6.3.2.3 Insulins, long-acting
All insulins should be prescribed by brand
Please see Kent and Medway Guidance of Biosimilar Insulin Prescribing here.
Please see Kent and Medway Guidance on Safe Insulin Prescribing here.
*SUPPLY ISSUE: A Medicine Supply Notification (MSN) was issued on the 24th May 2023 on the shortage of Tresiba® (insulin degludec) FlexTouch® 100units/ml solution for injection 3ml pre-filled pens. Supplies are not expected to return until December 2024. Please see the SPS medicines supply tool (free subscription required) for further information, actions and advice on alternatives and the current anticipated re-supply date.
Please do not initiate new patients on Tresiba® (insulin degludec) FlexTouch® 100units/ml solution for injection 3ml pre-filled pens for the duration of the shortage.
**A National Patient Safety Alert (NPSA) was issued on the 8th of December 2023 about the "Potential for inappropriate dosing of insulin when switching insulin degludec (Tresiba®) products". Please refer to the NPSA for further information on the identified safety issue, clinical information and actions required.**
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Documents
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Primary Care
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Secondary Care
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Primary and Secondary Care
East Kent Type 1 Diabetes Treatment Pathway EKPG recommendation, Sept 2018
Uploaded By:
Renewal: 09/2021
Approved: 09/2018
Last Reviewed: 09/2018
Caution: This document is due for renewal and may be out of date
Document linked to:
| Pack | Price |
|---|---|
| 5 pre-filled disposable injection | £42.00 |
| Pack | Price |
|---|---|
| 5 pre-filled disposable injection | £44.85 |
| Pack | Price |
|---|---|
| 5 cartridge | £42.00 |
Documents
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Primary Care
-
Secondary Care
-
Primary and Secondary Care
East Kent Type 1 Diabetes Treatment Pathway EKPG recommendation, Sept 2018
Uploaded By:
Renewal: 09/2021
Approved: 09/2018
Last Reviewed: 09/2018
Caution: This document is due for renewal and may be out of date
Document linked to:
Insulin Abasaglar, EKPG Recommendation Feb 2016
Uploaded By:
Renewal: 02/2019
Approved: 02/2016
Last Reviewed: 02/2016
Caution: This document is due for renewal and may be out of date
Document linked to:
| Drug | Section |
|---|---|
| Insulin glargine |
6.3.2.3 Insulins, long-acting
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Insulin Toujeo Solostar and Doublestar EKPG Recommendation September 2019 UPDATE v2
Uploaded By:
Renewal: 09/2022
Approved: 09/2019
Last Reviewed: 09/2019
Caution: This document is due for renewal and may be out of date
Document linked to:
| Drug | Section |
|---|---|
| Insulin glargine |
6.3.2.3 Insulins, long-acting
|
Abasaglar is the preferred brand in East Kent for new patients.
| Pack | Price |
|---|---|
| 5 cartridge | £35.28 |
Restricted to patients commenced on Lantus prior to February 2016.
| Pack | Price |
|---|---|
| 1 vial | £25.69 |
Restricted to patients commenced on Lantus prior to February 2016.
| Pack | Price |
|---|---|
| 5 cartridge | £34.75 |
Restricted to patients commenced on Lantus prior to February 2016.
| Pack | Price |
|---|---|
| 5 pre-filled disposable injection | £34.75 |
Patients requiring doses of insulin which exceed the end of their current delivery device (typically 60 to 80 units per day) or patients who experience difficulty with injections at doses greater than 40 units per day.
| Pack | Price |
|---|---|
| 3 pre-filled disposable injection | £32.14 |
| Pack | Price |
|---|---|
| 3 pre-filled disposable injection | £64.27 |
Documents
-
Primary Care
-
Secondary Care
-
Primary and Secondary Care
East Kent Type 1 Diabetes Treatment Pathway EKPG recommendation, Sept 2018
Uploaded By:
Renewal: 09/2021
Approved: 09/2018
Last Reviewed: 09/2018
Caution: This document is due for renewal and may be out of date
Document linked to:
EKPG Recommendation - Insulin Degludec for type 1 diabetes in adults - PR 2017-04
Uploaded By:
Renewal: 04/2020
Approved: 04/2017
Last Reviewed: 04/2017
Caution: This document is due for renewal and may be out of date
Document linked to:
| Drug | Section |
|---|---|
| Insulin degludec |
6.3.2.3 Insulins, long-acting
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EKPG Recommendation - PR 2016-06 Insulin degludec for type 2 diabetes in adults
Uploaded By:
Renewal: 09/2020
Approved: 09/2017
Last Reviewed: 09/2017
Caution: This document is due for renewal and may be out of date
Document linked to:
| Drug | Section |
|---|---|
| Insulin degludec |
6.3.2.3 Insulins, long-acting
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This is only for initiation by diabetes specialist consultants, diabetes specialist nurses and GPs with specialist interest in diabetes. Criteria for use are specified in the PRGC document PR 2017-04 Insulin degludec for type 1 diabetes in adults and PRGC document PR 2019-06: Insulin degludec for adults with type 2 diabetes mellitus.
| Pack | Price |
|---|---|
| 5 pre-filled disposable injection | £46.60 |
| Pack | Price |
|---|---|
| 3 pre-filled disposable injection | £55.92 |
| Pack | Price |
|---|---|
| 5 cartridge | £46.60 |
Documents
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Primary Care
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Secondary Care
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Primary and Secondary Care
Xultophy, EKPG recommendation PR 2015-21
Uploaded By:
Renewal: 01/2019
Approved: 01/2016
Last Reviewed: 01/2016
Caution: This document is due for renewal and may be out of date
Document linked to:
| Drug | Section |
|---|---|
| Insulin degludec + Liraglutide |
6.3.2.3 Insulins, long-acting
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| Pack | Price |
|---|---|
| 3 pre-filled disposable injection | £95.53 |
| 5 pre-filled disposable injection |