Accu-Chek Guide Kit

Accu-Chek Guide Kit Patient Counseling Information

Manufacturer:

Roche

Distributor:

AA Medical
Full Prescribing Info
Patient Counseling Information
Accu-Chek Guide Meter: Button Functions: Here are the functions of the back, arrow, and Power/Set/OK buttons on the meter. These functions are used throughout this monograph. See as follows for specific instructions on setting up the meter.
Back Button: Return to 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 off. Press to select an option. Press to move to the next field or display. Press to save an option. With the meter off, press and hold to check the meter display.
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.
Note: If you select the wrong language and cannot correct it, contact Roche.
Target Range: Your healthcare professional can tell you what blood glucose range is appropriate for you. It is very important to stay within your target range.
The target range can be set from a lower limit of 60-100 mg/dL (3.3-5.5 mmol/L) to an upper limit of 101-300 mg/dL (5.6-16.6 mmol/L).
Accu-ChekPerformaM5_MM Warning: This function is no substitute for hypoglycaemia training by your healthcare professional.
Blood Glucose Tests: Accu-ChekPerformaM5_MM 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.
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.
Accu-ChekPerformaM5_MM 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 the Fingertip: Note: 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.
1. Wash your hands with warm soapy water and dry thoroughly.
Prepare the lancing device.
2. Check the use by date on the test strip container.
Do not use test strips past the use by date.
3. Remove a test strip from the test strip container.
Close the cap tightly.
4. Insert the metallic end of the test strip into the meter. The meter turns on.
5. When Apply drop appears, perform a finger stick with the lancing device.
6. Gently squeeze your finger to assist the blood flow. This helps you get a blood drop.
7. Touch the yellow edge of the test strip to the blood drop. Remove your finger from the test strip when the flashing hourglass symbol appears. Do not put blood on top of the test strip.
8. The test result appears on the display. You have the option of adding a comment to the test result by pressing OK or proceed to Step 11 to complete the test.
9. Add Comment appears. Press Down Arrow Button to highlight a comment. Press OK to set the comment for the test result. See Overview under Review Your Data as follows for details.
10. The final result appears. Press OK or Back Button to set the comment and return to Main Menu. Or to change the comment, press Down Arrow Button to select the comment. Press OK to return to Add Comment.
11. 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.
Performing a Blood Glucose Test with Blood from Your Palm, Forearm, or Upper Arm (Alternative Site Testing): Accu-ChekPerformaM5_MM Warning: Do not use alternative site testing to calibrate a continuous glucose monitoring system or to make insulin dosing calculations.
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 differences may cause you to misinterpret your actual blood glucose level, leading to improper therapy and potential adverse health effects.
Read the following text 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 (hypoglycaemia); if you sometimes do not notice when your blood glucose is low.
If you are interested in AST, talk to your healthcare professional first.
To obtain an AST cap and detailed AST instructions, contact Roche.
Unusual Blood Glucose Results: If your blood glucose result does not match how you feel, check the following list of Troubleshooting Checks and Action to help solve the problem.
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?: Read 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 Control Tests as follows for instructions.
Are you still unsure of the problem?: Contact Roche.
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 (hypoglycaemia): Symptoms of hypoglycaemia may include, but are not limited to, anxiety, shakiness, sweating, headache, increased hunger, dizziness, pale skin colour, sudden change in mood or irritability, fatigue, difficulty concentrating, clumsiness, palpitations, and/or confusion.
High blood glucose (hyperglycaemia): Symptoms of hyperglycaemia may include, but are not limited to, increased thirst, frequent urination, blurred vision, drowsiness, and/or unexplained weight loss.
Accu-ChekPerformaM5_MM
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.
Control Tests: 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 difference between the control solution and blood.
The control solution can stain fabric. Remove stains by washing with soap and water.
Performing a Control Test: You need the meter, a test strip, and control solution Level 1 or Level 2.
1. Check the use by date on the test strip container. Do not use test strips past the use by date.
2. Remove a test strip from the test strip container. Close the cap tightly.
3. Insert the metallic end of the test strip into the meter. The meter turns on.
Preparing to test appears. Apply drop appears.
4. Select the control solution to test. You will enter the level later in the test.
5. Remove the bottle cap. Wipe the tip of the bottle with a tissue. Squeeze the bottle until a tiny drop forms at the tip.
6. 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.
