r/news Jan 14 '22

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


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u/the_busticated_one Jan 15 '22

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

From the perspective of the parent of a T1D:

Not if you're managing with a pump. (of course, those weigh in about $4-5k for the pump, plus consumables)

It may have changed in the last couple of years, but 'state of the art' pumps 6 years ago used fast-acting insulin, configured for a basal rate over the course of the day, coupled with a bolus at meals. The pump basically used fast-acting insulin over time to mimic the effect of a slow acting insulin.

There wasn't a need for a slow-acting insulin as long as the pump was functioning properly. That said, we still kept it around.


u/thrilla-noise Jan 15 '22

It may have changed in the last couple of years,

It has not changed. The only thing that changed is that fast acting insulin is double the cost.


u/the_busticated_one Jan 15 '22


Thankfully, I've got good insurance with decent copays.

My son was diagnosed with Type 1 in 2012 (they're an adult now), and I'll never forget the conversation with the pharmacist when we picked up that first batch of supplies - insulin, needles, test strips, ketone test strips, etc, etc.

He puts 2 Kmart shopping bags - filled to busting - on the counter and says "So, would you like the good news? Or the bad news?"

I asked him for the good news: "Good news is, you've got really good insuranance. "

So, I asked him for the bad news: "Well, the total is $615 today."

Between that, and the medical bills, even with insurance it was an expensive month.


u/thrilla-noise Jan 15 '22

It’s basically like having an extra mortgage/rent payment for life, and if you lose your job it doubles (because you lose your insurance with your job).