Roche Accu-Chek Aviva Informations techniques

Aviva Combo00048009694/D-0512 R o c h e USA – 50813 V6/1 – 00048009694/D – Black –Roche USA – 50813 V6/2 – 00048009694/D – Cyan –Roche USA – 50813

8The Accu-Chek Aviva Combo SystemThe Accu-Chek Aviva Combo Meter is for quantitative blood glucose testing using Accu-Chek Aviva Test Strips. The mete

981.j To display a trend graph for another time range (last 8 hours, 24 hours, 48 hours, or 7 days), press x to highlight the time range selection

994i NOTE The meter saves the current settings (time range, meal time, and graph view) when you select Back or when the meter powers off.50813_0004800

100Trend Table ScreenTime RangeMeal Time SelectionDate of RecordsBlood Glucose Icon with Blood Glucose Unit of MeasureTime Change IconOnly shown when

1014i NOTE • If data are not available to display the trend table, the No Data Available screen is displayed.• Trend tables do not include corrupt res

1021.j When there are multiple records, press x or z to view other records.2.j To display a trend table for another time range (last 8 hours, 24 ho

10344.j Press . to display the Graph (see previous section for more information).To return to the Reports screen, select Back.i NOTE The meter saves

104Reporting Your Standard DayThe meter displays (for a standard day) your blood glucose averages, number of tests, and standard deviations within pre

1054Standard Day Graph ScreenTime RangeMeal Time SelectionBlood Glucose Unit of MeasureBlood Glucose IconTime of DayWarning Limit Hypo LevelRed horizo

106i NOTE • If data are not available to display the standard day graph, the No Data Available screen is displayed.• The standard day graph does not i

10741.j To display a standard day graph for another time range (last 7, 14, 30, 60, or 90 days), press x to highlight the time range selection field (

9i NOTE Blood glucose and bG are interchangeable and mean the same thing.Intended UseThe Accu-Chek Aviva Combo blood glucose monitoring system is inte

108i NOTE The meter saves the current settings (time range, meal time, and graph view) when you select Back or when the meter powers off.50813_0004800

1094Standard Day Table ScreenTime RangeMeal Time SelectionTime BlockBlood Glucose AverageStandard Deviation (SD)Number of Tests50813_00048009694_D.ind

110i NOTE • If data are not available to display the standard day table, the No Data Available screen is displayed.• Standard day table calculations d

11141.j Press x or z to scroll screen.2.j To display a standard day table for another time range (last 7, 14, 30, 60, or 90 days), press x to highli

1124.j Press . to display the Graph (see previous section for more information).To return to the Reports screen, select Back.i NOTE The meter saves t

1134Reporting Your Standard WeekThe meter displays (for a standard week) your blood glucose averages, number of tests, and standard deviations for eac

114Standard Week Graph ScreenTime RangeMeal Time SelectionBlood Glucose Unit of MeasureBlood Glucose IconDay of WeekWarning Limit Hypo LevelRed horizo

1154i NOTE • If data are not available to display the standard week graph, the No Data Available screen is displayed.• The standard week graph does n

1161.j To display a standard week graph for another time range (last 7, 14, 30, 60, or 90 days), press x to highlight the time range selection field (

1174i NOTE The meter saves the current settings (time range, meal time, and graph view) when you select Back or when the meter powers off.50813_000480

10The system includes:• Accu-Chek Aviva Combo Meter with three AAA batteries (already inserted)• Accu-Chek Aviva Test Strips and pre-inserted activati

118Standard Week Table ScreenTime RangeMeal Time SelectionDay of WeekBlood Glucose AverageStandard Deviation (SD)Number of Testsi NOTE • If data are n

11941.j Press x or z to scroll screen.2.j To display a standard week table for another time range (last 7, 14, 30, 60, or 90 days), select the time

1204.j Press . to display the Graph (see previous section for more information).To return to the Reports screen, select Back.i NOTE The meter saves t

1214Reporting Your TargetThe meter displays a pie chart illustrating your blood glucose records as “Above,” “Within,” “Below,” and “Hypo” for the time

122Target Graph ScreenTime RangeLegendBlood glucose test result categoriesMeal Time SelectionPie ChartRepresents the percentages for the blood glucose

12341.j To display a target graph for another time range (last 7, 14, 30, 60, or 90 days), select the time range selection field (top of screen). Pres

124i NOTE The meter saves the current settings (time range, meal time, and graph view) when you select Back or when the meter powers off.50813_0004800

1254Target Table ScreenTime RangeLegendBlood glucose test result categoriesMeal Time SelectionPercentage of Occurrencei NOTE • If results or data are

1261.j To display a target table for another time range (last 7, 14, 30, 60, or 90 days), select the time range selection field (top of screen). Press

1274i NOTE The meter saves the current settings (time range, meal time, and table view) when you select Back or when the meter powers off.50813_000480

1111 Understanding Your New System1.1 Overview 121.2 The Accu-Chek Aviva Combo Meter at a Glance 131.3 The Accu-Chek Spirit Combo Insulin Pump at

