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Frequently Asked Questions

General Questions

The barometric pressure during operation should be 50 to 106 kPa (500 to 1060 mbar). That means the theoretically allowed altitude range for the Accu-Chek Spirit Combo insulin pump is 5.643 meter to -360 meter.

Early occlusion detection is an important factor for safe and effective insulin pump therapy.

  • An occlusion is an unexpected event where the flow of insulin from a pump into the subcutaneous tissue is blocked.
  • The patient is typically not aware that an occlusion has occurred.
  • Due to missed insulin, a malfunction can often result in elevated bG levels, which if undetected can lead to hyperglycemia or Ketosis with the risk for the development of life threatening Diabetic Ketoacidosis (DKA).1

With its faster occlusion detection, the Accu-Chek Combo system may help to reduce the severity of hyperglycemia and minimizes the risk of ketoacidosis resulting from occlusions.

1.Guilhem I et al., Technical risks with subcutaneous insulin infusion. Diabetes Metab 2006, Vol. 32, p. 279 – 284.

It is possible to use the Accu-Chek Spirit Combo insulin pump during air travels. However there are some aspects which need to be considered:

1. Please disconnect your infusion set during take-off and landing. Rapid and extreme changes in air pressure, for example in an air plane that is taking off or landing can influence insulin delivery, especially if there are air bubbles in the cartridge or tubing.

2. Turn off Bluetooth communication between pump and meter to ensure flight safety instructions.

There are many accessories that let you keep the pump concealed. For women, a popular option is a bra pouch. It clips on the side of the bra and the pump hangs under the arm. This insulin pump pouch works well for formal dresses, sundresses and tank tops. There are also specially designed thigh and arm pouches. Some women just put the pump in a baby sock and tuck it into the front or side of the bra, or pin it under their clothing

The Bluetooth® word mark and logos are registered trademarks owned by Bluetooth SIG, Inc., and any use of such marks by Roche is under license..

Your healthcare professional will prescribe the insulin that is appropriate for you. An insulin pump delivers a continuous supply of fast-acting insulin, so long-acting insulin is not needed. Because fast-acting insulin has more predictable absorption than intermediate or long-acting insulin, your blood glucose levels can be better controlled.

Today's insulin pumps are about the size of a mobile phone and weigh only a few ounces. During the day, you can clip it to the waistband of your clothing or put it in a pocket. Some women even wear the pump in their bra. You have choices at night, too. Some people clip the pump to their pajamas, while others put it in a pocket or under their pillow. Many people simply lay the pump next to them.

An insulin pump is designed to deliver insulin continuously under the surface of the skin. It may also be referred to as continuous subcutaneous insulin infusion or CSII. A pump helps keep blood glucose levels as close to normal as possible. A landmark scientific study showed that maintaining blood glucose levels at or near normal levels greatly decreases the likelihood of complications from diabetes.1

1Diabetes Control and Complications Trial Research Group. The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. New Engl J Med. 1993;329:977-986.

The amount of insulin delivered (in addition to the basal rate) to cover the intake of food and to correct high blood glucose levels. The bolus amount is determined by your doctor or healthcare professional.

This is the amount of insulin delivered per hour that is required to cover your basal, meal-independent insulin needs. In insulin pump therapy, your basal rate is determined together with your doctor or healthcare team and can be adjusted to meet your individual physiological needs throughout the day. Your basal rate is delivered by your insulin pump according to the curve of your personal Basal profile or profiles.

Good, or tight, control requires a balanced approach. Insulin pumps can certainly help you control your blood glucose level, but eating properly, monitoring your blood glucose and regular activity are equally important. The insulin pump doesn't take care of your diabetes—you do.

Insulin pumps are proven to be safe. They have been used by hundreds of thousands of people around the world for years. Today's technology has only served to make them even better. For example, the Accu-Chek Spirit Combo insulin pump performs over 9 million safety checks each day.

Costs vary depending on your insurance coverage.

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Accu-Chek Combo

Item Description

Two-way Bluetooth® wireless communication between the two devices - with the Accu-Chek Aviva Combo meter, you have full  remote control over pump functionality and can deliver a bolus in a fast and discreet way and have full visibility on pump status and activity – right in the palm of your hand.  No need to access the pump.

