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ACCU-CHEK Aviva Expert Manual

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07006322001-1013
Roche USA – 52123
V6/1 – 07006322001 – Black –
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Roche USA – 52123
V6/2 – 07006322001 – Cyan –
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Roche USA – 52123
V6/3 – 07006322001 – Magenta –
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Roche USA – 52123
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Roche USA – 52123
V6/5 – 07006322001 – PMS 287 –
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Roche USA – 52123
V6/6 –07006322001 – PMS 5445 –
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BLOOD GLUCOSE METER
Standard Owner’s Booklet
for Single Patient Use Only
© 2013 Roche Diagnostics
Assembled in USA.
Roche Diagnostics Corporation
9115 Hague Road
Indianapolis, IN 46256
www.accu-chek.com
ACCU-CHEK, ACCU-CHEK AVIVA, ACCU-CHEK
AVIVA EXPERT, and FASTCLIX are trademarks
of Roche.
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LAST UPDATE: 2013-07
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i
Before You Start Testing
About the meter and test strips
• Carefully read and follow the instructions in the Getting Started Guide, the Standard Owner’s Booklet, the
Advanced Owner’s Booklet, and Package Inserts for the test strips and control solutions. Not following the
instructions may lead to a wrong result or improper treatment, causing you health problems.
• Set the time and date on your meter before you begin testing.
• Inspect the test strip container before using the test strips for the first time. If you see any damage to the
container cap or if anything prevents the cap from closing properly, do not use the test strips. Contact
ACCU-CHEK Customer Care Service Center at 1-800-688-4578. Damaged test strips can cause inaccurate
results, which could lead to improper treatment.
• Carefully dispose of used test strips and lancets.
• Home use of the ACCU-CHEK Aviva Expert system is limited to capillary whole blood testing.
Roche USA – 52123
V4/1 – 07006322001 – Black –
Roche USA – 52123
V4/2 – 07006322001 – Cyan –
Roche USA – 52123
V4/3 – 07006322001 – Magenta –
Roche USA – 52123
V4/4 – 07006322001 – Yellow –
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ii
NOTE
The terms “blood sugar” and “blood glucose” have the same meaning. In this manual we will use the
term “blood glucose” when referring to “blood sugar.”
WARNING
• The meter and lancing device are for single patient use only. Do not share them with anyone,
including other family members, due to the risk of infection from bloodborne pathogens.
1,2
Do not use
them on multiple patients!
• All parts of the kit are considered biohazardous and can potentially transmit infectious diseases, even
after you have performed cleaning and disinfection.
1,2
See Appendix E
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iii
About Your New Meter
• The meter is designed and can be used for testing fresh capillary whole blood samples (for example, blood
from a fingertip).
• Only use ACCU-CHEK Aviva Plus test strips. Other test strips will give inaccurate results.
• Although you always apply whole blood to the test strip, the system has been calibrated to deliver
plasma-like values for easier comparison to lab results.
• The meter, test strips, and control solution are only for use outside the body (in vitro). Do not eat the test
strips. Do not swallow or inject the control solution, or use the control solution for any purpose other than
testing the ACCU-CHEK Aviva Expert system.
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iv
About Bolus Advice
• Bolus advice is only available if you set up bolus advice on the ACCU-CHEK Aviva Expert meter. For
information on how to set up bolus advice, see section 5.6 Setting Time Blocks, Health Events, Advice
Options: Bolus Advice Set Up.
• If you deliver a bolus without using bolus advice, you should enter the bolus advice into your diary. It is
important that you enter all bolus insulin doses and the time they were administered, so the Bolus Advisor is
assessing the total amount of insulin in your body. This step can help to reduce insulin stacking (the
over-delivery of insulin) which causes hypoglycemia. It is also important that you enter the associated
carbohydrate information into the diary in order to obtain accurate bolus advice recommendations. For
information on how to enter information into the diary, see Section 4.3, Adding New Data.
WARNING
• Bolus advice should be used only if you are using U100, rapid-acting insulin for bolus dosing.
• Do not use bolus advice with Neutral Protamine Hagedorn (NPH) or any other intermediate-acting
insulin.
• Do not use bolus advice if basal insulin dose is unstable.
• Long-acting insulin should not be used as a meal bolus or as a correction bolus.
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About Testing Yourself or Others
• If you are very dehydrated or urinating frequently, you may get an inaccurate test result. If you think you are
dehydrated, call your healthcare professional right away.
• Some people with diabetes do not experience symptoms of low blood 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 treatment without first talking to a
healthcare professional.
• Run a control test when you open a new box of test strips or if you think that your test result is incorrect.
Running a control test lets you know that the meter and test strips are working properly.
• If peripheral circulation is impaired, collection of fresh capillary whole blood from the approved sample sites
is not advised as the results might not be a true reflection of the physiological blood glucose level. This may
apply in the following circumstances: severe dehydration as a result of diabetic ketoacidosis or due to
hyperglycemic hyperosmolar non-ketotic syndrome, hypotension, shock, decompensated heart failure
NYHA Class IV, or peripheral arterial occlusive disease.
• Not to be used for patients who are critically ill.
• Refer to the Test Strip and Control Solution Package Inserts for additional health-related information.
• Failure to test could cause a delay in treatment decisions and lead to a serious medical condition. Contact
your healthcare professional if you are unable to test.
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vi
DO NOT CHANGE YOUR TREATMENT BASED ON A SINGLE RESULT THAT DOES NOT MATCH
HOW YOU FEEL OR IF YOU BELIEVE THAT YOUR TEST RESULT COULD BE INCORRECT.
If your blood glucose result doesn’t match how you feel and you have followed the instructions in your
owner’s booklets, follow your healthcare professional’s instructions or call your healthcare professional.
Special Information to Consider When Using This Meter
• Do not use this device to measure blood glucose if you or a person to whom you are providing care is
experiencing cardiovascular collapse (severe shock) or decreased peripheral blood flow.
• Consult your healthcare professional to determine if it is appropriate for your child to be taught how to use
the meter system or any other medical products.
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1
Contents
Before You Start Testing i
Introduction 7
The ACCU-CHEK Aviva Expert System 9
1 Understanding Your New System 13
1.1 Overview 14
1.2 The ACCU-CHEK Aviva Expert Meter at a Glance 15
1.3 Summary of Features 21
1.4 Screen Content and Navigation 29
2 Testing Your Blood Glucose 35
2.1 Overview 36
2.2 Using the ACCU-CHEK Aviva Expert System 37
2.3 Performing a Blood Glucose Test 39
2.4 Detailed Blood Glucose Test Results 47
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2
2.5 Understanding Blood Glucose Test Results 51
2.6 Unusual Blood Glucose Test Results 55
2.7 Symptoms of High or Low Blood Glucose 57
3 Control Testing 59
3.1 Overview 60
3.2 Why Perform Control Tests 61
3.3 About the Control Solutions 62
3.4 Performing a Control Test 63
3.5 Understanding Control Test Results 69
4 Managing Your Data 75
4.1 Overview 76
4.2 Viewing or Modifying Your Data 79
4.3 Adding New Data 86
4.4 Reporting Your Data 89
4.5 Downloading Your Data to a Computer 126
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3
5 Changing Meter Settings 129
5.1 Overview 130
5.2 Setting bG Test Reminders: After High bG, After Low bG, After Meal 131
5.3 Setting Alarm Clock Reminders: bG Test, Injection, Other 137
5.4 Setting Date Reminders: Dr. Visit, Lab Test 142
5.5 Setting Bolus Advice for the First Time 147
5.6 Setting Time Blocks, Health Events, Advice Options: Bolus Advice Set Up 156
5.7 Setting Warning Limits: Hyper, Hypo 165
5.8 Turning Key Lock On or O 168
5.9 Setting the Language 171
5.10 Setting Units: Carbs, Insulin Increment, Max Bolus 174
5.11 Setting the Beeper, Vibrate, Key Sound 177
5.12 Setting the Time Format, Time, Date 180
5.13 Setting Time Blocks: Bolus Advice Not Set Up 183
5.14 Backlight Settings 191
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6 Icons, Reminders, Warnings, and Errors 193
6.1 Overview 194
6.2 List of Icons 195
6.3 Confirming a Reminder, Warning, or Error 197
6.4 List of Reminders 198
6.5 List of Warnings 208
6.6 List of Errors 213
7 Cleaning and Disinfecting the Meter and Lancing Device 217
7.1 Overview 218
7.2 Cleaning and Disinfecting the Meter 220
7.3 Cleaning and Disinfecting the Lancing Device 225
8 Maintenance 229
8.1 Overview 230
8.2 Changing the Batteries 231
8.3 Power-Saving Tips 234
8.4 Maintenance and Testing 235
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9 Troubleshooting 237
9.1 Overview 238
9.2 Troubleshooting the ACCU-CHEK Aviva Expert Meter 239
10 Technical Information 251
10.1 Overview 252
10.2 Product Limitations 253
10.3 Specifications 254
10.4 Product Safety Information 256
10.5 Disposing of the Meter, Strips, Lancets, and Batteries 258
10.6 Warranty and Limited License 260
10.7 Additional Supplies 267
10.8 Information for Healthcare Professionals 268
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6
Appendices 269
Appendix A: Abbreviations 269
Appendix B: Carb Units 271
Appendix C: Explanation of Symbols 272
Appendix D: Meter Settings and Range Limits 273
Appendix E: References 278
Glossary 279
Index 287
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7
Your new meter includes three booklets:
• Getting Started Guide:
Use this booklet to set up the meter.
• Standard Owner’s Booklet:
Use this booklet for instructions on how to operate the standard features of the meter.
• Advanced Owner’s Booklet:
Use this booklet for instructions on how to operate the advanced features of the meter.
Should you have any questions, please contact one of our customer support and service centers. A listing is
at the back of this booklet.
Introduction
Whether the ACCU-CHEK Aviva Expert meter is your first blood glucose meter or you have used a meter for
some time, please take the time to read the Getting Started Guide, the Standard Owner’s Booklet, and the
Advanced Owner’s Booklet carefully before you use your new meter. To use it correctly and dependably, you
need to understand its operation, screen displays, and all individual features.
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8
If you have questions, we are here to help. Just call ACCU-CHEK Customer Care Service Center at
1-800-688-4578. You can also visit www.accu-chek.com for diabetes management tools.
This booklet includes information about:
• Understanding your new ACCU-CHEK AvivaExpert system
• Testing your blood glucose
• Control testing
• Managing your data
• Changing the meter settings
• Understanding the icons, reminders, warnings, and errors
• Cleaning and disinfecting the meter and lancing device
• Maintenance
• Troubleshooting
• Technical information
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9
The ACCU-CHEK Aviva Expert System
The ACCU-CHEK Aviva Expert meter is for quantitative blood glucose testing using ACCU-CHEK Aviva Plus
test strips. The meter has many features including:
• Bolus advice calculation
• Daily time blocks that can be adjusted to fit your lifestyle
• Data management
• Data transfer
• Date reminders
• bG test reminders: Alarm clock reminders, Target bG levels, and Health events
• An electronic diary that allows you to enter meal time, carbs, health, and bolus information with your
blood glucose test results
For detailed information about the features of the meter, see Chapter 1, Understanding Your New System.
NOTE
Blood glucose and bG are interchangeable and mean the same thing.
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Intended Use
The ACCU-CHEK Aviva Expert System is indicated as an aid in the treatment of insulin-requiring diabetes. The
ACCU-CHEK Aviva Expert System consists of the ACCU-CHEK Aviva Expert Meter, ACCU-CHEK Aviva Plus test
strips, ACCU-CHEK Aviva control solutions, and ACCU-CHEK Bolus Advisor. The ACCU-CHEK Aviva Expert
system is intended to facilitate the optimization of glycemic control in patients who are trained in multiple
daily insulin injection therapy and are under the supervision of healthcare professionals experienced in
managing insulin treated patients.
The ACCU-CHEK Aviva Expert blood glucose monitoring system is intended to be used for the quantitative
measurement of glucose in fresh capillary whole blood samples drawn from the fingertips. The ACCU-CHEK
Aviva Expert blood glucose monitoring system is intended for self-testing outside the body (in vitro diagnostic
use) by people with diabetes. The ACCU-CHEK Aviva Expert blood glucose monitoring system is intended to be
used by a single person and should not be shared. The ACCU-CHEK Aviva Expert blood glucose monitoring
system should not be used for the diagnosis or screening of diabetes or for neonatal use. Alternative site
testing should NOT be used with the ACCU-CHEK Aviva Expert blood glucose monitoring system. The
ACCU-CHEK Aviva Expert System is intended for prescription home use only.
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The ACCU-CHEK Aviva Expert meter is also indicated for the calculation of an insulin dose or carbohydrate
intake based on user-entered data. The ACCU-CHEK Bolus Advisor, as a component of the Accu-Chek Aviva
Expert meter, is intended for use in providing insulin dose recommendations in response to blood glucose,
health events, and carbohydrate input. The ACCU-CHEK Bolus Advisor is intended to provide direction for
insulin adjustment within the scope of a pre-planned treatment program from a healthcare professional.
Before its use, a physician or healthcare professional must prescribe the ACCU-CHEK Aviva Expert System
and provide the patient-specific target blood glucose, insulin-to-carbohydrate ratio, and insulin sensitivity
parameters to be programmed into the ACCU-CHEK Bolus Advisor. Once programmed, a patient must consult
with his/her physician or healthcare professional before making any changes to these ACCU-CHEK Bolus
Advisor settings.
The system includes:
• ACCU-CHEK Aviva Expert meter with three AAA batteries and pre-inserted black code key
• ACCU-CHEK Aviva Plus test strips and black code key*
• ACCU-CHEK Aviva control solution*
*May be sold separately
WARNING
• Any object coming into contact with human blood is a potential source of infection.
• Choking hazard. Small parts. Keep away from children under the age of 3 years.
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Why Regular Blood Glucose Testing Is Important
Testing your blood glucose regularly can make a big dierence in how you manage your diabetes every day.
Discussing your results with your healthcare professionals and following their advice about medicine,
exercise, and food plans can help you better control your diabetes.
Important Information About Your New Meter
• The meter is designed for testing fresh whole blood samples (for example, blood from your fingertip). The
meter is for outside the body (in vitro) use. It should not be used to diagnose diabetes.
• This meter requires ACCU-CHEK Aviva Plus test strips. Other test strips will give inaccurate results.
• The meter comes with the time and date preset. You may need to change the time to your time zone.
• If you have followed the steps in this booklet but still have symptoms that do not seem to match your test
results, or if you have questions, talk to your healthcare professional.
• The ACCU-CHEK Aviva Expert system is intended for single patient use only and should not be shared.
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1
13
1 Understanding Your New System
1.1 Overview 14
1.2 The ACCU-CHEK Aviva Expert Meter at a Glance 15
1.3 Summary of Features 21
1.4 Screen Content and Navigation 29
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14
1.1 Overview
Your new meter has several features to assist you in managing your diabetes. It is important you understand
the features and how to operate the meter correctly.
NOTE
• This booklet shows sample screens. The screens in this booklet may look slightly different from the
screens on the meter. If you have any questions about the meter screens, the ACCU-CHEK Customer
Care Service Center is open 24 hours a day, offering help in many languages. Call 1-800-688-4578.
• Blood glucose and bG are interchangeable and mean the same thing.
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1
15
1.2 The ACCU-CHEK Aviva Expert Meter at a Glance
Display
Shows menus, results,
messages, and data stored in
the diary.
Buttons
Press to enter menus or the
diary, adjust settings, and
scroll through results.
Left/Right Soft Keys
Press to select the menu or
option above the key.
Power On/Off Button
Press to turn the meter on
or off.
Test Strip Slot
Insert golden end of test strip
here.
Infrared (IR) Window
Transfers data from the
meter to a computer.
Code Key Slot
Black code key is pre-
inserted here.
Battery Door
Remove the battery door
by pushing the tab and
pulling up the door.
Backlight Button
Press to adjust the backlight level.
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Test Strip
Batteries
Insert batteries according to the + and - symbols in
the battery compartment.
Control Solution Bottle
(for example)
Yellow Window -
Touch blood drop or
control solution here.
Golden End -
Insert this end of the test
strip into the meter.
Test Strip Container
(for example)
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1
17
NOTE
The meter is already coded and comes with a pre-inserted black code key that you never need to
change. Even if you use test strips from test strip boxes that contain another code key that is a different
color or has different code numbers, you never need to change the black code key again.
Side View
Pre-inserted black code key
Code Key
(for example)
Top View
Infrared (IR) Window
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The meter has seven buttons and two soft keys.
NOTE
• You hear a sound every time an active button/soft key is pressed unless you turned off the key sound.
• Press
+ or insert a test strip to turn on the meter. If the meter displays the Time/Date screen, make
the necessary changes and select Save.
Left Soft Key
Up Arrow
Enter
Left Arrow
Power On/Off
Right Soft Key
Right Arrow
Down Arrow
Backlight
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1
19
Table 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 right in a screen.
x
Up Arrow jMove or scroll up in a screen.
z
Down Arrow jMove or scroll down in a screen.
,
Left Soft Key jSelect the option above the key on the display.
.
Right Soft Key jSelect the option above the key on the display.
=
Enter jSelect a menu or option.
jSave changes and exit the entry field.
*
Backlight jAdjust the backlight level (low, medium, high).
+
Power On/O jTurn the meter on and o.
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20
Table of Button Combinations
Button Combination Name Function
When the buttons are locked, press and
hold
,and .until the Main Menu
appears.
Unlock Keys jUnlocks the buttons.
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1
21
1.3 Summary of Features
Display
The meter has a full-color graphic LCD (Liquid Crystal Display) that displays current and historical
information.
Backlight
• The backlight helps you read the information on the meter display under dierent lighting conditions.
• When the meter is turned on, the backlight is set to the medium level.
• Adjust the backlight level by pressing and releasing the backlight button.
• The backlight adjusts from low, to medium, to high, and back to low again.
• If set to the medium or high level and the buttons are not pressed for about 15 seconds, the backlight
returns to the low level to save power.
• When the meter returns to the low level, pressing any button restores the previous backlight level.
