Every example I'd seen publicized of someone who "can't afford insulin because it costs $300/bottle, so they died" has been a blatant lie. Every single one of them, without exception, could have switched to L/R/N, which are on the order of $25 per bottle. Are they as good? No, certainly not. But they do work, and they are certainly better than dying. Heck, you don't even need a prescription for them.

Don't get me wrong; insulin prices are out of control, and something should be done. But these stories about people dying because they couldn't afford $300 for a vial of insulin are misinformation; and propagating them weakens the argument to get insulin prices reduced; because it gives people a factually correct way to push back against it (what with it being factually incorrect and all). Please don't spread those stories.

Side note: People will comment about how awful R/N/L are, and say you'll always feel sick, etc. I was on R/L for on the order of a decade. It's annoying because it's effectiveness curve (of the R) means you need to take it 20 minutes (give or take; it's been a while) in advance of eating.. and if you wind up not being hungry, you have to eat anyways. But they are plenty effective for controlling blood sugar.

Not a critical point here, but typically gestational diabetes is treated with diet, exercise, and drugs like metformin. The same for type 2 diabetes. It’s best to avoid using insulin when possible because insulin dosing is fairly high risk. People who require treatment with insulin mostly have type 1, and there’s currently no other option.