Table 1.

Distribution of possible barriers to insulin adherence in diabetic patients

Barrier	Strongly disagree, number (%)	Disagree, number (%)	Undecided, number (%)	Agree, number (%)	Strongly agree, number (%)
Waiting for a new treatment method	0	19 (8.9)	29 (13.6)	49 (22.9)	117 (54.7)
Dependence on others due to insulin use	7 (3.3)	109 (50.9)	34 (15.9)	23 (10.7)	41 (19.2)
Fear of needles	6 (2.8)	115 (53.7)	26 (12.1)	27 (12.6)	40 (18.7)
Additional costs	6 (2.8)	115 (53.7)	31 (14.5)	22 (10.3)	40 (18.7)
Inconvenience of carrying insulin, especially on trips	7 (3.3)	81 (37.9)	57 (26.6)	29 (13.6)	40 (18.7)
Stress or emotional problems	7 (3.3)	98 (45.8)	38 (17.8)	32 (15)	39 (18.2)
Difficulty of keeping insulin	7 (3.3)	91 (42.5)	43 (20.1)	36 (16.8)	37 (17.3)
Difficulty in injection due to aging and disability	4 (1.9)	113 (52.8)	31 (14.5)	33 (15.4)	33 (15.4)
Injection site pain	6 (2.8)	124 (57.9)	30 (14)	22 (10.3)	32 (15)
Difficult to inject	6 (2.8)	99 (46.3)	43(20.1)	35 (16.4)	31 (14.5)
Drug unavailability	10 (4.7)	86 (40.2)	53 (24.8)	35 (16.4)	30 (14)
People’s opinion	7 (3.3)	113 (52.8)	39 (18.2)	26 (12.1)	29 (13.6)
Coma due to an unbalanced use of insulin	6 (2.8)	112 (52.3)	42 (19.6)	25(11.7)	29 (13.6)
Being alone	3 (1.4)	126 (58.9)	31 (14.5)	26 (12.1)	28 (13.1)
Sudden death	9 (4.2)	119 (55.6)	36 (16.8)	23 (10.7)	27 (12.6)
Experiences of others regarding insulin	5 (2.3)	120 (56.1)	39 (18.2)	23 (10.7)	27 (12.6)
Diabetes has become much worse	6 (2.8)	109 (50.9)	54 (25.2)	21 (9.8)	24 (11.2)
Fear of complications	9 (4.2)	100 (46.7)	55 (25.7)	26 (12.1)	24 (11.2)
Insulin can hurt family members because of needle use	5 (2.3)	146 (68.2)	27 (12.6)	19 (8.9)	17 (7.9)
Do not have trust in the physician	15 (7)	169 (79)	13 (6.1)	10 (4.7)	7 (3.3)