Patient Reaction When Health care Provider First Said It Was Time to Start Taking Insulin and Insulin Taking Behavior of Surveyed Adult Type 2 Diabetes Mellitus Patients Experiencing Psychological Insulin Resistance Before Regular Insulin Use, 2017
| Patient reaction to the Initial recommendation for insulin by their HCP | Values by Location | |
|---|---|---|
| United States (n = 120) | Canada (n = 74) | |
| Level of surprise when HCP first said it was time to take insulin, mean (SD) | 2.3 (1.0) | 2.2 (1.0) |
| Not surprised at all, n (%) | 30 (25.0) | 20 (27.0) |
| Slightly surprised, n (%) | 42 (35.0) | 28 (37.8) |
| Moderately surprised, n (%) | 34 (28.3) | 14 (18.9) |
| Very surprised, n (%) | 14 (11.7) | 12 (16.2) |
| Level of being upset when HCP first said it was time to take insulin, mean (SD) | 2.8 (0.9) | 2.6 (1.0) |
| Not upset at all, n (%) | 5 (4.2) | 8 (10.8) |
| Slightly upset, n (%) | 46 (38.3) | 27 (36.5) |
| Moderately upset, n (%) | 40 (33.3) | 22 (29.7) |
| Very upset, n (%) | 29 (24.2) | 17 (23.0) |
| Health care professional that helped most in decision to try insulin, n (%) | ||
| Primary care physician | 72 (60.0) | 26 (35.1) |
| Nurse practitioner | 11 (9.2) | 3 (4.1) |
| Physician assistant | 5 (4.2) | 6 (8.1) |
| Medical assistant | 1 (0.8) | 1 (1.4) |
| Endocrinologist | 16 (13.3) | 23 (31.1) |
| Nurse | 2 (1.7) | 2 (2.7) |
| Dietician | 4 (3.3) | 1 (1.4) |
| Diabetes educator | 4 (3.3) | 12 (16.2) |
| Other | 5 (4.2) | 0 (0.0) |
| Time passed between HCP first recommended taking insulin and actually taking it regularly, n (%) | ||
| I started taking it right away | 62 (51.7) | 32 (43.2) |
| Less than 1 week | 9 (7.5) | 7 (9.5) |
| About 1 or 2 weeks | 10 (8.3) | 7 (9.5) |
| About 1 month | 4 (3.3) | 8 (10.8) |
| 2–3 months | 14 (11.7) | 6 (8.1) |
| 4–6 months | 7 (5.8) | 5 (6.8) |
| 7–12 months | 9 (7.5) | 2 (2.7) |
| More than 1 year | 5 (4.2) | 7 (9.5) |
| Stopped insulin for period of 7 or more days since first starting insulin, n (%) | 12 (10.0) | 10 (13.5) |
| During the first month after I first started taking insulin | 2 (16.7) | 3 (30.0) |
| 1–3 months after I first started taking insulin | 3 (25.0) | 3 (30.0) |
| 3–6 months after I first started taking insulin | 0 (0.0) | 2 (20.0) |
| More than 6 months after I first started taking insulin | 7 (58.3) | 2 (20.0) |
HCP, health care provider; SD, standard deviation.