Frequently Asked Questions
Meter care and batteries
Seek medical attention immediately. Prompt action is critical. Don’t wait for symptoms to develop. Battery ingestion or insertion into the body may cause chemical burns, perforation of soft tissues, and death.
The meter uses 3 standard AAA batteries, preferably alkaline. Rechargeable batteries can also be used.
Accu-Chek Spirit Combo insulin pump is designed for a single AA battery (LR6 1.5 V AA alkaline, FR6 1.5 V AA lithium or 1.2 V rechargeable NiMH HR6 AA). You must select the correct battery type in the insulin pump setup when you replace your battery. Do NOT use carbon-zinc, nickel-cadmium (NiCd) or super heavy duty batteries.
Battery life depends on pump use, including daily insulin requirements, frequency of delivery and backlight usage.
Clean and disinfect your meter once a week, or any time blood gets on the meter. You should also clean the meter before allowing anyone else to handle it.
Cleaning is simply removing dirt from the meter, while disinfecting refers to removing as much of the disease-causing microorganisms and other germs as possible.
Super Sani-Cloth® disposable, pop-up wipes are a convenient way to kill germs, and have been approved for cleaning and disinfecting the meter. You can buy them online from Amazon.com, Office Depot, Walmart and other retailers.
Be sure to clean the areas around slots and openings, while being careful not to get any moisture in them. You should also wipe down the entire meter surface, including the meter display.
Insulin calculation and special features
The Accu-Chek Bolus Advisor is a prescription insulin calculator built into the Accu-Chek Connect app. The system must be configured by a healthcare professional to include the user's insulin-to-carbohydrate ratio or recommended mealtime insulin doses. Once set up, the advisor provides personalized dosing advice based on the user's current blood glucose level and other factors.
Checking blood sugar
The system automatically detects when enough blood has been applied to the strip and begins the test, even if some yellow is still visible. The only time you need to apply more blood is when the blood drop symbol continues to flash in the display.
It's a small sample—just 0.6 microliter.
There are a few ways you can improve blood flow and make blood sugar checks easier:
- Warm your fingers by washing with warm, soapy water, then rinse and dry completely.
- Let your arm hang down at your side to increase blood flow to the fingertips.
- Grasp finger just below the joint closest to the fingertip and "milk" or massage gently toward tip of finger, then squeeze for 3 seconds.
- Use an Accu-Chek lancing device set to the right Comfort Dial setting for your skin type. Refer to your User's Guide for additional information.
You can count on quick, 5-second results.
Yes. You can use an Accu-Chek FastClix lancing device with any Accu-Chek meter. Lancet drums for the Accu-Chek FastClix lancing device are available through your pharmacy.
When a warning is sent to the pump display, the pump will alert you by vibrating and emitting an acoustic signal. The warning will also be displayed on the Accu-Chek Aviva Combo meter, so you don't have to access the pump to see the warning and take appropriate action.
Approximately 6.5 feet.
Like other electronic and communications equipment, the Bluetooth service on the Accu-Chek Combo system must be switched off for both the pump and meter as directed by the airline. While the Bluetooth is off, the Accu-Chek Spirit Combo insulin pump can be operated independently of the Accu-Chek Aviva Combo meter.
To turn Bluetooth service off on the Accu-Chek Spirit Combo insulin pump, go to the Bluetooth Settings menu. On the Accu-Chek Aviva Combo meter, go into the Settings menu, then Meter, then Bluetooth. Follow the instructions given on the screen.
The Accu-Chek Combo system complies with specific absorption rate (SAR) limits in the U.S. and Canada to eliminate any health hazards. The SAR limit for mobile phones and devices of this type is 1.6 W/kg.1 The average SAR level of exposure from the Accu-Chek Spirit Combo insulin pump is 0.00089 W/kg.
1Federal Communications Commission. Radio Frequency Safety. Available at: www.fcc.gov/oet/rfsafety/sar.html. Accessed February 18, 2016.