• For more information about backlight settings, see Chapter 5, Changing Meter Settings.
• For more about power-saving tips, see Chapter 8, Maintenance.
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22
Key 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 safety measure against unintentional activation of meter functions.
• For more information, see Chapter 5, Changing Meter Settings.
Signal Settings
• The meter communicates reminders, warnings, and errors using sounds and vibrations.
• For more information, see Chapter 6, Icons, Reminders, Warnings, and Errors.
Blood Glucose Test
Your new meter allows you to enter detailed information for each blood glucose test to include:
• Meal time (Pre meal, Post meal, Bedtime, or Other)
• Carbs (the amount of carbohydrates you are intending to eat)
• Health events (Exercise 1, Exercise 2, Stress, Illness, Premenstrual, or Fasting)
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1
23
Bolus Advice (Optional)
• The term “bolus” refers to the delivery of insulin all at once rather than slowly throughout the day, usually
used to compensate for meals or high blood glucose.
• Bolus advice calculates a bolus for you that is adapted to the time of day and your changing situations.
• This function is activated only if you set up bolus advice on the meter.
• For instructions on how to set up bolus advice, see Chapter 5, Changing Meter Settings.
WARNING
Before setting up bolus advice, it is very important to read all of the safety information in the Advanced
Owner’s Booklet and talk to your healthcare professional.
My Data
• Your new meter stores 1,000 records in the diary.
• You can view, modify, or add information to your diary.
• You can view blood glucose test averages, trends, standard day, standard week, and target tables and
graphs of the data in the diary.
• You can view the data in graph or table format for the last 7, 14, 30, 60, or 90 days.
• For more information, see Chapter 4, Managing Your Data.
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Data Transfer
• You can transfer your data stored on the meter to a computer.
• For more information, see Chapter 4, Managing Your Data.
Warning Limits for Hyper and Hypo Blood Glucose Levels
• You can select hyper (high) and hypo (low) blood glucose limits that best fit your needs. Whenever a blood
glucose test result is above or below this range, the meter displays a warning.
• In addition, Trend Graph screens indicate the hypo warning limit when displaying your blood glucose test
results. For more information, see Chapter 4, Managing Your Data.
• The meter has default warning limits that can be adjusted. For more information, see Chapter 5, Changing
Meter Settings.
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25
Time 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 healthcare professional see how patterns in
your blood glucose are aected by your daily activities and lifestyle.
• Time blocks can be set up with or without bolus advice.
• Talk to your healthcare professional about the best way to set up your time blocks to assist you in managing
your diabetes.
• The meter has 5 default time blocks.
• You may set up to 8 time blocks.
• For more information, see Chapter 5, Changing Meter Settings.
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26
Without bolus advice, you need to consider the following when setting up time blocks:
• Determine the appropriate time range by reviewing the end time for each time block.
• Review the acceptable blood glucose target range (low and high) for each time block.
With bolus advice, you need to consider the following when setting up time blocks:
• Determine the appropriate time range by reviewing the end time for each time block.
• Review the acceptable blood glucose target range (low and high) for each time block.
• Determine your carb ratio (the amount of insulin needed to cover a given amount of carbohydrates) for each
time block.
• Determine your insulin sensitivity (the amount of insulin needed to lower your blood glucose by a given
amount) for each time block.
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1
27
Health Events
Health events can be selected to indicate how you are feeling or what you are doing that might aect your
diabetes. The meter allows you the option of setting a percentage for each health event, except for Fasting, if
you set up bolus advice. Fasting does not scale bolus advice calculations and is not adjustable.
Health events available on the meter are:
• Exercise 1
• Exercise 2
• Stress
• Illness
• Premenstrual
• Fasting
Discuss the appropriate percentage for each health event with your healthcare professional. For instructions
on how to set up bolus advice, see Chapter 5, Changing Meter Settings.
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28
Blood 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,
after a low blood glucose test result, or after a meal.
An after high blood glucose test reminder example:
• The meter is set up with a high bG threshold level of 240 mg/dL and with a reminder time of 60 minutes.
• You have a blood glucose test result higher than 240 mg/dL, perhaps 270 mg/dL.
• In 60 minutes, the meter reminds you to perform another blood glucose test.
The after meal bG test reminder is set up with a carb value and occurs when the carb value exceeds the
snack size. Any of these blood glucose test reminders can be turned on or o individually, as needed. For
more information, see Chapter 5, Changing Meter Settings.
Alarm Clock Reminders
• The meter has alarm clock reminders which can be used as a helpful way to remind you when to test
throughout the day.
• In addition to “bG Test” and “Injection,” you can set reminders for “Other” for any other daily reminder.
• You can set up to 8 reminders per day.
• For more information, see Chapter 5, Changing Meter Settings.
Date Reminders
• The meter can be set up to remind you of upcoming appointments or dates, such as a “Dr. Visit” or a “Lab
Test.”
• For more information, see Chapter 5, Changing Meter Settings.
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1
29
1.4 Screen Content and Navigation
This section provides an explanation of how to understand and navigate the screens on the meter.
Each time the meter is turned on, this splash screen (ACCU-CHEK logo screen) is displayed for a short
period of time.
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30
Sound Icon
Appears when the beeper is
turned on
Time
Menu Options
Vibrate Icon
Appears when vibrate is turned on
Date
Low Battery Icon
Appears when the meter batteries are low
Features on the Main Menu:
NOTE
To select an item on a menu, press
x or z to highlight (blue) the menu item and then press =.
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1
31
Title Bar
Primary menu title is displayed
here.
Secondary Title Bar
When necessary, a secondary
title bar appears. Secondary
menu text is displayed here.
Left Soft Key Option
Press
,
to select the option
above the button on the screen.
Highlighted Option
When a menu choice or item
is selected, it is highlighted in
blue.
Scroll Bar
If there is more information
available than fits on the screen,
a vertical scroll bar appears on
the right side of the screen.
Right Soft Key Option
Press
.
to select the option
above the button on the screen.
Features on a screen:
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32
Information can be entered on some screens. Numerical entry fields appear as pop-up entry fields. When
an option must be selected, it appears as a pop-up menu.
• To open a pop-up menu or entry field, press =.
• Press x or z to select the appropriate pop-up menu option or until the correct numerical entry is
present, and then press =.
• Press and hold x or z to scroll faster.
Pop-Up Entry Field
Pop-Up Menu
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1
33
General Navigation Steps
To change the settings or enter information into the meter:
1.
j Press x or z to select a menu option and press =.
j Repeat the previous step as necessary.
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34
4.
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
entry field and press =.
2.
j Press x or z to select the
desired entry and press =.
j Repeat Steps 2 and 3, as
necessary.
3.
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35
2
2 Testing Your Blood Glucose
2.1 Overview 36
2.2 Using the ACCU-CHEK Aviva Expert System 37
2.3 Performing a Blood Glucose Test 39
2.4 Detailed Blood Glucose Test Results 47
2.5 Understanding Blood Glucose Test Results 51
2.6 Unusual Blood Glucose Test Results 55
2.7 Symptoms of High or Low Blood Glucose 57
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36
2.1 Overview
It is important to understand how to perform a blood glucose test properly. You can perform a blood glucose
test from your fingertip.
NOTE
Blood glucose and bG are interchangeable and mean the same thing.
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37
2
2.2 Using the ACCU-CHEK Aviva Expert System
Before You Start Testing
Using ACCU-CHEK Aviva Plus Test Strips
• Only use ACCU-CHEK Aviva Plus test strips.
• Store the unused test strips in their original container. 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.
• Immediately after you take out a test strip, securely close the container. This helps keep the test strips dry.
• Use the test strip immediately after you take it out of the container.
• Be sure to check the “Use by” date on the test strip container. Do not use the test strips after that date.
• If the “Use by” date is missing or cannot be read, do not use the test strips.
• Store the test strip container at room temperature between 36–86 °F. Do not freeze. Do not store the
test strip container in rooms where the air is humid such as the kitchen, laundry room, or the bathroom.
Temperatures outside the required range, as well as moisture and humidity, can damage your test strips
and lead to inaccurate results.
• Refer to the test strip package insert for system operating conditions.
• Do not apply blood or control solution to the test strip before you insert it into the meter. If the meter gives
you a result before applying blood or control solution, do not act on that result.
• Do not reuse test strips. Once you have put control solution or blood on a test strip, throw it away. If you
need to retest, use a new test strip.
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38
WARNING
Not following the precautions below can lead to inaccurate results:
• Do not store test strips in extreme temperatures or moisture areas (bathroom, kitchen, laundry room,
car, or garage). Heat and moisture can damage your test strips.
• Do not bend, cut, or alter the test strips.
• Do not get dirt, food, or other material on the test strips.
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39
2
2.3 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
test. You need a meter with a pre-inserted black code key, a test strip, a lancing device, and a lancet.
WARNING
• 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 disinfection.
1,2
• Cleaning and disinfecting the meter and lancing device destroys most, but not necessarily all,
bloodborne pathogens.
3
• 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
• 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.
• 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 Chapter 7, Cleaning and Disinfecting the Meter
and Lancing Device.
• Wash hands thoroughly before and after handling the meter, lancing device, or test strips.
1,2,3
See Appendix E
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40
WARNING
• Do not change your treatment because of one blood glucose test result.
• NEVER ignore symptoms of high or low blood glucose.
NOTE
If you need to perform a control test, only use ACCU-CHEK Aviva control solutions. See Chapter 3, Control
Testing for more information about control testing.
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41
2
1.
j Wash and dry your hands. Dirty
hands could aect results.
j Prepare the lancing device for
a fingertip test.
j Always use a new lancet with
each test.
Performing a Fingertip Blood Glucose Test
Prepare > Check the use By Date > Insert Test Strip > Test Blood Sample > bG Test Result
2.
j Check the Use By date on the
test strip container. Do not
use test strips past the Use
By date.
3.
j Insert the golden end of a
test strip into the meter in the
direction of the arrow. The
meter turns on.
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42
The Apply Sample screen
appears. The test strip is ready
for testing.
4.
Fingerstick:
j Perform a fingerstick with the
lancing device.
5.
Fingerstick:
j Gently squeeze your finger to
assist the flow of blood. This
helps you get a blood drop.
6.
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43
2
j 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 has enough
blood, the Analyzing screen
appears.
8. 9.
The result appears on the
display.
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44
10.
Approximately 3 seconds later,
the detailed bG Result screen
appears.
j Remove and discard the used
test strip.
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45
2
NOTE
• If the blood drop is too small, reapply pressure to get a sufficient blood drop.
• For more information regarding blood glucose test results, see Section 2.5, Understanding Blood
Glucose Test Results.
• To add detailed information to the blood glucose test (meal time, carbs, and health events) see
Section 2.4, Detailed Blood Glucose Test Results.
• 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 fluids into the test strip slot.
• The meter cannot be turned off when the following screens are displayed:
• Match Code to Vial
• Apply Sample
• Analyzing
• bG Result
• When a test strip is in the meter, the buttons are inactive. The buttons become active when you remove
the test strip or when the test is complete.
• The meter turns off automatically in approximately 2 minutes if no buttons are pressed.
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46
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 reminder notification or the key lock icon is displayed, insert a test strip into the meter.
• From the Main Menu, select Bolus Advice and press
=. If “bG Test” is displayed instead of an actual
blood glucose value, then you can start a blood glucose test by selecting bG Test. If an actual blood
glucose value is displayed, then you cannot start a blood glucose test using this process.
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47
2
2.4 Detailed Blood Glucose Test Results
The detailed bG Result screen displays the following information:
Test Time
Meal Time
Carbohydrates
Health Event
Active Insulin
Displayed only if bolus
advice is activated.
Status Bar
Blood Glucose Test Result
Unit of Measure
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48
Detailed bG Results > Change Meal Time/Carbs/Health Events (Optional)
The detailed bG Result screen allows you to view and to add information to a blood glucose test result.
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49
2
To 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 Carbs:
j Select the Carbs entry field
and press =.
j Set the number of carbs and
press =.
To Change Health Events:
j Select the Health entry field
and press =.
j Select either Exercise 1,
Exercise 2, Stress, Illness,
Premenstrual, or Fasting and
press =.
Active Insulin Display:
The meter displays the
calculated amount of Active
Insulin.
To save the changes and exit
the detailed bG Result screen:
j To return to the Main Menu,
select Menu.
j To proceed to the Bolus Advice
screen, select Bolus.
How to Add Information to a Blood Glucose Test Result
Bolus Advice is not available
if:
j The blood glucose test result is
below the hypo warning limit.
j The detailed bG Result screen
has been displayed for more
than 5 minutes. The warning
message “Bolus Advice
Timeout” is displayed. Select
OK to return to the detailed bG
Result screen.
For more information about
bolus advice, see the Advanced
Owner’s Booklet.
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50
NOTE
• You can add information on the detailed bG Result screen for meal time, carbs, and health events.
• Review and, if necessary, update information for meal time, carbs, and health events to receive an
accurate bolus recommendation.
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2
2.5 Understanding Blood Glucose Test Results
The bG Result screen displays the following information:
Test Time
Blood Glucose
Test Result
Test Date
Status Bar
Unit of Measure
N OTE
• If the dosed test strip is removed from the meter before results or errors are displayed, a blood glucose
test result will not appear.
• After approximately 3 seconds, the meter displays the detailed bG Result screen (see Section 2.4,
Detailed Blood Glucose Test Results).
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52
Status Bar
The status bar on the bG Result screen indicates how the result compares to the target blood glucose range
for the current time block. The following are status bar descriptions with sample displays:
Green indicates the result is
within the target range for the
current time block.
Yellow indicates the result is
below the target range for the
current time block. The result
is not below the hypo warning
limit.
Red with “Hypo” indicates the
result is below the hypo warning
limit.
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53
2
Light 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 with “Hyper”
indicates the result is above the
hyper warning limit.
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54
LO or HI Display
If “LO” is displayed, the test
result may be below the
measurement range.
j Contact your healthcare
professional.
If “HI” is displayed, the test
result may be above the
measurement range.
j Contact your healthcare
professional.
NOTE
Blood Glucose Warnings
If the blood glucose test
results are outside the hyper
or hypo warning limits, or
outside the measurement
range of the meter, then a
warning is displayed after the
bG Test Result screen. Select
OK to acknowledge a warning
and continue.
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55
2
2.6 Unusual Blood Glucose Test Results
If your blood glucose test result does not match the way you feel, follow these steps:
Troubleshooting Checks Actions
1. Are the test strips expired? Discard the test strips if they are past the use by date.
Repeat the blood glucose test with an unexpired test strip.
2. Has the cap on the test strip container
always been closed tightly?
Replace the test strips if you think the test strip container
was uncapped for some time and repeat the blood glucose
test.
3. Was the test strip used immediately
after it was removed from the test strip
container?
Repeat the blood glucose test with a new test strip.
4. Were the test strips stored in a cool, dry
place?
Repeat the blood glucose test with a properly stored test
strip.
5. Did you follow the directions? Read Chapter 2, Testing Your Blood Glucose, and test again.
If you still have problems, contact ACCU-CHEK Customer
Care Service Center at 1-800-688-4578.
6. Are the meter and test strips working
properly?
Perform a control test. See Chapter 3, Control Testing.
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56
Troubleshooting Checks Actions
7. Are you still unsure of the problem? Contact ACCU-CHEK Customer Care Service Center at
1-800-688-4578.
After performing a control test and repeating a blood glucose test, if your blood glucose test results
still do not reflect the way you feel, contact your healthcare professional immediately.
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57
2
2.7 Symptoms of High or Low Blood Glucose
Being aware of the symptoms of high or low blood glucose can help you understand your test results and
decide what to do if they seem unusual. Hyperglycemia and hypoglycemia may include, but are not limited
to the following symptoms:
• High blood glucose (hyperglycemia): increased thirst, frequent urination, blurred vision, drowsiness,
and/or unexplained weight loss.
• Low blood glucose (hypoglycemia): 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.
WARNING
• If you are experiencing any of these symptoms, test your blood glucose. If your blood glucose test
result is displayed as LO or HI, contact your healthcare professional immediately.
• The meter is designed to display blood glucose results from 20 to 600 mg/dL. If a result
below 20 mg/dL or over 600 mg/dL appears on the display, call ACCU-CHEK Customer Care
Service Center at 1-800-688-4578.
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58
Comparing Your Meter Result to a Lab Result
A common question is how the blood glucose results on your meter compare to the lab results. Your blood
glucose can change quickly, especially after eating, taking medication, or physical activity. If you test yourself
in the morning and then go to the healthcare professional’s oce for a blood glucose test, your results will
probably not match, even if you are fasting. This is typically not a problem with your meter, it just means that
time has elapsed and your blood glucose has changed.
If you want to compare your meter result to the lab result, you must be fasting. Take your meter to the
healthcare professional’s oce, and test yourself by fingerstick within five minutes of having blood drawn
from your arm by a healthcare professional. Keep in mind that the lab uses dierent technology than the
meter, and that blood glucose meters for self testing generally read somewhat lower than the lab result.
If you are fasting and you do a fingerstick test within five minutes of having your blood drawn, here are the
general guidelines to compare your meter result to the lab result:
• If your blood glucose is below 75 mg/dL, your results generally should fall within ±15 mg/dL of the lab
result.
• If your blood glucose is equal to or over 75 mg/dL, your results generally should fall within ±20 % of the
lab result.
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59
3
3 Control Testing
3.1 Overview 60
3.2 Why Perform Control Tests 61
3.3 About the Control Solutions 62
3.4 Performing a Control Test 63
3.5 Understanding Control Test Results 69
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60
3.1 Overview
This chapter describes how and when to perform a control test to ensure the accuracy of your blood glucose
meter. It is recommended you complete a control test prior to performing a blood glucose test for the first
time.
NOTE
Blood glucose and bG are interchangeable and mean the same thing.
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61
3
3.2 Why Perform Control Tests
Performing a control test lets you know the meter and test strips are working properly to give reliable blood
glucose test results. You should perform a control test when:
• You open a new test strip box.
• You left the test strip container open.
• You want to check the meter and test strips.
• Your 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.
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62
3.3 About the Control Solutions
• Only use ACCU-CHEK Aviva control solutions.
