INS and Hypoglycemia: Barriers faced by physicians in commencing insulin therapy encompass factors such as insufficient knowledge, training, and experience, language barriers between physicians and patients, heightened physician apprehension regarding the risk of hypoglycemia and weight gain, inadequacy of physicians' skills, and the time necessary for insulin therapy, their perception of potential complications, a perceived lack of treatment benefits as well as concerns regarding patient noncompliance [48,49].