Table 3 Questionnaire for assessing the safety of insulin delivery device
Safety assessment questions | |||
|---|---|---|---|
Sl. No. | Question | Options | Score* |
1 | How painful is the process of injecting your insulin? | Acceptable pain | 1 |
Bearable pain | 2 | ||
Unbearable pain | 3 | ||
2 | How many bruising episodes at injection sites have you had in the last 5 days? | None | 1 |
1 episode | 2 | ||
> 1 episode | 3 | ||
3 | How many episodes of high sugars (your perception) have you noticed in the last one week? | None | 1 |
1 episode | 2 | ||
> 1 episode | 3 | ||
4 | How many episodes of low sugars (your perception) have you noticed in the last one week? | None | 1 |
1 episode | 2 | ||
> 1 episode | 3 | ||
5 | How many times have your broken your insulin vial/cartridge in the past one year? | None | 1 |
1 episode | 2 | ||
> 1 episode | 3 | ||