Meds & Kit 2020 - Our guide to the diabetes meters, Flash, CGMs, medications, insulins, pens and pumps available in the UK
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Meds & Kit Our guide to the diabetes meters, Flash, CGMs, medications, insulins, pens and pumps available in the UK 2020
Welcome to Meds & Kit 2020 Experience Freedom There are many treatments and devices to help manage diabetes. So, we’ve put together this Contents with Pod Therapy guide to help you know what’s what. Whether you’re newly diagnosed, have had diabetes for years or are a healthcare professional, 5 Meds & Kit explained we hope you find it useful. An introduction to the types of A simple and discreet way This guide includes information on the main diabetes technology and treatment to deliver insulin diabetes technologies and treatments that are currently available in the UK. available in the UK Diabetes technology can vastly improve how 10 Meters people with diabetes manage their condition. Blood glucose meters in pictures But, it’s important to be aware that technology with specifications isn’t a quick fix and there’s a lot of data involved. People with diabetes should speak 18 Flash and CGMs Kelly R. Alexis B. to their diabetes team for individual advice that’s right for them. Details and features since 2019 since 2013 Read more about diabetes technology, what 20 Medications to consider and how people with diabetes feel about it at www.diabetes.org.uk/med-tech Including when to take and dosages Hannah McCook Nathaniel P. Nadja T. Tubeless, waterproof* 24 Insulins Pod that can be placed Contact us Including a handy duration chart since 2018 since 2014 anywhere you would give If since 2012 you’d like to contact us with questions, yourself an injection Giuliana P. feedback or improvements, write to us at 26 Insulin pens Joy S. RaquelUK, Diabetes L. Wells Lawrence House, Modern, intuitive 126 Back Church Lane, London E1 1FH. All you need to know, with pictures touch-screen Personal since 2014 since 2016 Or, you can call our confidential helpline 28 Insulin pumps Diabetes Manager (PDM) since 2014 which is staffed by a team of highly 11 Suitable for all ages, Archie H. Lucy L. trained Bernardadvisors Q. with counselling skills, Specifications and special features with adjustable settings who have an extensive knowledge of to personalise insulin diabetes. You can call the helpline on 31 Manufacturer contacts delivery based on your since 2017 since 2009 0345 123 since 2399 or email helpline@ 2015 Websites and telephone numbers diabetes.org.uk daily routine Marcus B. Kendra L. Steve R. call 0141 212 8710 or email In Scotland, helpline.scotland@diabetes.org.uk Speak to your Healthcare Provider to assess if the since 2017 since 2018 since 2014 Omnipod DASH™ System is a good option for you. Editor’sTaylor note F. Advertisements Clare F. Kishon K. Manufacturers provide the product information listed in this Products and services advertised in this guide aren’t necessarily guide, and we’ve made every effort to make sure it is accurate. recommended by Diabetes UK. Although the utmost care is taken These listings are for information only, and we can’t recommend to make sure products and services advertised are accurately since 2013 since 2014 or endorsesince any2017 specific products for diabetes care. Please talk represented, it’s only possible to thoroughly check specialist to your diabetes team about the treatments and equipment diabetes equipment. Please use your own discretion about whether that are available for you. or not an item or service advertised is likely to help you and, where Order your Pod Experience Kit† at www.myomnipod.com Kae R. Patrick D. Frankie The British DiabeticC.Association operating as Diabetes UK, appropriate, take professional advice from your medical advisor. Paid adverts don’t necessarily represent the views of Diabetes UK. a charity registered in England and Wales (no. 215199) and Insulet_UK MyOmnipod UK myOmnipod_uk Complaints regarding advertised services or products should be in Scotland (no. SC039136). A company limited by guarantee addressed to: Content Team, Diabetes UK, Wells Lawrence House, registered in England and Wales with no. 00339181 and registered *The Pod has a waterproof IP28 rating for up to 7.6 metres for up to 60 minutes. The PDM is not waterproof. 126 Back Church Lane, London E1 1FH. **Up to 72 hours of continuous insulin delivery. since 2015 since 2014 since Lawrence office at Wells before heHouse, 126 Back Church Lane, † The sample Pod is a needle-free, non-functioning Pod that can be worn for up to 3 days. London E1could 1FH ©even walk UK 2019. Diabetes Screen image is an example, for illustrative purposes only. Published November 2019. Product code 10181EINT/1019. ©2019 Insulet Corporation. Omnipod, the Omnipod logo, DASH, the DASH logo and Podder are trademarks or registered trademarks of Insulet Corporation in the USA and other various jurisdictions. All rights reserved. Glooko and diasend are Francis C. Brad G. Trent W. trademarks of Glooko, Inc. and used with permission. All other trademarks are the property of their respective owners. The use of third party trademarks does not constitute an endorsement or imply a relationship or other affiliation. 1 King St, Hammersmith Diabetes UK Meds & Kit 2020 | 3 London W6 9HR. INS-ODS-09-2019-00001V2-Pt2 since 2014 since 2007 since 2013
Diabetes Meds & Kit explained doesn’t quit. With so many different types of diabetes treatment That’s why people with diabetes and and technology, our guide introduces the basics… their healthcare professionals have looked to Accu-Chek® products and Roche as trusted partners in diabetes Checking blood sugar levels care for more than 40 years. People with diabetes taking insulin and certain types of medication, like sulphonylureas, will need to check their blood glucose – also called blood sugar levels – regularly. This will help them We are leading the charge to simplify to recognise if they start to go too low (hypo) diabetes care. or too high (hyper). Our Accu-Chek products deliver state-of-the art Keeping on top of blood sugar levels helps technology for accuracy, ease of use, and a better, prevent serious diabetes complications. It can simpler testing experience. Accu-Chek is one of also help people with diabetes and healthcare the leading diabetes brands worldwide. teams to spot patterns, so keeping track of results is really helpful. People can check their levels using a blood So people with diabetes can manage their glucose meter, a continuous glucose monitor diabetes every day with confidence. (CGM) or a flash glucose monitor – we call it Flash, for short. Healthcare professionals want solutions that people with diabetes can trust and feel good about using every day. Blood glucose meters Blood glucose meters are usually the first port of call for checking blood sugar levels. There are You can trust the Accu-Chek brand many on the market and new types launch all and Roche to stay by your side the time, so it can be tricky