306-17453 Adv3 Inside Man 7/25/03 10:19 AM Page i Welcome Thank you for selecting the Accu-Chek® Advantage System. Designed for ease of use, this system was produced in close association with diabetes healthcare professionals, hospitals and, most importantly, people with diabetes. Inside Pages: All prints black thruout. The lightweight, portable meter provides accurate results in seconds. Along with the Accu-Chek Advantage Test Strips, the meter measures your blood glucose level and displays your result.
306-17453 Adv3 Inside Man 7/25/03 10:19 AM Page ii Contents About the Accu-Chek Advantage Meter . . .v Special Features . . . . . . . . . . . . . . . . . . . .vii About the Accu-Chek Advantage Test Strip . . . . . . . . . . . . . . . . . . . . . . . . .viii Inserting the Battery . . . . . . . . . . . . . . . . . .1 Battery Symbol on the Display . . . . . . . . . .2 Setting the Beeper, Time, Date, Year, and Hypo Flag . . . . . . . . . . . . . . . . . . . . . . .4 Turning the Beeper On or Off . . . . . . . .
06-17453 Adv3 Inside Man 7/25/03 10:19 AM Page iv Cleaning . . . . . . . . . . . . . . . . . . . . . . . . .28 Storage and Handling . . . . . . . . . . . . . . .29 Note to Healthcare Professionals . . . . . . .30 Transferring Data . . . . . . . . . . . . . . . . . . .31 Quick Reference Display Guide . . . . . . . . .32 Memory Displays . . . . . . . . . . . . . . . . . . .34 Display Messages . . . . . . . . . . . . . . . . . . .36 Battery Displays . . . . . . . . . . . . . . . . . . .
306-17453 Adv3 Inside Man 7/25/03 10:19 AM Page vi About the Accu-Chek Advantage Meter Code Key Battery Cover Remove cover to change battery. Code Key Slot Insert code key here. 545 731 For coding your meter. New code key comes with every vial of test strips. Special Features Your meter is designed to store information important to you and your healthcare professional. The memory will store 480 readings. Along with these readings, the meter can store additional important information.
306-17453 Adv3 Inside Man 7/25/03 10:19 AM Page viii About the Accu-Chek® Advantage Test Strip Electrodes Insert strip with silver-colored bars up and toward the meter. Yellow Window Do not apply blood on the top of the test strip. Before Applying Blood – This window should be completely yellow. After Applying Blood – This window should be completely filled with the blood drop. Note: Any area of the strip can be touched and the glucose reading will not be affected.
306-17453 Adv3 Inside Man 7/25/03 10:19 AM Page 1 Inserting the Battery Your meter is shipped with one 3-volt battery type 2032 (CR 2032, DL 2032, or equivalent) that needs to be inserted before testing. The battery that comes with your meter can be found in the mesh pocket of your carrying case. Battery life will vary depending on usage, so always keep a spare on hand.
306-17453 Adv3 Inside Man 7/25/03 10:19 AM Page 2 + If a flashing battery symbol appears on the display, the battery is nearly dead. I II IIII IIIII 2. Insert the 3-volt battery (type 2032) into the compartment with “+” side facing you. IIII Battery must be replaced to continue testing. 3. Snap battery cover back in place. If time and date feature was set previously, the meter will turn on automatically. Confirm that the time and date are set correctly.
306-17453 Adv3 Inside Man 7/25/03 10:19 AM Page 4 Setting the Beeper, Time, Date, Year, and Hypo Flag 3. Press and hold down the ON/OFF button until “set” appears at the bottom of the screen. Release the ON/OFF button. No, it is an optional feature. Turning the beeper on or off does not affect the test results. If the beeper is turned off, beeps that occur due to errors will still sound.
306-17453 Adv3 Inside Man 7/25/03 10:19 AM Page 6 5. Press and hold down the ON/OFF button until strip icon is seen flashing or code and “---” appear to leave this function. Setting the Time, Date and Year Do I have to set the time and date? Time and date should be set prior to testing if you plan to download the results into software or if you plan to review your memory to check when a test was done. To set the time, date and year: 1. Press and release the ON/OFF button to turn the meter ON. 2.
