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Table 1 Questionnaire for assessing the simplicity of insulin delivery device

From: Comparison of simplicity, convenience, safety, and cost-effectiveness between use of insulin pen devices and disposable plastic syringes by patients with type 2 diabetes mellitus: a cross-sectional study from Bangladesh

Simplicity assessment questions

Sl. No.

Question

Options

Score*

1

How many of doses of insulin have you missed in the last 5 days?

None

1

1–3 doses

2

> 3 doses

3

2

How easy is to inject your insulin?

Easy

1

Intermediate

2

Hard

3

3

How easy is it to calibrate the dose of your insulin?

Easy to learn

1

Acceptable

2

Hard

3

4

How easy is it to change needles (removing/connecting)?

Easy to learn

1

Acceptable

2

Hard

3

5

How easy is it to store your insulin?

Easy to learn

1

Acceptable

2

Hard

3

  1. *Scoring as per response. A minimum score of 5 and a maximum score of 15. A lower score indicates a simpler device, and a higher score denotes a more complicated device