How to manage diabetes if insulin is expensive?

Question

Hello doctor,

My type 2 diabetes has been out of control since I lost my job, and I can not afford insulin anymore. I have been cutting my doses in half to stretch them, but my blood sugar still hits 500 sometimes, and I get awful dizzy spells. My feet are constantly tingling, and I have a wound that would not heal, even after three months. I tried some Walmart pills, but they made me so sick. I have lost feeling in my toes and developed strange, dark patches on my neck. Lately, I have been eating noodles. My vision gets blurry, and sometimes, I can not even read my phone. What to do? Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I went through your query and can understand your concern.

The dark patches on your neck could be due to acanthosis nigricans, which is often a sign of insulin resistance. Reducing insulin doses can increase the risk of diabetic ketoacidosis and other complications, so it is important to take steps to manage your diabetes effectively.

So, I suggest some resources and tips to help:

1. Insulin Assistance Programs: Programs like the Partnership for Prescription Assistance or insulin savings cards can help make insulin more affordable.

2. Low-Cost Diabetes Care: Federally Qualified Health Centers (FQHCs) or free clinics may offer reduced-cost diabetes care.

3. Affordable Insulin: Walmart offers cheaper insulin doses without a prescription, though it is an older version that may need adjustments under medical supervision.

4. Better Food Choices: Switch from high-carb foods like ramen to cheaper, diabetes-friendly options such as beans, lentils, eggs, canned tuna, frozen vegetables, and oats. These are healthier and more affordable.

5. Hydration: Avoid sugary drinks and drink plenty of water to help flush excess glucose from your body.

6. Foot Care: Monitor your feet daily for wounds or signs of infection, and seek immediate care if they worsen.

7. Seek Medical Help: Dizziness and blurry vision could be signs of dangerously high blood sugar, so it is important to see a healthcare provider or visit a clinic soon.

8. Support Groups: Additionally, connecting with support groups or local resources can provide emotional and practical assistance as you navigate these challenges.

I hope this helps.

Thank you.