INS and hydrops fetalis: The importance of measuring patient‐reported outcomes in HF is now widely recognized and in the trials included in our analyses the two most commonly used instruments, i.e. the MLWHF score and the KCCQ, were employed.22, 23 We found that patients with diabetes on insulin had a substantially worse quality of life, with the average value of the MLWHF score 6 and 11 (out of 105) points higher (worse) compared to patients with diabetes not on insulin and those without diabetes, respectively.