred with the most recent record shown on top.12 Carbohydrates icon 13 Carbohydrates amount 14 Carbohydrates advice accepted icon 15 Bolus advice not accepted icon 16 Carbohydrates advice not accepted icon 17 Bolus advice accepted icon 18 Bolus amount 19 bG value range icon 20 Note icon 52297_07167776001.indb 217 10/20/14 11:19 AM
218Icon descriptions Icon Icon name Description bG Value Range Indicator Icon background color indicates where the blood glucose result falls within the target range. The background colors of this icon represent: jGreen: within target range jYellow: below target range jRed: hypo jBlue: above target range or hyper Meal time Icon is displayed when information exists for this record regarding meal time. Carbohydrates Icon is displayed when information exists for this record regarding carbohydrates. Carbohydrates advice accepted Icon is displayed when the carbohydrate amount from the bolus advice recommendation hypo warning screen was used. Carbohydrates advice not accepted Icon is displayed when the carbohydrate amount from the bolus advice recommendation hypo warning screen was changed. Health event Icon is displayed when information exists for this record regarding health events. 52297_07167776001.indb 218 10/20/14 11:19 AM
12219Icon Icon name Description Basal insulin Basal insulin entered into your logbook record. Bolus advice accepted Bolus advice recommendation from the meter was accepted. Bolus advice not accepted Bolus advice recommendation from the meter was changed prior to delivery. Bolus manually delivered using pen/syringe Bolus delivered using pen/syringe. Quick Notes Icon is displayed when informaiton exists for this record regarding Quick Notes.Note Icon is displayed when information exists for this record regarding a Note.52297_07167776001.indb 219 10/20/14 11:19 AM
22012.2.2 Viewing and Adjusting Logbook Data NOTE jLogbook data that has been used for bolus advice (with the exception of notes) cannot be adjusted. jBlood glucose results cannot be adjusted. 12From the Main Menu, select My Data. Select Logbook. Main Menu > My Data > Logbook3Select the desired logbook record.For a logbook record with Quick Notes only, go to Step 5.52297_07167776001.indb 220 10/20/14 11:19 AM
12221NOTE jScroll down to view additional records if they are present. jLogbook records which have been used for bolus advice contain either the Bolus Advice Accepted icon: or the Bolus Advice Not Accepted icon: . These records are locked and can be viewed but not adjusted. jLocked logbook records do not display the Save button at the bottom of the individual data item screens. Only the Back button is displayed.4To view and adjust an entry, select it and refer to the instructions on the following pages. When you are finished, select Back to return to the My Data menu.52297_07167776001.indb 221 10/20/14 11:19 AM
222Screens for viewing and adjusting entries in the logbookMeal TimeChoose applicable meal time. Select Save.CarbohydratesSet the amount of carbohydrates consumed. Select Save.Health EventsChoose up to 4 health events. Select Save.If bolus advice is turned on and multiple health events have been chosen, this screen is displayed. Set a single, summarized health event percentage to cover the impact of the chosen health events. Select Save. 52297_07167776001.indb 222 10/20/14 11:19 AM
12223Basal insulinSet the basal insulin amount. Select Save.Set bolus amounts. Select Save. NOTEIf a Carbohydrate Bolus is entered and no Carbohydrate Amount has been entered (Carbohydrates displays No Entry on the bG Record screen in Step 4), you are prompted to enter an amount for carbohydrates. An amount is not required, but the more complete the data the more accurate any future bolus insulin recommendations are when using bolus advice.Bolus52297_07167776001.indb 223 10/20/14 11:19 AM
224Note Type a note to save with this record. Select . 5Select Quick Notes to make an update. Select Note to type a note using the keyboard. Select Back to return to Step 3.52297_07167776001.indb 224 10/20/14 11:19 AM
1222512 3From the Main Menu, select My Data. Select Add Data. Select any of the options on the Add Data screen and refer to the instructions on the following pages. 12.2.3 Adding New Data to the LogbookMain Menu > My Data > LogbookWhen you are finished, select Save to save your entry and return to the My Data menu.52297_07167776001.indb 225 10/20/14 11:19 AM
226Screens for adding new dataDate and Time Set the date and time. Select Save. Meal Time Choose an applicable meal time. Select Save. Carbohydrates Set the amount of carbohydrates consumed. Select Save. 52297_07167776001.indb 226 10/20/14 11:19 AM
12227Health EventsChoose up to 4 health events. Select Save. Bolus Set bolus amounts. Select Save. If bolus advice is turned on and multiple health events have been chosen, this screen is displayed. Set a single, summarized health event percentage to cover the impact of the chosen health events. Select Save. 52297_07167776001.indb 227 10/20/14 11:19 AM
228Basal insulin Set the basal insulin amount. Select Save. Note Type a note to save with this record. Select .NOTEIf a Carbohydrate Bolus is entered and no Carbohydrate Amount has been entered (Carbohydrates displays No Entry on the Add Data screen in Step 3), you are prompted to enter an amount for carbohydrates. An amount is not required, but the more complete the data the more accurate any future bolus insulin recommendations are when using bolus advice.52297_07167776001.indb 228 10/20/14 11:19 AM
1222912.3 The Trend GraphWith the trend graph, the meter displays your blood glucose trends and other information using logbook data for the time scale and meal time you choose. 52297_07167776001.indb 229 10/20/14 11:19 AM
230513468DBC97AEF21 Times of day or days of the month 2 Hypo warning limit Red horizontal line 3 Green area Indicates blood glucose target range 4 Carbohydrate value Brown bar: height shown is in relation to the carbohydrate amount 5 Basal unit of measurement 6 Time scale 7 Scroll left / right buttons Moves forward or back in time by the time scale chosen. Example: For a 7‑day time scale, selecting the scroll left icon shows the data from the 7days before the dates currently shown. 12.3.1 Understanding the Trend Graph52297_07167776001.indb 230 10/20/14 11:19 AM
122318 Selected meal time 9 Bolus unit of measurement 10 Health Event Indicates a health event exists for this record 11 Bolus Pink bar: height shown is in relation to the bolus insulin amount 12 Basal value Blue bar: height shown is in relation to the basal insulin amount 13 Blood glucose result Displayed as Xs and connected with lines 14 Carbohydrate unit of measurement 15 Blood glucose unit of measurement 16 Arrow (Not shown) Indicates blood glucose data extends beyond screen 52297_07167776001.indb 231 10/20/14 11:19 AM
232NOTE jIf data is not available, the No Data Available screen is displayed. jTrend graphs do not include corrupt results or control results. jOn the upper right side of the graph, the maximum bolus amount indicator is the pink tick mark with the largest value shown beside it (on this example screen: 15U). The purpose of this indicator is to adjust the scale for the top portion of the graph based on the single biggest bolus insulin amount (callout #11) delivered for the time chosen (callout #6). The maximum bolus amount indicator values available on the meter are 1, 5, 15, 30, and 60U. For example, if the single biggest amount is 8U, then the meter scales the upper graph to be between 0 and 15U. 52297_07167776001.indb 232 10/20/14 11:19 AM
12233NOTE jOn the lower right side of the graph, the maximum carbohydrates amount indicator is the brown tick mark with the largest value shown beside it (on this example screen: 80g). The purpose of this indicator is to adjust the scale for the bottom portion of the graph based on the single biggest carbohydrate amount (callout #4) for the time chosen (callout #6). The maximum carbohydrates amount indicator values available on the meter are 40, 80, 120, 160, 200, and 240g, or the equivalent scale for BE, KE, or CC. For example, if the single biggest carbohydrates amount is 76g, then the meter scales the lower graph to be between 0 and 80g. jOn the upper left side of the graph, the maximum basal amount indicator is the blue tick mark with the largest value shown beside it (on this example screen: 10U). The purpose of this indicator is to adjust the scale for the top portion of the graph based on the single biggest basal insulin amount (callout #12) delivered for the time chosen (callout #6). The maximum basal amount indicator values available on the meter are 1, 2, 5, 10, 20, and 40U. For example, if the single biggest amount is 9U, then the meter scales the upper graph to be between 0 and 10U. 52297_07167776001.indb 233 10/20/14 11:19 AM
23412.3.2 Viewing the Trend GraphMain Menu > My Data > Trend1 2 3From the Main Menu, select My Data. Select Trend. Select Configure to change how the trend graph displays your trend data. NOTESelect to view a list of trend icons and their explanations. 52297_07167776001.indb 234 10/20/14 11:19 AM
122354Select any of the options on the Configure Graph screen and refer to the instructions in the rest of this section. When you are finished, select Back to return to the trend graph displaying your data in the manner you selected. 52297_07167776001.indb 235 10/20/14 11:19 AM
236Screens for configuring the trend graph Time ScaleSelect the time scale. Select Save.Data OptionsSelect 1 or more data options. Select Save.Meal TimeSelect the meal time.Select Save. 52297_07167776001.indb 236 10/20/14 11:19 AM
1223712.4 The Standard WeekNOTEThe standard deviation measures how spread out the blood glucose results are from the blood glucose average. A high standard deviation means the blood glucose results vary greatly around the blood glucose average. With the Standard Week graph, the meter displays your blood glucose averages, number of tests, and standard deviations for each day of an average week, calculated using logbook data from the time scale and meal time you choose.52297_07167776001.indb 237 10/20/14 11:19 AM
23812.4.1 Understanding the Standard Week Graph and TableStandard Week Graph 1 Days of week 2 Box for each day jThe top of the box indicates the standard deviation above the average and the bottom of the box indicates the standard deviation below the average. The box is not displayed if there is not enough data to determine standard deviation. jThe top of the box is open if the standard deviation is off the top of the graph. jBox and “X” is not displayed for a day if no data is found. 3 Time scale 4 Meal time selection 1234567852297_07167776001.indb 238 10/20/14 11:19 AM
122395 Scroll left / right buttons Moves forward or back in time by the time scale chosen. Example: For a 7‑day time scale, selecting the scroll left icon shows the data from the 7days before the dates currently shown. 6 Blood glucose unit of measurement 7 X jIndicates each blood glucose result. j“X” in the center of a circle indicates the average of all blood glucose results for the selected criteria. 8 Hypo warning limit Red horizontal line 9 Arrow (Not shown) Indicates that there is data o the top of the graph. 52297_07167776001.indb 239 10/20/14 11:19 AM
