r/news Jan 14 '22 Helpful 19 Wholesome 18 Evil Cackle 3 Silver 19 Gold 1

Shkreli ordered to return $64M, is barred from drug industry

https://apnews.com/article/martin-shkreli-daraprim-profits-fb77aee9ed155f9a74204cfb13fc1130
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u/16semesters Jan 15 '22

To be fair, NPH and Regular insulin is about 25$ USD without insurance in America.

The expensive insulins are far better medications though, and those are the expensive ones.

Walmart's other ReliOn insulins — NPH, Regular, and 70/30 mix — are all human insulin rather than analog insulin,and sell for about $25 a vial.

https://www.webmd.com/diabetes/news/20210701/walmarts-new-insulin-still-too-expensive-advocates-say

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u/thrilla-noise Jan 15 '22

Yeah, there are shit insulins that don’t work as well available cheap. That’s true. They aren’t equivalent to drugs like Humalog, and aren’t fast acting enough to be used in pumps.

There is zero reason for Humalog to cost what it does in the US other than greed.

Humalog is over 25 years old, but has consistently gone up in cost. Humalog specifically is around $20 OTC with no insurance in Canada, and an exactly identical product is several hundred dollars in the US.

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u/shieldoversword Jan 15 '22

You actually want both fast acting and slow release insulin variants for an insulin regimen. The slow release helps you manage your blood sugar between meals and the fast release stuff helps you put away the large influx of glucose that happens with bigger meals. The Walmart brand is a mix of both that you’re supposed to take with breakfast and dinner, the fast component helps with the meal and the slow component helps you in between.

So I wouldn’t say it’s “shit” tier bad, but it’s not really ideal compared with the usual regimen given to new type II diabetics with basal insulin once a day and bolus insulin three times daily with meals.

Insulin pumps are not super common, probably more so in type I diabetics that need a constant supply of insulin since their body isn’t producing any anymore.

But in general, yeah insulin is way too expensive here for being an absolutely essential drug, and it basically turns diabetes into a life altering disease for a lot of people who don’t have insurance or the financial means to afford insulin, since they’re unlikely to manage it well and end up with serious kidney disease, loss of vision, neuropathy, etc

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u/thrilla-noise Jan 15 '22

You actually want both fast acting and slow release insulin variants for an insulin regimen.

Not if you use a pump.

Also the Walmart stuff is a shitty slow acting insulin too. Lantus is what you want, and it’s also criminally overpriced in the US.

The walmart stuff is slower than fast acting insulin and faster than slow acting.

So I wouldn’t say it’s “shit” tier bad,

It’s definitely inferior to insulins that have been widely available for a quarter century. Maybe not shit-tier, but definitely shittier.

Insulin pumps are not super common, probably more so in type I diabetics

Insulin pumps are common in type 1 diabetics.

But in general, yeah insulin is way too expensive here for being an absolutely essential drug,

Yep. It’s bullshit. No reason for it.