1284.5 Downloading Your Data to a ComputerYou can transfer your stored results to a computer to track, identify patterns, and print. 1.j Install the

12944. 5.j Select Data Transfer and press =.Infrared (IR) Windowj Locate the infrared (IR) window on the top of the meter. j Locate the IR window o

1307.j Once the data transfer is complete, the Data Transfer Complete screen is displayed for 3 seconds and then the meter turns o.i NOTE If the dat

13155 Changing Meter Settings5.1 Overview 1325.2 Setting bG Test Reminders: After High bG, After Low bG, After Meal 1335.3 Setting Alarm Clock Rem

1325.1 OverviewYou have the flexibility to change the Accu-Chek Aviva Combo Meter settings that you initially selected during the Setup Wizard process.

13355.2 Setting bG Test Reminders: After High bG, After Low bG, After MealbG Test Reminders: Important Information• At the scheduled time, the meter

134Main Menu > Settings > Reminders > bG Test Reminders1.j From the Main Menu, select Settings and press =.2. 3.j Select Reminders and pres

13554.j Select either After High bG, After Low bG, or After Meal and press =.j Proceed to either After High bG, After Low bG, or After Meal in this

136To Turn the After Low bG Reminder On or O: j Select the Reminder entry field and press =. j Select On or O and press =.To Change the bG Threshol

1375To Change the Remind After Time:j Select the Remind After entry field and press =. j Set the amount of time after a meal (carb entry larger than

121.1 OverviewYour new meter has several features to assist you in managing your diabetes. It is important you understand the features and how to oper

1385.3 Setting Alarm Clock Reminders: bG Test, OtherAlarm clock reminders are a helpful way to remind you to test your blood glucose, or for any other

1395Main Menu > Settings > Reminders > Alarm Clock1.j From the Main Menu, select Settings and press =.2.j Select Reminders and press =.3.j

140To Turn On or Change a Reminder:j Select the time entry field for a Reminder and press =.j Set the time to schedule the Reminder and press =.j Pr

14155.4 Setting Date Reminders: Dr. Visit, Lab Test, Infusion Set ChangeDate reminders are a helpful way to remind you of an upcoming Dr. visit or la

142Main Menu > Settings > Reminders > Date Reminders1.j From the Main Menu, select Settings and press =.2. 3.j Select Reminders and press =

1435j Select either Dr. Visit, Lab Test, or Infusion Set Change and press =.j Proceed to either Dr. Visit, Lab Test, or Infusion Set Change in this

144To Turn the Lab Test Reminder On or O:j Select the Reminder entry field and press =. j Select On or O and press =.To Set the Date:j Select the

1455i NOTE • Setting a time for a Date Reminder is optional. If you choose not to set a time, ensure the Time entry field value is “--:--” (no entry)

1465.5 Setting Bolus Advice for the First TimeSet Up Bolus AdviceIf you did not set up bolus advice when you went through the Setup Wizard and have n

1475scroll downTime Block Start TimeTarget Range Lower ValueCarb Ratio–Number of Insulin UnitsTime Block End TimeTarget Range Upper ValueCarb Ratio–Nu

1131.2 The Accu-Chek Aviva Combo Meter at a GlanceDisplayShows menus, results, messages, and data stored in the diaryButtonsPress to enter menus or t

1483.Main Menu > Settings > Bolus Advice1. 2.j From the Main Menu, select Settings and press =.j If you do NOT want to set up bolus advice, se

14954.j To continue, select Next.5.To Change Time Blocks:j Select a time block to edit and press =.To Change the End Time:j Select the End Time ent

150To Change the Target Range:j Select the entry field for the lower value of the Target Range and press =.j Set the value and press =.j Select the

15157.j Return to Step 5 to change another Time Block.j Continue in order to add or remove Time Blocks, otherwise select Next and proceed to Step 8.

1528. 9.To Change the Health Events:j Select the entry field of the Health Event to be changed and press =.j Set the percentage and press =.j Repeat

153511.10.j To return to the Settings screen, select Back. j Select OK.50813_00048009694_D.indb 153 7/3/12 3:13 PM

154Bolus Advice OptionsMeal Rise, Snack Size, Acting Time, and Oset Time are Bolus Advice Options. Below are detailed descriptions of each of these s

15555.6 Setting Time Blocks, Health Events, Advice Options: Bolus Advice Set UpIf bolus advice has been set up, use this section for:• Adding or remo

156Setting Time Blocks–Bolus Advice is Set UpMain Menu > Settings > Bolus Advice > Time Blocks1. 2.j From the Main Menu, select Settings and

15754.To Add or Remove Time Blocks:If you do not need to add or remove time blocks, then proceed to “To Change the Time Blocks.”To Add a Time Block:j

14Test StripBatteriesInsert batteries according to the + and - symbols in the battery compartment.Control Solution Bottle(for example)Yellow Window -T

1585.To Change the End Time:j Select the End Time entry field and press =. j Set the End Time and press =.To Change the Target Range:j Select the e

