Doctor’s visit? Here’s what to know before you go.

Levemir® and Levemir® FlexPen® are only available by prescription. Talk to your doctor to find out if Levemir® may be right for you. Start by printing out and answering the questions below. Then bring them to your next doctor’s appointment. You should also try to bring along your Blood Sugar Diary to show your doctor you’ve been keeping track of your numbers. Together, you and your doctor can decide which treatment option is best for you.

Are your blood sugar readings high, despite efforts to control them through diet, exercise, and/or oral medication?

Yes

No

How satisfied are you with your current treatment regimen?

(Not at all)

1

2

3

4

5

(Very satisfied)

Are you currently treating your diabetes with insulin?

Yes

No

Are you currently taking a pill(s) to treat your diabetes?

Yes

No

How many different prescriptions?

Do you often have times during the day where you feel your blood sugar levels may be too high or too low?

Yes

No

Note: Tell your doctor about all the medicines you take when you discuss Levemir®. They could affect how Levemir® works. People who are allergic to insulin or the other ingredients in Levemir® should not take Levemir®.