Skip to main content Help with accessibility Skip to main navigation

Sotagliflozin with insulin

Amber level 0


Nice TA:


Commissioning responsibility:


PbR excluded:


BNF chapter:
Endocrine system


1.1 Sotagliflozin with insulin is recommended as an option for treating type 1 diabetes in adults with a body mass index (BMI) of at least 27 kg/m2 , when insulin alone does not provide adequate glycaemic control despite optimal insulin therapy, only if:  

  • sotagliflozin is given as one 200 mg tablet daily
  • they are on insulin doses of 0.5 units/kg of body weight/day or more and
  • they have completed a structured education programme that is evidence based, quality assured, delivered by trained educators and includes information about diabetic ketoacidosis, such as:
  • how to recognise its risk factors, signs and symptoms
  • how and when to monitor blood ketone levels
  • what actions to take for elevated blood ketones and
  • treatment is started and supervised by a consultant physician specialising in endocrinology and diabetes treatment, and haemoglobin A1c (HbA1c) levels are assessed after 6 months and regularly after this. 


LSCMMG Recommendation:

Amber level 0

Reason for decision:

Suitable for GP prescribing following recommendation/initiation by specialist

Supporting documents:

Decisions of Lancashire local decision making groups

Amber 0
Amber 0
Amber 0
Amber 0
Amber 0
Amber 0
Amber 0
Amber 0
What do the colours mean?

Last Updated: 14 - Jul - 2020