Accu-Chek 360

• Can I print the reports and a graph in a language other than the language in which the application is installed?
  Yes. The Accu-Chek 360° Diabetes Management system is unique in that it allows users to print out a report or graph in any of the 10 languages supported by the application. Providing information for print in multiple languages is another way the Accu-Chek 360° Diabetes Management system may help improve the communication between the patient and the healthcare team.
  
  Close
• Does the Accu-Chek 360° Diabetes Management system address the needs of users who do not want all of the features it has to offer as well as those that want more? Can features be turned off if they are not being used or needed?
  Yes. The Accu-Chek 360° Diabetes Management system is designed to meet the personalised needs of users by employing a set-up wizard to automatically run the first time the application is used. This “intelligent” wizard customises the application to meet the needs of the specific user. Users will only see those features that they want to use, thus providing an improved personalised experience.
  
  In addition, if users have future needs, they can be addressed by simply using the Show / Hide function within the system application to activate the features to meet these new needs.
  
  Close
• Does the Accu-Chek 360° Diabetes Management system have any advanced reporting options?
  Yes. The Accu-Chek 360° Diabetes Management system provides a variety of advanced reporting options with the intended purpose of making the user’s experience more positive and efficient. These options include:
  
  

  • Favourite reports – The Accu-Chek 360° Diabetes Management system offers the ability to define favourite reports. This is much like creating a list of your favourite Web sites in your Web browser. Once these are created, the user can return to these at the click of a button.
  • Batch reports – This option is designed to allow the user to output several different reports at the same time. For example, the user may want to always print the Trend graph and the Logbook report when his or her supported Accu-Chek device is downloaded. In this case, the goal of the Accu-Chek 360° Diabetes Management system is to make it as simple as identifying what reports should be printed together, and it does the rest.
  • Custom reports – This option is designed to allow users to create or lay out their own reports. It is intended for those users who may want the information presented in a manner different from the standard reports. This is a simple drag-and-drop feature.

  Close
• Does the Accu-Chek 360° Diabetes Management system offer the ability to print, email and fax information?
  Yes. The Accu-Chek 360° Diabetes Management system is designed so that it offers the ability to print, email and fax reports directly from the application. In fact, its technology allows a user to perform all 3 actions consecutively, which may shorten the user’s wait time.
  
  Close
• What is auto-detect?
  The Accu-Chek 360° Diabetes Management system offers a newly created feature that is designed to download supported Accu-Chek devices automatically. With the application closed, the user simply puts the supported Accu-Chek device in communication mode and places it in front of the Accu-Chek 360° USB cable. The Accu-Chek 360° Diabetes Management system does the rest and even auto-prints a report.
  
  Close
• Why would a healthcare professional use the population-management tool?
  The goal of population management is to focus on a group of patients rather than an individual patient. The population-management tool is designed to offer the healthcare professional the ability to identify which therapies are working and which ones are not for a group of patients. This information can help the healthcare professional make informed treatment decisions.
  Not only does the population-management tool’s design offer the ability to prove outcomes, its intended purpose is to do it more efficiently when compared to traditional methods.
  
  Close

• Are there disadvantages associated with steel needle sets?
  Many patients worldwide actually prefer steel needle sets. Unlike with soft cannula sets, the risk of a steel needle set becoming crimped under the skin and disrupting insulin infusion is extremely low.
  
  The needle is just as comfortable to wear as a soft cannula. According to Accu-Chek Rapid-D Link users, it is just a matter of getting used to it. Nickel, which is used in a very low concentration in the stainless steel needle, may be responsible in rare cases for an allergic reaction; a switch to a soft cannula infusion set may help to overcome this issue.
  
  Close
• Do infusion sets contain softening agents?
  These softening agents are mainly used in PVC. Because Accu-Chek Infusion Sets are free of PVC we can exclude the content of softening agents, especially DEHP [ di(2-ethylhexyl)-phthalate ] and DBP [ dibutyl-phthalate ].
  
  A number of consumer products and surface materials contain softening agents, so called plasticizers, to make the material softer. Such materials are known to provoke allergic reactions.
  
  Close
• Does it hurt to wear an infusion set?
  While there may be an occasional "pinch" when inserting the set, many people find inserting infusion sets more comfortable than giving injections. Once the set is under the skin, most people forget that they're wearing it.
  