• The meter automatically recognizes the control solution.
• The control test results are not displayed in the diary.
• Write the date you opened the control solution bottle on the bottle label. The solution is good for 3 months
from that date or until the “Use by” date on the bottle label, whichever comes first.
• Do not use control solution that is past the “Use by” date.
• The solution can stain clothing. If you spill it, wash your clothes with soap and water.
• Close the bottle tightly after use.
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63
3
You need a meter with a pre-inserted black code key, a test strip, and control solution Level 1, Level 2,
or both.
Test Time
Control Result
Test Date
Unit of Measure
3.4 Performing a Control Test
The Control Result screen displays the following information:
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64
Check the Use By Date > Insert Test Strip > Test Control Solution > Control Result
1.
2.
j Check the Use By date on the
test strip container. Do not
use test strips past the Use
By date.
3.
The Apply Sample screen
appears. The test strip is ready
for testing.
j Insert the golden end of a
test strip into the meter in the
direction of the arrow. The
meter turns on.
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65
3
5.4.
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 Remove the control bottle cap.
Wipe the tip of the bottle with
a tissue.
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66
8.
When the test strip has enough
control solution, the Analyzing
screen appears.
j Wipe the tip of the bottle with a
tissue and then cap the bottle
tightly.
9.
The control result appears on
the display.
j Select Level to display the
control solution level pop-up
menu.
7.
j Squeeze the bottle until a tiny
drop forms at the tip.
j Touch the drop to the front
edge of the yellow window
of the test strip. Do not put
control solution on top of the
test strip.
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67
3
10.
j Select the control solution level
and press =.
11.
j Remove and discard the test
strip.
j For information on
understanding control test
results, proceed to the next
section, or select Menu to
save this result and display the
Main Menu screen.
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68
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 fluids into the test strip slot.
• When the Control Level screen is displayed and you select Cancel without selecting a control solution
level, then No Entry is chosen. The meter stores the control test result along with No Entry and then
the Detailed Control Result screen is displayed.
• When the Control Level screen is displayed and you turn off the meter, or if the meter auto-powers off,
without selecting a control solution level, then No Entry is chosen. The meter stores the control test
result along with No Entry.
• Other ways to start a control test:
• From the Main Menu, select bG Test. Insert a test strip into the meter.
• When a reminder notification or the key lock icon is displayed, insert a test strip into the meter.
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69
3
Test Time
Control Result
Unit of Measure
Menu
Select Save to save
result and display
Main Menu screen
Test Date
Control Solution Level
Result
Within range or Out of range
3.5 Understanding Control Test Results
The detailed Control Result screen displays the following information:
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70
j 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 get should be inside
this range. Ensure you select
and compare the test result to
the correct level of control. For
the level selected, the meter
displays whether the result
is within or outside of the
acceptable range.
Example
Range (mg/dL)
Level 1 25-55
Level 2 255-345
j When the control test result
is inside the range on the test
strip container, the test strips
and the meter are working
properly.
If the control test result is within
the acceptable range, “Within
range” appears on the detailed
Control Result screen.
Example Control Results
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71
3
If the control test result is
outside of the acceptable range,
“Out of range” appears on the
detailed Control Result screen.
If “HI” is displayed, the control
test result may be above the
measurement range.
If “LO” is displayed, the control
test result may be below the
measurement range.
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72
If the meter stored No Entry for
the control solution level, then
“---” appears with no indication
of in or out of range.
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73
3
Out-of-Range Control Test Results
If your control test result is out of range, check this list to help to solve the problem:
Troubleshooting Checks Actions
1. Were either the test strips or control solutions
expired?
Discard the test strips or control solutions if either is
past the Use By date. If the control solution was
opened more than 3 months ago, discard it. Repeat
the control test with an unexpired test strip and an
unexpired control solution.
2. Did you wipe the tip of the control solution bottle
before use?
Wipe the tip of the bottle with a tissue. Repeat the
control test with a new test strip and a fresh drop of
control solution.
3. Were the caps on the test strip container and the
control solution bottle always closed tightly?
Replace the test strips or control solutions if you
think either was uncapped for some time and repeat
the control test.
4. Was the test strip used immediately after it was
removed from the test strip container?
Repeat the control test with a new test strip and a
fresh drop of control solution.
5. Were the test strips and control solutions stored in
a cool, dry place?
Repeat the control test with a properly stored test
strip and control solution.
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74
Troubleshooting Checks Actions
6. Did you follow the directions? Read Chapter 3, Control Testing, and repeat the
control test. Contact ACCU-CHEK Customer Care
Service Center at 1-800-688-4578 if you still have
problems.
7. Did you chose the correct control solution level,
either 1 or 2, when you performed the control test?
If you chose the wrong control solution level, you
can still compare the control result to the range
printed on the test strip container.
8. Are you still unsure of the problem? Contact ACCU-CHEK Customer Care Service Center
at 1-800-688-4578.
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75
4
4 Managing Your Data
4.1 Overview 76
4.2 Viewing or Modifying Your Data 79
4.3 Adding New Data 86
4.4 Reporting Your Data 89
4.5 Downloading Your Data to a Computer 126
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76
4.1 Overview
Analyzing your blood glucose test results stored in the meter is an eective 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 Expert meter.
From the diary records stored in the meter, you are able to view a specific blood glucose test record with
its attributes (e.g., meal time, carbs, health event, bolus. and basal insulin). In addition, for a specific diary
record, you are able to change or add to its attributes.
The meter generates reports, such as blood glucose averages with standard deviations for the time period
you select (e.g., the past 7 days or the past 30 days). Graphs can be a good way to view your blood glucose
test results. The meter can display a line graph to depict blood glucose record trends, a graph showing result
ranges for a standard day or a standard week, and a pie chart with dierent colors to illustrate the amount of
test results within, above, or below your blood glucose target range.
NOTE
• You must be the only user of the meter, because the diary data will be incorrect if the meter is
shared.
• Blood glucose and bG are interchangeable and mean the same thing.
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77
4
Storing Test Results
The meter automatically stores up to 1,000 diary records with the time and date. You can review up to
250 diary records on the meter or up to 1,000 diary records using a computer with compatible software.
Diary records are stored from the newest to the oldest. It is very important to have the correct time and
date set. Having the correct time and date setting helps ensure accurate interpretation of blood glucose test
results by you and your healthcare professional.
Each diary record can contain:
• Date and time
• Blood glucose test result
• Meal time (events)
• Carbs
• Health event
• Bolus Insulin
• Basal Insulin
You can display filtered diary data in graphical or table format.
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78
NOTE
• Do not change your therapy based on one individual record or test result in the diary.
• This chapter shows sample screens. The screens may look slightly different 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.
• The information in the diary is saved when you replace the batteries. You need to check the time and
date after you replace the batteries. For more information on changing the batteries, see Chapter 8,
Maintenance.
• Once 1,000 records are in the diary memory, adding a new record causes the oldest diary record to
be deleted.
• The control results are stored in memory, but cannot be reviewed on the meter.
• Before reviewing diary records or control results with software, the stored diary records must first be
downloaded to a compatible software application. For product availability, please contact ACCU-CHEK
Customer Care Service Center at 1-800-688-4578.
• Control results are not used in any report or graph.
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79
4
4.2 Viewing or Modifying Your Data
The View Data screen displays the following information:
Date of Record(s)
Time of Blood
Glucose Test
Blood Glucose Test
Icon
Meal Time Icon
Carbs Icon
Unit of Measure
Blood Glucose Test Result
Appropriate Bolus Icon
Select View
Change meter display between blood
glucose, bolus, and carbs views.
Health Event Icon
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80
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 they occurred with the most recent
record shown on top.
• For the blood glucose test result:
• “HI” is displayed if the test result is above the measurement range.
• “LO” is displayed if the test result is below the measurement range.
• The blood glucose test result is blank if a blood glucose test value does not exist.
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4
Icon descriptions:
Icon Icon Name Description
Basal Insulin Basal insulin entered into the diary record.
bG Test Icon is displayed when information exists for this diary
record regarding a blood glucose test.
Meal Time Icon is displayed when information exists for this diary
record regarding meal time.
Carbs Icon is displayed when information exists for this diary
record regarding carbs.
Health Event Icon is displayed when information exists for this diary
record regarding health events.
Bolus Insulin Bolus insulin entered into the diary record.
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You can view a diary record with its attributes (blood glucose value, meal time, carbs, health event, bolus,
and basal).
Main Menu > My Data > View Data
1.
j From the Main Menu, select
My Data and press =.
2.
j Select View Data and press
=.
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4
3.
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 appears). Select the view you want and press =.
j Press x or z to view other records (the screen scrolls if there are additional records).
j To view or modify a record’s details, select the record and press =.
Blood Glucose View: Bolus View: Carbs View:
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4.
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 modify a diary record,
select Modify and continue to
the next step.
5.
j Select the entry field to modify
and press =.
j Make the change in the entry
field and press =.
j Modify other fields, as needed.
To save the changes and
return to the View Detail
screen, select Save.
NOTE
• To cancel changes or return
to the View Detail screen,
select Cancel.
• Scroll down to select the
basal entry field.
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4
The following fields cannot be modified with the specified condition:
Fields Cannot be modified if the …
Bolus Blood glucose test result was below the hypo warning limit
Meal Time Record has no blood glucose value
Meal Time, Carbs, Health Event,
Bolus, and Basal
Record has been used for bolus advice
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You can add data to a diary record for carbs, health, bolus, and basal. The Add Data screen displays the
following information:
4.3 Adding New Data
Time Entry Field
Date Entry Field
Carbs Entry Field
Health Entry Field
Bolus Entry Field
Save
Appears once data has been
entered to an entry field
Basal Entry Field
scroll down
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4
Main Menu > My Data > Add Data
1.
j From the Main Menu, select
My Data and press =.
2. 3.
j Select Add Data and press =. j Select an entry field and press
=.
j Make addition in the entry field
and press =.
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j Make additions to other entry
fields, as needed.
To save the changes and
return to the My Data screen,
select Save.
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 the date and time cannot be set in the future.
• Before a diary record can be saved, data must be entered (not
including date and time). “Save” is not displayed above
. until
data has been entered.
• To cancel changes and return to the My Data screen, select
Cancel.
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4
4.4 Reporting Your Data
Time Range
Meal Times
Blood Glucose Standard
Deviation
Calculated for the time range
Number of Tests
Used to calculate the averages
and standard deviations
Blood Glucose Average
Calculated for the time range
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NOTE
• If data are not available to calculate averages, the No Data Available screen is displayed.
• Standard deviation measures how much the blood glucose test results are scattered around the
blood glucose average. A low standard deviation means the blood glucose test results are tightly
clustered around the blood glucose average; a high standard deviation means the blood glucose test
results are widely scattered around the blood glucose average.
• Calculations do not include control results, HI values, or LO values.
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4
Reporting Your Blood Glucose Averages
The meter displays your blood glucose averages and standard deviations for the time range you choose
(7, 14, 30, 60, or 90 days).
Main Menu > My Data > Reports > bG Averages
1.
j From the Main Menu, select
My Data and press =.
2.
j Select Reports and press =.
3.
j Select bG Averages and press
=.
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4.
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 either
< or >
to scroll the screen until you
reach the time range you need.
To return to the Reports
screen, select Back.
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4
Reporting Your Data Trends
The meter displays your blood glucose record trends for the time range you choose (last 8 hours, 24 hours,
48 hours, or 7 days).
Main Menu > My Data > Reports > Trend
1.
j From the Main Menu, select
My Data and press =.
2.
j Select Reports and press =.
3.
j Select Trend and press =.
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Trend Graph Screen
Time Range
Meal Time Selection
Blood Glucose Unit of
Measure
Blood Glucose Icon
Times or Days of
Month
Bolus Icon
Bolus Unit of Measure
Maximum Bolus Amount Indicator
Maximum Carbs Amount Indicator
Carbs Unit of Measure
Carbs Icon
Arrow
Indicates blood glucose data
extends beyond screen
Each Blood Glucose Value
Connected with lines
Warning Limit Hypo Level
Red horizontal line
Bolus Value
Blue bar: height shown is in relation
to the bolus insulin amount
Carb Value
Dark orange bar: height shown is in
relation to the carbs amount
Time Change Icon
Only shown when meter time has
been changed for this data
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4
NOTE
• If data are not available to display the trend graph, the No Data Available screen is displayed.
• Trend graphs do not include control results.
• If
(time change icon) is shown at the bottom of the Trend Graph screen, the time and date of one or more
data points in the trend graph may not match the time stamp in My Data because the meter clock has been
changed. All times in the trend graph show the data relative to the current meter time.
For example:
1. You take a bG test and the value is stored in the meter at 9:00 am.
2. The meter time is changed ahead 1 hour.
3. The bG data on the trend graph is shown at 10:00 am.
• Trend graph data is cleared if bolus advice data is cleared.
• On the right side of the graph, the Maximum Bolus Amount Indicator is a horizontal line with the
corresponding value shown above it. The purpose of this indicator is to scale the top portion of the graph for
the Bolus Value blue bars. The Maximum Bolus Amount Indicator values available on the meter are 1, 5, 15,
30, and 60 U. The indicator displayed is based on the single largest bolus insulin amount delivered for the
time range chosen. For example, if the largest bolus delivered during the chosen time range is 8 U, then the
meter will scale the upper graph to be between 0 and 15 U.
• On the right side of the graph, the Maximum Carbs Amount Indicator is a horizontal line with the
corresponding value shown below it. The purpose of this indicator is to scale the bottom portion of the graph
for the Carb Value dark orange bars. The Maximum Carbs Amount Indicator values available on the meter are
30, 60, 120, 180, and 240 g, or the equivalent scale for BE, KE, or CC. The indicator displayed is based on
the single largest carbs amount for the time range chosen. For example, if the largest carbs amount for the
chosen time range is 86 g, then the meter will scale the lower graph to be between 0 and 120 g.
• Select Table to change the display to the Table View. The time range remains the same.
• The displayed insulin only includes bolus values.
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1.
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 field
(top of screen). Press either
< or > until you reach the time
range you need.
2.
j To display a trend graph for
another meal time selection
(Overall, Pre Meal, Post Meal,
Bedtime, or Other), press
either x or z to highlight
the meal time selection field
(immediately below the time
range which is at the top of
the screen). Press either < or >
until you reach the meal time
selection you need.
Trend Graph
3.
j Press . to display the Table
(proceed to the next section
for more information).
To return to the Reports
screen, select Back.
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4
NOTE
The meter saves the current settings (time range, meal time, and graph view) when you select Back or
when the meter powers off.
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Trend Table Screen
Time Range
Meal Time Selection
Date of Records
Blood Glucose Icon
with Blood Glucose
Unit of Measure
Time Change Icon
Only shown when meter
time has been changed for
this data
Carbs Icon with Carbs Unit of
Measure
Bolus Icon with the Bolus Unit
of Measure
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4
NOTE
• If data are not available to display the trend table, the No Data Available screen is displayed.
• Trend tables do not include control results.
• If
(time change icon) is shown at the bottom of the Trend Table screen, the time and date of one
or more data points in the trend table may not match the time stamp in My Data because the meter
clock has been changed. All times in the trend table show the data relative to the current meter time.
For example:
1. You take a bG test and the value is stored in the meter at 9:00 am.
2. The meter time is changed ahead 1 hour.
3. The bG data on the trend table is shown at 10:00 am.
• Trend table data is cleared if bolus advice data is cleared.
• For a given record, if the blood glucose value, carb value, or bolus value is empty, the corresponding
field is blank.
• The most recent record is displayed first.
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1.
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 hours, 48 hours,
or 7 days), press
x to highlight
the time range selection field
(top of screen). Press either
< or > until you reach the time
range you need.
3.
j To display a trend table for
another meal time selection
(Overall, Pre Meal, Post Meal,
Bedtime, or Other), press
either
x or z to highlight
the meal time selection field
(immediately below the time
range which is at the top of
the screen). Press either < or >
until you reach the meal time
selection you need.
Trend Table
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4
4.
j Press . to display the Graph
(see previous section for more
information).
To return to the Reports
screen, select Back.
NOTE
The meter saves the current settings (time range, meal time, and
table view) when you select Back or when the meter powers off.
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Reporting Your Standard Day
The meter displays (for a standard day) your blood glucose averages, number of tests, and standard
deviations within predetermined time blocks for the time range you choose (last 7, 14, 30, 60, or 90 days).
Main Menu > My Data > Reports > Standard Day
1.
j From the Main Menu, select
My Data and press =.
2.
j Select Reports and press =.
3.
j
Select Standard Day and press
=.
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4
Standard Day Graph Screen
Time Range
Meal Time Selection
Blood Glucose Unit of
Measure
Blood Glucose Icon
Time of Day
Warning Limit Hypo Level
Red horizontal line
Arrow
Indicates blood glucose
average is off the top of the
graph (“X” is not displayed)
Ending Time of a Time
Block
Vertical dashed line
Box for Each Time Block
• “X” in center of box indicates the
average of all blood glucose test
results for the selected criteria.
• The 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 are not
enough data to determine standard
deviation.
• The top of box is open if the
standard deviation is off the top of
the graph.
• Box and “X” are not displayed for a
time block if no data are found.
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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 include control results, HI values, or LO values.
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4
1.
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 (top of
screen). Press either
< or >
until you reach the time range
you need.
2.
j To display a standard day
graph for another meal time
selection (Overall, Pre Meal,
Post Meal, Bedtime, or Other),
press either x or z to
highlight the meal time
selection field (immediately
below the time range which is
at the top of the screen). Press
either
< or >
until you reach
the meal time selection you
need.
Standard Day Graph
3.
j
Press . to display the Table
(proceed to the next section for
more information).
To return to the Reports screen,
select Back.
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NOTE
The meter saves the current settings (time range, meal time, and graph view) when you select Back or
when the meter powers off.
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4
Standard Day Table Screen
Time Range
Meal Time Selection
Time Block
Blood Glucose Average
Standard Deviation (SD)
Number of Tests
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NOTE
• If data are not available to display the standard day table, the No Data Available screen is displayed.
