Unless you’re on pump therapy, there’s no getting around the fact that insulin therapy requires daily injections. While people with T1 diabetes have to get comfortable pretty quickly with the needle, there’s new evidence that a large number of people with diabetes remain squeamish about the hypodermic.

A recent survey of people with diabetes by the American Association of Diabetes Educators reveals that discomfort caused by injections can directly affect how closely a patient follows insulin therapy. 20% of those surveyed report they have skipped insulin because of needle discomfort, and 47% of those surveyed said they would stick closer to their insulin therapy if they knew of a way to ease the pain and discomfort of injections. A good third of those surveyed report actively dreading needles.