INS and Hypoglycemia: These benefits of PHRs in both clinical practice and trials can be maximized in the education of insulin dose adjustment for patients with DM who are starting or intensifying their insulin regimen, as frequent self-monitoring of glucose level, self-adjustment of insulin dose, and at-home data collection with minimized visits to the hospital are important for description of details on glycemic control, including hypoglycemia, diet, and activity.