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As the older versions have vanished in the U.S., newer versions have stayed expensive. The drug can cost up to $400 a month. Because of that high cost, many of the estimated 29 million people living with diabetes in the U.S. can't afford it. Some industry analysts expect insulin costs to fall in the future.
If we find our blood sugars are high at these times we may take insulin to correct the high. There is an older insulin regimen where you take 2 shots of insulin per day, Usually at breakfast and dinner. This regimen used an intermediate acting insulin like NPH... this was how it was done until insulin pumps and newer long acting insulins were invented.