8 8.10 Time Block Settings This section is for changing the settings for individual time blocks when bolus advice is turned off. These time block settings include: Main Menu > Settings > Time Blocks 1 2 From the Main Menu, select Settings. Select Time Blocks. jj Start time jj End time jj Target range NOTE It is recommended that you discuss possible updates to your time block settings with your healthcare professional prior to making changes. 151 52297_07167776001.
NOTE Time Blocks cannot be selected if it is shaded. The shading means bolus advice is turned on. If Time Blocks is shaded, go to the Bolus Advice: Time Block Settings section in the Changing Bolus Advice Settings chapter in this user’s manual. 3 NOTE jj The End time of a time block is the same as the Start time of its following time block. Only an End time can be changed, which changes the Start time of the following time block.
8 4 5 6 Set the End time. Select Next. Set the Upper value and Lower value. Select Save. Edit any other time block (reference Step 3). Once all time blocks are complete, select Done. 153 52297_07167776001.
8.11 Adding a Time Block This section is for adding a time block if bolus advice is turned off. Before adding a time block, have the following information available: jj The number of time blocks you need with the start and end times for each NOTE It is recommended that you discuss possible updates to your time block settings with your healthcare professional prior to making changes. jj The blood glucose target range for each time block To add a time block, decrease the last time block’s end time.
8 Main Menu > Settings > Time Blocks 1 From the Main Menu, select Settings. 2 Select Time Blocks. NOTE Time Blocks cannot be selected if it is shaded. The shading means bolus advice is turned on. If Time Blocks is shaded, go to the Bolus Advice: Adding a Time Block section in the Changing Bolus Advice Settings chapter in this user’s manual. 3 Select the last time block. 155 52297_07167776001.
4 NOTE 5 jj Decrease the End time for the last time block by any amount in order to create a new time block. This creates a time block by splitting the last time block into 2 time blocks. jj Do not decrease the End time until it equals the Start time because the meter deletes the time block when you select Next. jj Once the new time block is created, you can change Decrease the End time. the Start time and End time for all appropriate time blocks. Select Next.
8 6 7 NOTE jj The End time of a time block is the same as the Start time of its following time block. Only an End time can be changed, which changes the Start time of the following time block. jj To change the Start time of the first time block, the time blocks must be reset. See the Resetting All Time Blocks section in this chapter. jj If the End time of a time block is decreased until it is Set the Upper value and Lower value for the new time block. Select Save.
9 10 Set the End time. Select Next. Set the Upper value and Lower value. Select Save. Edit any other time block (reference Step 7). Once all time blocks are complete, select Done. 158 52297_07167776001.
8 8.12 Deleting Time Blocks This section is for deleting time blocks if bolus advice is turned off. There are 2 different methods for deleting time blocks. The first method deletes one or more time blocks by combining time blocks. The alternative method deletes a single time block. Before deleting time blocks, have the following information available: NOTE It is recommended that you discuss possible updates to your time block settings with your healthcare professional prior to making changes.
8.12.1 Deleting One or More Time Blocks This method of deleting one or more time blocks is accomplished by combining time blocks. Main Menu > Settings > Time Blocks 1 2 NOTE Time Blocks cannot be selected if it is shaded. The shading means bolus advice is turned on. If Time Blocks is shaded, go to the Bolus Advice: Deleting Time Blocks section in the Changing Bolus Advice Settings chapter in this user’s manual. From the Main Menu, select Settings. Select Time Blocks. 160 52297_07167776001.
8 3 NOTE 4 5 Increase the End time until it equals the End time of the last time block to be deleted. Select Next. Select Yes. jj For this example, the last 3 time blocks are combined into one time block. jj The target range Select the first time block that is to be combined. values in this first time block selected are used in the resulting time block. 161 52297_07167776001.
6 NOTE 7 jj The End time of a time block is the same as the Start time of its following time block. Only an End time can be changed, which changes the Start time of the following time block. jj Changing the End time of the last time block does not change the Start time of the first time block, but it creates a new time block. See the Adding a Time Block section in this chapter.
8 8 9 Set the Upper value and Lower value. Select Save. Edit any other time block (reference Step 6). Once all time blocks are complete, select Done. 163 52297_07167776001.
8.12.2 Deleting a Single Time Block To delete a time block, decrease the time block’s end time until it equals its start time. Main Menu > Settings > Time Blocks 1 2 NOTE Time Blocks cannot be selected if it is shaded. The shading means bolus advice is turned on. If Time Blocks is shaded, go to the Bolus Advice: Deleting Time Blocks section in the Changing Bolus Advice Settings chapter in this user’s manual. From the Main Menu, select Settings. Select Time Blocks. 164 52297_07167776001.
8 3 4 5 Select the time block to delete. Decrease the End time until it equals the Start time. Select Next. Select Yes. 165 52297_07167776001.
6 NOTE jj The End time of a time block is the same as the Start time of its following time block. Only an End time can be changed, which changes the Start time of the following time block. jj Changing the End time of the last time block does not change the Start time of the first time block, but it creates a new time block. See the Adding a Time Block section in this chapter.
8 7 8 9 Set the End time. Select Next. Set the Upper value and Lower value. Select Save. Edit any other time block (reference Step 6). Once all time blocks are complete, select Done. 167 52297_07167776001.
8.13 Resetting All Time Blocks This section is for resetting and re-entering the settings for all of the time blocks if bolus advice is turned off. One reason for resetting the time blocks is to change the start time of the first time block. Before you reset the time blocks, have the following information available: NOTE It is recommended that you discuss possible updates to your time block settings with your healthcare professional prior to making changes.
8 Main Menu > Settings > Time Blocks 1 From the Main Menu, select Settings. 2 Select Time Blocks. NOTE Time Blocks cannot be selected if it is shaded. The shading means bolus advice is turned on. If Time Blocks is shaded, go to the Bolus Advice: Resetting All Time Blocks section in the Changing Bolus Advice Settings chapter in this user’s manual. 3 Select Reset. 169 52297_07167776001.
4 5 6 7 Select Yes. Set the Start time and End time for the first time block. Select Next. Set the default Upper value and Lower value. Select Next. Select OK. 170 52297_07167776001.
8 8 NOTE 9 jj The End time of a time block is the same as the Start time of its following time block. Only an End time can be changed, which changes the Start time of the following time block. jj Changing the End time of the last time block does not change the Start time of the first time block, but it creates a new time block. See the Adding a Time Block section in this chapter. jj If the End time of a time block is decreased until it is Select a time block to edit and continue to Step 9.
10 11 Set the Upper value and Lower value. Select Save. Edit any other time block (reference Step 8). Once all time blocks are complete, select Done. 172 52297_07167776001.
8 8.14 Warning Limits: Hypo, Hyper You can set blood glucose warning limits for hypoglycemia (hypo) or hyperglycemia (hyper) conditions. The meter displays the appropriate warning if your blood glucose result is below the hypo warning limit or above the hyper warning limit. wwWARNING Consult with your healthcare professional before changing your hypo and hyper warning limits. 173 52297_07167776001.
Main Menu > Meter > Warning Limits 1 2 3 Select Meter on either the Main Menu or Status screen. Select Warning Limits. Set the Hyper limit and the Hypo limit. Select Save. 174 52297_07167776001.
8 8.15 Insulin Increment Insulin increment is the amount by which your insulin dose is adjusted when programming a bolus or when entering a manual Logbook entry. The insulin increment can be set to either 0.5 or 1 U. Main Menu > Settings > Insulin Increment 1 2 3 From the Main Menu, select Settings. Scroll the screen and select Insulin Increment. Choose the desired Insulin Increment. Select Save. 175 52297_07167776001.
8.16 Max Bolus Amount Max bolus serves as a safety measure against unintended large boluses. It is a meter setting that specifies a maximum amount of insulin that can be delivered in any single bolus. A bolus that is larger than the max bolus amount requires an additional confirmation. The max bolus can be set between 0 and 25 U in increments of 1 U or 0.5 U (per the insulin increment value). wwWARNING Consult with your healthcare professional before changing your max bolus amount. 176 52297_07167776001.
8 Main Menu > Settings > Max Bolus 1 2 3 From the Main Menu, select Settings. Scroll the screen and select Max Bolus. Set the Max Bolus amount. Select Save. 177 52297_07167776001.
8.17 Carbohydrate Unit You have a choice of different carbohydrate units (Grams, BE, KE, or CC). Main Menu > Settings > Carbohydrate Unit 1 2 3 NOTE Grams (g) is the standard unit of measure in the U.S. From the Main Menu, select Settings. Select Carbohydrate Unit. Choose the desired Carbohydrate Unit. Select Save. 178 52297_07167776001.
