Table 2

Codebook used in qualitative analysis with codes associated with the research question (n=40)

Primary codeSecondary code# sources# quotes
Negative thoughts PRIOR about going on insulin
It would hurt OR don’t like needles2150
Would take time and energy1932
Diabetes is stigmatized or judged as bad by others68
Weight gain45
Would affect family negatively47
Would cause me to lose my job or status in society35
Was hesitant in general (no specific reason stated)1315
First reaction to going on insulin
Fearful2853
Thought my health had gotten worse2127
Thought I had failed1828
Surprised1417
Sad1115
Not surprised1113
Friends or family member actions
Knew other people on insulin2854
Friends or family provided support for insulin1429
HCP actions (positive)
Said insulin would help with diabetes control2856
Established trust with me2665
HCP available for support or questions2241
Gave me injection in the office2136
HCP explained giving insulin was easy1932
Referred me to a specialist, endocrinologist, etc1725
Told me about the side effects of insulin (ie, hypoglycemia)1523
Honest about what could happen if I didn’t comply1326
Gave reading material about insulin1218
Shared decision making for going on insulin916
Referred me to a diabetes education, nutrition class79
HCP positives in general (not listed above)1114
Negative thoughts NOW about going on insulin
Burden overall2149
Causes weight gain for me1214
More worry from friends and family1114
Causes hypoglycemia for me67
Makes me feel different (ie, in society)44
Positive thoughts NOW about going on insulin
Helps me control my diabetes3157
Not as bad as I thought2872
Lifestyle hasn’t had to change much1625
Helps me feel better1113
Insulin is a natural substance for the body810
Easy to take the right amount of insulin78
Can look up information on my own about insulin56
General (other)1727
Advice or helpful information to others going on insulin2441
Finances and cost
Financial successes of insulin3041
Financial struggles of insulin821
Finance insulin comments (in general)711
  • HCP, healthcare professional.