306-17453 Adv3 Inside Man 7/25/03 10:19 AM Page 8 Setting the Hypo Flag The hypo flag allows you to define your hypoglycemic level and receive a reminder whenever you obtain a blood sugar result below this level. You can set the hypo indicator level to any number between 3.3 and 4.4 mmol/L. Important Note: Consult with your healthcare professional to set the hypo marker to compliment your therapy. Do not use the hypo marker as the only indicator of hypoglycemia.
306-17453 Adv3 Inside Man 7/25/03 10:19 AM Page 10 A code key is properly inserted when it snaps into place. You will need to insert a new code key: • Whenever you open a new box of strips. • Whenever either one of these displays appear: Testing Gathering Supplies To begin testing, you will need the following items: I I I I I I I I I • Accu-Chek® Advantage Meter • Accu-Chek® Advantage Test Strips • Accu-Chek® Softclix Lancet 1. Make sure meter is turned off.
306-17453 Adv3 Inside Man 7/25/03 10:19 AM Page 12 5. Let your arm hang down at your side briefly to allow blood to flow to your fingertips. 3. Remove new test strip from vial. Be sure to tightly replace vial cap after removing test strip. 6. Grasp your finger just below the joint closest to the fingertip, and squeeze for 3 seconds. 7. Obtain blood sample. Use the Accu-Chek Softclix Lancing Device to obtain a drop on the side of your finger. Do not obtain the drop from the pad of your finger.
306-17453 Adv3 Inside Man 7/25/03 10:19 AM Page 14 III III I II I IIIIII III 9. When blood is applied to strip, an hourglass flashes on the display until measurement is completed. Result appears. If HI is displayed, your blood glucose result may be higher than 33.3 mmol/L (refer to your test strip package insert or the section Understanding Your Test Results on page 17). 10. The blood glucose result is displayed in mmol/L.
306-17453 Adv3 Inside Man 7/25/03 10:19 AM Page 16 Marking a Result with a Flag, Asterisk ( ) Understanding Your Test Results This feature allows you to perform a test and mark the result with a flag (asterisk) to be stored in memory. Each result flagged with the asterisk will have special meaning only to you. For your healthcare professional, you should record the meaning along with your reading in your Data Log. An example includes using the asterisk to mark a result taken immediately after a meal.
306-17453 Adv3 Inside Man 7/25/03 10:19 AM Page 18 Do’s and Don’ts DO: • TIGHTLY REPLACE VIAL LID IMMEDIATELY AFTER REMOVING A TEST STRIP. • Make sure code number on meter matches code number on strip vial label. • Keep meter clean. • Store strips in the original vial. • Ensure that your hands are dry when removing a strip from the vial. Although only a small amount of blood is needed, it is very important that you put enough blood on your test strip so that the entire yellow window is filled with blood.
306-17453 Adv3 Inside Man 7/25/03 10:19 AM Page 20 Using Memory To recall results and averages stored in memory: The meter automatically stores 480 glucose results, letting you review them in order from the most recent to the oldest. If you have set the time/date feature, the time and date of the results are also displayed. If time and date are not set, each result is marked with a number according to how it falls in sequence. 1.
306-17453 Adv3 Inside Man 7/25/03 10:19 AM Page 22 Quality Control Checks What are quality control checks? They ensure that you are doing a test correctly and that your system is working properly. When should I check my meter? • If you leave the cap off the vial of test strips. • Before using your meter for the first time. • When you open a new vial of test strips. • If you drop the meter. • Whenever your result does not agree with the way you feel.
