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. 2024 Mar 5;14(3):e079693. doi: 10.1136/bmjopen-2023-079693

Table 2.

Questions in the knowledge, attitude and practice domains with the percentages of patients with type 2 diabetes who had the correct knowledge, a positive attitude and correct practices regarding insulin therapy

Knowledge Percentage of participants with correct knowledge
K1: Insulin prevents complications of diabetes through controlling HbA1c 77
K2: Insulin works better than pills 81
K3: Insulin is usually prescribed as a last option for treatment 23
K4: Insulin, when started, has to be continued for the rest of your life 45
K5: Insulin dose has to be increased once you begin to use it 45
K6: The insulin vial should be stored in the refrigerator or a cool place 99
K7: The sites for insulin injection are the abdomen, thigh and glutei and deltoid muscles 99
K8: The complications of insulin therapy include low blood sugar, insulin allergy, weight gain and wasting of subcutaneous tissue 89
Attitude Percentage of participants with a positive attitude
A1: I worry that people will know I have diabetes if I am on insulin treatment 92
A2: Injecting insulin is embarrassing; I worry about being seen when I inject insulin 86
A3: Injecting insulin is painful 58
A4: I worry that it would negatively impact my job, restrict my activities and hold me back 88
A5: I worry about needing to perform home blood sugar monitoring 68
A6: I do not have enough time to inject insulin 91
A7: The idea of injecting insulin is overwhelming 78
Practice Percentage of participants with correct practices
P1: Checks the name and type of insulin 60
P2: Verifies the expiry date of insulin 77
P3: Adjusts the dose of insulin as needed 83
P4: Washes hands prior to injection 69
P5: Removes air bubbles from the insulin syringe before injecting 63
P6: Syringe/needle head is used once only 92
P7: Disposes of used insulin needles in a special container at home 39
P8: Rotates injection sites regularly 97
P9: Takes insulin injections regularly at the times instructed 95