2401 Highest blood glucose result for each day of the week 2 Blood glucose average for each day of the week 3 Lowest blood glucose result for each day of the week 4 Day of week 5 Time scale 6 Meal time selection 7 Standard deviation (SD) for each day of the week 8 Number of tests for each day of the week Standard Week Table Select Table to switch to the standard week table. The standard week table displays the same data as the standard week graph in table format. To return to the standard week graph from the standard week table, select Graph. 5432187652297_07167776001.indb 240 10/20/14 11:19 AM
1224112.4.2 Viewing Standard Week DataMain Menu > My Data > Standard Week1 2From the Main Menu, select My Data. Select Standard Week.NOTE jIf there is no data available to display the standard week graph and table for the time scale or meal time chosen, the No Data Available screen is displayed. jThe standard week graph and table do not include corrupt results, control results, HI values, or LO values.52297_07167776001.indb 241 10/20/14 11:19 AM
2423To change the time scale and meal time displayed for the standard week, select Configure. 4Select either of the options on the Configure Data screen and refer to the instructions in the rest of this section. Select Back when finished to return to the Standard Week graph or table.52297_07167776001.indb 242 10/20/14 11:19 AM
12243Screens for configuring standard week data Time scaleSelect a time scale. Select Save.Meal timeSelect a meal time. Select Save.52297_07167776001.indb 243 10/20/14 11:19 AM
24412.5 The Standard DayWith the Standard Day graph, the meter displays your blood glucose averages, number of tests, and standard deviations for each time block, calculated using logbook data from the time scale and meal time you choose. NOTERefer to the Changing Meter Settings chapter in this user’s manual for instructions on setting up the time blocks.NOTEThe standard deviation measures how spread out the blood glucose results are from the blood glucose average. A high standard deviation means the blood glucose results vary greatly around the blood glucose average.52297_07167776001.indb 244 10/20/14 11:19 AM
1224512.5.1 Understanding the Standard Day Graph and TableStandard Day Graph1 Time of day 2 Box for each time block jThe top of the box indicates 1 standard deviation above the average and the bottom of the box indicates 1 standard deviation below the average. The box is not displayed if there is not enough data to determine standard deviation. jThe top of the box is open if the standard deviation is off the top of the graph. jBox and “X” are not displayed for a time block if no data is found. 3 Time blocks Separated by the vertical dashed line 4 Time scale 413252297_07167776001.indb 245 10/20/14 11:19 AM
2465 Scroll left / right buttons Moves forward or back in time by the time scale chosen. Example: For a 7‑day time scale, selecting the scroll left icon shows the data from the 7days before the dates currently shown. 6 Meal time selection 7 Blood glucose unit of measurement 8 X jIndicates each blood glucose result. j“X” in the center of a circle indicates the average of all blood glucose results for the selected criteria. 9 Hypo warning limit Red horizontal line 10 Arrow (Not shown) Indicates that there is data off the top of the graph. 7569852297_07167776001.indb 246 10/20/14 11:19 AM
12247Standard Day Table Select Table to switch to the standard day table. The standard day table displays the same data as the standard day graph in table format. To return to the standard day graph from the standard day table, select Graph. 1 Blood glucose average for each time block 2 Lowest blood glucose result for each time block 3 Time block 4 Time scale 5 Meal time selection 6 Highest blood glucose result for each time block 7 Standard deviation (SD) for each time block 8 Number of tests for each time block 4321786552297_07167776001.indb 247 10/20/14 11:19 AM
248Viewing Standard Day DataMain Menu > My Data > Standard Day1 2From the Main Menu, select My Data.Select Standard Day.NOTE jIf there is no data available to display the standard day graph and table for the time scale or meal time chosen, the No Data Available screen is displayed. jThe standard day graph and table do not include corrupt results, control results, HI values, or LO values. 52297_07167776001.indb 248 10/20/14 11:19 AM
122494Select either of the options on the Configure Data screen and refer to the instructions in the rest of this section. Select Back when finished to save any changes and return to the standard day graph or table.3To change the time scale and meal time displayed, select Configure . Screens for configuring standard day data Time scale Select a time scale. Select Save.Meal time Select a meal time. Select Save.52297_07167776001.indb 249 10/20/14 11:19 AM
25012.6 Target DataThe meter displays a pie chart and table illustrating your blood glucose results as “Above,” “Within,” “Below,” and “Hypo” for the time scale and meal time you choose.52297_07167776001.indb 250 10/20/14 11:19 AM
1225112.6.1 Understanding the Target Chart and Target TableTarget Chart 1 Legend Blood glucose result categories 2 Target chart Represents the percentages for the blood glucose result categories 3 Time scale 4 Scroll left / right buttons Moves forward or back in time by the time scale chosen. Example: For a 7‑day time scale, selecting the scroll left icon shows the data from the 7days before the dates currently shown. 5 Meal time selection 6 Percentage of occurrence (Number shown in parenthesis represents the number of occurrences) 32146552297_07167776001.indb 251 10/20/14 11:19 AM
252Target Table Select Table to switch to the target table. The target table displays the same data as the target chart in table format. To return to the target chart from the target table, select Chart. 1 Number of occurrences 2 Meal time selection 3 Legend Blood glucose result categories 4 Time scale 5 Scroll left / right buttons Moves forward or back in time by the time scale chosen. Example: For a 7‑day time scale, selecting the scroll left icon shows the data from the 7days before the dates currently shown. 6 Target table 43216552297_07167776001.indb 252 10/20/14 11:19 AM
1225312.6.2 Viewing Target DataMain Menu > My Data > Target1 2From the Main Menu, select My Data.Select Target.NOTE jIf there is no data available to display the target chart and table for the time scale or meal time chosen, the No Data Available screen is displayed. jThe target chart and table do not include corrupt results, control results, or HI and LO results. 52297_07167776001.indb 253 10/20/14 11:19 AM
2544Select either of the options on the Configure Data screen and refer to the instructions in the rest of this section. Select Back when finished to save any changes and return to the target chart or table. 3To change the time scale and meal time displayed, select Configure. Screens for configuring target data: Time scaleSelect a time scale. Select Save.Meal timeSelect a meal time. Select Save.52297_07167776001.indb 254 10/20/14 11:19 AM
1225512.7 The bG Averages TableNOTEThe standard deviation measures how spread out the blood glucose results are from the blood glucose average. A high standard deviation means the blood glucose results vary greatly around the blood glucose average.The bG Averages table displays your blood glucose averages and standard deviations for the time scale and meal time you choose.52297_07167776001.indb 255 10/20/14 11:19 AM
25612.7.1 Understanding the bG Averages Table1 Other icon Data for all test results marked as Other 2 Fasting icon Data for all test results marked as Fasting 3 Bedtime icon Data for all test results marked as Bedtime 4 After meal icon Data for all test results marked as After meal 5 Before meal icon Data for all test results marked as Before meal 6 All icon Combined data from all meal times 54621379AB852297_07167776001.indb 256 10/20/14 11:19 AM
122577 Time scale 8 Scroll left / right buttons Moves forward or back in time by the time scale chosen. Example: For a 7‑day time scale, selecting the scroll left icon will show the data from the 7days before the dates currently shown. 9 Blood glucose standard deviation Calculated for the meal time 10 Number of tests Used to calculate the averages and standard deviation of each meal time 11 Blood glucose average Calculated for the meal time 52297_07167776001.indb 257 10/20/14 11:19 AM
25812.7.2 Viewing the bG Averages TableMain Menu > My Data > bG Averages1 2From the Main Menu, select My Data.Select bG Averages.NOTE jIf there is no data available to display the bG averages table for the time scale or meal time chosen, the No Data Available screen is displayed. jCalculations do not include corrupt results, control results, HI values, or LO values.52297_07167776001.indb 258 10/20/14 11:19 AM
12259NOTESelect to view a list of meal time icons and their explanations.4Choose a time scale. Select Save.53Select Time Scale to adjust the time scale of the bG Averages table.Select Back when finished to return to the My Data menu.52297_07167776001.indb 259 10/20/14 11:19 AM
26052297_07167776001.indb 260 10/20/14 11:19 AM
1326113 Cleaning and Disinfecting the Meter and Lancing Device13.1 OverviewWhat is the difference between cleaning and disinfecting? jCleaning is the removal of dirt from the meter or lancing device.* jDisinfecting is the removal of most, but not all, disease‑causing and other types of microorganisms (bloodborne pathogens) from the meter or lancing device.* * 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.” 52297_07167776001.indb 261 10/20/14 11:19 AM
262NOTEFor technical assistance or questions on cleaning and disinfecting, contact the ACCU‑CHEK Customer Care Service Center at 1‑800‑688‑4578.Approved Cleaning and Disinfecting Product The following product has been approved for cleaning and disinfecting the meter and lancing device: Super Sani‑Cloth (EPA* reg. no. 9480‑4) jSuper Sani‑Cloth can be purchased from Amazon.com, Officedepot.com, and Walmart.com. Do not use any other cleaning or disinfecting solutions. Using solutions other than the Super Sani‑Cloth could result in damage to the meter and lancing device. jThe effect of using more than one product interchangeably to clean and disinfect the meter and lancing device has not been tested. Always use Super Sani‑Cloth to clean and disinfect the meter and lancing device. *Environmental Protection Agency 52297_07167776001.indb 262 10/20/14 11:19 AM
1326313.2 Cleaning and Disinfecting the MeterTo clean and disinfect without damaging the meter, follow these procedures carefully. When to Clean and Disinfect the Meter jClean the meter to remove visible dirt or other material prior to disinfecting. jClean and disinfect the meter at least once per week, or when blood is present on the surface of the meter. jClean and disinfect the meter before allowing anyone else to handle the meter. Do not allow anyone else to use the meter on themselves for testing purposes. NOTEUsing cleaning and disinfecting products could result in damage to the meter. If you notice any of the following signs of deterioration after cleaning and disinfecting your meter, stop using your meter and contact the ACCU‑CHEK Customer Care Center at 1‑800‑688‑4578: residue around buttons, clouding of display, button/touchscreen malfunction, out‑of‑range results.52297_07167776001.indb 263 10/20/14 11:19 AM
264What to Clean and DisinfectThe following parts of the meter should be cleaned and disinfected: jThe area around slots and openings (do not get any moisture in slots or openings) jThe meter display jThe entire meter surface52297_07167776001.indb 264 10/20/14 11:19 AM
