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The choice of insulin is complex. Doctors consider the following factors when deciding which insulin is best and how much insulin to use:
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The cost of brand name medications can be very expensive if you have an insurance plan with high deductibles, including some Medicare plans, and if you do not have health insurance coverage. Even with insurance, the cost depends on the tier for your co-pay, and it will be several years before these medications are available in generic form at which time their prices are likely to decrease considerably.
If you have poorly controlled type 2 diabetes, and you cant afford these new medications right now, your best option for treatment, according to the American Diabetes Association, is to consider taking sulfonylurea or thiazolidinedione medications, so long as there are no signs of heart disease or chronic kidney disease.
To be sure that you able to participate fully as a partner in your diabetes treatment planning, tell your doctor and pharmacist about any concerns you have about your ability to pay for any new medications before anything is added to your treatment plan and prescribed for you.
Recommendations for the use of these newer diabetes medications will continue to evolve and may change as more studies are conducted. Therefore, it is important that you discuss any and all medical options with your doctor every so often in order to make sure that any adjustments that are needed related to your treatment goals are updated as necessary.
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Most people with type 2 diabetes are able at first to manage their condition through healthy eating, regular physical activity and controlling their weight. Over time, things change and most people need medicines to control their blood glucose levels and prevent long term complications.
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