My Accu Chek Aviva Expert Bolus Advisor

[mum2westiesGill]

My Settings for my meter

my time blocks:
0.00 5.30
5.30 12.00
12.00 16.00
16.00 21.30
21.30 0.00

my targets:
8 lower target/12 upper target
4 lower target/7 upper target
4 lower target/7 upper target
4 lower target/7 upper target
8 upper target/12 upper target

my carb ratios:
1 unit insulin/10 grams carbs
1 unit insulin/10 grams carbs
1 unit insulin/10 grams carbs
1 unit insulin/10 grams carbs
1 unit insulin/10 grams carbs

my Insulin sensitivity/corrections:
1 unit/3 mmol
1 unit/3 mmol
1 unit/3 mmol
1 unit/3 mmol
1 unit/3 mmol

http://www.diabetessupport.co.uk/boards/showthread.php?t=40687&page=5

carrying on from the above thread but using my Expert Bolus Advisor meter

Fri 11.10
9.7 - fasting -8:38
7.8 - breakfast - 11:00 - 3 CPs - 4u QA
12.3 - lunch - 14:31 - 3.4 CPs - 5.5u QA
4.3 - dinner - 19:22 - went out for a meal so tested, ate then injected after eating at 19:50 using my own advice 4 CPs but I realised later it should've been more 4u QA
19.1 - bedtime - 22:25 - 24u BI

 

[mum2westiesGill]

Sat 12.10
no test - fasting
19.4 - breakfast - 10:23 - 1.5 CPs - 6u QA
14.5 - lunch - no lunch, not hungry
15.2 - dinner - 20:07 - went out for a meal so tested, ate then injected after eating
18.8 - bedtime - 22:23 - 24u BI
- BI - 22:26 - 24u

Sun 13.10
no test - fasting
no test - breakfast - no breakfast
5.9 - lunch - 14:06 - 4.2 CPs - 4.5u QA

3rd day of using my expert meter but have had 2 meals out and used own advice. Bolus advice with the meter can only be used when carbs are entered.

 

[everydayupsanddowns]

3rd day of using my expert meter but have had 2 meals out and used own advice. Bolus advice with the meter can only be used when carbs are entered.

Why are you doing that Gill? Do you not trust the meter yet? Do you not think the settings are right?

As long as you test when you are about to inject (whenever that is in relation to the meal before/after/whenever) you could use the bolus advice couldn't you? Even if you tested beforehand too?

 

[mum2westiesGill]

3rd day of using my expert meter but have had 2 meals out and used own advice. Bolus advice with the meter can only be used when carbs are entered.

Why are you doing that Gill? Do you not trust the meter yet? Do you not think the settings are right?

Hi Mike,
I'm doing my best to go along with what the meter advises but up to now only when I've eaten at home because I know how many carbs I'm having straight away.
I do it because when I eat out I personally find it much easier to order, test, eat meal then inject afterwords once I know how many carbs I've had rather than testing etc at the time of the meal arriving

As long as you test when you are about to inject (whenever that is in relation to the meal before/after/whenever) you could use the bolus advice couldn't you? Even if you tested beforehand too?

So could I order, eat meal then test & inject after the meal & use the advice after the meal? If I inject up to 15 mins after the meal will the meter be able to give the advice on what I've just eaten?

 

[everydayupsanddowns]

I think it would certainly be worth trying... That way once you start altering your ratios to fine tune them to your exact requirements rather than keeping re maths easy you will still have the benefit of the Expert when eating out 🙂

 

[mum2westiesGill]

I think it would certainly be worth trying

Maybe I will then, it's not all the time I eat out, only at weekends & most nights on holidays! 😱

 

[mum2westiesGill]

Sun 13.10 (cont)
10.4 - dinner - 19:24 - 3.1 CPs - 4 5u QA
11.0 - bedtime - 22:43 - 24u BI

Mon 14.10.13
3.6 - fasting/hypo - 8:12 - had jelly babies x 4 (20 CPs)
6.4 - hypo check - 8:32


I thought I wasn't meant to have hypos when using an expert meter 😡

 

[PattiEvans]

Unless the settings are completely correct on your meter you could still have a hypo. From reading this thread it's obvious that the settings aren't correctly tuned as yet. It will need some fine tuning. However the hypo would appear to be your fasting BG but you went to bed at 11mmol and woke at 3.6 so as you had no bolus on board by then it's pretty obvious that it's your overnight basal that's wrong.

