Roche Diabetes Care 876 Hand Held Blood Glucose Meter User Manual manual pt 1

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

manual pt 1

User’s Manual for Single Patient Use OnlyBlood Glucose MeterThis file may not print or view at 100%.Die lines and color breaks do not print.“Holding Area” text, box and rules do not print.Roche USA –52195 V4/1 – – Black Roche USA –52195 V4/2 – – Cyan Roche USA –52195 V4/3 – – Magenta Roche USA –52195 V4/4 – – Yellow Blood Glucose Monitoring SystemAviva Connect52195_Book_Bridge_US_CVR.indb 1 4/28/14 2:25 PM
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1ContentsImportant Safety Information ...................................................................................................3Chapter 1: Your New System ................................................................................................... 9Chapter 2: Control Tests ........................................................................................................ 19Chapter 3: The ACCU‑CHEK FastClix Lancing Device .............................................................25Chapter 4: Blood Glucose Tests .............................................................................................29Chapter 5: Meter Settings .....................................................................................................39Chapter 6: Review Your Data ................................................................................................. 51Chapter 7: Wireless Communication and Meter Pairing .........................................................57Chapter 8: Data Transfer and PC Reports ..............................................................................71Chapter 9: Meter and Lancing Device Cleaning and Disinfecting ...........................................87Chapter 10: Meter Maintenance and Troubleshooting ............................................................ 95Chapter 12: License and Warranty ......................................................................................109Index ..................................................................................................................................115This file may not print or view at 100%.Die lines and color breaks do not print.“Holding Area” text, box and rules do not print.Roche USA –52195 V2/1 – Black Roche USA – 52195 V2/2 – PMS 287 CVC 30%52195_AvivaConnect_FDA.indb 1 5/1/14 7:23 AM
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3Important Safety InformationImportant Safety InformationThe ACCU‑CHEK Aviva Connect SystemThe ACCU‑CHEK Aviva Connect blood glucose monitoring system is intended to be used for the quantitative measurement of glucose (sugar) in fresh capillary whole blood samples drawn from the fingertip. The ACCU‑CHEK Aviva Connect blood glucose monitoring system is intended to be used by a single person and should not be shared.The ACCU‑CHEK Aviva Connect blood glucose monitoring system is intended for self‑testing outside the body (in vitro diagnostic use) by people with diabetes at home as an aid to monitor the eectiveness of diabetes control. The ACCU‑CHEK Aviva Connect blood glucose monitoring system should not be used for the diagnosis of or screening of diabetes or for neonatal use. The ACCU‑CHEK Aviva Plus test strips are for use with the ACCU‑CHEK Aviva Connect blood glucose meter to quantitatively measure glucose (sugar) in fresh capillary whole blood samples drawn from the fingertip.This system is intended to be used by a single person and should not be shared.The ACCU‑CHEK Aviva Connect blood glucose monitoring system includes:ACCU‑CHEK Aviva Connect meter with batteries, ACCU‑CHEK Aviva Plus test strips,* ACCU‑CHEK Aviva control solutions,* ACCU‑CHEK FastClix lancing device*, ACCU‑CHEK FastClix lancet drums.**Some items may not be included in the kit. They are a separate purchase.WARNINGChoking hazard. Small parts. Keep away from children under the age of 3years.NOTE• The term “blood glucose” is used when referring to “blood sugar.”• Sample data displays are shown throughout the manual. Your data will dier.52195_AvivaConnect_FDA.indb 3 5/1/14 7:23 AM
4Important Safety InformationNeed Help?For questions, contact the ACCU‑CHEK Customer Care Service Center toll‑free at 1‑800‑858‑8072. Hours of operation are Monday through Friday between 8:00 a.m. and 8:00 p.m. eastern standard time (EST). We oer assistance in many languages. You can also visit accu‑chek.com for diabetes management tools and product demonstrations.Please complete the warranty card and mail it, so you receive the best customer service possible and product update news.About Testing Yourself or OthersWARNING• DO NOT CHANGE YOUR THERAPY BASED ON A TEST RESULT THAT DOES NOT MATCH HOW YOU FEEL OR IF YOU BELIEVE THAT YOUR TEST RESULT COULD BE INCORRECT.• It is always a good idea to have a back‑up testing method available. Failure to test could cause a delay in therapy decisions and lead to a serious medical condition. Examples of back‑up testing methods include a back‑up meter or testing by a laboratory. Ask your healthcare professional or pharmacist about other possible back‑up methods.• If your blood glucose result does not match how you feel and you have followed the instructions in this User’s Manual, follow your healthcare professional’s instructions, or contact your healthcare professional.52195_AvivaConnect_FDA.indb 4 5/1/14 7:23 AM