• Standard day table calculations do not include control results, HI values, or LO values.
• For a standard deviation to be displayed for a given time block, there must have been two or more
tests recorded during the time block.
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4
1.
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 highlight the time range
selection field (top of screen).
Press either
< or > until you
reach the time range you need.
3.
j
To display a standard day table
for another meal time selection
(Overall, Pre Meal, Post Meal,
Bedtime, or Other), press either
x
or
z
to highlight the meal
time selection field (immediately
below the time range which is
at the top of the screen). Press
either
< or >
until you reach the
meal time selection you need.
Standard Day Table
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4.
j
Press . to display the Graph
(see previous section for more
information).
To return to the Reports screen,
select Back.
NOTE
The meter saves the current settings (time range, meal time, and
table view) when you select Back or when the meter powers off.
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4
Reporting Your Standard Week
The meter displays (for a standard week) your blood glucose averages, number of tests, and standard
deviations for each day of the week for the time range you choose (last 7, 14, 30, 60, or 90 days).
Main Menu > My Data > Reports > Standard Week
1.
j From the Main Menu, select
My Data and press =.
2.
j Select Reports and press =.
3.
j Select Standard Week and
press =.
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Standard Week Graph Screen
Time Range
Meal Time Selection
Blood Glucose Unit of
Measure
Blood Glucose Icon
Day of Week
Arrow
Indicates blood glucose average is off the
top of the graph (“X” is not displayed)
Box for Each Time Block
• “X” in center of box indicates the average
of all blood glucose test results for the
selected criteria.
• The 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 are not enough data
to determine standard deviation.
• The top of box is open if the standard
deviation is off the top of the graph.
• Box and “X” are not displayed for a day if
no data are found.
Warning Limit Hypo Level
Red horizontal line
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4
NOTE
• If data are not available to display the standard week graph, the No Data Available screen is
displayed.
• The standard week graph does not include control results, HI values, or LO values.
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1.
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 (top of
screen). Press either
< or >
until you reach the time range
you need.
2.
j To display a standard week
graph for another meal time
selection (Overall, Pre Meal,
Post Meal, Bedtime, or Other),
press either
x or z to
highlight the meal time
selection field (immediately
below the time range which is
at the top of the screen). Press
either < or > until you reach
the meal time selection you
need.
Standard Week Graph
3.
j Press . to display the Table
(proceed to the next section for
more information).
To return to the Reports
screen, select Back.
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4
NOTE
The meter saves the current settings (time range, meal time, and graph view) when you select Back or
when the meter powers off.
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Standard Week Table Screen
Time Range
Meal Time Selection
Day of Week
Blood Glucose Average
Standard Deviation (SD)
Number of Tests
NOTE
• If data are not available to display the standard week table, the No Data Available screen is displayed.
• Standard week table calculations do not include control results, HI values, or LO values.
• For a standard deviation to be displayed for a given day of the week, there must have been two or
more tests recorded during the day.
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4
1.
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 range selection
field (top of screen). Press
either < or > until you reach
the time range you need.
3.
j To display a standard week
graph for another meal time
selection (Overall, Pre Meal,
Post Meal, Bedtime, or Other),
press either x or z to
highlight the meal time
selection field (immediately
below the time range which is
at the top of the screen). Press
either < or > until you reach
the meal time selection you
need.
Standard Week Table
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4.
j Press . to display the Graph
(see previous section for more
information).
To return to the Reports
screen, select Back.
NOTE
The meter saves the current settings (time range, meal time, and
table view) when you select Back or when the meter powers off.
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4
Reporting Your Target
The meter displays a pie chart illustrating your blood glucose records as “Above,” “Within,” “Below,” and
“Hypo” for the time range you choose (last 7, 14, 30, 60, or 90 days).
Main Menu > My Data > Reports > Target
1.
j From the Main Menu, select
My Data and press =.
2.
j Select Reports and press =.
3.
j Select Target and press =.
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Target Graph Screen
Time Range
Legend
Blood glucose test result
categories
Meal Time Selection
Pie Chart
Represents the percentages for the
blood glucose test result categories
NOTE
• If data are not available to display the target graph, the No Data Available screen is displayed.
• The target graph does not include control results, HI values, or LO values.
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4
1.
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). Press either < or >
until you reach the time range
you need.
2.
j To display a target graph for
another meal time selection
(Overall, Pre Meal, Post Meal,
Bedtime, or Other), press
either
x or z to highlight
the meal time selection field
(immediately below the time
range which is at the top of
the screen). Press either
< or >
until you reach the meal time
selection you need.
3.
j Press . to display the Table
(proceed to the next section for
more information).
To return to the Reports
screen, select Back .
Target Graph
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NOTE
The meter saves the current settings (time range, meal time, and graph view) when you select Back or
when the meter powers off.
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4
Target Table Screen
Time Range
Legend
Blood glucose test result
categories
Meal Time Selection
Percentage of Occurrence
NOTE
• If results or data are not available for the selected time period and meal time, the No Data Available
screen is displayed.
• The target table does not include control results, HI values, or LO values.
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1.
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 either
< or >
until you reach the time range
you need.
2.
j To display a target table for
another meal time selection
(Overall, Pre Meal, Post Meal,
Bedtime, or Other), press
either x or z to highlight
the meal time selection field
(immediately below the time
range which is at the top of
the screen). Press either
< or >
until you reach the meal time
selection you need.
3.
j Press . to display the Target
Graph (see previous section for
more information).
To return to the Reports
screen, select Back.
Target Table
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4
NOTE
The meter saves the current settings (time range, meal time, and table view) when you select Back or
when the meter powers off.
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126
4.5 Downloading Your Data to a Computer
We oer a variety of software to help you transfer your stored results to a computer to track, identify
patterns, and print. For information on ACCU-CHEK software, contact the ACCU-CHEK Customer Care Service
Center at 1-800-688-4578.
1.
j Install the software according
to the instructions.
j To transfer the results to a
computer, connect the infrared
device to the computer
according to the software
instructions.
2.
j Run the software program
and follow the instructions to
download information. Make
sure the software is ready to
accept data from the meter.
3.
j From the Main Menu, select
My Data and press =.
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4
4. 5.
j Select Data Transfer and press
=.
Infrared (IR) Window
j Locate the infrared (IR) window
on the top of the meter.
j Locate the IR window on the
computer’s infrared cable.
j Point the two IR windows
toward each other. They should
be 1 to 4 inches apart.
6.
j Follow the prompts on your
computer software to start the
data transfer.
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7.
j Once the data transfer is
complete, the Data Transfer
Complete screen is displayed
for 3 seconds and then the
meter turns o.
NOTE
If the data did not transfer successfully, turn off the meter, turn the
meter back on, and try again. If you still have problems, contact
ACCU-CHEK Customer Care Service Center at 1-800-688-4578.
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5
5 Changing Meter Settings
5.1 Overview 130
5.2 Setting bG Test Reminders: After High bG, After Low bG, After Meal 131
5.3 Setting Alarm Clock Reminders: bG Test, Injection, Other 137
5.4 Setting Date Reminders: Dr. Visit, Lab Test 142
5.5 Setting Bolus Advice for the First Time 147
5.6 Setting Time Blocks, Health Events, Advice Options: Bolus Advice Set Up 156
5.7 Setting Warning Limits: Hyper, Hypo 165
5.8 Turning Key Lock On or O 168
5.9 Setting the Language 171
5.10 Setting Units: Carbs, Insulin Increment, Max Bolus 174
5.11 Setting the Beeper, Vibrate, Key Sound 177
5.12 Setting the Time Format, Time, Date 180
5.13 Setting Time Blocks: Bolus Advice Not Set Up 183
5.14 Backlight Settings 191
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5.1 Overview
You have the flexibility to change the ACCU-CHEK Aviva Expert meter settings that you initially selected
during the Setup Wizard process. You can make adjustments to the meter settings in order to meet changing
conditions. Consult with your healthcare professional to ensure the appropriate settings are selected.
Settings: Important Information
• When editing a setting, any unsaved changes are discarded if the meter turns o or if a test strip is inserted
into the meter.
• It is important to ensure that the time and date are correctly set in order to create accurate diary records.
NOTE
Blood glucose and bG are interchangeable and mean the same thing.
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5
5.2 Setting bG Test Reminders: After High bG, After Low bG,
After Meal
bG Test Reminders: Important Information
• At 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.
• Dismiss the reminder by pressing
..
• Reschedule (snooze) the reminder by pressing
,. The snooze time for After High bG is 15 minutes.
The snooze time for After Low bG and After Meal is 5 minutes.
• If not dismissed or snoozed, the reminder is displayed a total of four times at intervals of 2 minutes,
after which the meter dismisses the reminder.
• When you perform a blood glucose test, the meter dismisses any bG test reminders which are pending
within the next 30 minutes. If necessary, a new reminder is scheduled based upon the blood glucose test
result.
• For more information, see Chapter 6, Icons, Reminders, Warnings, and Errors.
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Main Menu > Settings > Reminders > bG Test Reminders
1.
j From the Main Menu, select
Settings and press =.
2. 3.
j Select Reminders and press
=.
j Select bG Test Reminders and
press
=.
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5
4.
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 step.
To Turn the After High bG
Reminder On or O:
j Select the Reminder entry field
and press =.
j Select On or O and press =.
To Change the bG Threshold:
j Select the bG Threshold entry
field and press
=.
j Set the bG Threshold level and
press =.
To Change the Remind After
Time:
j Select the Remind After entry
field and press
=.
j Set the amount of time after a
high blood glucose test result
you want to be reminded to
retest your blood glucose and
press =.
To save the changes and
return to the bG Test
Reminders screen, select
Save.
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To 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 Threshold:
j Select the bG Threshold entry
field and press
=.
j Set the bG Threshold level and
press =.
To Turn the After Meal
Reminder On or O:
j Select the Reminder entry field
and press
=.
j Select On or O and press =.
To Change the Snack Size:
j Select the Snack Size entry
field and press
=.
j Set the Snack Size amount
and press =.
To Change the Remind After
Time:
j Select the Remind After entry
field and press
=.
To Change the Remind After
Time:
j Select the Remind After entry
field and press =.
j Set the amount of time after a
low blood glucose test result
you want to be reminded to
retest your blood glucose and
press =.
To save the changes and
return to the bG Test
Reminders screen, select
Save.
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5
j Set the amount of time after
a meal (carb entry larger than
the snack size) you want to be
reminded to retest your blood
glucose and press =.
To save the changes, select
Save.
If you did not change the Snack
Size, the meter returns to the bG
Test Reminders screen.
If you changed the Snack
Size, the After Meal screen is
displayed.
j Select OK to return to the bG
Test Reminders screen.
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NOTE
• Remind After is displayed as “HH:MM” (e.g., 1:30) where “H” is hour and “M” is minute.
• When the meter is displaying the Remind After Meal screen for the first time, if bolus advice has
not been set up, the default for Snack Size is no entry (“---g”). If bolus advice has been set up, the
default value is the value set for the Snack Size on the Advice Options screen.
• To cancel changes or to return to the previous screen, select Cancel.
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5
5.3 Setting Alarm Clock Reminders: bG Test, Injection, Other
Alarm clock reminders are a helpful way to remind you to test your blood glucose, or for any other daily
appointment. You can set up to eight reminders per day.
Alarm Clock Reminders: Important Information
• At 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, or no basal insulin data was entered for an Alarm Clock
Injection Reminder), the reminder is displayed when the meter powers down.
• Dismiss the reminder by pressing
.. Reschedule (snooze) the reminder for 15 minutes by
pressing ,.
• Alarm Clock Injection Reminder: Dismiss the reminder by entering basal insulin data.
• If not dismissed or snoozed, the reminder is displayed a total of four times at intervals of 2 minutes,
after which the meter dismisses the reminder.
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138
• When you perform a blood glucose test, the meter dismisses Alarm Clock bG Test reminders which are
pending within the next 30 minutes.
• When you enter basal insulin data, the meter dismisses Alarm Clock Injection Reminders which are
pending within the next 30 minutes.
• For more information, see Chapter 6, Icons, Reminders, Warnings, and Errors.
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5
Main Menu > Settings > Reminders > Alarm Clock
1.
j From the Main Menu, select
Settings and press =.
2.
j Select Reminders and press
=.
3.
j Select Alarm Clock and press
=.
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140
To 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 Press =. Select the type
of Reminder (i.e., bG Test,
Injection or Other) and press
=.
j Repeat the above steps to set
additional reminders.
To Turn O a Reminder:
j Select the type of Reminder
entry field (i.e., bG Test,
Injection or Other) and press
=.
j Select O and press =.
j Repeat the above steps to turn
o additional reminders.
To save the changes and
return to the Reminders
screen, select Save.
4.
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5
NOTE
• To cancel changes or return to the Reminders screen, select Cancel.
• Time for the Alarm Clock reminders can be set in 15-minute increments, where “HH” is hour, “MM”
is minutes, and with “am” or “pm” for the 12-hour format.
• If you tested within 30 minutes of a bG Test Reminder, the reminder does not occur.
• If you entered basal insulin data within 30 minutes of an Injection reminder, the reminder does not
occur.
• Exposure to extreme cold conditions may disable Alarm Clock reminders until the meter is turned on.
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5.4 Setting Date Reminders: Dr. Visit, Lab Test
Date reminders are a helpful way to remind you of an upcoming Dr. visit or lab test.
Date Reminders: Important Information
• Displayed when you turn on the meter and a test strip has not been inserted.
• Dismiss the reminder either by pressing
. or by inserting a test strip.
• For more information, see Chapter 6, Icons, Reminders, Warnings, and Errors.
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5
Main Menu > Settings > Reminders > Date Reminders
1.
j From the Main Menu, select
Settings and press =.
2. 3.
j Select Reminders and press
=.
j Select Date Reminders and
press
=.
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144
j Select either Dr. Visit or Lab
Test and press =.
j Proceed to either Dr. Visit or
Lab Test in this step.
4.
To Turn the Dr. Visit 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 Date entry field and
press
=.
j Set the Day and press =.
j Set the Month and press =.
j Set the Year and press =.
To Set the Time (Optional):
j Select the Time entry field and
press
=.
j Set the Time and press =.
To save the changes and
return to the Date Reminders
screen, select Save.
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5
To 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 Date entry field and
press
=.
j Set the Day and press =.
j Set the Month and press =.
j Set the Year and press =.
To Set the Time (Optional):
j Select the Time entry field and
press
=.
j Set the Time and press =.
To save the changes and
return to the Date Reminders
screen, select Save.
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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).
• To cancel changes or to return to the Date Reminders screen, select Cancel.
• Time for the Dr. Visit Reminder and the Lab Test Reminder can be set in 15-minute increments, where
“HH” is hour, “MM” is minutes, and with “am” or “pm” for the 12-hour format.
• Date Reminders do not automatically turn on the meter and display the Reminder. Date Reminders
only occur when you power on the meter on the appropriate date.
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5
5.5 Setting Bolus Advice for the First Time
Set Up Bolus Advice
If you did not set up bolus advice when you went through the Setup Wizard and have now decided to utilize
bolus advice, proceed with this section. Once you do set up bolus advice, you cannot turn it off.
It is suggested that you review the information in the Getting Started Guide before continuing. Prior to
setting up time blocks for bolus advice, it is recommended that you decide how many time blocks you
need and also determine the start/end times. Talk to your healthcare professional about arranging your
time blocks to help best manage your diabetes. For each time block, you can set up different blood glucose
target ranges, carb ratios, and insulin sensitivities to accommodate your differing insulin needs throughout
the day.
WARNING
• Bolus advice should be used only if you are using U100, rapid-acting insulin for bolus dosing.
• Do not use bolus advice with Neutral Protamine Hagedorn (NPH) or any other intermediate-acting
insulin.
• Do not use bolus advice if basal insulin dose is unstable.
• Long-acting insulin should not be used as a meal bolus or as a correction bolus.
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Time Block Start Time
Target Range Lower
Limit Value
Carb Ratio–Number of
Insulin Units
Time Block End Time
Target Range Upper Limit Value
Carb Ratio–Number of Carbs
Insulin Sensitivity–
Number of Insulin Units
Scroll Bar
Insulin Sensitivity–Change in
Glucose Level
Time Blocks–Bolus Advice Screen
scroll down
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5
3.
Main Menu > Settings > Bolus Advice
1. 2.
j From the Main Menu, select
Settings and press
=.
j If you do NOT want to set up
bolus advice, select No to
return to the Settings screen.
j To set up bolus advice, select
Yes and continue to the next
step.
j Select Bolus Advice and press
=.
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150
4.
j To continue, select Next.
5.
To Change Time Blocks:
j Select a time block to edit and
press =.
scroll down
To Change the End Time:
j Select the End Time entry field
and press
=.
j Set the End Time and press
=.
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5
To 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 entry field for the
upper value of the Target
Range and press =.
j Set the value and press =.
To Change the Carb Ratio:
j Select the entry field for the
number of Insulin Units and
press
=.
j Set the number of Insulin Units
and press =.
j Select the entry field for the
amount of Carbs and press
=.
j Set the amount of Carbs
covered by the number of
Insulin Units and press =.
To Change the Insulin
Sensitivity:
j Select the entry field for the
number of Insulin Units and
press
=.
j Set the number of Insulin Units
and press =.
j Select the entry field for the
Insulin Sensitivity level and
press =.
j Set the Insulin Sensitivity level
and press =.
j Select Save.
6.
The carb ratio and insulin
sensitivity are copied to all time
blocks. You may edit the target
range, carb ratio, and insulin
sensitivity for any other time
block, if necessary.
j Select OK.
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152
7.
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.
To Add a Time Block:
j Select the last time block and
press
=.
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 added time block.
j To save the changes and
return to the Time Blocks
screen, select Save.
j Add another Time Block, or
proceed to Step 8.
To Remove a Time Block:
j Select the Time Block you
want to remove and press
=.
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5
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 =.
j To save the changes and
return to the Time Blocks
screen, select Save.
j Remove another Time Block, or
proceed to Step 8.
8. 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 the previous steps to
change another Health Event.
j To continue, select Next.
To 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 the Snack Size entry
field and press
=.
j Set the Snack Size amount
and press =.
