Saturday, December 8, 2012

How much does treatment for diabetes cost?

Q. How much does treatment for diabetes patients cost per year? Any help is appreciated. Estimates are great too

A. The good news is that there have never been as many good treatment options for diabetes. The bad news is that nearly all are punishingly expensive. Type 1 diabetics must use inuslin and modern analog insulins - basal plus bolus insulin - may run $350 to $450 per month. Type 2 diabetics may require insulin but most start off on oral medications. The most typical progression is metformin hydrochloride (on the so-called $4 drug lists), pioglitazone (Actos), and sitagliptin phosphate (Januvia). The latter two drugs would also likely cost $350 to $450 per month. There are obviously many more diabetic medications from which to choose but most are expensive as noted above. I am very displeased with American medicine. As a physician I find our current state embarrassing. The US presently ranks 29th in the world in health care outcomes yet American medicine is the most expensive by far. We pay the most and receive the least for our money. It is my belief that 'medicine for profit' and 'greed' and the primary reason. It is not compatible with medical ethics that a physician should be allowed to profit off the misfortunes and miseries of their patients. This is a capitalist country but when it comes to something like healthcare - the commonwealth of its citizens - I believe that the government has an obligation to cap physician incomes and prevent pharmaceutical companies from making obsene profits. Exxon-Mobil is the most profitable company in the history of human civilization. You have the option to buy a more fuel effecient car or to find an alternative mode of transportation. If you have diabetes you have no option. Medications are a life and death decision. And too many patients cannot afford their medications. Yes pharmaceutical companies have public relation programs where they will provide medications for free to those below the poverty level. This is nice but the average middle class American is not able to afford medications as expensive as those listed above. We need real change not some politically motivated healthcare bill. That having been said I hope that this is a homework question and that neither you nor a loved one has diabetes. I wish you the very best of health and may God bless.


What are some experimental treatments for type two diabetes?
Q. Im doing an essay over type 2 diabetes for biology and I have to find an experimental treatment for diabetes. If anyone can help that would be great, thanks! :)

A. There are no experimental treatments for type 2 right now.


How serious is diabetes in a 12 year old cat. How is it treated?
Q. What is the standard treatment for diabetes for a 12 years old cat?

A. It's most likely going to be insulin injections, my friend ... probably twice a day, but that will depend on your particular vet. (Sadly, we've recently lost one of our furry babies to diabetes. She'd been diabetic for 4 or 5 years now, and was on twice daily insulin injections.)


What members must a casemanager collect for a family where a children is going thru treatment for diabetes?
Q. If you are a Case Manager working with a family where one of their children is going through treatments for childhood diabetes what members should you put together? such as a nutritionist, certain type of doctor etc?

A. pediatrician, endocrinologist, nutritionist, maybe a psychologist, too.

I'd like the whole family in diabetic education classes as well as family counseling. Too often, we see only the affected child and mother. The rest of the family doesn't think it's necessary for them.





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