5Important Safety InformationWARNING• During normal testing, any blood glucose meter or lancing device may come in contact with blood. All parts of the kit are considered biohazardous and can potentially transmit infectious diseases from bloodborne pathogens, even after you have performed cleaning and disinfecting.1,2• The meter and lancing device should never be used by more than one person. Do not share the meter and lancing device with anyone, including family members, due to the risk of infection from bloodborne pathogens.1,2 Do not use on multiple patients!• Cleaning and disinfecting the meter and lancing device destroys most, but not necessarily all, bloodborne pathogens.3• If the meter is being operated by a second person who is providing testing assistance to the user, the meter and lancing device should be cleaned and disinfected prior to use by the second person.• Disinfect the meter and lancing device before allowing anyone else to handle them. Do not allow anyone else to test with the meter or lancing device.• It is important to keep the meter and lancing device clean and disinfected. For instructions on how to clean and disinfect the meter and lancing device, see the chapter Meter and Lancing Device Cleaning and Disinfecting.• Wash hands thoroughly before and after handling the meter, lancing device, or test strips. 52195_AvivaConnect_FDA.indb 5 5/1/14 7:23 AM
6Important Safety InformationNOTE• Perform a control test when you open a new test strip box or if you think that a test result is incorrect. Performing a control test lets you know that the meter and test strips are working properly.• Refer to the test strip and control solution package inserts for additional health‑related information.• Blood glucose and bG are interchangeable and mean the same thing.Special Information for Caregivers• Do not use the meter system to measure blood glucose in people who are experiencing cardiovascular collapse (severe shock) or decreased peripheral blood flow.• Consult your healthcare professional to determine if it is appropriate for your child to be taught how to use the meter system or any other medical products.• Some people with diabetes do not experience symptoms of low blood glucose (hypoglycemia). Others, such as children or people who are unconscious or have certain disabilities, may not be able to communicate their symptoms to caregivers. For these reasons, do not change any therapy without first talking to a healthcare professional.• Not for use on critically ill patients, patients in shock, dehydrated patients, or hyperosmolar patients.52195_AvivaConnect_FDA.indb 6 5/1/14 7:23 AM
7Important Safety InformationBefore You Start TestingWARNING• Carefully read and follow the instructions in the User’s Manual and package inserts for the test strips and control solutions. It is very important to follow the instructions in order to avoid an incorrect test result that leads to improper therapy.• Inspect the test strip container before using the test strips for the first time. If you see any damage to the container cap or if anything prevents the cap from closing properly, do not use the test strips. Contact the ACCU‑CHEK Customer Care Service Center. Damaged test strips can cause inaccurate results, which could lead to improper therapy.• The meter, test strips, and control solution are only for use outside the body (in vitro). Do not eat the test strips. Do not swallow or inject the control solution or use the control solution for any purpose other than testing the ACCU‑CHEK Aviva Connect system.NOTE• The meter prompts you to choose a language the first time you turn it on.• Check the time and date on the meter before you begin testing. Adjust the time and date if necessary.52195_AvivaConnect_FDA.indb 7 5/1/14 7:23 AM
8Important Safety Information52195_AvivaConnect_FDA.indb 8 5/1/14 7:23 AM
Your New System915672The ACCU‑CHEK Aviva Connect MeterFront View Back View Side View134Chapter 1: Your New System1. Back ButtonReturns to a previous display or field.2. Up Arrow and Down Arrow ButtonPress to move between menu options or to increase or decrease numbers.3. DisplayShows results, messages, and test results stored in memory.4. Power/Set/OK ButtonTurns meter on or o and sets options.5. Test Strip SlotInsert test strip here.6. Battery DrawerPull out to replace batteries.7. Micro USB PortTransfers data from the meter to a computer (PC).52195_AvivaConnect_FDA.indb 9 5/1/14 7:23 AM