  Close
• How often do I need to change my infusion site?
  In order to help keep sites free of infection, we recommend that sites be changed at least every 48 hours for steel needle sets, and every 72 hours for soft cannula sets. It is important to always test your blood glucose level 1-3 hours after inserting a new set, to make sure that it is functioning properly.
  
  Close
• My infusion site sometimes hurts. What can I do?
  Pain at the infusion site may be a sign that you are using a set which does not penetrate at the right depth for you (this can especially affect children or thin-build people). If you are using an Accu-Chek TenderLink, try adjusting the angle of insertion. Talk to your healthcare professional about the possibility of switching to a different needle or cannula length.
  
  Close
• My lifestyle is active – always on the go. Can I still enjoy all my favourite activities with the pump?
  The disconnectable sets from Accu-Chek allow you the freedom to disconnect from your pump altogether for the duration or your activity. Talk to your healthcare professional about time off the pump for sports or an occasional day at the beach.
  
  Close
• My set doesn't stick as well during the summer. How can I fasten it better?
  Water sports and heavy sweating can affect the infusion set's adhesive pad – try using an extra water-permeable adhesive patch (like Tegaderm™ or Opsite™ IV3000™) to give your site extra security. You may also try the Sandwich technique: Cleanse the skin using an adhesive wipe, allow to dry, apply a sterile dressing, insert the set into the dressing, cover the set with another sterile dressing to "sandwich" the infusion set.
  
  Close
• What about allergies?
  The use of hypo-allergenic materials is a high priority for Roche. Our infusion sets are latex and PVC free and glues and solvents are used as little as possible. The adhesive tape is also specially designed to allow the skin underneath it to breathe. However, allergic reactions can never fully be ruled out. Sometimes they develop suddenly, even if you have used the same product for years. If an allergic reaction should occur, ask your healthcare professional about products that can help you continue a comfortable therapy.
  
  Close
• Which pump does my set fit on?
  The Accu-Chek infusion sets offer a luer-lock connection that meets international standards and is widely used in medical engineering. Our sets fit on all Disetronic pumps as well as on all other pumps that meet the same standard.
  
  Close

LinkAssist

• Can Accu-Chek LinkAssist be used by several persons or only one?
  The Accu-Chek LinkAssist insertion device is exclusively for use on one person. It must not be used other people.
  
  Close
• Do I have to get professional training before using Accu-Chek LinkAssist for the first time?
  Health care professionals and Diabetes Educators are a valuable source of information and training for all people with diabetes, which you should take advantage of regularly. It is not necessary, however, to get professional instruction before using Accu-Chek LinkAssist for the first time. You will find it easy to use by following the instructions for use contained in the packaging.
  
  Close
• Do I have to pinch my skin for the insertion with Accu-Chek LinkAssist?
  No, this is not necessary.
  
  Close
• How do I know on which side the tube connection of the infusion set is located?
  The elongated perforation mark on the self-adhesive backing directs you to the location of the tube connection.
  
  Close
• How should Accu-Chek LinkAssist be stored?
  The Accu-Chek LinkAssist should not be stored pre-tensioned. The tensioning element should be completely outside of the base. Do not store the insertion device in extreme temperatures (e.g. in a hot car in summer).
  
  Close
• How should I clean the Accu-Chek LinkAssist?
  If needed, wipe the outside of the Accu-Chek LinkAssist insertion device with a cloth moistened beforehand with water, a mild hand soap or a standard disinfectant (e.g. 70% ethyl alcohol). Do not dip the insertion device into the cleaning fluid. Dry the insertion device thoroughly with a soft, clean cloth.
  
  Close
• Is it possible to activate the Accu-Chek LinkAssist with only one hand?
  Yes. This enables you to reach hard-to-access infusion sites.
  
  Close
• What should I do if the infusion set gets stuck in the Accu-Chek LinkAssist insertion device?
  In case the infusion set gets stuck in the insertion device, carefully push the tensioning element back into the base without pointing the insertion device toward any body part or somebody else. Make sure you do not compress the base during application.
  
  Close
• Which infusion sets can be inserted with the Accu-Chek LinkAssist insertion device?
  Accu-Chek LinkAssist has been developed exclusively for the automatic insertion of Accu-Chek FlexLink 90-degree soft cannula infusion sets.
  
  Close
• Who can use or should use the Accu-Chek LinkAssist insertion device?
  The Accu-Chek LinkAssist insertion device has been developed for all those who prefer automatic insertion of infusion sets. Automatic insertion delivers consistent placement of the cannula ever time and helps patients to gain better access to hard-to-reach infusion sites.
  
