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Search Results : Diabetes Mellitus (Insulin Lispro - Humalog - Diabetes Mellitus)
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Empagliflozin is the preferred SGLT-2 Canagliflozin is not a preferred treatment option. Canagliflozin (Invokana?, Vokanamet?): signal of increased risk of lower extremity amputations observed in trial in high cardiovascular risk patients - GOV.UK.
Trusts restrict to diabetic team initiation only.
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For adult patients ONLY
Prescribe by brand and state form.
Initiation by diabetologists only. A minimum prescribing duration of three months by secondary care before transferring to primary care.
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Biosimilar insulin aspart (Trurapi) should be used in preference to NovoRapid. Prescribe by brand and state form.
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Not a cost-effective option. Prescribe as separate components.
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Sitagliptin is the preferred DPP4. Reserve combination products for patients in whom separate components are less appropriate. Existing patients would not be expected to change therapy unless appropriate to do so.
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Sotagliflozin is not yet available in the NHS. The NICE TA622 will not be implemented until the product is available. Place in therapy will also be determined at this time.
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Existing patients would not be expected to change therapy unless appropriate to do so.
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Note; Neither Continuous Glucose Monitoring (CGM) nor Omnipod 5 is commissioned for this cohort.
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