[Investigation of glycaemic and nutritional status of patients suffering from cancer.].

INTRODUCTION

Obesity, type 2 diabetes mellitus and cancers are equally endemic in our country. Their partially common metabolism may constitute the base of their similar epidemiology.

OBJECTIVE

Proving metabolic relation between glycaemic and nutritional status and progression of cancers, as well as confirming the antitumor effect of non-insulin antidiabetics, primarily metformin.

METHOD: We processed the data of 1224 patients treated at the Oncology Center in county Békés. We examined the progression of cancers depending on body mass index, blood glucose levels, the presence and therapy of type 2 diabetes, over and above analyzed changes in glycemic and nutritional status in relation to tumor stage, further more prevalence of diabetes mellitus.

RESULTS

Despite of malignant cachexy, we found obesity or corresponding body mass index in relatively high rate (23.28%) more often associated with metastatic stage. We detected higher rate of type 2 diabetes (20.34%) compared to average population. We found even larger scale of diabetes among patients suffering from primary hepatocellular (60%, p<0.001), pancreatic (50%, p<0.001), urinary bladder (50%, p<0.001), prostate (50%, p<0.002), endometrial (50%, p<0.02) and postmenopausal breast cancer (30%, p<0.006), compared to other part of the studied population. Patients treated by non-insulin antidiabetics, taking metformin was accompanied by the lowest incidence of metastatic stage, the highest body mass index and blood glucose level.

DISCUSSION: In our study, the order of malignant diseases most frequently associated with type-2 diabetes correspond to previously published literature data. Development of insulin resistance accompanied by tumor progression can be effectively delayed by antimetabolic medicines. The combined antimetastatic effect of metformin could achieve glucose and weight control independently.

CONCLUSION

Based on our results, targeted screening for cancer among diabetic patients, and seeking and adequately treating glycometabolic disorders with concomitant malignant conditions, respectively , are suggested, mainly using metformin and new non-insulin antidiabetic medicines. Through these efforts, the fight against cancer can be more effective. Orv Hetil. 2023; 164(23) 900-910.