Skip to main content

Table 3 Barriers to insulin initiation faced by Malaysian healthcare professionals

From: A qualitative study on healthcare professionals’ perceived barriers to insulin initiation in a multi-ethnic population

Patient barriers

Fear of side effects and pain

Misconceptions about insulin


Insulin is lethal


Insulin is a punishment


Insulin is a stigma


Insulin is a medication for old people


Insulin causes sexual dysfunction


Insulin is unlawful for Muslims

Seeking alternative treatment

Lack of knowledge and self efficacy

Negative influence from family members

Healthcare professional barriers

Negative attitudes towards insulin

Lack of motivation and confidence

Training-related barriers

Conflicting advice from the healthcare professionals

System barriers

Lack of continuity of care

Lack of manpower

Lack of resources

Language barriers