9 9 Meter Reminders 9.1 Overview wwWARNING The meter will not display reminders while it is connected and communicating to a Continua Certified® manager. NOTE Blood glucose is sometimes shortened to bG, but it means the same thing. 179 52297_07167776001.
bG Test Reminders: After Meal, After Low bG, After High bG jj After Meal reminds you to test after you mark a blood glucose result as Before Meal. jj After Low bG reminds you to test after your blood glucose result is less than the low blood glucose threshold setting. jj After High bG reminds you to test after your blood glucose result is greater than the high blood glucose threshold setting. jj At the scheduled time, the meter turns on and displays the reminder (if a test strip has not been inserted).
9 Alarm Clock Reminders: bG Test, Other, Basal Injection Medication Reminders Alarm clock reminders are a helpful way to remind you to test your blood glucose, or for any other daily appointment. A medication reminder can be used to let you know when it is time to take a medication. A medication reminder can be set to occur one time or every day at the same time. jj At the scheduled time, the meter turns on and displays the reminder (if a test strip has not been inserted).
9.2 Blood Glucose Test Reminder: After Meal Main Menu > Meter > bG Test Reminders > After Meal 1 2 3 4 Select Meter on either the Main Menu or Status screen. Select bG Test Reminders. Select After Meal. Set the Remind after time. To change the tone, select Tone and continue to the next step; otherwise go to Step 6. 182 52297_07167776001.
9 5 6 NOTE jj Select to hear the tone. jj Scroll the screen for more tone choices. Choose a tone. Select Save. Select On to activate the reminder. Select Save. 183 52297_07167776001.
9.3 Blood Glucose Test Reminder: After High Blood Glucose Result Main Menu > Meter > bG Test Reminders > After High bG 1 2 3 4 Select Meter on either the Main Menu or Status screen. Select bG Test Reminders. Select After High bG. Set the bG threshold. Set the Remind after time. To change the tone, select Tone and continue to the next step; otherwise go to Step 6. 184 52297_07167776001.
9 5 6 NOTE jj Select to hear the tone. jj Scroll the screen for more tone choices. Choose a tone. Select Save. Select On to activate the reminder. Select Save. 185 52297_07167776001.
9.4 Blood Glucose Test Reminder: After Low Blood Glucose Result Main Menu > Meter > bG Test Reminders > After Low bG 1 2 3 4 Select Meter on either the Main Menu or Status screen. Select bG Test Reminders. Select After Low bG. Set the bG threshold. Set the Remind after time. To change the tone, select Tone and continue to the next step; otherwise go to Step 6. 186 52297_07167776001.
9 5 6 NOTE jj Select to hear the tone. jj Scroll the screen for more tone choices. Choose a tone. Select Save. Select On to activate the reminder. Select Save. 187 52297_07167776001.
9.5 Doctor Visit Reminder Main Menu > Settings > Reminders > Dr. Visit 1 2 3 4 From the Main Menu, select Settings. Select Reminders. Select Dr. Visit. Set the date and time. To change the tone, select Tone and continue to the next step; otherwise go to Step 6. 188 52297_07167776001.
9 5 6 NOTE jj Select to hear the tone. jj Scroll the screen for more tone choices. Choose a tone. Select Save. Select On to activate the reminder. Select Save. 189 52297_07167776001.
9.6 Lab Test Reminder Main Menu > Settings > Reminders > Lab Test 1 2 3 4 From the Main Menu, select Settings. Select Reminders. Select Lab Test. Set the date and time. To change the tone, select Tone and continue to the next step; otherwise go to Step 6. 190 52297_07167776001.
9 5 6 NOTE jj Select to hear the tone. jj Scroll the screen for more tone choices. Choose a tone. Select Save. Select On to activate the reminder. Select Save. 191 52297_07167776001.
9.7 Customized Reminder Main Menu > Settings > Reminders > Customized 1 2 3 NOTE If you previously named the reminder, the name is displayed instead of Customized. From the Main Menu, select Settings. Select Reminders. Select Customized. 192 52297_07167776001.
9 4 5 6 NOTE jj Select to hear the tone. jj Scroll the screen for more tone choices. Set the date and time. To change the tone, select Tone and continue to the next step; otherwise go to Step 6. Choose a tone. Select Save. To change the reminder name, scroll the screen and select Edit Name; otherwise go to Step 8. 193 52297_07167776001.
7 8 Delete the previous name. Type a name. Select . Select On to activate the reminder. Select Save. 194 52297_07167776001.
9 9.8 Alarm Clock Reminder Main Menu > Settings > Reminders > Alarm Clock 1 2 3 4 From the Main Menu, select Settings. Select Reminders. Select Alarm Clock. Select a reminder. 195 52297_07167776001.
NOTE 5 jj Scroll the screen to display additional reminders. jj Reminders that are To change this reminder: Select the field to change and refer to the instructions on the following pages. When setup is completed, select Save. On are shown with a green indicator. Select On to activate the reminder or select Off to turn off the reminder. 196 52297_07167776001.
9 Alarm Clock Detail Entries Type The reminder type is displayed when the reminder occurs. Time The time of day the reminder occurs. Recurrence The reminder occurs one time or every day at the same time. Tone Choose a unique tone for each reminder. Screens for Entries of an Alarm Clock Reminder Type Time Choose the type of reminder. Select Save. Set the reminder time. Select Save. 197 52297_07167776001.
Recurrence Tone NOTE jj Select to hear the tone. jj Scroll the screen for more tone choices. Choose Once or Repeat. Select Save. Choose a tone. Select Save. 198 52297_07167776001.
9 9.9 Medication Reminder Main Menu > Settings > Reminders > Medication 1 2 3 4 From the Main Menu, select Settings. Select Reminders. Select Medication. Select a Medication reminder. 199 52297_07167776001.
NOTE 5 jj If you previously named the reminder, the name is displayed instead of Medication. To change this reminder: Select the field to change and refer to the instructions on the following pages. When entries are completed, select Save. jj Reminders that are On are shown with a green indicator. Select On to activate the reminder or select Off to turn off the reminder. 200 52297_07167776001.
9 Medication Reminder Entries Time The time of day the reminder occurs. Recurrence Reminder occurs one time or every day at the same time. Tone Choose a unique tone for each reminder. Edit Name Name the reminder. Screens for Entries of a Medication Reminder Time Recurrence Set the reminder time. Select Save. Choose Once or Repeat. Select Save. 201 52297_07167776001.
Tone NOTE jj Select to hear Edit Name the tone. jj Scroll the screen for more tone choices. Choose a tone. Select Save. Delete the previous name. Type a name. Select . 202 52297_07167776001.
10 10 Communication 10.1 Overview The meter can communicate with a PC using a USB connection to control and share data, as well as send and receive data from any compatible software. 203 52297_07167776001.
10.2 Connecting the Meter to a PC using a USB Cable 1 2 NOTE jj If the meter is already connected to a PC with a USB cable but is charging in idle status, you can establish a data connection. From the Main Menu, select Communication > Connect to PC. jj The meter cannot be used to perform a bG test while connected to a PC. Plug the small end of the USB cable into the meter. Plug the large end of the USB cable into an available USB port on the PC. 204 52297_07167776001.
10 3 NOTE jj If the meter does not respond automatically to being connected to a PC, select Connect to PC from the Communication menu. jj By selecting Charge only, the meter charges its battery through the USB connection and does not otherwise communicate with the PC. jj Select Set as default to not see this screen again in the future. Every time you connect a USB cable, the meter automatically performs the selected action. Select Connect to PC. Select OK. The meter attempts to connect to the PC.
When the meter successfully connects to the PC, the Connected screen appears and data transfer begins. Do not disconnect the USB cable during data transfer. When the meter has completed transferring data, the Complete screen appears. The battery charge screen appears. After about 3 seconds, the meter screen goes blank. Charging continues. 206 52297_07167776001.
10 10.3 Changing USB Cable Connection Settings The Communication Settings menu allows you to choose what the meter does when you connect it to a PC with a USB cable. Main Menu > Communication > Settings 1 2 From the Main Menu, select Communication. Select Settings. 207 52297_07167776001.
3 Option Description Connect to PC The meter automatically connects to the PC. Charge only The meter takes no immediate action upon being connected and charges the battery only. Prompt upon USB connect The meter prompts you to choose your desired communication setting upon being connected. Select the desired option. Select Save. 208 52297_07167776001.
11 11 Travel Settings 11.1 Overview Most airlines and many governments ban the use of wireless radio devices during flight. Flight Mode enables the meter to comply with these regulations while retaining your ability to safely use the non-wireless functions of the meter. NOTE Turning the Flight Mode on can also help to conserve battery power. 209 52297_07167776001.