306-17453 Adv3 Inside Man 7/25/03 10:19 AM Page 24 4. Hold the control bottle horizontally with the tip pointed directly at the right edge of the strip. 1. Open test strip vial and remove test strip. Replace vial cap. 6. Bring the drop to the edge of the strip within the curve, and allow the strip to automatically draw the solution into the yellow window until it is completely filled. 73 1 Note: Results marked as L1 or L2 do not appear in memory or averages. 7.
306-17453 Adv3 Inside Man 7/25/03 10:19 AM Page 26 Note: Result must be marked with an L1 or L2 for the meter to verify if control result is within range. If result has not been marked with an L1 or L2, refer to your test strip vial label for the glucose control ranges. If result is not within the acceptable range, an icon of the control vial appears on the screen while the control test result, and time and date (if set), alternate with “Err” and “L1” or “L2” on the display.
306-17453 Adv3 Inside Man 7/25/03 10:19 AM Page 28 Caring For Your Meter Display Check This verifies that all parts of the display are working. Make sure the meter is off. Press and hold down the ON/OFF button. The display should look exactly like the picture at right. If it does not, call our Diabetes Care Info-Line. Storage and Handling Keep your meter free of dust. Protect it from extreme temperature and humidity, and handle it with care.
306-17453 Adv3 Inside Man 7/25/03 10:19 AM Page 30 Note to Healthcare Professionals Transferring Data Follow the infection control procedures appropriate for your facility. A drop of fresh, whole blood is required to perform a blood glucose test. Fresh venous, capillary, arterial or neonatal blood may be used. Caution should be taken to clear arterial lines before blood is drawn. Caution should be exercised in the interpretation of neonate blood glucose values below 2.8 mmol/L.
306-17453 Adv3 Inside Man 7/25/03 10:19 AM Page 32 Quick Reference Display Guide I I I I I I I I I I Meter is in the “set” function, allowing you to set the beeper, time, date, year, and hypo flag (see page 4). Meter is ready to accept a test strip. I I I I I I I I I I I I I I I I I I 32 Blood glucose result may be lower than 0.6 mmol/L. If this does not confirm the way you feel, review proper testing procedure and perform a quality control check (page 22). Repeat test.
306-17453 Adv3 Inside Man 7/25/03 10:19 AM Page 34 Temperature is above or below the operating range of test strips (14° to 40°C). The result you have obtained may not be accurate. Move to an area between 14° and 40°C, wait 5 minutes, and repeat the test. Do not artificially heat or cool the meter. The meter is in the “memory” function, allowing you to recall 7, 14, and 30-day averages. This blood glucose result was marked with a result marker flag (asterisk) (see page 16).
306-17453 Adv3 Inside Man 7/25/03 10:19 AM Page 36 Display Messages Quality Control Check Displays Battery Displays Meter is ready for a Level 1 or Level 2 glucose control check. Apply a drop of Level 1 or Level 2 glucose control solution. I I I I I I I I I I I I I I I or I I I I I Battery power is low. Change battery soon. (battery symbol not flashing) I II IIII IIIII Battery is dead. Change battery now. Meter will turn off after 3 seconds.
306-17453 Adv3 Inside Man 7/25/03 10:19 AM Page 38 and Example of an unacceptable control result. and The meter automatically performs a system check to prevent inaccurate results. If the meter detects a malfunction, it displays the “Err” message and an appropriate symbol. Do not make treatment decisions based on an error message. The code key is faulty, or the code key was removed while the meter was on. Turn meter OFF and re-insert code key.
306-17453 Adv3 Inside Man 7/25/03 10:19 AM Page 40 40 II I I I I I I If the control result is not within the acceptable range, refer to Understanding Control Results (see page 27). Temperature is above or below the operating range of the meter. Move to an area between 14° and 40°C, wait 5 minutes, and perform a test. Do not artificially heat or cool the meter.
306-17453 Adv3 Inside Man 7/25/03 10:19 AM Page 42 Technical Data Please read information packaged with test strips regarding up to date product specifications and limitations. Measuring Principle: The glucose dehydrogenase converts the glucose in a blood sample to gluconolactone. This reaction liberates an electron that reacts with a coenzyme electron acceptor, the oxidized form of the mediator hexacyanoferrate (III), forming the reduced form of the mediator, hexacyanoferrate (II).
