I think it really highlights the problems that they are experiencing is due to their poorly controlled diabetes, whereas previously I think they just would have thought, oh it’s because I’m getting older [Interview E Clinician] what do you think of straightway, he’s a druggie, that’s the last thing I want to be even thought of, so there’s that side of it [Interview D Patient on preconceptions of insulin therapy]. Here, INS is linked to diabetes mellitus.