In this study, 74.8% of insulin patients failed to lower this parameter below the ADA ́s (American Diabetes Association) recommended limit of 7%, compared to 64.6% in a large-scale Algerian survey of more than 12390 diabetic patients, 66.33% in Moroccan type 2 diabetics, and 85% in a Sudanese population of the same type [35-37]. Here, INS is linked to diabetes mellitus.