Grand Rounds

Collaborative Approach to Managing a 59-Year-Old Woman With Stage IIB Pancreatic Cancer and Diabetes

Michelle Bratton, RD, CSO, and Sandra E. Kurtin, RN, MS, AOCN®, ANP

From the University Medical Center, University of Arizona, and Arizona Cancer Center, Tucson, Arizona.

The authors have no potential conflicts of interest to disclose.

Correspondence to: Sandra E. Kurtin, RN, MS, AOCN, ANP, Arizona Cancer Center, 3838 N. Campbell Ave, Tucson, AZ 85719. E-mail: skurtin@umcaz.edu


J Adv Pract Oncol 2010;1:257–265 | DOI: 10.6004/jadpro.2010.1.4.4 | © 2010 Harborside Press


  

ABSTRACT

The American Diabetes Association and the American Cancer Society recently published a consensus statement on diabetes and cancer based on the increased risk of selected cancers, including malignancies of the liver, pancreas, endometrium, colon/rectum, breast, and bladder, in patients with diabetes. The effective management of diabetes requires an understanding of the key principles of diet, exercise, and pharmacologic therapy. The pharmacologic management of diabetes has been previously reviewed in this journal. This paper reviews the principles of medical nutritional management in a patient with diabetes and newly diagnosed pancreatic cancer treated with surgical resection and adjuvant chemotherapy.


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