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Victoria Ruszala

Specialist diabetes pharmacist at North Bristol NHS Trust

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Recent stories

  • When insulin fails to bind and Glut-4 is not activated, glucose cannot enter the cell (left) and returns to the bloodstream, elevating the blood-sugar level

    Insulin initiation in patients with diabetesSubscription

    14 JAN 2016Comments (3)

    How to select and start insulin in a patient with diabetes mellitus.

  • Question from practice: Could you spot diabetic gastroparesis?Subscription

    PJ, 19/26 April 2014, Vol 292, No 7806/7

    Hyperglycaemia is a key factor in the pathophysiology of diabetic neuropathy, but other changes also contribute. In type 2 diabetes, dyslipidaemia and disturbances in neuronal insulin sensitivity are thought to play a major role. Changes in insulin signalling are important in patients with type 1 diabetes.

  • Question from practice: Diabetes - missing meals and dosesSubscription

    PJ, July 2013

    A. This patient is a good example of how real life can affect adherence to therapy. Two main issues for the pharmacist to address in this situation are medication options and dietary habits but he or she could also consider supportive advice in terms of this patient’s employment concerns. Medication

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