$Missed Deductions

Are insulin and diabetes supplies deductible?

Medical Expensesintermediate3 answers · 4 min readUpdated February 28, 2026

Quick Answer

Yes, insulin and diabetes supplies are fully deductible as medical expenses if you itemize and your total medical expenses exceed 7.5% of your adjusted gross income. For someone earning $60,000, you'd need more than $4,500 in medical expenses to qualify.

Best Answer

RK

Robert Kim, Tax Return Analyst

Best for people managing diabetes or other chronic conditions with ongoing medical expenses

Top Answer

What diabetes supplies are deductible?


All insulin and diabetes supplies prescribed by a doctor are fully deductible medical expenses under IRS rules. According to IRS Publication 502, this includes insulin (even over-the-counter), test strips, glucose monitors, lancets, syringes, insulin pens, and continuous glucose monitors (CGMs).


How the 7.5% threshold works


You can only deduct medical expenses that exceed 7.5% of your adjusted gross income (AGI). Here's how it works:


  • $40,000 AGI: Need more than $3,000 in medical expenses
  • $60,000 AGI: Need more than $4,500 in medical expenses
  • $80,000 AGI: Need more than $6,000 in medical expenses
  • $100,000 AGI: Need more than $7,500 in medical expenses

  • Example: Annual diabetes costs


    Let's say you earn $65,000 and have these annual diabetes expenses:


  • Insulin: $3,600 (Type 1, $300/month)
  • Test strips: $480 ($40/month)
  • CGM sensors: $1,200 ($100/month)
  • Doctor visits/labs: $800
  • Total medical expenses: $6,080

  • Your 7.5% threshold is $4,875 ($65,000 × 0.075). You can deduct $1,205 ($6,080 - $4,875).


    Additional deductible diabetes expenses


  • Prescription medications for diabetes complications
  • Special diabetic foods (only the extra cost above regular food)
  • Medical conferences about diabetes treatment
  • Guide dogs trained to detect diabetic episodes
  • Home modifications for diabetes-related disabilities
  • Mileage to medical appointments (65.5 cents per mile in 2026)

  • Record-keeping requirements


    Keep receipts for all purchases and a log showing:

  • Date of purchase
  • Item purchased
  • Amount paid
  • Doctor's prescription (for insulin and supplies)

  • What you should do


    1. Track all expenses: Use a spreadsheet or app to log every diabetes-related cost

    2. Get prescriptions: Ensure your doctor prescribes insulin and supplies in writing

    3. Calculate your threshold: Multiply your AGI by 0.075

    4. Consider timing: If you're close to the threshold, consider bunching medical expenses into one tax year


    Use our return scanner to check if you've missed any medical deductions on previous returns — you can amend returns up to 3 years back.


    Key takeaway: All insulin and diabetes supplies are deductible, but you need total medical expenses above 7.5% of your income. For a $60,000 earner, that's $4,500+ in expenses.

    *Sources: [IRS Publication 502](https://www.irs.gov/pub/irs-pdf/p502.pdf), [IRS Revenue Ruling 2002-19](https://www.irs.gov/irb/2002-15_IRB#RR-2002-19)*

    Key Takeaway: All diabetes supplies are deductible, but you need total medical expenses exceeding 7.5% of your AGI to benefit.

    Medical expense thresholds by income level for diabetes deduction eligibility

    Annual Income (AGI)7.5% ThresholdMonthly Medical Expenses NeededPotential Annual Tax Savings*
    $30,000$2,250$188$270-$450
    $50,000$3,750$313$450-$825
    $70,000$5,250$438$630-$1,155
    $90,000$6,750$563$810-$1,485

    More Perspectives

    DF

    Diana Flores, Tax Credits & Amendments Specialist

    Best for families managing diabetes care for multiple family members or dealing with other significant medical expenses

    Combining family medical expenses


    When multiple family members have medical expenses, you can combine them all to reach the 7.5% threshold faster. If your child has Type 1 diabetes and you have other family medical costs, every dollar counts toward the deduction.


    Example: Family with diabetic child


    Family AGI: $85,000 (threshold: $6,375)

    Annual expenses:

  • Child's insulin/supplies: $4,200
  • Family insurance premiums: $2,400
  • Dental work: $1,800
  • Prescription medications: $900
  • Total: $9,300

  • Deductible amount: $2,925 ($9,300 - $6,375)


    Strategic timing for families


    If you're close to the threshold, consider:

  • Bunching expenses: Schedule elective procedures in high-expense years
  • HSA coordination: Use HSA funds for current expenses, pay out-of-pocket for future deductions
  • Year-end purchases: Stock up on supplies before December 31st

  • Don't forget these family medical expenses


  • Health insurance premiums (if not pre-tax)
  • Orthodontics and dental care
  • Vision care and glasses
  • Mental health counseling
  • Alternative treatments prescribed by doctors

  • Key takeaway: Families can combine all members' medical expenses to reach the 7.5% threshold, making diabetes supplies more likely to be deductible.

    Key Takeaway: Families can combine all members' medical expenses, making it easier to exceed the 7.5% threshold and deduct diabetes supplies.

    RK

    Robert Kim, Tax Return Analyst

    Best for retirees and seniors who often have lower income and higher medical expenses, making deductions more valuable

    Why seniors benefit most from medical deductions


    Retirees often have the perfect combination for medical deductions: lower income (easier to exceed 7.5% threshold) and higher medical expenses. If you're on Social Security and have diabetes, you're likely to benefit.


    Example: Retiree with diabetes


    Retired couple, AGI: $35,000 (threshold: $2,625)

    Annual medical expenses:

  • Insulin and supplies: $2,800
  • Medicare premiums: $1,800
  • Prescription drugs: $1,400
  • Total: $6,000

  • Deductible amount: $3,375 ($6,000 - $2,625)

    Tax savings: ~$405 (12% bracket)


    Medicare and diabetes supplies


    Medicare Part B covers some diabetes supplies, but you still pay 20% coinsurance. That 20% is deductible, plus any supplies Medicare doesn't cover:

  • Insulin (covered by Part D, not B)
  • Over-the-counter test strips
  • Upgraded CGM systems
  • Backup supplies

  • Additional senior medical deductions


  • Long-term care insurance premiums (age-based limits)
  • Medicare supplement insurance
  • Hearing aids and batteries
  • Mobility aids and home modifications
  • Transportation to medical care

  • Key takeaway: Seniors with lower incomes often exceed the 7.5% threshold easily, making diabetes supply deductions highly valuable for tax savings.

    Key Takeaway: Seniors with fixed incomes often exceed the 7.5% medical expense threshold, making diabetes supply deductions particularly valuable.

    Sources

    medical expensesdiabetesinsulinitemized deductions

    Reviewed by Robert Kim, Tax Return Analyst on February 28, 2026

    This content is for educational purposes only and is not a substitute for professional tax advice. Consult a qualified tax professional for advice specific to your situation.