  Close
• Why is the Accu-Chek LinkAssist so big?
  We have designed Accu-Chek LinkAssist to accommodate all wishes and needs of people with diabetes who prefer automatic insertion. Some of them have to cope with dexterity issues and impaired vision and therefore favour a larger insertion device facilitating easy, quick and virtually painless insertion.
  
  Close
• Why should I use the Accu-Chek LinkAssist insertion device? Isn’t it just one more thing to carry around?
  Using the Accu-Chek LinkAssist helps to ensure a consistent result every time. The use of an automatic insertion device is a matter of personal preference. It is up to you if you prefer to insert Accu-Chek FlexLink manually or with our Accu-Chek LinkAssist insertion device.
  
  Close

• My lifestyle is active. Can I still enjoy all my favourite activities with the pump?
  Accu-Chek infusion sets are designed to be disconnected easily, allowing you the freedom to remove your pump altogether for the duration of your activity.
  
  Talk to your healthcare professional about taking your pump off for sports or other activities.
  
  Close

Multiclix

• Can Accu-Chek Multiclix be used for alternative site testing?
  Yes, it can be used for alternative site testing (AST) by using the specially designed AST cap. Check with your healthcare professional to see if AST is suitable for you.
  
  Close
• Can Accu-Chek Multiclix be used on more than one person?
  Accu-Chek Multiclix is intended to be used by only one person. If someone else uses your lancing device there is an increased risk of infection. To avoid exposure to contaminants, do not use it on multiple users.
  
  Close
• Can I change to the next lancet while the device is primed?
  No, Accu-Chek Multiclix is designed so that a new lancet cannot be selected if the device is primed. Nonetheless, by applying force you may be able to change to the new lancet while the device is primed. This can cause damage to internal parts of the device.
  
  Close
• Can I re-select a lancet used before?
  No, for safety and hygienic reasons this is not possible.
  
  Close
• Can I re-use a drum?
  No, without manipulation this is not possible. Safety hooks prevent accidental re-use of a used drum. A used drum is easily recognized by the red stripes.
  
  Close
• Can I use a lancet more than once?
  We highly recommend the use of a new, sterile lancet every time you test. This is based on hygienic considerations and to help avoid infection. Additionally, the tip of a new needle is sharp, with optimal form and cut and therefore ensures gentle and virtually painless lancing. This is diminished with multiple use.
  
  Never use a lancet that has been used by someone else.
  
  Close
• Does Accu-Chek Multiclix contain latex?
  No, Accu-Chek Multiclix does not contain latex.
  
  Close
• How do I dispose of a used drum?
  The drum can be disposed of in the household waste although it is advisable to check your local council regulations. All lancets are concealed in the drum, you no longer have to re-apply any protective caps.
  
  (Please note: If a lancet drum containing used lancets is dropped on a hard surface (either on its own or in the lancing device), lancets, may in rare cases, protrude from the front of the drum. These lancets could cause injury. Therefore take great care not to touch the front of the used drum.)
  
  Close
• What happens if expired lancets are used?
  The use of an expired lancet (drum) may cause an infection at the puncture site as the lancet may have lost its sterility. We guarantee 4 years of sterility, so you have plenty of time to use up your lancets.
  
  Close
• What if the Accu-Chek Multiclix does not prime?
  Please proceed in the following manner:
  
  

  1. Check whether the lancet display is visible. If not, turn the priming button until the lancet display becomes visible.
  2. Check whether the yellow area in the transparent release button is visible. If this is the case, the device is already primed and ready for use.

  Close
• What is the right way to clean Accu-Chek Multiclix and how often should I clean it?
  To keep your lancing device in tip-top condition, clean it regularly and wipe off any blood immediately. Clean your lancing device from the outside only. Follow a weekly cleaning regime using a cloth moistened with 70% isopropanol or 70% ethanol (available from your pharmacy/ chemist).
  
  In addition, thoroughly wipe the inside of the cap using a cotton bud moistened with 70% isopropanol.
  
  Allow your Accu-Chek Multiclix lancing device enough time to dry thoroughly.
  
  Never dip Accu-Chek Multiclix in water, isopropanol or any other liquid. This may damage internal parts and impair the operation of the lancing device.
  
  Use only 70% isopropanol or 70% ethanol to clean the lancing device. Other substances used for cleaning may attack the plastic and stop the lancing device from operating properly.
  
