Accu-Chek® Combo

This is the amount of insulin delivered per hour that is required to cover your background (or basal), blood glucose lowering 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.

Approximately 2 meters (6.5 feet). If the pump has begun to deliver a bolus and it leaves the communication range, the bolus dose will be completed.

Like other electronic and communications equipment, the Bluetooth^® service on the Accu-Chek Combo system must be switched off for the pump and meter if directed by the airline. While the Bluetooth^® service is off, the Accu-Chek Spirit Combo insulin pump can be operated independently of the Accu-Chek Aviva/Performa 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/Performa Combo meter, go into the Settings menu, then Meter, then Bluetooth^®. Follow the instructions given on the screen.

^{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.}

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 factors that calculate a bolus amount are determined and adjusted by your doctor or healthcare professional.

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 Performa Combo meter, so you don't have to access the pump to see the warning and take appropriate action.

No. You should never use your insulin pump near electromagnetic fields such as x-ray, computer tomography (CT) or MRI. Disconnect and remove your pump and leave it outside these areas. If you do not follow this instruction your pump can be damaged and quit operation.

Regarding infusion sets, there is no need to remove a steel needle infusion set for X-Ray or CT. However, we do recommend you completely remove a steel infusion set for MRI scans.

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 bolus advisor provides a recommendation of insulin units to deliver based on your blood glucose value, carb intake and personal settings such as your insulin-to-carb ratio. 

The Accu-Chek Spirit Combo pump will not be affected by walk-through metal detectors. We recommend you do not put either the pump or the meter through the carry-on baggage X-Ray machine. For full body scanners, we recommend putting your pump into STOP mode to avoid the chance of any interference with a body scanner machine. We recommend you obtain a letter from your healthcare professional stating you have diabetes, will be wearing an insulin pump and will be carrying consumables.

Theoretically a strong magnetic field can lead to a permanent defect in the pump but we have no known case of such defect.

Today's insulin pumps are about the size of a mobile phone and weigh only about 100grams. During the day, you can clip it to the waistband of your clothing or put it in a pocket. Some people even wear the pump in a bra pouch or thigh pouch. 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.

The Accu-Chek Spirit Combo Pump and the Accu-Chek Performa Combo meter are only available as a set. You can experience the most benefit by using the pump and meter together. The pump can be operated as a single unit device. All the functions apart from diary/graphs and bolus advice are available on the pump itself. 

You can only pair the Accu-Chek Performa Combo meter with your Accu-Chek Spirit Combo insulin pump.