Perceived impact of diabetes management in patients with cancer: the experience of a tertiary referral center

Abstract

Diabetes management in patients with cancer has critical aspects. This study aims to assess the quality of life (QoL) and self-perceived impact of the management of diabetes on the overall situation of a group of subjects referred to a center dedicated to the management of diabetes in the oncological setting. The study evaluated a sample of 23 consecutive cancer patients with diabetes referred to a tertiary hospital between June and December 2017. All patients were asked to fill in a dedicated questionnaire with 11 items assessing the improvement of typical symptoms of glycemic imbalance after starting anti-diabetic therapy, impact of diabetes self-management on their global situation, improvement of their self-perceived QoL, and perceived utility of a dedicated center for the integrated management between oncologists and endocrinologists. The responses to the questionnaire showed a partial/high improvement of all symptoms, especially in patients suffering from fatigue (68%), decreased appetite (78%), or reduced overall well-being (78%). In 26% of patients, diabetes self-management had a considerable impact on daily routine. However, a notable improvement of the QoL was reported in 74% of cases, despite the higher commitment due to self-monitoring of blood glucose and to insulin therapy. All of the patients reported the perceived utility of a dedicated center for the integrated management between oncologists and endocrinologists. Diabetes management in patients with cancer is often complicated. A well-structured and individualized educational program may reduce the impact of diabetes on the patient’s daily routine and improve QoL.