Glycemic Control in Cancer Patients

Kyung Ae Lee; Hong Sun Baek; Tae Sun Park

doi:10.4093/jkd.2016.17.3.168

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Lee, Baek, and Park: Glycemic Control in Cancer Patients

Focused Issue

J Korean Diabetes 2016;17(3):168-173.

Published online: 10 January 2016

DOI: https://doi.org/10.4093/jkd.2016.17.3.168

Glycemic Control in Cancer Patients

Kyung Ae Lee, Hong Sun Baek, Tae Sun Park

Division of Endocrinology and Metabolism, Department of Internal Medicine, Chonbuk National University Hospital, Chonbuk National University Medical School, Jeonju, Korea

Corresponding author: Tae Sun Park Division of Endocrinology and Metabolism, Department of Internal Medicine, Chonbuk National University Medical School, 20 Geonji-ro, Deokjin-gu, Jeonju 54907, Korea, E-mail: pts@jbnu.ac.kr

Received 1 August 2016 Accepted 1 August 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Diabetes mellitus, Glucocorticoids, Neoplasms, Terminal care

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