Multivariate logistic regression analysis showed that achieving HBA1c targets at 6th month and 1st year increases the odds of achieving HBA1c targets at 2nd year (OR 4.87 [2.4-9.6] p < 0.001) and (OR 6.2 [3.2-12.0], p < 0.001), respectively.<h4>Conclusion</h4>In people with DM-2, there was an alarming delay in starting and titrating insulin. Here, INS is linked to myotonic dystrophy type 2.