  Do not clean the Accu-Chek Multiclix drum.
  
  Close
• What is the right way to store the drums?
  Keep your drums clean and protect them from extremes of temperature. Always store the lancing device un-primed.
  
  Close
• Which penetration depth should I use?
  The required penetration depth depends on the following:
  
  

  • Your skin. The softer and thinner your skin is, the shallower the depth setting should be.
  • The required blood sample. The more blood you require, the higher the chosen setting.

  The optimal penetration depth is a combination of both. Always start with a low setting when using the device for the first time. Dial to a higher setting until blood volume is right.
  
  Close

SoftClix

• Can Accu-Chek Softclix lancing device be used for alternative site testing?
  Yes, it can be used for alternate site testing (AST) by using the specially designed AST cap. When performing AST we recommend using Accu-Chek Softclix lancing device at the:
  
  

  • Base of the little finger
  • Base of the thumb
  • Inside of the forearm

  Check with your healthcare professional to see if AST is suitable for you.
  
  Close
• Can Accu-Chek Softclix lancing device be used on more than one person?
  No. Accu-Chek Softclix lancing device is intended to be used by one person only. If someone else uses your lancing device there is an increased risk of cross contamination and infection.
  
  Close
• Can I use a lancet more than once?
  You should always use a new, sterile lancet every time you test. This is based on hygienic considerations. In order to reduce risk of infection, various regulatory authorities require sterile one-time use for products such as lancets.
  
  In addition to the hygienic considerations, there are also other reasons which support once-only use: the tip of an unused lancet is sharp, with optimal form and cut and therefore ensures gentle, virtually pain-free lancing. The single use of lancets also helps prevent skin changes.
  
  Furthermore, never use a lancet that has been used by someone else!
  
  Close
• Does Accu-Chek Softclix lancing device or the Accu-Chek Softclix lancets contain latex?
  No, Accu-Chek Softclix lancing device and the Accu-Chek Softclix lancets do not contain latex.
  
  Close
• How do I dispose of a used lancet?
  Individual lancets should be disposed of in a sharps waste bin carefully, so it cannot cause injury.
  
  Close
• How should I best prepare for blood sampling?
  Wash your hands with warm water and soap, and dry them carefully. This will improve circulation and ensures a clean penetration site.
  
  Close
• Is it correct to discard the first drop of blood?
  No! In contrast to former recommendations, it is not necessary to discard the first drop of blood and to use only the second one for glucose monitoring. There is no significant difference in blood glucose values measured with the first or the second drop.
  
  However, any contamination of the fingertip with dirt or liquids (sweat, fruit juice, etc.) may affect glucose readings. Clean and dry fingertips are a pre-requisite for an optimal glucose measurement.
  
  Close
• May I squeeze the fingertip to get more blood?
  Yes- but be gentle! Blood can be sampled by gently squeezing the fingertip (the tissue is pressed together and blood is forced out of the incision), since it minimizes lancing pain (shallower penetration) and reduces the risk of scarring. Squeezing the fingertip does not significantly dilute capillary blood with ‘tissue water’.
  
  Close
• What can I do to ensure I obtain enough blood?
  Take the following preparatory actions:
  
  

  • Run warm water over your hands before testing to increase blood flow. Be sure to dry hands completely before testing.
  • Improve blood flow to the fingers by warming them.
  • Lower hands below your waist level and gently massage the selected finger before lancing.
  • Press the lancing device firmly against the side of your fingertip.
  • After lancing, massage your finger towards the tip to encourage a blood droplet to form.

  If all of the above steps are insufficient, increase the penetration depth of the lancet device by rotating the black dial one step at a time.
  
  Close
• What happens if expired lancets are used?
  The use of an expired lancet may cause an infection at the puncture site as the lancet may have lost its sterility. We guarantee 4 years of sterility, so you have plenty of time to use up your lancets.
  
  Close
• What if I obtain no blood at all?
  This can be caused by several reasons:
  
  

  • The penetration depth is too shallow for your skin. Please select a higher penetration depth setting.
  • The device needs to be pressed firmly against the skin.
  • Check that a lancet is inserted in the device.
  • Sometimes the blood does not appear immediately after lancing. Massaging the finger by gently squeezing it towards the fingertip helps to form a drop of blood.

  Please also check the preceding question about obtaining enough blood.
  
