A lever-type cam follower (1) of a thin-walled material like sheet metal is proposed. It has a simply structured valve stem guidance in the region of one of its ends (5). The guidance comprises a separate securing element (6) with a basically U-shaped cross-section. A web (9) of the securing element (6) bears against a crossbeam (3) of the cam follower (1) and possesses an opening (11), for example punched, for receiving a valve stem.