Conclusions Self-management is at least as safe as conventional management for patients who are motivated and can manage the routines on their own (Strong Scientific Evidence). The benefits of self-management for these patients mainly involve improvements in quality of life, e.g., greater independence from health services. There is insufficient scientific evidence to assess self-management in relation to conventional management over the longer term.

There is insufficient scientific evidence to compare self-testing alone with conventional management.

There is insufficient scientific evidence to assess the respective cost-effectiveness of self-testing and self-management.