To Change the Acting Time:
j Select the Acting Time entry
field and press
=.
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154
11.10.
j To return to the Settings
screen, select Back.
j Set the Acting Time duration
and press
=.
To Change the Oset Time:
j Select the Oset Time entry
field and press
=.
j Set the Oset Time duration
and press =.
To save the changes and exit,
select Save.
j Select OK.
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5
Bolus Advice Options
Meal Rise, Snack Size, Acting Time, and Oset Time are Bolus Advice Options. Below are detailed
descriptions of each of these settings.
Meal Rise
During or after meals, an increase in blood glucose levels is considered normal, or “allowed,” within a
certain range, even though a meal bolus has been delivered. Enter the maximum increase in your blood
glucose test result that is to be tolerated without an additional correction bolus.
Snack Size
The snack size is the amount of carbohydrates that is not to be counted as a regular meal with the expected
meal rise. In this case (in contrast to regular meals), an increase in your blood glucose test result is not
tolerated since the meal rise factor is not triggered for bolus advice calculations.
Acting Time
The acting time is the period of time from the start of the meal rise or the delivery of a correction bolus until
your blood glucose level is expected to return to the target level. You can adjust the length of the acting time
to your individual needs, within a specified time interval (1½ hours to 8 hours).
Oset Time
Oset time takes into account the expected delay for the blood glucose level to actually fall during the
acting time of insulin in the body.
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156
5.6 Setting Time Blocks, Health Events, Advice Options: Bolus
Advice Set Up
If bolus advice has been set up, use this section for:
• Adding or removing time blocks
• Changing the time of day when time blocks occur
• Changing the values for target range, carb ratio, and insulin sensitivity for any time block
• Changing health event percentages
• Changing advice options (meal rise, snack size, acting time, oset time)
Before continuing, it is recommended that you review the Getting Started Guide, determine how many time
blocks you need, and determine the start/end times for each time block. To help best manage your diabetes,
talk to your healthcare professional about arranging your time blocks, including setting up dierent blood
glucose target ranges, carb ratios, and insulin sensitivities for each time block.
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5
Setting Time Blocks–Bolus Advice is Set Up
Main Menu > Settings > Bolus Advice > Time Blocks
1. 2.
j From the Main Menu, select
Settings and press =.
3.
j Select Bolus Advice and press
=.
j Select Time Blocks and press
=.
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158
4.
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 Select the last time block and
press
=.
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 added time block.
j To save the changes and
return to the Time Blocks
screen, select Save.
j Proceed to To Change the
Time Blocks.
To Remove a Time Block:
j Select the Time Block you
want to remove and press
=.
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 =.
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159
5
j To save the changes and
return to the Time Blocks
screen. Select Save.
j Proceed to To Change the
Time Blocks.
To Change the Time Blocks:
j Select a Time Block to edit and
press
=.
5.
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 entry field for the
lower value of the Target
Range and press
=.
j Set the value and press =.
j Select the entry field for the
upper value of the Target
Range and press =.
j Set the value and press =.
To Change the Carb Ratio:
j Select the entry field for the
number of Insulin Units and
press
=.
j Set the number of Insulin Units
and press =.
j Select the entry field for the
amount of Carbs and press
=.
j Set the amount of Carbs
covered by the selected units
of insulin and press =.
To Change the Insulin
Sensitivity:
j Select the entry field for the
number of Insulin Units and
press
=.
j Set the number of Insulin Units
and press =.
j Select the entry field for the
Insulin Sensitivity level and
press =.
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160
j Set the Insulin Sensitivity level
and press =.
j Select Save.
6.
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.
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5
Setting Health Events–Bolus Advice is Set Up
Main Menu > Settings > Bolus Advice > Health Events
1. 2.
j From the Main Menu, select
Settings and press =.
3.
j Select Bolus Advice and press
=.
j Select Health Events and press
=.
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162
4.
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 the previous steps to
change other Health Events.
To save the changes and
return to the Bolus Advice
screen, select Save.
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5
3.
Setting Bolus Advice Options–Bolus Advice is Set Up
Main Menu > Settings > Bolus Advice > Advice Options
1. 2.
j From the Main Menu, select
Settings and press =.
j Select Bolus Advice and press
=.
j Select Advice Options and
press
=.
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164
To 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 the Snack Size entry
field and press
=.
j Set the Snack Size amount
and press =.
To Change the Acting Time:
j Select Acting Time entry field
and press
=.
j Set the Acting Time duration
and press =.
To Change the Oset Time:
j Select the Oset Time entry
field and press
=.
j Set the Oset Time duration
and press =.
To save the changes, select
Save.
4.
If you did not change the Snack
Size, the meter returns to the
Bolus Advice screen.
If you changed the Snack Size,
the meter displays the Advice
Options screen.
j Select OK to return to the
Bolus Advice screen.
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5
5.7 Setting Warning Limits: Hyper, Hypo
You can set blood glucose warning limits for hyperglycemia (Hyper) or hypoglycemia (Hypo) conditions.
Once these blood glucose limit values have been set, if your test result is above the hyper warning limit,
the meter displays the Above Hyper Warning Limit message: “Consider checking for ketones, bG and insulin
regularly.” If your test result is below the hypo warning limit, the meter displays the Below Hypo Warning
Limit message: “Eat fast carbs of at least (number of carbs)¹ Retest bG.”
1
The meter displays a recommended amount of fast carbohydrates.
WARNING
This function is no substitute for hyperglycemia or hypoglycemia training by your healthcare professional.
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Main Menu > Settings > Meter > Warning Limits
1. 2.
j From the Main Menu, select
Settings and press =.
j Select Meter and press =.
3.
j Select Warning Limits and
press =.
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167
5
4.
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 Change the Hypo Blood
Glucose Level:
j Select the Hypo entry field and
press =.
j Set the Hypo (lower) blood
glucose level and press =.
To save the changes and
return to the Meter Menu
screen, select Save.
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5.8 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 serves as a safety measure against unintentional activation of meter functions.
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5
Main Menu > Settings > Meter > Key Lock
1. 2.
j From the Main Menu, select
Settings and press =.
j Select Meter and press =.
3.
j Select Key Lock and press =.
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170
4.
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 buttons are locked when
you turn on the meter, the Key
Lock screen is displayed.
j To unlock the buttons, press
and hold , and . at the
same time until the Main Menu
is displayed.
The buttons remain unlocked for
the current session. When the
meter is turned on again, the
buttons are locked.
Key Lock: Important
Information
j When the buttons are locked,
you can still turn the meter on
and o. You can also adjust the
backlight.
j The buttons are unlocked
when a test strip is inserted
into the meter.
For these occurrences, the
buttons remain unlocked for the
current session. When the meter
is turned on again, the buttons
are locked.
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5
5.9 Setting the Language
You can select a language from the predefined list.
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172
Main Menu > Settings > Meter > Language
1. 2.
j From the Main Menu, select
Settings and press =.
j Select Meter and press =.
3.
j Select Language and press
=.
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173
5
4.
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,
select Save.
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174
5.10 Setting Units: Carbs, Insulin Increment, Max Bolus
You can set up the meter for dierent carbohydrate (carbs) units (Grams, BE, KE, or CC).
The insulin increment can be set to either 0.5 or 1U. You can set the max bolus for any whole number
between 0 and 50. Once the Carbs Units are set and the bolus advice is activated, the Carbs Units cannot
be changed.
NOTE
You should ask the advice of your healthcare provider (HCP) for delivering large doses of insulin.
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5
Main Menu > Settings > Meter > Units
1. 2.
j From the Main Menu, select
Settings and press =.
j Select Meter and press =.
3.
j Select Units and press =.
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176
4.
j Press = to display the list of
units for carbs.
j Select the units (Grams, BE,
KE, or CC) and press =.
To Change the Insulin
Increment :
j Select the Insulin Increment
entry field and press
=.
j Select 0.5 U or 1 U Insulin
Increment and press =.
NOTE
For more information on the
units for carbohydrates and
carbohydrate equivalents, see
Appendix B, Carb Units.
To Change the Max Bolus:
j Select the Max Bolus entry
field and press
=.
j Set the Max Bolus level and
press =.
To save the change and return
to the Meter Menu screen,
select Save.
NOTE
Once this is set and bolus
advice is activated, this unit
cannot be changed. If this unit
needs to be changed, contact
the ACCU-CHEK Customer
Care Service Center at
1-800-688-4578.
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5
5.11 Setting the Beeper, Vibrate, Key Sound
You can set up the meter for sound mode and/or vibrate mode. The meter features dierent sound (beeper)
tones. Sounds may occur for:
• Button presses
• Errors
• Warnings
• Reminders
NOTE
• Beeper and vibrate cannot both be turned off at the same time.
• When Key Sound is on, the meter beeps each time a button is pressed.
• Even when the beeper is turned off, the meter still beeps when an error message occurs.
• When in the low battery condition, the meter uses the medium beeper level (if the beeper level is
set to high) and disables vibrate. In the low battery condition, the main menu screen will continue
to display the icons for vibrate and beeper, unless you have set them to Off. After the batteries are
replaced with new ones, the meter returns to the beeper/vibrate settings you have set.
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Main Menu > Settings > Sound/Vibrate
1. 2.
j From the Main Menu, select
Settings and press =.
j Select Sound/Vibrate and
press =.
3.
To Change the Beeper Sound
Level:
j Select the Beeper entry field
and press =.
j Select the Beeper sound level
(O, Low, Medium, or High)
and press =.
To Turn the Vibrate On or O:
j Select the Vibrate entry field
and press
=.
j Select the Vibrate mode (On or
O) and press =.
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5
To 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
return to the Settings Menu
screen, select Save.
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5.12 Setting the Time Format, Time, Date
NOTE
• Changing the date and time will impact the Trend Graph and the Trend Table (see Reporting Your
Data Trends in Section 4.4, Reporting Your Data).
• For 12-hour time format, time is displayed as “HH:MM A/P” (example: 3:53 pm) and for 24-hour time
format, time is displayed as “HH:MM” (example: 15:53) where “H” is hour and “M” is minute.
• The date format is displayed as “DD MMM YY” (example: 02 Feb 08) where “D” is day, “M” is month,
and “Y” is year.
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5
Main Menu > Settings > Time/Date
1. 2.
j From the Main Menu, select
Settings and press =.
j Select Time/Date and press
=.
3.
To Change the Time Format:
j Select the Time Format entry
field and press =.
j Select 12-hr or 24-hr Time
Format and press =.
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To Change the Time:
j Select the Time entry field and
press =.
j Set the Hour and press =.
j Set the Minutes and press =.
j If Time Format is 12 hr, select
am or pm and press =.
To 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 save the changes and
return to the Settings Menu
screen, select Save.
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5
5.13 Setting Time Blocks: Bolus Advice Not Set Up
This section is for changing, adding, and removing time blocks only if bolus advice has not been set up.
For each time block, you can set up dierent blood glucose target ranges. It is suggested that you review
the Getting Started Guide before continuing. Prior to setting up time blocks, it is recommended that you
determine how many time blocks you need and also determine the start/end times. Talk to your healthcare
professional about arranging your time blocks in order to help best manage your diabetes.
Target Range Lower Value Time Block End Time
Target Range Upper Value
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184
1. 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
=.
Change End Time, Target Range Lower Value, and/or Target Range Upper Value
Main Menu > Settings > Time Blocks
3.
j Select the Time Block to edit
and press =.
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185
5
4.
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 entry field for the
lower value of the Target
Range and press
=.
j Set the value and press =.
j Select the entry field for the
upper value of the Target
Range and press =.
j Set the value and press =.
To save the changes and
return to the Time Blocks
screen, select Save.
5.
j Repeat Steps 3 and 4 to
change another time block.
Otherwise, select Back to
return to the Settings screen.
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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 increments.
• To cancel changes press
,.
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5
1. 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
=.
Add a Time Block
Main Menu > Settings > Time Blocks
3.
j Select the last Time Block and
press =.
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188
4.
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 added time block.
To save the changes and
return to the Time Blocks
screen, select Save.
5.
j Update the End Times and
Target Ranges for all time
blocks, as needed. See
Change End Time, Target
Range Lower Value, and/or
Target Range Upper Value in
this section.
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5
1. 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
=.
Remove a Time Block
Main Menu > Settings > Time Blocks
3.
j Select the Time Block you
want to remove and press =.
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190
4.
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
return to the Time Blocks
screen, select Save.
5.
j Update the End Times
and Target Ranges for the
remaining time blocks, as
needed. See Change End
Time, Target Range Lower
Value, and/or Target Range
Upper Value in this section.
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5
5.14 Backlight Settings
The backlight on your ACCU-CHEK Aviva Expert meter helps you read the information on the meter display
under different lighting conditions. You can adjust the backlight level by pressing the backlight button on the
front of the meter. The backlight adjusts from low, to medium, to high, and back to low again.
Backlight Button
Press to adjust the backlight level.
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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 occurred for approximately
15 seconds, the meter goes to low backlight (to conserve battery life). The meter restores the original
backlight setting when you press a button, insert a test strip, or when the meter displays the bG Results
screen.
• When in the low battery condition, the meter uses the medium backlight level (if the backlight level is
set to high). After the batteries are replaced with new ones, the meter again allows the high backlight
setting.
• The backlight button is disabled during a blood glucose test, a control test, and when the meter is
transferring data.
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6
6 Icons, Reminders, Warnings, and Errors
6.1 Overview 194
6.2 List of Icons 195
6.3 Confirming a Reminder, Warning, or Error 197
6.4 List of Reminders 198
6.5 List of Warnings 208
6.6 List of Errors 213
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6.1 Overview
This chapter provides you with detailed listings of all the icons, reminders, warnings, and errors included in
the meter.
NOTE
Blood glucose and bG are interchangeable and mean the same thing.
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6
Icon Name Icon
Add Data
Analyzing
Basal Insulin
Beeper
Blood Glucose Averages
Blood Glucose Test
Bolus Advice
Bolus Advice (Settings)
Bolus Insulin
Carbs
6.2 List of Icons
The icons and icon names in the meter are:
Icon Name Icon
Control Test
Date
Download (Data Transfer)
Error
Health
Low Battery
Meal Time
Meter
Meter (Settings)
My Data
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Icon Name Icon
Reminder
Reminders (Settings)
Reports
Settings
Sound/Vibrate (Settings)
Time
Icon Name Icon
Time Block (Settings)
Time Change
Time/Date (Settings)
Vibrate
View Data
Warning
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6
6.3 Confirming a Reminder, Warning, or Error
To confirm (or dismiss) most reminders or warnings, press .. Some error messages require a dierent
confirmation, such as “Retest with new Strip” or “Replace batteries now.” To place some reminders in the
snooze mode, press
,. See the following sections for more details on a specific reminder, warning, or error.
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6.4 List of Reminders
Reminder Screen Example
Reminder Title
Reminder Message
Dismiss
Reminder Icon
Snooze
Reschedule the reminder.
This is not available for all
reminders.
NOTE
• The meter beeps when it displays any reminder if the beeper setting is on.
• The meter vibrates when it displays any of the following reminders if the vibrate setting is on: After
Meal Retest, bG Test, High bG Retest, Injection, Low bG Retest, and Other.
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6
For instructions on how to set up meter reminders, see Chapter 5, Changing Meter Settings. The reminders
available on the meter are:
Reminder Title Reminder Message Left Soft Key Right Soft Key Snooze Time
After Meal Retest Carbs entry higher than Snack
Size setting. Retest.
Snooze Dismiss 5 minutes
Basal Injection It is time for your scheduled
basal injection
Snooze Dismiss 15 minutes
bG Test It is time for your scheduled bG
test
Snooze Dismiss 15 minutes
Dr. Visit Today If the Dr. Visit time has been
set:
You have a Dr. Appointment
today at (Settings Dr. Visit Time)
1
Or, if the Dr. Visit time has not
been set:
You have a Dr. Appointment
today
Dismiss
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200
Reminder Title Reminder Message Left Soft Key Right Soft Key Snooze Time
Dr. Visit Tomorrow If the Dr. Visit time has been
set:
You have a Dr. Appointment
tomorrow at (Settings Dr. Visit
Time)¹
Or, if the Dr. Visit time has not
been set:
You have a Dr. Appointment
tomorrow
Dismiss
High bG Retest High bG Result on last test.
Retest.
Snooze Dismiss 15 minutes
Lab Test Today If the lab test time has been
set:
You have a Lab Test today at
(Settings Lab Test Time)
1
Or, if the lab test time has not
been set:
You have a Lab Test today
Dismiss
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6
Reminder Title Reminder Message Left Soft Key Right Soft Key Snooze Time
Lab Test Tomorrow If the lab test time has been
set:
You have a Lab Test tomorrow at
(Settings Lab Test Time)
1
Or, if the lab test time has not
been set:
You have a Lab Test tomorrow
Dismiss
Low bG Retest Low bG Result on last test.
Retest.
Snooze Dismiss 5 minutes
Other It is time for your Other activity Snooze Dismiss 15 minutes
1
If set, the time of the Dr. Visit or the Lab Test is displayed on the screen.
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Reminders: Important Information
• When two or more event reminders occur at the same time, the meter displays the event reminder with
the highest priority first:
1. bG Test Reminders (After High bG, After Low bG, and After Meal)
2. Alarm Clock Reminders (bG Test, Injection and Other)
3. Date Reminders (Dr. Visit and Lab Test)
The following occur when the particular reminder is enabled and scheduled:
Dr. Visit Today, Dr. Visit Tomorrow, Lab Test Today, and Lab Test Tomorrow Reminders
• Displayed when you turn on the meter and a test strip has not been inserted.
• Dismiss the reminder either by pressing
. or by inserting a test strip.
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6
Low 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, Changing Meter Settings), then the meter schedules a Low bG Retest reminder for the time
duration you have set up. The meter maintains the duration of this scheduled reminder regardless of meter
time and date changes.
• At the scheduled time, the meter turns on and displays the reminder (if a test strip has not been inserted).
• 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.
• When the meter displays the reminder and you do not press any meter buttons within 30 seconds, the
meter turns off and displays the reminder again in 2 minutes. After the fourth time the meter displays the
reminder, then the meter dismisses the reminder.
