Impaired fasting glucose and recurrence

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pantufla
Posts: 148
Joined: Thu Dec 03, 2015 12:44 pm
Facebook Username: kelleykulina

Impaired fasting glucose and recurrence

Postby pantufla » Fri Feb 19, 2016 1:27 pm

DH was just told he has a high blood glucose level at 119. Does anyone know if this is a problem in relation to recurrence. I have seen some articles saying yes and some saying no. ?????

Thanks
DH T2 N1b M0. 3/15 positive nodes.
Stage IIIA moderately differentiated adenocarcinoma.
Tumor size 6 cm.
Left hemicolectomy 10/26/15.
FOLFOX 11/30/15 to 5/2/16, full 12 cycles.
10/3/16 CT scan clear.
11/10/17 CT: "Focal opacity along the left lower lung, 7 mm. Two small peripheral opacities along the right lower lobe, 2 to 3 mm. A few small to mildly prominent left-sided central mesenteric nodes, up to 13 mm.
June 2019: NED.
2020: NED 5 years. 4 mm lung nodule on CT

Sams wife
Posts: 753
Joined: Sun Jan 11, 2015 2:49 pm

Re: Impaired fasting glucose and recurrence

Postby Sams wife » Fri Feb 19, 2016 7:27 pm

I don't know about reoccourance but I have asked about blood sugars on here. It seems sometimes the steroids can end up making you diabetic.
Husband dx 1/13/15 St.2 CEA 7.1
Chemo/25rad 2/15 till 4/24/15
5FU/leucovorin
Surgery 6/8/2015 Stage IIa T3N0MX microscopic cancer left
Watching 4 lung spots
0/5 lymph nodes. Lap. APR
25% less 5FU/leucovorin 7/14/2015 x 26 CEA 3.4
25% more 5fu 9/2015
9/16/15 CEA 7.7
1/16/16 @ 9.2 during allergy?
3/16 New lung spot 4x4 mm
6/16 CEA 6.9 spot 5x5

jhocno197
Posts: 817
Joined: Mon May 11, 2015 9:33 pm

Re: Impaired fasting glucose and recurrence

Postby jhocno197 » Fri Feb 19, 2016 9:25 pm

If he's getting steroids before chemo, it's probably that. That's what happened to my husband, who now has Type II diabetes because of that.
DH - dx Dec 2014, stage IV with bladder & peritoneal involvement - non-resectable
Colostomy
FOLFOX failed
FOLFIRI failed
Tumor actually distending pelvic skin
Not a candidate for last-ditch pelvic exenteration
Stivarga finally begun 2/19/16
Tumor growing/fungating
Lonsurf started 11/18/16
Died 3/10/17

Nik Colon

Re: Impaired fasting glucose and recurrence

Postby Nik Colon » Sat Feb 20, 2016 2:19 am

Idk, I was always really low b4 chemo and dx. Like 55 was my norm which is bad. It went up alot when I was on chemo, around 90-100 which was weird to me. Not sure what mine is now, I should look at my last test.

pantufla
Posts: 148
Joined: Thu Dec 03, 2015 12:44 pm
Facebook Username: kelleykulina

Re: Impaired fasting glucose and recurrence

Postby pantufla » Sat Feb 20, 2016 11:14 am

Thanks everyone. Doctor said, he will have to concentrate on his blood pressure, blood sugar, weight and cholesterol after the chemo is done.
DH T2 N1b M0. 3/15 positive nodes.
Stage IIIA moderately differentiated adenocarcinoma.
Tumor size 6 cm.
Left hemicolectomy 10/26/15.
FOLFOX 11/30/15 to 5/2/16, full 12 cycles.
10/3/16 CT scan clear.
11/10/17 CT: "Focal opacity along the left lower lung, 7 mm. Two small peripheral opacities along the right lower lobe, 2 to 3 mm. A few small to mildly prominent left-sided central mesenteric nodes, up to 13 mm.
June 2019: NED.
2020: NED 5 years. 4 mm lung nodule on CT