13265 w WARNING Failure to follow these instructions will damage the meter and stop it from working properly. jDO NOT clean or disinfect the meter while performing a blood glucose or control test. jDO NOT get any moisture in slots or openings. jDO NOT spray anything onto the meter. jDO NOT immerse the meter in liquid. jAlways use the same product for both cleaning and disinfecting. How to Clean and Disinfect the Meter1Wash hands thoroughly with soap and water.52297_07167776001.indb 265 10/20/14 11:19 AM
2662Turn the meter off and wipe the entire meter surface with a Super Sani Cloth. Carefully wipe around the test strip slot and other openings. Make sure that no liquid enters any slot or opening.3A separate Super Sani‑Cloth should be used for cleaning and disinfection. For disinfecting the meter, get a new cloth and repeat Step2, making sure that the surface stays wet for 2minutes. Make sure that no solution is seen in any slot or opening. Wash hands thoroughly with soap and water. 4NOTERoche has tested the approved product for a total of 260 cycles, which is equal to cleaning and disinfecting once per week for a 5‑year period.52297_07167776001.indb 266 10/20/14 11:19 AM
13267To clean and disinfect without damaging the lancing device, follow these procedures carefully. When to Clean and Disinfect the Lancing Device jClean the lancing device to remove visible dirt or other material prior to disinfecting. jClean and disinfect the lancing device at least once per week to remove visible dirt or other material for safe handling. jClean and disinfect the lancing device before allowing anyone else to handle the lancing device, for instance, if you have someone assisting you. Do not allow anyone else to use the lancing device.13.3 Cleaning and Disinfecting the Lancing DeviceNOTE jDo not throw away the lancing device cap after each use. Use approved cleaning and disinfecting product on the cap. jAlways remove the lancet drum before cleaning or disinfecting the lancing device.52297_07167776001.indb 267 10/20/14 11:19 AM
268NOTE jUsing cleaning and disinfecting products could result in damage to the lancing device. If you notice any of the following signs of deterioration after cleaning and disinfecting your lancing device, stop using your lancing device and contact the ACCU‑CHEK Customer Care Service Center at 1‑800‑688‑4578: residue around buttons, diculty in priming the device, diculty in inserting the lancet drum. jYou might observe a slight discoloration of the lancing device after multiple cleaning and disinfecting cycles. This does not aect the functionality of the lancing device. What to Clean and DisinfectThe following parts of the lancing device should be cleaned and disinfected: jThe entire lancing device surface jThe cap 52297_07167776001.indb 268 10/20/14 11:19 AM
13269 w WARNINGFailure to follow these instructions may damage the lancing device and stop it from working properly. jDO NOT get any moisture into any openings. jAlways use the same product for both cleaning and disinfecting. 1 2Wash hands thoroughly with soap and water. Wipe the entire surface of the lancing device and the inside of the cap with the approved cleaning and disinfecting product. How to Clean and Disinfect the Lancing Device 52297_07167776001.indb 269 10/20/14 11:19 AM
2703 4A separate Super Sani‑Cloth should be used for cleaning and disinfection. For disinfecting the lancing device, use a new cloth and repeat Step2 making sure the surface stays wet for 2minutes. Wash hands thoroughly with soap and water. NOTERoche has tested the approved product for a total of 260 cycles, which is equal to cleaning and disinfecting once per week for a 5‑year period. 52297_07167776001.indb 270 10/20/14 11:19 AM
1427114 Care and Maintenance14.1 OverviewThe meter needs little or no maintenance with normal use. It automatically tests its own systems every time you turn it on and lets you know if something is wrong by displaying a message. If you drop the meter or think it is not giving accurate results, contact ACCU‑CHEK Customer Care Service Center at 1‑800‑688‑4578. Do not attempt to repair the meter yourself. If you have any questions about the care and maintenance of the meter, contact ACCU‑CHEK Customer Care Service Center at 1‑800‑688‑4578.14.2 Charging the BatteryFor instructions on charging the battery, see the Charging the Battery section in the Startup chapter in this user’s manual.52297_07167776001.indb 271 10/20/14 11:19 AM
27214.3 Power‑Saving TipsTo conserve battery life: jTurn the meter off when you are finished rather than utilizing the automatic power off feature. jOnly turn on the vibration feature for mode settings when it is needed. See the Mode Settings: Sound, Vibration section in the Changing Meter Settings chapter in this user’s manual. jOnly turn on the touchscreen tone and vibration features when they are needed. See the Touchscreen: Tone, Vibration section in the Changing Meter Settings chapter in this user’s manual. jKeep the brightness level of the display at a minimum. See the Brightness section in the Changing Meter Settings chapter in this user’s manual. jTurn on the Flight Mode. See the Turning On Flight Mode section in the Travel Settings chapter in this user’s manual.52297_07167776001.indb 272 10/20/14 11:19 AM
14273NOTEWhen the battery is replaced, all records remain saved in the logbook.14.4 Changing the BatteryThe 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. The meter requires a custom rechargeable battery provided by Roche. Contact ACCU‑CHEK Customer Care Service Center at 1‑800‑688‑4578 to get a replacement battery and then follow the steps in this section.52297_07167776001.indb 273 10/20/14 11:19 AM
274 w WARNING jFollow these steps to prevent possible damage to the meter contacts. jDo not try to force the battery into the meter. The battery only goes in one way. 2BatteryMeter Contacts3Align the new battery by placing the (+) (‑) end as shown.Slide the (+) (‑) end of the battery against the meter contacts. Press battery into meter.1Open the battery door on the back of the meter by pushing in the direction of the arrow and pulling up the door. Remove the old battery.52297_07167776001.indb 274 10/20/14 11:19 AM
142754Put the battery door back in place and snap it closed by pushing the battery door in the direction of the arrow. 5 6Charge the battery. See the Charging the Battery section in the Startup chapter in this user’s manual. After the battery is fully charged, confirm the date and time are correct on either the Main Menu or the Status screen. To update the date or the time, see the Date, Time, and Time Format section in the Changing Meter Settings chapter in this user’s manual. 52297_07167776001.indb 275 10/20/14 11:19 AM
27614.5 Touchscreen Calibration1 2From the Main Menu, select Settings.Scroll the screen and select Meter Settings.3 4Select Touchscreen. Select Screen Calibration.Calibrating the touchscreen can help improve the meter’s touch sensitivity.Main Menu > Settings > Meter Settings > Touchscreen > Screen Calibration52297_07167776001.indb 276 10/20/14 11:19 AM
142776Screen text: New calibration settings calculated. Tap screen anywhere to use new settings. Wait for 30 seconds to keep old settings. Restoring old settings in : 30 sec (countdown timer)NOTETouchscreen calibration instructions only appear in English.5Screen text: Briefly press center of target. Repeat as target moves around screen.New calibration settings calculated. Tap screen anywhere to use new settings. Wait for 30 seconds to keep old settings. Restoring old settings in : 30 sec52297_07167776001.indb 277 10/20/14 11:19 AM
27834Select Meter Function Test. Touch the screen where indicated. 14.6 Meter Function Test1 2From the Main Menu, select Settings. Scroll the screen and select Meter Settings. If the meter display is faulty, or you cannot hear or feel the alerts, you can have the meter check the display, vibration, and sound functions for proper operation. Main Menu > Settings > Meter Settings > Meter Function Test52297_07167776001.indb 278 10/20/14 11:19 AM
14279Sound TestThe meter emits a sound.5If the meter does not perform as described in the meter function test, contact ACCU‑CHEK Customer Care Service Center at 1‑800‑688‑4578. Display Test The display cycles through colors (red, blue, green and white). Vibration TestThe meter vibrates 3 times. Screens Displayed During the Meter Function Test 52297_07167776001.indb 279 10/20/14 11:19 AM
28052297_07167776001.indb 280 10/20/14 11:19 AM
15 Troubleshooting15.1 OverviewFor most problems, the meter displays a message with a short description of the problem and a proposed solution. This chapter goes into more detail describing the problem with the possible cause and suggesting possible solutions. The problems are grouped by the type of problem or message (for example, Error or Warning). If the possible solutions do not fix the problem, contact ACCU‑CHEK Customer Care Service Center at 1‑800‑688‑4578.NOTE jIf you have a problem not included here, contact ACCU‑CHEK Customer Care Service Center at 1‑800‑688‑4578. jIf you drop the meter or think it is not giving accurate results, make sure your test strips and control solution have not expired, and perform a control test. jBlood glucose is sometimes shortened to bG, but it means the same thing.1528152297_07167776001.indb 281 10/20/14 11:19 AM
15.2 Troubleshooting the MeterGeneral ProblemsProblem Possible Causes Possible SolutionsDisplay is blank or the meter does not turn on.The battery is low on power. See the Charging the Battery section in the Startup chapter in this user’s manual.The battery may be defective. Replace the battery if it does not charge. See the Changing the Battery section in the Care and Maintenance chapter in this user’s manual.The meter has an electronic error. Reset the meter by pressing and holding the power button for at least 5 seconds.The display is damaged. Contact ACCU‑CHEK Customer Care Service Center at 1‑800‑688‑4578.The meter is defective. Contact ACCU‑CHEK Customer Care Service Center at 1‑800‑688‑4578.The temperature may be outside the meter operating range.Move the meter to an area with the proper temperature. Wait 5 minutes before turning the meter on. Do not artificially heat or cool the meter.28252297_07167776001.indb 282 10/20/14 11:19 AM
Problem Possible Causes Possible SolutionsBattery does not recharge while the meter is plugged into a computer with a USB cable.The computer USB port cannot charge the meter battery.Charge the meter battery using a power outlet. See the Charging the Battery Using a Power Outlet section in the Startup chapter in this user’s manual.Battery must be charged more often than it did when it was new.The rechargeable battery has a limited number of charge cycles after which its charge capacity is reduced.Replace the battery. See the Changing the Battery section in the Care and Maintenance chapter in this user’s manual.Display freezes or does not respond.The meter has an electronic error. jReset the meter by pressing and holding the power button for at least 5 seconds until the meter screen goes blank. jRemove the battery from the meter and reinsert the battery.Display is faulty; the color on the screen is incorrect.Perform a meter function test. See the Meter Function Test section in the Care and Maintenance chapter in this user’s manual. If the meter function test indicates there is a problem with the display, contact ACCU‑CHEK Customer Care Service Center at 1‑800‑688‑4578.1528352297_07167776001.indb 283 10/20/14 11:19 AM
