Glycemic control and cancer outcomes in oncologic patients with diabetes: an Italian Association of Medical Oncology (AIOM), Italian Association of Medical Diabetologists (AMD), Italian Society of Diabetology (SID), Italian Society of Endocrinology (SIE), Italian Society of Pharmacology (SIF) multidisciplinary critical view.

Cancer Cancer outcomes Cancer progression Diabetes Glycemia Glycemic control

Journal

Journal of endocrinological investigation
ISSN: 1720-8386
Titre abrégé: J Endocrinol Invest
Pays: Italy
ID NLM: 7806594

Informations de publication

Date de publication:
27 Jun 2024
Historique:
received: 12 04 2024
accepted: 16 06 2024
medline: 27 6 2024
pubmed: 27 6 2024
entrez: 27 6 2024
Statut: aheadofprint

Résumé

 Increasing evidence suggests that diabetes increases the risk of developing different types of cancer. Hyperinsulinemia, hyperglycemia and chronic inflammation, characteristic of diabetes, could represent possible mechanisms involved in cancer development in diabetic patients. At the same time, cancer increases the risk of developing new-onset diabetes, mainly caused by the use of specific anticancer therapies. Of note, diabetes has been associated with a ∼10% increase in mortality for all cancers in comparison with subjects who did not have diabetes. Diabetes is associated with a worse prognosis in patients with cancer, and more recent findings suggest a key role for poor glycemic control in this regard. Nevertheless, the association between glycemic control and cancer outcomes in oncologic patients with diabetes remains unsettled and poorly debated.  The current review seeks to summarize the available evidence on the effect of glycemic control on cancer outcomes, as well as on the possibility that timely treatment of hyperglycemia and improved glycemic control in patients with cancer and diabetes may favorably affect cancer outcomes.

Sections du résumé

BACKGROUND BACKGROUND
 Increasing evidence suggests that diabetes increases the risk of developing different types of cancer. Hyperinsulinemia, hyperglycemia and chronic inflammation, characteristic of diabetes, could represent possible mechanisms involved in cancer development in diabetic patients. At the same time, cancer increases the risk of developing new-onset diabetes, mainly caused by the use of specific anticancer therapies. Of note, diabetes has been associated with a ∼10% increase in mortality for all cancers in comparison with subjects who did not have diabetes. Diabetes is associated with a worse prognosis in patients with cancer, and more recent findings suggest a key role for poor glycemic control in this regard. Nevertheless, the association between glycemic control and cancer outcomes in oncologic patients with diabetes remains unsettled and poorly debated.
PURPOSE OBJECTIVE
 The current review seeks to summarize the available evidence on the effect of glycemic control on cancer outcomes, as well as on the possibility that timely treatment of hyperglycemia and improved glycemic control in patients with cancer and diabetes may favorably affect cancer outcomes.

Identifiants

pubmed: 38935200
doi: 10.1007/s40618-024-02417-z
pii: 10.1007/s40618-024-02417-z
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s).

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Auteurs

A Natalicchio (A)

Department of Precision and Regenerative Medicine and Ionian Area, Section of Internal Medicine, Endocrinology, Andrology and Metabolic Diseases, University of Bari Aldo Moro, Piazza Giulio Cesare, 11, I-70124, Bari, Italy.

N Marrano (N)

Department of Precision and Regenerative Medicine and Ionian Area, Section of Internal Medicine, Endocrinology, Andrology and Metabolic Diseases, University of Bari Aldo Moro, Piazza Giulio Cesare, 11, I-70124, Bari, Italy.

M Montagnani (M)

Department of Precision and Regenerative Medicine and Ionian Area, Section of Pharmacology, University of Bari Aldo Moro, Bari, Italy.

M Gallo (M)

Endocrinology and Metabolic Diseases Unit, Azienda Ospedaliero-Universitaria SS Antonio e Biagio e Cesare Arrigo of Alessandria, Alessandria, Italy.