While the Accu-Chek Combo system has been designed to be used together for maximum benefit, both products can be used as stand-alone devices, as they are fully functional.
No. Your Accu-Chek Spirit Combo insulin pump will be paired with your Accu-Chek Aviva Combo meter, and only those two devices will be able to communicate with one another. As a security measure, it's also not possible to pair more than one Accu-Chek Aviva Combo meter with your insulin pump.
These components use a globally approved communication standard called Bluetooth® wireless technology. This allows intelligent electronic devices to communicate with each other over short-range wireless links while maintaining high levels of security.
Test strips, coding and control tests
A control test using your meter's specific control solution ensures that you are performing tests correctly and receiving accurate results.
Testing with control solution is much like a blood sugar check, except you fill the window on the test strip with a drop of control solution instead of blood.
Run a control test:
- Before using your meter for the first time
- When you open a new vial of test strips
- If you leave the cap off the vial of test strips
- If you drop the meter
- Whenever your result does not agree with the way you feel
- Whenever you want to check the way you are performing your blood sugar checks
- If you have repeated a test, and the blood sugar result is still lower or higher than expected
- When you want to check the performance of the meter or test strips
This meter uses Accu-Chek Aviva Plus test strips.
Using test strips that are expired can cause your results to be inaccurate. If your test strips have expired, throw them away and begin using a new vial of strips that are not expired. The expiration date is printed on every vial of test strips.
The meter comes precoded with a black code key that remains in place for the life of the meter. There's no need to manually code the meter.
The system is compatible with the Accu-Chek Connect online portal, Accu-Chek 360° diabetes management system and Accu-Chek Smart Pix device reader.
No. You should never use your insulin pump near electromagnetic fields such as x-ray, computer tomography or MRI. Disconnect and remove your pump and leave it outside these areas.
You can configure the Accu-Chek Spirit Combo insulin pump manually or by using Accu-Chek 360° insulin pump configuration software.
You can use U100 rapid-acting insulin.
No. The pump uses a sterile, single-use 3.15 mL plastic cartridge. This provides the flexibility to choose the brand of insulin you want to use.
Care and batteries
The Accu-Chek Spirit Combo insulin pump can withstand brief accidental water contact such as rain, water splashes or accidental immersion. Before taking a bath or going into a whirlpool, shower or swimming pool, you should disconnect and remove your pump. Your Accu-Chek Aviva Combo meter is not waterproof and must be kept dry at all times.
To help ensure safe insulin pump therapy, the battery cover should be replaced every 4th battery change, and a new adapter should be used with every 10th insulin cartridge change.
Rest assured, Accu-Chek products are still covered by Medicare Part B.1 To preserve your choice and ensure you're not switched to a low-quality product, ask your healthcare provider to always write a branded prescription for Accu-Chek test strips. Click here for more details.
1Coverage may vary based on your condition and other factors.
Your blood glucose can change quickly, especially after eating, taking medication or physical activity. If you test yourself in the morning, then go to your healthcare professional's office for a blood glucose test, your results will probably not match, even if you are fasting. This is typically not a problem with the meter, it just means that time has elapsed and your blood glucose has changed. If you want to compare your meter result to the laboratory result, you must be fasting. Take the meter to your healthcare professional's office and test yourself by fingerstick within 5 minutes of having blood drawn from your arm by a healthcare professional. Keep in mind that the laboratory uses different technology than the meter and that blood glucose meters for self-testing generally read somewhat lower than the laboratory result.
If you are fasting and you do a fingerstick test within 5 minutes of having your blood drawn, here are the general guidelines to compare the meter result to the laboratory result:
- If your blood glucose is below 75 mg/dL, your results generally should fall within ±15 mg/dL of the laboratory result.
- If your blood glucose is equal to or over 75 mg/dL, your results generally should fall within ±20% of the laboratory result.