INS and diabetes mellitus: In bivariate analysis, age group, marital status, educational status, diabetes association membership, and duration of insulin use were statistically associated with good knowledge on ISA at P value < 0.25 and finally marital status, educational status, and duration of insulin use were found to be significantly associated with good knowledge on ISA at P value < 0.05 in the multivariable logistic regression model (Table 4).