Information For Healthcare Professionals - Roche ACCU-CHEK Aviva Manuel De L'utilisateur

Information for Healthcare Professionals

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Healthcare Professionals: Follow the infection control procedures appropriate
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for your facility.
WARNING: Patients receiving peritoneal dialysis using solutions containing Icodextrin (e.g. Extraneal,
Icodial) should not use the Accu-Chek Aviva Test Strip. It could cause an overestimation of glucose
results.
Decisions about whether to recommend alternate site testing (AST) should take into account the
motivation and knowledge level of the patient and his or her ability to understand the considerations
relative to diabetes and AST. If you are considering recommending AST for your patients, you need
to understand that there is a potential for a significant difference between fingertip and alternate
site blood glucose test results. The difference in capillary bed concentration and blood perfusion
throughout the body can lead to sample site-to-site differences in glucose results. These
physiological effects vary between individuals and can vary within a single individual based upon
his or her behaviour and relative physical condition. Our studies involving alternate site testing of
adults with diabetes show that most persons will find their glucose level changes more quickly in
the fingers' blood than the alternate sites' blood. This is especially important when glucose levels
are falling or rising rapidly. If your patient is used to making treatment decisions based upon
fingerstick readings, he or she should consider the delay, or lag-time, affecting the reading obtained
from an alternate site.
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