11.2 Turning On Flight Mode Main Menu > Flight Mode 1 2 3 From the Main Menu, select Flight Mode. Select Flight Mode on. Select OK. 210 52297_07167776001.
11 11.3 Turning Off Flight Mode Main Menu > Flight Mode 1 2 3 From the Main Menu, select Flight Mode. Select Flight Mode off. Select OK. 211 52297_07167776001.
212 52297_07167776001.
12 12 My Data 12.1 Overview Analyzing your information stored in the meter is an effective way for you and your healthcare professional to determine how well you are controlling your diabetes. This analysis is a valuable tool for making improvements to your diabetes management. The reports the meter displays help you get the most from your ACCU‑CHEK Aviva Insight Diabetes Manager. The meter generates graphs and reports to help you analyze the information stored in the meter.
12.2 The Logbook From the logbook records stored in the meter, you are able to view a specific blood glucose result with its attributes (e.g., meal time, carbohydrates, health event, and bolus). In addition, for a specific logbook record, you are able to change or add to its attributes. The meter automatically stores up to 2,000 logbook records with the time and date. You can review up to the last 250 logbook records on the meter or up to 2,000 logbook records using a computer with compatible software.
12 NOTE jj Do not change your therapy based on one individual record or test result in the logbook. jj 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. jj The information in the logbook is saved when you replace the meter battery. You should check the time and date after replacing the battery.
12.2.1 Understanding the Logbook 56 7 8 4 3 2 1 Meal time icon 9 A 2 Health event icon 3 Time of record B 4 Date of record 5 Quick Notes icon 6 Basal icon 7 Indicates bG column 8 Indicates bolus column 9 Indicates carbohydrate column 10 Blood glucose result 11 Bolus type icon C D E F G H 1 K J I 216 52297_07167776001.
12 12 Carbohydrates icon NOTE 13 Carbohydrates amount 14 Carbohydrates advice accepted icon The Logbook screen displays the records in the order in which they occurred with the most recent record shown on top. 15 Bolus advice not accepted icon 16 Carbohydrates advice not accepted icon 17 Bolus advice accepted icon 18 Bolus amount 19 bG value range icon 20 Note icon 217 52297_07167776001.
Icon descriptions Icon Icon name Description Icon background color indicates where the blood glucose result falls within the target range. The background colors of this icon represent: bG Value Range Indicator jj Green: within target range jj Yellow: below target range jj Red: hypo jj Blue: above target range or hyper Meal time Icon is displayed when information exists for this record regarding meal time.
12 Icon Icon name Description Basal insulin Basal insulin entered into your logbook record. Bolus advice accepted Bolus advice recommendation from the meter was accepted. Bolus advice not accepted Bolus advice recommendation from the meter was changed prior to delivery. Bolus manually delivered using pen/ syringe Bolus delivered using pen/syringe. Quick Notes Icon is displayed when informaiton exists for this record regarding Quick Notes.
12.2.2 Viewing and Adjusting Logbook Data Main Menu > My Data > Logbook NOTE 1 2 3 From the Main Menu, select My Data. Select Logbook. Select the desired logbook record. jj Logbook data that has been used for bolus advice (with the exception of notes) cannot be adjusted. jj Blood glucose results cannot be adjusted. For a logbook record with Quick Notes only, go to Step 5. 220 52297_07167776001.
12 NOTE 4 jj Scroll down to view additional records if they are present. jj Logbook records which have been used for bolus advice contain either the Bolus Advice Accepted icon: or the Bolus Advice Not Accepted icon: . These records are locked and can be viewed but not adjusted. jj Locked logbook records do not display the Save button at the bottom of the individual data item screens. Only the Back button is displayed.
Screens for viewing and adjusting entries in the logbook Meal Time Carbohydrates Health Events Choose applicable meal time. Select Save. Set the amount of carbohydrates consumed. Select Save. Choose up to 4 health events. Select Save. If bolus advice is turned on and multiple health events have been chosen, this screen is displayed. Set a single, summarized health event percentage to cover the impact of the chosen health events. Select Save. 222 52297_07167776001.
12 Bolus NOTE Basal insulin If a Carbohydrate Bolus is entered and no Carbohydrate Amount has been entered (Carbohydrates displays No Entry on the bG Record screen in Step 4), you are prompted to enter an amount for carbohydrates. An amount is not required, but the more complete the data the more accurate any future bolus insulin recommendations are when using bolus advice. Set bolus amounts. Select Save. Set the basal insulin amount. Select Save. 223 52297_07167776001.
5 Note Type a note to save with this record. Select . Select Quick Notes to make an update. Select Note to type a note using the keyboard. Select Back to return to Step 3. 224 52297_07167776001.
12 12.2.3 Adding New Data to the Logbook Main Menu > My Data > Logbook 1 2 3 When you are finished, select Save to save your entry and return to the My Data menu. From the Main Menu, select My Data. Select Add Data. Select any of the options on the Add Data screen and refer to the instructions on the following pages. 225 52297_07167776001.
Screens for adding new data Date and Time Meal Time Carbohydrates Set the date and time. Select Save. Choose an applicable meal time. Select Save. Set the amount of carbohydrates consumed. Select Save. 226 52297_07167776001.
12 Health Events Choose up to 4 health events. Select Save. Bolus If bolus advice is turned on and multiple health events have been chosen, this screen is displayed. Set a single, summarized health event percentage to cover the impact of the chosen health events. Select Save. Set bolus amounts. Select Save. 227 52297_07167776001.
NOTE Basal insulin Note Set the basal insulin amount. Select Save. Type a note to save with this record. Select . If a Carbohydrate Bolus is entered and no Carbohydrate Amount has been entered (Carbohydrates displays No Entry on the Add Data screen in Step 3), you are prompted to enter an amount for carbohydrates. An amount is not required, but the more complete the data the more accurate any future bolus insulin recommendations are when using bolus advice. 228 52297_07167776001.
12 12.3 The Trend Graph With the trend graph, the meter displays your blood glucose trends and other information using logbook data for the time scale and meal time you choose. 229 52297_07167776001.
12.3.1 Understanding the Trend Graph 7 8 9 A B C 6 5 4 3 2 1 D E F 1 Times of day or days of the month 2 Hypo warning limit Red horizontal line 3 Green area Indicates blood glucose target range 4 Carbohydrate value Brown bar: height shown is in relation to the carbohydrate amount 5 Basal unit of measurement 6 Time scale 7 Scroll left / right buttons Moves forward or back in time by the time scale chosen.
12 8 Selected meal time 9 Bolus unit of measurement 10 Health Event Indicates a health event exists for this record 11 Bolus Pink bar: height shown is in relation to the bolus insulin amount 12 Basal value Blue bar: height shown is in relation to the basal insulin amount 13 Blood glucose result Displayed as Xs and connected with lines 14 Carbohydrate unit of measurement 15 Blood glucose unit of measurement 16 Arrow (Not shown) Indicates blood glucose data extends beyond screen 231 5
NOTE jj If data is not available, the No Data Available screen is displayed. jj Trend graphs do not include corrupt results or control results. jj On the upper right side of the graph, the maximum bolus amount indicator is the pink tick mark with the largest value shown beside it (on this example screen: 15 U). The purpose of this indicator is to adjust the scale for the top portion of the graph based on the single biggest bolus insulin amount (callout #11) delivered for the time chosen (callout #6).
12 NOTE jj On the lower right side of the graph, the maximum carbohydrates amount indicator is the brown tick mark with the largest value shown beside it (on this example screen: 80 g). The purpose of this indicator is to adjust the scale for the bottom portion of the graph based on the single biggest carbohydrate amount (callout #4) for the time chosen (callout #6).
12.3.2 Viewing the Trend Graph Main Menu > My Data > Trend 1 2 3 NOTE Select to view a list of trend icons and their explanations. From the Main Menu, select My Data. Select Trend. Select Configure to change how the trend graph displays your trend data. 234 52297_07167776001.
12 4 When you are finished, select Back to return to the trend graph displaying your data in the manner you selected. Select any of the options on the Configure Graph screen and refer to the instructions in the rest of this section. 235 52297_07167776001.
Screens for configuring the trend graph Time Scale Data Options Meal Time Select the time scale. Select Save. Select 1 or more data options. Select Save. Select the meal time. Select Save. 236 52297_07167776001.
