While R and N can be used, they make maintaining good glucose control harder. They cannot be used in pumps, must be injected with syringe. For me that would be 2 times for NPH and a minimum of 3 injections of R. My pump would be useless as it is designed to use one of two rapid analog insulins, Humalog and Novolog.
I addition to the cost of insulin, using R and N would require another $23.00 per month for syringes at WalMart brand syringes. A minimum of $27.00 for 150 ReLion test strips to test fasting, before meals and before bedtime. I have tested up to 14 times per day. Even with less expensive insulin, the minimum cost per month would be very close to $100.00. That’s 1 vial or R and N. Likely more would be needed as everyone is different.
The bold is added by me.
At Walmart, you can buy insulin for $25 without a prescription (“over-the-counter”) and without insurance. It comes in a 10mL vial and is called Novolin ReliOn Insulin. It is offered in both regular human insulin (“R” – for use at mealtime) and NPH (“N” – a longer-acting basal insulin). You can also get Novolin at CVS Pharmacy for $25 per 10 mL vial through the Reduced Rx program. It’s quick to enter your email and get a discount card (which you can print or show digitally) that you can use immediately at 67,000 participating pharmacies nationwide, including CVS Pharmacy, Walgreens, and Walmart.
Note that this insulin is less reliable for many people, so it’s often considered a “last choice” insulin.
Note that NPH and regular work differently from analog insulins:
NPH lowers blood glucose over a period of more than 12 hours (its “duration of action”), and its peak glucose-lowering effect is at 4 to 6 hours.
Regular insulin lowers blood glucose over a period of 6-8 hours. It peaks around 2-4 hours, and it is best taken 15 minutes before eating or right after eating a meal.
https://diatribe.org/uninsured-and-need-insulin
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