choosing the right one. People with diabetes should ask their Every customer is very important to us. We are here to stay and we healthcare team for advice on a suitable meter. will continue to improve our products and innovate for the future. People who use insulin or other medications We have been a trusted partner in diabetes care for over 40 years that can cause hypos should get a meter free for both healthcare professionals and people with diabetes. of charge, but the choice may be limited due to local guidelines. If people decide to buy their own meter, they might not get a prescription for the test strips. Our broad and developing portfolio or a list of meters available in the UK, F see page 10. For more information on checking blood sugars, go to www.diabetes.org.uk/med-test ACCU-CHEK, ACCU-CHEK AVIVA COMBO, ACCU-CHEK AVIVA INSIGHT, ACCU-CHEK INSIGHT, ACCU-CHEK MOBILE, ACCU-CHEK PERFORMA NANO, ACCU-CHEK AVIVA SOLO, ACCU-CHEK SPIRIT COMBO and MYSUGR are trademarks of Roche. All other trademarks are the property of their respective owners. GENCONS2019130 © 2019 Roche Diabetes Care Limited. All rights reserved. Roche Diabetes Care Limited, Charles Avenue, Burgess Hill, RH15 9RY, UK. Company registration number: 9055599 www.accu-chek.co.uk www.accu-chek.ie 4 | www.diabetes.org.uk Diabetes UK Meds & Kit 2020 | 5
CGM and Flash Medications CGM and Flash are ways of measuring blood As well as insulin, there are several medications sugar levels without having to finger prick. available to help treat type 2 diabetes – two of The monitors measure the amount of glucose in them are sometimes used to help treat type 1 the fluid surrounding the cells, called interstitial diabetes, too. They work in a variety of ways, so fluid. This lags behind blood sugar levels a little. some people will use a combination of medications. Both CGM and Flash involve a small sensor These are the different types and what they do: being worn just under the skin, for a set time Biguanide (metformin): This is usually the first until it needs replacing. diabetes medication prescribed if a healthy diet and physical activity alone hasn’t sufficiently CGM helped to manage blood sugar levels. CGM shows trends in blood sugar levels and Sulphonylureas: These are tablets that stimulate alerts people to highs and lows. It measures the cells in the pancreas to make more insulin, every few minutes. helping it to work better. There are two types of CGM: real time, which Alpha-glucosidase inhibitor (acarbose): Slows checks blood sugar levels at any time, with down the intestine’s absorption of starchy foods, downloadable results; and retrospective, which, in turn, slows down any rise in blood sugar which doesn’t check in real time, although levels after eating. results can be downloaded to refer to. Prandial glucose regulators: Similar to A CGM has three parts. There is a sensor sulphonylureas, this stimulates the cells in the which sits just under the skin. This is attached pancreas to produce more insulin. They work more to a transmitter, which sends blood sugar quickly than sulphonylureas but only last for a short levels to a display device to show the levels. time, so they need to be taken half an hour before The display device is either a separate each meal. handheld device (standalone CGM) or a pump (integrated system). Thiazolidinediones (glitazones): Reduces insulin “Flash has significantly resistance and improves sensitivity, allowing the Flash changed how I manage insulin that the body produces to work more effectively. Free prescriptions More people are choosing to use Flash to check my diabetes. I now test It also helps to protect the cells in the pancreas, which enables them to produce insulin for longer. their blood sugar levels. multiple times a day – People who live in England and use insulin GLP-1s (incretin mimetics): Increases the level A reader scans the sensor whenever people typically up to 20 times of incretins in the body. Incretins are a type of or medicine to manage their diabetes are want, giving access to the last eight hours of – yet it’s far easier and hormone that help produce more insulin when entitled to free prescriptions. But, if they’re sugar levels. It also comes with software so under 60, they need to have a medical more discreet than finger- it’s needed and reduce the amount of glucose exemption certificate before they can people can analyse results and see patterns in production when it’s not needed. They reduce their sugar levels. But, unlike a CGM, it won’t prick testing. And, I’m the rate at which the stomach digests food claim them. alert any high or low blood sugar levels. able to keep far closer and empties, and can also reduce appetite. People should ask for the application form or CGM and Flash product information, F to target levels – not only DPP-4 inhibitors (gliptins): These work for the certificate – called FP92A. They will see page 18. by reacting to the current by blocking the action of DPP-4, an enzyme need to fill it in, and then their doctor will sign it and send it off. Find out more at For information on how to access Flash, blood glucose reading, that destroys incretin. www.diabetes.org.uk/med-prescription go to www.diabetes.org.uk/med-flash but more importantly SGLT2 inhibitors: This medication reduces Prescriptions are free for everybody in to the trend arrow.” the amount of glucose absorbed by your kidneys Scotland, Wales, and Northern Ireland. and your blood. Adrian, who has been using a flash We also know that some people with glucose monitor for more than four years. s with any medication, check the patient A diabetes who need to test their blood information leaflet. People should talk to their sugars are having problems getting test ead Adrian’s story at R diabetes team if they have any questions strips on prescription. For information www.diabetes.org.uk/med-adrian or experience any side effects. go to www.diabetes.org.uk/med-strips For more on these types of medications, see page 20. 6 | www.diabetes.org.uk Diabetes UK Meds & Kit 2020 | 7