  Close
• What is the right way to clean Accu-Chek Softclix lancing device and how often should I clean it?
  To keep your lancing device in tip-top condition, clean it regularly and wipe off any blood from it immediately. Clean your lancing device from the outside only. Follow a weekly cleaning regimen using a cloth moistened with 70% isopropanol or 70% ethanol (available from your pharmacy / chemist).
  
  In addition, thoroughly wipe the inside of the cap using a cotton bud moistened with 70% isopropanol. Allow your Accu-Chek Softclix lancing device lancing device enough time to dry thoroughly.
  
  Never dip Accu-Chek Softclix lancing device in water, isopropanol or any other liquid. This may damage internal parts, and impair operation of the lancing device.
  
  Use only 70% isopropanol or 70% ethanol to clean the lancing device. Other substances used for cleaning may attack the plastic and stop the lancing device from operating properly.
  
  Do not clean the Accu-Chek Softclix lancets.
  
  Close
• What is the right way to store the lancets?
  Keep your lancets clean and protect them from extreme temperatures.
  
  Close

Active

• Can the user delete stored results?
  With the new Accu-Chek Active meter it is not possible to delete stored results.
  
  Close
• Does the meter provide information if the test strip has expired?
  Yes, the meter will show exp inside the strip icon if the test strip has expired and the date and time are set. Nevertheless, a measurement will still be possible although we do not recommend using this result for therapeutic decisions.
  
  Close
• How long does the battery last?
  A battery will last for at least 1,000 measurements (based on 3 tests/day) within one year. The internal clock permanently draws power irrespective of the number of tests taken, even when Accu-Chek Active is turned off.
  
  Close
• How many test results can be stored?
  The new Accu-Chek Active meter can store up to 350 test results.
  
  Close
• Is Accu-Chek Active suitable for use in the professional sector?
  Yes, for professional use, we recommend the use of Accu-Chek Active in outside dosing mode to minimise hygiene issues. Regular cleaning of the test strip guide and control measurements are required as described in the Owner’s Booklet. The meter provides a facility for flagging control measurements as such, which is very important in the professional setting.
  
  Close
• Is cleaning required for Accu-Chek Active?
  We recommend regular cleaning of the test strip guide and the optical component underneath it as described in the Owner’s Booklet. In the professional area, regular cleaning is even more important in order to minimise the risk of cross-contamination.
  
  Close
• What type of measurements can be flagged?
  When the result is shown you can use 4 different flags by pressing the S button.
  The flags will appear in the following order:
  
  

  1. before the meal (pre-prandial)
  2. after the meal (post-prandial)
  3. general flag
  4. control solution

  (This value will not be included in the average calculation)
  
  Close
• What types of averages are available?
  There are 3 types of average available:
  
  
  

  1. for all values
  2. for values before the meal
  3. for values after the meal

  For each group the average is shown for 7, 14 or 30 days.
  
  Close

Performa

• Can I re-dose the test strip?
  Yes. You can add blood to the test strip within 5 seconds of applying the first drop.
  
  Close
• Can I use a test strip from another Accu-Chek system in the Accu-Chek Performa meter?
  No. Accu-Chek Performa meters are designed exclusively for use with Accu-Chek Performa test strips.
  
  Close
• Can I use an expired test strip?
  The Accu-Chek Performa meter is designed to prevent biased results caused by expired test strips. During the last month before the code key expires, the meter continues to provide a result, along with the warning ‘code exp’ at the bottom of the display.
  
  After the code key expires, the meter displays an ‘E-5’ error and ‘code exp’ will flash.
  
  Close
• Can I use the code keys from other Accu-Chek meters in the Accu-Chek Performa meter?
  No. Although you can insert a code key from another meter into the Accu-Chek Performa meter, you will get an ‘E-2’ error, and ‘code’ will flash. Only code keys from Accu-Chek Performa test strips will be recognised by the meter.
  
  Close
• Can the Accu-Chek Performa be used for alternate sit testing (AST)?
  The Accu-Chek Performa system will test blood samples from 5 alternative sites (AST): palm, forearm, upper arm, thigh, or calf. Alternate site testing (AST) requires the use of a special lancing cap. Always consult your health care professional to see if AST is suitable for you.
  
  Close
• Do any other substances interfere with the Accu-Chek Performa test strip?
  3 other substances in the bloodstream (galactose, xylose, and lipids) can interfere with the Accu-Chek Performa test strip. No other leading system has fewer interfering substances.
  