Problem Possible Causes Possible SolutionsSound is faulty; you cannot hear the alerts.The sound feature is turned off or is set too low. jCheck to see if the active mode setting (Normal, Vibrate, Quiet, Loud) has sound and if the volume is set at a level that is audible. See the Mode Settings: Sound, Vibration section in the Changing Meter Settings chapter in this user’s manual. jCheck to see if the signal suspension is on and is active. Signal suspension may need to be turned off or its settings changed. See the Mode Settings: Signal Suspension section in the Changing Meter Settings chapter in this user’s manual. jPerform a meter function test. See the Meter Function Test section in the Care and Maintenance chapter in this user’s manual. If the meter function test indicates there is a problem with the sound, contact ACCU‑CHEK Customer Care Service Center at 1‑800‑688‑4578.28452297_07167776001.indb 284 10/20/14 11:19 AM
Problem Possible Causes Possible SolutionsStart time: Cannot change the Start time for the first time block.The first time set up (Setup Wizard) is already complete, and therefore the start time of the first time block cannot be changed in the device settings.To change the Start time for the first time block, select Reset on the Time Blocks screen. Once the time blocks are reset, you must re‑enter all time block information. jIf bolus advice is turned on, see the Bolus Advice: Resetting All Time Blocks section in the Changing Bolus Advice Settings chapter in this user’s manual. jIf bolus advice is turned off, see the Resetting All Time Blocks section in the Changing Meter Settings chapter in this user’s manual.Touchscreen is not operating properly.Touchscreen has not been calibrated. jCalibrate the touchscreen. See the Touchscreen Calibration section in the Care and Maintenance chapter in this user’s manual. If calibrating the touchscreen does not fix the problem, contact ACCU‑CHEK Customer Care Service Center at 1‑800‑688‑4578. jIf the touchscreen is calibrated and you still think it is not operating properly, the following may 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.1528552297_07167776001.indb 285 10/20/14 11:19 AM
Problem Possible Causes Possible SolutionsTouchscreen calibration text is not translated.Touchscreen calibration instructions only appear in English.Refer to the Touchscreen Calibration section in the Care and Maintenance chapter in this user’s manual. jFirst English screen: Briefly press center of target. Repeat as target moves around screen. jSecond English screen: New calibration settings calculated. Tap screen anywhere to use new settings. Wait for 30 seconds to keep old settings. Restoring old settings in : 30 sec (countdown timer)28652297_07167776001.indb 286 10/20/14 11:19 AM
Problem Possible Causes Possible SolutionsVibration is faulty; you cannot feel the alerts.Vibration feature is turned off. jCheck to see if the active mode setting (Normal, Vibrate, Quiet, Loud) has vibration. See the Mode Settings: Sound, Vibration section in the Changing Meter Settings chapter in this user’s manual. jCheck to see if the signal suspension is on and is active. Signal suspension may need to be turned off or its settings changed. See the Mode Settings: Signal Suspension section in the Changing Meter Settings chapter in this user’s manual. jPerform a meter function test. See the Meter Function Test section in the Care and Maintenance chapter in this user’s manual. If the meter function test indicates there is a problem with vibration, contact ACCU‑CHEK Customer Care Service Center at 1‑800‑688‑4578.1528752297_07167776001.indb 287 10/20/14 11:19 AM
Error MessagesCode Screen Message Possible Causes Possible SolutionsE‑57 Electronic error An electronic error has occurred or, in rare cases, a used test strip was removed and reinserted. jPress and hold the power button for at least 5 seconds until the meter screen goes blank. Release the power button. jRemove the battery from the meter and reinsert the battery. jIf this does not fix the problem, contact ACCU‑CHEK Customer Care Service Center at 1‑800‑688‑4578.E‑60 Internal clock error Contact ACCU‑CHEK Customer Care Service Center at 1‑800‑688‑4578.28852297_07167776001.indb 288 10/20/14 11:19 AM
Information MessagesScreen MessagePossible Causes Possible SolutionsBattery low is displayed while the meter is plugged into a computer with a USB cable.The computer USB port cannot charge the meter battery.Charge the meter battery using a power outlet. See the Charging the Battery Using a Power Outlet section in the Startup chapter in this user’s manual.Bolus above allowed amountNOTE: This message can only occur if bolus advice is turned on.The recommended total bolus amount is greater than the maximum allowed total bolus amount. The meter sets the total bolus amount to equal the maximum bolus allowed. The carbohydrate bolus and the correction bolus are adjusted to equal the total bolus amount.Check the accuracy of all entries. If necessary, contact your healthcare professional.1528952297_07167776001.indb 289 10/20/14 11:19 AM
Screen MessagePossible Causes Possible SolutionsBolus too highNOTE: This message can only occur if bolus advice is turned off.The total bolus amount is greater than the maximum allowed total bolus amount. The meter sets the total bolus amount to equal the maximum bolus allowed. The carbohydrate bolus and correction bolus are adjusted to equal the total bolus amount.Check the accuracy of all entries. If necessary, contact your healthcare professional.Carbohydrate ratio not validThe carbohydrate ratio is outside of the acceptable meter range.Check your entries and contact your healthcare professional to determine the appropriate settings.Expired bG recordThis message is displayed when the blood glucose test was performed more than 10 minutes earlier.Perform a blood glucose test to update your blood glucose result to receive bolus advice.29052297_07167776001.indb 290 10/20/14 11:19 AM
Screen MessagePossible Causes Possible SolutionsInsulin sensitivity not validThe insulin sensitivity is outside of the acceptable meter range.Check your entries and contact your healthcare professional to determine the appropriate settings.Invalid bolus advice timesThe acting time value is less than the offset time value.The acting time value must be set equal to or greater than the offset time value. Reset the acting time value or revise the offset time value.Invalid setting with the text Hypo value must be less than time block target ranges.The hypo warning limit value must be less than all of your target ranges in the time block settings.Either reset the hypo warning limit so it is below the target ranges of your time blocks or revise the target ranges for the time blocks. See the Warning Limits: Hypo, Hyper section in the Changing Meter Settings chapter in this user’s manual.1529152297_07167776001.indb 291 10/20/14 11:19 AM
Screen MessagePossible Causes Possible SolutionsInvalid setting with the text Hyper value must be greater than time block target ranges.The hyper warning limit value must be greater than all of your target ranges in the time block settings.Either reset the hyper warning limit so it is above the target ranges of your time blocks or revise the target ranges for the time blocks. See the Warning Limits: Hypo, Hyper section in the Changing Meter Settings chapter in this user’s manual.Invalid date/timeRe‑enter the date or time.No carbs entered with the text Add a carbohydrates amount?If a Carbs insulin bolus is entered on the Bolus Insulin screen and no Carbohydrate Amount has been entered (Carbohydrates displays No Entry).Select Yes on the Information screen to enter an amount for carbohydrates into the logbook. Select No for not adding an amount. NOTE: An amount is not required, but the more complete the data the more accurate any future bolus recommendations are if using bolus advice.29252297_07167776001.indb 292 10/20/14 11:19 AM
Maintenance MessagesCode Screen Message Possible Causes Possible SolutionsM‑51 Test strip error If you see this message before you applied a drop to the test strip: The test strip is damaged or is not properly inserted into the meter. jRemove the test strip and reinsert it, or replace it if damaged. jIf the message reappears, contact ACCU‑CHEK Customer Care Service Center at 1‑800‑688‑4578.If you see this message after you applied a drop to the test strip, the cause may be one of the following: jThe drop is too small. jYour blood glucose may be extremely low. jIf you think the drop was too small, retest with a new test strip. jIf you are experiencing any of the common symptoms of low blood glucose, contact your healthcare professional immediately. jTreat low blood glucose as recommended by your healthcare professional. jIf this does not match how you feel, repeat the blood glucose test. See the Testing Your Blood Glucose chapter in this user’s manual.1529352297_07167776001.indb 293 10/20/14 11:19 AM
Code Screen Message Possible Causes Possible SolutionsM‑52 Code chip error The code chip is incorrect. jTurn the meter off. Remove and reinsert the code chip. jIf you continue to receive this message, contact ACCU‑CHEK Customer Care Service Center at 1‑800‑688‑4578 to get a replacement code chip. Turn the meter off and exchange the code chip with the replacement code chip. If this does not fix the problem, contact ACCU‑CHEK Customer Care Service Center at 1‑800‑688‑4578.M‑54 Drop too small Not enough blood or control solution was drawn into the test strip for measurement or was applied after the test has started.Discard the test strip and repeat the test with a fresh test strip and a fresh drop of blood or control solution.29452297_07167776001.indb 294 10/20/14 11:19 AM
Code Screen Message Possible Causes Possible SolutionsM‑56 Drop applied too soon Blood or control solution was applied to the test strip before the Apply Drop screen appeared on the meter.Discard the test strip and repeat the test with a fresh test strip and a fresh drop of blood or control solution.M‑58 Temperature out of rangeThe temperature is above or below the proper range for performing a blood glucose test or a control test.Move the meter to an area within the proper temperature range indicated for test strip use in the test strip package insert. Wait 5 minutes before turning the meter on. Repeat the test. Do not artificially heat or cool the meter.M‑63 Code chip missing The code chip is not inserted into the meter.Turn the meter off and insert the code chip. If you need a code chip, contact ACCU‑CHEK Customer Care Service Center at 1‑800‑688‑4578.1529552297_07167776001.indb 295 10/20/14 11:19 AM
Warning MessagesCode Screen Message Possible Causes Possible SolutionsW‑75 Above hyper warning limitYour blood glucose result is above the hyper warning limit set in the meter. jTreat high blood glucose as recommended by your healthcare professional. jConsider rechecking blood glucose, ketones, and insulin.W‑76 HI bG warning Your blood glucose may be higher than the measuring range of the meter. jIf you are experiencing any of the common symptoms of high blood glucose, contact your healthcare professional immediately. jTreat high blood glucose as recommended by your healthcare professional. jConsider rechecking blood glucose, ketones, and insulin.29652297_07167776001.indb 296 10/20/14 11:19 AM
