Table 2.

Barriers to initiating insulin therapy.

Conditioning factor	Barrier	Strategy
Patient	- Adherence - Perception of failure	- Use of long-acting insulin - Dose recall systems - Diabetes education program
Social environment	- Social rejection	- Community education
Treatment	- Dosage - Hypoglycemia - Method of administration - Weight Gain	- Use of simple adjustment guidelines - Implementation of FGM/CGM systems - Documentation of episodes by the patient - Determination of a greater number of self-monitoring blood glucose. - Implementation of FGM/CGM systems - Education on signs and symptoms - Adjustments in physical exercise - Instruction in the guidelines for dealing with hypoglycemia. - Simple, intuitive devices adapted to different physical limitations. - Instruction in management technique. - Design of specific devices for patients with needle phobia. - Healthy eating education. - Prescription of physical exercise - Choice of type of insulin based on the reported weight evolution.
Professional	- Healthcare team experience - Clinical Guidelines of Scientific Societies	- Instruction and education of entire healthcare team. - Constant review of glycemic control goals - Proper device handling and management technique - Efficacy of insulin as an initial control tool in severe hyperglycemia. - Efficacy in certain diabetes profiles, such as diabetes secondary to the use of corticosteroids.

CGM, Continuous Glucose Monitoring; FGM, Flash Glucose Monitoring.