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Type 1 Diabetes
Had a read of the NICE Guidelines - it's quite revealing...
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<blockquote data-quote="donnellysdogs" data-source="post: 887698" data-attributes="member: 17713"><p>The reasoning for degludec being off limits according to consultants is money... If you can prove that the CCG reasoning for costings is flawed then you have to do something.</p><p></p><p>There is a get out clause though for NICE and CCG's which is that "it has demonstrated non-inferiority to insulin glargine".....however my ccg states "concerns were slso raised about the very high cost of this insulin"</p><p></p><p>I have asked on tresiba posting somewhere tonight for people on tresiba to give details of how much they use compared to levemir/lantus.</p><p>As many users have to have split doses of lantus/levemir etc then true costings of using tresiba is better... Ie if (as you should) change needles with every jab... Then CCG's have not accounted for double the needles for split doses or double the wastage for a prime of the needle each time etc. If you then (as was suggested to me) were using 17 units split daily and advised to start on 12 units of tresiba... Then again this is a 1/3rd less insulin needed for tresiba.</p><p></p><p>My CCG could save £11.19 a year by prescribing tresiba.... Instead of split dose levemir.</p></blockquote><p></p>
[QUOTE="donnellysdogs, post: 887698, member: 17713"] The reasoning for degludec being off limits according to consultants is money... If you can prove that the CCG reasoning for costings is flawed then you have to do something. There is a get out clause though for NICE and CCG's which is that "it has demonstrated non-inferiority to insulin glargine".....however my ccg states "concerns were slso raised about the very high cost of this insulin" I have asked on tresiba posting somewhere tonight for people on tresiba to give details of how much they use compared to levemir/lantus. As many users have to have split doses of lantus/levemir etc then true costings of using tresiba is better... Ie if (as you should) change needles with every jab... Then CCG's have not accounted for double the needles for split doses or double the wastage for a prime of the needle each time etc. If you then (as was suggested to me) were using 17 units split daily and advised to start on 12 units of tresiba... Then again this is a 1/3rd less insulin needed for tresiba. My CCG could save £11.19 a year by prescribing tresiba.... Instead of split dose levemir. [/QUOTE]
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Type 1 Diabetes
Had a read of the NICE Guidelines - it's quite revealing...
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