INS and Renal insufficiency: In a survey of insulin-naïve patients with poorly controlled T2DM, who had been treated with 2 or more oral agents and were recently prescribed insulin, the authors observed that those failing to initiate prescribed insulin commonly reported misconceptions and concerns regarding insulin risk (35% of the patients believed that insulin causes blindness, renal failure, amputations, heart attacks, strokes, or early death), injections (e.g., injection phobia), hypoglycemia, and impact on social life and work [22].