How To Manage Diabetes During Cancer Treatment?

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Does Diabetes Complicate Cancer Treatment-01
16 Dec 2022
8 mins
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How To Manage Diabetes During Cancer Treatment?

    Did you know that there is a link between diabetes and cancer? Around 8-18% of people living with cancer also have diabetes. While many patients know about their diabetes when they receive a cancer diagnosis, some only discover it during treatment. It’s important to understand how diabetes can affect cancer treatment outcomes. In this blog, we’ll explore the connection between diabetes and cancer risks and share tips on managing diabetes effectively during cancer treatment.

     

    What is the connection between cancer and diabetes?

     

    Type 1 and Type 2 diabetes are the two main types of diabetes. They occur when the body either produces little or no insulin or doesn’t respond to insulin properly. This can lead to complications during chemotherapy and make managing diabetes during cancer treatment more challenging. Research indicates that people with diabetes have a higher risk of developing certain cancers, particularly those affecting the liver, kidney, pancreas, colon, breast, and cervix.

     

    Cancer can also affect how diabetes is managed. Some treatments, like 5-fluorouracil and cisplatin, can raise blood sugar levels, leading to hyperglycemia in cancer patients. Common side effects of cancer therapy—such as nausea, vomiting, loss of appetite, fatigue, and dehydration—can further complicate diabetes management in cancer patients and make it difficult to control blood sugar.

     

    High blood sugar can weaken the immune system, increasing the risk of infections and potentially delaying recovery. This might lead doctors to recommend postponing cancer treatment. Understanding the impact of cancer treatment on diabetes and the connection between these conditions is essential for improving outcomes for patients. Effective diabetes management in oncology is vital for addressing the unique challenges faced by those living with both diabetes and cancer.

     

    How do cancer patients manage diabetes?

     

    Many factors, such as stress, changes in diet, and medications, can affect your blood sugar levels. Here are some tips for effective diabetes care during chemotherapy.
     

    1. Create a proper diabetes management plan: Receiving a cancer diagnosis can be frustrating, especially if you also have diabetes. It’s important to understand how diabetes can impact your treatment. This understanding will help you manage both conditions better and reduce potential health complications. Make a list of your questions and goals, and work with your healthcare team to develop a tailored management plan.

     

    2. Prefer healthy diet: Treatment side effects, such as vomiting, nausea, and loss of appetite, can make it difficult to eat properly. Skipping meals may prevent your body from getting the nutrients it needs during treatment. Eating healthy meals at regular times can help keep your blood sugar levels balanced. A diabetes diet plan for cancer patients should aim to include more vegetables, fruits, and whole grains while reducing red meat and processed foods. An oncology dietitian can help create a suitable meal plan for you.

     

    3. Get physically active: Exercise is an important part of cancer treatment. It helps your body use blood sugar effectively and maintain a healthy weight, which is vital for managing diabetes. Regular physical activity can also improve your sleep, prevent muscle loss, and reduce feelings of fatigue. The type of exercise you can do will depend on your cancer type, treatment, overall health, and any side effects. Your doctor can help design a safe exercise programme that works for you.

     

    4. Be aware of diabetes and cancer risk Factors: It’s important to understand that some diabetes medications may interact with chemotherapy drugs. Discuss any potential diabetes drugs interactions with chemotherapy with your healthcare team. Being informed about these interactions can help prevent complications and ensure your treatment is effective.

     

    5. Track your health: Regularly monitor your blood sugar levels and blood pressure to keep them in check. Using a journal or a free app can help you keep track of your cancer treatments, medications, and any possible side effects. This can assist you in managing your conditions effectively and help your doctors identify any health issues.

     

    6. Reduce stress and seek support: Stress can lead to increased blood sugar levels and weaken your immune system. Finding ways to manage stress, such as through meditation or yoga, can be beneficial. Share your feelings with trusted friends or family, and consider joining a support group for people facing similar challenges. It’s important to accept what you can’t control and to ask for help when you need it.

     

    Frequently Asked Questions (FAQ’s)

     

    1. How to control blood sugar during cancer treatment?
     

    To achieve normal blood sugar control during cancer therapy, focus on eating a balanced diet rich in lean proteins, whole grains, and plenty of vegetables. Regular physical activity can help too. It's also important to monitor your blood sugar levels closely and consult your healthcare team for personalised advice.

     

    2. What are the challenges of diabetes in cancer patients?

     

    The challenges of diabetes in cancer patients include managing blood sugar levels amid treatment side effects and dietary restrictions. Stress and changes in activity can also complicate diabetes control.

     

    3. How to manage Steroid-induced diabetes in cancer patients?

     

    To manage steroid-induced diabetes in cancer patients, it's important to monitor blood sugar levels closely and adjust your diet to include low-sugar, high-fiber foods. Regular physical activity can also help, and working with your healthcare team to adjust diabetes medications or insulin as needed is crucial for maintaining control.

     

    4. What is the best diet for cancer patients with diabetes?

     

    The best diet for cancer patients with diabetes includes plenty of vegetables, whole grains, lean proteins, and healthy fats while limiting sugars and processed foods. It's important to eat balanced meals at regular intervals to help maintain stable blood sugar levels and support overall health during treatment.

     

    Lower your risk of cancer recurrence

     

    Managing two chronic conditions can be overwhelming, but proper plans and care help manage them effectively. The above steps can also help lower the risk of cancer recurrence. Before following any diet, exercise, or relaxation techniques, check with your physician if it suits you. Before starting any new diet, exercise, or relaxation techniques, it's important to check with your doctor to ensure they're right for you.

     

    If you’d like more guidance on managing diabetes during cancer treatment or have questions about your health plan, don’t hesitate to reach out to your healthcare team or a registered dietitian. Remember, you’re not alone on this journey, and getting the right support can make a big difference.

     

    References

     

    1. https://pmc.ncbi.nlm.nih.gov/articles/PMC2890380/
    2. https://www.ncbi.nlm.nih.gov/books/NBK575925/
    3. https://www.sciencedirect.com/science/article/pii/S2059702923013030
    4. https://pmc.ncbi.nlm.nih.gov/articles/PMC8997959/
    5. https://www.cancercenter.com/community/blog/2021/05/diabetes-cancer

     

    Note: The information provided in this blog is intended for general knowledge. It is important to remember that it should not replace professional medical advice. If you have any concerns about cancer or diabetes-related symptoms, please consult a healthcare provider.

    Written by
    author
    Dr Deva Prasath SMedical Content Writer
    AboutDeva, a passionate Doctor of Pharmacy graduate, excels in both academics and clinical practice. His extensive knowledge in pharmaceutical sciences and patient management, combined with his enthusiasm for tackling challenges, makes him a trustworthy and reliable healthcare provider committed to improving patient care and driving innovation.
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