Objective:To investigate the cognition and anxious state of the type 2 diabetes mellitus accepted insulin-treatment for the first time

and offer reference for clinical mental nursing and healthy education. Methods: Use SAS (self-rating anxiety scale) and questionnaire to investigate the cognition of 156 type 2 diabetes mellitus for insulin-treatment at the first time

collect SAS score of different groups from basic understanding for insulin

worry of insulin injection treatment

and influence of their social communication. the statistics and analysis is done by SPSSⅡ10.0. Results: Anxiety score of type 2 diabetes mellitus compared with internal normal norm

the difference has statistical significance. Anxiety score compared in different age

culture degree

and medical cost

the difference has also statistical significance. 51%patients think insulin-treatment means aggravation of pathogenetic condition. 63% patients worry and don’t want injection of insulin. 36% patients think injection of insulin influence their social communication. Conclusion: Type 2 diabetes mellitus who accept insulin-treatment for the first time

have anxiety symptom at different levels. Recognizing the psychological state of every diabetes mellitus for insulin-treatment

will provide some help to clinical management. To insulin-treatment

it is very necessary to strengthen psychological education and eliminate misunderstand of the patients. The patients can accept insulin-treatment protocols early and correctly.