15956.j To change another time block, select the time block and press =. Return to Step 5.j To return to the Bolus Advice screen, select Back.50813

160Setting Health Events–Bolus Advice is Set UpMain Menu > Settings > Bolus Advice > Health Events1. 2.j From the Main Menu, select Settings

16154.To Change the Health Events:j Select the entry field of the Health Event to be changed and press =.j Set the percentage and press =.j Repeat t

1623.Setting Bolus Advice Options–Bolus Advice is Set UpMain Menu > Settings > Bolus Advice > Advice Options1. 2.j From the Main Menu, selec

1635To Change the Meal Rise:j Select the Meal Rise entry field and press =.j Set the Meal Rise limit and press =.To Change the Snack Size:j Select t

1645.7 Setting Warning Limits: Hyper, HypoYou can set blood glucose warning limits for hyperglycaemia (Hyper) or hypoglycaemia (Hypo) conditions. Once

1655Main Menu > Settings > Meter > Warning Limits1. 2.j From the Main Menu, select Settings and press =.j Select Meter and press =.3.j Sel

1664.To Change the Hyper Blood Glucose Level:j Select the Hyper entry field and press =.j Set the Hyper (upper) blood glucose level and press =.To Ch

16755.8 Turning Key Lock On or OThe key lock feature allows you to lock all of the buttons on the meter, except for the power on/o button. This serv

115i NOTE Your meter is already coded and comes with a pre-inserted black activation chip that you never need to change. Even if you use test strips f

168Main Menu > Settings > Meter > Key Lock1. 2.j From the Main Menu, select Settings and press =.j Select Meter and press =.3.j Select Key

16954.j Press = to display the Key Lock pop-up menu.j Select On or O.To save the change and return to the Meter Menu screen, select Save.If the but

1705.9 Setting the LanguageYou can select a language from the predefined list. 50813_00048009694_D.indb 170 7/3/12 3:13 PM

1715Main Menu > Settings > Meter > Language1. 2.j From the Main Menu, select Settings and press =.j Select Meter and press =.3.j Select La

1724.j Press = to display the Language options.j Select the desired Language and press =.To save the change and return to the Meter Menu screen, sel

17355.10 Setting Units: CarbsYou can set up the meter for dierent carbohydrate (carbs) units (Grams, BE, KE, or CC).50813_00048009694_D.indb 173 7/

174Main Menu > Settings > Meter > Units1. 2.j From the Main Menu, select Settings and press =.j Select Meter and press =.3.j Select Units

17554.j Press = to display the list of units for carbs.j Select the units (Grams, BE, KE, or CC) and press =.To save the change and return to the Me

1765.11 Turning Bluetooth® Wireless Technology On or OMain Menu > Settings > Meter > Bluetooth1. 2.j From the Main Menu, select Settings an

17754.j To turn Bluetooth wireless technology either On or O, press and hold * until the Bluetooth wireless technology icon changes. Release *.To sa

16The meter has seven buttons and two soft keys.i NOTE • You hear a sound every time an active button/soft key is pressed unless you turned off the k

1785.12 Pairing the Meter and PumpFor complete pairing instructions, see the Advanced Owner’s Booklet.50813_00048009694_D.indb 178 7/3/12 3:13 PM

17955.13 Setting the Beeper, Vibrate, and Key SoundYou can set up the meter for sound mode and/or vibration mode. The meter features dierent sound (b

180Main Menu > Settings > Sound/Vibrate1. 2.j From the Main Menu, select Settings and press =.j Select Sound/Vibrate and press =.3.To Change t

1815To Change the Key Sound:j Select the Key Sound entry field and press =.j Select the Key Sound mode (On or O) and press =.To save the changes and

1825.14 Setting the Time Format, Time, and Datei NOTE • It is recommended you set the date and time on the pump (the date and time on the meter will

1835Main Menu > Settings > Time/Date1. 2.j From the Main Menu, select Settings and press =.j Select Time/Date and press =.3.To Change the Time

184To Change the Date:j Select the Date entry field and press =.j Set the Day and press =.j Set the Month and press =.j Set the Year and press =.To

18555.15 Setting Time Blocks: Bolus Advice Not Set UpThis section is for changing, adding, and removing time blocks only if bolus advice has not been

1861. 2.j From the Main Menu, select Settings and press =.Time Blocks does not appear if bolus advice has been set up.j Select Time Blocks and press

18754.To Change the End Time:j Select the End Time entry field and press =.j Set the End Time and press =.To Change the Target Range:j Select the en

117Table of Buttons and Soft Keys Button Name Function<Left Arrow jMove or scroll to the left in a screen.>Right Arrow jMove or scroll to the

188i NOTE • When you set the end time, the meter sets this end time as the start time for the next time block.• The end time can be set in 30-minute

18951. 2.j From the Main Menu, select Settings and press =.Time Blocks does not appear if bolus advice has been set up.j Select Time Blocks and pres

1904.j Select the End Time entry field and press =.j Set the End Time of the selected Time Block and press =. This will be the start time of the add

