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HSE National Clinical Guideline

HSE National Clinical Guideline for Safe Diabetes Management following Levemir® (Insulin Detemir) Discontinuation


Topic: Safe diabetes management following levemir® (insulin detemir) discontinuation
Document Owner: National Clinical Programme for Diabetes and National Clinical Programme for Paediatric Diabetes
National Group: National Clinical Programme for Diabetes and National Clinical Programme for Paediatric Diabetes
Effective From: 19 March 2026
The HSE has developed this clinical guideline to support health care professionals in selecting and safely initiating alternative basal insulins in advance of the Levemir® (insulin detemir) discontinuation.

This document was developed in response to the Novo Nordisk discontinuation of Levemir® (insulin detemir) in both Penfill® and Flexpen® forms. The purpose of the guideline is to support clinicians in selecting and safely initiating alternative basal insulins in advance of the Levemir® (insulin detemir) discontinuation. Due to the large number of people living with diabetes (Type 1, 2, 3c (pancreatic), diabetes in pregnancy and gestational diabetes) on Levemir® a planned and pro-active approach is essential.