Patients refuse to switch for a variety of reasons: fear that a different insulin will harm them, mental illness, discomfort with disturbing their insurance arrangement. You will hear diabetics (I am one, too) say that only a particular insulin works for them, even if that means they end up using no insulin at all, and/or haven’t seriously tried the cheap options.

Patient education is a necessary step to decreasing prices and encouraging innovative medications at the same time. As is decreasing the inevitable fury at diabetics like myself who dare to look inward.