19151. 2.j From the Main Menu, select Settings and press =.Time Blocks does not appear if bolus advice has been set up.j Select Time Blocks and pres

1924.j Select the End Time entry field and press =.j Set the End Time to match the start time of the Time Block and press =.To save the changes and r

19355.16 Backlight Settings The backlight on your Accu-Chek Aviva Combo Meter helps you read the information on the meter display under different ligh

194i NOTE • When the meter is turned on, the backlight is set to medium.• When the backlight is set to high or medium and no button activity has occ

19566 Icons, Reminders, Warnings, and Errors6.1 Overview 1966.2 List of Icons 1976.3 Confirming a Reminder, Warning, or Error 1996.4 List of Remind

1966.1 OverviewThis chapter provides you with detailed listings of all the icons, reminders, warnings, and errors included in the meter.i NOTE Blood g

1976Icon Name IconActive InsulinAdd DataAnalyzingBeeperBlood Glucose AveragesBlood Glucose TestBluetooth Wireless Technology EnabledBolus AdviceBolus

LAST UPDATE: 2012-01Distributed in the United Kingdom by: Roche Diagnostics LimitedCharles Avenue, Burgess HillWest Sussex, RH15 9RY, United Kingdom A

18Table of Button Combinations Button Combination Name FunctionWhen the buttons are locked, press and hold ,and .until the Main Menu appears.Unlock

198Icon Name IconMeter (Settings)Multiwave Bolus Not ConfirmedMultiwave Bolus ConfirmedMy DataPen/Syringe BolusPumpReminderReminders (Settings)ReportsSe

19966.3 Confirming a Reminder, Warning, or ErrorTo confirm (or dismiss) most reminders or warnings, press .. Some error messages require a dierent con

2006.4 List of RemindersReminder Screen ExampleReminder TitleReminder MessageDismissReminder IconSnoozeReschedule the reminder. This is not available

2016For instructions on how to set up meter reminders, see Chapter 5, “Changing Meter Settings.” The reminders available on the meter are:Reminder Tit

202Reminder Title Reminder Message Left Soft Key Right Soft Key Snooze TimeDr. Visit Tomorrow If the Dr. Visit time has been set:You have a Dr. Appoin

2036Reminder Title Reminder Message Left Soft Key Right Soft Key Snooze TimeLab Test Today If the lab test time has been set:You have a Lab Test today

204Reminders: Important Information• When two or more event reminders occur at the same time, the meter displays the event reminder with the highest

2056Low bG Retest Reminder• When your blood glucose test result is less than the low blood glucose threshold setting you have set up (see Chapter 5,

206High bG Retest Reminder• When your blood glucose test result is greater than the high blood glucose threshold setting you have set up (see Chapter

2076After Meal Reminder• When you enter carbohydrates into the diary through one of the following screens and the carbohydrates entered are greater t

119For information about the pump, see the Accu-Chek Spirit Combo Insulin Pump User Guide.1.3 The Accu-Chek Spirit Combo Insulin Pump at a GlanceMenu

208Alarm Clock Reminders for bG Test and Other• At the scheduled time, the meter turns on and displays the reminder (if a test strip has not been ins

2096• Other Alarm Clock Reminder• If the meter is already on when the reminder is scheduled, the reminder is displayed when the meter powers down.• D

2106.5 List of WarningsWarning Screen ExampleWarning IconNoOnly shown on a few warning screensWarning TitleWarning MessageYes or OKi NOTE The meter be

2116The warnings the meter may display are:Warning Title Warning Message Left Soft Key Right Soft KeyAbove Hyper Warning LimitConsider checking for ke

212Warning Title Warning Message Left Soft Key Right Soft KeyBolus Too High Bolus above allowed amount. Bolus set to maximum.OKBolus Too Low Bolus bel

2136Warning Title Warning Message Left Soft Key Right Soft KeyConnection Lost Restart Meter, select “Settings”, “Meter”, “Pair with Pump”OKCorrupt Lan

214Warning Title Warning Message Left Soft Key Right Soft KeyInvalid Date Reenter valid date OKInvalid Hyper Values Hyper value must be greater than T

2156Warning Title Warning Message Left Soft Key Right Soft KeyNo bG with Bolus Consider testing bG before delivering Insulin. Continue?No YesPairing F

2166.6 List of ErrorsError Screen ExampleError TitleError MessageError IconMenuThis option is not available for all errors.i NOTE The meter beeps when

2176The errors the meter may display are:Error Title Error Message Left Soft Key Right Soft KeyE-51Bad Strip ErrorReinsert or replace with new StripE-

201.4 Summary of FeaturesDisplayThe meter has a full-colour graphic LCD (Liquid Crystal Display) that displays current and historical information.Back

218Error Title Error Message Left Soft Key Right Soft KeyE-59Battery EmptyReplace batteries nowE-60Time/Date ErrorCorrect time/date if necessary Menu1

72197 Care and Maintenance7.1 Overview 2207.2 Changing the Batteries 2217.3 Power-Saving Tips 2247.4 Cleaning the Meter 2257.5 Maintenance and Tes

