Basaglar ® (insulin glargine injection)

100 units/mL

This information is provided in response to your request. Resources may contain information about doses, uses, formulations and populations different from product labeling. See Prescribing Information above, if applicable.

BASAGLAR® (insulin glargine injection): Transitioning From Insulin Degludec

Basaglar has not been studied in patients previously on IDeg. Therefore, if transitioning from IDeg to Basaglar, a different dose of Basaglar and concomitant therapies may be needed.

Transitioning From Insulin Degludec to Basaglar

Basaglar has not been studied in patients previously on IDeg.

Based on patient-level meta-analyses that were performed on 7 phase 3a trials that compared IDeg with IGlar (Table 1), a transition from IDeg to Basaglar may be made on a unit-to-unit basis. The dose of Basaglar may require up titration for

  • basal-bolus-treated T1DM patients, and

  • insulin-naive T2DM patients.1

Table 1. Daily Mean Dose of Insulin Glargine and Insulin Degludec at End of Trial1

Category

IGlar

IDeg

Dose Difference

P Value

T1DMB/B

0.77 units/kg
(n=314)

0.68 units/kg
(n=634)

12%

<.0001

T2DMinsulin-naive

0.43 units/kg
(n=625)

0.39 units/kg
(n=1267)

10%

.0004

T2DMB/B

1.18 units/kg
(n=249)

1.22 units/kg
(n=749)

0%

NS

Abbreviations: IDeg = insulin degludec; IGlar = insulin glargine; NS = not significant; T1DMB/B = basal-bolus-treated patients with type 1 diabetes mellitus; T2DMB/B = basal-bolus-treated patients with type 2 diabetes mellitus; T2DMinsulin-naïve = insulin-naive patients with type 2 diabetes mellitus.

Changes in Insulin Regimen

Patients may be predisposed to hypoglycemia or hyperglycemia by changes in insulin

  • strength

  • manufacturer

  • type

  • injection site, or

  • method of administration.2

Insulin treatment changes should be made

  • under close medical supervision, and

  • with increased frequency of BG monitoring.2

In patients with T2DM, the amount and timing of short- or rapid-acting insulins and dosages of antihyperglycemic medications may need to be adjusted.2

Enclosed Prescribing Information

BASAGLAR® (insulin glargine injection), for subcutaneous use, Lilly

References

The published reference below is available by contacting 1-800-LillyRx (1-800-545-5979).

1. Vora J, Christensen T, Rana A, Bain SC. Insulin degludec versus insulin glargine in type 1 and type 2 diabetes mellitus: a meta-analysis of endpoints in phase 3a trials. Diabetes Ther. 2014;5(2):435-446. http://dx.doi.org/10.1007/s13300-014-0076-9

2. Basaglar [package insert]. Indianapolis, IN: Eli Lilly and Company; 2019.

Glossary

Basaglar = Basaglar® (insulin glargine injection) 100 units/mL

BG = blood glucose

IDeg = insulin degludec

IGlar = insulin glargine

T1DM = type 1 diabetes mellitus

T2DM = type 2 diabetes mellitus

Date of Last Review: January 07, 2020


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