6.1.1 Insulins

Click here for Dudley Diabetes Guidelines

Click here for Dudley Insulin Needles Guidelines

Click here for Dudley Guide to Selecting the Correct Blood Glucose Meter

Click here for Dudley Supported Blood Glucose Meters

General guidance

• The choice of insulin depends on a number of factors, such as type of diabetes, age, dexterity, lifestyle of the patient and the capability of the patient to manage injection technique and injection regime.
• Short-acting insulins are used in basal-bolus regimes at meal times.
• Medium and long-acting insulins provide basal cover during the day and are used in once daily, twice daily and basal-bolus regimes.
• Longer acting insulins may be used in conjunction with oral agents (metformin or sulphonylurea) in type 2 diabetes where the oral agent covers the meal times.
• Porcine and bovine insulins pose a small risk for adverse reaction.

Blood Glucose Testing - Spirit meters order form (TEE2 & CareSens)

Recommended drugs

Twice Daily Insulin Regimen (BD)

Humalog Mix 25

Humalog Mix 50

Humulin M3

Novomix 30

 

Background Insulin

Humulin I

Insulatard

Insulin Detemir (Levemir)

Insulin Glargine (Abasaglar or Lantus)

Tresiba (Insulin Degludec 100 units/ml and 200 units/ml)

Toujeo (Insulin Glargine 300 units/ml)

 

Mealtime Insulin

Actrapid

Apidra

Humalog

Humulin S

Novorapid

FIASP

 

Drug Traffic Light Key:

Green – On Formulary

Amber – Restricted use, see local guidelines      

Purple – Specialist use/initiation

Red – Non Formulary

 

Relative Costs Key (where indicated):

£££££ - high

£££ - moderate

£ - low