Laura RicciSterling, MA, États-Unis
9 févr. 2019

Yesterday there was a big picture that originated from a Texas news station about the availability of using the WALMART insulin for $24.88 a bottle.  It's important to know that using WALMART insulin isn't a fix all for the insulin crisis in America.  Here is what WALMART insulin is.  What is Walmart Insulin?
 

Humulin R is a brand name for regular insulin. It is a short-acting insulin. That means that it takes about 30 minutes to reach your bloodstream and works for about three to six hours.
Humalog is a brand name for insulin lispro,(Analog insulin) which is a fast-acting insulin.


While the price might seem great, you should not use this insulin to replace humalog unless you consult with your endocrinologist first. This insulin requires a different dosing regimen than humalog.  It has a different peak time. You may find yourself having to eat a certain amount of carbs with this regimen. It’s generally not used in pumps. It is most often used with a sliding scale and for T2 diabetics. Using this insulin without a doctor’s orders can be harmful to your child and cause blood sugars to be out of whack. You can’t use the same dosing instructions for this as you do for humalog.
Humulin R (human insulin) is a short-acting type of insulin. Insulin helps to control blood sugar levels in diabetes mellitus, including diabetes type 1 and diabetes type 2. Humulin R is less popular than comparable drugs. There are currently no generic options for any insulin brand, but less expensive biosimilar versions may be available in the future.
Insulin companies offer coupon programs to help with offsetting the costs of insulin. You can find information online.
You can also buy insulin from Canadian Pharmacies. Google Canadian insulin and websites will come up. You can buy insulin in bulk for around $400 for 10 bottles, compared to one bottle of insulin in the U.S. for $300.
See if you qualify for financial assistance programs with all the major insulin companies. Look on their websites.
https://reference.medscape.com/drug/humulin-r-novolin-r-insulin-regular-human-999007
http://insulinnation.com/treatment/why-walmart-insulins-arent-the-answer-to-high-insulin-prices/ See the commentary below.
Commentary
Some people don’t understand why people with diabetes get upset at the price of insulin. They see insulin for sale at a relatively reasonable price in Walmart and don’t see the problem. What they don’t know is that these Walmart insulins just don’t perform nearly as well as the more expensive insulins, and that gap in performance can have a very negative effect on the health of people with diabetes.
There are three insulins available at Walmart for the price of $25 – NPH, Regular, and 70/30 (a mix of the two). NPH was first approved by the FDA in 1950, Regular was approved in 1982, 70/30 in 1989. That means NPH has been around for 66 years, Regular for 33 years, 70/30 for 27 years.
Take a moment and think about what healthcare was like in 1950.
Now, I’m sure someone is saying, “Well, they must still work if they are still being sold.” And they do, but they don’t work in the same way. These insulins are not interchangeable.
If a person with Type 1 diabetes were to switch from a Humalog/Lantus insulin regimen to Regular and NPH, it would drastically alter their lifestyle, making blood sugar control more irregular and raising A1C scores.
The biggest issue is that whereas Lantus is steady, NPH peaks. A person using NPH must keep a very set dietary schedule, making sure to eat meals and snacks at certain times to correspond with peak times of an insulin dose.
The strict schedule is difficult for everyone, but especially for children. They are unable to alter their daily schedules and must always be sure to eat at specific times. Even if they’re not hungry, they must eat to avoid low blood sugar. And if they are hungry, they often cannot have more than the required amount.
Quite frankly, this sucks. When my child was first diagnosed, she was on NPH. It was incredibly difficult to limit a growing child’s diet to such a strict schedule. Here’s what it looked like:
8 a.m.- 45-carb meal 10:30 a.m. – 15-carb snack 12 p.m. – 45-carb meal 2 p.m. – 15-carb snack 5 p.m. – 45-carb meal 7:30 p.m. – 15-20 carb snack before bed to keep blood sugar up overnight.
I cannot tell you how many times my child refused to eat the 45 carbs in her dinner. There is something wrong when you are fussing at your 5-year-old to stop eating her green beans and to eat her bread, or mashed potatoes, or pasta.
 
She also was eating dinner between an hour and an hour and a half before the normal family dinner because her insulin required it; her father wasn’t even home yet. And she was unable to have cake at a birthday party because she couldn’t deviate from her schedule. We switched to Lantus as soon as we could.
We have always used Humalog for meal-time insulin and for correcting high glucose levels in a timely manner. The closest comparison to this insulin that Walmart sells is Regular. This insulin is not a rapid-acting insulin, but a short-acting insulin; the two aren’t the same. Where Humalog and Novalog begin lowering glucose levels within 15 minutes, Regular insulin can take up to an hour to alter glucose levels.
Because Regular has such a delayed response time, a person must inject insulin for meals an hour before they eat. Going out to dinner? You must decide on your meal before you leave the house. If you’re hungry for a snack, you must bolus the insulin and then wait an hour. This also means that a correction dose for high blood sugar has delayed results.
And then there’s the issue of duration. Humalog and Novalog burn off within four to five hours, while Regular remains in the system for eight to 10 hours. At eight hours, all the food that the Regular covered is long gone.
All of these factors affect quality of life and the regulation of blood sugar levels, and up the risk of hypoglycemia. It’s not impossible to stay healthy using Walmart insulins, but it is more difficult and requires a very strict adherence to dietary regimen and schedules.
So, yes, Walmart sells twenty-five-dollar insulin. It can save you money today, but it can result in higher costs and poorer health in the long run. These insulins are not the answer to the rapid rise in prices for more popular insulins.
https://www.healthline.com/diabetesmine/30-day-old-school-insulin-experiment?utm_source=Sailthru+Email&utm_medium=Email&utm_campaign=diabetesmine#transcript-content..................The picture posted is a response by the Facebook Page, Project Blue November.

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