您需要了解更老，较低的胰岛素

In the past two decades, analog insulins have become themost prescribed types of insulin。These include:

• 快速作用推注胰岛素，如人类，酚醛林和阿皮特拉。
• 长效基础胰岛素，including Lantus, Levemir, and Toujeo.

根据药品定价网站，这些药物昂贵，零售价格从200美元到超过200美元以上的钢笔或钢笔。好消息。

旧类型的胰岛素已在市场上持续数十年，在大多数州，无需处方即可获得。根据Goodrx的说法，价格从每小时25至约150美元到150美元，并包括：

• 常规短代推子胰岛素such as Humulin R, Novolin R, and ReliOn R
• NPH中间作用基础胰岛素，including Humulin N, Novolin N, and ReliOn N
• 70/30预混合胰岛素that combines 70 percent NPH and 30 percent Regular. These include Humulin 70/30, Novolin 70/30, and ReliOn 70/30

大多数医生更愿意规定更新 - 最昂贵 - 长效胰岛素，而不是中间作用Nph胰岛素。长效胰岛素每天注射一次，并稳定地递送长达24小时，具有更好的血糖管理。NPH胰岛素需要每天注射两次，水平峰，然后滴下，产生更高的风险低血糖（低血糖）。

Doctors typically prefer rapid-acting insulin because it can be injected 15 minutes before eating, or with meals. It leaves your system in around 4 to 5 hours. In comparison, short-acting Regular insulin needs to be injected at least 30 minutes to an hour before eating. It also remains in your system for up to 10 hours, compared to 5 hours for rapid-acting, increasing the risk of low blood sugar.

如果您没有医疗保险 - 或者您有很高的共同支付 - 快速行动和长效胰岛素药物的成本可能是令人畏观的。如果您在这种情况下，请与您的医生讨论开始或切换到更便宜的常规或NPH胰岛素。您可以显着保存或能够负担胰岛素药物。

有些专家不相信昂贵的胰岛素药物是必要的。事实上，董事会认证的内分泌学家Marvin M. Lipman，MD，首席医疗顾问消费者报告,赛d that long-acting insulin is“more expensive, but that doesn’t necessarily mean it works better.”一种ccording to Dr. Lipman, the only advantage is that long-acting insulin is injected once a day, while intermediate-acting NPH insulin requires two injections per day.

If you have type 2 diabetes, need insulin treatment, and drug prices are an impediment, talk to your doctor about whether you can start or change to lower-cost NPH or Regular insulin. Astudy published in糖尿病护理在2009年发现，这些低成本的胰岛素选择可以像患有2型糖尿病患者管理血糖一样有效。

如果你有1型糖尿病, the newer, more expensive drugs are always preferable. If you can’t afford them, however, one thing is clear: cheap insulin is总是比没有胰岛素好，甚至可以挽救你的生活。

If you switch to Regular and/or NPH insulin, you will, however, need to carefully plan and adhere to specific timing of your insulin injections and meals, and be more vigilant about controlling your carbohydrate intake at meals and snacks to successfully manage your blood sugar.

The lowest-cost option for the older insulin drugs is from Walmart and Sam’s Club. Walmart private labels and sells the three types of insulin – Regular, NPH, and 70/30 — under the name ReliOn. The ReliOn-branded insulin drugs are available only from Walmart and Sam's Club. Health insurance does not cover the standard cost of around $25 per vial for ReliOn insulin. ReliOn insulin is only available in vials and is not available to purchase online.

常规，NPH和70/30胰岛素含有一个低血糖风险较高（低血糖），与新药相比。低血糖症的症状包括嗜睡，出汗，头晕，焦虑，头痛，饥饿，疲劳，烦躁，模糊的视觉，混乱，弱点，并且在严重的情况下，意识丧失。

您应该始终立即进入快速碳水化合物的来源 - 即葡萄糖片剂，葡萄糖凝胶，硬糖，果汁或苏打水 - 以抵消低血糖。

如果您切换到较老的胰岛素药物，准备好频繁地测试血糖，特别是在您调整到药物的不同效果和时机时。一种continuous glucose monitor (CGM)can be especially helpful during the transition, to help you optimize yourblood sugar management。（如果流行的Dexcom和Medtronic CGMS超出价格范围，则自由式Libre是一个更实惠的CGM选项。）

沃尔玛and Sam’s Club sell a variety of low-cost diabetes supplies, including glucose meters, test strips, syringes, pen needles, a rapid A1C test, gloves, ketone testing strips, lancets, glucose tablets, and sterile swabs. Visit a沃尔玛orSam’s Clubpharmacy for more information.

最后，您与医生沟通有关您提供胰岛素和糖尿病用品的能力至关重要。您的医生可能无法了解您为您的药物，健康覆盖范围或财务状况支付的费用。与您的医生一起使用，您可以确定您的治疗方法。