2207.1 OverviewIt is important to properly care for and maintain your Accu-Chek Aviva Combo Meter. If you have any questions about the care and mainte

72217.2 Changing the Batteries1. 2.j Remove the battery door from the back of the meter by pushing the tab in the direction of the arrow and pulling

222w WARNING • Using batteries other than those supplied or recommended for use with the meter may significantly reduce the life of the batteries. Ba

7223i NOTE • Alkaline batteries are recommended for use with the meter.• After you change the batteries, the meter prompts you to confirm the time a

2247.3 Power-Saving TipsTo conserve battery life:• Use the low beeper setting• Only turn on the vibration feature when it is needed• Turn o the mete

72257.4 Cleaning the MeterCaring for the meter is easy: just keep it free of dust. If you need to clean it, follow these guidelines carefully to help

2267.5 Maintenance and Testing• The meter needs little or no maintenance with normal use. It automatically tests its own systems every time you turn

22788 Troubleshooting8.1 Overview 2288.2 Troubleshooting the Accu-Chek Aviva Combo Meter 22950813_00048009694_D.indb 227 7/3/12 3:13 PM

121Key Lock• The key lock feature allows you to lock all of the buttons on the meter, except for the power on/o button. • The key lock serves as a sa

2288.1 OverviewFor most problems, the meter displays a message with a short description of the symptom and, along with it, a proposed solution. This c

22988.2 Troubleshooting the Accu-Chek Aviva Combo MeterDisplay Shows Possible Cause(s) Possible Solution(s)The display is blank or the meter will not

230Display Shows Possible Cause(s) Possible Solution(s)Above Hyper Warning Limitj Your test result is above the hyper warning limit set in the meter.

2318Display Shows Possible Cause(s) Possible Solution(s)Bolus Advice Not Setupj Advice is not provided unless it is set up through Bolus Advice in Se

232Display Shows Possible Cause(s) Possible Solution(s)Bolus Too High j The bolus is above the allowed amount. The bolus was set to 50 Units.j Check

2338Display Shows Possible Cause(s) Possible Solution(s)Communication Warningj Communication of bolus data from the pump was not successful. Therefor

234Display Shows Possible Cause(s) Possible Solution(s)Connection Lost j The connection was lost between the meter and the pump during the pairing pr

2358Display Shows Possible Cause(s) Possible Solution(s)E-51 Bad Strip Errorj Your blood glucose may be extremely low. If you see this error message

236Display Shows Possible Cause(s) Possible Solution(s)E-53 Bad Test Errorj A meter or test strip error has occurred.j Discard the test strip and re

2378Display Shows Possible Cause(s) Possible Solution(s)E-54 Not Enough Samplej Not enough blood or control solution was drawn into the test strip fo

22Bolus Advice (Optional)• The term “bolus” refers to the delivery of insulin all at once rather than slowly throughout the day, usually used to comp

238Display Shows Possible Cause(s) Possible Solution(s)E-58 Temp. Error j The temperature is above or below the proper range for the meter.j Move th

2398Display Shows Possible Cause(s) Possible Solution(s)Infrequent Pump Communicationj At least 2 weeks have passed since the meter and pump have co

240Display Shows Possible Cause(s) Possible Solution(s)Invalid Hyper Valuesj The hyper warning limit value must be greater than all of your target ra

2418Display Shows Possible Cause(s) Possible Solution(s)Invalid Target Rangej The lower target range value is above the upper target range value.j R

242Display Shows Possible Cause(s) Possible Solution(s)No bG with Bolus j You have not tested your bG and are attempting to deliver a bolus.j It is

2438Display Shows Possible Cause(s) Possible Solution(s)Test Strips Expiring j The test strips expire at the end of the current month.j This message

24450813_00048009694_D.indb 244 7/3/12 3:13 PM

92459 Technical Information9.1 Overview 2469.2 Product Limitations 2479.3 Specifications 2489.4 Product Safety Information 2509.5 Disposing of the

2469.1 OverviewThis chapter provides you with important performance information regarding the meter.50813_00048009694_D.indb 246 7/3/12 3:13 PM

92479.2 Product LimitationsPlease read the literature packaged with your test strips to find the latest information on product specifications and limita

123Administering a BolusUsing your new meter, you can deliver a bolus:• Remotely on your pump using Bluetooth wireless technology• Using the bolus adv

2489.3 SpecificationsBlood volume j Refer to the test strip package insert.Sample type j Fresh whole bloodMeasuring time j Refer to the test stri

9249Power supply j Three AAA batteries (recommended: alkaline)Display j LCDDimensions j 94 x 55 x 25 mm LWHWeight j Approximately 103 g with ba

2509.4 Product Safety InformationBluetooth Wireless TechnologyThe meter and the pump utilize Bluetooth wireless technology to communicate and transfer

9251In the event there is interference from another device, it is recommended that you increase distance between meter and that device. You may also t

