Loss of Blood Sugar Control from Chemotherapy

Overview

Chemotherapy is a drug therapy that is commonly used to treat cancer. It involves the use of chemicals that destroy fast-growing cells in the body, including cancer cells. Chemotherapy can be an aggressive form of treatment and is often used in combination with other therapies such as surgery, radiation, or hormone therapy. The decision to use chemotherapy depends on factors such as the stage and type of cancer, overall health, previous treatments, location of cancer cells, and personal treatment preferences.

Blood sugar control refers to managing and regulating the levels of sugar (glucose) in the blood. It is important for overall well-being, especially for individuals with diabetes. During chemotherapy, blood sugar control can become more challenging.

  • Chemotherapy can cause low blood sugar (hypoglycemia) due to symptoms like nausea, vomiting, and decreased appetite. However, there isn't enough research to show whether consuming sugar during chemotherapy has a direct impact on blood sugar levels.
  • On the other hand, high blood sugar (hyperglycemia) can also occur as a complication or side effect of chemotherapy. Certain chemotherapy drugs can cause sudden spikes in blood sugar levels. Hyperglycemia can be managed through various treatments depending on the severity of high blood sugar levels and whether the individual has existing diabetes or not.
  • For mild hyperglycemia (spikes below 200 milligrams per deciliter), oral diabetes medications may be administered.
  • Staying hydrated and engaging in mild physical activity like walking or jogging can help avoid persistent high blood sugar levels throughout treatment.
  • Doctors often recommend extra insulin to help lower blood sugar levels during chemotherapy. The type of insulin chosen depends on factors like the specific kind of corticosteroids being used and whether these steroids are taken once a day or in multiple doses throughout the day.
  • Fast-acting insulin is recommended for chemotherapy drugs that cause sudden spikes in blood sugar levels.

To reduce the risk of blood sugar control occurring as a complication of chemotherapy, it is important to work closely with healthcare professionals. Here are some general tips:

  • Inform your healthcare team about any pre-existing diabetes or concerns about blood sugar control.
  • Follow a balanced diet that includes whole foods rather than relying on packaged desserts or foods high in sugar.
  • Stay hydrated and engage in mild physical activity when possible.
  • Regularly monitor your blood sugar levels and report any significant changes or symptoms to your healthcare team.

Remember, it's essential to consult with your doctor before making any changes to your treatment plan or trying home remedies or over-the-counter medications. They will provide personalized guidance based on your specific situation.