Code Screen Message Possible Causes Possible SolutionsW‑80 Below hypo warning limitYour blood glucose result is below the hypo warning limit set in the meter. jTreat low blood glucose as recommended by your healthcare professional. jIf bolus advice is turned on, the meter displays a recommended number of fast carbohydrates for you to eat. It is recommended you retest your blood glucose.W‑81 LO bG warning Your blood glucose may be lower than the measuring range of the meter. jIf you are experiencing any of the common symptoms of low blood glucose, contact your healthcare professional immediately. jTreat low blood glucose as recommended by your healthcare professional. jConsider rechecking blood glucose.1529752297_07167776001.indb 297 10/20/14 11:19 AM
Code Screen Message Possible Causes Possible SolutionsW‑85 Bolus advice data resetWhen bolus advice is enabled, this warning is displayed when either: jThe logbook entries have been deleted, or jAn Internal clock error E‑60 has occurred.Wait 8 hours for accurate bolus advice. For additional assistance, contact ACCU‑CHEK Customer Care Service Center at 1‑800‑688‑4578.29852297_07167776001.indb 298 10/20/14 11:19 AM
1629916 Technical Information16.1 Product LimitationsRead the literature packaged with the test strips and control solutions for the latest information on product specifications and limitations.16.2 SpecificationsBlood volume Refer to the test strip package insert.Sample type Refer to the test strip package insert.Test time Refer to the test strip package insert.Measurement range Refer to the test strip package insert.Test strip storage conditionsRefer to the test strip package insert.Meter storage conditions ‑4 °F to 122 °FSystem operating conditionsRefer to the test strip package insert.52297_07167776001.indb 299 10/20/14 11:19 AM
300Memory capacity 2000 logbook recordsAutomatic power off 2 minutesPower supply j1 custom lithium‑ion rechargeable battery jPower adapter: PHIHONG switching power supply Model PSC03R‑050Display 3 inch color TFT touchscreenDimensions 4.1 × 2.1 × 0.7 inches LWHWeight 3.7 ouncesConstruction Hand‑heldProtection class IIIMeter type The ACCU‑CHEK Aviva Insight Diabetes Manager is suitable for continuous operation.Control solution storage conditionsRefer to the control solution package insert.InterfacesUSB: micro‑B connector; Continua Certified® to a Continua Certified manager.52297_07167776001.indb 300 10/20/14 11:19 AM
16301Electromagnetic CompatibilityThis meter meets the electromagnetic immunity requirements as per EN ISO 15197. The chosen basis for electrostatic discharge immunity testing was basic standard IEC 61000‑4‑2. In addition, the meter meets the electromagnetic emissions requirements as per EN 61326. The meter’s electromagnetic emission is thus low. Interference from the meter to other electrically‑driven equipment is not anticipated.Test PrincipleRefer to the test strip package insert.Bluetooth® Wireless TechnologyThe meter utilizes Bluetooth wireless technology to communicate and transfer information. Bluetooth wireless technology is a form of radio frequency (RF) technology that operates in the unlicensed industrial, scientific, and medical band at 2.4 to 2.485 GHz. The RF channel utilized for communication between the meter and another device is not an open channel.Performance AnalysisRefer to the test strip package insert.52297_07167776001.indb 301 10/20/14 11:19 AM
302Radio Frequency CommunicationThe device complies with Part 15 of the FCC Rules. Operation is subject to the following two conditions: (1) This device may not cause harmful interference, and (2) this device must accept any inference received, including interference that may cause undesired operation. This equipment complies with FCC and IC radiation exposure limits set forth for an uncontrolled environment. This equipment is in direct contact with the body of the user under normal operating conditions. This transmitter must not be co‑located or operating in conjunction with any other antenna or transmitter. This equipment has been tested and found to comply with the limits for a Class B digital device, pursuant to Part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interference in a residential installation. This equipment generates, uses and can radiate radio frequency energy and, if not installed and used in accordance with the instructions, may cause harmful interference to radio communications. However, there is no guarantee that interference will not occur in a particular installation. 52297_07167776001.indb 302 10/20/14 11:19 AM
16303If this equipment does cause harmful interference to radio or television reception, which can be determined by turning the equipment o and on, the user is encouraged to try to correct the interference by one or more of the following measures: jReorient or relocate the receiving antenna. jIncrease the separation between the equipment and receiver. jConnect the equipment into an outlet on a circuit dierent from that to which the receiver is connected. jConsult the dealer or an experienced radio/TV technician for help. Changes or modifications not expressly approved by the party responsible for compliance (i.e. the manufacturer) could void the user’s authority to operate the equipment. Declaration of ConformityRoche Diagnostics hereby declares that the ACCU‑CHEK Aviva Insight Diabetes Manager conforms with the basic requirements and other relevant regulations of the European Directive 1999/5/EC. The conformity declaration may be found at the following Internet address: http://declarations.accu‑chek.com52297_07167776001.indb 303 10/20/14 11:19 AM
30416.3 Product Safety Information w WARNING jChoking hazard. Small parts. Keep away from children under the age of 3years. jStrong electromagnetic fields may interfere with the proper operation of the meter. Do not use the meter close to sources of strong electromagnetic radiation. jTo avoid electrostatic discharge, do not use the meter in a very dry environment, especially one in which synthetic materials are present. 52297_07167776001.indb 304 10/20/14 11:19 AM
Roche is committed to recycling and sustainability. Comply with any laws or ordinances relating to the disposal of sharps and/or contaminated products. Contact your local health department or other appropriate authorities for proper handling and disposal of used meters, used test strips, used lancets, and used batteries. Consider the following points when discarding used testing materials: Consider recycling the meters and batteries at an appropriate facility. Be aware the meter is potentially hazardous electronics scrap (e‑scrap) and should be disposed of accordingly. The batteries are potentially hazardous also and should be discarded accordingly. Disinfect the meter before recycling or discarding. Users in professional environments (i.e., healthcare professionals) should follow their existing policies and procedures that govern the proper handling and disposal of potentially infectious waste, e‑scrap, and batteries. *29CFR1910.1030 – Bloodborne pathogens 1630516.4 Discarding the Meter, Test Strips, Lancing Devices, Lancets, and Batteries w WARNING jAny product coming in contact with blood is considered contaminated (potentially infectious).* jDuring normal testing, any blood glucose meter may come in contact with blood. jLancing devices may also be considered sharps. Disposal of sharps is regulated by law in many jurisdictions. 52297_07167776001.indb 305 10/20/14 11:19 AM
Explanation of SymbolsThese symbols may appear on the packaging, on the type plate, and in the user’s manual for the meter. Caution, refer to safety‑related notes in the instructions for use accompanying this product. Rx only Federal law (USA) restricts this device to sale by or on the order of a physician per 21CFR801.109.* Custom lithium‑ion rechargeable battery * Code of Federal Regulations 30652297_07167776001.indb 306 10/20/14 11:19 AM
Icon Name IconAllAnalyzingBackground ColorBackspace (Keyboard)Basal InsulinBasal Insulin Locked16.5 List of IconsThe icons and icon names in the meter are: Icon Name IconAbout or InformationActiveActive InsulinAdd DataAdvice Options (Bolus Advice)After Meal1630752297_07167776001.indb 307 10/20/14 11:19 AM
Icon Name IconBattery (Power Level)Battery Charging (Empty)Battery Charging (Full)Battery Charging (Partial)BedtimeBefore MealbG AveragesIcon Name IconbG or bG TestbG Value Range AbovebG Value Range HypobG Value Range LowbG Value Range NormalBolusBolus Advice30852297_07167776001.indb 308 10/20/14 11:19 AM
Icon Name IconBolus Advice AcceptedBolus Advice Not AcceptedBolus Advice SettingBolus LockedBolus MenuCancelCapital Letters (Keyboard)Icon Name IconCarbohydrate UnitCarbohydratesCarbohydrates AcceptedCarbohydrates LockedCarbohydrates Not AcceptedChartCommunication or Radio Connection1630952297_07167776001.indb 309 10/20/14 11:19 AM
Icon Name IconConnect to PCControl TestDataDate and TimeDeleteDevice ConnectDevice SettingsIcon Name IconDevicesDisplay BrightnessDoneEdit NameErrorError LogExercise 131052297_07167776001.indb 310 10/20/14 11:19 AM
Icon Name IconExercise 2FastingFlight ModeFlight Mode (Turn Off)Flight Mode (Turn On)GraphHealth EventIcon Name IconHealth Event (Custom)Health Event LockedHelpHome ScreenIllnessInsulinInsulin Increment1631152297_07167776001.indb 311 10/20/14 11:19 AM
Icon Name IconLanguageLockedLogbookLogbook LockedMain MenuMaintenance MessageManage Devices (Pairings)Icon Name IconMax BolusMealMeal TimeMeal Time LockedMeterMeter Function TestMeter Information31252297_07167776001.indb 312 10/20/14 11:19 AM
Icon Name IconMode SettingMy DataNo Entry (Meal Time)NoteNote LockedOther (Meal Time)Pair (New)Icon Name IconPC (Computer)Pen / Syringe (Bolus)Play TonePremenstrualQuick Notes or Radio ConnectionReminder1631352297_07167776001.indb 313 10/20/14 11:19 AM
Icon Name IconReset TimeblocksRF (Radio Frequency) SignalSaveSetup ModeSnackSound (Volume)Sound and VibrateIcon Name IconStandard DayStandard WeekStatus ScreenStressSystem SettingsTableTarget Data31452297_07167776001.indb 314 10/20/14 11:19 AM
Icon Name IconTemperatureTime ScaleTimeblock SettingsTouchscreen CalibrationTouchscreen SettingsTrend GraphVibrateIcon Name IconWarningWarning Limits1631552297_07167776001.indb 315 10/20/14 11:19 AM
16.6 Warranty and Limited LicenseACCU‑CHEK Aviva Insight Meter Limited 4‑Year Warranty Roche Health Solutions Inc. (“Roche”), a member of the Roche Group, warrants to the original purchaser of the meter that your ACCU‑CHEK Aviva Insight meter will be free from defects in materials and workmanship for 4 years from the date of purchase. If during this 4‑year period, the meter does not work properly because of a defect in materials or workmanship, Roche will replace it with a new ACCU‑CHEK Aviva Insight meter or equivalent product free of charge. The warranty on the replacement meter will expire on the date of the original warranty expiration or 90 days after the shipment of a replacement system, whichever period is longer. The purchaser’s exclusive remedy with respect to the ACCU‑CHEK Aviva Insight meter shall be replacement. This warranty does not apply to the performance of an ACCU‑CHEK Aviva Insight meter that has been damaged by accident or has been altered, misused, tampered with, or abused in any way.THE PRECEDING WARRANTY IS EXCLUSIVE OF ALL OTHER WARRANTIES, AND ROCHE MAKES NO OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING WITHOUT LIMITATION, THE IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. IN NO EVENT SHALL ROCHE BE LIABLE TO THE PURCHASER OR ANY OTHER PERSON FOR ANY INCIDENTAL, CONSEQUENTIAL, INDIRECT, SPECIAL, OR PUNITIVE DAMAGES ARISING FROM OR IN ANY WAY CONNECTED WITH THE PURCHASE OR OPERATION OF THE METER OR ITS PARTS. NO WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE IF ANY IS IMPLIED FROM THE SALE OF THE METER, SHALL EXTEND FOR A LONGER DURATION THAN FOUR YEARS FROM THE DATE OF PURCHASE. Some states do not allow limitations on how long an implied warranty will last or the exclusion of incidental or consequential damaged, so the above limitation and exclusion may not apply to you. This warranty gives you specific legal rights, which vary from state to state.31652297_07167776001.indb 316 10/20/14 11:19 AM
