Roche ACCU-CHECK User Manual

User’s Manual

Blood Glucose Meter

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Contents

Introduction ............................................................................................................................3

Chapter 1: Your New System ..................................................................................................5

Chapter 2: Blood Glucose Tests .............................................................................................13

Chapter 3: Control Tests ........................................................................................................25

Chapter 4: Meter Settings .....................................................................................................31

Chapter 5: Review Your Data.................................................................................................53

Chapter 6: Wireless Communication and Meter Pairing .........................................................71

Chapter 7: Meter Maintenance and Troubleshooting .............................................................85

Chapter 8: Technical Information ..........................................................................................97

Chapter 9: Guarantee .......................................................................................................... 103

Index ..................................................................................................................................105

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3

Introduction

The Accu-Chek Guide System

The Accu-Chek Guide test strips with the Accu-Chek Guide meter are intended to quantitatively measure
glucose in fresh capillary whole blood from the finger, palm, forearm, and upper arm as an aid in
monitoring the eectiveness of glucose control.

The Accu-Chek Guide test strips with the Accu-Chek Guide meter are intended for in vitro diagnostic
self-testing by people with diabetes.

The Accu-Chek Guide test strips with the Accu-Chek Guide meter are intended for in vitro diagnostic use
by healthcare professionals in clinical settings. Venous, arterial, and neonatal blood testing is limited to
healthcare professional use.

This system is not for use in diagnosis of diabetes mellitus, nor for testing neonate cord blood samples.

Suitable for self-testing

The system includes:

Accu-Chek Guide meter with batteries, Accu-Chek Guide test strips,* and Accu-Chek Guide control
solutions*.

*Some items may not be included in the kit. They are a separate purchase.

wWARNING

• Choking hazard. Small parts. Keep away from children under the age of 3years.

• Any object coming into contact with human blood is a potential source of infection (see: Clinical
and Laboratory Standards Institute: Protection of Laboratory Workers from Occupationally
Acquired Infections; Approved Guideline – Third Edition; CLSI document M29-A3, 2005).

Introduction

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4

Introduction

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. We have made it as simple as possible.

Important Information About Your New Meter

• The meter may prompt you to choose a language and the time format (12-hour or 24-hour clock) the
first time you turn it on.

• Check the time and date on the meter before you begin testing. Adjust the time and date if necessary.

• Sample data screens are shown throughout the manual. Your data will dier.

• If you follow the steps in this manual but still have symptoms that do not seem to match your test
results, or if you have questions, talk to your healthcare professional.

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5

Your New System

1

1. Display

Shows results, messages, and test
results stored in memory.

2. Back Button

Returns to a previous display or field.

3. Up Arrow and Down Arrow Buttons

Press to move between menu options
or to increase or decrease numbers.

4. Power/Set/OK Button

Turns meter on or o and sets options.

5. Test Strip Slot with Light

Insert test strip here.

6. Battery Door

Flip open to replace batteries.

7. Micro USB Port

Transfers data from the meter to a computer
(PC).

8. Test Strip Ejector

Press to remove test strip.

The Accu-Chek Guide Meter

Front View

2

Chapter 1: Your New System

Back View

Side View

3

1

6

7

84

5

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6

Your New System

1

9. Test Strip Container*

10. Metallic End

Insert this end into meter.

11. Yellow Edge

Touch blood drop or control solution here.

12. Control Solution Bottle*

13. Batteries

14. USB Cable*

Connects the meter to a PC.

* Some items may not be included in the kit.

They are a separate purchase.

(for example)

Test Strip

9

10

11

12

14

13

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7

Your New System

1

Button Functions

Here are the functions of the back, arrow, and Power/Set/OK buttons on the meter. These functions are
used throughout this manual. See the chapter Meter Settings for specific instructions on setting up the
meter.

Button Function

Back Button

Return to the previous display.

Return to the previous field.

Up Arrow and Down

Arrow Buttons

Navigate up and down in a menu.

Increase or decrease a number.

Power/Set/OK Button

Press briefly to turn the meter on.

Press and hold to turn the meter o.

Press to select an option.

Press to move to the next field or display.

Press to save an option.

With the meter o, press and hold to check the meter display.

