Authors Type of Population Type of Study Main Findings 1. Quatromoni et al. [18] 34 type 2 low-income Caribbean Latinos Group Interviews - Insulin was not regarded as beneficial. - Many believed that insulin dose and complications were related. 2. Hunt et al. [19] 44 type 2 diabetes low-income Mexican Americans Open-ended in-depth interviewing techniques. - Negative attitude more likely than positive (75-25%). - Believed caused serious health problems (43%). -  Blindness myth (25%). 3. Aloozer et al. [20] 20 type 2 diabetes Mexican American Women Open-ended interviews   - Insulin therapy is scary (100%). - Insulin is related to blindness, renal dialysis and amputations (90%). 4. Poss et al. [21] 22 type 2 diabetes Mexican Americans Open-ended questionnaire - All non-insulin users were concerned about future use. - Using insulin was related to have a more severe disease. 5. Polonski et al. [22] 1,267 type 2 diabetes Questionnaire - Were unwilling to start insulin (28.2%). - Thought insulin restricts life (44.8%). -Insulin is associated to a advanced diabetes stage (38.1%). 6. Peyrot et al. [17] 2,061 type 1 and tyo2 2 diabetes, 1109 nurses and 2681 physicians Surveys - Patients rated insulin efficacy as low - 34% of physicians and 54% of nurses delayed insulin therapy 7. Lingvay et al. [23] 58 type 2 diabetes (37.9% Latino) Questionnaire 3 months after started on insulin therapy: - Were satisfied with insulin (97%). - Were willing to continue insulin (88%) 8. Lerman et al. [24] 29 type 2 diabetes low-income Mexicans Questionnaires -Believed insulin was related to advance disease (89%) - Blindness myth (37%) - Insulin was expensive (31%) 9. Mann et al. [25] 151 type 2 diabetes low-income minorities (58% Latinos) Cross Sectional Survey - Found not important to take insulin when glucose was normal (23%). - Worried about potential addiction (13%). 10. Karteret al. [26] 169 type 2 diabetes (15% Latinos) Interviews and surveys - Blindness myth (35%). - Concerned about insulin cost (25%). 11. Hu et al. [27] 43 Latinos with type 2 diabetes Surveys - Highly negative perceptions about insulin - Fear insulin could produce organ damage or death. 12. Peyrot et al. [28] 110 type 1 and 1420 type 2 diabetes (10% Spain, 22.9% US) Questionnaire Omission/adherence was 34.6% and was higher among those who believed insulin was less important and perceived insulin as impacting life-style.

Table 1: Description of studies addressing myths and misconceptions about insulin therapy among Latino patients with diabetes.