• Dismiss the reminder by pressing
..
• Snooze the reminder for 5 minutes either by pressing
, or by inserting a test strip.
• When you perform a blood glucose test, the meter dismisses any Low bG Retest reminders pending within
the next 30 minutes. If necessary, a new reminder is scheduled based upon the blood glucose test result.
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High bG Retest Reminder
• When your blood glucose test result is greater than the high blood glucose threshold setting you have set
up (see Chapter 5, Changing Meter Settings), then the meter schedules a High bG Retest reminder for the
time duration you have set up. The meter maintains the duration of this scheduled reminder regardless of
meter time and date changes.
• At the scheduled time, the meter turns on and displays the reminder (if a test strip has not been inserted).
• 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.
• When the meter displays the reminder and you do not press any meter buttons within 30 seconds, the
meter turns off and displays the reminder again in 2 minutes. After the fourth time the meter displays the
reminder, then the meter dismisses the reminder.
• Dismiss the reminder by pressing
..
• Snooze the reminder for 15 minutes either by pressing
, or by inserting a test strip.
• When you perform a blood glucose test, the meter dismisses any High bG Retest reminders pending within
the next 30 minutes. If necessary, a new reminder is scheduled based upon the blood glucose test result.
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6
After Meal Reminder
• When you enter carbohydrates into the diary through one of the following screens and the carbohydrates
entered are greater than the Snack Size setting, then the meter schedules an After Meal reminder for the
time duration you have set up (see Chapter 5, Changing Meter Settings). The meter maintains the duration
of this scheduled reminder regardless of meter time and date changes.
• Add Data screen (see Chapter 4, Managing Your Data)
• Modify Data screen (see Chapter 4, Managing Your Data)
• Detailed bG Result screen (see Chapter 2, Testing Your Blood Glucose)
• Bolus Advice screen (see the Advanced Owner’s Booklet)
• At the scheduled time, the meter turns on and displays the reminder (if a test strip has not been inserted).
• 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.
• When the meter displays the reminder and you do not press any meter buttons within 30 seconds, the
meter turns off and displays the reminder again in 2 minutes. After the fourth time the meter displays the
reminder, then the meter dismisses the reminder.
• Dismiss the reminder by pressing
..
• Snooze the reminder for 5 minutes either by pressing
, or by inserting a test strip.
• When you perform a blood glucose test, the meter dismisses any After Meal reminders pending within the
next 30 minutes. If necessary, a new reminder is scheduled based upon the blood glucose test result.
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206
Alarm Clock Reminders for bG Test, Injection and Other
• At the scheduled time, the meter turns on and displays the reminder (if a test strip has not been inserted).
• When the meter displays an Alarm Clock reminder and you do not press any meter buttons, after 30
seconds the meter turns off and displays the reminder again in 2 minutes. After the fourth time the meter
displays the reminder, then the meter dismisses the reminder.
• bG Test Alarm Clock Reminder
• 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.
• Dismiss all active bG Test reminders by pressing
..
• Snooze the reminder for 15 minutes either by pressing
, or by inserting a test strip.
• When you perform a blood glucose test, the meter dismisses any bG Test reminders that have been
snoozed or that are pending within the next 30 minutes.
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6
• Injection Alarm Clock Reminder
• If the meter is already on when the reminder is scheduled and no basal insulin data was entered, the
reminder is displayed when the meter powers down.
• Dismiss all active Injection reminders by pressing
..
• Snooze the reminder for 15 minutes either by pressing
, or by inserting a test strip.
• When you enter basal insulin data, the meter dismisses any Injection reminders that have been
snoozed or that are pending within the next 30 minutes.
• Other Alarm Clock Reminder
• If the meter is already on when the reminder is scheduled, the reminder is displayed when the meter
powers down.
• Dismiss this reminder either by pressing
. or by inserting a test strip.
• Snooze the reminder for 15 minutes by pressing
,.
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6.5 List of Warnings
Warning Screen Example
Warning Icon
No
Only shown on a few
warning screens
Warning Title
Warning Message
Yes or OK
NOTE
The meter beeps when it displays a warning if the beeper setting is on.
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6
The warnings the meter may display are:
Warning Title Warning Message Left Soft Key Right Soft Key
Above Hyper Warning
Limit
Consider checking for ketones, bG and
insulin regularly
OK
Beep/Vibrate O Beep and Vibrate settings cannot both be
turned o at same time
OK
Below Hypo Warning Limit Eat fast carbs of at least (number of carbs)
1
Retest bG
OK
bG Test Missed Perform bG test as soon as possible OK
Bolus Advice Not Setup Advice not provided unless setup through
Bolus Advice in Settings
OK
Bolus Advice Timeout Bolus Advice no longer possible for this bG
result
OK
Bolus Too High Bolus above allowed amount. Bolus set to
maximum.
OK
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Warning Title Warning Message Left Soft Key Right Soft Key
Bolus Too Low Bolus below allowed amount. Bolus set
to minimum.
OK
Calculation Out of Range No Bolus Advice available OK
Carbohydrate Ratio Carb Ratio seems unusual. Check entries. OK
Code Key Missing Turn o Meter and insert valid Code Key OK
Corrupt Language Choose another language OK
Diary Entry Used For
Advice
Diary entry used for Advice, modifications
not allowed
OK
Diary Results Expired New data cannot be saved with this record OK
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6
Warning Title Warning Message Left Soft Key Right Soft Key
HI bG Warning Consider checking bG, ketones and insulin OK
Insulin Sensitivity Insulin Sensitivity seems unusual. Check
entries.
OK
Invalid Bolus Advice
Times
Acting time must be greater than or equal
to oset time
OK
Invalid Date Reenter valid date OK
Invalid Hyper Values Hyper value must be greater than Time
Block target ranges
OK
Invalid Hypo Values Hypo value must be less than Time Block
target ranges
OK
Invalid Record Time/Date Record time/date must be older than the
current meter time/date
OK
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Warning Title Warning Message Left Soft Key Right Soft Key
Invalid Target Range Lower target range value above upper
target range value
OK
Invalid Target Range Range selected conflicts with Hyper and/or
Hypo Warning Limit settings
OK
LO bG Warning Retest bG. Contact your doctor. OK
Meter Battery Low Replace soon. OK
No bG with Bolus Consider testing bG before delivering
Insulin. Continue?
No Yes
Test Strips Expiring Change Code Key and Strips soon OK
1
The meter displays a recommended amount of fast carbohydrates.
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6
6.6 List of Errors
Error Screen Example
Error Title
Error Message
Error Icon
Menu
This option is not available
for all errors.
NOTE
The meter beeps when it displays an error, even if the beeper setting is turned off.
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The errors the meter may display are:
Error Title Error Message Left Soft Key Right Soft Key
E-51
Bad Strip Error
Reinsert or replace with new Strip
E-52
Code Key Error
Turn Meter o, reinsert or replace Code Key Menu
1
OK
2
E-53
Bad Test Error
Retest with new Strip
E-54
Not Enough Sample
Retest with new Strip
E-55
Code Key Expired
Turn Meter o, replace Code Key and Strips Menu
1
OK
2
E-56
Sample Applied Early
Retest with new Strip
E-57
Electronic Error
Remove batteries, wait 20 seconds, replace
batteries
E-58
Temp. Error
Move Meter to correct temperature and
wait 5 minutes
Menu
3
OK
3
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6
Error Title Error Message Left Soft Key Right Soft Key
E-59
Battery Empty
Replace batteries now
E-60
Time/Date Error
Correct time/date if necessary Menu
1
“Menu” is only displayed when the meter is in a bG test screen.
2
“OK” is only displayed after the splash screen (ACCU-CHEK logo screen).
3
If the meter is powering up, then “OK” is displayed above the right soft key and “Menu” is not displayed
above the left soft key.
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7
217
7 Cleaning and Disinfecting the Meter and
Lancing Device
7.1 Overview 218
7.2 Cleaning and Disinfecting the Meter 220
7.3 Cleaning and Disinfecting the Lancing Device 225
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7.1 Overview
WARNING
• 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 disinfection.
1,2
• Cleaning and disinfecting the meter and lancing device destroys most, but not necessarily all,
bloodborne pathogens.
3
• 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
• 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.
• It is important to keep the meter and lancing device clean and disinfected.
• Wash hands thoroughly before and after handling the meter, lancing device, or test strips.
1,2,3,
See Appendix E
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7
219
What is the dierence between cleaning and disinfecting?
Cleaning is the removal of dirt from the meter or lancing device.
3
Disinfecting is the removal of most, but not all, disease-causing and other types of microorganisms
(bloodborne pathogens) from the meter or lancing device.
3
3
See Appendix E
When should the meter and lancing device be cleaned and disinfected?
Clean and disinfect the meter and lancing device:
• Once per week
• When blood gets on the meter or lancing device
• Before allowing anyone else to handle the meter or lancing device
NOTE
For technical assistance or questions on cleaning and disinfecting, please contact the ACCU-CHEK
Customer Care Service Center at 1-800-688-4578.
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7.2 Cleaning and Disinfecting the Meter
To clean and disinfect without damaging the meter, follow these procedures carefully.
When to Clean and Disinfect the Meter
• Clean the meter prior to disinfecting.
• Clean and disinfect the meter at least once per week, or when blood is present on the surface of the
meter.
• Do not allow anyone else to use the meter on themselves for testing purposes.
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7
221
Approved Cleaning and Disinfecting Products
• Super Sani-Cloth (EPA* reg. no. 9480-4)
*Environmental Protection Agency
The above product has been approved for use and can be purchased from the following sources:
• Amazon.com
• Ocedepot.com
• Walmart.com
NOTE
Using 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 Service Center at 1-800-688-4578: residue around buttons,
clouding of display, button malfunction, out of range controls results.
What to Clean and Disinfect
The following parts of the meter should be cleaned and disinfected:
• The area around slots and openings (do not get any moisture in slots or openings)
• The meter display
• The entire meter surface
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WARNING
Failure to follow these instructions may damage the meter
and stop it from working properly.
j DO NOT clean or
disinfect the meter
while performing a
blood glucose or control
test.
j DO NOT get any
moisture in slots or
openings.
j DO NOT spray anything
onto the meter.
j DO NOT immerse the
meter in liquid.
How to Clean and Disinfect the Meter
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7
223
1.
j Wash hands thoroughly with
warm soapy water.
2. 3.
j Turn o the meter and place
it on a flat surface, such as a
table.
j Wipe the entire meter surface
with the approved cleaning and
disinfecting product. Always
use the same product for both
cleaning and disinfecting.
WARNING
The eect of using more than one product interchangeably to clean and disinfect the meter has not been
tested. Always use the same product to clean and disinfect the meter.
52123_07006322001.indb 223 10/18/13 2:32 PM
224
4.
j Carefully wipe around the test
strip slot and other openings.
Make sure that no liquid enters
any opening.
5.
j A separate Super Sani-Cloth
should be used for cleaning
and disinfection. For
disinfecting the meter, get a
new cloth and repeat steps 3
and 4, making sure that the
surface stays wet for
2 minutes.
NOTE
Roche has tested the approved product for a total of 208 cleaning and disinfecting cycles. This supports
cleaning and disinfecting the meter once per week for a 3 year time period and allows for 52 extra
cleaning and disinfecting cycles that might occur (due to blood contamination, for example) over the
lifetime of the meter. This equates to approximately 1 additional cleaning and disinfecting cycle per month
over the 3 year use life of the meter.
6
j Wash hands thoroughly with
soap and water.
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225
7.3 Cleaning and Disinfecting the Lancing Device
NOTE
• Do not throw away the lancing device cap after each use. Use approved cleaning and disinfecting
products on it.
• Always remove the lancet drum before cleaning or disinfecting the lancing device.
To clean and disinfect without damaging the lancing device, follow these procedures carefully.
When to Clean and Disinfect the Lancing Device
• Clean the lancing device prior to disinfecting.
• Clean and disinfect the lancing device at least once per week, or when blood is present on the surface of
the lancing device.
• Do not allow anyone else to use the lancing device.
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226
Approved Cleaning and Disinfecting Products
• Super Sani-Cloth (EPA* reg. no. 9480-4)
*Environmental Protection Agency
The above product has been approved for use and can be purchased from the following sources:
• Amazon.com
• Ocedepot.com
• Walmart.com
NOTE
Using 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.
What to Clean and Disinfect
The following parts of the lancing device may be cleaned and disinfected:
• The entire lancing device surface
• The cap
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227
How to Clean and Disinfect the Lancing Device
WARNING
• DO NOT get any moisture into opening around button.
• Failure to follow these instructions may damage the lancing device and stop it from working properly.
1. 2. 3.
j Wash hands thoroughly with
soap and water.
j Wipe the entire surface of the
lancing device and the inside
of the lancing device cap with
the approved cleaning and
disinfecting product. Always
use the same product for both
cleaning and disinfecting.
j A separate Super Sani-Cloth
should be used for cleaning
and disinfection. For
disinfecting the lancing device,
get a new cloth and repeat
step 2, making sure that the
surface stays wet for
2 minutes.
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228
j Wash hands thoroughly with
soap and water.
WARNING
The effect of using more than one product interchangeably to
clean and disinfect the lancing device has not been tested. Always
use Super Sani-Cloth (EPA reg. no. 9480-4) to clean and disinfect
the lancing device. Do not use any other cleaning or disinfecting
solutions. Using solutions other than the Super Sani-Cloth could
result in damage to the lancing device.
NOTE
Roche has tested the approved product for a total of 260 cleaning
and disinfecting cycles. This supports cleaning and disinfecting the
lancing device once per week for a 5 year time period. However, if
the lancing device is cleaned and disinfected more than once per
week (due to blood contamination, for example), please discontinue
lancing device use once a total of 260 cleaning and disinfecting
cycles has been reached.
4.
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229
8 Maintenance
8.1 Overview 230
8.2 Changing the Batteries 231
8.3 Power-Saving Tips 234
8.4 Maintenance and Testing 235
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8.1 Overview
It is important to properly care for and maintain your ACCU-CHEK Aviva Expert meter. If you have any
questions about the care and maintenance of your meter, contact ACCU-CHEK Customer Care Service Center
at 1-800-688-4578.
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231
8.2 Changing the Batteries
1. 2.
j Remove the battery door
from the back of the meter by
pushing the tab in the direction
of the arrow and pulling up
the door.
j Remove the old batteries from
the meter.
j Insert three AAA batteries with
the + and - ends matching
the marks in the battery
compartment.
3.
j Put the battery door back in
place and snap it closed.
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232
WARNING
• Using batteries other than those supplied or recommended for use with the meter may significantly
reduce the life of the batteries. Batteries other than those recommended may leak and corrode
the battery contacts within the meter. Using batteries not supplied or recommended may void the
warranty.
• Replace all batteries of a set at the same time. Newly purchased batteries should not be mixed with
partially exhausted ones. Batteries of different electrochemical systems, grades, or brands should
not be mixed. Failure to observe these precautions may result in some batteries in a set being driven
beyond their normal exhaustion point and thus increase the probability of leakage.
• Once new batteries are inserted in the meter as directed, do not remove them until they need to be
replaced. Removing and reinserting good batteries may cause issues with the internal operations of
the meter.
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233
NOTE
• Alkaline batteries are recommended for use with the meter.
• After you change the batteries, the meter prompts you to confirm the time and date settings.
• It is a good idea to have spare, packaged batteries available.
• All test results, diary information, and settings are saved in the meter memory when the batteries are
replaced.
• Rechargeable batteries may be used in the meter. However, rechargeable batteries may not maintain
the same battery life as non-rechargeable batteries.
• When the Low Battery warning appears:
• If vibrate is set to On, it is disabled until the batteries are replaced.
• I f the backlight level is set to high, the medium backlight level is used until the batteries are
replaced.
• If the beeper level is set to high, the medium beeper level is used until the batteries are replaced.
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234
8.3 Power-Saving Tips
To conserve battery life:
• use the low beeper setting.
• only turn on the vibrate feature when it is needed.
• turn o the meter when you are finished rather than utilizing the auto power o feature.
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8
235
8.4 Maintenance and Testing
• The meter needs little or no maintenance with normal use. It automatically tests its own systems every
time you turn it on and lets you know if something is wrong. For detailed information on troubleshooting the
meter, see Chapter 9, Troubleshooting.
• To test the meter display, turn off the meter, and then press and hold the
+button. The display cycles
through colors (red, blue, green, and white). If any part of the display does not change colors, contact
ACCU-CHEK Customer Care Service Center at 1-800-688-4578.
• If you drop the meter or think it is not giving accurate results, ensure your test strips and control solution
have not expired, and then perform a control test.
• Perform a control test with each new vial of test strips.
• If the meter is not working properly, contact ACCU-CHEK Customer Care Service Center at 1-800-688-4578.
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236
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237
9
9 Troubleshooting
9.1 Overview 238
9.2 Troubleshooting the ACCU-CHEK Aviva Expert Meter 239
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238
9.1 Overview
For most problems, the meter displays a message with a short description of the symptom and, along with
it, a proposed solution. This chapter goes into more detail by describing the symptom, the possible cause,
and the possible solution. If the possible solutions do not fix the problem, contact ACCU-CHEK Customer Care
Service Center at 1-800-688-4578.
WARNING
Never make treatment decisions based on a warning or error message. If you have any concerns,
contact ACCU-CHEK Customer Care Service Center at 1-800-688-4578.
NOTE
• If you drop the meter or think it is not giving accurate results, make sure your test strips and control
solution have not expired, and then perform a control test. For further assistance, contact ACCU-CHEK
Customer Care Service Center at 1-800-688-4578.
• Blood glucose and bG are interchangeable and mean the same thing.
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239
9
9.2 Troubleshooting the ACCU-CHEK Aviva Expert Meter
Display Shows Possible Cause(s) Possible Solution(s)
The display is blank
or the meter will
not turn on.
j Batteries are dead. j Install new batteries. See Chapter 8, Maintenance.
j Display is damaged. j Contact ACCU-CHEK Customer Care Service Center
at 1-800-688-4578.
j Meter is defective. j Contact ACCU-CHEK Customer Care Service Center
at 1-800-688-4578.
j Extreme temperature – the
temperature is outside the
meter operating range.
j Move the meter to an area with proper temperature.