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8

Your New System

1

Meter Menus

1 Title of display or menu
2 Menu options
3 Scroll down
4 Scroll up

Display Description

There are more menu options listed beneath the last option. Press on the meter to
view the options.

There are more menu options listed above the first option. Press on the meter to
view the options.

There are more menu options listed above and below the options. Press or on
the meter to view the options.

1

2

3

4

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9

Your New System

1

Display Description

Highlighted option (Test)

Press

to enter the Test menu.

Highlighted field (Hour)

Press

or to increase or decrease the hour. Press to set

the hour and move to the minutes field.

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10

Your New System

1

Symbols

Here is a list of the symbols on the meter display.

Symbols Description

Above target range

After meal

Bedtime

Before meal

Below target range

Blood glucose test

Checkmark / Control test OK / Selected option or setting

Control bottle

Control test not OK

Edit

Error

Fasting

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11

Your New System

1

Symbols Description

Flight mode

Help

Low battery

My data

No comment

Other

Overall

Settings

Test reminder

Warning

Within target range

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12

Your New System

1

Setting the Language and Time Format

The meter may prompt you to choose a language and time format (12-hour or 24-hour clock) the first
time you turn it on.

Turn the meter on by briefly
pressing . Language
appears.

1

Press or to highlight the
language. Press to set the
desired language and return to

Main Menu.

If the meter prompts you to
set the time format:

Time Format appears.
Press or to highlight 12
hour (am/pm) or 24 hour.

Press

to set the option and

return to Main Menu.

2 3

NOTE

If you select the wrong language and cannot correct it, contact Roche.

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13

Blood Glucose Tests

2

wWARNING

Blood glucose results can be displayed in either mg/dL or mmol/L. The back label of the meter shows
the unit of measurement. If the meter shows the wrong unit, contact Roche. If you do not know which
unit of measurement is correct for you, contact your healthcare professional. Using the wrong unit of
measurement may cause misinterpretation of your actual blood glucose level and may lead to
improper therapy.

mg/dL or mmol/L is printed here

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14

Blood Glucose Tests

2

Using the Accu-Chek Guide System

• Use only Accu-Chek Guide test strips.

• Use the test strip immediately after removing it from the test strip container.

• Do not apply blood or control solution to the test strip before inserting it into the meter.

• Close the test strip container tightly immediately after removing a test strip to protect the test strips from
humidity.

• Store the unused test strips in their original test strip container with the cap closed.

• Check the use by date on the test strip container. Do not use the test strips after that date.

• Store the test strip container and meter in a cool, dry place such as a bedroom.

• Refer to the test strip package insert for test strip storage and system operating conditions.

wWARNING

Do not store test strips in high heat and moisture areas (bathroom or kitchen)! Heat and moisture can
damage test strips.

Performing a Blood Glucose Test with Blood from Your Fingertip

NOTE

• Before you perform your first blood glucose test, set up the meter correctly.

• You need the meter, a test strip, and a lancing device with a lancet inserted to perform a blood
glucose test.

• A blood glucose test cannot be performed while the meter is connected to a PC with a USB cable.

• There are 2ways to start a blood glucose test.

• Insert a test strip into the meter.

• Turn the meter on by briefly pressing

. Select Test > .

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15

Blood Glucose Tests

2

Wash your hands with warm
soapy water and dry thoroughly.

Prepare the lancing device.

1

Check the use by date on the
test strip container.

Do not use test strips past the
use by date.

Remove a test strip from the
test strip container.

Close the cap tightly.

2 3

Insert the metallic end of the
test strip into the meter.

The meter turns on. Preparing

to test appears.

4

When Apply drop appears,
perform a fingerstick with the
lancing device.

5

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16

Blood Glucose Tests

2

Gently squeeze your finger to
assist the blood flow. This helps
you get a blood drop.

6

Touch the yellow edge of the
test strip to the blood drop. Do
not put blood on top of the test
strip.

Analyzing appears when there
is enough blood in the test
strip.

7

The test result appears on the display.

You have the option of adding a comment to the test result by
pressing

OR proceed to Step11 to complete the test.

8

or

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17

Blood Glucose Tests

2

Add Comment appears. Press to highlight a
comment. Press to set the comment for the
test result. See the Adding Comments to Blood
Glucose Results section of this chapter for
details.

