
OVERVIEW
7
Are specific diagnoses more
appropriate for self-testing?
It is important that users be screened carefully before beginning a self-testing
program. The following questions are designed to guide the physician, clinic
nurse, or other healthcare professional in determining an individual’s suitability
for self-testing.
No, the specific diagnosis is not necessarily indicative of who should or should
not self-test. However, prior to beginning self-testing, users should be stabilized
on anticoagulation medications such as warfarin. People with chronic conditions
(for example, congestive heart failure, atrial fibrillation, prosthetic heart valve
replacement) who will need frequent monitoring over a long period of time are
certainly candidates for self-testing.
The person must be reliable, compliance-oriented, and able to follow instructions.
Consider the following:
• Does the person keep appointments?
• Does he or she comply with medication dosing and other elements of the
treatment regimen?
• Is he or she capable of understanding the importance of testing and the details
of the testing procedure?
• Are vision and motor skills adequate?
Look for motivated individuals who want to take an active part in managing their
condition. Lifestyle factors may be important; people who travel, work, or find it
difficult to get to the laboratory may be especially motivated to learn self-testing.
• It is up to the attending physician to determine which individuals are eligible for
self-testing.
• Refer to the test strip package insert for current limitations of procedure.
Motivated parents of children who need testing or caregivers for other individuals
(for example, a spouse) may be trained. The caregiver should be screened using
the same criteria.
User Selection Guidelines
3
What do I look for in judging
these characteristics?
What else should I consider?
Which individuals probably
should not self-test?
Is it appropriate to train
a third-party tester?
What personal
characteristics must the
potential user have?
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