INS and Hypoglycemia: Other factors which PCPs felt were barriers to patients initiating insulin therapy were inadequate support from family or caregivers (69%), attacks of hypoglycemia (43.7%), embarrassment/social stigma (23.9%), fear of death (22.5%), fear of weight gain (20%), inadequate support from nursing staff (15.5%), inadequate support from specialists (14.1%), religious/cultural beliefs (9.9%), decreased life span (8.6%) and financial issues (8.5%).