Table 4.
Reasons associated with delaying insulin therapy
| Percentage of patients (%) | |
|---|---|
| Patient‐reported reasons (n = 415) | |
| Inconvenience | 51.6 |
| Fear of injection | 48.2 |
| Think ‘it is the end of life’ | 31.1 |
| Concern about injection pain | 14.0 |
| No confidence in glucose control | 7.2 |
| Concern about hypoglycemia | 2.9 |
| Concern about weight gain | 1.5 |
| Prefer oral drugs | 1.5 |
| Prefer diet and exercise | 1.2 |
| Inability to self‐inject | 1.0 |
| Physician‐reported reasons (n = 1220) | |
| Patient's refusal | 33.6 |
| Concern about patient's compliance | 26.5 |
| Concern about hypoglycemia | 14.2 |
| Controllable with OADs | 12.2 |
| Patient's lack of DM knowledge | 6.0 |
| Need to follow up before insulin use | 3.9 |
| Lost to follow up | 3.0 |
| Diet change is needed | 2.6 |
| Lack of time to explain | 2.3 |
| Concern about weight gain | 2.1 |
| Lack of efficacy | 1.6 |
| Comorbid condition | 1.2 |
| Physician's decision | 0.7 |
| Lack of patient's will | 0.6 |
Multiple choices were given. DM, diabetes mellitus; OAD, oral antidiabetic.