Insulin Insulin pumps Everyone with type 1 diabetes, and some people An insulin pump gives people the insulin they with type 2 diabetes, need to take insulin using need throughout the day and night. A pump an insulin pen or an insulin pump. can be an excellent alternative to injecting with an insulin pen and give people more flexibility There are five different types of insulin which all when managing their diabetes. work in slightly different ways to help manage diabetes. There are two types of insulin pumps: a tethered pump and a patch pump. Both are Rapid-acting insulin: Sometimes known attached to the body by a tiny tube called a as fast-acting insulin, it’s taken shortly before cannula, which goes just under the skin. The meals. It works quickly, and it’s usually taken cannula needs to be changed every two or three alongside intermediate-acting insulin or Contactless Contactless long-acting insulin. The dose depends days and moved to a different place every time. Download Download on how many carbohydrates are eaten. Tethered pumps: This is attached to the body by another small tube that connects to the Short-acting insulin: This is similar to to to Free Free App rapid-acting insulin but works slightly slower. cannula. The pump itself usually houses all the controls and can be carried on a belt, Because of this, it needs to be taken about in a pocket, or a body band worn under 25 minutes before eating. clothing if people don’t want it on show. Mixed insulin: This is a combination of short- Patch pumps: These attach directly onto the or rapid-acting insulin. It’s taken twice a day body where the cannula is placed. Popular before breakfast and dinner. choices include legs, arms, or stomach. There’s Intermediate-acting insulin: Also known as no extra tubing, which means the pump sits background insulin or basal insulin. This means directly onto the skin and is operated by a it works throughout the day. It’s taken once remote. Patch pumps are temporary, so the or twice a day. whole device needs to be changed when the pump sends an alert, not just the infusion Long-acting insulin: Another type of background set and location. or bolus insulin, it is slower acting than intermediate Glucose & Ketones on One Meter For a guide to pumps, see page 28. insulin but very similar in how the body processes it. It’s usually taken once a day. Automatic Download to Smartphone App Glucose & Ketones on One Meter ind out the different types of insulin F Accuracy Exceeding all International Standards available on page 24. Automatic Download to Smartphone App For more information on insulin, go to Access to technology The Finest Ultra-Thin Lancet www.diabetes.org.uk/med-insulin Accuracy Exceeding all International Standards Some diabetes technology can be difficult to access, and people with diabetes might The Finest Ultra-Thin Lancet Insulin pens need to meet specific criteria set by Pen injectors are relatively easy to use, and the NHS or by the National Institute for there’s a whole range to suit different insulin. Health and Care Excellence (NICE) or, There are two main types: a disposable pen in Scotland, the Scottish Intercollegiate 19 7 8 7 - 2 01 Guidelines Network (SIGN). If they are that already contains the insulin, which you throw away once empty; and a reusable pen unsure, people should check with their with replaceable insulin cartridges. diabetes team. TO APPLY FOR A FREE UPGRADE VISIT: www.glucomen.co.uk/areoupgrade See page 26 for our guide to insulin pens. Or call: 0800 085 2204 (0118 9444128) Quoting ref: AD10 19 7 8 7 - 2 01 Talk to your healthcare professional to see if this meter is right for you For top tips and our video on injecting, go to www.diabetes.org.uk/med-insulin TO APPLY FOR A FREE UPGRADE VISIT: www.glucomen.co.uk/areoupgrade Or call: 0800 085 2204 (0118 9444128) Quoting ref: AD10 Talk to your healthcare professional to see if this meter is right for you 8 | www.diabetes.org.uk Diabetes UK Meds & Kit 2020 | 9
Blood glucose meters 1 2 3 4 5 6 7 8 9 10 11 12 FreeStyle WaveSense JAZZ WaveSense JAZZ Contour Next One Contour Next Contour Contour Next Contour XT Contour Plus Contour TS Contour FORA Advanced Optium Neo AgaMatrix Europe Ltd WIRELESS Ascensia Diabetes Care Ascensia Diabetes Care Next Link Link 2.4 Ascensia Diabetes Care Ascensia Diabetes Care Ascensia Diabetes Care (black and silver) GD40h Abbott AgaMatrix Europe Ltd Ascensia Ascensia Ascensia Diabetes Care B. Braun Medical Ltd Diabetes Care Diabetes Care 13 14 15 16 17 18 19 20 21 22 23 24 Omnitest 3 Omnitest 5 Microdot + Microdot Max GlucoMen Areo GlucoMen Areo 2K GlucoRx Nexus GlucoRx Nexus Blue GlucoRx Nexus GlucoRx Nexus Voice GlucoRx GO GlucoRx GO B. Braun Medical Ltd B. Braun Medical Ltd Cambridge Sensors Cambridge Sensors GlucoMen GlucoMen GlucoRx GlucoRx Mini Ultra GlucoRx GlucoRx Professional Limited Limited GlucoRx GlucoRx 25 26 27 28 29 30 31 32 33 34 35 36 GlucoRx HCT GlucoRx HCT Connect GlucoRx HCT GlucoRx Q Accu-Chek Mobile Accu-Chek Aviva Accu-Chek Accu-Chek Accu-Chek Active 4SURE Smart Meter 4SURE Smart TEE2+ GlucoRx GlucoRx Connect i GlucoRx Roche Diabetes Care Roche Diabetes Care Performa Nano Aviva Expert Roche Diabetes Care Nipro Diagnostics Duo Meter Spirit Healthcare GlucoRx Roche Diabetes Care Roche Diabetes Care UK Ltd Nipro Diagnostics UK Ltd “Advances to equipment and technology have been life-changing.” Peter, diagnosed with type 1 diabetes in 1956. 37 38 39 40 41 42 43 Read Peter’s story at www.diabetes.org.uk/med-peter CareSens Dual TRUE METRIX AIR TRUE METRIX GO VivaChek Ino mylife Pura mylife Unio Spirit Healthcare Trividia Health Trividia Health VivaChek Ypsomed Ypsomed mylife Unio Neva Laboratories, Inc Ypsomed 10 | www.diabetes.org.uk Diabetes UK Meds & Kit 2020 | 11
Blood glucose meters Blood Includes Time Suitable for Suitable for Battery Sample glucose Number of tests stored Length x width x integrated Can test for Meter & manufacturer Strip/test cassette required for test Calibration Battery life peritoneal alternative replaced free volume (µL) range with date & time depth (cm) finger ketones? (secs) dialysis? site testing? of charge? (mmol/l) pricker? 1 FreeStyle Optium Neo FreeStyle Optium Blood Glucose 0.6 5 1.1–27.8 No coding Up to 1,000 (7-, 14- & 30-day averages) 8.68 x 5.97 x 0.8 ✓* ✓ ✗ device ✓ ✗ Abbott Test Strips required 3,000 tests inside package ✗ but meter 1,865 (14-, 30- and 90-day, gives ketone 2 WaveSense JAZZ WaveSense JAZZ & 0.5 5 1.1–33.3 No coding 1,000 tests pre-meal & post-meal averages 8.3 x 4.6 x 2 ✓ ✓ ✗ device warning with ✓ AgaMatrix Europe Ltd WaveSense JAZZ Duo Test Strips required inside package blood glucose & standard deviation) readings >13.3mmol/l ✗ but meter 300 in the meter memory, gives ketone WaveSense JAZZ 3 WIRELESS WaveSense JAZZ & 0.5 5 1.1–33.3 No coding 1,000 tests unlimited within the app (7-, 14-, 6.5 x 3 x 1 ✓ ✓ ✗ device warning with ✓ WaveSense JAZZ Duo Test Strips required 30- & 90-day, fasting, pre-meal inside package blood glucose AgaMatrix Europe Ltd & post-meal averages) readings >13.3mmol/l 800 on meter, 1,000 tests or 100 0.6 (also features days, whichever is sooner, on the 4 Contour Next One Contour Next Test Strips second-chance 5 0.6–33.3 No coding 1,000 tests app. Unlimited up to 8 years’ 9.7 x 2.8 x 1.5 ✓ ✓ ✗ device ✗ ✓ Ascensia Diabetes Care required inside package sampling) storage on the Contour CLOUD (7-, 14-, 30- & 90-day averages) Contour Next 0.6 (also features No coding 800 (7-, 14- & 30-day averages ✗ device 5 Ascensia Diabetes Care Contour Next Test Strips second-chance 5 0.6–33.3 required 1,000 tests & pre-/post-meal marking) 8 x 5.3 x 1.2 ✓ ✓ inside ✗ ✓ sampling) package Contour Next Link 0.6 (also features No coding 1,000 test memory (7-, 14-, ✗ device 6 Ascensia Diabetes Care Contour Next Test Strips second-chance 5 1.1–33.3 required 1,000 tests 30- & 90-day averages) 9.7 x 3.1 x 1.6 ✓ ✓ inside ✗ ✓ sampling) package 0.6 (also features 7 Contour Next Link 2.4 Contour Next Test Strips second-chance 5 1.1–33.3 No coding 1,000 