Interchanged on a 1 unit : 1 unit ratio with same dosing frequency in adults
Approved to round DOWN to nearest whole unit if calculations result in dose in fractions.
The patient may use their own Tresiba supply if desired.
Patients with orders for the hospital’s adult sliding scale insulin order set have orders to implement the hospital’s hypoglycemia orders. However, some patients have orders for scheduled or PRN insulin without use of the sliding scale insulin order set. These patients may not have PRN orders for treatment of hypoglycemia.
To improve safety with insulin use, the following policy has been approved by the P&T Committee:
Allow pharmacists to automatically implement the ADULT Hypoglycemia Orders, if not previously ordered, for adult patients receiving the following:
Scheduled insulin
PRN insulin
The pharmacist would enter the ADULT Hypoglycemia Orders into iCare, using the Per Protocol order mode, under the name of the provider who ordered the insulin
Tresiba is approved for sample use in HH Endocrinology and Diabetes Clinics.
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Formulary restricted to use in pediatric patients.
Automatic interchange for adult patients:
ORDERED FORMULATION
THERAPEUTIC INTERCHANGE
NOTES
insulin degludec (Tresiba FlexTouch)
insulin glargine (Lantus)
Interchanged on a 1 unit : 1 unit ratio with same dosing frequency in adults
Approved to round DOWN to nearest whole unit if calculations result in dose in fractions.
The patient may use their own Tresiba supply if desired.
Patients with orders for the hospital’s adult sliding scale insulin order set have orders to implement the hospital’s hypoglycemia orders. However, some patients have orders for scheduled or PRN insulin without use of the sliding scale insulin order set. These patients may not have PRN orders for treatment of hypoglycemia.
To improve safety with insulin use, the following policy has been approved by the P&T Committee:
Tresiba is approved for sample use in HH Endocrinology and Diabetes Clinics.
Reviewed: 28 June 16 (Tresiba FlexTouch)
Updated: August 2023 (Pediatrics)
Insulin Degludec (Tresiba) Formulary Update Pediatrics