Glycemic Control in Cancer Patients.

Lee,  Kyung Ae; Baek,  Hong Sun; Park,  Tae Sun

doi:2016.17.3.168

J Korean Diabetes > Volume 17(3); 2016 > Article

Focused Issue

The Journal of Korean Diabetes 2016;17(3):168-173.
DOI: https://doi.org/10.4093/jkd.2016.17.3.168 Published online October 13, 2016.

암 환자의 혈당관리

이경애, 백홍선, 박태선

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. 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.

Key Words: Diabetes mellitus, Glucocorticoids, Neoplasms, Terminal care