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Which Insulin Is Basal?

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Basal Insulins (intermediate And Long-acting)

Who? Intermediate- and long-acting (basal) insulins are recommended for patients with type 1, type 2, or gestational diabetes. They may also be used in other types of diabetes (i.e. steroid-induced). Persons with type 1 diabetes generally use intermediate-acting insulin or long-acting insulin in conjunction with regular or rapid acting insulin. Persons with type 2 diabetes may use intermediate or long-acting insulins in conjunction with regular or rapid acting insulins or with oral medications. What? Injections given under the skin. Not suitable for insulin pumps. These medications can be injected with a traditional syringe and needle, or with a disposable pen that has been prefilled with insulin. Most patients tend to prefer pens though while convenient, they can be more expensive. The most common type of intermediate-acting insulin is: NPH (marketed as Humulin N and the Humulin N Pen) NPH (marketed as Novolin N and the Novolin N FlexPen) Long-acting insulins are marketed as different brands. The common ones are: Glargine (marketed as Lantus and the Solo Star Pen) Detemir (marketed as Levemir and the FlexPen) Degludec (marketed as Tresiba and the FlexTouch Pen) Where? These medici Continue reading >>

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  1. k9diabetes

    Diabetes in Dogs: The k9diabetes.com Forum

    We could very easily determine whether NPH would save you money. There is a lot of variation in markup from the vets selling Vetsulin so that would be a factor - need to know how much your vet is charging you.
    Vetsulin being more dilute, you get fewer injections out of the same size bottle.
    Just for ease of comparison, let's use a 5 unit dose of insulin given twice a day so 10 units of insulin given every day.
    In a 10 mL bottle of Vetsulin, there is a total of 400 units of insulin so if you used every last drop you would have 40 days of injections from that bottle.
    In a 10 mL bottle of NPH, there is a total of 1,000 units of insulin so if you used every last drop you would have 100 days of injections from that bottle.
    Even if the two bottles cost the same amount - let's say $30, which is about what NPH costs - the NPH bottle lasts 2.5 times longer, making it vastly less expensive. The Vetsulin would cost 75 cents a day while the NPH would cost 30 cents a day.
    Natalie

  2. k9diabetes

    Okay, so $37 for 400 units of insulin is 9.25 cents per unit.
    Let's just round up and say Walmart's Relion brand is $25.00 for 1,000 units so that's 2.5 cents per unit.
    That's almost 75% less expensive for NPH from Walmart! :eek:
    If you bought Novolin N somewhere other than Walmart, it probably would be about $37 a bottle for 1,000 units of insulin, making it 3.7 cents per unit, still significantly cheaper than Vetsulin.
    I doubt if your vet has ever figured the difference in cost when including the fact that there are fewer units of insulin in a 10 mL bottle of Vetsulin than in the same size bottle of NPH.

  3. delilah

    Hi,
    As I mentioned in a previous post, we are thinking of switching Delilah (10 yo lab) from Vetsulin to NPH to save $. I'm trying to get an idea of how much we will save. She is currently on 18 units twice/day of vetsulin, though she isn't regulated yet so that may go up. If I order vetsulin online bulk, I can get it for $31 per bottle (that includes shipping). How much would the equivalent amoung of NPH cost (given the fact that it is 100u/ml instead of 40u/ml?) I'm not quite sure how to do this math (I'm a social worker, not a mathematician!).
    Thanks!
    Martha
    Thanks!

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