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. 2025 Aug 21;15:30744. doi: 10.1038/s41598-025-15564-x

Table 2.

Responses of the patients on the ITSQ items.

# Item 1 2 3 4 5
n (%) n (%) n (%) n (%) n (%)
Inconvenience of regimen (score = 68.8% ± 26.6%)
 1 How much of a bother is it for you to take all your daily insulin doses as prescribed? 25 (11.0) 30 (13.2) 29 (12.8) 46 (20.3) 97 (42.7)
 2 How much does your current insulin treatment interfere with your ability to enjoy social or leisure activities? 20 (8.8) 27 (11.9) 31 (13.7) 26 (11.5) 123 (54.2)
 3 How much does your current insulin treatment interfere with your work or school activities? (If you do not work or attend school) 26 (11.5) 24 (10.6) 31 (13.7) 33 (14.5) 113 (49.8)
 4 In general, how stressful is it for you to manage your current insulin treatment? 25 (11.0) 23 (10.1) 38 (16.7) 61 (26.9) 80 (35.2)
 5 How burdensome is it for you to manage your current insulin treatment? 20 (8.8) 20 (8.8) 46 (20.3) 65 (28.6) 76 (33.5)
Lifestyle flexibility (score = 68.3% ± 28.1%)
 6 How much do you have to plan the timing of your meals or snacks around the insulin you currently use? 29 (12.8) 28 (12.3) 37 (16.3) 44 (19.4) 89 (39.2)
 7 How much do you have to plan what you eat with your current insulin treatment? 33 (14.5) 26 (11.5) 45 (19.8) 39 (17.2) 84 (37.0)
 8 How much do you have to plan your physical activities (such as exercise or strenuous household chores) around your current insulin treatment? 12 (5.3) 14 (6.2) 34 (15.0) 48 (21.1) 119 (52.4)
Glycemic control (score = 58.0% ± 18.7%)
 9 How confident are you that you can avoid symptoms of low blood sugar (such as sweating, trembling, dizziness, blurred vision) with your current insulin treatment? 21 (9.3) 29 (12.8) 35 (15.4) 53 (23.3) 89 (39.2)
 10 How confident are you that you can avoid severe episodes of low blood sugar that result in loss of consciousness (fainting or passing out) with the insulin you currently use? 20 (8.8) 15 (6.6) 38 (16.7) 45 (19.8) 109 (48.0)
 11 In general, how bothered are you by symptoms of low blood sugar (such as sweating, trembling, dizziness, blurred vision) with the insulin you currently use? 80 (35.2) 40 (17.6) 38 (16.7) 24 (10.6) 45 (19.8)
 12 How much do you feel that the insulin you are currently using increases the chances that you will experience low blood sugar? 32 (14.1) 29 (12.8) 38 (16.7) 41 (18.1) 87 (38.3)
 13 How worried are you about experiencing low blood sugar during the night with the insulin you currently use? 53 (23.3) 42 (18.5) 31 (13.7) 35 (15.4) 66 (29.1)
 14 How confident are you that you can avoid symptoms of high blood sugar (such as dry mouth, thirst, frequent urination, fatigue, increased appetite) with your current insulin treatment? 23 (10.1) 23 (10.1) 51 (22.5) 38 (16.7) 92 (40.5)
 15 How satisfied are you with the stability of your blood sugar levels with your current insulin treatment? 49 (21.6) 31 (13.7) 46 (20.3) 53 (23.3) 48 (21.1)
 16 Overall, how pleased are you with the blood sugar control you achieve with your current insulin treatment? 54 (23.8) 34 (15.0) 46 (20.3) 59 (26.0) 34 (15.0)
Insulin delivery device satisfaction (score = 62.2% ± 21.0%)
 17 How easy is it for you to take the correct amount of insulin each time with your current method of taking insulin? 14 (6.2) 15 (6.6) 38 (16.7) 29 (12.8) 131 (57.7)
 18 How convenient is your current method of taking insulin when you are away from home? 77 (33.9) 28 (12.3) 38 (16.7) 30 (13.2) 54 (23.8)
 19 How much pain or other physical discomfort do you experience with your current method of taking insulin? 15 (6.6) 18 (7.9) 29 (12.8) 31 (13.7) 134 (59.0)
 20 How comfortable are you taking insulin in a public place (where people might see you) with your current method of taking insulin? 87 (38.3) 48 (21.1) 21 (9.3) 19 (8.4) 52 (22.9)
 21 How much emotional distress or anxiety do you experience from your method of taking insulin? 11 (4.8) 23 (10.1) 40 (17.6) 39 (17.2) 114 (50.2)
 22 Overall, how satisfied are you with your current method of taking insulin? 37 (16.3) 36 (15.9) 37 (16.3) 40 (17.6) 77 (33.9)
ITSQ (score = 72.3% ± 16.5%)