Text/Yangcheng Evening News All-Media Reporter Zhang Hua
Photo/Visual China
According to the work arrangement of the National Drug Joint Purchasing Office, starting from May 2022, the sixth batch of The results of the national centralized drug collection (insulin special project) will be officially implemented. According to the reporter’s understanding, all provinces are actively preparing for the landing recently. As of now, Fujian, Guangdong, Shanghai, Gansu, Heilongjiang, Yunnan, Liaoning and other places have issued notification notices. According to the rules of centralized procurement, after completing the preparatory work such as hanging the network, the winning result will be officially implemented soon.
In the face of the upcoming “group purchase benefits”, people with diabetes are also highly concerned. Experts remind that people with diabetes should follow the doctor’s advice and choose the right insulin when they want to get real benefits.
The third-generation insulin has more advantages than the second-generation product
It is reported that the collection of insulin products includes the current market The mainstream second and third generation insulins. How can I tell if I’m using second-generation or third-generation insulin? According to the reporter’s understanding, in fact, this method is very simple. If the “human insulin” on the medicine box is generally the second-generation insulin, other common ones such as insulin lispro, insulin aspart, insulin glargine, etc. are all third-generation insulins. insulin.
So, the second generation and the third generation, which one is better? Some experts pointed out that an ideal insulin preparation needs to meet three needs: good hypoglycemic effect, less hypoglycemia, and convenience. If any of these three points are missing, it is difficult to achieve the ideal therapeutic effect. It can be said that in these three aspects, the third-generation insulin has more advantages than the second-generation products, so its market share is also increasing year by year. Moreover, this centralized procurement further narrows the price range of third-generation insulin and second-generation insulin, protamine zinc recombinant insulin lispro mixed injection (25R), the price of a single injection is only 18.89 yuan.
According to relevant statistics, the third-generation insulin accounts for about 85% of the market share in the global and US markets, while the third-generation insulin accounts for less than 60% in the domestic market. Therefore, in the case of flat prices, the third-generation insulin already has favorable price conditions to replace the second-generation insulin. The centralized purchase price will also allow diabetics to enjoy insulin products with better efficacy and safety sooner.
Can different brands of insulin be interchangeable?
After the central collection of insulin, the number of more economical winning products may be used in the hospital It will increase, and there will inevitably be some cases that need to be changed. In other words, some insulin brands that were commonly used by diabetics may no longer be available and need to be replaced with other brands.
For this reason, many sugar lovers inevitably have two major concerns: First, is there a safety hazard in brand replacement? Second, among similar products, if the price is low, is the efficacy also reduced?
For the first concern, Professor Ji Linong, director of the Endocrinology Department of Peking University People’s Hospital, had made a very clear statement when interviewed by reporters: “On the basis of better blood sugar control, the same type of insulin can For example, between rapid-acting insulin and rapid-acting insulin, and between premixed insulin and premixed insulin, it is actually interchangeable. However, we should pay attention that after switching insulin, doctors and patients should do a good job in blood sugar monitoring. , adjust the dose in time according to the changes in islet function and blood sugar to avoid blood sugar fluctuations after switching insulin.”
As for the second concern, relevant research has given the answer: from the use of aspartame After conversion of insulin 30 to insulin lispro 25, the levels of glycated hemoglobin were similar and the incidence of hypoglycemia was similar. Moreover, the two types of products are used in the same way, and the dosage does not change. For diabetics, there is no need to re-learn the injection method.