Accu-Chek Aviva Expert User Manual

BLOOD GLUCOSE METER

Standard Owner’s Booklet

for Single Patient Use Only

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.

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

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

Do not use

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.

iii

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.

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.

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.

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

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

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

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

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

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

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.

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.

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

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.

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.

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.

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.

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.

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

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.

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 preinserted here.

Battery Door

Remove the battery door by pushing the tab and pulling up the door.

Backlight Button

Press to adjust the backlight level.

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.

Test Strip

Golden End -

Insert this end of the test

strip into the meter.

Test Strip Container

(for example)

Top View

Infrared (IR) Window

Code Key

(for example)

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

The meter has seven buttons and two soft keys.

Left Soft Key

Up Arrow

Enter

Left Arrow

Right Soft Key

Right Arrow

Down Arrow

Backlight

Power On/Off

NOTE

• You hear a sound every time an active button/soft key is pressed unless you turned off the key sound.

+ or insert a test strip to turn on the meter. If the meter displays the Time/Date screen, make

• Press the necessary changes and select Save.

Table of Buttons and Soft Keys

Button Name Function

< >

z , .

Left Arrow jMove or scroll to the left in a screen.

Right Arrow jMove or scroll to the right in a screen.

Up Arrow jMove or scroll up in a screen.

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.

Table of Button Combinations

Button Combination Name Function

When the buttons are locked, press and

,and .until the Main Menu

hold appears.

Unlock Keys jUnlocks the buttons.

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.

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)

+ 274 hidden pages

Accu-Chek Aviva Expert User Manual

Specifications and Main Features

Frequently Asked Questions

User Manual