12 12.4 The Standard Week With the Standard Week graph, the meter displays your blood glucose averages, number of tests, and standard deviations for each day of an average week, calculated using logbook data from the time scale and meal time you choose. NOTE The standard deviation measures how spread out the blood glucose results are from the blood glucose average. A high standard deviation means the blood glucose results vary greatly around the blood glucose average. 237 52297_07167776001.
12.4.1 Understanding the Standard Week Graph and Table Standard Week Graph 4 3 2 1 5 6 7 8 1 2 Days of week Box for each day jj The top of the box indicates the standard deviation above the average and the bottom of the box indicates the standard deviation below the average. The box is not displayed if there is not enough data to determine standard deviation. jj The top of the box is open if the standard deviation is off the top of the graph.
12 5 Scroll left / right buttons 6 Blood glucose unit of measurement Moves forward or back in time by the time scale chosen. Example: For a 7‑day time scale, selecting the scroll left icon shows the data from the 7 days before the dates currently shown. jj Indicates each blood glucose result. jj “X” in the center of a circle indicates the average of all blood glucose results for the selected criteria.
Standard Week Table Select Table to switch to the standard week table. The standard week table displays the same data as the standard week graph in table format. To return to the standard week graph from the standard week table, select Graph.
12 12.4.2 Viewing Standard Week Data Main Menu > My Data > Standard Week 1 2 NOTE jj If there is no data available to display the standard week graph and table for the time scale or meal time chosen, the No Data Available screen is displayed. jj The standard week graph and table do not include corrupt results, control results, HI values, or LO values. From the Main Menu, select My Data. Select Standard Week. 241 52297_07167776001.
3 4 To change the time scale and meal time displayed for the standard week, select Configure. Select either of the options on the Configure Data screen and refer to the instructions in the rest of this section. Select Back when finished to return to the Standard Week graph or table. 242 52297_07167776001.
12 Screens for configuring standard week data Time scale Meal time Select a time scale. Select Save. Select a meal time. Select Save. 243 52297_07167776001.
12.5 The Standard Day With the Standard Day graph, the meter displays your blood glucose averages, number of tests, and standard deviations for each time block, calculated using logbook data from the time scale and meal time you choose. NOTE Refer to the Changing Meter Settings chapter in this user’s manual for instructions on setting up the time blocks. NOTE The standard deviation measures how spread out the blood glucose results are from the blood glucose average.
12 12.5.1 Understanding the Standard Day Graph and Table Standard Day Graph 1 Time of day 4 2 3 2 1 Box for each time block jj 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 is not enough data to determine standard deviation. jj The top of the box is open if the standard deviation is off the top of the graph.
5 6 7 8 9 5 Scroll left / right buttons 6 Meal time selection 7 Blood glucose unit of measurement Moves forward or back in time by the time scale chosen. Example: For a 7‑day time scale, selecting the scroll left icon shows the data from the 7 days before the dates currently shown. jj Indicates each blood glucose result. jj “X” in the center of a circle indicates the average of all blood glucose results for the selected criteria.
12 Standard Day Table Select Table to switch to the standard day table. The standard day table displays the same data as the standard day graph in table format. To return to the standard day graph from the standard day table, select Graph.
Viewing Standard Day Data Main Menu > My Data > Standard Day 1 2 NOTE jj If there is no data available to display the standard day graph and table for the time scale or meal time chosen, the No Data Available screen is displayed. jj The standard day graph and table do not include corrupt results, control results, HI values, or LO values. From the Main Menu, select My Data. Select Standard Day. 248 52297_07167776001.
12 3 To change the time scale and meal time displayed, select Configure . 4 Select either of the options on the Configure Data screen and refer to the instructions in the rest of this section. Select Back when finished to save any changes and return to the standard day graph or table. Screens for configuring standard day data Time scale Meal time Select a time scale. Select Save. Select a meal time. Select Save. 249 52297_07167776001.
12.6 Target Data The meter displays a pie chart and table illustrating your blood glucose results as “Above,” “Within,” “Below,” and “Hypo” for the time scale and meal time you choose. 250 52297_07167776001.
12 12.6.1 Understanding the Target Chart and Target Table Target Chart 3 4 5 2 6 1 Legend Blood glucose result categories 2 Target chart Represents the percentages for the blood glucose result categories 3 Time scale 4 Scroll left / right buttons 5 Meal time selection 6 Percentage of occurrence 1 Moves forward or back in time by the time scale chosen. Example: For a 7‑day time scale, selecting the scroll left icon shows the data from the 7 days before the dates currently shown.
Target Table Select Table to switch to the target table. The target table displays the same data as the target chart in table format. To return to the target chart from the target table, select Chart. 4 3 2 1 Number of occurrences 2 Meal time selection 3 Legend 4 Time scale 5 6 1 5 Scroll left / right buttons 6 Target table Blood glucose result categories Moves forward or back in time by the time scale chosen.
12 12.6.2 Viewing Target Data Main Menu > My Data > Target 1 2 NOTE jj If there is no data available to display the target chart and table for the time scale or meal time chosen, the No Data Available screen is displayed. jj The target chart and table do not include corrupt results, control results, or HI and LO results. From the Main Menu, select My Data. Select Target. 253 52297_07167776001.
3 To change the time scale and meal time displayed, select Configure. 4 Select either of the options on the Configure Data screen and refer to the instructions in the rest of this section. Select Back when finished to save any changes and return to the target chart or table. Screens for configuring target data: Time scale Meal time Select a time scale. Select Save. Select a meal time. Select Save. 254 52297_07167776001.
12 12.7 The bG Averages Table The bG Averages table displays your blood glucose averages and standard deviations for the time scale and meal time you choose. NOTE The standard deviation measures how spread out the blood glucose results are from the blood glucose average. A high standard deviation means the blood glucose results vary greatly around the blood glucose average. 255 52297_07167776001.
12.7.1 Understanding the bG Averages Table 7 6 5 4 3 2 1 1 Other icon Data for all test results marked as Other 2 Fasting icon Data for all test results marked as Fasting A 3 Bedtime icon Data for all test results marked as Bedtime B 4 After meal icon Data for all test results marked as After meal 5 Before meal icon Data for all test results marked as Before meal 6 All icon Combined data from all meal times 8 9 256 52297_07167776001.
12 7 Time scale 8 Scroll left / right buttons Moves forward or back in time by the time scale chosen. Example: For a 7‑day time scale, selecting the scroll left icon will show the data from the 7 days before the dates currently shown. 9 Blood glucose standard deviation Calculated for the meal time 10 Number of tests Used to calculate the averages and standard deviation of each meal time 11 Blood glucose average Calculated for the meal time 257 52297_07167776001.
12.7.2 Viewing the bG Averages Table Main Menu > My Data > bG Averages 1 2 NOTE jj If there is no data available to display the bG averages table for the time scale or meal time chosen, the No Data Available screen is displayed. jj Calculations do not include corrupt results, control results, HI values, or LO values. From the Main Menu, select My Data. Select bG Averages. 258 52297_07167776001.
12 3 NOTE 4 5 Choose a time scale. Select Save. Select Back when finished to return to the My Data menu. Select to view a list of meal time icons and their explanations. Select Time Scale to adjust the time scale of the bG Averages table. 259 52297_07167776001.
260 52297_07167776001.
13 13 Cleaning and Disinfecting the Meter and Lancing Device 13.1 Overview What is the difference between cleaning and disinfecting? jj Cleaning is the removal of dirt from the meter or lancing device.* jj Disinfecting is the removal of most, but not all, diseasecausing and other types of microorganisms (bloodborne pathogens) from the meter or lancing device.* * Healthcare Infection Control Practices Advisory Committee (HICPAC), William A. Rutala, Ph.D., M.P.H., and David J. Weber, M.D., M.P.H.
Approved Cleaning and Disinfecting Product The following product has been approved for cleaning and disinfecting the meter and lancing device: Super Sani‑Cloth (EPA* reg. no. 9480‑4) jj Super Sani‑Cloth can be purchased from Amazon.com, Officedepot.com, and Walmart.com. Do not use any other cleaning or disinfecting solutions. Using solutions other than the Super Sani‑Cloth could result in damage to the meter and lancing device.
13 13.2 Cleaning and Disinfecting the Meter To clean and disinfect without damaging the meter, follow these procedures carefully. When to Clean and Disinfect the Meter jj Clean the meter to remove visible dirt or other material prior to disinfecting. jj Clean and disinfect the meter at least once per week, or when blood is present on the surface of the meter. jj Clean and disinfect the meter before allowing anyone else to handle the meter.
What to Clean and Disinfect The following parts of the meter should be cleaned and disinfected: jj The area around slots and openings (do not get any moisture in slots or openings) jj The meter display jj The entire meter surface 264 52297_07167776001.
