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.