tests 1,000 test memory (7-, 14-, 9.7 x 3.1 x 1.6 ✓ ✓ ✗ device ✗ ✓ Ascensia Diabetes Care required 30- & 90-day averages) inside package sampling) 0.6 (also features 8 Contour XT Contour Next Test Strips second-chance 5 0.6–33.3 No coding 1,000 tests 480 (7-, 14- & 30-day averages) 7.7 x 5.7 x 1.6 ✓ ✗ ✗ device ✗ ✓ Ascensia Diabetes Care required inside package sampling) 0.6 (also features 9 Contour Plus Contour Plus Test Strips second-chance 5 0.6–33.3 No coding 1,000 tests 480 (7-, 14- & 30-day averages 7.7 x 5.7 x 1.9 ✓ ✓ ✗ device ✗ ✓ Ascensia Diabetes Care required & pre-/post-meal marking) inside package sampling) 10 Contour TS Contour TS Test Strips 0.6 5 0.6–33.3 No coding 1,000 tests 250 (14-day averages) 7.1 x 6 x 1.9 ✓ ✗ ✗ device ✗ ✓ Ascensia Diabetes Care required inside package 11 Contour (black & silver) Contour Test Strips 0.6 5 0.6–33.3 No coding 1,000 tests 480 (7-, 14- & 7.7 x 5.7 x 1.9 ✓ ✗ ✗ device ✗ ✓ Ascensia Diabetes Care required 30-day averages) inside package 5 for 0.5–33.3 for 12 FORA Advanced GD40h FORA Blood Glucose Test Strips 0.8 for glucose glucose glucose & No coding Minimum 1,000 test results (7-, 14-, 21-, 10.7 x 5.7 x 1.8 ✓ ✓ ✗ device ✓ ✓ B. Braun Medical Ltd & FORA Ketone Test Strips & 1 for ketones & 8 for 0.1–8 for required 1,000 tests 28-, 60-, 90-day averages) inside package ketones ketones 500 test results with date & time 13 Omnitest 3 Omnitest 3 Test Strips 0.3 3 0.6–33.3 No coding Minimum (3 different averages which can be 8.3 x 5.6 x 1.8 ✓ ✓ ✗ device ✗ ✓ B. Braun Medical Ltd required 3,000 tests inside package set specifically for requirements) 14 Omnitest 5 Omnitest 5 Test Strips 0.5 5 0.6–33.3 No coding Minimum 500 test results with date and time 7.5 x 4.1 x 1.5 ✓ ✓ ✗ device ✗ ✓ B. Braun Medical Ltd required 1,000 tests (7-, 30- and 90-day averages) inside package 1,500 tests, or 15 Microdot + Microdot+ Test Strips 0.6 10 1.1–29.2 No coding 1 year’s testing 500 8.3 x 5.2 x 1.9 ✓ ✓ ✗ device ✗ ✓ Cambridge Sensors Limited required inside package 3 times per day 16 Microdot Max Microdot Max Blue Glucose Test Strips 0.5 5 0.6–33.3 No coding Rechargeable 500 6.2 x 1.2 x 8 ✓ ✓ ✗ device ✗ ✓ Cambridge Sensors Limited required battery inside package *With extraneal (Icodextrin) dialysis solution 12 | www.diabetes.org.uk Diabetes UK Meds & Kit 2020 | 13
Blood glucose meters Blood Includes Time Suitable for Suitable for Battery Sample glucose Number of tests stored Length x width x integrated Can test for Meter & manufacturer Strip/test cassette required for test Calibration Battery life peritoneal alternative replaced free volume (µL) range with date & time depth (cm) finger ketones? (secs) dialysis? site testing? of charge? (mmol/l) pricker? 17 GlucoMen Areo GlucoMen Areo Sensors 0.5 5 1.1–33.3 No coding 1,000 tests 730 (1-,7-,14-,30-, 8.5 x 5.6 x 1.8 ✓ ✓ ✗ device ✗ ✓ GlucoMen required 60- & 90-day averages) inside package 5 for 1.1–33.3 for 18 GlucoMen Areo 2K GlucoMen Areo Sensors 0.5 for glucose & glucose glucose & No coding 1,000 tests 730 (1-,7-,14-,30-, 8.5 x 5.6 x 1.8 ✓ ✓ ✗ device ✓ ✓ GlucoMen GlucoMen Areo β-Ketone Sensors 0.8 for ketones & 8 for 0.1–8 for required 60- & 90-day averages) inside package ketones ketones ✗ but meter 2 x AAA gives ketone 19 GlucoRx Nexus GlucoRx Nexus Test Strips 0.5 5 1.1–33.3 No coding batteries give 1,000 9.6 x 6.1 x 2.6 ✓ ✓ ✗ device warning with ✓ GlucoRx required inside package ~500 tests BG readings ≥15mmol/l ✗ but meter 2 x AAA gives ketone 20 GlucoRx Nexus Blue GlucoRx Nexus Test Strips 0.5 5 1.1–33.3 No coding batteries give 1,000 9.6 x 6.1 x 2.6 ✓ ✓ ✗ device warning with ✓ GlucoRx required inside package ~500 tests BG readings ≥15mmol/l 1 x AAA battery 21 GlucoRx Nexus Mini Ultra GlucoRx Nexus Test Strips 0.5 5 1.1–33.3 No coding gives ~500 1,000 9.8 x 3.6 x 1.8 ✓ ✓ ✗ device ✗ ✓ GlucoRx required inside package tests ✗ but meter 2 x AAA gives ketone 22 GlucoRx Nexus Voice GlucoRx Nexus Test Strips 0.5 5 1.1–33.3 No coding batteries give 450 9.5 x 5.2 x 2 ✓ ✓ ✗ device warning with ✓ GlucoRx required inside package ~500 tests BG readings ≥15mmol/l 1 x CR2032 23 GlucoRx GO GlucoRx Nexus Test Strips 0.5 5 1.1–33.3 No coding battery gives 999 4.4 x 3.9 x 2.4 ✓ ✓ ✗ device ✗ ✓ GlucoRx required inside package ~500 tests 1 x CR2032 24 GlucoRx GO Professional GlucoRx Nexus Test Strips 0.5 5 1.1–33.3 No coding battery gives 999 4.4 x 3.9 x 2.4 ✓ ✓ ✗ device ✗ ✓ GlucoRx required inside package ~500 tests 5 for 0.5–38.9 ✗ but meter 2 x AAA gives ketone 25 GlucoRx HCT GlucoRx HCT Glucose Test Strips & 1 glucose for glucose No coding batteries give 1,000 9.6 x 6.1 x 2.6 ✓ ✗ ✗ device warning with ✓ GlucoRx GlucoRx HCT Ketone Test Strips & 10 for & 0.1–8 for required inside package ~500 tests BG readings ketones ketones ≥15mmol/l Powered ✗ but meter 0.5 –38.9 by Android gives ketone 26 GlucoRx HCT Connect GlucoRx HCT Glucose Test Strips & 1 5 for glucose No coding device and Unlimited readings stored in 5.3 x 3.2 x 1.3 ✓ ✗ ✗ device warning with ✓ GlucoRx GlucoRx HCT Ketone Test Strips & 0.1–8 for required 1 x CR2032 GlucoRx HCT app on smartphone inside package blood glucose ketones battery, giving readings ~500 tests ≥15mmol/l 0.5–38.9 Powered by ✗ but meter gives ketone 27 GlucoRx HCT Connect i GlucoRx HCT Glucose Test Strips & 1 5 for glucose No coding iOS device, Unlimited readings stored in 5.1 x 2.4 x 0.9 ✓ ✗ ✗ device warning with N/A GlucoRx GlucoRx HCT Ketone Test Strips & 0.1–8 for required giving ~500 GlucoRx HCT app on smartphone inside package ketones tests BG readings ≥15mmol/l 1 x AAA battery 28 GlucoRx Q GlucoRx Q Test Strips 0.7 7 1.1–33.3 No coding gives ~500 450 9.3 x 3.6 x 2.13 ✓ ✓ ✗ device ✗ ✓ GlucoRx required inside package tests Accu-Chek Mobile No coding 500 tests or 2,000 (7-, 14-, 30- 12.1 x 6.3 x 2 29 Roche Diabetes Care Mobile Test Cassette 0.3 5 (approx) 0.6–33.3 required 1 year approx & 90-day averages) ✓ ✗ ✓ ✗ ✓ Approx 1,000 30 Accu-Chek Aviva Aviva Test Strips 0.6 5 0.6–33.3 No coding tests or 1 year 500 (7-, 14-, 30- & 90-day 9.4 x 5.2 x 2.1 ✓ ✓ ✗ device ✗ ✓ Roche Diabetes Care required with 3 & pre-/post-meal averages) inside package tests per day 14 | www.diabetes.org.uk Diabetes UK Meds & Kit 2020 | 15