13 How to Clean and Disinfect the Meter wwWARNING 1 Failure to follow these instructions will damage the meter and stop it from working properly. jj DO NOT clean or disinfect the meter while performing a blood glucose or control test. Wash hands thoroughly with soap and water. jj DO NOT get any moisture in slots or openings. jj DO NOT spray anything onto the meter. jj DO NOT immerse the meter in liquid. jj Always use the same product for both cleaning and disinfecting. 265 52297_07167776001.
2 3 4 A separate Super Sani‑Cloth should be used for cleaning and disinfection. For disinfecting the meter, get a new cloth and repeat Step 2, making sure that the surface stays wet for 2 minutes. Make sure that no solution is seen in any slot or opening. Turn the meter off and wipe the entire meter surface with a Super Sani Cloth. Carefully wipe around the test strip slot and other openings. Make sure that no liquid enters any slot or opening.
13 13.3 Cleaning and Disinfecting the Lancing Device NOTE jj Do not throw away the lancing device cap after each use. Use approved cleaning and disinfecting product on the cap. jj 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 jj Clean the lancing device to remove visible dirt or other material prior to disinfecting.
NOTE jj 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, difficulty in priming the device, difficulty in inserting the lancet drum.
13 How to Clean and Disinfect the Lancing Device wwWARNING 1 2 Wash hands thoroughly with soap and water. Wipe the entire surface of the lancing device and the inside of the cap with the approved cleaning and disinfecting product. Failure to follow these instructions may damage the lancing device and stop it from working properly. jj DO NOT get any moisture into any openings. jj Always use the same product for both cleaning and disinfecting. 269 52297_07167776001.
3 4 A separate Super Sani‑Cloth should be used for cleaning and disinfection. For disinfecting the lancing device, use a new cloth and repeat Step 2 making sure the surface stays wet for 2 minutes. NOTE Roche has tested the approved product for a total of 260 cycles, which is equal to cleaning and disinfecting once per week for a 5‑year period. Wash hands thoroughly with soap and water. 270 52297_07167776001.
14 14 Care and Maintenance 14.1 Overview 14.2 Charging the Battery 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 by displaying a message. For instructions on charging the battery, see the Charging the Battery section in the Startup chapter in this user’s manual.
14.3 P ower‑Saving Tips To conserve battery life: jj Turn the meter off when you are finished rather than utilizing the automatic power off feature. jj Only turn on the vibration feature for mode settings when it is needed. See the Mode Settings: Sound, Vibration section in the Changing Meter Settings chapter in this user’s manual. jj Only turn on the touchscreen tone and vibration features when they are needed.
14 14.4 Changing the Battery The rechargeable battery has a limited number of charge cycles. If you notice that the meter must be charged more often than it did when it was new, you may need to change the battery. The meter requires a custom rechargeable battery provided by Roche. Contact ACCU-CHEK Customer Care Service Center at 1‑800‑688‑4578 to get a replacement battery and then follow the steps in this section. NOTE When the battery is replaced, all records remain saved in the logbook.
1 wwWARNING jj Follow these steps to prevent possible damage to the meter contacts. jj Do not try to force the battery into the meter. The battery only goes in one way. Open the battery door on the back of the meter by pushing in the direction of the arrow and pulling up the door. 2 3 Battery Meter Contacts Align the new battery by placing the (+) (-) end as shown. Slide the (+) (-) end of the battery against the meter contacts. Press battery into meter. Remove the old battery.
14 4 5 6 Put the battery door back in place and snap it closed by pushing the battery door in the direction of the arrow. Charge the battery. See the Charging the Battery section in the Startup chapter in this user’s manual. After the battery is fully charged, confirm the date and time are correct on either the Main Menu or the Status screen. To update the date or the time, see the Date, Time, and Time Format section in the Changing Meter Settings chapter in this user’s manual. 275 52297_07167776001.
14.5 Touchscreen Calibration Calibrating the touchscreen can help improve the meter’s touch sensitivity. Main Menu > Settings > Meter Settings > Touchscreen > Screen Calibration 1 2 3 4 From the Main Menu, select Settings. Scroll the screen and select Meter Settings. Select Touchscreen. Select Screen Calibration. 276 52297_07167776001.
14 5 NOTE Touchscreen calibration instructions only appear in English. 6 New calibration settings calculated. Tap screen anywhere to use new settings. Wait for 30 seconds to keep old settings. Restoring old settings in : 30 sec Screen text: Briefly press center of target. Repeat as target moves around screen. Screen text: New calibration settings calculated. Tap screen anywhere to use new settings. Wait for 30 seconds to keep old settings.
14.6 Meter Function Test If the meter display is faulty, or you cannot hear or feel the alerts, you can have the meter check the display, vibration, and sound functions for proper operation. Main Menu > Settings > Meter Settings > Meter Function Test 1 2 3 4 From the Main Menu, select Settings. Scroll the screen and select Meter Settings. Select Meter Function Test. Touch the screen where indicated. 278 52297_07167776001.
14 Screens Displayed During the Meter Function Test 5 Display Test Vibration Test Sound Test The display cycles through colors (red, blue, green and white). The meter vibrates 3 times. The meter emits a sound. If the meter does not perform as described in the meter function test, contact ACCU-CHEK Customer Care Service Center at 1‑800‑688‑4578. 279 52297_07167776001.
280 52297_07167776001.
15 15 Troubleshooting 15.1 Overview For most problems, the meter displays a message with a short description of the problem and a proposed solution. This chapter goes into more detail describing the problem with the possible cause and suggesting possible solutions. The problems are grouped by the type of problem or message (for example, Error or Warning). If the possible solutions do not fix the problem, contact ACCU‑CHEK Customer Care Service Center at 1‑800‑688‑4578.
15.2 Troubleshooting the Meter General Problems Problem Possible Causes Possible Solutions Display is blank or the meter does not turn on. The battery is low on power. See the Charging the Battery section in the Startup chapter in this user’s manual. The battery may be defective. Replace the battery if it does not charge. See the Changing the Battery section in the Care and Maintenance chapter in this user’s manual. The meter has an electronic error.
15 Problem Possible Causes Possible Solutions Battery does not recharge while the meter is plugged into a computer with a USB cable. The computer USB port cannot charge the meter battery. Charge the meter battery using a power outlet. See the Charging the Battery Using a Power Outlet section in the Startup chapter in this user’s manual. Battery must be charged more often than it did when it was new.
Problem Possible Causes Possible Solutions Sound is faulty; you cannot hear the alerts. The sound feature is turned off or is set too low. jj Check to see if the active mode setting (Normal, Vibrate, Quiet, Loud) has sound and if the volume is set at a level that is audible. See the Mode Settings: Sound, Vibration section in the Changing Meter Settings chapter in this user’s manual. jj Check to see if the signal suspension is on and is active.
15 Problem Possible Causes Possible Solutions Start time: Cannot change the Start time for the first time block. The first time set up (Setup Wizard) is already complete, and therefore the start time of the first time block cannot be changed in the device settings. To change the Start time for the first time block, select Reset on the Time Blocks screen. Once the time blocks are reset, you must re‑enter all time block information.
Problem Possible Causes Touchscreen calibration Touchscreen calibration text is not translated. instructions only appear in English. Possible Solutions Refer to the Touchscreen Calibration section in the Care and Maintenance chapter in this user’s manual. jj First English screen: Briefly press center of target. Repeat as target moves around screen. jj Second English screen: New calibration settings calculated. Tap screen anywhere to use new settings. Wait for 30 seconds to keep old settings.
15 Problem Possible Causes Possible Solutions Vibration is faulty; you cannot feel the alerts. Vibration feature is turned off. jj Check to see if the active mode setting (Normal, Vibrate, Quiet, Loud) has vibration. See the Mode Settings: Sound, Vibration section in the Changing Meter Settings chapter in this user’s manual. jj Check to see if the signal suspension is on and is active. Signal suspension may need to be turned off or its settings changed.
Error Messages Code Screen Message Possible Causes Possible Solutions E-57 Electronic error An electronic error has occurred or, in rare cases, a used test strip was removed and reinserted. jj Press and hold the power button for at least 5 seconds until the meter screen goes blank. Release the power button. E-60 Internal clock error jj Remove the battery from the meter and reinsert the battery. jj If this does not fix the problem, contact ACCU‑CHEK Customer Care Service Center at 1‑800‑688‑4578.
15 Information Messages Screen Message Possible Causes Possible Solutions Battery low is The computer USB port cannot charge the displayed while meter battery. the meter is plugged into a computer with a USB cable. Charge the meter battery using a power outlet. See the Charging the Battery Using a Power Outlet section in the Startup chapter in this user’s manual. Bolus above allowed amount Check the accuracy of all entries. If necessary, contact your healthcare professional.