252Performance AnalysisThe performance data for the Accu-Chek Aviva Combo System (Accu-Chek Aviva Combo Meter with Accu-Chek Aviva Test Strips) were o

92539.5 Disposing of the Meterw WARNING • During blood glucose measurement, the meter itself may come into contact with blood. Used meters therefore

2549.6 GuaranteeThe statutory provisions on rights in consumer goods sales in the country of purchase shall apply.50813_00048009694_D.indb 254 7/3/1

92559.7 Additional SuppliesThe following supplies and accessories are available from your authorized Roche Diabetes Healthcare Centre, pharmacies, or

2569.8 Information for Healthcare Professionalsw WARNING Healthcare Professionals: Follow the infection control procedures appropriate for your facili

257AppendicesAppendix A: AbbreviationsAbbreviation DefinitionBE Bread Equivalent (equal to 12 grams of carbohydrates)bG Blood Glucose°C Degrees Celsius

24Data Transfer• You can transfer your data stored on the meter to a computer. • For more information, see Chapter 4, “Managing Your Data.”Warning Lim

258Abbreviation DefinitionIR InfraredISO International Organization for StandardizationKE Kohlenhydrateinheit (equal to 10 grams of carbohydrates)LCD L

259Appendix B: Carb UnitsFor carbohydrates, the following units of measure are available on the meter.Abbreviation Unit of Measurement Gram Equivalent

260Appendix C: Explanation of SymbolsYou may encounter the following symbols on the packaging, on the type plate (back of meter), and in the instructi

261Appendix D: Meter Settings and Range Limitsmmol/LData Type Unit of Measurement MIN MAX Increments Default SettingActing Time hours:minutes 1:30 8:0

262Data Type Unit of Measurement MIN MAX Increments Default SettingExercise 1 (health event)% -50 50 1 0Exercise 2 (health event)% -50 50 1 0Extende

263Data Type Unit of Measurement MIN MAX Increments Default SettingOset Time hours:minutes 0:45 Acting Time0:15 1:00Premenstrual (health event)% -50

264The following are the default settings for bG test reminders. To turn on a bG test reminder, see “Setting the Alarm Clock Reminders: bG Test, Other

265The following are the default settings for the time blocks. Talk to your healthcare professional about setting up time blocks to help you manage yo

26650813_00048009694_D.indb 266 7/3/12 3:14 PM

267GlossaryTerm Definition7-day average Includes results generated today and the previous 6 days.Acting Time The period of time from the start of the m

125Time Blocks• Time blocks allow you to divide a day into dierent time periods.• Setting time blocks to fit your own schedule helps you and your hea

268Term DefinitionbG Test Reminders Reminders to retest your blood glucose after a high blood glucose test result, after a low blood glucose test resul

269Term DefinitionCarb Ratio The amount of insulin necessary to account for a certain number of carbohydrates.Carbohydrates (or Carbs) Carbohydrate foo

270Term DefinitionDay Period of time starting at 00:00 and ending at 23:59.End Time The end time of a time block.Extended Bolus A bolus delivered over

271Term DefinitionHypo Hypoglycaemia: an abnormally low level of glucose in the blood.Hypo Warning Limit When your blood glucose test result is below t

272Term DefinitionMeal Time A pop-up menu selection (Pre Meal, Post Meal, Bedtime, or other) that allows information to be stored with a blood glucose

273Term DefinitionQuick Bolus A bolus delivery on the pump using the pump UP and DOWN keys. One key press equals one bolus increment (i.e., 0.1, 0.2, 0

274Term DefinitionStandard Bolus A bolus that is immediately delivered to cover a food or a blood glucosecorrection. When Standard is selected, the bol

275Aabbreviations, 257–259acting time, 152–154, 163activation chip, 12–13, 15activation chip slot, 13active insulin, 49–52advice options, 162–16

276blurred vision, 58bolus advice, 22, 146–154bolus advice options. Seeadvice optionsbolus, delivery, 23, 230–232buttons, 13, 15–17, 16–18Ccarboh

277Ffatigue, 58frequent urination, 58Gg (grams), 173–175graph,standard day, 105–108standard week, 114–117target, 122–124trend, 95–98guarantee,

26Without bolus advice, you need to consider the following when setting up time blocks:• Determine the appropriate time range by reviewing the end tim

278Mmaintenance, meter, 226meal rise, 152, 154, 163meal time, 49–52, 85meter,settings and range limits, 261–266summary of features, 13, 20–28Nnav

279sweating, 58symbols, explanation, 260Ttable,standard day, 109–112standard week 118–120target, 125–127trend, 100–103target range, 150, 187, 2

28050813_00048009694_D.indb 280 7/3/12 3:14 PM

127Health EventsHealth events can be selected to indicate how you are feeling or what you are doing that might aect your diabetes. The meter allows y

1ContentsIntroduction 7The Accu-Chek Aviva Combo System 81 Understanding Your New System 111.1 Overview 121.2 The Accu-Chek Aviva Combo Meter a

28Blood Glucose Test Reminders (Optional)The meter can be set up to remind you to retest your blood glucose after a high blood glucose test result, af