  Patients who take a xylose tolerance (D-xylose absorption test) should not use an Accu-Chek Performa meter to test their blood glucose for 24 hours after the test—and should discuss alternative testing options with their health care professional.
  
  Some interfering substances that affected the Accu-Chek Advantage/Sensor system are no longer a concern (e.g., bilirubin, ascorbic acid, and acetaminophen).
  
  Close
• Do control test values stay in the meter’s memory?
  Control test values do not stay in the memory that you can access on the meter.
  Instead, the meter stores them in the downloadable memory, so you can view them with supported software.
  
  Close
• Does maltose interfere with the Accu-Chek Performa test strip?
  High levels of maltose in blood can result in falsely high test results. Blood maltose levels can be high in any patient who is:
  
  

  • Undergoing peritoneal dialysis with solutions containing icodextrin (e.g., Extraneal) because icodextrin is metabolized to maltose
    
  • Receiving certain types of IV immunoglobulin therapies that contain maltose (e.g., Octagam or Gamimune)
    
  • Receiving IV solutions containing maltose as a substitute for glucose or as a means of hydration

  Patients on these therapies should not use an Accu-Chek Performa meter to test their blood glucose for as long as therapy continues—and should discuss alternative testing options with their health care professional.
  
  Close
• How did Roche Diagnostics determine the test strip design?
  In market research that compared different test strip shapes and sizes, users considered the final end-dose design optimal. Consumers found it easiest to perform alternative site testing with an end-dose strip.
  
  Close
• How do I download test results to my computer?
  You can transfer stored blood glucose results to a PC by using compatible Accu-Chek data management software.
  
  To enter download mode:
  
  

  • Turn off the meter.
    
  • Press and hold both the arrow buttons at the same time until 2 flashing arrows appear in the display.
    
  • Initiate the data download by following the instructions provided with the supported software.

   
  
  Close
• How do I exit set-up mode?
  Press and hold the ON/OFF button until the flashing test strip symbol appears.
  
  Close
• How do I perform a control test with the new automatic control ID feature?
  The Accu-Chek Performa meter automatically recognizes Accu-Chek Performa control solutions, so running a control test is easier than ever.
  
  First, wipe the tip of the control bottle with a tissue. Then put the meter on a flat surface, insert the test strip, and squeeze a drop of control solution onto the front edge of the strip.
  
  A result appears with a flashing ‘L-.’ Press once to mark the result as a Level 1 control, or twice for a Level 2 control.
  
  Press to set the level in the meter. The control result and ‘OK’ alternate in the display if the result is in range.
  
  Close
• How does Accu-Chek Performa system technology differ from other Accu-Chek meters?
  The Accu-Chek Performa system checks for more potential issues than any previous Accu-Chek system. It achieves this by combining the power of technologies in the meter itself, the code key, and test strips with 6 gold electrodes to perform extensive quality checks during each test.
  
  These include:
  
  

  • Sample checks
    • Verify the correct amount of blood is applied
    • Signals user if more blood is needed
    • Permit re-dosing within 5 seconds
  • Strip checks
    
    • Check test strips and reagent for potential damage/abuse
      
    • Exposure to high humidity
      
    • Scratches on strip electrodes
      
    • System is designed to compensate for humidity or temperature; otherwise it will produce an error message if unable to compensate
  • System checks
    
    • Check for variations in:
      
    • Haematocrit
      
    • Humidity
      
    • Temperature

  These checks start when the meter is turned on and are complete when a blood glucose result is shown.
  
  Close
• How does the meter determine if the control test is in range?
  The control range data is stored in the code key.
  
  Close
• How does the under-dosing detection feature work?
  If the initial blood sample applied to the test strip window is insufficient, the blood drop symbol will continue to flash on the meter. If sufficient blood is not applied within 5 seconds, ‘E-4’ will appear on the screen, and will flash.
  
  Close
• How long is the test strip shelf life?
  The expiration date is 18 months from the date of manufacture.
  
  Close
• Is the Accu-Chek Performa system approved for use in clinical settings such as hospitals?
  Yes. The Accu-Chek Performa meter is cleared to test capillary, venous, arterial, and neonatal blood samples, it is appropriate for use in clinical settings.
  
  Close
• What chemistry does the Accu-Chek Performa test strip use?
  The test strip uses glucose dehydrogenase chemistry, which prevents oxygen from interfering with test results.
  
  Close
• What happens if the control result is out of range?
  Err and the control result will alternate on the display.
  