Screen Message Possible Causes Possible Solutions Bolus too high NOTE: This message can only occur if bolus advice is turned off. The total bolus amount is greater than the maximum allowed total bolus amount. The meter sets the total bolus amount to equal the maximum bolus allowed. The carbohydrate bolus and correction bolus are adjusted to equal the total bolus amount. Check the accuracy of all entries. If necessary, contact your healthcare professional.
15 Screen Message Possible Causes Possible Solutions Insulin sensitivity not valid The insulin sensitivity is outside of the acceptable meter range. Check your entries and contact your healthcare professional to determine the appropriate settings. Invalid bolus advice times The acting time value is less than the offset time value. The acting time value must be set equal to or greater than the offset time value. Reset the acting time value or revise the offset time value.
Screen Message Possible Causes Possible Solutions Invalid setting with the text Hyper value must be greater than time block target ranges. The hyper warning limit value must be greater than all of your target ranges in the time block settings. Either reset the hyper warning limit so it is above the target ranges of your time blocks or revise the target ranges for the time blocks. See the Warning Limits: Hypo, Hyper section in the Changing Meter Settings chapter in this user’s manual.
15 Maintenance Messages Code Screen Message Possible Causes Possible Solutions M-51 Test strip error If you see this message before jj Remove the test strip and reinsert it, or replace it if you applied a drop to the test strip: damaged. The test strip is damaged or is not jj If the message reappears, contact ACCU‑CHEK properly inserted into the meter. Customer Care Service Center at 1‑800‑688‑4578. If you see this message after you jj If you think the drop was too small, retest with a new test strip.
Code Screen Message Possible Causes Possible Solutions M-52 Code chip error The code chip is incorrect. jj Turn the meter off. Remove and reinsert the code chip. jj If you continue to receive this message, contact ACCU‑CHEK Customer Care Service Center at 1‑800‑688‑4578 to get a replacement code chip. Turn the meter off and exchange the code chip with the replacement code chip. If this does not fix the problem, contact ACCU‑CHEK Customer Care Service Center at 1‑800‑688‑4578.
15 Code Screen Message Possible Causes Possible Solutions M-56 Drop applied too soon Blood or control solution was Discard the test strip and repeat the test with a fresh applied to the test strip before the test strip and a fresh drop of blood or control solution. Apply Drop screen appeared on the meter.
Warning Messages Code Screen Message Possible Causes Possible Solutions W-75 Above hyper warning limit Your blood glucose result is above the hyper warning limit set in the meter. jj Treat high blood glucose as recommended by your healthcare professional. Your blood glucose may be higher than the measuring range of the meter. jj If you are experiencing any of the common symptoms of high blood glucose, contact your healthcare professional immediately.
15 Code Screen Message Possible Causes Possible Solutions W-80 Below hypo warning limit Your blood glucose result is below the hypo warning limit set in the meter. jj Treat low blood glucose as recommended by your healthcare professional. Your blood glucose may be lower than the measuring range of the meter. jj If you are experiencing any of the common symptoms of low blood glucose, contact your healthcare professional immediately.
Code Screen Message Possible Causes Possible Solutions W-85 Bolus advice data reset When bolus advice is enabled, this warning is displayed when either: Wait 8 hours for accurate bolus advice. For additional assistance, contact ACCU‑CHEK Customer Care Service Center at 1‑800‑688‑4578. jj The logbook entries have been deleted, or jj An Internal clock error E‑60 has occurred. 298 52297_07167776001.
16 16 Technical Information 16.1 Product Limitations Read the literature packaged with the test strips and control solutions for the latest information on product specifications and limitations. 16.2 Specifications Blood volume Refer to the test strip package insert. Sample type Refer to the test strip package insert. Test time Refer to the test strip package insert. Measurement range Refer to the test strip package insert. Test strip storage conditions Refer to the test strip package insert.
Memory capacity Automatic power off 2000 logbook records 2 minutes jj 1 custom lithium‑ion rechargeable battery Power supply jj Power adapter: PHIHONG switching power supply Model PSC03R‑050 Display 3 inch color TFT touchscreen Dimensions 4.1 × 2.1 × 0.7 inches LWH Weight 3.7 ounces Construction Hand‑held Protection class III Meter type The ACCU‑CHEK Aviva Insight Diabetes Manager is suitable for continuous operation.
16 Electromagnetic Compatibility Bluetooth® Wireless Technology This meter meets the electromagnetic immunity requirements as per EN ISO 15197. The chosen basis for electrostatic discharge immunity testing was basic standard IEC 61000‑4‑2. In addition, the meter meets the electromagnetic emissions requirements as per EN 61326. The meter’s electromagnetic emission is thus low. Interference from the meter to other electrically‑driven equipment is not anticipated.
Radio Frequency Communication The device complies with Part 15 of the FCC Rules. Operation is subject to the following two conditions: (1) This device may not cause harmful interference, and (2) this device must accept any inference received, including interference that may cause undesired operation. This equipment complies with FCC and IC radiation exposure limits set forth for an uncontrolled environment. This equipment is in direct contact with the body of the user under normal operating conditions.
16 If this equipment does cause harmful interference to radio or television reception, which can be determined by turning the equipment off and on, the user is encouraged to try to correct the interference by one or more of the following measures: jj Reorient or relocate the receiving antenna. jj Increase the separation between the equipment and receiver.
16.3 Product Safety Information wwWARNING jj Choking hazard. Small parts. Keep away from children under the age of 3 years. jj Strong electromagnetic fields may interfere with the proper operation of the meter. Do not use the meter close to sources of strong electromagnetic radiation. jj To avoid electrostatic discharge, do not use the meter in a very dry environment, especially one in which synthetic materials are present. 304 52297_07167776001.
16 16.4 Discarding the Meter, Test Strips, Lancing Devices, Lancets, and Batteries wwWARNING jj Any product coming in contact with blood is considered contaminated (potentially infectious).* jj During normal testing, any blood glucose meter may come in contact with blood. jj Lancing devices may also be considered sharps. Disposal of sharps is regulated by law in many jurisdictions. Consider recycling the meters and batteries at an appropriate facility.
Explanation of Symbols These symbols may appear on the packaging, on the type plate, and in the user’s manual for the meter. Caution, refer to safety‑related notes in the instructions for use accompanying this product. Rx only Federal law (USA) restricts this device to sale by or on the order of a physician per 21 CFR 801.109.* Custom lithium‑ion rechargeable battery * Code of Federal Regulations 306 52297_07167776001.
16 16.5 List of Icons The icons and icon names in the meter are: Icon Name Icon Icon Name About or Information All Active Analyzing Active Insulin Background Color Add Data Backspace (Keyboard) Advice Options (Bolus Advice) Basal Insulin After Meal Basal Insulin Locked Icon 307 52297_07167776001.
Icon Name Icon Icon Name Battery (Power Level) bG or bG Test Battery Charging (Empty) bG Value Range Above Battery Charging (Full) bG Value Range Hypo Battery Charging (Partial) bG Value Range Low Bedtime bG Value Range Normal Before Meal Bolus bG Averages Bolus Advice Icon 308 52297_07167776001.
16 Icon Name Icon Icon Name Bolus Advice Accepted Carbohydrate Unit Bolus Advice Not Accepted Carbohydrates Bolus Advice Setting Carbohydrates Accepted Bolus Locked Carbohydrates Locked Bolus Menu Carbohydrates Not Accepted Cancel Chart Capital Letters (Keyboard) Communication or Radio Connection Icon 309 52297_07167776001.
Icon Name Icon Icon Name Connect to PC Devices Control Test Display Brightness Data Done Date and Time Edit Name Delete Error Device Connect Error Log Device Settings Exercise 1 Icon 310 52297_07167776001.
16 Icon Name Icon Icon Name Exercise 2 Health Event (Custom) Fasting Health Event Locked Flight Mode Help Flight Mode (Turn Off) Home Screen Flight Mode (Turn On) Illness Graph Insulin Health Event Insulin Increment Icon 311 52297_07167776001.
Icon Name Icon Icon Name Language Max Bolus Locked Meal Logbook Meal Time Logbook Locked Meal Time Locked Main Menu Meter Maintenance Message Meter Function Test Manage Devices (Pairings) Meter Information Icon 312 52297_07167776001.
16 Icon Name Icon Icon Name Mode Setting PC (Computer) My Data Pen / Syringe (Bolus) No Entry (Meal Time) Play Tone Note Premenstrual Note Locked Quick Notes Other (Meal Time) Radio Connection Pair (New) Reminder Icon or 313 52297_07167776001.