129Alarm Clock Reminders• The meter has alarm clock reminders which can be used as a helpful way to remind you when to test throughout the day. • In

301.5 Screen Content and NavigationThis section provides an explanation of how to understand and navigate the screens on the meter.Each time the meter

131Sound IconAppears when the beeper is turned onTimeMenu OptionsVibrate IconAppears when vibrate is turned onDateLow Battery IconAppears when the met

32Bluetooth Wireless Technology Icon Communication StatesYou may turn Bluetooth wireless technology on or off at any time using the meter.Icon Communi

133This screen appears when Bluetooth wireless technology is on and the meter is connecting to the pump.Connecting to the Pump screen:50813_0004800969

34Title BarPrimary menu title is displayed here.Secondary Title BarWhen necessary, a secondary title bar appears. Secondary menu text is displayed her

135Information can be entered on some screens. Numerical entry fields appear as pop-up entry fields. When an option must be selected, it appears as a

36General Navigation StepsTo change the settings or enter information into the meter:1.j Press x or z to select a menu option and press =.j Repeat t

1374.j Select Save by pressing . to save changes and return to the previous screen.j Press x or z or < or > to select an option or a desired e

23 Control Testing 593.1 Overview 603.2 Why Perform Control Tests 613.3 About the Control Solutions 623.4 Performing a Control Test 633.5 Under

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3922 Testing Your Blood Glucose2.1 Overview 402.2 Using the Accu-Chek Aviva Combo System 412.3 Performing a Blood Glucose Test 422.4 Detailed Bl

402.1 OverviewIt is important to understand how to perform a blood glucose test properly.i NOTE Blood glucose and bG are interchangeable and mean the

4122.2 Using the Accu-Chek Aviva Combo SystemBefore You Start Testing• Only use Accu-Chek Aviva Test Strips.• Store the unused test strips in their o

422.3 Performing a Blood Glucose Test Before you perform your first blood test, ensure the meter is set up correctly and that you perform a control tes

4321.j Wash and dry your hands. j Prepare the finger pricker for a fingertip test.Performing a Fingertip Blood Glucose TestPrepare > Check the Use

44The Apply Sample screen appears. The test strip is ready for testing.4.Fingerstick:j Perform a fingerstick with the finger pricker. 5.Fingerstick:j

452j Touch the blood drop to the front edge of the yellow window of the test strip. Do not put blood on top of the test strip.7.When the test strip h

4610.Approximately 3 seconds later, the detailed bG Result screen appears.j Remove and discard the used test strip.50813_00048009694_D.indb 46 7/3/

472i NOTE• If the blood drop is too small, reapply pressure to get a sufficient blood drop. • For more information regarding blood glucose test resu

35.7 Setting Warning Limits: Hyper, Hypo 1645.8 Turning Key Lock On or O 1675.9 Setting the Language 1705.10 Setting Units: Carbs 1735.11 Turning

48i NOTE Other ways to start a blood glucose test:• From the Main Menu, select bG Test and press =. Insert a test strip into the meter.• When a remin

4922.4 Detailed Blood Glucose Test ResultsThe detailed bG Result screen displays the following information:Test TimeMeal TimeCarbohydratesHealth Event

50Detailed bG Results > Change Meal Time/Carbs/Health Events (Optional)The detailed bG Result screen allows you to view and to add information to a

512To Change Meal Time:j Select the Meal Time entry field and press =.j Select either Pre Meal, Post Meal, Bedtime, or Other and press =.To Change Ca

52i NOTE• You can add information on the detailed bG Result screen for meal time, carbs, and health events.• Review and, if necessary, update inform

5322.5 Understanding Blood Glucose Test ResultsThe bG Result screen displays the following information:Test TimeBlood Glucose Test Result Test DateSt

54Status BarThe status bar on the bG Result screen indicates how the result compares to the target blood glucose range for the current time block. The

552Light blue indicates the result is above the target range for the current time block. The result is not above the hyper warning limit.Light blue wi

56LO or HI DisplayIf “LO” is displayed, the test result may be below the measurement range.j Contact your healthcare professional.If “HI” is displaye

5722.6 Unusual Blood Glucose Test ResultsIf your blood glucose result does not match the way you feel, follow these steps:Troubleshooting Checks Actio

47 Care and Maintenance 2197.1 Overview 2207.2 Changing the Batteries 2217.3 Power-Saving Tips 2247.4 Cleaning the Meter 2257.5 Maintenance and

582.7 Symptoms of High or Low Blood GlucoseBeing aware of the symptoms of high or low blood glucose can help you understand your test results and dec

5933 Control Testing3.1 Overview 603.2 Why Perform Control Tests 613.3 About the Control Solutions 623.4 Performing a Control Test 633.5 Understa

603.1 OverviewThis chapter describes how and when to perform a control test to ensure the accuracy of your blood glucose meter. It is recommended you

6133.2 Why Perform Control TestsPerforming a control test lets you know the meter and test strips are working properly to give reliable blood glucose

623.3 About the Control Solutions• Only use Accu-Chek Aviva Control Solutions.• The meter automatically recognizes the control solution.• The control

633You need the meter with a pre-inserted activation chip, a test strip, and control solution Level 1, Level 2, or both. The control level is printed

64Check the Use By Date > Insert Test Strip > Test Control Solution > Control Result1.2.j Check the use by date on the test strip container.

