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一项关于恶性瘤和糖尿病之间的关系的研究
Sebiha Ozge Duman1, Merve Kayali Sevim2, Nevin Dinccag3
1Istanbul University Oncology Institute, Istanbul, Turkiye.
Clinical nutrition ESPEN
|January 14, 2024
概括
恶性病和糖尿病 (DM) 是普遍存在的健康问题. 这项研究检查了癌症患者的DM,发现一些公开的DM患者的随访不佳,癌症治疗可以诱导DM,需要定期监测葡萄糖.
科学领域:
- 在瘤学瘤学.
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 恶性病和糖尿病 (DM) 代表着全球健康面临的重大挑战,其患病率不断增加,患病率/死亡率高.
- 了解这些疾病之间的相互作用对于有效的患者管理和公共卫生策略至关重要.
研究的目的:
- 在被诊断为恶性瘤的个体中调查明显的DM的患病率.
- 评估诊断前血糖控制,DM持续时间和治疗对恶性瘤发育和类型的影响.
- 评估非糖尿病癌症患者治疗后发展DM的风险.
主要方法:
- 一组469名患有各种恶性瘤的患者 (年龄26-70岁) 被分为三个组:先前存在的/同时存在的明显的DM (I组,n=97),在抗癌治疗期间发展的DM (II组,n=17) 和非糖尿病恶性瘤患者 (III组,n=355).
主要成果:
- 一组患者的平均BMI较高,身体活动较低. 显著比例的先前存在的DM患者没有得到足够的随访或治疗. 在癌症治疗期间患有DM的患者中,注意到胰腺手术和皮质类固醇的使用.
结论:
- 糖尿病患者的查计划应考虑与癌症共同的风险因素.
- 抗癌治疗可以加速DM的发展,强调在瘤治疗期间需要定期监测葡萄糖代谢.
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