Table 1a

Clinical and convenience attributes related to insulin treatment; Table 1b Typical scenario choice sets for WTP

1a Core attributesLevels for each attribute
Change in HbA1c
  • 1%-point reduction in HbA1c

  • No change

Number of minor hypoglycemic events
  • 52 per year

  • 12 per year

  • 4 per year

  • 0 per year

Number of major hypoglycemic events (per 12 months)
  • 1 per year

  • 0 per year

Preparation of insulin (rolling and inverting the pen or vial)
  • Preparation of insulin

  • No preparation of insulin

Number of injections per day
  • 1 injection per day

  • 2 injections per day

  • 4 injections per day

Change in weight
  • Weight increase of 1 kg

  • Remain the same weight

  • Weight decrease of 3 kg

  • Weight decrease of 5 kg

Payment per month (out-of-pocket expense)
  • US$27.75

  • US$61.05

  • US$127.65

  • US$277.50

1b Typical WTP scenario choice sets
Treatment ATreatment B
HbA1c levelsNo changeReduction of 1%
Number of minor hypos0 yearly52 yearly
Number of major hypos1 yearly0 yearly
Weight changeNo changeLose 3 kg
Preparation of insulin before injection (rolling and inverting the pen or vial)NoYes
Number of insulin injections1 daily injection4 daily injections
Payment per month (out-of-pocketUS$277.50US$61.05
Which treatment do you prefer?
  • HbA1c, glycated hemoglobin; WTP, willingness to pay.