Here you will find the recommendations we have made about the use of individual medicines in Lancashire.

Insulin Degludec

Brand: Tresiba®
Indication: Type 1 diabetes
Disease category: Endocrine system
Commissioning responsibility: CCG
PbR excluded: No


Must be commenced by a healthcare professional who is appropriately trained and experienced in the initiation of insulin
Specialists may exceptionally consider initiating insulin degludec if:
• Patient is experiencing poor glycaemic control or recurrent hypoglycaemic episodes with their existing long-acting insulin analogue or
• Patient is unable to take basal insulin at the same time each day


LMMG recommendation: Green (Restricted)
Click here to find the definitions for the colour classifications

Reason for decision:  Suitable for initiation in primary care

Supporting documents:

Algorithm For Antihyperglycaemic Therapy In Adults With Type II (Version 1.5) (454.0 KiB)

Decisions of Lancashire local decision making groups:

NHS Blackburn With Darwen CCG and NHS East Lancashire CCG NHS Blackpool CCG NHS Chorley and South Ribble CCG and NHS Greater Preston CCG NHS Fylde and Wyre CCG NHS Morecambe Bay CCG NHS West Lancashire CCG


Green (Restricted)

Green (Restricted)

Green (restricted)

Green (Restricted)