Specialist diabetes pharmacist at North Bristol NHS Trust
Insulin initiation in patients with diabetesSubscription
How to select and start insulin in a patient with diabetes mellitus.
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.
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
Spotlight on medicines: DapagliflozinSubscription