Your New System1018910 128. Test Strip Container*9. Insert this end into meter.10. Yellow Window Touch blood drop or control solution here.11. Control Solution Bottle*12. Batteries 13. USB Cable* Connects the meter to a PC.*Some items may not be included in the kit. They are a separate purchase.(for example)1311Test Strip52195_AvivaConnect_FDA.indb 10 5/1/14 7:23 AM
Your New System1111. CapFor fingertip testing.2. Comfort Dial with Depth SelectionSelect penetration depth.3. Penetration Depth IndicatorPoints to depth setting.4. Lever Advance to a new lancet.5. Lancet Counter WindowShows number of available lancets.6. Release buttonPress to prime and prick.7. Lancet DrumContains 6 lancets.The ACCU‑CHEK FastClix Lancing DeviceNOTESome items may be sold separately.127564352195_AvivaConnect_FDA.indb 11 5/1/14 7:23 AM
Your New System121Button FunctionsHere are the functions of the back, arrow, and Power/Set/OK buttons on the meter. These functions are used throughout this manual. See the chapter Meter Settings for specific instructions on setting up the meter.Button Function Back ButtonReturn to the previous display.Return to the previous field. Up Arrow and Down Arrow ButtonNavigate up and down in a menu.Increase or decrease a number. Power/Set/OK ButtonPress briefly to turn the meter on.Press and hold to turn the meter o.Press to select an option.Press to move to the next field or display.Press to save an option.With the meter o, press and hold to check the meter display.52195_AvivaConnect_FDA.indb 12 5/1/14 7:23 AM
Your New System131Meter Menus1 Title of display or menu2 Menu options3 Scroll down4 Scroll upDisplay Description There are more menu options listed beneath the last option. Press on the meter to view the options. There are more menu options listed above the first option. Press on the meter to view the options.There are more menu options listed above and below the options. Press or on the meter to view the options.123452195_AvivaConnect_FDA.indb 13 5/1/14 7:23 AM
Your New System141Display DescriptionHighlighted option (Test)Press to enter the Test menu.Highlighted field (Hour)Press or to increase or decrease the hour. Press to set the hour and move to the minutes field.52195_AvivaConnect_FDA.indb 14 5/1/14 7:23 AM
Your New System151IconsHere is a list of the icons on the display.Icon DescriptionAbove target rangeAfter mealBedtimeBefore mealBelow target rangeBlood glucose testCheckmarkControl bottleControl test not OKControl test OKErrorFasting52195_AvivaConnect_FDA.indb 15 5/1/14 7:23 AM
Your New System161Icon DescriptionFlight modeHelpLow batteryMy dataNo commentOther OverallSelected settingSettingsTemperature warningWarningWithin target range52195_AvivaConnect_FDA.indb 16 5/1/14 7:23 AM
Your New System171Set the LanguageThe meter prompts you to choose a language the first time you turn it on.Turn the meter on by briefly pressing . Language appears.1Press or to highlight the language. Press to set the language and return to Main Menu.2NOTEIf you select the wrong language and cannot correct it, contact the ACCU‑CHEK Customer Care Service Center at 1‑800‑858‑8072.52195_AvivaConnect_FDA.indb 17 5/1/14 7:23 AM
Your New System18152195_AvivaConnect_FDA.indb 18 5/1/14 7:23 AM
Control Tests192When to Perform a Control TestPerforming a control test lets you know the meter and test strips are working properly. You should perform a control test when:• you open a new test strip box.• you left the test strip container open.• you think the test strips are damaged.• you want to check the meter and test strips.• the test strips were stored in extreme temperatures, humidity, or both.• you dropped the meter.• your test result does not match how you feel.• you want to check if you are performing the test correctly.About the Control Solutions• Use only ACCU‑CHEK Aviva control solutions.• Close the control solution bottle tightly after use.• Write the date you open the control solution bottle on the bottle label. The control solution must be discarded 3months from the date the control solution bottle was opened (discard date) or on the Use By date on the bottle label, whichever comes first.• Do not use control solution that is past the Use By or discard date.• Refer to the control solution package insert for control solution storage conditions.• The meter automatically recognizes the dierence between the control solution and blood.• The control results are not displayed in memory.• The control solution can stain fabric. Remove stains by washing with soap and water.• Control solution is available for purchase. To order the control solution, talk to your pharmacist or visit accu‑chek.com to order online.Chapter 2: Control Tests52195_AvivaConnect_FDA.indb 19 5/1/14 7:23 AM