Warranty Instructions All requests for return of ACCU‑CHEK Aviva Insight meters under the preceding warranty must be made to ACCU‑CHEK Customer Care Service Center. You will be mailed a return authorization label, which must be affixed to your carton for shipping the system to Roche. Cartons received without this label will be returned to you at your expense. Customers experiencing difficulties should review the troubleshooting information in the Troubleshooting chapter in this user’s manual. Further inquiries should be directed to ACCU‑CHEK customer Care Service Center at 1‑800‑688‑4578. Be sure to fill out and mail the Warranty Card that comes with the ACCU‑CHEK Aviva Insight meter. Limited License w CAUTIONA RESTRICTED LICENSE LIMITS USE OF THE ACCU‑CHEK AVIVA INSIGHT SYSTEM‑‑READ CAREFULLY THE LIMITATIONS RECITED BELOW.The ACCU‑CHEK Aviva Insight system (meter, including the code key, and test strips) and its use are protected by US Patent Nos. 6,645,368 (expires 22‑December‑2017; 7,276,146 (expires 4‑October‑2022); 7,276,147 (expires 4‑October‑2022); 7,407,811 (expires 9‑May‑2020); 7,452,457 (expires 2‑May‑2026); 7,488,601 (expires 1‑February‑2026); 7,494,816 (expires 29‑December‑2019); 7,569,126 (expires 28‑December‑2026); 7,604,721 (expires 12‑August‑2026); 8,298,401 (expires 4‑October‑2022); 8,303,801 (expires 4‑October‑2022); and 8,329,026 (expires 4‑October‑2022). A license to use the ACCU‑CHEK Aviva Insight system is required until the expiration of the last‑to‑expire patent listed above and is only granted when the ACCU‑CHEK Aviva Insight meter is used with the ACCU‑CHEK Aviva test strips and ACCU‑CHEK Aviva code keys.1631752297_07167776001.indb 317 10/20/14 11:19 AM
ACCU‑CHEK Aviva test strips are provided with a specifically matched ACCU‑CHEK Aviva code key. These test strips and code keys are specifically manufactured for operation with the ACCU‑CHEK Aviva Insight meter. Use of other test strips with an unmatched code key or even with the matches code key supplied by another manufacturer may prevent or impair the proper function of the ACCU‑CHEK Aviva Insight system. Using the ACCU‑CHEK Aviva Insight system indicates your acceptance of the restricted license to use the ACCU‑CHEK Aviva Insight system only with the ACCU‑CHEK Aviva test strips and the corresponding ACCU‑CHEK Aviva code key. If you do not agree to the terms and conditions of th restricted license, you may return, at the place of purchase, the unused ACCU‑CHEK Aviva Insight system for a full refund. If you have any questions, please call the ACCU‑CHEK Customer Care Service Center at 1‑800‑688‑4578. Except where prohibited by statute, all warranties covering the ACCU‑CHEK Aviva Insight system are voided by the use of the ACCU‑CHEK Aviva Insight system with any test strips or code keys other than the ACCU‑CHEK Aviva test strips or code keys.31852297_07167776001.indb 318 10/20/14 11:19 AM
The ACCU‑CHEK FastClix system (device and lancet drums) and its use are protected by U.S. Patent Nos. 7,322,998 (expires 3‑March‑2020) and 7,785,338 (expires 5‑January‑2026). A license to use the ACCU‑CHEK FastClix system is required until the expiration of the last‑to‑expire patent listed above and is only granted when ACCU‑CHEK FastClix lancet drums are used with the ACCU‑CHEK FastClix device. ACCU‑CHEK FastClix lancet drums are high precision components that are produces to the close tolerances required for satisfactory operation with the ACCU‑CHEK FastClix device. Use of other lancet drums with the ACCU‑CHEK FastClix device may prevent or impair proper function of the ACCU‑CHEK FastClix device. Using the ACCU‑CHEK FastClix device indicates your acceptance of the restricted license to use the ACCU‑CHEK FastClix device only with the ACCU‑CHEK FastClix lancet drums. If you do not agree to the terms and conditions of th restricted license, you may return, at the place of purchase, the unused ACCU‑CHEK FastClix device for a full refund. If you have any questions, please call the ACCU‑CHEK Customer Care Service Center at 1‑800‑688‑4578. Except where prohibited by statute, all warranties covering the ACCU‑CHEK FastClix device are voided by the use of the ACCU‑CHEK FastClix device with any lancet drums other than ACCU‑CHEK FastClix lancet drums.Patent Information US Pat.: http://www.roche‑diagnostics.us/patents w CAUTIONA RESTRICTED LICENSE LIMITS USE OF THE ACCU‑CHEK FASTCLIX SYSTEM (device and lancet drums). READ CAREFULLY THE LIMITATIONS RECITED BELOW.1631952297_07167776001.indb 319 10/20/14 11:19 AM
16.7 Additional SuppliesTest Strips: ACCU‑CHEK Aviva test strips Control Solutions: ACCU‑CHEK Aviva control solutions 16.8 Information for Healthcare Professionals w WARNINGHealthcare Professionals: Follow the infection control procedures appropriate for your facility. Refer to the test strip package insert for additional healthcare professional information. Sample HandlingAlways wear gloves when handling blood‑contaminated items. Always adhere to the recognized procedures for handling objects that are potentially contaminated with human material. Follow the hygiene and safety policy of your laboratory or institution. Prepare the selected blood collection site per facility policy. Refer to the test strip package insert for additional information regarding acceptable sample types, anticoagulants, and handling instructions. 32052297_07167776001.indb 320 10/20/14 11:19 AM
16.9 Meter InformationThis information is primarily for technical support purposes and may be requested by support personnel.Main Menu > Settings > About > Meter Information2 31From the Main Menu, select Settings.Scroll screen and select About.Select Meter Information.4To see additional meter information, select More.1632152297_07167776001.indb 321 10/20/14 11:19 AM
2 3116.10 Error LogFrom the Main Menu, select Settings.Scroll the screen and select About.Select Error Log.The Error Log screen displays up to the last 50 Errors and Maintenance messages starting with the most recent entry.Main Menu > Settings > About > Error Log32252297_07167776001.indb 322 10/20/14 11:19 AM
4Scroll to view all Error Log records. Select an Error Log record to see its details.1632352297_07167776001.indb 323 10/20/14 11:19 AM
2 3116.11 Radio Frequency (RF) SignalFrom the Main Menu, select Settings.Scroll the screen and select About.Select Radio Frequency Signal.NOTEIf the meter is not paired to a device, the Radio Frequency Signal button is disabled.This information is primarily for technical support purposes and may be requested by support personnel.Main Menu > Settings > About > Radio Frequency Signal32452297_07167776001.indb 324 10/20/14 11:19 AM
The names of the radio frequency devices with the radio frequency signal strength of each are displayed.1632552297_07167776001.indb 325 10/20/14 11:19 AM
16.12 Meter Range Limits and DefaultsData Type Unit of Measurement MIN MAX Increments Default SettingActing Time HH:MM 01:30 08:00 00:15 04:00After High bG Reminder Duration (Remind after)HH:MM 01:00 06:00 00:15 04:00After Low bG Reminder Duration (Remind after)HH:MM 00:05 00:30 00:05 00:15After Meal Test Reminder Duration (Remind after)HH:MM 01:00 04:00 00:15 02:00Basal Insulin U 0 99 Insulin Increment 0bG Result mg/dL 10 600 1 No Entry (‑ ‑ ‑ mg/dL)32652297_07167776001.indb 326 10/20/14 11:19 AM
Data Type Unit of Measurement MIN MAX Increments Default SettingbG Threshold (After High bG Reminder)mg/dL 100 350 1 Hyper Warning LimitbG Threshold (After Low bG Reminder)mg/dL 50 100 1 Hypo Warning LimitBolus Insulin U 0 25 Insulin Increment 0Carb Ratio (carbs)gramsBEKECC10.10.10.124020241610.10.10.1No Entry (‑ ‑ ‑ g)No Entry (‑ ‑ ‑ BE)No Entry (‑ ‑ ‑ KE)No Entry (‑ ‑ ‑ CC)Carb Ratio (insulin) U 0.1 50 0.1 1CarbohydratesgramsBEKECC000024020241610.10.10.1No Entry (‑ ‑ ‑ g)No Entry (‑ ‑ ‑ BE)No Entry (‑ ‑ ‑ KE)No Entry (‑ ‑ ‑ CC)1632752297_07167776001.indb 327 10/20/14 11:19 AM
Data Type Unit of Measurement MIN MAX Increments Default SettingControl Result mg/dL 10 600 1 No Entry (‑ ‑ ‑ mg/dL)Customized 1, 2, and 3 (health event)% ‑50 50 1 0Exercise 1 (health event) % ‑50 50 1 0Exercise 2 (health event) % ‑50 50 1 0Hyper Warning Limit mg/dL 180 350 1 300Hypo Warning Limit mg/dL 50 90 1 70Illness (health event) % ‑50 50 1 0Insulin Increment* U 0.5 1 1*The insulin increment is used when entering bolus and basal insulin data.32852297_07167776001.indb 328 10/20/14 11:19 AM
Data Type Unit of Measurement MIN MAX Increments Default SettingInsulin Sensitivity (bG) mg/dL 1 999 1 No Entry (‑ ‑ ‑ mg/dL)Insulin Sensitivity (insulin) U 0.1 50 0.1 1Lower value (Target Range) mg/dL 50 140 1 70Max Bolus U 0 251 or 0.5 (per the insulin increment value)No Entry (‑ ‑ ‑ U)Meal Rise (bG) mg/dL 30 200 1 50Offset Time HH:MM 00:45 Acting Time 00:15 01:00Premenstrual (health event) % ‑50 50 1 01632952297_07167776001.indb 329 10/20/14 11:19 AM
Data Type Unit of Measurement MIN MAX Increments Default SettingSnack Size (carbs)gramsBEKECC0000242.02.41.610.10.10.1No Entry (‑ ‑ ‑ g)No Entry (‑ ‑ ‑ BE)No Entry (‑ ‑ ‑ KE)No Entry (‑ ‑ ‑ CC)Stress (health event) % ‑50 50 1 0Upper value (Target Range) mg/dL 100 300 1 14033052297_07167776001.indb 330 10/20/14 11:19 AM
A331Appendix A: Bolus Advice OverviewBolus CalculationThe bolus recommended by the bolus advice feature of the meter consists of two components: a recommendation for a carbohydrate bolus that covers your food intake and a recommendation for a correction bolus to adjust your blood glucose level if it is not within the target range. The correction bolus can be positive if your current blood glucose level is above your target range or negative if it is below your target range.Carbohydrate BolusA carbohydrate bolus is the amount of insulin that needs to be administered to cover the amount of carbohydrates you are planning to eat. It is calculated as:Carbohydrate Bolus = Carbohydrate Intake x Carbohydrate RatioWhere:Carbohydrate Ratio = Insulin ÷ Carbohydrates52297_07167776001.indb 331 10/20/14 11:19 AM
332Correction BolusIf your current blood glucose level is not within your target range, a correction bolus is recommended.Blood Glucose Limits1. bG Result2. Hyper Warning3. Upper Target Limit4. Target5. Lower Target Limit6. Hypo WarningDiscuss your blood glucose limits with your healthcare professional.12345652297_07167776001.indb 332 10/20/14 11:19 AM
A333The calculation for the recommended correction bolus depends on your current blood glucose result, your insulin sensitivity for the current time block, and whether you are planning to eat. Health event percentages are applied to the bolus advice recommendation.Blood Glucose Level Without Food Intake (No Carbohydrates) Prior to a MealAbove Upper Target Limit (bG ‑ Target bG) x Insulin Sensitivity (bG ‑ Target bG) x Insulin Sensitivity + Carbohydrate BolusBetween Upper and Lower Target LimitNo correction bolus is necessary. (bG ‑ Target bG) x Insulin Sensitivity + Carbohydrate Bolus. A correction bolus can be negative.Between Lower Target Limit and Hypo WarningNo bolus recommended. The correction bolus is negative.(bG ‑ Target bG) x Insulin Sensitivity + Carbohydrate Bolus. The correction bolus is negative.Below Hypo Warning Hypo warning appears. It is recommended you eat fast‑acting carbohydrates.Bolus advice is not available.Hypo warning appears. It is recommended you eat fast‑acting carbohydrates.Bolus advice is not available.Example Bolus Advice Calculations52297_07167776001.indb 333 10/20/14 11:19 AM
