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Table 3 Barriers to insulin initiation faced by Malaysian healthcare professionals

From: A qualitative study on healthcare professionals’ perceived barriers to insulin initiation in a multi-ethnic population

Patient barriers
Fear of side effects and pain
Misconceptions about insulin
  Insulin is lethal
  Insulin is a punishment
  Insulin is a stigma
  Insulin is a medication for old people
  Insulin causes sexual dysfunction
  Insulin is unlawful for Muslims
Seeking alternative treatment
Lack of knowledge and self efficacy
Negative influence from family members
Healthcare professional barriers
Negative attitudes towards insulin
Lack of motivation and confidence
Training-related barriers
Conflicting advice from the healthcare professionals
System barriers
Lack of continuity of care
Lack of manpower
Lack of resources
Language barriers