Blood glucose meters Blood Includes Time Suitable for Suitable for Battery Sample glucose Number of tests stored Length x width x integrated Can test for Meter & manufacturer Strip/test cassette required for test Calibration Battery life peritoneal alternative replaced free volume (µL) range with date & time depth (cm) finger ketones? (secs) dialysis? site testing? of charge? (mmol/l) pricker? 31 Accu-Chek Performa Nano Performa Test Strips 0.6 5 0.6–33.3 No coding 500 tests or 500 (7-, 14-, 30- & 90-day 6.9 x 4.3 x 2 ✓ ✓ ✗ device ✗ ✓ Roche Diabetes Care required 1 year approx & pre-/post-meal averages) inside package Varies depending on 1,000 (7-, 14-, 30- & 90-day 32 Accu-Chek Aviva Expert Aviva Test Strips 0.6 5 0.6–33.3 No coding usage of averages) can be shown as colour 9.4 x 5.5 x 2.5 ✓ ✗ ✗ device ✗ ✓ Roche Diabetes Care required inside package different graphs & charts on meter screen) features Approx 5 (test strip in Auto coding 33 Accu-Chek Active Active Test Strips 1–2 meter) 0.6–33.3 by inserting Approx 1,000 500 (date/time, 7-, 14-, 9.8 x 4.7 x 1.9 ✓ ✗ ✗ device ✗ ✓ Roche Diabetes Care / 8 (test tests or 1 year 30- & 90-day averages) inside package a code chip strip outside meter) 34 4SURE Smart Meter 4SURE Test Strips 0.5 5 0.5–33.3 No coding 1,000 tests 1,000 (7-, 14-, 30-, 9 x 5.5 x 1.8 ✓ ✓ ✗ device ✗ ✓ Nipro Diagnostics UK Ltd required 60- & 90-day averages) inside package No coding required 5 for 0.5–33.3 (blood glucose). 35 4SURE Smart Duo Meter 4SURE Test Strips 0.5 for glucose & glucose for glucose Coding needed when 1,000 tests 1,000 (7-, 14-, 30-, 9 x 5.5 x 1.8 ✓ ✓ ✗ device ✓ ✓ Nipro Diagnostics UK Ltd & 4SURE Ketone Test Strips 0.8 for ketones & 8 for & 0.1–8 for 60- & 90-day averages) inside package using new vial of ketones ketones ketone test strips 36 TEE2+ TEE2 0.5 5 1.1–33.3 No coding 1,000 tests 1,000 (1-,7-,14-, 30-, 10.8 x 5.6 x 1.5 ✓ ✓ ✗ device ✗ ✓ Spirit Healthcare required 90-day pre & post meal averages) inside package 37 CareSens Dual CareSens Pro Glucose Test Strips & 0.4 5 1.1–33.3 No coding 1,000 tests 1,000 (1-,7-,14-, 30-, 10.6 x 5.8 x 1.7 ✓ ✓ ✗ device ✓ ✓ Spirit Healthcare KetoSens Ketone Strips required 90-day pre & post meal averages) inside package ✓as long as the hematocrit levels fall within the 38 TRUE METRIX AIR TRUE METRIX Test Strips 0.5 As fast 1.1–33.3 No coding Approx 1,000 1,000 8.7 x 5.5 x 1.7 parameters ✓ ✗ device ✗ ketone ✗ Trividia Health as 4 required tests or 1 year inside package test reminder of 20-70%. HCP to determine if the meter is appropriate ✓as long as the hematocrit levels fall within the 39 TRUE METRIX GO TRUE METRIX Test Strips 0.5 As fast 1.1–33.3 No coding Approx 1,000 500 4.1 x 3.5 x 2.2 parameters ✓ ✗ device ✗ ✗ Trividia Health as 4 required tests or 1 year inside package of 20-70%. HCP to determine if the meter is appropriate 40 VivaChek Ino VivaChek Ino Test Strips 0.5 5 0.6–33.3 No coding 12 months or 900 8.2 x 5 x 1.5 ✓ ✓ ✗ device ✗ ✓ VivaChek Laboratories, Inc required 1,000 tests inside package 41 mylife Pura mylife Pura Test Strips 1 5 0.6–33.3 No coding Approx 500 (7-, 14-, 30- 9.1 x 4.6 x 1.7 ✓ ✓ ✗ device ✗ ✓ Ypsomed required 1,000 tests & 90-day averages) inside package 42 mylife Unio mylife Unio Test Strips 0.7 5 0.6–33.3 No coding Approx 1,000 (7-, 14-, 30-, 60- 7.1 x 3.9 x 1.4 ✓ ✓ ✗ device ✗ ✓ Ypsomed required 600 tests & 90-day averages) inside package 43 mylife Unio Neva mylife Unio Test Strips 0.7 5 0.6–33.3 No coding Approx 1,000 (7-, 14-, 30-, 60- 7.1 x 3.9 x 1.4 ✓ ✓ ✗ device ✗ ✓ Ypsomed required 600 tests & 90-day averages) inside package 16 | www.diabetes.org.uk Diabetes UK Meds & Kit 2020 | 17
Flash and CGMs Licensed for Link to an Sensor size Transmitter Sensor Sensor Blood glucose range Calibration Weight Reusable Reusable Flash & CGM Water resistant? treatment Battery life Stored data? Can results be shared? insulin (h x w x d) size (h x w type life (mmol/l) requirements (g) applicator Transmitter decisions? pump? in cm x d) in cm FreeStyle Libre Flash Yes, sensor is water ✓ Sensor: ✓ Glucose resistant in up to 1m of Flash No calibration 8 hours. 0.5 (h) x LibreView to healthcare Monitoring water for a maximum of Glucose 14 days 2.2–27.8 Yes N/A required Sensor: 5 Reader & team. LibreLinkUp app to ✗ ✗ N/A 3.5 (d) N/A System 30 minutes app: up to 20 caregivers Abbott 90 days ✓ 24 hours ✓ Dexcom G6 G6 transmitter IP28 up Up to 10 No calibration of data in G6 Through separate Share ✓ ✓ 4.6 x 3 Dexcom to 2.4m for 24 hours CGM days 2.2–22.2 Yes* N/A required 12 app. 90 days app with up to 5 family or Tandem T ✗ 90 day N/A x 1.5 of data in Slim X2 warranty friends Clarity app GlucoMen Yes, submerged up to Actual ✓ ✓ ✓ Day CGM 1m for up to 30 minutes Real-Time 15 days 2.2–22.2 Yes 15 days 1 per day 7.5 ✓ 15 days ✓ GlucoMen 5 years 5 years 3.5 x 2.5 x 0.7 GlucoMen CGM™ Day Pump Sensor: 2.2–22.2 6 days Guardian Connect App transmitter & Inputs: Can record BG battery life of Guardian Enlite readings 1.1–33.3. compatible ✓ ✓ ✗ ✓ ✓ IP48: up to 2.4m for Up to 6 Can be alerted to a high No, calibration, BG device. A 12 hours Via CareLink to HCP & Designed as 3.5 x 2.8 Connect Glucose 3–4 times per day
Medications Always check the patient information leaflet or, for the latest medication updates, go to www.medicines.org.uk Generic name Trade name Dosage size/strength How it’s taken Min-max daily dose When taken Times per day BIGUANIDES Metformin Glucophage 500mg, 850mg By mouth, swallowed whole 500–3,000mg During or after meals 2–3 times Metformin Metformin Oral Solution 500mg per 5ml By mouth, liquid 500–3,000mg During or after meals 2–3 times Once (dose can be split if With, or after, evening meals if once. Metformin prolonged release Glucophage SR 500mg, 750mg, 1,000mg By mouth, swallowed whole 500–2,000mg not tolerated or glycaemic Breakfast and evening meal if twice control still inadequate) SULPHONYLUREAS With or immediately after breakfast, or first Glibenclamide Glibenclamide 2.5mg, 5mg By mouth, swallowed whole 2.5–15mg Once main meal of the day By mouth, swallowed According to the main Gliclazide Diamicron 80mg 40–320mg Twice whole with water meals of the day By mouth, swallowed Gliclazide Diamicron MR 30mg 30–120mg Take with water at breakfast Once whole with water Glimepiride Glimepiride 1mg, 2mg, 3mg, 4mg By mouth, swallowed whole 1–6mg Shortly before or with first main meal Once 30 minutes before breakfast Glipizide Minodiab 5mg By mouth 5–20mg 1–2 times or midday meal With or immediately after the first meal of the Tolbutamide Tolbutamide 500mg By mouth 500–2,000mg day or in smaller doses throughout the day 1–3 times with meals PRANDIAL GLUCOSE REGULATORS By mouth, swallowed Nateglinide Starlix 60mg, 120mg, 180mg 60–540mg Up to 30 minutes before meals Up to 3 times whole with water By mouth, swallowed Usually within 15 minutes prior to main Repaglinide Prandin 0.5mg, 1mg, 2mg 0.5–16mg Up to 4 times whole with water meals, but up to 30 minutes before ALPHA-GLUCOSIDASE INHIBITORS Chewed with first mouthful of Acarbose Acarbose 50mg, 100mg By mouth 50–600mg food, or swallowed whole with 3 times water directly before GLP-1 RECEPTOR AGONISTS Dulaglutide Trulicity 0.75mg, 1.5mg in prefilled pens & syringes Injection Weekly 0.75mg (monotherapy) 1.5mg (add-on) Any time Weekly Within 60 minutes prior to the Exenatide Byetta 5mcg, 10mcg (injection pens) Injection 10–20mcg two main meals of the day, approx Twice 6 hours apart 2mg (powder/solvent for prolonged-release, Once weekly on the same day each week, Exenatide prolonged-release Bydureon Injection 2mg once weekly Once weekly suspension for injection) any time with or without food Once daily, at any time of time, independent Liraglutide Victoza 0.6mg, 1.2mg, 1.8mg Once daily injection 1.2–1.8mg Once of meals, around same time each day Once daily, within the hour prior to any meal 10mcg once daily for 14 days, then 20mcg once of the day. It is preferable that the prandial Lixisenatide Lyxumia 10mcg, 20mcg (fixed-dose injection pens) Once daily injection Once daily maintenance dose from day 15 onwards injection of Lixisenatide is performed before the same meal every day Weekly, same day each week, at any time of Semaglutide Ozempic 0.25mg, 0.5mg, 1mg Once weekly injection 0.5mg–1mg weekly Weekly day, with or without meals SGLT-2 INHIBITORS 100mg monotherapy/add on, increasing to 300mg for Canagliflozin Invokana 100mg, 300mg By mouth tighter glycaemic control. If eGFR drops below Once a day, preferably before breakfast Once daily 60ml/min/1.73m2 use 100mg; discontinue if