The final result appears. Press or to set the
comment and return to Main Menu. Or to change
the comment, press to select the comment.

Press

to return to Add Comment.

9 10

Remove and discard the used
test strip by pulling the test
strip out of the meter or by
pushing the test strip ejector on
the side of the meter.

or or

11

Press here to eject
test strip

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18

Blood Glucose Tests

2

Blood glucose may be lower
than the measurement range of
the system. See the Unusual
Blood Glucose Results section
of this chapter.

Blood glucose may be higher
than the measurement range of
the system. See the Unusual
Blood Glucose Results section
of this chapter.

Blood Glucose Warnings

If your blood glucose result is outside the measurement range of the meter, a warning is displayed. Press

to acknowledge the LO or HI warning, OR the meter automatically moves to the LO or HI result display.

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19

Blood Glucose Tests

2

Adding Comments to Blood Glucose Results

NOTE

Analyzing your blood glucose results stored in the meter is an eective way for you and your
healthcare professional to determine how well you are controlling your diabetes. This analysis is a
valuable tool for making improvements to your diabetes management. Use care when adding
comments to blood glucose results. Incorrect comments can cause inaccurate patterns to be detected
by the meter when Patterns is On.

Overview

It is very important to have the correct time and date set in the meter. Having the correct time and date
setting helps ensure accurate interpretation of information by you and your healthcare professional.

• You may add comments to blood glucose results to help you and your healthcare professional analyze
patterns detected by the meter (see the Patterns section in the chapter Meter Settings for details).

• If Patterns is set to On, once a pattern is detected you may NOT change the comment attached to a
blood glucose result (see the Patterns section in the chapter Meter Settings for details).

• Adding a comment saves the comment and the symbol with the blood glucose results.

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Blood Glucose Tests

2

Here is a list of comment symbols that can be added to a blood glucose result.

Symbols Name Description

Before meal If Patterns is On, select Before breakfast, lunch, dinner, or snack (see the

following page for adding comments with Patterns On).

After meal If Patterns is On, select After breakfast, lunch, dinner, or snack (see the

following page for adding comments with Patterns On).

Fasting Select Fasting for no caloric intake for at least 8 hours.*

Bedtime

Other
comment

You can use this comment to mark an event such as an AST result or
exercise.

No entry 1. You do not want to add a comment.

2. You want to remove a comment for the current blood glucose result.

* American Diabetes Association: Standards of Medical Care in Diabetes-2013.

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21

Blood Glucose Tests

2

The final result appears with the comment symbol. Press

or to set the comment and return to Main Menu.

To change the comment, press

to select the comment.

Press

to return to Add Comment.

After performing a blood glucose test, the test
result is displayed on the screen with Add
Comment highlighted. Press to add a
comment.

The Add Comment menu appears. Press to
highlight the desired comment (the example here
is Before meal). Press to select the comment.

1 2

If Patterns is On:

If Patterns is on and you select Before
meal or After meal, press

to select a
specific meal (Breakfast, Lunch,
Dinner, or Snack). Press to set the
selected meal for the test result.

3

or

or

or

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22

Blood Glucose Tests

2

Performing a Blood Glucose Test with Blood from Your Palm, Forearm, or Upper
Arm (Alternative Site Testing)

You have the option of obtaining a blood sample from other sites on your body besides the fingertip.
Alternative sites include the palm, forearm, and upper arm.

Blood obtained from the fingertip and palm can be used at any time to perform a blood glucose test.

If blood from the forearm or upper arm is used, there are certain times when testing is not appropriate.
This is because your blood glucose level changes faster in your fingertip and palm than in the forearm
and upper arm. These dierences may cause you to misinterpret your actual blood glucose level, leading
to improper therapy and potential adverse health eects.

Read the next section before you try testing from the forearm or upper arm.

You may perform a forearm or
upper arm test

• immediately before a meal.

• while fasting.

You may NOT perform a
forearm or upper arm test

• up to 2hours following a meal, when blood glucose values can rise
quickly.

• after injecting bolus insulin, when blood glucose values can
decrease rapidly.

• after exercise.

• if you are sick.

• if you think your blood glucose is low (hypoglycemia).