334Other BolusesSubsequent Carbohydrate BolusesIf you are planning to eat several meals or snacks in a short period of time, you should administer a carbohydrate bolus for each meal. The calculation is always the same as a carbohydrate bolus.Correction Bolus After a MealAfter a meal, it is normal to allow for a rise of your blood glucose level even if you administered the correct carbohydrate bolus. The allowed blood glucose level rise is called meal rise. After a certain period of time (oset time) the meal rise decreases from its maximum until your blood glucose level has returned to the target level. The period of time form the start of the meal rise until your blood glucose level returns to the target level is defined as acting time. During this time, a correction bolus is only recommended if your blood glucose level exceeds the current meal rise level.52297_07167776001.indb 334 10/20/14 11:19 AM
A335 Current bG Values Meal Bolus Bolus Not Required Currently Allowed bG Value: Meal RiseThe dotted line shows how your blood glucose level might change after a carbohydrate bolus. Bolus advice tolerates an increase in your blood glucose level within the meal rise range (green) without calculating an extra correction bolus. When you enter a carbohydrate amount that is greater than the snack size, the meal rise setting is added to the blood glucose target value. The shape of the meal rise (the width of the green area) is determined by the oset time and the acting time.1. bG Level2. Hyper3. Oset Time 4. Acting Time5. Target Value6. Meal Rise7. Target Range8. Hypo9. Time13527864952297_07167776001.indb 335 10/20/14 11:19 AM
336Subsequent Correction BolusesThe dierence between your current blood glucose level and your target blood glucose level is called DeltabG. A correction bolus administered according to the previous conditions covers this dierence for a certain period of time. As the correction bolus starts to take eect, your current blood glucose level should fall and the covered DeltabG decreases after the oset time. At the end of the acting time, your blood glucose level should return to the target limit. You receive a recommendation for another correction bolus only if your current blood glucose result exceeds the current DeltabG level.52297_07167776001.indb 336 10/20/14 11:19 AM
A3371. bG Result2. Oset Time3. Delta bG (Correction Insulin)4. Correction Bolus5. Acting Time6. TimeSubsequent Correction Boluses: If your blood glucose result is within SectionA of the graph, a correction bolus is not recommended. If your blood glucose result is within SectionB of the graph, a correction bolus is recommended.123456AB52297_07167776001.indb 337 10/20/14 11:19 AM
338Examples of Bolus Advice RecommendationsThe following graphs provide diering examples of how bolus advice considers dierent factors when calculations are made.The currently allowed blood glucose value considers the following factors: jTarget Range Mean Value jMeal Rise jCorrection Bolus52297_07167776001.indb 338 10/20/14 11:19 AM
A339After a Correction Bolus Current bG Values Bolus Bolus Not Required Currently Allowed bG Value: Corrected bGThe above diagram shows an example of the eect of this rule. The first correction bolus at 12:00 pm remains active during the acting time (the width of the blue area). If the blood glucose value at 2:00 pm falls below the currently allowed blood glucose value (top of the blue area), another correction bolus is not calculated.1362785491. bG Level2. Hyper3. Oset Time4. Acting Time5. Corrected bG 6. Target Value7. Target Range8. Hypo9. Time52297_07167776001.indb 339 10/20/14 11:19 AM
340When a blood glucose result is greater than the currently allowed blood glucose value, a bolus is calculated (light blue) that only considers the dierence between the current blood glucose value (orange dots) and the currently allowed blood glucose value (the top of the blue area).1. bG Level2. Hyper 3. Target Value4. Target Range5. Hypo6. Time Current bG Values Bolus13245652297_07167776001.indb 340 10/20/14 11:19 AM
A341Subsequent MealsIf you eat several meals in a row, the meal rise is restarted for each new carbohydrate bolus.1. bG Level2. Hyper3. Oset Time4. Acting Time5. Meal Rise 6. Target Value7. Target Range8. Hypo9. Time Current bG Values Meal Bolus Bolus Not Required Currently Allowed bG Value: Meal Rise13627854952297_07167776001.indb 341 10/20/14 11:19 AM
34252297_07167776001.indb 342 10/20/14 11:19 AM
B343Appendix B: Bolus Advice CalculationsThe Mathematical Basis for Bolus CalculationsThe following is a list of the most important formulas and the calculation principles on which bolus advice is based. It is dicult to accurately calculate a bolus yourself using these formulas when the acting time and oset time of recent meals and correction boluses are considered.52297_07167776001.indb 343 10/20/14 11:19 AM
344NOTE jA minimum amount of 12 g (or equivalent BE, KE, or CC units) is always given. If the calculated value is below 12 g, then 12 g is used. jThe carbohydrate advice is displayed in the carbohydrate unit of measure you have selected (g, BE, KE, or CC).Carbohydrate AdviceThis calculation is made when the blood glucose result falls below the hypo warning limit. It is based on the other values defined for the current time block and the result is calculated as a carbohydrate intake recommendation.Carbohydrates = (Target Range Mean Value – Current bG) x Insulin Sensitivity ÷ Carbohydrate RatioWhere:Insulin Sensitivity = Insulin ÷ ΔbGCarbohydrate Ratio = Insulin ÷ Carbohydrates52297_07167776001.indb 344 10/20/14 11:19 AM
B345Carbohydrate BolusThe following formula is used to calculate the bolus for meals:Carbohydrate Bolus = Carbohydrate Intake x Carbohydrate RatioWhere:Carbohydrate Ratio = Insulin ÷ Carbohydrates52297_07167776001.indb 345 10/20/14 11:19 AM
346Currently Allowed Blood Glucose ValueThe target range average value used in the calculation of the correction bolus, as shown below, changes with the definition for the time blocks.Consequently, the currently allowed blood glucose value is calculated as follows:Currently Allowed Blood Glucose Value = Target Range Mean Value + Meal Rise + Sum of Blood Glucose Range Covered by Correction BolusWhere:Meal Rise is from the current active mealSum of Blood Glucose Range Covered by Correction Bolus from currently acting correction bolusesWhen no meal rise or correction bolus acting time is currently in eect, a value of “0” is substituted for these parameters in the formula.52297_07167776001.indb 346 10/20/14 11:19 AM
B347Correction BolusGenerally, a correction bolus is only calculated if the current blood glucose value is above the hypo bG warning limit and outside the target range. If the current blood glucose value is above the target range, the currently allowed blood glucose value must also be exceeded. Only correction boluses greater than “0” trigger a corresponding acting time.Correction Bolus = (Current bG – Currently Allowed bG) x Insulin SensitivityWhere:Insulin Sensitivity = Insulin ÷ ΔbGThe blood glucose correction portion depends on the following requirements: jIf current bG > currently allowed blood glucose value, then blood glucose correction portion = current bG – currently allowed blood glucose value jIf current bG > hypo warning limit and current bG < target range lower limit, then bG correction portion = current bG – target range average value52297_07167776001.indb 347 10/20/14 11:19 AM
348Active InsulinA 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.Correction Bolus with Carbohydrate IntakeWhenever carbohydrates have been entered, the related carbohydrate bolus is always oset against any (even negative) correction bolus.When a meal is eaten, the correction bolus is also calculated for blood glucose results that fall within the target range if: jThe current blood glucose result falls below the target range average value, or jThe current blood glucose result is above the currently allowed blood glucose value.Mathematically negative overall boluses are displayed as “0”.52297_07167776001.indb 348 10/20/14 11:19 AM
GlossaryTerm DefinitionActing time The period of time from the start of a bolus until your blood glucose level is expected to return to the target level.Active InsulinA calculated value representing the effective 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.Advice options Factors that influence bolus advice recommendations including meal rise, snack size, acting time, and offset time.After high bG reminder A reminder to retest your blood glucose. When enabled, this reminder occurs after a high blood glucose result.After low bG reminder A reminder to retest your blood glucose. When enabled, this reminder occurs after a low blood glucose result.After meal reminder A reminder to retest your blood glucose. When enabled, this reminder occurs after a meal. For this reminder to occur, you must enter the meal time of a bG test as before meal.Alarm Audible or vibrating (silent) notification indicating a reminder, warning, error, or maintenance message.am Ante Meridiem (12‑hour clock notation for “before noon”)Basal rate The amount of insulin delivered per hour that is required to cover your basal, meal‑independent insulin needs.34952297_07167776001.indb 349 10/20/14 11:19 AM
Term DefinitionBE Bread EquivalentbG test reminders Reminders to retest your blood glucose after a high blood glucose result, after a low blood glucose result, or after a meal.bG threshold A bG test reminder setting; the upper limit is for your blood glucose for a high bG test reminder and the lower limit is for your blood glucose for a low bG test reminder.Blood glucose (bG) The level of glucose (sugar) in blood.Bluetooth Wireless Technology Wireless short‑range communications technology which connects devices in order to exchange information.BolusThe amount of insulin delivered (in addition to the basal rate) to cover the intake of food and to correct high blood glucose levels. The bolus amount is determined by your doctor or healthcare team’s guidelines, your blood glucose level, your food intake, your activity level, and other factors.Bolus advice When enabled, bolus advice provides a suggestion for how much insulin should be delivered for a meal and/or to correct for a blood glucose level.°C Degrees Celsius (or Centigrade)Carbohydrate (or Carb) ratio The amount of insulin necessary to account for a certain amount of carbohydrates.Carbohydrates (or Carbs)Carbohydrates include sugars and starches. Carbohydrates can increase blood glucose levels slowly or rapidly. Carbohydrates are generally counted to calculate a bolus insulin dose.35052297_07167776001.indb 350 10/20/14 11:19 AM