Medications Always check the patient information leaflet or, for the latest medication updates, go to www.medicines.org.uk Generic name Trade name Dosage size/strength How it’s taken Min-max daily dose When taken Times per day THIAZOLIDINEDIONES (GLITAZONES) By mouth, swallow Pioglitazone Actos 15mg, 30mg, 45mg 15–45mg alone, or in dual or triple therapy, or with insulin With or without food Once whole with water DPP-4 INHIBITORS 25mg with metformin/ thiazolidinedione/ sulphonylurea/insulin or Alogliptin Vipidia 6.25mg, 12.5mg, 25mg By mouth triple therapy with metformin & thiazolidinedione/sulphonylurea/insulin. Once daily with or without food Once 12.5/6.25mg in moderate/severe renal disease By mouth, swallow 5mg as monotherapy, or in combination Any time of day, but at the same Linagliptin Trajenta 5mg Once whole with water with other anti-diabetic medication time each day with or without food By mouth, swallow 5mg alone or in dual or triple therapy, or with insulin (reduce With or without food at any time of Saxagliptin Onglyza 2.5mg, 5mg Once whole with water to 2.5mg in moderate or severe renal impairment) day, ideally at same time each day Sitagliptin Januvia 25mg, 50mg, 100mg By mouth 100mg alone, or in dual or triple therapy, or add on to insulin With or without food Once 50mg in the morning, 50mg in 100mg, as monotherapy, in combination with metformin, metformin the evening, except in dual By mouth, swallow and a sulphonylurea, thiazolidinedione, or with insulin (with or Vildagliptin Galvus 50mg With or without food combination with a sulphonylurea, whole with water without metformin); 50mg with a sulphonylurea [moderate/severe where administration is 50mg renal disease/ESRD 50mg daily] in the morning COMBINED FORMULATION MEDICATIONS By mouth, swallow Alogliptin + metformin Vipdomet 12.5mg/850mg, 12.5mg/1,000mg 2 x 12.5mg/850mg–2 x 12.5mg/1,000mg With food Twice whole with water By mouth, swallowed whole One tablet twice daily with meals to Dose is based on patients’s current metformin dose, Canaglifozin + metformin Vokanamet 50mg/850mg, 50mg/1,000mg with water. It is best to take lower the chance of having an upset Twice daily daily dose of metformin should not exceed 2g the tablet with a meal stomach associated with metformin 5mg empagliflozin + 850mg metformin By mouth; swallowed 5mg empagliflozin + 1,000mg metformin 2 x 5mg empagliflozin/850mg metformin– Empagliflozin + metformin Synjardy whole with water and With meals Twice 12.5mg empagliflozin + 850mg metformin 2 x 12.5mg empagliflozin/1,000 metformin take with meals 12.5mg empagliflozin + 1,000mg metformin Initiate with 10mg empa/5mg lina; titrate to 25mg empa/ 5mg lina if Any time of day, but at 10mg empagliflozin + 5mg linagliptin By mouth; swallowed Empagliflozin + linagliptin Glyxambi tighter glycaemic control needed (and if eGFR is >60ml/min/1.73m2). If the same time each day Once 25mg empaglflozin + 5mg linagliptin whole with water eGFR drops
Insulins Onset Peak Times are approximate and may vary from person to person. This is a guide only. Duration Onset, peak & duration (approximate hours) Name Manufacturer Source Delivery system When taken 0 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 Rapid-acting analogue Vial, cartridge, KwikPen, Junior KwikPen Shortly before meals or soon Humalog Lilly Analogue (prefilled pens) after when necessary Humalog 200 units/ml Shortly before meals or soon Lilly Analogue KwikPen (prefilled pen) KwikPen after when necessary Shortly before meals or soon Humalog Junior KwikPen Lilly Analogue KwikPen (prefilled pen) after when necessary 2 minutes before food, with food or, if Fiasp Novo Nordisk Analogue Prefilled pen, cartridge, vial necessary, up to 20 minutes after food NovoRapid Novo Nordisk Analogue Prefilled pen, cartridge, vial Just before, with or just after food Shortly before or soon after meals, or by Apidra Sanofi Analogue Vial, cartridge, SoloStar pre-filled pen continuous subcutaneous pump infusion Shortly before meals or, when Insulin lispro Sanofi Sanofi Analogue Vial, cartridge, SoloStar pre-filled pen necessary, soon after meals Insuman Rapid Sanofi Human Cartridge 15–20 mins before a meal Short-acting insulin Actrapid Novo Nordisk Human Vial 30 minutes before food Humulin S Lilly Human Vial, cartridge As advised by your healthcare team Hypurin Porcine Neutral Wockhardt UK Porcine Vial, cartridge As advised by your healthcare team Intermediate-acting insulin Humulin I Lilly Human Vial, cartridge, KwikPen (prefilled pen) As advised by your healthcare team Hypurin Porcine Isophane Wockhardt UK Porcine Vial, cartridge As advised by your healthcare team Insulatard Novo Nordisk Human Prefilled doser, cartridge, vial To be determined by healthcare team Insuman Basal Sanofi Human Cartridge, SoloStar prefilled pen 45–60 minutes before a meal Pre-mixed insulin Shortly before meals or soon Humalog Mix 25 Lilly Analogue Vial, cartridge, KwikPen (prefilled pen) after when necessary Shortly before meals or soon Humalog Mix 50 Lilly Analogue Cartridge, KwikPen (prefilled pen) after when necessary Humulin M3 Lilly Human Vial, cartridge, KwikPen (prefilled pen) As advised by your healthcare team Hypurin Porcine Wockhardt UK Porcine Vial, cartridge As advised by your healthcare team 30/70 Mix NovoMix 30 Novo Nordisk Analogue Prefilled pen, cartridge Just before, with or just after food Insuman Comb 25 Sanofi Human Cartridge, SoloStar prefilled pen 30–45 minutes before a meal Insuman Comb 50 Sanofi Human Cartridge 20–30 minutes before a meal Long-acting insulin Once a day, anytime (preferably Abasaglar Lilly Analogue Cartridge, KwikPen (prefilled pen) same time each day) Levemir Novo Nordisk Analogue Prefilled pen, prefilled doser, cartridge Once or twice daily Tresiba U100, Once daily, preferably at Novo Nordisk Analogue Prefilled pen, cartridge (U100 only) Tresiba U200 the same time each day Semglee Mylan Analogue Prefilled pen Once daily, same time each day Lantus Sanofi Analogue Vial, cartridge, SoloStar prefilled pen Once daily, any time, but at the same time each day Once-daily administration at any time of the day, Toujeo U300 Sanofi Analogue SoloStar prefilled pen only preferably at the same time every day Long acting / GLP-1 agonist Analogue / GLP-1 fixed Once daily, preferably at Xultophy Novo Nordisk Prefilled pen dose combination the same time each day Once a day within one hour prior Analogue/GLP-1 fixed to a meal, preferably before the same Suliqua Sanofi SoloStar pre-filled pen ratio combination meal every day, when the most convenient meal has been chosen 24 | www.diabetes.org.uk Diabetes UK Meds & Kit 2020 | 25