• if you sometimes do not notice when your blood glucose is low.

wWARNING

Do not use alternative site testing to calibrate a continuous glucose monitoring system or to make
insulin dosing calculations.

If you are interested in AST, talk to your healthcare professional first.

To obtain an AST cap and detailed AST instructions, contact Roche.

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23

Blood Glucose Tests

2

Unusual Blood Glucose Results

If your blood glucose result does not match how you feel, check this list to help solve the problem.

Troubleshooting Checks Action

Were the test strips expired? Discard the test strips if they are past the use by

date. Repeat the blood glucose test with an
unexpired test strip.

Was the cap on the test strip container always
closed tightly?

Replace the test strips if you think the test strip
container was uncapped for some time. Repeat
the blood glucose test.

Was the test strip used immediately after it was
removed from the test strip container?

Repeat the blood glucose test with a new test
strip.

Were the test strips stored in a cool, dry place? Repeat the blood glucose test with a properly

stored test strip.

Did you follow the directions? See the chapter Blood Glucose Tests and repeat

the blood glucose test. Contact Roche if you still
have problems.

Are the meter and test strips working properly? Perform a control test. See the chapter Control

Tests for instructions.

Are you still unsure of the problem? Contact Roche.

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24

Blood Glucose Tests

2

Symptoms of Low or High Blood Glucose

Being aware of the symptoms of low or high blood glucose can help you understand your test results and
decide what to do if they seem unusual.

Low blood glucose (hypoglycemia): Symptoms of hypoglycemia may include, but are not limited to,
anxiety, shakiness, sweating, headache, increased hunger, dizziness, pale skin color, sudden change in
mood or irritability, fatigue, diculty concentrating, clumsiness, palpitations, and/or confusion.

High blood glucose (hyperglycemia): Symptoms of hyperglycemia may include, but are not limited to,
increased thirst, frequent urination, blurred vision, drowsiness, and/or unexplained weight loss.

wWARNING

If you are experiencing any of these symptoms, or other unusual symptoms, test your blood glucose
from the fingertip or palm. If your blood glucose result is displayed as LO or HI, contact your healthcare
professional immediately.

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25

Control Tests

3

When to Perform a Control Test

Performing a control test lets you know the meter and test strips are working properly. You should
perform a control test when:

• you open a new test strip box.

• you left the test strip container open.

• you think the test strips are damaged.

• you want to check the meter and test strips.

• the test strips were stored in extreme temperatures, humidity, or both.

• you dropped the meter.

• your test result does not match how you feel.

• you want to check if you are performing the test correctly.

About the Control Solutions

• Use only Accu-Chek Guide control solutions.

• Close the control solution bottle tightly after use.

• Write the date you open the control solution bottle on the bottle label. The control solution must be
discarded 3months from the date the control solution bottle was opened (discard date) or on the
use by date on the bottle label, whichever comes first.

• Do not use control solution that is past the use by or discard date.

• Refer to the control solution package insert for control solution storage conditions.

• The meter automatically recognizes the dierence between the control solution and blood.

• The control results are not displayed in memory.

• The control solution can stain fabric. Remove stains by washing with soap and water.

Chapter 3: Control Tests

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26

Control Tests

3

Performing a Control Test

You need the meter, a test strip, and control solution Level 1 or Level 2.

Check the use by date on the test strip container.
Do not use test strips past the use by date.

Remove a test strip from the test strip container.

Close the cap tightly.

1 2

Insert the metallic end of the
test strip into the meter. Place
the meter on a flat surface.

The meter turns on. Preparing

to test appears.

Apply drop appears.

3

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27

Control Tests

3

Select the control solution to test. You will enter
the level later in the test.

4

Remove the bottle cap. Wipe the tip of the bottle
with a tissue. Squeeze the bottle until a tiny drop
forms at the tip.

5

Touch the drop to the yellow
edge of the test strip. Do not

put control solution on top of
the test strip.

Analyzing appears when there
is enough control solution in
the test strip.

6

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28

Control Tests

3

Control Result and the control bottle symbol
appear. Press or to select the control level
you tested. If you do not select a level, the control
result is saved without a control level. Press .

7

Within range and appear if the control result

is within range.

Out of range and

appear if the control result

is out of range.

8

or

or

or

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