Pacific Source Community Solution 2024 Insulin Change

Covered Now 

Must be switched to by 2/15 

Conversion considerations  

Long acting 

Basaglar*  

Rezvoglar(insulin glargine-aglr)  

OR 
 

Lantus

OR

Insulin degludec 

Consider insulin degludec U200 insulin for patients on 60 units/day or more. This will allow for a lower volume to be injected and for continuation of once daily dosing as this pen dials to 160units. Of note,  U200 insulin pen dials in 2 unit increments. Insulin degludec has a longer half life, and missed doses can be injected late as long as there is 8 hrs until the next dose.

As a reminder, basal insulin dosing should be capped at 0.5units/kg or FBG goal, whichever occurs first, to avoid overbasalization.

A 20% dose reduction if switching to insulin degludec if patient currently controlled or at risk for hypoglycemia. After initial dose reduction, titrating back up may be necessary depending on response.