Insulin glargine preparations are not interchangeable
For new initiations of glargine- use Semglee
Basal Insulin-First Line
For new initiations for patients requiring glargine
Note - within North East Essex CCG, the use of biosimilar glargine Semglee has also been approved for use
For continuation only
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 with GLP-1 anologue
Insulin degludec (Tresiba) 200units/ml is a non-formulary medicine
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
Isophane Insulin human
Biphasic Insulin Aspart
Biphasic Insulin Lispro
Please prescribe by brand.
Note: this is not directly interchangable with other Insulin Lispro formulations as it has different pharmodynamic properties.
Isophane insulin (Insuman Comb) is a non-formulary medicine
Isophane insulin (Insuman Comb) is considered a formulary medicine; albeit with very limited usage. Treatment is unlikely to be initiated within the acute hospital.
Considered a formulary medicine
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