The independent variables such as age, client educational status, primary care giver, dose of insulin at initiation of treatment, duration of diabetes, first insulin regimen, current insulin regimen, frequency of GC, carbohydrate count, exercise, noncompliance, adherence, diabetes related acute complication, having history of comorbidity were significantly associated with time to first OGC at the point less than 0.25 level of significance from bivariable analysis. Here, INS is linked to diabetes mellitus.