INS and Hypoglycemia: The availability of newer and more expensive glucose-lowering drugs with a low risk of hypoglycaemia is also inferior in middle-income compared with high-income countries (7–13% vs 47–52%) [37] and access to blood glucose meters and test strips, indispensable for reducing the risk of hypoglycaemia in insulin-treated individuals, is 50% lower in middle-income compared with high-income countries [37].