6535.4.j Place the meter on a flat surface, like a table.j Select the control solution to test. You will enter the level later in the test.6.j Remov

668.When the test strip has enoughcontrol solution, the Analyzingscreen appears. j Wipe the tip of the bottle with a tissue and then cap the bottle t

67310.j Select the control solution level and press =.11.j Remove and discard the test strip.j For information on understanding control test result

5Appendices 257Appendix A: Abbreviations 257Appendix B: Carb Units 259Appendix C: Explanation of Symbols 260Appendix D: Meter Settings and Range L

68iNOTE • If a test strip error occurs, remove and discard the used test strip and repeat the test with a new test strip.• Be careful not to put any

693Test TimeControl ResultUnit of MeasureMenuSelect Menu to save result and display Main Menu screenTest DateControl Solution LevelResultWithin range

70j The label on your test strip container shows the acceptable ranges for both the Level 1 and the Level 2 control solutions. The test result you ge

713If the control test result is outside of the acceptable range, “Out of range” appears on the detailed Control Result screen.If “HI” is displayed, t

72If the meter stored No Entry for the control solution level, then “---” appears with no indication of in or out of range.50813_00048009694_D.indb

733Out-of-Range Control Test ResultsIf the control test result is out of range, check this list to help solve the problem:Troubleshooting Checks Actio

74Troubleshooting Checks Actions7. Did you choose the correct control solution level, either 1 or 2, when you performed the control test?If you chose

7544 Managing Your Data4.1 Overview 764.2 Viewing or Modifying Your Data 794.3 Adding New Data 874.4 Reporting Your Data 904.5 Downloading Your D

764.1 OverviewAnalyzing your blood glucose test results stored in the meter is an eective way for you and your healthcare professional to determine h

774Storing Test ResultsThe meter automatically stores up to 1,000 diary records with the time and date. You can review up to 250 diary records on the

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78i NOTE • Do not change your therapy based on one individual record or test result in the diary.• This chapter shows sample screens. The screens ma

7944.2 Viewing or Modifying Your DataThe View Data screen displays the following information:Date of Record(s)Time of Blood Glucose TestBlood Glucose

80i NOTE • If data are not available, the No Data Available screen is displayed.• The View Data screen displays the records in the order in which th

814Refer to the following two tables for icon descriptions:Icon Icon Name DescriptionbG Test Icon is displayed when information exists for this diary

82Icon Icon Name DescriptionExtended Bolus Confirmed Delivery has been confirmed by the pump.Manual Pump Delivery has not been confirmed by the pump.Pen/

834You can view a diary record with its attributes (blood glucose value, meal time, carbs, health event, and bolus).Main Menu > My Data > View D

843.j Shown above are View Data screens that display values for blood glucose, bolus, or carbs. To choose another view, press . (a pop-up menu appear

8544.j Press < to view the previous record or press > to view the next (newer) record. To return to the previous screen, select Back.or To modi

86The following fields cannot be modified with the specified condition:Fields Cannot be modified if the …Bolus Bolus type is confirmed standard, extende

874You can add data to a diary record for carbs, health, and bolus. The Add Data screen displays the following information:4.3 Adding New DataTime Ent

7Your new meter includes three booklets:• Getting Started Guide: Use this booklet to set up the meter.• Standard Owner’s Booklet: Use this boo

88Main Menu > My Data > Add Data1.j From the Main Menu, select My Data and press =.2. 3.j Select Add Data and press =. j Select an entry field

894i NOTE • The meter initially displays the current date and the current time. You can change the date and time when adding a diary record, although

904.4 Reporting Your DataTime RangeMeal TimesBlood Glucose Standard Deviation Calculated for the time range Number of TestsUsed to calculate the avera

914i NOTE • If data are not available to calculate averages, the No Data Available screen is displayed.• Standard deviation measures how much the bl

92Reporting Your Blood Glucose AveragesThe meter displays your blood glucose averages and standard deviations for the time range you choose (7, 14, 3

9344.The blood glucose averages are displayed.j To display blood glucose averages for another time range (last 7, 14, 30, 60, or 90 days), press eith

94Reporting Your Data TrendsThe meter displays your blood glucose record trends for the time range you choose (last 8 hours, 24 hours, 48 hours, or 7

954Trend Graph ScreenTime RangeMeal Time SelectionBlood Glucose Unit of MeasureBlood Glucose IconTimes or Days of MonthBolus IconBolus Unit of Measure

96Follow these tips to get the most value from My Data reports:• If you delivered a bolus directly on the pump, go to My Data on the meter to receive

974i NOTE • If data are not available to display the trend graph, the No Data Available screen is displayed.• Trend graphs do not include corrupt res