Control Tests202Performing a Control TestYou need the meter, a test strip, and control solution Level 1 or Level 2.Check the Use By date on the test strip container. Do not use test strips past the Use By date.1Insert the test strip into the meter in the direction of the arrows. Place the meter on a flat surface.The meter turns on. Preparing to test appears.Apply drop appears.252195_AvivaConnect_FDA.indb 20 5/1/14 7:23 AM
Control Tests212Select the control solution to test. You will enter the level later in the test.3Remove the bottle cap. Wipe the tip of the bottle with a tissue. Squeeze the bottle until a tiny drop forms at the tip.4Touch the drop to the front edge of the yellow window of the test strip. Do not put control solution on top of the test strip.Analyzing appears when there is enough control solution in the test strip.552195_AvivaConnect_FDA.indb 21 5/1/14 7:23 AM
Control Tests222Control Result and the control bottle icon appear.Press or to select the control level you tested. If you do not select a level, the control level is saved as – –.If any other action is taken at this time, the control result is saved with no control level.6Press . and Within range appear if the control result is within range. and Out of range appear if the control result is out of range.752195_AvivaConnect_FDA.indb 22 5/1/14 7:23 AM
Control Tests232Wipe the tip of the bottle with a tissue. Cap the bottle tightly.8Remove and discard the used test strip.9NOTE• Most people just test the Level1 control. If you wish, you can also test a Level2 control. A set of Level1 and Level2 control solutions is available for purchase.• The ranges for Level1 and Level2 control solutions are printed on the test strip container label.• The meter turns o 90seconds after a successful test or 15seconds after the test strip is removed, provided no other action is taken.52195_AvivaConnect_FDA.indb 23 5/1/14 7:23 AM
Control Tests242Understanding Out‑of‑Range Control ResultsWARNINGThe control range applies only to a control result. It only indicates that the test strips and meter are working properly. Do not use a control result to interpret blood glucose results.If the control result is out of range, do not use the meter until you solve the problem. Check this list to help solve the problem.Troubleshooting Checks ActionWere the test strips or control solutions expired? Discard the test strips or control solution if either is past the Use By date. If the control solution was opened more than 3months ago, discard it. Repeat the control test with an unexpired test strip and an unexpired control solution.Did you wipe the tip of the control solution bottle before use?Wipe the tip of the bottle with a tissue. Repeat the control test with a new test strip and a fresh drop of control solution.Were the caps on the test strip container and the control solution bottle always closed tightly?Replace the test strips or control solution if you think either was uncapped for some time. Repeat the control test.Was the test strip used immediately after it was removed from the test strip container?Repeat the control test with a new test strip and a fresh drop of control solution.Were the test strips and control solutions stored in a cool, dry place?Repeat the control test with a properly stored test strip or control solution.Did you follow the directions? Read the chapter Control Tests and repeat the control test.Did you choose the correct control solution level, either 1 or 2, when you performed the test?If you chose the wrong control solution level, you can still compare the control result to the range printed on the test strip container.Are you still unsure of the problem? Contact the ACCU‑CHEK Customer Care Service Center at 1‑800‑858‑8072.52195_AvivaConnect_FDA.indb 24 5/1/14 7:23 AM
The ACCU‑CHEK FastClix Lancing Device253Using the ACCU‑CHEK FastClix Lancing Device• Remember that the opening where the lancet comes out is not in the center of the cap.• Remove the cap by pulling it straight o. Do not twist the cap.• A new lancet drum is dark gray with a white end.• A used lancet drum has a visible red stripe on the white end.• You cannot reuse a used lancet drum.• Do not remove the lancet drum until you have used all 6 lancets.• The penetration depth indicator on the comfort dial shows the current depth setting. The higher the number, the deeper the penetration. The best depth setting is the lowest number that lets you get enough blood for a test. Try dierent depth settings to find the one that is right for you.• For soft skin, we suggest a depth setting of 2. For thick skin, try a higher depth setting.Chapter 3: The ACCU‑CHEK FastClix Lancing Device52195_AvivaConnect_FDA.indb 25 5/1/14 7:23 AM