Term DefinitionCC Carbohydrate Choice Control result Value displayed on meter as the result of a control test. When the control result is within the range shown on the label of the test strip container, the test strips and the meter are working properly.Control test A meter test using control solution which lets you know that the meter and test strips are working properly.Corrupt result A historical result that cannot be displayed by the meter because of an error.Current time The time you set through the Settings menu and then in the Date and Time screen.Default The initial settings on the meter before you change or customize them.Discovery mode When your meter is “discoverable,” other Bluetooth devices can detect it, pair with it, or connect to it. Dismiss Ends a reminder.End time The end time of a time block.°F Degrees FahrenheitFCC Federal Communications Commission (United States)Flight mode This setting disables all wireless communication on the meter to comply with regulations on air travel.35152297_07167776001.indb 351 10/20/14 11:19 AM
Term Definitiong GramsGHz GigahertzHealth eventInformation about your current health status or activities (Exercise 1, Exercise 2, Stress, Illness, Premenstrual, or Customized). Up to 4 health events can be selected and stored with a blood glucose result. Each status or activity (health event) accounts for a certain percentage according to your settings and is used to adjust bolus advice recommendations.HI Appears on the meter’s screen when the test result is above the meter’s measurement range.Hyper Hyperglycemia: A condition that occurs when the blood glucose level is too high.Hyper warning limit A limit set in the meter. When your blood glucose result is above the hyper warning limit, a warning is displayed. The hyper warning limit should be provided by or discussed with your healthcare professional.Hypo Hypoglycemia: A condition that occurs when the blood glucose level is too low.Hypo warning limit A limit set in the meter. When your blood glucose result is below the hypo warning limit, a warning is displayed. The hypo warning limit should be provided by or discussed with your healthcare professional.IC Industry CanadaInsulin increment The amount in units (U) by which your insulin dose is adjusted when programming a bolus or when entering a manual Logbook entry.35252297_07167776001.indb 352 10/20/14 11:19 AM
Term DefinitionInsulin sensitivity The amount of insulin necessary to lower your blood glucose by a certain amount.ISO International Organization for StandardizationKE Kohlenhydrateinheit (carbohydrate unit) Lanyard A cord worn around the wrist or neck to carry an object.LCD Liquid Crystal DisplayLO Appears on the meter’s screen when the test result is below the meter’s measurement range.Max bolusMax bolus serves as a safety measure against unintended large boluses. It is a meter setting that specifies a maximum amount of insulin that can be delivered in any single bolus. A bolus that is larger than the max bolus amount requires an additional confirmation.Meal rise The increase in blood glucose levels during or after meals that is considered normal within a certain range, even though a bolus has been delivered.Meal time Information about the time point of a blood glucose result (before meal, after meal, bedtime, fasting, or other). It can be selected from a pop‑up menu and is stored with a blood glucose result.Meter Blood glucose meter.mg/dL Milligrams per deciliter35352297_07167776001.indb 353 10/20/14 11:19 AM
Term DefinitionNote Additional information.Offset time The amount of time before the insulin begins to lower blood glucose levels.Paired Meter and another device exclusively communicate and transfer information with each other when they are paired.Pen/syringe bolus A bolus delivered using a pen or syringe.PIN Personal Identification Numberpm Post Meridiem (12‑hour clock notation for “after noon”)Quick Notes A logbook entry that can quickly be saved from the Main Menu or Status screen.Remind after A bG test reminder setting. The amount of time after a high blood glucose result, after a low blood glucose result, or after a meal you want the reminder to occur.Reminder When enabled, reminders occur to remind you to test your blood glucose, to retest your blood glucose, or of an event or activity.RF Radio FrequencySD Standard DeviationSignal Suspension Suspends meter signals until the suspension period ends or the meter is turned on.35452297_07167776001.indb 354 10/20/14 11:19 AM
Term DefinitionSnack size The snack size defines a threshold of carbohydrates above which a meal rise is triggered.Snooze Reschedules a reminder to reoccur in a preset amount of time (for example, in 5 minutes).Standard deviation As it is used in this user’s manual, standard deviation measures how widely spread the bG results are (e.g., if the bG results are close to the bG average, then the standard deviation is small).Start time The start time of a time block.Target range The desired upper and lower limits of your blood glucose level considered acceptable when fasting or before a meal as set by your healthcare professional.Test strip A plastic strip coated with chemicals that, when inserted into a meter, reacts with a blood drop to deliver a blood glucose reading.Time block One of up to 8 time periods within one day.Time scale The user sets the duration of time. There is a start and end time.Touchscreen A screen that can be touched to interact with the device.U Units (insulin units)USB Universal Serial BusWarning Describes items and conditions that present hazards and may cause personal injury. 35552297_07167776001.indb 355 10/20/14 11:19 AM
Term DefinitionWarning limit See Hyper Warning Limit or Hypo Warning Limit.35652297_07167776001.indb 356 10/20/14 11:19 AM
357IndexAacting timedescription 55setting 49, 108, 136active insulin 97, 348advice options 49, 55, 136Bbasal insulin, set amount 74, 95, 223, 228batterychanging 273charging 36power‑saving tips 22battery door 14, 274bG averages table 258blood glucose resultadding information 73detailed result 72, 73screen 71status bar descriptions 80understanding blood glucose results 79unusual blood glucose results 83blood glucose testing 67blue text 11Bluetooth wireless technology 301bolus adviceadding a time block 113advice options 49, 55, 136deleting time blocks 119delivering a bolus 91overview 53, 87resetting all time blocks 128setting up 46, 103time block settings 109turning o 138bolus advice calculationscarbohydrate advice 344carbohydrate bolus 331, 345correction bolus 332, 347correction bolus with carbohydrate intake 348currently allowed blood glucose value 346examples 333bolus deliverywith bolus advice 91without bolus advice 7652297_07167776001.indb 357 10/20/14 11:19 AM
358Ccarbohydrateset amount 74, 95, 222, 226unit description 50unit setting 45, 178carbohydrate ratiodescription 53setting 47, 105, 107, 112, 116, 118, 123, 127, 130, 132charging the battery 36cleaning and disinfecting 261code chip 14, 60, 69connecting meter to a PC with USB cable 204Continua Certified manager 179, 300control solution 58, 60control solution bottle 15control testout‑of‑range results 63performing 59result 62correction bolus after a meal 334countdown timer 98Ddate and time 44, 141displaysetting background color 149setting brightness 148timeout 22troubleshooting 282Eerror log 322error messages, troubleshooting 288Fflight mode 210, 211function test 27852297_07167776001.indb 358 10/20/14 11:19 AM
Hhealthcare professionals 320health eventschoose health event 74, 95, 222, 227description 54setting percentages 48, 108, 134HI 82high blood glucose symptoms 85home screendescription 16set as main menu or status screen 146hyperglycemia symptoms 85hyper warning limit 45, 173hypoglycemia symptoms 85hypo warning limit 45, 173Iicon list 218, 307information messages, troubleshooting 289insulin incrementdescription 51setting 45, 175insulin sensitivitydescription 54setting 47, 105, 107, 112, 116, 118, 123, 127, 130, 132Kkeyboard 28Llancing device, cleaning and disinfecting 267language 44, 150lanyard attachment point 13limited license 317LO 82logbookadding new data 225adjusting data 220description 214record description 214viewing data 220low blood glucose symptoms 85Mmain menu screen 17, 146maintenance messages, troubleshooting 293maintenance, meter 27135952297_07167776001.indb 359 10/20/14 11:19 AM
max bolusdescription 51setting 45, 176meal risedescription 55setting 49, 108, 136meal time 74, 95, 222, 226, 237memory expansion port 13metercleaning and disinfecting 263discarding 305function test 278information for technical support 321maintenance 271range limits and defaults 328reset 21safety information 304specifications 299summary of features 12, 33troubleshooting 281turning on or o 13, 21micro USB connector 13mode settingssignal suspension 144sound and vibration 142my data 213Nnavigation 24note, description 11Ooset timedescription 55setting 49, 108, 136Ppatent information 319pen/syringe bolus 78, 100power button 13, 21, 43power‑saving tips 272product limitations 299purple text 1136052297_07167776001.indb 360 10/20/14 11:19 AM
Rradio frequency signal 302, 324remindersafter high blood glucose test 180, 184after low blood glucose test 180, 186after meal blood glucose test 180, 182alarm clock 181, 195basal injection 181, 197bG test 181, 197customized 180, 192doctor visit 180, 188lab test 180, 190medication 181, 199other 181, 197overview 180reset meter 21Sscroll bar 17, 24setup wizard 41, 43signal suspension 144snack sizedescription 55setting 49, 108, 136sound, mode 142specificationsBluetooth wireless technology 301meter 299splash screen 43standard day graph 247standard day table 247standard week graph 240standard week table 240status screen 19, 146supplies 320symbols 306symptoms, low or high blood glucose 8536152297_07167776001.indb 361 10/20/14 11:19 AM
Ttarget chart 252target range 46, 107, 112, 116, 123, 127, 130, 132, 153, 157, 158, 163, 167, 170, 172target table 252test stripdescription 15using the test strips 30test strip container 15, 59, 68test strip slot 13, 59, 68text color 11thermometer icon 18time blocks, bolus advice oadding a time block 154changing start time, end time, or target range 151deleting time blocks 159resetting all time blocks 168time blocks, bolus advice onadding a time block 113changing start time, end time, target range, carbohydrate ratio, or insulin sensitivity 109deleting time blocks 119resetting all time blocks 128time blocks, explanation of 52time format 44touchscreencalibration 276display 13tone 147vibration 147trend graph 230troubleshootingmeter 281out‑of‑range control results 63unusual blood glucose results 83UUSBcable 36, 39, 204cable connection settings 207connector on meter 13, 300use by date 30, 58, 59, 68Vvibrationmode 142touchscreen 147volume buttons 1336252297_07167776001.indb 362 10/20/14 11:19 AM
Wwarning, description 11warning limitsdescription 51setting 45, 173warning messages, troubleshooting 296warrranty 31636352297_07167776001.indb 363 10/20/14 11:19 AM
36452297_07167776001.indb 364 10/20/14 11:19 AM
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07173857001 Last Update: 09‑2014Rx only© 2014 Roche DiagnosticsACCU‑CHEK, ACCU‑CHEK AVIVA, and ACCU‑CHEK AVIVA INSIGHT are trademarks of Roche.CONTINUA, the CONTINUA logos and CONTINUACERTIFIED are trademarks, service marks, or certification marks of the Continua Health Alliance. CONTINUA is a registered trademark in some, but not all countries in which this product is distributed.The Bluetooth® word mark and logos are registered trademarks owned by Bluetooth SIG, Inc. and any use of such marks by Roche is under license.All other trademarks and product names are the property of their respective owners. Assembled in USA.Distributed by:Roche Health Solutions Inc.11800 Exit 5 Parkway, Suite 120Fishers, IN 46034Phone: 1‑800‑280‑7801Fax: 1‑888‑810‑075852297_07167776001.indb 366 10/20/14 11:19 AM

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