Abstract

Dasatinib, a second-generation tyrosine kinas inhibitoris effective against most cases of imatinib-resistant Chronic Myelogenous Leukemia (CML), and this drug has also shown significant glucose-lowering effects. Here, we report two diabetes patients with sudden onset of CML. In Case 1, dasatinib produced mild but clear improvement of hyperglycemia with the same anti-diabetic regimen together with rapid control of CML. In Case 2, initiation of dasatinib resulted inmarked potentiation of insulin-induced glucose-lowering effects in parallel with rapid improvements of CML. In both cases, this favorable diabetes control was well maintained for 5 years under leukemia management with dasatinib

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