The ACCU-CHEK FastClix Lancing Device263Inserting a Lancet DrumYou must first load the lancet drum into the lancing device to get it ready for use.Remove the cap.Insert a new lancet drum, white end first, until it clicks firmly into place.1Slide the cap on until it stops by aligning the notch on the cap with the notch on the lancing device.2You are now ready to use the first lancet.The lancet counter shows a number 6, meaning you have six new lancets remaining.3NOTEOnce the lancet drum is inserted into the lancing device, do not remove the lancet drum until completely used. The lancet drum cannot be reused once it has been removed from the lancing device.WARNINGYou must not insert the lancet drum into the lancing device and simultaneously press the release button or hold the lancing device with the release button resting on a surface such as a table top. This could release a lancet and inadvertently cause injury.52195_AvivaConnect_FDA.indb 26 5/1/14 7:23 AM
The ACCU‑CHEK FastClix Lancing Device273Using the ACCU‑CHEK FastClix Lancing DeviceAdjust the lancet depth by turning the comfort dial.1Obtain a blood drop. See the chapter Blood Glucose Tests.Advance to the next lancet by sliding the lever forward and back all the way.The number in the lancet counter decreases by 1. The lancet counter window shows the number of remaining lancets.23NOTE• ALWAYS use a new, sterile lancet each time you test to avoid infection.• For safety reasons, once you advance to a new lancet, you cannot go back to a used lancet.• NEVER reuse a lancet.• NEVER share your lancing device with anyone.52195_AvivaConnect_FDA.indb 27 5/1/14 7:23 AM
The ACCU-CHEK FastClix Lancing Device283Changing the Lancet Drum When you have used the sixth and last lancet, change the lancet drum.Remove the cap.1Hold the lancet drum between your thumb and index finger and pull it straight out.A red stripe is visible on the white part, indicating that the lancet drum has been used.Insert a new lancet drum, white end first, until it clicks firmly into place.Slide the cap back on until it stops by aligning the notch on the cap with the notch on the lancing device.Throw the old lancet drum away.Always discard according to local regulations.24352195_AvivaConnect_FDA.indb 28 5/1/14 7:23 AM
Blood Glucose Tests294WARNINGmg/dL or mmol/L is printed hereChapter 4: Blood Glucose Tests• The meter and lancing device should never be used by more than one person. Do not share the meter and lancing device with anyone, including family members, due to the risk of infection from bloodborne pathogens.1,2 Do not use on multiple patients!• Blood glucose results can be displayed in either mg/dL or mmol/L. The back label of the meter shows the unit of measurement. If the meter shows the wrong unit, contact the ACCU‑CHEK Customer Care Service Center at 1‑800‑858‑8072. If you do not know which unit of measurement is correct for you, contact your healthcare professional. Using the wrong unit of measurement may cause misinterpretation of your actual blood glucose level and may lead to improper therapy.52195_AvivaConnect_FDA.indb 29 5/1/14 7:23 AM
Blood Glucose Tests304Using the ACCU‑CHEK Aviva Connect System• Use only ACCU‑CHEK Aviva Plus test strips.• Use the test strip immediately after removing it from the test strip container.• Do not apply blood or control solution to the test strip before inserting it into the meter. If you applied blood or control solution before inserting the test strip into the meter, retest with a new test strip. If a result appears before applying blood or control solution, do not act on that result. • Close the test strip container tightly immediately after removing a test strip. Moisture can damage the test strips and produce incorrect results.• Store the unused test strips in their original container with the cap tightly closed.• Discard the test strips if they are past the Use By date printed on the test strip container. If the Use By date is missing or cannot be read, do not use the test strips. Contact the ACCU‑CHEK Customer Care Service Center at 1‑800‑858‑8072.• Refer to the test strip package insert for test strip storage and system operating conditions.• Do not remove test strips from the test strip container and put them into another container, such as a plastic bag, pocket, purse, wallet, etc.• Do not reuse test strips. Once control solution or blood has been applied to a test strip, discard it. If a retest is necessary, use a new test strip.• Perform a control test every time you open a new test strip box.52195_AvivaConnect_FDA.indb 30 5/1/14 7:23 AM