  Close
• What test principle does the Accu-Chek Performa system use, and why?
  The Accu-Chek Performa system uses an electrochemical test principle instead of the photometric principle used in the Accu-Chek Integra system and the Accu-Chek Go system.
  
  Electrochemical biosensors such as those in the Accu-Chek Performa system provide high levels of sensitivity and specificity.
  
  In an electrochemical test principle, glucose dehydrogenase enzymatically reacts with glucose in a sample causing the release of an electron that then reacts with a mediator. The modified mediator is subsequently electrochemically converted to its initial state upon application of a voltage difference between the electrodes, resulting in a small electric current that is detected by the system.
  
  Close
• What’s new about the Accu-Chek Performa test strip technology?
  The Accu-Chek Performa test strip has 6 gold electrodes that work together with the rest of the system to perform extensive quality checks.
  
  Close
• What’s new about the test strip container?
  The Accu-Chek Performa test strip container provides several important advantages over previous designs:
  
  

  • Flip-top lid:
    • Makes opening the container easier
    • Helps ensure proper closing to protect test strips from environmental exposure
  • Smaller design helps make it more convenient to carry.

  Close
• Why do I need to wipe the control solution bottle?
  The system differentiates between control solution and blood because controls have a higher salt concentration. However, if the control solution evaporates or concentrates on the tip of the bottle, it could cause the meter to display an incorrect control reading.
  
  Close
• Why does the Accu-Chek Performa system still use a code key?
  Roche Diagnostics retained the code key for 4 reasons:
  
  

  • It can provide feature upgrades (such as faster test times and smaller sample sizes) without the need to buy a new meter.
  • It is designed to prevent the use of expired test strips.
  • It helps ensure more accurate results by reducing the inherent variability in all test strips.
  • It is easy to use. Unlike some meters, which require you to scroll through multiple numbers to code the meter manually, the code key for the Accu-Chek Performa system just snaps into place.

  Close
• Why does the test start even if yellow still shows in the capillary window?
  As soon as enough blood is applied to the strip, the system automatically detects it and begins the test, even if yellow is still visible in the window. The only time you would need to apply more blood is when the blood drop symbol continues to flash in the display.
  
  Close

Performa Nano

• Can I re-dose the test strip?
  Yes, you can add blood to the test strip within 5 seconds of applying the first drop.
  
  Close
• Can I silence the test reminders for a meeting or other needs?
  Yes. Simply turn the beeper off in set-up mode.
  
  Close
• Can I use the code chips from other Accu-Chek meters in the Accu-Chek Performa Nano meters?
  No. Although you can insert a code chip from another meter into the Accu-Chek Performa Nano meters, you will get an error message. The error message for the Accu-Chek Performa Nano meter is ‘E-2’ and the code will flash. Because the Accu-Chek Performa Nano meter uses the same strips as the Accu-Chek Performa meter, they use the same code chips.
  
  Close
• Do any other substances interfere with the Accu-Chek Performa test strips?
  3 other substances in the blood stream (galactose, xylose, and lipids) can interfere with the Accu-Chek Performa test strips. No other leading system has fewer interfering substances.
  
  Patients who take a xylose tolerance (D-xylose absorption test) should not use Accu-Chek Performa Nano meters to test their blood glucose for 24 hours after the test and should discuss alternative testing options with their health care professional.
  
  Close
• Do control test values stay in the meter’s memory?
  Control test values do not stay in the memory that you can access on the meter. Instead, the meter stores them in the downloadable memory, so you can view them with supported software.
  
  Close
• Does maltose interfere with the Accu-Chek Performa test strips?
  High levels of maltose in the blood can result in falsely high test results. Blood maltose levels can be high in any patient who is:
  
  

  • Undergoing peritoneal dialysis with solutions containing icodextrin (e.g., Extraneal®) because icodextrin is metabolized to maltose
  • Receiving certain types of IV immunoglobulin therapies that contain maltose (e.g., Octagam® or Gamimune®)
  • Receiving IV solutions containing maltose as a substitute for glucose or as a means of hydration

  Patients on these therapies should not use Accu-Chek Performa Nano meters to test their blood glucose for as long as therapy continues and should discuss alternative testing options with their health care professional.
  
  Close
• How do I download my blood glucose results to my computer?
  You can transfer stored blood glucose results to a computer by using compatible Accu-Chek data management software.
  
