Table 2.

Themes and subthemes

Themes	Subthemes
1. Double stigma: Diabetes diagnosis and Insulin use
2. Non-adherence to insulin and SMBG	1.Costliness of insulin and glucometers
	2. Unavailability of insulin and glucometers
	3. Forgetfulness
	4. Other factors
3. Logistic challenges in rural areas: Scarcity of healthcare professionals and other healthcare facilities
4. Dissatisfaction with healthcare services	1. Dissatisfaction with counseling services
	2. Dissatisfaction with switching of doctors
5. Patients seeking alternative treatment strategies over allopathic treatment
6. Limitations of health insurance scheme	1. All insulin are not covered by Health Insurance
	2. Lack of uninterrupted availability of insulin covered by Health Insurance
	3. Long waiting time after implementation of Health Insurance
7. Limited role of national diabetes organizations