The search for target analytes to uncover the misuse of long acting insulin analogues (Lantus, Insulin Glargine; Levemir, Insulin Detemir) in doping control samples led to the identification of several degradation products of insulin or its synthetic analogues. Specimens obtained from healthy volunteers or patients and athletes suffering from diabetes mellitus contained DesB30, DesB24-30, and DesB25-30 human insulin or DesB30-32, DesB31-32, and DesB24-32 Lantus, respectively. Analytes were purified from urine by immunoaffinity chromatography (IAC) with subsequent liquid chromatographytandem mass spectrometry analysis. The employed analytical procedure was validated for qualitative determination considering the main metabolic products DesB30 human insulin and DesB30-32 Lantus. The occurrence of the identified Lantus degradation products in urine provided the direct and unambiguous evidence for an administration of this insulin analogue. For the determination of surreptitious Levemir or recombinant human insulin applications, an unequivocal argument was not detected, but promising approaches based on a modified insulin degradation profile with altered relative intensities of metabolites are presented.Long-and intermediate-acting insulin analogues are produced recombinantly to obtain improved pharmacokinetic injection-toonset profiles for the treatment of diabetes mellitus. 1 While rapid acting insulin formulations have been applied postprandial as bolus insulins, long acting analogues have ensured the steady supplement of basal insulin plasma levels. Commercially available insulin formulations with a prolonged action profile are Lantus (Insulin Glargine, LAN), Levemir (Insulin Detemir, LEV), and recombinant human insulin (HI) with additions (e.g., NPH, neutral protamine hagedorn) delaying the bioavailability of the active hormone in the systemic circulation.LAN is a synthetic insulin analogue that differs in its amino acid sequence from HI (Figure 1a) by exchanging the amino acid residue asparagine to glycine at position 21 of the A-chain, and the B-chain is prolonged by two additional arginine residues at positions B31 and B32 (C-terminus, Figure 1b). These modifica-