We started using home delivery through express-scripts a few months ago. Ever since we started receiving insulin through the mail, I have noticed Madison's bs is more out-of-control. It seems as if the insulin is not working as well as it did when I picked it up at the pharmacy. It always comes cooler packed. And is still cold when we receive it. I was just wondering if anyone else had noticed a difference in bs control with delivered insulin. I think it isn't being handled carefully enough, causing it to lose its potency. Thanks.