PainInTheAss
Posts: 678
Joined: Tue Jul 02, 2013 3:08 am

Re: Impaired fasting glucose and recurrence

Postby PainInTheAss » Sat Feb 20, 2016 12:19 pm

If all the cancer was killed off during treatment, then there are no cancer cells to benefit from the increase in glucose. I've never heard of it being a factor if there are trace cancer cells left, or oncs would be advising a low sugar diet post treatment and I was never told to avoid sugar. I think you just hope treatment killed them all off.
47yo single mom of 4 (24, 21, 18, 16) at Dx
6/13 - RC T4b IIIc 5LNs on PET CEA 5.4
8/13 - Finish chemorad
10/13 - APR/hyst+ovaries/perm colostomy 2/12 nodes+
6/14 - Finish Xelox 6 rds
1/15 - CT clear CEA 0.2
10/15 - CT/MRI clear CEA 0.7
4/16 - CT clear
10/16 - CT/MRI clear CEA 0.6
5/17 - PET clear? Follow up MRI to verify inflammation

jhocno197
Posts: 817
Joined: Mon May 11, 2015 9:33 pm

Re: Impaired fasting glucose and recurrence

Postby jhocno197 » Sat Feb 20, 2016 8:33 pm

If his blood sugar is high, he needs to see a dietician & a general practitioner to help get it under control now, and not wait until after ge is done with treatment. It is a serious issue.
DH - dx Dec 2014, stage IV with bladder & peritoneal involvement - non-resectable
Colostomy
FOLFOX failed
FOLFIRI failed
Tumor actually distending pelvic skin
Not a candidate for last-ditch pelvic exenteration
Stivarga finally begun 2/19/16
Tumor growing/fungating
Lonsurf started 11/18/16
Died 3/10/17

Sams wife
Posts: 753
Joined: Sun Jan 11, 2015 2:49 pm

Re: Impaired fasting glucose and recurrence

Postby Sams wife » Sat Feb 20, 2016 9:54 pm

jhocno197 wrote:If his blood sugar is high, he needs to see a dietician & a general practitioner to help get it under control now, and not wait until after ge is done with treatment. It is a serious issue.



We have follow up doctors app Monday. I guess I need to pay attention to that test. I guess it won't matter. He will have cokes & everything else by then.

Maybe we can go in early for bloodwork or get a GP appointment.
Wow pantufla. I think my hubby's was 134 one time when I asked. They never just offered it up. But nurse said it was normal after breakfast & drinking. They also said 34 vitamin d level was ok too. Not sure i believe that either.
Husband dx 1/13/15 St.2 CEA 7.1
Chemo/25rad 2/15 till 4/24/15
5FU/leucovorin
Surgery 6/8/2015 Stage IIa T3N0MX microscopic cancer left
Watching 4 lung spots
0/5 lymph nodes. Lap. APR
25% less 5FU/leucovorin 7/14/2015 x 26 CEA 3.4
25% more 5fu 9/2015
9/16/15 CEA 7.7
1/16/16 @ 9.2 during allergy?
3/16 New lung spot 4x4 mm
6/16 CEA 6.9 spot 5x5

Nik Colon

Re: Impaired fasting glucose and recurrence

Postby Nik Colon » Sun Feb 21, 2016 12:19 am

Sams wife wrote:
jhocno197 wrote:If his blood sugar is high, he needs to see a dietician & a general practitioner to help get it under control now, and not wait until after ge is done with treatment. It is a serious issue.



We have follow up doctors app Monday. I guess I need to pay attention to that test. I guess it won't matter. He will have cokes & everything else by then.

Maybe we can go in early for bloodwork or get a GP appointment.
Wow pantufla. I think my hubby's was 134 one time when I asked. They never just offered it up. But nurse said it was normal after breakfast & drinking. They also said 34 vitamin d level was ok too. Not sure i believe that either.

Why do you say 34 is not ok d. Hell mine was 17 then 25 last checked. I would be happy with 34

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ANDRETEXAS
Posts: 662
Joined: Fri Feb 14, 2014 11:01 am
Location: Austin, Texas (University of Tennessee alumnus)

Re: Impaired fasting glucose and recurrence

Postby ANDRETEXAS » Sun Feb 21, 2016 1:38 am

I'm Type II diabetic and on tablet medication. A normal fasting glucose level should be <100. Mine was and is usually 120-140, but my doctors were and are not worried.....so far so good. Each person is different however.
2/10/14 - Colon resect
2/13 - DX- Stage IIIb
6 of 18 lymph nodes cancerous
3/7 - Port placed
3/11 - FOLFOX (12 rds w/full oxi)
8/14 - Chemo finish
8/25 - CT- Inc
9/5 - clean PET
12/10- clean CT

3/2/15 - Clean colonoscopy & port removed
3/4 - clean CT
9/21- clean CT

3/23/16 - clean CT

2/22/17- clean CT

3/21/18 - clean CT
4/1 - clean colonoscopy

3/11/19 - clean CT
9/23 - Five-year release - Annual visits now !