Product Manuals

WIRELESS TECHNOLOGY

Bluetooth®

METER

Accu-Chek Aviva Combo

DISPLAY

Full-color meter Shows pump screen

TEST STRIP

Accu-Chek Aviva / Accu-Chek Performa

INSULIN PUMP

Accu-Chek Spirit Combo

CARTRIDGE SIZE

315 units / U100

Benefits and Features

Fast occlusion detection

  • Sophisticated occlusion-alarm sensitivity with fast detection after average of 0.7h at basal rate of 0.1 U/hr

Customizable menu

  • Several menu options - standard, advanced or custom -  to allow you to learn about the Accu-Chek Spirit Combo insulin pump step by step and customize it for your daily use

XL insulin cartridge, XXL convenience

  • Convenient, easy-to-fill cartridge holds 315 units of U-100 insulin

Additional safety features

  • Alerts, warnings and alarms by sound, vibration or both—for more peace of mind
  • Automatic system status check (every three minutes and before each bolus)
  • Integrated key lock option
  • Discretion—thanks to two-way Bluetooth®wireless technology between the two devices
  • Confident bolusing—because of a reliable built-in bolus calculator for a quick and easy bolus delivery in 3 steps
  • Extra safe—thanks to accurate measuring, alarm functions, key lock and fast occlusion detection
  • Easy-to-understand overview on relevant data—via integrated diary and onboard data analysis tools
  • Advanced diabetes management with accompanying software

Download manual

Additional specifications
Basal rate:

0.05 U/h to 25 U/h; 24 hourly basal rates can be adjusted in increments of 0.01 (up to 1.00 U/h), 0.05 (up to 10.0 U/h) and 0.1 (up to 25.0 U/h)

Temporary basal rate:

Adjustable in 10% increments and 15-minute intervals up to 24 hours

Maximum bolus:

50 units

Bolus options:

Quick, Standard, Extended and Multiwave (duration of extended and multiwave bolus adjustable in increments from 15 minutes to 12 hours)

Cartridge size:

The cartridge size is 3.15 mL. The cartridge can be filled with up to 315 units of U-100 insulin.

Infusion sets:

Choose from a portfolio of Accu-Chek infusion sets with a luer-lock connector

Water resistance:

IPX8 rated for brief, accidental contact with water

Safety features:

Alerts for blockages, low insulin cartridge, out-of-range test results, low pump and meter battery: Alerts include beeping, information on the display and vibrations.

Dual microprocessors: If a defect or fault occurs in one processor, it is identified by the other. The motor is immediately switched off and an error appears on the insulin pump and connected meter.

Key lock prevents accidental use.

Pump can be operated independently of the meter, if necessary.

Dimensions:

94 x 55 x 25 mm

Weight:

Approximately 100g with batteries

Power supply:

3 AAA alkaline batteries

Display:

Full color; displays proven bolus advise, bG readings, diabetes diary and insulin pump screens

Sample size:

0.5 ml

Memory capacity:

1000 diary records

Data port:

Infrared (IR) window

Test principle:

Electrochemical

Test averages:

7, 14, 30, 60, 90 days

Data management:

Logbook, Trend graph, Target report, Standard week and Standard day graphs

Additional features:

Auto power on with strip insertion; Auto off after two minutes

References:

The Bluetooth® word mark and logos are registered trademarks owned by Bluetooth SIG, Inc., and any use of such marks by Roche is under license.

How to use the Accu-Chek Combo system

For further information on how to use your Accu-Chek Combo system, please see your Accu-Chek Aviva/Performa Combo blood glucose meter and your Accu-Chek Spirit Combo insulin pump Owner’s Booklet.

WIRELESS TECHNOLOGY

Bluetooth®

CARTRIDGE SIZE

315 units of U100

Benefits and features

The Accu-Chek Spirit Combo insulin pump

  • Flexibility to adjust your basal rate to as low as 0.05 units/hour—in increments as small as 0.01 units—if you require small amounts of basal insulin
  • Temporary Basal Rate function lets you quickly adjust basal rate delivery to match changing conditions (illness, exercise, stress, premenstrual, etc.)
  • Pump can operate independently of the meter, should the need arise
  • The cartridge holds up to 315 units of U-100, which maximizes convenience as daily insulin needs change

Download manual

Additional specifications
Basal rate:

0.05 U/h to 25 U/h; 24 hourly basal rates can be adjusted in increments of 0.01 (up to 1.00 U/h), 0.05 (up to 10.0 U/h) and 0.1 (up to 25.0 U/h)

Temporary basal rate:

Adjustable in 10% increments and 15-minute intervals up to 24 hours

Maximum bolus:

50 units

Bolus options:

Quick, Standard, Extended and Multiwave (duration of extended and multiwave bolus adjustable in increments from 15 minutes to 12 hours)

Cartridge size:

315 U100 units

Infusion sets:

Choose from Accu-Chek infusion sets with a luer-lock connector

Water resistance:

IPX8 rated for brief, accidental contact with water

Safety features:

Alerts for blockages, low insulin cartridge, out-of-range test results, low pump or meter battery: Alerts include beeping, information on the display and vibrations.

