J Korean Diabetes.  2016 Sep;17(3):168-173. 10.4093/jkd.2016.17.3.168.

Glycemic Control in Cancer Patients

Affiliations
  • 1Division of Endocrinology and Metabolism, Department of Internal Medicine, Chonbuk National University Hospital, Chonbuk National University Medical School, Jeonju, Korea. pts@jbnu.ac.kr

Abstract

Both diabetes mellitus and cancer are common diseases whose incidence is increasing globally. Epidemiologic evidence suggests that the prevalence of cancer is increasing in diabetic patients, and both hyperglycemia and hypoglycemia may lead to poor prognosis and complications in such patients undergoing cancer therapy. Nevertheless, managing glucose in patients with diabetes and cancer can pose a significant clinical challenge. As there are no evidence-based guidelines for treating diabetes in patients with cancer, an individualized approach is required. Diabetes self-management education is a critical element of care for cancer patients with diabetes. We discuss the management of diabetes in relation to cancer surgery, chemotherapy including glucocorticoids, and enteral and parenteral nutrition. We also discuss management of hyperglycemia in patients with advanced cancer approaching end of life care.

Keyword

Diabetes mellitus; Glucocorticoids; Neoplasms; Terminal care

MeSH Terms

Diabetes Mellitus
Drug Therapy
Education
Glucocorticoids
Glucose
Humans
Hyperglycemia
Hypoglycemia
Incidence
Parenteral Nutrition
Prevalence
Prognosis
Self Care
Terminal Care
Glucocorticoids
Glucose

Reference

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