Insulin pens Pen needles Cartridge or Carrying case Insulin pen & manufacturer Dosage (min-max) Insulin used in pens Colour Material Redial dose? compatible with prefilled description Humalog, Humalog Mix 25, Humalog 50, HumaPen Savvio Red, green, blue, pink, Lilly 1–60 units Humulin I, Humulin M3, Humulin S, Abasaglar BD pen needles graphite, silver Metal Cartridge ✓ Grey zip case Humalog KwikPen, Humalg Mix 25 Soft case available from KwikPen, Humalog Mix 50 Lilly 1–60 units Humalog, Humalg Mix 25, Humalog Mix 50 BD pen needles Slate blue Plastic Prefilled ✓ manufacturer Humulin I KwikPen, Soft case available from Humulin M3 KwikPen Lilly 1–60 units Humulin I, Humulin M3 BD pen needles Beige Plastic Prefilled ✓ manufacturer Humalog 200 units/ml KwikPen Soft case available from Lilly 1–60 units Humalog 200 units/ml BD pen needles Dark grey Plastic Prefilled ✓ manufacturer Abasaglar KwikPen Soft case available from Lilly 1–80 units Abasaglar BD pen needles Light grey Plastic Prefilled ✓ manufacturer Humalog Junior KwikPen Soft case available from Lilly 0.5–30 units Humalog BD pen needles Slate blue Plastic Prefilled ✓ manufacturer Semglee 31G/5mm, 32G/4—6mm or Mylan 1–80 units Semglee (insulin glargine) 34G/4mm pen needles Blue Plastic Prefilled ✓ None Tresiba FlexTouch 100 units/ml Available from Novo Nordisk 1–80 units Tresiba NovoFine, NovoTwist, Autocover Lime green Plastic Prefilled ✓ manufacturer Tresiba FlexTouch 200 units/ml Available from Novo Nordisk 2–160 units Tresiba NovoFine, NovoTwist, Autocover Forest green Plastic Prefilled ✓ manufacturer Fiasp FlexTouch 100 units/ml Available from Novo Nordisk 1–80 units Fiasp NovoFine, NovoTwist, Autocover Yellow/red Plastic Prefilled ✓ manufacturer NovoRapid FlexTouch Available from 100 units/ml Novo Nordisk 1–80 units NovoRapid NovoFine, NovoTwist, Autocover Orange Plastic Prefilled ✓ manufacturer Xultophy FlexTouch Available from Novo Nordisk 1–50 dose steps Xultophy NovoFine, NovoTwist, Autocover Pink/blue Plastic Prefilled ✓ manufacturer FlexPen Available from Novo Nordisk 1–60 units NovoRapid, Levemir, NovoMix30 NovoFine, NovoTwist, Autocover Orange, green, blue Plastic Prefilled ✓ manufacturer InnoLet Novo Nordisk 1–50 units Levemir, Insulatard NovoFine, NovoTwist Cream Plastic Prefilled ✓ None NovoPen 5 Novo Nordisk 1–60 units All Novo Nordisk 3ml penfill cartridges NovoFine, NovoTwist, Autocover Blue or silver Metal Cartridge ✓ Zip case NovoPen Echo Novo Nordisk 0.5–30 units All Novo Nordisk 3ml penfill cartridges NovoFine, NovoTwist, Autocover Blue or red Metal Cartridge ✓ Soft case Autopen Classic BD Micro-Fine+, NovoFine, Green & white Owen Mumford 1–21 units (green) Sanofi 3ml insulin cartridges Penfine universal click, Unifine Pentips or blue & white Plastic Cartridge ✗ Soft pouch BD Micro-Fine+, NovoFine, Autopen 24 Owen Mumford 2–42 units (blue) Sanofi 3ml insulin cartridges Penfine universal click, Unifine Pentips Green or blue Plastic Cartridge ✗ Soft pouch Always use needles that are compatible with Apidra, Lantus, Insuman Basal, AllStar PRO AllStarPRO, eg from BD (eg BD Ultra-Fine), Sanofi 1–80 units Insuman Comb 25, Insuman Comb 50, Insuman Rapid, Insulin lispro Sanofi Ypsomed (eg Clickfine) or Owen Mumford Blue or silver Plastic Cartridge ✓ Hard case (eg Unifine Pentips) Can be used with needles up to 8mm long – Grey. The medicine label DoubleStar longer needles DO NOT fit under the pen cap. should be read for Sanofi 2–160 units Toujeo Toujeo compatible needles from differentiation not the Plastic Prefilled ✓ None BD, Ypsomed, Artsana & Owen Mumford pen colour Apidra, Lantus, Insuman Basal, JuniorSTAR Compatible needles from BD, Ypsomed, Sanofi 1–30 units Insuman Comb 25, Insuman Comb 50, Insuman Rapid, Insulin lispro Sanofi Artsana & Owen Mumford Blue, red or silver Metal Cartridge ✓ Soft pouch The medicine label Toujeo, Apidra, Lantus, SoloStar Compatible needles from BD, Ypsomed, should be read for Sanofi 1–80 units Insuman Basal, Insuman Comb 25, Insulin lispro Sanofi Artsana or Owen Mumford differentiation not the Plastic Prefilled ✓ None pen colour Compatible needles from BD, Suliqua Solostar 10–40 dose steps (peach) Sanofi 30–60 dose steps (olive) Suliqua Ypsomed, Artsana or Owen Mumford Peach/olive Plastic Prefilled ✓ None “None. Insulin administered by needle-free jet Insujet Green & white, blue & Spirit Healthcare 4–40 units All 3ml & 10ml UK insulin cartridges injections using compressed air through a precision nozzle” white or grey & white Plastic & steel Cartridge ✓ Hard case 26 | www.diabetes.org.uk Diabetes UK Meds & Kit 2020 | 27
Insulin pumps Length x width Screen Basal Basal Pump & manufacturer Weight Colours Total basals Memory Battery life Waterproof? Key features & website x depth (cm) size (mm) increments profiles Dana RS • Smallest & lightest pump of its class Black, 500 bolus, 100 prime, 200 daily totals, Advanced grey, 0.1 or 500 carbohydrates & 500 blood glucose • Fully controllable via Android & iPhone smartphones Therapeutics (UK) Ltd 7.8 x 3.5 x 1.9 53g 595mm2 white, 0.01 24 4 entries. Average bolus: 3, 7, 14, 21, 28 4–5 weeks IPX28 • Designed for compatibility with future licensed, (UK Distributor) pink, u/hr days. Alarm code, suspend history, interoperable APS algorithms Manufacturer: Sooil Developments Co Ltd green temporary basal history, basal history www.advancedtherapeutics.org.uk Pod: • Tubeless, waterproof Pod that can be placed 5.2 x 3.9 x 1.45. Pod: IP28 anywhere you would give yourself an injection Omnipod DASH Pod: 26g Each • Modern, intuitive touchscreen Omnipod DASH for up to 7.6m Insulin Management without insulin. 51 x 90 programme PDM: 90 days’ insulin data Up to 2 days on Personal Diabetes Manager (PDM) Personal Black 0.05u/hr 12 for 60 minutes. System PDM: 106g can have in history records a single charge • Suitable for all ages, with adjustable settings to Diabetes PDM: not Insulet Corporation (with battery) 24 segments personalise insulin delivery based on your daily routine Manager (PDM): waterproof 13 x 6.3 x 1 www.myomnipod.com 0.00u/hr 7 basal PDM (30min • World’s first Sensor Augmented Patch PDM: 48 basal time patterns 1 week – PDM uses charging Patch, yes: IPX8 skins: segments) Pump with PLGS & LGS A6 TouchCare 7.6 x 4.8 x 9.4. segments (standard, 90 days stored on PDM, unlimited in Apps cable for internal battery/ (up to 2.5m for PDM: 42.4g. blue, • Modular: start with Pump, CGM or combine for SCL System Patch, incl. 37 x 50 (can change exercise, and EasyView online data management patch reservoir (disposable): 60min). Patch: 21.5g pink, 0,05u/hr • Colour touchscreen with menu icons Medtrum Ltd Pump Base: every half holiday, portal (PWD & HCP), diasend compatible powered by 2 button PDM, no: IP22 green, increments 5.7 x 3.3 x 1.3 hour) pattern batteries (1.5V) (splashproof) www.medtrum.co.uk lavender A/B/C/D Profiles not 288. Basal needed: • The world’s first commercially available rates are basal rates self-adjusting insulin pump 0.025u/hr automatically User settings & pump history are stored automatically • Only system to achieve Time in Range goal of 70% MiniMed 670G (0.025 adjusted in non-volatile memory which will retain 2 weeks without sensors, IPX8 (3.6m for 9.6 x 5.3 x 24 102g 40 x 30 Black adjusted • System protects from both highs & lows Medtronic min–35u/hr every 5 data. The memory size holds 1 week with sensors 24 hours) every 5 max) minutes when 90 days’ pump history www.medtronic-diabetes.co.uk/ minutes using auto insulin-pump-therapy/minimed-670g-system when using mode auto mode Pump Uses lithium • Incorporates the Accu-Chek clinically skins: 1,000 diary entries (handheld); batteries. proven Bolus Advisor 110g, including Pump: black, permanent memory (pump). Time & date Pump: 200 days • The first insulin pump operated by a remote handset Accu-Chek Combo batteries, 600. IPX8 8.2 x 5.6 x 2.1 white, 0.01u/hr 24/day 5 stored for 1 hour after battery removed. Bluetooth off; 80 • Compatible with Accu-Chek Smart Pix Roche Diabetes Care cartridge & Handheld: (60 mins at 2.5m) yellow, Other pump settings & event memory days Bluetooth on. & Accu-Chek 360º download software infusion set 945 turquoise, saved regardless of battery status Handheld: 3–5 pink, blue weeks www.accu-chek.co.uk/insulin-pumps 2,000 diary entries (handheld); Pump uses lithium AAA • Incorporates the Accu-Chek clinically 115g, including Pump: proven Bolus Advisor permanent memory (pump). Time & date batteries: 14 days Bluetooth IPX8 Accu-Chek Insight batteries, full 570. • Very low minimum basal rate (0.02 units/hour) 7.5 x 5.2 x 1.6 Black 0.01u/hr Up to 24/day 5 stored for 1 hour after battery removed. off. Handset battery (1.3m for 60 Roche Diabetes Care cartridge & Handset: • Pre-filled cartridge Other pump settings & event memory rechargeable: 3 days of minutes) infusion set 2,535 saved, regardless of battery status normal usage www.accu-chek.co.uk/insulin-pumps Micro- • Tubeless, lightweight & discreet Accu-Chek Solo Micropump: Micropump: IP22 Micropump: 29g pump: • Ability to quickly bolus off the micropump itself Micropump 6.3 x 3.9 x 1.4. Diabetes Reservoir: up to 4 days. (splashproof only, (when filled with white. 5,000 BG tests, 5,000 log book entries, without needing the diabetes manager (handset) Roche Diabetes Care Diabetes Manager: 0.01u/hr Up to 24/day 5 Diabetes Manager: up to 2 not waterproof). insulin). Diabetes Diabetes 5,000 pump events • Can input a BG reading from CGM/Flash monitor, Launching first half 2020 Manager: 89 days on a single charge Diabetes Manager: or use the in-built test strip port Manager: 140g Manager: 12.4 x 6.4 x 1.7 IP20 black www.accu-chek.co.uk/insulin-pumps 0.00u/hr, • Small, lightweight, compact design Therapy data: 500 events displayed 83g, including 0.01u/hr, • Icon based, language neutral touchscreen mylife YpsoPump (total of 3,000 stored in the pump). IPX8 (1m for up 7.8 x 4.6 x 1.6 battery & filled 656 Black 0.02u/hr, 24/day 2 Approx 30 days’ average use • Self-filled reservoir or pre-filled pump cart compatible Ypsomed Alarm history: 100 events displayed to 60 minutes) cartridge 0.1u/hr, (total 200 stored in the pump) www.mylife-diabetescare.com 0.5u/hr 28 | www.diabetes.org.uk Diabetes UK Meds & Kit 2020 | 29
Manufacturer contact details Manufacturer Website Telephone Abbott www.freestylediabetes.co.uk 0800 170 1177 Advanced Therapeutics www.atuk.ltd 01926 833273 AgaMatrix Europe Ltd www.agamatrix.co.uk 0800 093 1812 Ascensia Diabetes Care www.diabetes.ascensia.co.uk 0345 600 6030 Astra Zeneca www.astrazeneca.co.uk 0800 783 0033 B Braun Medical Ltd www.bbraun.co.uk 0800 840 0498 Boehringer Ingelham www.boehringer-ingelheim.co.uk 01344 424600 Cambridge Sensors Ltd www.microdot.biz 01480 482920 Dexcom www.dexcom.com/en-gb 0800 031 5761 Glaxo Smith Kline uk.gsk.com 0800 221 441 Glenmark Pharma www.glenmarkpharma.com 01923 202950 GlucoMen www.glucomen.co.uk 0800 243 667 GlucoRx Ltd www.glucorx.co.uk 01483 755133 / 0800 007 5892 Insulet Corporation www.myomnipod.com 0800 011 6132 Lilly www.lillydiabetes.co.uk 01256 315000 Medtronic www.medtronic-diabetes.co.uk 01923 205167 Medtrum www.medtrum.co.uk 01923 312391 Merck www.merckgroup.com/uk-en 0208 818 7373 Merck Sharp & Dohme www.msd-uk.com 01992 467272 Mylan www.mylan.co.uk 0800 1218 267 Napp Pharmaceutical www.napp.co.uk 01223 424444 Nipro Diagnostics UK Ltd www.nipro-diagnostics.co.uk 0800 085 8808 Novartis www.novartis.co.uk 01276 692255 Novo Nordisk www.novonordisk.co.uk 0845 600 5055 Owen Mumford www.owenmumford.com 0800 731 6959 Pfizer www.pfizermedicalinformation.co.uk 01304 616161 0800 701 000 Roche Diabetes Care www.accu-chek.co.uk Insulin Pump Careline: 0800 731 2291 Sanofi www.sanofi.co.uk 0800 035 2525 Servier www.servier.co.uk 01753 666409 Spirit Healthcare www.spirit-healthcare.co.uk 0800 881 5423 Takeda Pharmaceutical www.takeda.com/en-gb 01628 537900 Trividia Health www.trividiahealth.co.uk 0800 689 5035 VivaChek www.vivachekdiabetes.co.uk 0800 612 7531 Wockhardt www.wockhardt.co.uk 01978 661261 Ypsomed Ltd www.mylife-diabetescare.com 0344 856 7820 30 | www.diabetes.org.uk Diabetes UK Meds & Kit 2020 | 31
EN UK Nipro Diabetes Care is part of Nipro Corporation Japan, a leading global healthcare company established in 1954. With over 28,000 employees worldwide, Nipro serves the Medical Device, Pharmaceutical, and Let us help you manage diabetes Pharmaceutical Packaging industries. Nipro Diabetes Care is a global supplier of high quality products for people Accurate | type living with Simple to2use 1 or type | 5-star service | Cost-effective* diabetes. Our portfolio of meters, test strips, pen needles, and lancets capture the essentials of self-testing in the most simple, accurate, and accessible form. This way we ensure the best life possible! Smart Blood glucose BECAUSE EVERY LIFE DESERVES AFFORDABLE CARE monitoring system Smart Duo Blood glucose and ϐ-ketone monitoring system ACCURACY Nipro has partnered with Diabetes:M and offers your patients free access to the full functionality of 95% ISO norm their insulin bolus calculator app. 99,33% 100% 95% 90% 85% 80% Click the meters, phone and accuracy symbol for more Independent BGMS ISO Data1 information about our products or the Diabetes:M app www.nipro-diagnostics.co.uk Please check with your GP or nurse to see if this meter is suitable for you. 1. Assessment of System Accuracy, Intermediate Measurement Precision, and Measurement Repeatability of a Blood Glucose Monitoring System Based on ISO 15197. Jendrike N, et al., J Diabetes Sci Technol. 2018 Dec 14.Nipro Diagnostics UK Ltd.: Units 12-14 South Point, Ensign Way, Hamble, Hampshire SO31 4RF, United Kingdom. *Price for 50 blood glucose test stripsdiagnostics-uk@nipro-group.com | www.nipro-diagnostics.co.uk | 0800 08 588 08 < £ 9.00, conform national guidelines.
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