4/13/23 - clean colonoscopy

ONE DAY AT A TIME !

Sams wife
Posts: 753
Joined: Sun Jan 11, 2015 2:49 pm

Re: Impaired fasting glucose and recurrence

Postby Sams wife » Sun Feb 21, 2016 10:58 pm

Nik Colon wrote:
Sams wife wrote:
jhocno197 wrote:If his blood sugar is high, he needs to see a dietician & a general practitioner to help get it under control now, and not wait until after ge is done with treatment. It is a serious issue.



We have follow up doctors app Monday. I guess I need to pay attention to that test. I guess it won't matter. He will have cokes & everything else by then.

Maybe we can go in early for bloodwork or get a GP appointment.
Wow pantufla. I think my hubby's was 134 one time when I asked. They never just offered it up. But nurse said it was normal after breakfast & drinking. They also said 34 vitamin d level was ok too. Not sure i believe that either.

Why do you say 34 is not ok d. Hell mine was 17 then 25 last checked. I would be happy with 34


I don't know really. It just seems everyone watching theirs are trying to keep it up to 90 or 100. At least the posts I have come across. I'm not really sure what the level should be. Doc said it was fine tho
Husband dx 1/13/15 St.2 CEA 7.1
Chemo/25rad 2/15 till 4/24/15
5FU/leucovorin
Surgery 6/8/2015 Stage IIa T3N0MX microscopic cancer left
Watching 4 lung spots
0/5 lymph nodes. Lap. APR
25% less 5FU/leucovorin 7/14/2015 x 26 CEA 3.4
25% more 5fu 9/2015
9/16/15 CEA 7.7
1/16/16 @ 9.2 during allergy?
3/16 New lung spot 4x4 mm
6/16 CEA 6.9 spot 5x5

User avatar
wwroam
Posts: 763
Joined: Sun Apr 06, 2008 8:13 pm
Facebook Username: Wayne Whitaker
Location: Brisbane, Australia
Contact:

Re: Impaired fasting glucose and recurrence

Postby wwroam » Mon Feb 22, 2016 10:03 am

Beware of the units.
US and the Continent use mg/dL , UK and Aus use mmo/L.
the threshold for T2 diabetes is fbg 126/7. respectively.
In terms of risk for recurrence the jury is out though current thinking is that the glucose by itself may not be as important as the free insulin that is generated by the pancreas in response to high glucose levels.
Stage 3a DX 25/06/07
Folfox complete 30/01/08
7 years NED
Port scheduled for removal 8/02/10 Gone.
PSA .54 No prostate problems
Diagnosed Type 2 Diabetic
SO diagnosed CC Stage IV Liver Mets 23/03/15

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dianetavegia
Posts: 2731
Joined: Sat May 16, 2009 8:47 pm
Facebook Username: Diane Weldy Tavegia
Location: Villa Rica, Georgia

Re: Impaired fasting glucose and recurrence

Postby dianetavegia » Mon Feb 22, 2016 4:59 pm

I had my bio metric screening for our BCBS plan today and my BS was 90. I was told that anything 200 and under is fine for non fasting blood sugar and under 126 for fasting.
Stage III cc surgery 1/7/09. 12 tx FOLFOX
Stage IV PET = 1.5cm liver met. HR 4/11/12

14 years since dx and 11 years post liver resection.
Pronounced CURED and discharged by onc

“O Lord my God, I cried out to You, And You healed me.” Psalms 30:2

pantufla
Posts: 148
Joined: Thu Dec 03, 2015 12:44 pm
Facebook Username: kelleykulina

Re: Impaired fasting glucose and recurrence

Postby pantufla » Tue Feb 23, 2016 11:08 am

We were told my DH's random glucose was in the 190s yesterday, butt, the nurse said not to worry just yet because she thought it was because of him having eaten and the steroids. Will keep an eye on it. ;)
DH T2 N1b M0. 3/15 positive nodes.
Stage IIIA moderately differentiated adenocarcinoma.
Tumor size 6 cm.
Left hemicolectomy 10/26/15.
FOLFOX 11/30/15 to 5/2/16, full 12 cycles.
10/3/16 CT scan clear.
11/10/17 CT: "Focal opacity along the left lower lung, 7 mm. Two small peripheral opacities along the right lower lobe, 2 to 3 mm. A few small to mildly prominent left-sided central mesenteric nodes, up to 13 mm.
June 2019: NED.
2020: NED 5 years. 4 mm lung nodule on CT


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