A Faggiano (A)

Endocrinology Unit, Department of Clinical & Molecular Medicine, Sant'Andrea Hospital, Sapienza University of Rome, Rome, Italy.

M C Zatelli (MC)

Section of Endocrinology, Geriatrics and Internal Medicine, Department of Medical Sciences, University of Ferrara, Ferrara, Italy.

A Argentiero (A)

Medical Oncology Unit, IRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy.

M Del Re (M)

Department of Clinical and Experimental Medicine, University of Pisa, 55, Via Roma, 56126, Pisa, Italy.

S D'Oronzo (S)

Interdisciplinary Department of Medicine, University of Bari Aldo Moro, Bari, Italy.

S Fogli (S)

Clinical Pharmacology and Pharmacogenetics Unit, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.

T Franchina (T)

Medical Oncology Unit, Department of Human Pathology "G. Barresi", University of Messina, Messina, Italy.

D Giuffrida (D)

Department of Oncology, Istituto Oncologico del Mediterraneo, Viagrande, Catania, Italy.

S Gori (S)

Oncologia Medica, IRCCS Don Calabria-Sacro Cuore Hospital, Negrar, Verona, Italy.

A Ragni (A)

Endocrinology and Metabolic Diseases Unit, Azienda Ospedaliero-Universitaria SS Antonio e Biagio e Cesare Arrigo of Alessandria, Alessandria, Italy.

G Marino (G)

Internal Medicine Department, Ospedale dei Castelli, Asl Roma 6, Ariccia, Rome, Italy.

R Mazzilli (R)

Endocrinology Unit, Department of Clinical & Molecular Medicine, Sant'Andrea Hospital, Sapienza University of Rome, Rome, Italy.

M Monami (M)

Diabetology, Careggi Hospital and University of Florence, Florence, Italy.

L Morviducci (L)

Diabetology and Nutrition Unit, Department of Medical Specialties, ASL Roma 1 - S. Spirito Hospital, Rome, Italy.

V Renzelli (V)

Diabetologist and Endocrinologist, Italian Association of Clinical Diabetologists, Rome, Italy.

A Russo (A)

Department of Surgical, Oncological and Oral Sciences, Section of Medical Oncology, University of Palermo, Palermo, Italy.

L Sciacca (L)

Department of Clinical and Experimental Medicine, Endocrinology Section, University of Catania, Catania, Italy.

E Tuveri (E)

Diabetology, Endocrinology and Metabolic Diseases Service, ASL-Sulcis, Carbonia, Italy.

A Cortellini (A)

Operative Research Unit of Medical Oncology, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128, Rome, Italy.
Department of Medicine and Surgery, Universitá Campus Bio-Medico di Roma, Via Alvaro del Portillo, 21, 00128, Rome, Italy.
Department of Surgery and Cancer, Hammersmith Hospital Campus, Imperial College London, London, UK.

M Di Maio (M)

Department of Oncology, University of Turin, AOU Città Della Salute e della Scienza di Torino, Turin, Italy.

R Candido (R)

Department of Medical Surgical and Health Sciences, University of Trieste, 34149, Trieste, Italy.

F Perrone (F)

Clinical Trials Unit, National Cancer Institute, Naples, Italy.

G Aimaretti (G)

Endocrinology, Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.

A Avogaro (A)

Department of Medicine, Section of Diabetes and Metabolic Diseases, University of Padova, Padua, Italy.

N Silvestris (N)

Medical Oncology Unit, Department of Human Pathology "G. Barresi", University of Messina, Messina, Italy.

F Giorgino (F)

Department of Precision and Regenerative Medicine and Ionian Area, Section of Internal Medicine, Endocrinology, Andrology and Metabolic Diseases, University of Bari Aldo Moro, Piazza Giulio Cesare, 11, I-70124, Bari, Italy. francesco.giorgino@uniba.it.

Classifications MeSH