Icon Name Icon Icon Name Reset Timeblocks Standard Day RF (Radio Frequency) Signal Standard Week Save Status Screen Setup Mode Stress Snack System Settings Sound (Volume) Table Sound and Vibrate Target Data Icon 314 52297_07167776001.
16 Icon Name Icon Icon Name Temperature Warning Time Scale Warning Limits Icon Timeblock Settings Touchscreen Calibration Touchscreen Settings Trend Graph Vibrate 315 52297_07167776001.
16.6 Warranty and Limited License ACCU‑CHEK Aviva Insight Meter Limited 4-Year Warranty Roche Health Solutions Inc. (“Roche”), a member of the Roche Group, warrants to the original purchaser of the meter that your ACCU‑CHEK Aviva Insight meter will be free from defects in materials and workmanship for 4 years from the date of purchase.
16 Warranty Instructions All requests for return of ACCU‑CHEK Aviva Insight meters under the preceding warranty must be made to ACCU‑CHEK Customer Care Service Center. You will be mailed a return authorization label, which must be affixed to your carton for shipping the system to Roche. Cartons received without this label will be returned to you at your expense. Customers experiencing difficulties should review the troubleshooting information in the Troubleshooting chapter in this user’s manual.
ACCU‑CHEK Aviva test strips are provided with a specifically matched ACCU‑CHEK Aviva code key. These test strips and code keys are specifically manufactured for operation with the ACCU‑CHEK Aviva Insight meter. Use of other test strips with an unmatched code key or even with the matches code key supplied by another manufacturer may prevent or impair the proper function of the ACCU‑CHEK Aviva Insight system.
16 Patent Information US Pat.: http://www.roche-diagnostics.us/patents wwCAUTION 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).
16.7 Additional Supplies Test Strips: ACCU‑CHEK Aviva test strips Control Solutions: ACCU‑CHEK Aviva control solutions 16.8 Information for Healthcare Professionals wwWARNING Healthcare Professionals: Follow the infection control procedures appropriate for your facility. Refer to the test strip package insert for additional healthcare professional information. Sample Handling Always wear gloves when handling blood‑contaminated items.
16 16.9 Meter Information This information is primarily for technical support purposes and may be requested by support personnel. Main Menu > Settings > About > Meter Information 1 2 3 4 From the Main Menu, select Settings. Scroll screen and select About. Select Meter Information. To see additional meter information, select More. 321 52297_07167776001.
16.10 Error Log The Error Log screen displays up to the last 50 Errors and Maintenance messages starting with the most recent entry. Main Menu > Settings > About > Error Log 1 2 3 From the Main Menu, select Settings. Scroll the screen and select About. Select Error Log. 322 52297_07167776001.
16 4 Scroll to view all Error Log records. Select an Error Log record to see its details. 323 52297_07167776001.
16.11 Radio Frequency (RF) Signal This information is primarily for technical support purposes and may be requested by support personnel. Main Menu > Settings > About > Radio Frequency Signal 1 2 3 NOTE If the meter is not paired to a device, the Radio Frequency Signal button is disabled. From the Main Menu, select Settings. Scroll the screen and select About. Select Radio Frequency Signal. 324 52297_07167776001.
16 The names of the radio frequency devices with the radio frequency signal strength of each are displayed. 325 52297_07167776001.
16.
16 Data Type Unit of Measurement MIN MAX Increments Default Setting bG Threshold (After High bG Reminder) mg/dL 100 350 1 Hyper Warning Limit bG Threshold (After Low bG Reminder) mg/dL 50 100 1 Hypo Warning Limit Bolus Insulin U 0 25 Insulin Increment 0 grams 1 240 1 No Entry (- - - g) BE 0.1 20 0.1 No Entry (- - - BE) KE 0.1 24 0.1 No Entry (- - - KE) CC 0.1 16 0.1 No Entry (- - - CC) U 0.1 50 0.1 1 grams 0 240 1 No Entry (- - - g) BE 0 20 0.
Data Type Unit of Measurement MIN MAX Increments Default Setting Control Result mg/dL 10 600 1 No Entry (- - - mg/dL) Customized 1, 2, and 3 (health event) % -50 50 1 0 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* U 0.
16 Data Type Unit of Measurement MIN MAX Increments Default Setting Insulin Sensitivity mg/dL (bG) 1 999 1 No Entry (- - - mg/dL) Insulin Sensitivity U (insulin) 0.1 50 0.1 1 Lower value (Target Range) 50 140 1 70 mg/dL Max Bolus U 0 25 1 or 0.5 (per the insulin No Entry (- - - U) increment value) Meal Rise (bG) mg/dL 30 200 1 50 Offset Time HH:MM 00:45 Acting Time 00:15 01:00 Premenstrual (health event) % -50 50 1 0 329 52297_07167776001.
Data Type Unit of Measurement MIN MAX Increments Default Setting grams 0 24 1 No Entry (- - - g) BE 0 2.0 0.1 No Entry (- - - BE) KE 0 2.4 0.1 No Entry (- - - KE) CC 0 1.6 0.1 No Entry (- - - CC) Stress (health event) % -50 50 1 0 Upper value (Target Range) mg/dL 100 300 1 140 Snack Size (carbs) 330 52297_07167776001.
A Appendix A: Bolus Advice Overview Bolus Calculation The bolus recommended by the bolus advice feature of the meter consists of two components: a recommendation for a carbohydrate bolus that covers your food intake and a recommendation for a correction bolus to adjust your blood glucose level if it is not within the target range. The correction bolus can be positive if your current blood glucose level is above your target range or negative if it is below your target range.
Correction Bolus If your current blood glucose level is not within your target range, a correction bolus is recommended. Blood Glucose Limits 1 2 1. bG Result 2. Hyper Warning 3. Upper Target Limit 4. Target 3 4 5 6 5. Lower Target Limit 6. Hypo Warning Discuss your blood glucose limits with your healthcare professional. 332 52297_07167776001.
A The calculation for the recommended correction bolus depends on your current blood glucose result, your insulin sensitivity for the current time block, and whether you are planning to eat. Health event percentages are applied to the bolus advice recommendation.
Other Boluses Subsequent Carbohydrate Boluses Correction Bolus After a Meal If you are planning to eat several meals or snacks in a short period of time, you should administer a carbohydrate bolus for each meal. The calculation is always the same as a carbohydrate bolus. After a meal, it is normal to allow for a rise of your blood glucose level even if you administered the correct carbohydrate bolus. The allowed blood glucose level rise is called meal rise.
A 2 4 1 3 Current bG Values 6 5 Meal Bolus 7 Bolus Not Required Currently Allowed bG Value: Meal Rise 8 9 1. bG Level 2. Hyper The dotted line shows how your blood glucose level might change after a carbohydrate bolus. Bolus advice tolerates an increase in your blood glucose level within the meal rise range (green) without calculating an extra correction bolus.
Subsequent Correction Boluses The difference between your current blood glucose level and your target blood glucose level is called Delta bG. A correction bolus administered according to the previous conditions covers this difference for a certain period of time. As the correction bolus starts to take effect, your current blood glucose level should fall and the covered Delta bG decreases after the offset time. At the end of the acting time, your blood glucose level should return to the target limit.
A 1 1. bG Result 2 2. Offset Time 3. Delta bG (Correction Insulin) B 4. Correction Bolus 5. Acting Time 3 6. Time A 6 4 5 Subsequent Correction Boluses: If your blood glucose result is within Section A of the graph, a correction bolus is not recommended. If your blood glucose result is within Section B of the graph, a correction bolus is recommended. 337 52297_07167776001.
Examples of Bolus Advice Recommendations The following graphs provide differing examples of how bolus advice considers different factors when calculations are made. The currently allowed blood glucose value considers the following factors: jj Target Range Mean Value jj Meal Rise jj Correction Bolus 338 52297_07167776001.
A After a Correction Bolus 2 4 1 3 Current bG Values 5 6 8 Bolus 7 9 Bolus Not Required Currently Allowed bG Value: Corrected bG 1. bG Level 2. Hyper 3. Offset Time The above diagram shows an example of the effect of this rule. The first correction bolus at 12:00 pm remains active during the acting time (the width of the blue area). If the blood glucose value at 2:00 pm falls below the currently allowed blood glucose value (top of the blue area), another correction bolus is not calculated. 4.