  To enter download mode:
  
  

  • Turn off the meter.
  • Press and hold both arrow buttons at the same time until the display shows 2 arrows flashing alternately.
  • Initiate the data download by following the instructions provided with the supported software.

  Close
• How do I get into set-up mode?
  With the meter turned on and the flashing strip symbol on the display, press and hold the ON/OFF/SET button for about 4 seconds until set-up appears and the hour is flashing on the display.
  
  Close
• How do test reminders work?
  You can set up to 4 test reminders per day in 15-minute increments. At the set reminder time(s), a series of beeps will sound, up to 3 times per minute, every 2 minutes.
  
  The reminder beeps will not occur if the meter is on at the set time, or if you run a test up to 15 minutes before the set reminder time, or if the beep mode is turned off. If you turn on the meter while the reminder is sounding, the series of beeps will stop.
  
  Close
• How does the Accu-Chek Performa Nano system technology differ from other meters?
  The Accu-Chek Performa Nano meter performs many system checks by combining the power of technologies built into the meter, the code chip, and test strips with gold electrodes during each individual test. It uses the same advanced technology as the Accu-Chek Performa meter.
  
  Close
• How does the meter determine if the control test is in range?
  The control range data is stored in the code chip.
  
  Close
• Is the Accu-Chek Performa Nano meter approved for use in clinical settings?
  Yes. The Accu-Chek Performa Nano meter is cleared to test capillary, venous, arterial, and neonatal blood samples.
  
  Close
• Is the Accu-Chek Performa Nano suitable for alternate site testing (AST)?
  The Accu-Chek Performa Nano will test blood samples from 5 alternate sites (AST). These are the forearm, palm, upper arm, thigh or calf. Alternate site testing (AST) requires the use of a special lancing cap. Always consult your health care professional to see if AST is suitable for you.
  
  Close
• What chemistry does the Accu-Chek Performa test strips use?
  The test strip uses glucose dehydrogenase chemistry, which prevents oxygen from interfering with test results.
  
  Close
• What happens if the control result is out of range?
  An error message and the control result will alternate on the display.
  
  Close
• What is the clock backup feature?
  An additional internal battery supports the clock when the main battery is removed.
  
  You can leave the battery out of the meter for up to 10 hours and still retain the time and date. If you replace the battery within that time, the meter will ask you to verify the time and date the next time you turn it on.
  
  When you replace the main battery, the internal battery will automatically recharge. If you do not replace the battery within 24 hours, the meter will retain the time and date that was stored immediately before the internal battery was depleted.
  
  Close
• What test principle does the Accu-Chek Performa Nano meter use, and why?
  The Accu-Chek Performa Nano meter uses an electrochemical test principle instead of the photometric principle used in the Accu-Chek Integra and Accu-Chek Go systems.
  
  Electrochemical biosensors such as those in the Accu-Chek Performa Nano provide high levels of sensitivity and specificity.
  
  In an electrochemical test principle, glucose dehydrogenase enzymatically reacts with glucose in a sample causing the release of an electron that reacts with the mediator. The modified mediator is subsequently electrochemically converted to its initial state upon application of a voltage difference between the electrodes, resulting in a small electric current that is detected by the system.
  
  Close
• Why do I need to wipe the control solution bottle?
  The system differentiates between control solution and blood because controls have higher salt concentration. However, if the control solution evaporates or concentrates on the tip of the bottle, it could cause the meter to display an incorrect control reading.
  
  Close
• Why do the Accu-Chek Performa Nano systems still use a code chip?
  Roche Diagnostics retained the code chip for 4 reasons:
  
  

  1. It can provide feature upgrades (such as faster test times and smaller sample sizes) without the need to buy a new meter.
  2. It is designed to prevent the use of expired test strips.
  3. It helps to ensure more accurate results by reducing the inherent variability in all test strips.
  4. It is easy to use. Unlike some systems that require you to scroll through multiple numbers to code the meter manually, the code chip for the Accu-Chek Performa Nano meter just snaps into place.

  Close
• Why does the test start even if yellow still shows in the capillary window?
  As soon as enough blood is applied to the strip, the system automatically detects it and begins the test, even if yellow is still visible in the window. The only time you would need to apply more blood is when the blood drop symbol continues to flash in the display.
  
  Close
• Why is my clock not set to the correct time?
  Some countries share meter configurations with other countries, have multiple time zones within their country, and/or change their time semi-annually. Therefore, manufacturing is unable to set the correct time for every country. In these cases the time and date function will need to be manually set.
  
  Close