Wait five minutes before turning on the meter. Do
not artificially heat or cool the meter.
Above Hyper
Warning Limit
j Your test result is above the
hyper warning limit set in the
meter.
j Treat your high blood glucose as recommended by
your healthcare professional.
j Consider checking bG, ketones, and insulin.
Beep/Vibrate O j Beep and Vibrate settings
cannot be turned o at the
same time.
j Ensure that either the Beep or Vibrate setting is
turned on. See Chapter 5, Changing Meter Settings.
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240
Display Shows Possible Cause(s) Possible Solution(s)
Below Hypo
Warning Limit
j Your test result is below the
hypo warning limit set in the
meter.
j Treat your low blood glucose as recommended by
your healthcare professional.
j The meter displays a recommended number of
carbohydrates for you to eat, and then retest your
blood glucose.
Bolus Advice Not
Setup
j
Advice is not provided unless it
is set up through Bolus Advice
in Settings Menu.
j
You can continue to use the meter without bolus
advice or see Chapter 5, Changing Meter Settings for
instructions on how to set up bolus advice.
Bolus Advice
Timeout
j
Bolus advice is no longer
available for this bG result.
j
Review data that was saved in My Data. Then, decide
to modify data, add data, or begin a new bolus advice
session.
Carbohydrate Ratio j Carbohydrate ratio is outside
of the acceptable meter
range.
j Check your entries and contact your healthcare
professional to determine the appropriate settings.
Code Key Missing j The black code key is not
inserted.
j Turn o the meter and insert the black code key. If
you need a black code key, please contact
ACCU-CHEK Customer Care Service Center at
1-1800-688-4578.
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241
9
Display Shows Possible Cause(s) Possible Solution(s)
Diary Entry Used
For Advice
j The diary entry selected has
been used for bolus advice
and modifications are not
allowed.
j Carefully confirm all information involving bolus
advice. You cannot modify bolus advice related
entries on the meter.
Diary Results
Expired
j Bolus advice is no longer
available for this result.
j Review data that was saved in My Data. Then,
decide to modify data, add data, or begin a new
bolus advice session.
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242
Display Shows Possible Cause(s) Possible Solution(s)
E-51 Bad Strip
Error
j Your blood glucose may be
extremely low.
If you see this error message after you applied blood
to the test strip:
j If you are experiencing any of the common
symptoms of low blood sugar, contact your
healthcare professional immediately.
j Treat your low blood sugar as recommended by
your healthcare professional.
j If this does not match how you feel, repeat the
blood glucose test and see Chapter 2, Testing Your
Blood Glucose.
j The test strip is damaged.
j The test strip is not properly
inserted into the meter.
If you see this error message before you applied
blood to the test strip:
j Remove the test strip and reinsert it, or replace it if
damaged. Check the Use By date on the test strip
container. Do not use test strips past the Use by
date. If the message reappears call the ACCU-CHEK
Customer Care Service Center at 1-800-688-4578.
E-52 Code Key
Error
j The code key is incorrect. j Please contact ACCU-CHEK Customer Care Service
Center at 1-800-688-4578.
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243
9
Display Shows Possible Cause(s) Possible Solution(s)
E-53 Bad Test
Error
j A meter or test strip error has
occurred.
j Discard the test strip and repeat the test.
j Your blood glucose may be
extremely high.
j If this matches how you feel, contact your
healthcare professional immediately. If it does not
match how you feel, repeat the blood glucose test
and see Chapter 2, Testing Your Blood Glucose. If
this still does not match the way you feel, run a
control test with your control solution and a new
test strip. If the control result is within the
acceptable range, review the proper testing
procedure and repeat your blood glucose test with a
new test strip. If the E-53 error still appears for your
blood glucose test, your blood glucose test result
may be extremely high and above the system’s
reading range. Contact your healthcare
professional immediately. If the control test result
is not within the acceptable range, see Chapter 3,
Control Testing.
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244
Display Shows Possible Cause(s) Possible Solution(s)
E-54 Not Enough
Sample
j Not enough blood or control
solution was drawn into the
test strip for measurement or
was applied after the test has
started.
j Discard the test strip and repeat the test.
E-55 Code Key
Expired
j The white code key is from an
expired lot of test strips.
j This message may appear when using a white code
key in the meter. It means the test strips expire at
the end of the current month. At the end of the
month, discard the white code key and any
remaining test strips. Insert a black code key. Make
sure the time and date in the meter are correct. If
you need a black code key, please contact
ACCU-CHEK Customer Care Service Center at
1-800-688-4578.
E-56 Sample
Applied Early
j Blood or control solution was
applied to the test strip before
the Apply Sample screen
appeared on the display.
j Discard the test strip and repeat the test with a new
test strip.
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245
9
Display Shows Possible Cause(s) Possible Solution(s)
E-57 Electronic
Error
j An electronic error has
occurred or, in rare cases, a
used test strip was removed
and reinserted.
j Turn o the meter and remove the batteries. Wait at
least 20 seconds prior to reinserting the batteries.
Turn on the meter and perform a blood glucose or
control test. If the problem persists, contact
ACCU-CHEK Customer Care Service Center at
1-800-688-4578.
E-58 Temp. Error j The temperature is above or
below the proper range for
the meter.
j Move the meter to an area within the proper
temperature range indicated for test strip use in the
test strip package insert. Wait 5 minutes before
turning on the meter. Repeat the test. Do not
artificially heat or cool the meter.
E-59 Battery
Empty
j The batteries are extremely
low.
j Insert new batteries. See Chapter 8, Maintenance.
E-60 Time/Date
Error
j The time and date settings
may be incorrect.
j You have changed the
batteries.
j Ensure the time and date are correct and adjust, if
necessary. See Chapter 5, Changing Meter
Settings.
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246
Display Shows Possible Cause(s) Possible Solution(s)
HI bG Warning j Your blood glucose may be
higher than the measuring
range of the system.
j If you are experiencing any of the common
symptoms of high blood glucose, contact your
healthcare professional immediately.
j Treat your high blood glucose as recommended by
your healthcare professional.
j Consider checking bG, ketones, and insulin.
Insulin Sensitivity j Insulin sensitivity is outside of
the acceptable meter range.
j Check your entries and contact your healthcare
professional to determine the appropriate settings.
Invalid Bolus
Advice Times
j The acting time value is less
than the oset time.
j The acting time value must be set equal to or
greater than the oset time. Reset the acting time
value or revise the oset time.
Invalid Date j The date entered is invalid
(dates for reminders cannot
be set to occur in the past).
j Re-enter date.
Invalid Hyper
Values
j The hyper warning limit value
must be greater than all of
your target ranges in the time
block settings.
j Reset the hyper warning limit or revise the target
ranges in time blocks and re-enter the hyper
warning limit.
j Enter a hyper warning limit that is above the target
ranges of your time blocks. See Chapter 5,
Changing Meter Settings.
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247
9
Display Shows Possible Cause(s) Possible Solution(s)
Invalid Hypo Values j The hypo warning limit value
must be less than all of your
target ranges in the time
block settings.
j Reset the hypo warning limit or revise the target
ranges in time blocks and re-enter the hypo
warning limit.
j Enter a hypo warning limit that is below the target
ranges of your time blocks. See Chapter 5,
Changing Meter Settings.
Invalid Record
Time/Date
j The time/date entered is
invalid (Add Data entries
cannot be set to occur in the
future).
j Re-enter time/date.
Invalid Target
Range
j The lower target range value
is above the upper target
range value.
j Reset the target range values.
j Enter the correct lower target range value and
upper target range value. See Chapter 5, Changing
Meter Settings.
j The range selected conflicts
with your hyper and/or hypo
warning limit settings.
j Reset range or revise warning limit settings and
re-enter range.
j Enter the correct lower target range value and
upper target range value. See Chapter 5, Changing
Meter Settings.
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248
Display Shows Possible Cause(s) Possible Solution(s)
LO bG Warning j Your blood glucose may be
lower than the measuring
range of the system.
j Treat your low blood glucose as recommended by
your healthcare professional.
j If you are experiencing any of the common
symptoms of low blood glucose, contact your
healthcare professional immediately.
Meter Battery Low j Battery power is low. j Install new batteries. See Chapter 8, Maintenance.
No bG with Bolus j You have not tested your bG
and are attempting to deliver
a bolus.
j It is recommended to test bG before delivering
insulin.
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249
9
Display 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 may appear when using a white code
key in the meter. It means the test strips expire at
the end of the current month. At the end of the
month, discard the white code key and any
remaining test strips. Insert a black code key. Make
sure the time and date in the meter are correct. If
you need a black code key, please contact
ACCU-CHEK Customer Care Service Center at
1-800-688-4578.
j Ensure the time and date are correct and adjust, if
necessary. See Chapter 5, Changing Meter
Settings.
NOTE
• For additional information on errors and warnings, see Chapter 6, Icons, Reminders, Warnings, and
Errors.
• If you have a question or if you see any other error screen, please contact ACCU-CHEK Customer Care
Service Center at 1-800-688-4578.
52123_07006322001.indb 249 10/18/13 2:32 PM
250
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10
251
10 Technical Information
10.1 Overview 252
10.2 Product Limitations 253
10.3 Specifications 254
10.4 Product Safety Information 256
10.5 Disposing of the Meter, Strips, Lancets, and Batteries 258
10.6 Warranty and Limited License 260
10.7 Additional Supplies 267
10.8 Information for Healthcare Professionals 268
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252
10.1 Overview
This chapter provides you with important performance information regarding the meter.
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253
10.2 Product Limitations
Please read the literature packaged with your test strips to find the latest information on product
specifications and limitations.
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254
10.3 Specifications
Blood volume Refer to the test strip package insert.
Sample type Fresh capillary whole blood
Measuring time Refer to the test strip package insert.
Measuring range Refer to the test strip package insert.
Test strip storage conditions Refer to the test strip package insert.
Meter storage conditions (with
batteries inserted)
-4 °F to 122 °F
System operating conditions Refer to the test strip package insert.
Relative humidity operating range Refer to the test strip package insert.
Memory capacity 1,000 diary records
Automatic power o 2 minutes
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255
Power supply Three AAA batteries (recommended: alkaline)
Display LCD
Dimensions 3.7 x 2.1 x 1 inches (LWH)
Weight Approximately 3.6 oz with batteries inserted
Construction Hand-held
Protection class III
Meter type The ACCU-CHEK Aviva Expert meter is suitable for continuous
operation.
Control solution storage conditions 36 °F to 90 °F
Interface IR; LED/IRED – Class 1
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256
10.4 Product Safety Information
WARNING
Choking hazard. Small parts. Keep away from children under the age of 3 years.
Electromagnetic Compatibility
This meter meets the electromagnetic immunity requirements as per EN ISO 15197 Annex A. The chosen
basis for electrostatic discharge immunity testing was basic standard IEC 61000-4-2. In addition, it meets
the electromagnetic emissions requirements as per EN 61326. Its electromagnetic emission is thus low.
Interference from other electrically driven equipment is not to be anticipated.
Performance Analysis
The ACCU-CHEK Aviva Expert system (ACCU-CHEK Aviva Expert meter with ACCU-CHEK Aviva Plus test strips)
is calibrated with venous blood containing various levels of glucose. The reference values are obtained using
the hexokinase method. For method comparison, the results were compared with results obtained using the
hexokinase method with deproteinization (automatic analyzer). The hexokinase method is traceable to an
NIST standard.
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257
Measuring Principle
Refer to your test strip package insert for more information.
WARNING
• Strong electromagnetic fields may interfere with the proper operation of the meter. Do not use this
meter close to sources of strong electromagnetic radiation.
• To avoid electrostatic discharge, do not use the meter in a very dry environment, especially one in
which synthetic materials are present.
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258
10.5 Disposing of the Meter, Strips, Lancets, and Batteries
WARNING
• Any product coming in contact with blood is considered contaminated (potentially infectious).*
• During normal testing any blood glucose meter may come in contact with blood. Lancing devices may
also be considered sharps. Disposal of sharps is regulated by law in many jurisdictions.
Roche is committed to recycling and sustainability. Please consider the following points when disposing of
your used testing materials:
• Comply with any laws or ordinances relating to the disposal of sharps and/or contaminated products.
Contact your local health department or other appropriate authorities for proper handling and disposal of
used meters, used test strips, used lancets, and used batteries.
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259
• Consider recycling of the meters and batteries at an appropriate facility. Be aware the meter is potentially
hazardous electronics scrap (e-scrap) and should be disposed of accordingly. The batteries are potentially
hazardous also and should be disposed of accordingly.
• Decontaminate the meter before recycling or disposing.
• 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 (Code of Federal Regulations)
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260
10.6 Warranty and Limited License
ACCU-CHEK Aviva Expert Meter Limited 3-Year Warranty
Roche Diagnostics warrants to the original purchaser of the meter that your ACCU-CHEK Aviva Expert meter
will be free from defects in materials and workmanship for 3 years from the date of purchase. If during this
3-year period, the meter does not work properly because of a defect in materials or workmanship, Roche
Diagnostics will replace it with a new ACCU-CHEK Aviva Expert 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 Expert meter shall be replacement.
This warranty does not apply to the performance of an ACCU-CHEK Aviva Expert meter that has been
damaged by accident or has been altered, misused, tampered with, or abused in any way.
52123_07006322001.indb 260 10/18/13 2:32 PM
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261
THE PRECEEDING WARRANTY IS EXCLUSIVE OF ALL OTHER WARRANTIES, AND ROCHE DIAGNOSTICS 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 DIAGNOSTICS
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 damages, so the above limitation and exclusion may not apply to you. This warranty gives
you specific legal rights, which vary from state to state.
52123_07006322001.indb 261 10/18/13 2:32 PM
262
Warranty and Service Instructions
All requests for return of ACCU-CHEK Aviva Expert meters under the preceding warranty or service policy
must be made to ACCU-CHEK Customer Care Service Center. You will be mailed a return authorization label,
which must be axed to your carton for shipping the system to Roche Diagnostics. Cartons received without
this label will be returned to you at your expense.
Customers experiencing diculties should review the troubleshooting information in Chapter 9 of this booklet.
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 Expert system.
52123_07006322001.indb 262 10/18/13 2:32 PM
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263
Limited License
CAUTION
A RESTRICTED LICENSE LIMITS USE OF THE ACCU-CHEK AVIVA EXPERT SYSTEM—READ CAREFULLY THE
LIMITATIONS RECITED BELOW.
The ACCU-CHEK Aviva Expert system (meter, including the code key, and test strips) and its use are protected
by U.S. Patent Nos. 6,645,368 (expires 22-December-2017); 8,298,401 (expires 4-October-2022); 8,303,801
(expires 4-October-2022); 8,329,026 (expires 4-October-2022); 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); and 7,604,721 (expires 12-August-2026). A license to use the ACCU-CHEK Aviva Expert
system is required until the last-to-expire patent listed above and is only granted when the ACCU-CHEK Aviva
Expert meter is used with the ACCU-CHEK Aviva Plus test strips and ACCU-CHEK Aviva Plus code keys.
ACCU-CHEK Aviva Plus test strips are provided with a specifically matched ACCU-CHEK Aviva Plus code key.
These test strips and code keys are specifically manufactured for operation with the ACCU-CHEK Aviva Expert
meter. Use of other test strips with an unmatched code key or even with the matched code key supplied by
another manufacturer may prevent or impair the proper function of the ACCU-CHEK Aviva Expert system.
52123_07006322001.indb 263 10/18/13 2:32 PM
264
Using the ACCU-CHEK Aviva Expert system indicates your acceptance of the restricted license to use
the ACCU-CHEK Aviva Expert system only with ACCU-CHEK Aviva Plus test strips and the corresponding
ACCU-CHEK Aviva Plus code key. If you do not agree to the terms and conditions of the restricted license,
you may return, at the place of purchase, the unused ACCU-CHEK Aviva Expert system for a full refund. If you
have any questions, please call the ACCU-CHEK Customer Care Services Center at 1-800-688-4578.
Except where prohibited by statute, all warranties covering the ACCU-CHEK Aviva Expert system are voided
by use of the ACCU-CHEK Aviva Expert system with any test strips or code keys other than ACCU-CHEK
Aviva Plus test strips or code keys.
Patent Information
U.S. Pat.:http://www.roche-diagnostics us/patents
52123_07006322001.indb 264 10/18/13 2:32 PM
10
265
CAUTION
A RESTRICTED LICENSE LIMITS USE OF THE ACCU-CHEK FASTCLIX SYSTEM (device and lancet drums).
READ CAREFULLY THE LIMITATIONS RECITED BELOW.
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 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 produced 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.
52123_07006322001.indb 265 10/18/13 2:32 PM
266
Using the ACCU-CHEK Fastclix device indicates your acceptance of the restricted license to use the
ACCU-CHEK Fastclix device only with ACCU-CHEK Fastclix lancet drums. If you do not agree to the terms and
conditions of the restricted license, you may return, at the place of purchase, the unused ACCU-CHEK Fastclix
device for a full refund. If you have any questions, please call the ACCU-CHEK Customer Care Services Center
at 1-800-688-4578.
Except where prohibited by statute, all warranties covering the ACCU-CHEK Fastclix device are voided by use
of the ACCU-CHEK Fastclix device with any lancet drums other than ACCU-CHEK Fastclix lancet drums.
52123_07006322001.indb 266 10/18/13 2:32 PM
10
267
10.7 Additional Supplies
Test Strips
ACCU-CHEK Aviva Plus 50 ct test strips
ACCU-CHEK Aviva Plus 100 ct test strips
Control Solutions
ACCU-CHEK Aviva 2 level control solutions
52123_07006322001.indb 267 10/18/13 2:32 PM
268
10.8 Information for Healthcare Professionals
WARNING
Healthcare Professionals: Follow the infection control procedures appropriate for your facility.
A drop of fresh, whole blood is required to perform a blood glucose test. Refer to the test strip package insert
for additional healthcare professional information.
