For new initiations for patients requiring glargine

Available as:

• Pre-filled pens

Basal insulin

Available as:

• Cartridges
• Kwikpen

Note - within North East Essex CCG, the use of biosimilar glargine Semglee has also been approved for use

Basal insulin

For continuation only

Available as:

• Cartridges
• Vials
• Solostar pre filed pen

Basal insulin

Available as:

• Solostar^® pre filled pen

Caution-High strength:300 units/ml - to be used only in patients requiring high doses of insulin therapy; to decrease injection volume load

Basal insulin

Available as:

• Cartridges
• Flexpen pre-filled pen

Basal insulin with GLP-1 anologue

Basal insulin

Available as:

• Cartridges
• FlexTouch pre-filled pen

Ipswich Hospital

Insulin degludec (Tresiba) 200units/ml is a non-formulary medicine

Colchester Hospital

Insulin degludec (Tresiba) 200units/ml is a formulary medicine - but very restricted use; only for patients requiring high doses of insulin therapy to decrease injection volume load

Biphasic Insulin Aspart

Available as:

• Cartridges
• Flexpen^® pre-filled pen

Biphasic Insulin Lispro

Available as:

• Cartridges
• Pre-filled pen

Insulin Lispro

Available as:

• Pre-filled pen
• Cartridges- rarely used across East Suffolk and North East Essex

Please prescribe by brand.

Note: this is not directly interchangable with other Insulin Lispro formulations as it has different pharmodynamic properties. 

Ipswich Hospital

Isophane insulin (Insuman Comb) is a non-formulary medicine

Colchester Hospital

Isophane insulin (Insuman Comb) is considered a formulary medicine; albeit with very limited usage. Treatment is unlikely to be initiated within the acute hospital.

NEECCG

Considered a formulary medicine