Palliative management of type 2 diabetes mellitus in patients with advanced cancer.

IF 1.7 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Aanjanee Weerasinghe, Phillip Good, Claire Stokes, Jones Chen, Taylan Gurgenci
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引用次数: 0

Abstract

Background: Patients with advanced cancer often have type 2 diabetes mellitus (T2DM) and are on multiple medications that affect glycaemic control. Patients can have pre‑existing diabetes or treatment- and glucocorticoid-induced hyperglycaemia. Optimal management of glycaemic control differs at varying stages of life and depends on overall goals of care.

Objective: This article summarises the evidence-based management of T2DM in patients with advanced cancer, including management of glucocorticoid-induced hyperglycaemia, and appropriate targets for glycated haemoglobin (HbA1c).

Discussion: T2DM often co-exists in patients with advanced cancer. Management is aimed at reducing the complications of hyperglycaemia and hypoglycaemia, and maximising quality of life. Interventions and treatments need to be balanced against quality of life and prognosis.

2型糖尿病晚期癌症患者的姑息治疗。
背景:晚期癌症患者通常伴有2型糖尿病(T2DM),并且需要服用多种影响血糖控制的药物。患者可能已经患有糖尿病或治疗和糖皮质激素诱导的高血糖。血糖控制的最佳管理在生命的不同阶段有所不同,并取决于护理的总体目标。目的:本文总结了T2DM晚期癌症患者的循证管理,包括糖皮质激素诱导的高血糖的管理,以及糖化血红蛋白(HbA1c)的适当靶点。讨论:T2DM常并发于晚期癌症患者。管理的目的是减少高血糖和低血糖的并发症,并最大限度地提高生活质量。干预和治疗需要与生活质量和预后相平衡。
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来源期刊
Australian Journal of General Practice
Australian Journal of General Practice Medicine-Family Practice
CiteScore
2.80
自引率
4.50%
发文量
284
期刊介绍: The Australian Journal of General Practice (AJGP) aims to provide relevant, evidence-based, clearly articulated information to Australian general practitioners (GPs) to assist them in providing the highest quality patient care, applicable to the varied geographic and social contexts in which GPs work and to all GP roles as clinician, researcher, educator, practice team member and opinion leader. All articles are subject to peer review before they are accepted for publication.
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