306-17453 Adv3 Inside Man 7/25/03 10:19 AM Page 44 Power Supply One 3-volt lithium battery type 2032 (CR 2032, DL 2032 or equivalent) Product Safety Information Explanation of symbols Data Port 3-wire RS-232C Serial Port Multiplexed TTL UART CAUTION Refer to accompanying documents.
306-17453 Adv3 Inside Man 7/25/03 10:19 AM Page 46 Warranty and Service Instructions Supplies and Accessories Roche Diagnostics warrants the meter against any material and manufacturing defects that may arise during proper use of the instrument. For precise terms and conditions please see the Warranty Card in the box. The following supplies and accessories are available from your local pharmacy.
6-17453 Adv3 Inside Man 7/25/03 10:19 AM Page 48 Addendum A Using the Accu-Chek Softclix Lancing Device manufactured accurately so that the degree of penetration selected remains unchanged when a new lancet is inserted. To make it easier to obtain the blood sample required for testing with the Accu-Chek® Advantage Meter, we recommend using the Accu-Chek® Softclix Lancing Device.
306-17453 Adv3 Inside Man 7/25/03 10:19 AM Page 50 To avoid injuries, keep cap and replace on lancet before discarding. Use a new lancet each time you take blood to prevent infection and to ensure virtually pain-free blood sampling. 3. Press the Accu-Chek Softclix Lancing Device cap on again until it clicks. Be sure to align the notch on the cap with the centre of the semicircular cutout on the ejector. 4. Rotate the Comfort Dial on the Accu-Chek Softclix Lancing Device cap to set the penetration depth.
306-17453 Adv3 Inside Man 7/25/03 10:19 AM Page 52 Place the protective cap back on the lancet and slide the ejector forward to release the lancet. Dispose of lancet in a safe container (a coffee can with a slot in the cover, for instance). Please exercise care when removing the cap and ejecting a used lancet from the Accu-Chek Softclix Lancing Device. Pull the cap off as shown. Use this procedure to ensure that fingers cannot slip off while removing the cap from the device.
306-17453 Adv3 Inside Man 7/25/03 10:19 AM Page 54 • fatigue and weakness • blurred vision • in extreme cases, unconsciousness† What to do: • Eat or drink fast-acting sugar such as: 3 dextrose tablets or 1/2 cup juice or regular soft drink or 2 or 3 hard candies Consult your doctor if you are unsure what to do. Note: Some symptoms of high and low blood sugar are the same. Your Accu-Chek Advantage Blood Glucose Meter will help you determine your blood sugar levels.
306-17453 Adv3 Inside Man 7/25/03 10:19 AM Page 56 Travel Tips When traveling, we suggest you take the following precautions: 1. Ahead of departure, check on availability of medical care and of insulin/pills, syringes, etc. in the country you are visiting. Carry prescriptions for these with you at all times. 2. Consult your healthcare professional about how to adapt your medication to time zone changes. 3. Take extra insulin/pills along with you. 4.
306-17453 Adv3 Inside Man 7/25/03 10:19 AM Page 58 Error messages ..........................................................39 Flag (asterisk) ........................................................... 16 Gathering supplies for testing ................................. 11 Getting a good sample .................................................11 Glucose control solutions ............................................ 22 HI display..............................................................15, 33 Hypo flag.
306-17453 Adv3 Inside Man 7/25/03 10:19 AM Page 60 Any Questions We want to give you the help you need for long and reliable service of your meter. Review your test procedure and make sure that you are performing the steps correctly. If you still have questions, please contact our Diabetes Care Info-Line: MONTREAL: (450) 686-7100 TOLL-FREE: 1 800 363-7949 Roche Diagnostics 201, Boul. Armand-Frappier Laval, Quebec, H7V 4A2 References 1. Stedman, Thomas Lathrop.
