Table 5.

Canadian Health care Provider Actions That Helped to Make the Decision to Give Insulin a Try—Surveyed Adult Type 2 Diabetes Mellitus Patients Experiencing Psychological Insulin Resistance Before Regular Insulin Use, Canada 2017

DescriptionPatients with Occurrence (n = 74)Helpfulness among Those with Occurrence
n%Mean (1-4 Scale of Helpfulness*)% Helped Moderately or a Lot
HCP walked patient through the whole process of exactly how to take insulin66(89.2)3.38(83.3)
HCP encouraged the patient to contact his/her office immediately if the patient ran into any problems or had questions after starting insulin61(82.4)3.34(82.0)
HCP helped patient to see how simple it was to inject insulin60(81.1)3.22(76.7)
HCP showed patient how small the actual needle was51(68.9)3.22(82.4)
HCP told patient that blood glucose numbers would improve after patient started insulin69(93.2)3.19(78.3)
HCP took time to answer all the patient’s questions and address his/her concerns about insulin69(93.2)3.19(81.2)
HCP helped patient to see that an insulin injection was not as painful as patient thought it might be54(73.0)3.19(79.6)
HCP gave an injection while patient was there in the office34(45.9)3.15(73.5)
HCP explained that the patient might not have to take insulin forever40(54.1)3.13(77.5)
HCP told patient that by going on insulin, he/she might soon be able to discontinue other diabetes medications52(70.3)3.12(71.2)
HCP told patient that starting insulin would help the patient to feel better65(87.8)3.11(75.4)
HCP showed patient an insulin pen62(83.8)3.10(74.2)
HCP told patient that starting insulin could help the patient to live a longer and healthier life64(86.5)3.09(75.0)
HCP explained to the patient that the final decision to try insulin was patient’s, not his/hers57(77.0)3.09(77.2)
HCP helped patient to understand that taking insulin did not have to be as much of a burden as the patient had feared68(91.9)3.07(75.0)
HCP had patient try an injection himself/herself while patient was there in the office41(55.4)3.07(75.6)
HCP reviewed patient's blood sugar numbers with the patient, showing the patient that his/her diabetes was not under control and that action was needed70(94.6)3.07(78.6)
HCP explained that insulin was a natural substance that the patient's body needed67(90.5)3.04(73.1)
HCP encouraged patient to try it for a while and see if it might help the patient feel better54(73.0)3.04(77.8)
HCP warned patient that he/she was likely to develop complications if the patient did not get started soon with insulin to control his/her diabetes62(83.8)3.03(71.0)
HCP reassured patient that the risk of having a serious problem with hypoglycemia while taking insulin was low62(83.8)2.97(72.6)
HCP reassured patient that taking insulin was not going to cause complications, like blindness, kidney disease, or a heart attack51(68.9)2.96(70.6)
HCP and patient talked about the real costs of insulin and insulin supplies and together figured out a way to make it more affordable41(55.4)2.95(70.7)
HCP took the time to ask the patient about the reasons why the patient did not want to take insulin55(74.3)2.95(67.3)
HCP helped patient to understand how insulin works in patient's body to lower blood sugars and improve patient's health62(83.8)2.94(74.2)
HCP reassured patient that taking insulin did not mean that diabetes was now a more serious condition61(82.4)2.92(65.6)
HCP helped patient get over his/her fears that others would treat the patient differently because he/she were taking insulin33(44.6)2.88(75.8)
HCP told patient that he/she just needed to trust that the HCP knew best and that getting started on insulin was the patient's best option51(68.9)2.86(62.7)
HCP warned patient that he/she could not be responsible for what might happen if the patient did not start insulin soon29(39.2)2.86(69.0)
HCP gave patient leaflets or other reading material about insulin48(64.9)2.83(62.5)
HCP helped patient to recognize that insulin was more natural than the pills the patient was taking50(67.6)2.82(64.0)
HCP told patient about all of the positives and negatives of insulin, and explained how the positives outweighed the negatives60(81.1)2.82(65.0)
HCP reassured the patient that he/she would help the patient avoid or minimize any weight gain because of taking insulin39(52.7)2.79(59.0)
Repeatedly over many visits, HCP kept trying to convince the patient to get started on insulin37(50.0)2.76(59.5)
HCP referred patient to a class to help learn more about insulin36(48.6)2.75(58.3)
HCP helped patient to realize that insulin was not going to cost patient as much money as the patient feared it would41(55.4)2.71(58.5)
HCP said that the he/she could not continue to treat patient if the patient refused to start insulin20(27.0)2.70(70.0)
HCP helped patient meet other people who had already been taking insulin for a while20(27.0)2.30(50.0)
  • HCP, health care provider.

  • * Level of helpfulness was scored on a scale of 1 (it did not help at all) to 4 (it helped a lot). Items that did not occur for patients were considered missing.