Blood Glucose Tests314WARNINGTo prevent inaccurate results:• DO NOT expose test strips to heat, moisture, or humidity. Temperatures outside the required range, as well as moisture and humidity, can damage the test strips and lead to inaccurate results.• DO NOT bend, cut, or alter the test strips.• DO NOT get dirt, food, or other material on the test strip.Performing a Blood Glucose Test with Blood from Your FingertipRefer to the Important Safety Information section at the beginning of this manual.NOTE• A blood glucose test cannot be performed while the meter is connected to a PC with a USB cable.• Before you perform your first blood glucose test, set up the meter correctly and perform a control test.• You need the meter, a test strip, and a lancing device with a lancet drum loaded to perform a blood test.• There are 2ways to start a blood glucose test.• Insert a test strip into the meter.• Turn the meter on by briefly pressing . Select Test > .52195_AvivaConnect_FDA.indb 31 5/1/14 7:23 AM
Blood Glucose Tests324Wash your hands with warm soapy water and dry thoroughly. Dirty or wet hands could affect test results.1Adjust the comfort dial.2Check the Use By date on the test strip container.Do not use test strips past the Use By date.3Insert the test strip into the meter in the direction of the arrows.The meter turns on. Preparing to test appears.4When Apply drop appears, obtain a blood drop.552195_AvivaConnect_FDA.indb 32 5/1/14 7:23 AM
Blood Glucose Tests334Place the lancing device firmly against the side of your fingertip.Press the release button all the way down to prick your finger.6Gently squeeze your finger to assist the blood flow. This helps you get a blood drop.7Touch the end of the test strip to the blood drop. Do not put blood on top of the test strip.Analyzing appears when there is enough blood in the test strip.852195_AvivaConnect_FDA.indb 33 5/1/14 7:23 AM
Blood Glucose Tests344The test result appears at the top of the display 1. If Last Result is on, the previous result appears at the bottom of the display 2. See the chapter Meter Settings for details on Last Result.To add a comment to the test result, press . 9Add Comment appears. Press or to highlight the comment. Press .The final result appears.With the comment highlighted, either press to set the comment or press to return to Add Comment to change the comment. If the result field is highlighted, press to set the option and return to Main Menu.102152195_AvivaConnect_FDA.indb 34 5/1/14 7:23 AM
Blood Glucose Tests354Here is a list of icons that can be added to a blood glucose result.Icon DescriptionBefore mealAfter mealFastingBedtimeOtherNo entry 1. You do not want to add a comment.2. You want to remove a comment for the current blood glucose result.Remove and discard the used test strip.11Advance to the next lancet.12Wash hands thoroughly with soap and water.1352195_AvivaConnect_FDA.indb 35 5/1/14 7:23 AM
Blood Glucose Tests364If you see either of these results:Blood glucose may be lower than the measurement range of the system. See Unusual Blood Glucose Results in this chapter.Blood glucose may be higher than the measurement range of the system. See Unusual Blood Glucose Results in this chapter.52195_AvivaConnect_FDA.indb 36 5/1/14 7:23 AM
Blood Glucose Tests374Unusual Blood Glucose ResultsIf your blood glucose result does not match how you feel, follow these steps:1. Perform a control test. See the chapter Control Tests.2. Repeat the blood glucose test. If your blood glucose result still does not match how you feel, follow your healthcare professional’s instructions or call your healthcare professional immediately.NOTEAlways follow your healthcare professional’s instructions. For example, if your healthcare professional has advised you to immediately treat a low blood glucose result (such as by eating something), then do that first.WARNING• Do not change your treatment because of one blood glucose result.• NEVER ignore symptoms of low or high blood glucose.52195_AvivaConnect_FDA.indb 37 5/1/14 7:23 AM
Blood Glucose Tests384Symptoms of Low or High Blood GlucoseWARNINGThe meter is designed to provide a numerical value for blood glucose in the range of 20–600mg/dL. If you receive a numerical value below 20mg/dL or above 600mg/dL and it does not match how you feel, contact the ACCU‑CHEK Customer Care Service Center toll‑free at 1‑800‑858‑8072.Being aware of the symptoms of low or high blood glucose can help you understand your test results and decide what to do if they seem unusual.Low blood glucose (hypoglycemia): Symptoms of hypoglycemia may include, but are not limited to, anxiety, shakiness, sweating, headache, increased hunger, dizziness, pale skin color, sudden change in mood or irritability, fatigue, diculty concentrating, clumsiness, palpitations, and/or confusion.High blood glucose (hyperglycemia): Symptoms of hyperglycemia may include, but are not limited to, increased thirst, frequent urination, blurred vision, drowsiness, and/or unexplained weight loss.If you are experiencing any of these symptoms, or other unusual symptoms, test your blood glucose from the fingertip. If your blood glucose result is displayed as LO or HI, follow your healthcare professional’s instructions or contact your healthcare professional immediately. If your blood glucose result does not match how you feel, follow