Dual microprocessors: If a defect or fault occurs in one processor, it is identified by the other. The motor is immediately switched off and an error appears on the insulin pump and connected meter.

Key lock prevents accidental use.

Pump can be operated independently of the meter, if necessary.

Dimensions:

83 x 56 x 21 mm

Weight:

Approximately 110g with battery, full cartridge and infusion set

Power supply:

1.5-volt AA alkaline (LR6) or lithium (FR6) battery

References:

The Bluetooth® word mark and logos are registered trademarks owned by Bluetooth SIG, Inc., and any use of such marks by Roche is under license.

How to use the Accu-Chek Combo system

For further information on how to use your Accu-Chek Combo system, please see your Accu-Chek Aviva/Performa Combo blood glucose meter and your Accu-Chek Spirit Combo insulin pump Owner’s Booklet.

WIRELESS TECHNOLOGY

Bluetooth®

DISPLAY

Full-color meter Shows proven bolus advice, bG readings, diabetes diary and pump screen

TEST STRIP

Accu-Chek Aviva / Accu-Chek Performa

Benefits and features

Blood glucose meter

  • Accurate results within seconds—for more flexibility
  • Integrated data management
  • Pre- and post-prandial test reminders

Remote control

  • Fully operates the Accu-Chek Spirit Combo insulin pump—for more discretion
  • Bluetooth®technology= safe + reliable + invisible = discreet

Bolus advisor

  • Bolus advice in 3 simple steps—for less fear of hypos
  • Fully customizable to individual needs
  • Designed for tighter postprandial management

Download manual

Additional specifications
Display:

Full color; Displays proven bolus advise, bG readings, diabetes diary and insulin pump screens

Sample size:

0.5 ml

Power supply:

3 AAA alkaline batteries

Memory capacity:

1000 diary records

Dimensions:

94 x 55 x 25 mm

Weight:

Approximately 100g with batteries

Data port:

Infrared (IR) window

Test principle:

Electrochemical

Test averages:

7, 14, 30, 60, 90 days

Data management:

Logbook, Trend graph, Target report, Standard week and Standard day graphs

Additional features:

Auto power on with strip insertion; Auto off after two minutes

References:

The Bluetooth® word mark and logos are registered trademarks owned by Bluetooth SIG, Inc., and any use of such marks by Roche is under license.

How to use the Accu-Chek Combo system

For further information on how to use your Accu-Chek Combo system, please see your Accu-Chek Aviva/Performa Combo blood glucose meter and your Accu-Chek Spirit Combo insulin pump Owner’s Booklet.

DOWNLOAD FROM

Blood glucose meter Insulin pump

TRACKS

Blood glucose results Insulin use data Carbohydrate counts Medication data

LANGUAGES

German, English (list appropriate: English, Simplified Chinese, Danish, Dutch, French, German, Italian, Korean, Norwegian, Polish, Portuguese, Spanish, Swedish, Turkish)

OPERATING SYSTEM

Windows (see chart)

Benefits and features
  • Quick, one-click download from your Accu-Chek blood glucose meter or insulin pump—save time, reduce manual entry errors and make data easier to understand
  • Track important health information such as HbA1c, blood pressure, cholesterol, weight, and insulin in addition to blood glucose results
  • View data as graphs, charts or reports—clearly see the impact of medication, diet and activity on your blood glucose levels
  • Customize settings to your own targets and goals
  • Print reports or fax or e-mail them to your healthcare provider
  • Get started easily with setup wizards
Additional specifications
Compatibility:

Accu-Chek blood glucose meters and insulin pumps

Platform and processor:

IBM® and Intel®-compatible PC with Pentium® III 600 MHz or higher processor (32 bits)

Operating system:

Windows® 7, 8 or 8.1, Windows Vista®, Windows XP with Service Pack 3, Windows Server® 2008 R2, Windows Server 2008 or Windows Server 2003, or higher

Memory:

256 MB RAM

600 MB of available hard drive space

Data cable connection:

USB

Meter and pump connection:

Infrared (IR) window or USB cable (see your Owner's Booklet for details)

Languages:

English, Simplified Chinese, Danish, Dutch, French, German, Italian, Korean, Norwegian, Polish, Portuguese, Spanish, Swedish, Turkish

References:

The Bluetooth® word mark and logos are registered trademarks owned by Bluetooth SIG, Inc., and any use of such marks by Roche is under license.

How to use the Accu-Chek Combo system

For further information on how to use your Accu-Chek Combo system, please see your Accu-Chek Aviva/Performa Combo blood glucose meter and your Accu-Chek Spirit Combo insulin pump Owner’s Booklet.