Four measures of injection burden
and experience had significant independent associations with higher levels of intentional insulin omission and accounted
for an additional 10% of the variance.
These included two aspects of interference (planning one’s activities around insulin injections and injections interfering
with activities of daily living) and two aspects of the injection process itself (pain
and embarrassment). Respondents who
planned daily activities around insulin injections, those who said that taking injections interfered with activities of daily
living, and those who reported injectionrelated pain or embarrassment intentionally skipped insulin injections more often