52123_07006322001.indb 268 10/18/13 2:32 PM
269
Appendices
Appendix A: Abbreviations
Abbreviation Definition
AM Ante Meridiem (12-hour clock notation for “before noon”)
BE Bread Equivalent (equal to 12 grams of carbohydrates)
bG Blood Glucose (blood glucose)
Carbs Carbohydrates
CC Carbohydrate Choice (equal to 15 grams of carbohydrates)
°F Degrees Fahrenheit
g Grams
Hyper Hyperglycemia (high blood glucose)
Hypo Hypoglycemia (low blood glucose)
IR Infrared
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270
Abbreviation Definition
ISO International Organization for Standardization
KE Kohlenhydrateinheit (equal to 10 grams of carbohydrates)
LCD Liquid Crystal Display
mg/dL Milligrams per Deciliter
N/A Not Applicable
NIST National Institute of Standards and Technology (United States)
NPH Neutral Protamine Hagedorn
PM Post Meridiem (12-hour clock notation for “after noon”)
SD Standard Deviation
U Units (basal insulin units)
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271
Appendix B: Carb Units
For carbohydrates, the following units of measure are available on the meter.
Abbreviation Unit of Measurement Gram Equivalent
g Grams* 1 gram
KE Kohlenhydrateinheit 10 grams
BE Bread Equivalent 12 grams
CC Carbohydrate Choice 15 grams
*Standard unit of measure in the U.S.
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272
Appendix C: Explanation of Symbols
You may encounter the following symbols on the packaging, on the type plate (back of meter), and in the
instructions for the ACCU-CHEK Aviva Expert meter, shown here with their meaning.
w
Caution, refer to safety-related notes in the instructions for use accompanying this
product.
Federal law (USA) restricts this device to sale by or on the order of a physician per
21 CFR 801.109.*
1.5V AAA
* Code of Federal Regulations
52123_07006322001.indb 272 10/18/13 2:32 PM
273
Appendix D: Meter Settings and Range Limits
Data Type Unit of Measurement MIN MAX Increments Default Setting
Acting Time hours:minutes 1:30 8:00 0:15 4:00
Basal Insulin Units 0
99 Insulin
Increment
0
bG Threshold (High) mg/dL 120
350 1 Hyper Warning Limit
bG Threshold (Low) mg/dL 50
100 1 Hypo Warning Limit
Bolus Insulin Units 0
50 Insulin
Increment
0
Carb Ratio (carbs) grams
BE
KE
CC
1
0.1
0.1
0.1
240
20
24
16
1
0.1
0.1
0.1
No entry (“--- g”)
No entry (“--- BE”)
No entry (“--- KE”)
No entry (“--- CC”)
Carb Ratio (insulin) Units 0.1 50 0.1 1
Carbohydrates grams
BE
KE
CC
0
0
0
0
240
20
24
16
1
0.1
0.1
0.1
No entry (“--- g”)
No entry (“--- BE”)
No entry (“--- KE”)
No entry (“--- CC”)
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274
Data Type Unit of Measurement MIN MAX Increments Default Setting
Exercise 1 (health
event)
% -50 50 1 0
Exercise 2 (health
event)
% -50 50 1 0
Hyper Warning Limit mg/dL 180
350 1 300
Hypo Warning Limit mg/dL 50 90 1 70
Illness (health event) % -50 50 1 0
Insulin Increment Units 0.5 1 0.5
Insulin Sensitivity (bG) mg/dL 1 999 1
No entry (“---mg/dL”)
Insulin Sensitivity
(insulin)
Units 0.1 50 0.1 1
Max Bolus Units
0 50 1 or 0.5 (per
the insulin
increment
value)
No entry (“---U”)
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275
Data Type Unit of Measurement MIN MAX Increments Default Setting
Meal Rise (bG) mg/dL 50 200 1 50
Oset Time hours:minutes 0:45
Acting
Time
0:15 1:00
Premenstrual (health
event)
% -50
50 1 0
Snack Size (carbs) grams
BE
KE
CC
0
0
0
0
24
2
2.4
1.6
1
0.1
0.1
0.1
No entry (“--- g”)
No entry (“--- BE”)
No entry (“--- KE”)
No entry (“--- CC”)
Stress (health event) % -50 50 1 0
Target Range Upper
Value
mg/dL 100 300 1
140
Target Range Lower
Value
mg/dL 50 140 1 70
1
The insulin increment is used when entering bolus and basal insulin data.
52123_07006322001.indb 275 10/18/13 2:32 PM
276
The following are the default settings for bG test reminders. To turn on a bG test reminder, see Setting Alarm
Clock Reminders: bG Test, Other in Chapter 5, Changing Meter Settings.
Test Reminder Default Time of Day
1 7:00 am
2 9:00 am
3 11:00 am
4 12:00 pm
5 2:00 pm
6 4:00 pm
7 7:00 pm
8 10:00 pm
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277
The following are the default settings for the time blocks. Talk to your healthcare professional about setting
up time blocks to help you manage your diabetes. To adjust the time blocks, see Chapter 5, Changing Meter
Settings.
Time Block 12-Hour Format
1 12:00 am–5:30 am
2 5:30 am–11:00 am
3 11:00 am–5:00 pm
4 5:00 pm–9:30 pm
5 9:30 pm–12:00 am
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278
Appendix E: References
1. FDA Public Health Notification: “Use of Fingerstick Devices on More than One Person Poses Risk for
Transmitting Bloodborne Pathogens: Initial Communication, (2010). Update 11/29/2010.”
http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ucm224025.htm. Accessed March 20, 2012.
2. CDC Clinical Reminder: “Use of Fingerstick Devices on More than One Person Poses Risk for Transmitting
Bloodborne Pathogens, (2010).” http://www.cdc.gov/injectionsafety/Fingerstick-DevicesBGM.html.
Accessed March 20, 2012.
3. Healthcare Infection Control Practices Advisory Committee (HICPAC), William A. Rutala, Ph.D., M.P.H., and
David J. Weber, M.D., M.P.H. Centers for Disease Control and Prevention, 2008. “Guideline for Disinfection
and Sterilization in Healthcare Facilities. Atlanta.”
4. US Environmental Protection Agency Office of Pesticide Programs “List D: EPA’s Registered Antimicrobial
Products Effective Against Human HIV-1 and Hepatitis B Virus.” January 9, 2009. http://www.epa.gov/
oppad001/list_d_hepatitisbhiv.pdf. Accessed January 25, 2011.*
* Enviromental Protection Agency
52123_07006322001.indb 278 10/18/13 2:32 PM
279
Glossary
Term Definition
7-day average Includes results generated today and the previous 6 days.
Acting Time The period of time from the start of the meal rise or the delivery of a
correction bolus until your blood glucose level is expected to return to the
target level.
Advice Options Factors that influence bolus advice calculations including meal rise,
snack size, acting time, and oset time.
After High bG Reminder A reminder to retest your blood glucose. When enabled, this reminder
occurs after a high blood glucose test result.
After Low bG Reminder A reminder to retest your blood glucose. When enabled, this reminder
occurs after a low blood glucose test 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
carbohydrate data greater than the snack size amount.
Alarm Audible or vibrating (silent) notification indicating a reminder, warning, or
error.
52123_07006322001.indb 279 10/18/13 2:32 PM
280
Term Definition
Basal A dose of long-acting insulin intended to maintain normal blood glucose
levels between meals and at night.
bG Test Reminders Reminders to retest your blood glucose after a high blood glucose test
result, after a low blood glucose test result, or after a meal.
bG Threshold A bG test reminder setting. The upper limit for your blood glucose for a
high bG test reminder and the lower limit for your blood glucose for a low
bG test reminder.
Blood Glucose (bG) The level of glucose in blood.
Bolus The delivery of insulin all at once rather than slowly throughout the day,
usually used to compensate for meals or high blood glucose.
Bolus Advice When enabled, bolus advice provides recommendations on the amount of
insulin for food intake and for correcting blood glucose levels that are not
within your target range.
Bolus Advice Options See Advice Options.
Carb Ratio The amount of insulin necessary to account for a certain number of
carbohydrates.
Carbohydrates (or Carbs) Carbohydrate foods include sugars and starches. Carbohydrates can
raise blood glucose levels slowly or rapidly. Carbohydrates are generally
counted to calculate a bolus insulin dose.
52123_07006322001.indb 280 10/18/13 2:32 PM
281
Term Definition
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,
then 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.
Current Date Refers to the date you set through the menu Settings and then in the
Time/Date screen.
Current Time Refers to the time you set through the menu Settings and then in the
Time/Date screen.
Day Period of time starting at 12:00 am and ending at 11:59 pm.
End Time The end time of a time block.
Health Events A pop-up menu selection (Exercise 1, Exercise 2, Stress, Illness,
Premenstrual, or Fasting) that allows information to be stored with a
blood glucose test result or in a diary record and percentages that could
adjust bolus advice recommendations for your current health status or
activities.
HI The test result is above the meter’s measurement range.
52123_07006322001.indb 281 10/18/13 2:32 PM
282
Term Definition
Hyper Hyperglycemia: an abnormally high level of glucose in the blood.
Hyper Warning Limit When your blood glucose test result is above the hyper warning limit, a
warning is displayed.
Hypo Hypoglycemia: an abnormally low level of glucose in the blood.
Hypo Warning Limit When your blood glucose test result is below the hypo warning limit, a
warning is displayed.
Insulin Increment The meter rounds o the insulin amount to be delivered, which the meter
calculates if bolus advice is set up, or when you manually enter bolus and
basal insulin data into the diary. The insulin increment can be set to 0.5
or 1 U.
Insulin Sensitivity The amount of insulin necessary to lower your blood glucose by a certain
amount.
Ketones A by-product or waste product when your body burns stored fat for
energy. Ketones are produced when there is not enough insulin to help
your body use glucose for energy. Without enough insulin, glucose builds
up in the blood.
Key Lock A meter function which disables the keys (buttons) in order to prevent its
unintended use.
52123_07006322001.indb 282 10/18/13 2:32 PM
283
Term Definition
LO The test result is below the meter’s measurement range.
Max Bolus The maximum amount of bolus insulin to be delivered at one time. A
bolus that is larger than the max bolus amount requires an additional
confirmation. This serves as a safety measure against unintended large
boluses. You should ask the advice of your HCP for delivering large doses
of insulin.
Meal Rise During or after meals, an increase in blood glucose levels is considered
normal, or “allowed,” within a certain range, even though a meal bolus
has been delivered. A meal rise is in eect for a specified time period.
Meal Time A pop-up menu selection (pre-meal, post-meal, bedtime, or other) that
allows information to be stored with a blood glucose test or in a diary
record.
Meter Blood glucose meter.
Note Additional information.
NPH Insulin Neutral Protamine Hagedorn. An intermediate-acting insulin that, on
average, starts to lower blood glucose within 1 to 2 hours after injection. It
has its strongest eect 6 to 10 hours after injection but keeps working
about 10 hours after injection. Also called N insulin.
52123_07006322001.indb 283 10/18/13 2:32 PM
284
Term Definition
Oset Time Oset time takes into account the expected delay for the blood glucose
level to actually fall during the acting time of insulin in the body. It
describes the first time period within the acting time.
Pre-Mixed Insulin A commercially produced combination of two dierent types of insulin.
Remind After A bG test reminder setting. The amount of time after a high blood glucose
test result, after a low blood glucose test 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.
Snack Size The amount of carbohydrates that is not to be counted as a regular meal
with the expected meal rise.
Snooze Delay of some reminders for a defined time period.
Soft Keys Two buttons under the meter display used to navigate through the user
interface. Just above each soft key, the meter display shows the
selection (i.e., Save, Cancel, Back, etc.).
Standard Deviation As it is used in this owner’s booklet, standard deviation measures how
widely spread the bG test results are (e.g., if the bG test results are close
to the bG average, then the standard deviation is small).
52123_07006322001.indb 284 10/18/13 2:32 PM
285
Term Definition
Start Time The start time of a time block.
Target Range The desired upper and lower limits of your blood glucose level considered
acceptable as set by your healthcare professional.
Time Blocks Up to eight time periods within one day to facilitate your changing insulin
needs throughout the day.
Time Range The user sets the duration of time. There is a start and end time.
User A person using the meter.
Warning Describes items and conditions that present hazards and may cause
personal injury.
Warning Limits See Hyper Warning Limit or Hypo Warning Limit.
52123_07006322001.indb 285 10/18/13 2:32 PM
286
52123_07006322001.indb 286 10/18/13 2:32 PM
287
A
abbreviations, 269–271
acting time, 153–155, 164
active insulin, 47–49
advice options, 153–155, 163–164
after high bG test reminder, 131–135, 198, 200,
202, 204
after low bG test reminder, 131–135, 198,
201–203
after meal bG test reminder, 131–135, 198–
199, 202, 205
alarm clock reminder,
bG test, 28, 137–140, 202, 206
injection, 28, 137–140, 202, 206–207
other, 28, 137–140, 202, 206–207
appetite, increased, 57
B
backlight, 21, 191–192
button, 15, 18–19
batteries, 16
changing, 231–233
low, 30, 177, 192
type, 231, 233
BE, 174–176, 271
beeper, setting, 30, 177–179
bG threshold, 133–134
blood glucose averages, 91–92
blood glucose test,
performing, 39–47
reminder, 28
results, 44, 47–56
unusual results, 51–56, 55
blurred vision, 57
bolus advice, 23, 147–155
bolus advice options. Seeadvice options
buttons, 15, 18–20
Index
52123_07006322001.indb 287 10/18/13 2:32 PM
288
C
carbohydrates, 47–50, 84, 87
units of measure, 174–176, 271
carb ratio, 148, 151, 159, 240
carbs. Seecarbohydrates
CC, 174–176, 271
cleaning,
lancing device, 225–227
meter, 220–224
code key, 17, 240, 242, 244
code number, 41, 64
control solution, 16, 62, 65
control test,
performing, 61, 63–68
results, 66–67, 69–72
results, troubleshooting, 73–74
D
data, 23
adding, 48–50, 86–88
downloading to a computer, 24, 126–128
modifying, 79–85
reporting, 89–125
time change, 94–95, 98–99
trends, 93–101
viewing, 79–85
date,
reminders, 28, 142–146, 202
setting, 180–182
display, 15, 21, 239
disposing, meter, strips, lancets, batteries,
258–259
dr. visit reminder, 142–146, 199–200, 202
E
end time, 150, 152–153, 158–159, 185–186,
188, 190
errors, list of, 213–215
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289
F
fatigue, 57
frequent urination, 57
G
g (grams), 174–176, 271
graph,
standard day, 103–106
standard week, 112–115
target, 120–122
trend, 94–97
H
headache, 57
health events, 27, 47–50, 84, 87, 153, 161–162
high bG retest reminder, 200, 204
hyper warning limit, 24, 165–167, 239, 246
hypo warning limit, 24, 165–167, 240, 247
I
icons, listing, 81, 195–196
infrared (IR) window, 15–16, 127
injection reminder. Seealarm clock reminder,
injection
insulin sensitivity, 148, 151, 159–160, 246
K
KE, 174–176, 271
key lock, 20, 22, 168–170
key sound, setting, 177–179
L
lab test reminder, 142–146, 200–202
lancing device, 42–43
language, setting, 171–173
lock. Seekey lock
low bG retest reminder, 201–203
52123_07006322001.indb 289 10/18/13 2:32 PM
290
M
maintenance, meter, 235
meal rise, 153, 155, 164
meal time, 47–50, 84–85
meter,
settings and range limits, 273–277
summary of features, 15, 21–29
N
navigation, 29–34
Neutral Protamine Hagedorn (NPH), 147
numbness, 57
O
oset time, 154–155, 164
other reminder. Seealarm clock reminder, other
P
power button, 15, 18–19
power-saving tips, 234
R
rapid heartbeat, 57
reminders,
important information, 202–207
list of, 198–201
priority, 202
reminders, blood glucose test. Seeblood
glucose test, reminder
S
screen, features, 30–32
scroll bar, 31
snack size, 134–135, 153–155, 164
snooze, 131, 137, 197–198
soft keys, 15, 18–20
sound, 30
setting, 177–179
specifications, meter, 254–255
standard day, reporting, 102–110
standard deviation, 89–90, 116
52123_07006322001.indb 290 10/18/13 2:32 PM
291
standard week, reporting, 111–118
supplies, 267
sweating, 57
symbols, explanation, 272
T
table,
standard day, 107–110
standard week, 116–118
target, 123–125
trend, 98–101
target range, 148, 151, 159, 183–185, 247
target, reporting, 119–125
test results,
storing, 77–78
unusual, 55–56
test strip, 42, 64, 249
thirst, increased, 57
time blocks, 25–26, 147–160, 183–190, 277
time format, setting, 180–181
time, setting, 180–182
tingling, 57
trembling, 57
troubleshooting, 239–250
U
units of measure. Seecarbohydrates, units of
measure
unlock. Seekey lock
use by date, 37, 55, 62, 73
V
vibrate setting, 30, 177–179
W
warnings, list of, 208–213
warranty, 260–262
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293
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LAST UPDATE: 2013-07
52123_07006322001.indb 2 10/18/13 2:31 PM
07006322001-1013
Roche USA – 52123
V6/1 – 07006322001 – Black –
209
Roche USA – 52123
V6/2 – 07006322001 – Cyan –
209
Roche USA – 52123
V6/3 – 07006322001 – Magenta –
209
Roche USA – 52123
V6/4 – 07006322001 – Yellow –
209
Roche USA – 52123
V6/5 – 07006322001 – PMS 287 –
209
Roche USA – 52123
V6/6 –07006322001 – PMS 5445 –
209
BLOOD GLUCOSE METER
Standard Owner’s Booklet
for Single Patient Use Only
© 2013 Roche Diagnostics
Assembled in USA.
Roche Diagnostics Corporation
9115 Hague Road
Indianapolis, IN 46256
www.accu-chek.com
ACCU-CHEK, ACCU-CHEK AVIVA, ACCU-CHEK
AVIVA EXPERT, and FASTCLIX are trademarks
of Roche.
52123_07006322001.indb 1 10/18/13 2:31 PM
… 283 …


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