INS and diabetes mellitus: Literature supports this finding in that any intensive treatment for diabetes including oral treatment is associated with an increased risk of hypoglycaemic episodes.14 The United Kingdom Prospective Diabetes Study reported that 2.5% PWD aged 25 to 65 years reported substantive hypoglycaemic events (grades 2 to 4) each year.15 This highlights the importance of ongoing disease monitoring and hypoglycaemic education for all PWD whether a patient is taking insulin or not.