Canadian Mail Order Insulin?

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Canadian Mail Order Insulin?


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Old 06-16-2015, 20:53   #1
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Default Canadian Mail Order Insulin?

Since I don't have insurance that cover drugs, I need to pay for insulin on my own. I actually have been receiving Humalog samples from my Dr, but he does not get samples of the very long-acting type, such as Lantus.

While I could switch to NPH insulin, I have gastrointestinal issues which cause me to avoid eating sometimes. The typical NPH twice-a-day dosing normally needs a noon and bedtime snack, which I can't depend on. I might go to a 3x/day dosing, but before I do that, I have been seeking a cheaper source of Lantus, or an equivalent.

As many have noted, the cost of the long-acting insulins in the U.S. is skyrocketing. So, I am looking into the possibility of ordering from another country, such as Canada. However, several of the ones I called, said they cannot ship to the U.S. because of concerns over temperature control.

I did find one, Canada-eDrugs.to and actually just ordered from them. Though, I am a little nervous about it, because of the ".to" extension. When I look that up I see that .to is associated

Tonga (Often used unofficially for Torrent, Turin, Toronto, Tokyo, or Tocantins)

I did call their customer service, and they said they have a company called, "Can-American Pharmacy" do the order, and they ship a refrigerated box from Canada. I asked if there are any other equivalent insulins to Lantus, that might be cheaper, but they said they don't have a pharmacist on staff. I also called the "Can-American Pharmacy" and got the same answer. It is also noteworthy that the Can-American Pharmacy does not show any insulin if you search their web site.

If the source does not work out, I know I can go to VISA for a complaint, and perhaps a refund.

I live about a 7hr drive from Canada, but that is a long drive, especially if I try to do an immediate turn around, and come back the next day, so that I can avoid any hotel stays. I looked into a bus or train, but those options take over 24 hours for one way. Years ago, some retirement communities would charter a bus to go to Canada, but perhaps when the US started permitting people to use mail-order, the need dried up... at least for drugs other than insulin.

Any other advice for someone seeking a cheaper source for Lantus or equivalent drugs. Are there other, cheaper, brands I should be seeking?

Thanks for any advice,
-Joe

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Old 06-16-2015, 21:13   #2
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Hi Dcad, welcome to the forum. Can't help you with the insulin questions, but have you investigated other ways to lower your costs by reducing the carbs you eat. Dr. Richard Bernstein, a type 1 himself, has coined a phrase called the "law of small numbers", which basically says you eat less carbs you use less insulin, AND you have less chance for hypos. Not sure what you do now and you may already be eating reduced carbs. Here is a link to how to eat reduced carbs. Others will be along and can provide other valuable links and advice.

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Old 06-16-2015, 21:25   #3
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Thanks for the idea. However, my main issue is the cost of the very long-acting type of insulin. For me, it is primarily used as the base dose of insulin, rather than for covering carbs.

I deliberately wanted to keep the base dose of Lantus at a level where I had the option of not eating for a day or so, because of the diabetic gastroparesis. Also, it seems that simple carbs do actually agree with my digestion better. The high protein foods also tends to be high-fat, which seems to create acid reflux for me. For some reason the simple carbs don't do that nearly as much.

-Joe

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Old 06-16-2015, 21:31   #4
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Quote:
Originally Posted by Dcad View Post
Thanks for the idea. However, my main issue is the cost of the very long-acting type of insulin. For me, it is primarily used as the base dose of insulin, rather than for covering carbs.

I deliberately wanted to keep the base dose of Lantus at a level where I had the option of not eating for a day or so, because of the diabetic gastroparesis. Also, it seems that simple carbs do actually agree with my digestion better. The high protein foods also tends to be high-fat, which seems to create acid reflux for me. For some reason the simple carbs don't do that nearly as much.

-Joe
The LCHF is high fat not high protein. Don't do high protein, figure 1-1.5 grams of protein per kg (2.2 lbs) of lean body weight. Have you by chance had your gall bladder removed where the fats may cause problems? There is a work around to that, taking ox bile salts, but then that adds more expense.

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Think I've had this since 2003. Told I was Type 2 lean on 2/13/12.
a1c 8.8 (8/2011) 5.2 (07/2019)
TC 183 LDL 102 HDL 65 TG 52 (02/20/2020)
Supplemental vitamins and electrolytes
64 YY Love the LCHF diet. The cheese goes well with my whine

updated 02//20
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Old 06-16-2015, 21:32   #5
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I think we're all well aware that basal insulin (Lantus) is not and cannot be used to cover carbs. Even if you wanted it to, it is not formulated to do that. It is BASAL insulin - created to cover basic bodily needs - not food intake. The choice is not yours - it is the created purpose of the product.




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Old 06-16-2015, 21:50   #6
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Did you try here https://www.lantus.com/save_on_lantus/index/considering

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Old 06-16-2015, 22:06   #7
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The LCHF is high fat not high protein....

Have you by chance had your gall bladder removed where the fats may cause problems?
No, my gall badder is intact. But, in general, if my stomach is not emptying well, then eating meat greatly increases the acid reflux. Perhaps I am inappropriately blaming the fat in the meat. Simple carbs, like saltine crackers, seem to do best when my stomach is not emptying.

-Joe

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Old 06-16-2015, 22:11   #8
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Did you try here
Thank you for the link, but I have tried that discount card. It is limited to a maximum benefit of $100. So, while it would reduce the purchase of Lantus in the US by $100, it is so expensive to buy, that it is not enough. (it is $450 locally for a pack of Lantus Solostar)

-Joe

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Old 06-16-2015, 22:13   #9
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Before diagnosis and LCHF, I'd given up on a lot of old fatty food favorites, because I'd get awful gastro-results every time.

A couple of months into LCHF, I found myself unable to resist chorizo (a yummy Mexican sausage). The restaurant offered chorizo in an omelet. I had the omelet, no tortillas, no beans, and -- no gastric yuk!

No yuk from chorizo, ever since.

For me, it was never about the chorizo, or the bacon, or whatever fat food. Mixing carbs with those foods was the real culprit.

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Old 06-16-2015, 22:44   #10
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Quote:
Originally Posted by Dcad View Post
Thank you for the link, but I have tried that discount card. It is limited to a maximum benefit of $100. So, while it would reduce the purchase of Lantus in the US by $100, it is so expensive to buy, that it is not enough. (it is $450 locally for a pack of Lantus Solostar)

-Joe
sorry about that, I thought is was $25.00 per perscription.

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