the steps in Unusual Blood Glucose Results.Comparing Your Meter Result to a Laboratory ResultA common question is how the blood glucose results on the meter compare to the laboratory results. Your blood glucose can change quickly, especially after eating, taking medication, or physical activity. If you test yourself in the morning, then go to your healthcare professional’s oce for a blood glucose test, your test results will probably not match, even if you are fasting. This is typically not a problem with the meter, it just means that time has elapsed and your blood glucose level has changed.Although you always apply fresh capillary whole blood to the test strip, the system has been calibrated to deliver plasma‑like values for easier comparison to laboratory results.If you want to compare your meter result to the laboratory result, you must be fasting. Take the meter to your healthcare professional’s oce and test yourself by fingerstick within 5minutes of having blood drawn from your arm by a healthcare professional. Keep in mind that the laboratory uses dierent technology than the meter and that blood glucose meters for self‑testing generally read somewhat lower than the laboratory result.52195_AvivaConnect_FDA.indb 38 5/1/14 7:23 AM
Meter Settings395OverviewYou can adjust the following settings in the meter for your personal preferences. Refer to the sections later in this chapter for details and how to set the options.Setting Options FunctionTime/Date Time / Date Set the time and date.Beeper On / O Select On or O.USB Default Data Transfer / PC ReportsSelect the desired activity for the data in the meter when the USB cable is plugged into the meter and a PC.Data Transfer – copies the data in the meter to a compatible software program.PC Reports – the meter generates data reports that open in an Internet browser and can be printed.Target Range On / O Set MarkersSelect On or O.On – blood glucose results are marked as above, within, or below based on the target range set in the meter.O – no target range markers appear with a blood glucose result.70–160mg/dL (pre‑set target range)Set RangeSelect the blood glucose target range appropriate for you.Consult your healthcare professional for the appropriate target range for you.Chapter 5: Meter Settings52195_AvivaConnect_FDA.indb 39 5/1/14 7:23 AM
Meter Settings405Last Result On / O Select whether the previous blood glucose result (within the past 24hours) 2 appears with the current blood glucose result 1On – the previous blood glucose result appears with the current blood glucose result.O – only the current blood glucose result appears.Language Select the language for the meter.Wireless Select wireless communication settings. See the chapter Wireless Communication and Meter Pairing.2152195_AvivaConnect_FDA.indb 40 5/1/14 7:23 AM
Meter Settings415Turn the meter on by briefly pressing . From Main Menu, press to highlight Settings. Press .1Time/Date is highlighted. Press .2Press or to adjust each field. Press to set and move to the next field.3Press to save and return to Settings.4Time/Date (Main Menu > Settings > Time/Date)52195_AvivaConnect_FDA.indb 41 5/1/14 7:23 AM
Meter Settings425Beeper (Main Menu > Settings > Beeper)The beeper prompts you:• when a test strip is inserted.• to apply blood or control solution to the test strip.• when enough blood or control solution is drawn into the test strip.• when the blood glucose or control test is complete.• when the meter is turned on.• when a button is pressed.• when the batteries are inserted.• when there are no stored blood glucose results or errors or there is an invalid record.• if an error occurred (even if the beeper is o, it still beeps for an error).52195_AvivaConnect_FDA.indb 42 5/1/14 7:23 AM
Meter Settings435Turn the meter on by briefly pressing . From Main Menu, press to highlight Settings. Press .1Press or to highlight Beeper. Press .2Press or to highlight On or Off. Press to move to the option. Press to set the option and return to Settings.352195_AvivaConnect_FDA.indb 43 5/1/14 7:23 AM
Meter Settings445USB Default (Main Menu > Settings > USB Default)The USB Default option determines how the data in the meter is handled whenever you plug the USB cable into the meter and a PC. Your default option remains the same until you change it.There are 2options to display and analyze results on a PC.Data Transfer – the data is read by special software for diabetes management on the computer.PC Reports – the meter generates data reports that open in an Internet browser and can be printed.See the chapter Data Transfer and PC Reports for detailed information on data management.Turn the meter on by briefly pressing . From Main Menu, press to highlight Settings. Press .1Press or to highlight USB Default. Press .252195_AvivaConnect_FDA.indb 44 5/1/14 7:23 AM

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