As an endocrinologist passionate about health awareness, I’m dedicated to sharing critical information that can make a difference in people’s lives. Recently, I’ve been reminded of an important topic: access to insulin for individuals with diabetes. In the past month, I’ve had three patients with type 1 diabetes come to my office after being completely off their insulin—a dangerous and life-threatening situation. This inspired me to write about an option many people may not know about: over-the-counter (OTC) insulin.
Insulin Without a Prescription
Did you know that you can purchase insulin over the counter? Walmart and Sam’s Club offer boxes of insulin pens for $42 each without requiring a prescription. These include intermediate-acting and short-acting insulin options, which can be used to manage both long-acting and mealtime insulin needs. While it’s not an ideal solution for everyone, it’s certainly better than going without insulin altogether.
Why This Matters
For people with diabetes, particularly those with type 1 diabetes, insulin is a non-negotiable part of daily life. Without it, blood sugar levels can spiral out of control, leading to complications such as diabetic ketoacidosis (DKA), which can be fatal. Unfortunately, the high cost of insulin in the United States continues to create barriers for many individuals, leaving them in desperate situations. The availability of OTC insulin provides a safety net for those who may otherwise go without.
Things to Keep in Mind
While OTC insulin can be a lifesaver in emergencies, there are important considerations to understand:
- Types of OTC Insulin: The insulin available over the counter is older-generation insulin, such as NPH (intermediate-acting) and regular insulin (short-acting). These types of insulin work differently than newer basal and rapid-acting insulins, so adjustments in dosing and timing are critical.
- Consult Your Doctor: If you’re considering OTC insulin, it’s essential to consult with a healthcare provider. They can guide you on how to use it safely and effectively. Even though it’s available without a prescription, proper usage is key to avoiding complications.
- Temporary Solution: OTC insulin should not replace your prescribed insulin regimen long-term. It’s a temporary option for those in urgent need while they work to resolve issues with insurance or affordability.
Advocacy for Change
It’s disheartening that, in a country as advanced as the United States, so many individuals struggle to afford basic, life-saving medications like insulin. This issue highlights the importance of advocating for systemic changes to improve access and affordability. Until those changes happen, sharing information about options like OTC insulin can help bridge the gap for those in need.
Spread the Word
This information is worth sharing. If you or someone you know is struggling to afford insulin, let them know about this option. It’s not a perfect solution, but it’s a vital one that can save lives in an emergency.
As always, if you’re facing challenges with your diabetes management, don’t hesitate to reach out to a healthcare professional. Together, we can navigate these challenges and ensure you get the care you deserve.
Stay well, Dr. Rachel
