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. 2011 Nov 8;183(16):e1213–e1220. doi: 10.1503/cmaj.110178

Table 1:

Daily cost of treatment with and without blood glucose test strips*

Drug class Agent Dosage Cost per day, $
Without test strips With test strips
Metformin Metformin 500 mg four times daily 0.50 1.24
Sulphonylureas Glyburide 5 mg twice daily 0.73 1.64
Meglitinides Repaglinide 2 mg twice daily 1.28 2.20
Thiazolidinediones Pioglitazone 30 mg once daily 3.00 3.74
DPP-4 inhibitors Sitagliptin 100 mg once daily 3.38 4.13
α-Glucosidase inhibitors Acarbose 100 mg three times daily 1.76 2.50
Basal insulin Insulin NPH 0.75 U/kg daily 1.95 3.60
Biphasic insulin Regular human insulin or insulin NPH 30/70 1.50 U/kg daily 3.81 5.45

Note: DPP-4 = dipeptidyl peptidase-4, NPH = neutral protamine hagedorn.

*

Patients using non-hypoglycemia-inducing oral glucose-lowering drugs were assumed to use 0.94 strips per day, those using insulin were assumed to use 2.08 test strips per day, and those using oral drugs in combination with sulphonylureas or meglitinides (both of which are associated with hypoglycemia) were assumed to use 1.16 test strips per day (based on data from the Ontario Drug Benefit Program).28

For all agents, costs are for the lowest-cost alternative.