7. The control result and control bottle symbol appear. Press the Up or Down Arrow button to select the control level you tested. If you do not select a level, the control result is saved without a control level. Press OK.
8. Within range and tick appear if the control result is within range.
Out of range and a cross appear if the control result is out of range.
9. Wipe the tip of the bottle with a tissue. Cap the bottle tightly.
Remove and discard the used test strip.
Note: The meter turns off 90 seconds after a successful test or 15 seconds after the test strip is removed, provided no other action is taken.
Understanding Out‑of‑Range Control Results:
Accu-ChekPerformaM5_MM Warning: The control solution ranges are printed on the test strip container label. If the control result is out of range, check the following list Troubleshooting Checks and Action to help solve the problem.
Were the test strips or control solutions expired?: Discard the test strips or control solution if either is past the use by date. If the control solution was opened more than 3 months ago, discard it. Repeat the control test with an unexpired test strip and an unexpired control solution.
Did you wipe the tip of the control solution bottle before use?: Wipe the tip of the bottle with a tissue. Repeat the control test with a new test strip and a fresh drop of control solution.
Were the caps on the test strip container and the control solution bottle always closed tightly?: Replace the test strips or control solution if you think either was uncapped for some time. Repeat the control test.
Was the test strip used immediately after it was removed from the test strip container?: Repeat the control test with a new test strip and a fresh drop of control solution.
Were the test strips and control solutions stored in a cool, dry place?: Repeat the control test with a properly stored test strip or control solution.
Did you follow the directions?: Read Control Tests and repeat the control test.
Did you choose the correct control solution level, either 1 or 2, when you performed the control test?: If you chose the wrong control solution level, you can still compare the control result to the range printed on the test strip container.
Are you still unsure of the problem?: Contact Roche.
Review Your Data: Overview: Blood glucose results are stored from the newest to the oldest.
The meter automatically stores up to 720 blood glucose results in memory with the time and date of the test and any test result comments.
Once 720 blood glucose results are in memory, adding a new blood glucose result deletes the oldest blood glucose result.
Only test results that have been marked with a fasting, before meal, after meal, or bedtime comment are included in the average for that comment.
All test results are included in the overall 7, 14, 30, and 90‑day averages regardless of what comment is added.
Control results are stored in memory but cannot be reviewed on the meter. To view stored control results, transfer them to a compatible software application.
Control results are not included in the averages or blood glucose reports.
Once 32 control results are in memory, adding a new control result deletes the oldest control result.
Accu-ChekPerformaM5_MM Warning: Do not change your therapy based on an individual test result in memory. Talk to your healthcare professional before changing therapy based on test results in memory.
NOTE: Analyzing your blood glucose results 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. Use care when adding comments to blood glucose results. Incorrect comments can cause inaccurate patterns to be detected by the meter if Patterns is On.
Low/High Data: Your healthcare professional can tell you what blood glucose range is appropriate for you. It is very important to stay within your target range.
Target Ranges must be set in the meter to track Low/High Data test results (see Target Range under Accu-Chek Guide Meter as previously mentioned for details).
Low BG or High BG Data includes only results that fall above or below the target ranges set in the meter.
Low BG or High BG Data is tracked in the meter for 30 days.
Wireless Communication and Meter Pairing: Overview: You can wirelessly and automatically synchronize your diabetes information with a mobile device. The process of creating a connection between the meter and the other device is called pairing. You need an application on your mobile device that can accept the meter's data.
First‑Time Pairing: The steps as follows are for first‑time pairing. Up to 5 devices can be paired with the meter at any time. Each device must be paired with the meter one at a time. The meter and the device to be paired should be within 1 meter of each other.
1. Prepare the device for pairing. Refer to the device's instructions for information about pairing.
2. Turn the meter on by briefly pressing OK. From Main Menu, press Down Arrow to highlight Settings. Press OK.
3. Press Down Arrow to highlight Wireless. Press OK.
4. Pair Device appears. To pair a device, press Down Arrow to highlight Yes. Press OK.
5. The meter displays its code.
6. The mobile device displays a list of found devices, including the meter. Select the meter from the list. When prompted, enter the code displayed on the meter from Step 5 into the device to be paired.
7. When pairing is complete, Tick and the name of the paired device appear. Press Ok to return to the previous menu.
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