Have you tried testing your basal overnight? There are some instructions here http://www.diabetes-support.org.uk/info/?page_id=120 Hope this helps.

 

[mum2westiesGill]

Unless the settings are completely correct on your meter you could still have a hypo. From reading this thread it's obvious that the settings aren't correctly tuned as yet. It will need some fine tuning

Hi Patti,
Thank you for your reply. I only started using the meter last Friday 11.10.13, would I have to do the fine tuning myself or wait until I see my DSN?

However the hypo would appear to be your fasting BG but you went to bed at 11mmol and woke at 3.6 so as you had no bolus on board by then it's pretty obvious that it's your overnight basal that's wrong.
Have you tried testing your basal overnight? There are some instructions here http://www.diabetes-support.org.uk/info/?page_id=120 Hope this helps.

Yes I've done two nights basal testing last week:
Wed 09:10
9.6 - 3:43

Thu 10:10
16.0 - 3:19

Thanks for the link

 

[Laura22]

Hi- I also have this meter (my diabetes BFF!) and love it. I think it will take some tweaking. If someone can tell me how to find where my ratios are, I'd be happy to share them

 

[PattiEvans]

Ooops... sorry Gill, just noticed you're on Humalog. How long have you set the duration of your bolus insulin for? I used to find Humalog lasted 5 hours for me and I'd get a drop in the last half hour, so it could be that.

Yes I've done two nights basal testing last week:
Wed 09:10
9.6 - 3:43

Thu 10:10
16.0 - 3:19

Are you saying that on the night of 9th/10th October you were 9.6 at 3.43 am? If so, what were you pre-bed (and how long since you'd eaten did you go to bed) and what was your FBG on the morning of 10 October? Similarly for the Thursday night?

Thank you for your reply. I only started using the meter last Friday 11.10.13, would I have to do the fine tuning myself or wait until I see my DSN?

Well, I'd probably do it myself but if you're nervous it might be better to ask your DSN.

FWIW I have just got the same meter and only started using it last night. DSN has set it up similarly to the way yours is set up (she's set it to 1u insulin for 8g carb). I am leaving it for the time being to prove a point that I'm pretty certain that the ratios won't work for me. But since this is virtually the same as the meter I shall have for my pump it's important to get it right.

 

[trophywench]

Turn meter on.

Settings

Bolus Advice

Time blocks, when you click on each time block. it shows you your carb to insulin ratio and your correction ratio below that, use the arrows to get to the one you want to change, when the blue block is on that thing, click the middle button, then change it ising the up and down arrows. When it's what you want it to be, click the middle button again and when you are happy with all the info for that time block, click Save.

Then go on to the next one .....

 

[trophywench]

Eating out - test before you eat. If you need a correction, do it.

Once you have eaten, and you have guesstimated the carbs turn meter on again, click Bolus Advice, enter the number of carbs and it will work out your dose - it will say 'Do you want to test before you accept this bolus?' and you say 'No.'

It's no good testing AFTER you eat because your BG will already be rising by then, and it will correct for that before it calcs the bolus for the carbs and add it to whatever it is for thos ecarbs, so you would bolus too much .

 

[mum2westiesGill]

Hi Patti,

Ooops... sorry Gill, just noticed you're on Humalog. How long have you set the duration of your bolus insulin for? I used to find Humalog lasted 5 hours for me and I'd get a drop in the last half hour, so it could be that.

Yes that's right I'm on humalog. The duration is - active time = 4 hrs & offset time = 2 hrs

Are you saying that on the night of 9th/10th October you were 9.6 at 3.43 am? If so, what were you pre-bed (and how long since you'd eaten did you go to bed) and what was your FBG on the morning of 10 October? Similarly for the Thursday night?

9th October:
9.6 - bedtime - 22:27
9.6 - during night - 3:43
3.9 - fasting - 8:27
10th October:
12.3 - bedtime - 22:29
16.9 - during night - 3:19
13.5 - fasting - 7:16

 

[mum2westiesGill]

Turn meter on.

Settings

Bolus Advice

Time blocks, when you click on each time block. it shows you your carb to insulin ratio and your correction ratio below that, use the arrows to get to the one you want to change, when the blue block is on that thing, click the middle button, then change it ising the up and down arrows. When it's what you want it to be, click the middle button again and when you are happy with all the info for that time block, click Save.

Then go on to the next one .....

Thank you very much for this 🙂

Eating out - If you need a correction, do it.

Thanks very much for the help with using the meter when eating out 🙂 but if a correction was needed would/could I enter this into the meter at the time of testing?