2 1 Current bG Values Bolus 1. bG Level 2. Hyper 3 4 3. Target Value 4. Target Range 5. Hypo 5 6. Time 6 When a blood glucose result is greater than the currently allowed blood glucose value, a bolus is calculated (light blue) that only considers the difference between the current blood glucose value (orange dots) and the currently allowed blood glucose value (the top of the blue area). 340 52297_07167776001.
A 2 1 4 Current bG Values Meal 3 Bolus 5 6 8 7 Bolus Not Required Currently Allowed bG Value: Meal Rise 1. bG Level 9 2. Hyper 3. Offset Time 4. Acting Time Subsequent Meals If you eat several meals in a row, the meal rise is restarted for each new carbohydrate bolus. 5. Meal Rise 6. Target Value 7. Target Range 8. Hypo 9. Time 341 52297_07167776001.
342 52297_07167776001.
B Appendix B: Bolus Advice Calculations The Mathematical Basis for Bolus Calculations The following is a list of the most important formulas and the calculation principles on which bolus advice is based. It is difficult to accurately calculate a bolus yourself using these formulas when the acting time and offset time of recent meals and correction boluses are considered. 343 52297_07167776001.
Carbohydrate Advice This calculation is made when the blood glucose result falls below the hypo warning limit. It is based on the other values defined for the current time block and the result is calculated as a carbohydrate intake recommendation. Carbohydrates = (Target Range Mean Value – Current bG) x Insulin Sensitivity ÷ Carbohydrate Ratio Where: NOTE jj A minimum amount of 12 g (or equivalent BE, KE, or CC units) is always given. If the calculated value is below 12 g, then 12 g is used.
B Carbohydrate Bolus The following formula is used to calculate the bolus for meals: Carbohydrate Bolus = Carbohydrate Intake x Carbohydrate Ratio Where: Carbohydrate Ratio = Insulin ÷ Carbohydrates 345 52297_07167776001.
Currently Allowed Blood Glucose Value The target range average value used in the calculation of the correction bolus, as shown below, changes with the definition for the time blocks. When no meal rise or correction bolus acting time is currently in effect, a value of “0” is substituted for these parameters in the formula.
B Correction Bolus Generally, a correction bolus is only calculated if the current blood glucose value is above the hypo bG warning limit and outside the target range. If the current blood glucose value is above the target range, the currently allowed blood glucose value must also be exceeded. Only correction boluses greater than “0” trigger a corresponding acting time.
Correction Bolus with Carbohydrate Intake Whenever carbohydrates have been entered, the related carbohydrate bolus is always offset against any (even negative) correction bolus. When a meal is eaten, the correction bolus is also calculated for blood glucose results that fall within the target range if: jj The current blood glucose result falls below the target range average value, or jj The current blood glucose result is above the currently allowed blood glucose value.
Glossary Term Definition Acting time The period of time from the start of a bolus until your blood glucose level is expected to return to the target level. Active Insulin A calculated value representing the effective amount of insulin currently in the body that is working to lower blood glucose. This amount does not include any insulin that is working to account for carbohydrate intake. It also does not include basal insulin.
Term Definition BE Bread Equivalent bG test reminders Reminders to retest your blood glucose after a high blood glucose result, after a low blood glucose result, or after a meal. bG threshold A bG test reminder setting; the upper limit is for your blood glucose for a high bG test reminder and the lower limit is for your blood glucose for a low bG test reminder. Blood glucose (bG) The level of glucose (sugar) in blood.
Term Definition CC Carbohydrate Choice Control result Value displayed on meter as the result of a control test. When the control result is within the range shown on the label of the test strip container, the test strips and the meter are working properly. Control test A meter test using control solution which lets you know that the meter and test strips are working properly. Corrupt result A historical result that cannot be displayed by the meter because of an error.
Term Definition g Grams GHz Gigahertz Health event Information about your current health status or activities (Exercise 1, Exercise 2, Stress, Illness, Premenstrual, or Customized). Up to 4 health events can be selected and stored with a blood glucose result. Each status or activity (health event) accounts for a certain percentage according to your settings and is used to adjust bolus advice recommendations.
Term Definition Insulin sensitivity The amount of insulin necessary to lower your blood glucose by a certain amount. ISO International Organization for Standardization KE Kohlenhydrateinheit (carbohydrate unit) Lanyard A cord worn around the wrist or neck to carry an object. LCD Liquid Crystal Display LO Appears on the meter’s screen when the test result is below the meter’s measurement range. Max bolus Max bolus serves as a safety measure against unintended large boluses.
354 Term Definition Note Additional information. Offset time The amount of time before the insulin begins to lower blood glucose levels. Paired Meter and another device exclusively communicate and transfer information with each other when they are paired. Pen/syringe bolus A bolus delivered using a pen or syringe.
Term Definition Snack size The snack size defines a threshold of carbohydrates above which a meal rise is triggered. Snooze Reschedules a reminder to reoccur in a preset amount of time (for example, in 5 minutes). Standard deviation As it is used in this user’s manual, standard deviation measures how widely spread the bG results are (e.g., if the bG results are close to the bG average, then the standard deviation is small). Start time The start time of a time block.
Term Definition Warning limit See Hyper Warning Limit or Hypo Warning Limit. 356 52297_07167776001.
Index A acting time description 55 setting 49, 108, 136 active insulin 97, 348 advice options 49, 55, 136 B basal insulin, set amount 74, 95, 223, 228 battery changing 273 charging 36 power-saving tips 22 battery door 14, 274 bG averages table 258 blood glucose result adding information 73 detailed result 72, 73 screen 71 status bar descriptions 80 understanding blood glucose results 79 unusual blood glucose results 83 blood glucose testing 67 52297_07167776001.
C D carbohydrate set amount 74, 95, 222, 226 unit description 50 unit setting 45, 178 carbohydrate ratio description 53 setting 47, 105, 107, 112, 116, 118, 123, 127, 130, 132 charging the battery 36 cleaning and disinfecting 261 code chip 14, 60, 69 connecting meter to a PC with USB cable 204 Continua Certified manager 179, 300 control solution 58, 60 control solution bottle 15 control test out-of-range results 63 performing 59 result 62 correction bolus after a meal 334 countdown timer 98 date and time
H K healthcare professionals 320 health events choose health event 74, 95, 222, 227 description 54 setting percentages 48, 108, 134 HI 82 high blood glucose symptoms 85 home screen description 16 set as main menu or status screen 146 hyperglycemia symptoms 85 hyper warning limit 45, 173 hypoglycemia symptoms 85 hypo warning limit 45, 173 keyboard 28 I icon list 218, 307 information messages, troubleshooting 289 insulin increment description 51 setting 45, 175 insulin sensitivity description 54 setting 4
N 360 max bolus description 51 setting 45, 176 meal rise description 55 setting 49, 108, 136 meal time 74, 95, 222, 226, 237 memory expansion port 13 meter cleaning and disinfecting 263 discarding 305 function test 278 information for technical support 321 maintenance 271 range limits and defaults 328 reset 21 safety information 304 specifications 299 summary of features 12, 33 troubleshooting 281 turning on or off 13, 21 micro USB connector 13 mode settings signal suspension 144 sound and vibration 142 m
R S radio frequency signal 302, 324 reminders after high blood glucose test 180, 184 after low blood glucose test 180, 186 after meal blood glucose test 180, 182 alarm clock 181, 195 basal injection 181, 197 bG test 181, 197 customized 180, 192 doctor visit 180, 188 lab test 180, 190 medication 181, 199 other 181, 197 overview 180 reset meter 21 scroll bar 17, 24 setup wizard 41, 43 signal suspension 144 snack size description 55 setting 49, 108, 136 sound, mode 142 specifications Bluetooth wireless tech
T target chart 252 target range 46, 107, 112, 116, 123, 127, 130, 132, 153, 157, 158, 163, 167, 170, 172 target table 252 test strip description 15 using the test strips 30 test strip container 15, 59, 68 test strip slot 13, 59, 68 text color 11 thermometer icon 18 time blocks, bolus advice off adding a time block 154 changing start time, end time, or target range 151 deleting time blocks 159 resetting all time blocks 168 time blocks, bolus advice on adding a time block 113 changing start time, end time, ta
W warning, description 11 warning limits description 51 setting 45, 173 warning messages, troubleshooting 296 warrranty 316 363 52297_07167776001.
364 52297_07167776001.
52297_07167776001.
Rx only © 2014 Roche Diagnostics CONTINUA, the CONTINUA logos and CONTINUA CERTIFIED are trademarks, service marks, or certification marks of the Continua Health Alliance. CONTINUA is a registered trademark in some, but not all countries in which this product is distributed. The Bluetooth® word mark and logos are registered trademarks owned by Bluetooth SIG, Inc. and any use of such marks by Roche is under license.
