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Chemotherapy

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AHG123

New Member
Relationship to Diabetes
At risk of diabetes
Hi
I am undergoing chemotherapy and it seems to have messed up my blood sugar levels.
It’s just another thing to deal with as you can imagine though I know I must.
I have a basic finger prick tester.
When would be the best times to check it if I want to give some useful information to the diabetic nurse next week please?
I am thinking before and two hours after breakfast.
Before and two hours after my evening meal.
Thank you
 
Hi
I am undergoing chemotherapy and it seems to have messed up my blood sugar levels.
It’s just another thing to deal with as you can imagine though I know I must.
I have a basic finger prick tester.
When would be the best times to check it if I want to give some useful information to the diabetic nurse next week please?
I am thinking before and two hours after breakfast.
Before and two hours after my evening meal.
Thank you
Sorry to hear you're having chemo and trust it's going well. Pre- and Post-meal testing along the lines you've mentioned is what we normally do to check how a meal has affected our BG. The other test is on waking, not literally although some do, which is a fasting test as you won't have eaten anything for several hours on account of being asleep. A week's worth of readings should give your DN at least an idea of where you are.
 
Welcome to the forum @AHG123

Sorry to hear about the BG upheaval you have been experiencing during chemo :(

It can be quite an intensive intervention, so I guess it’s not unlikely for it to have had an impact on your diabetes management?

Before and after meal checks will give you a good insight into how your body is currently coping with your menu.

For comparison with pre-chemo results something like your pre-breakfast / fasting reading might be useful, if you have readings from before the chemo started to conpare with?
 
Hello @AHG123,
My chemo was started less than 4 months after my surgery and consequent abrupt arrival into the diabetes malarkey. My BG management was dreadful anyway, at that time, so my recollection of this period is not great.

But my chemo included steroids after each chemo session and they noticeably brought about elevated BG. The nurses and on site doctor were well aware that I was diabetic and made a point of telling me about everything the chemo sessions included - so I knew the steroids were going to affect my BG. I don't know if all chemo routinely includes steroids. Since you are at risk of diabetes, this informal diagnosis may not be so evident to your Oncology team and they might not be so alert to you proactively monitoring your BG. So you might find it helpful to discuss that with them.

The other thing, as @everydayupsanddowns has said, is that chemo inevitably affects each of us quite differently and the "cocktail" you receive can be quite different from person to person. But the cocktail is a deliberate form of poisoning and there can be no question that your body will see this as a form of medical stress and stress, in all forms, can and usually does affect our BG; usually (not absolutely always) raising it.

So it's not surprising that chemo messes up your BG levels. If the Diabetic Nurse is someone from your GP's Surgery, that Nurse's knowledge of BG management is unlikely to extend in managing someone's "D" in your circumstance of chemo treatment; indeed I suspect this will be true for even a Diabetes Specialist Nurse in a Hospital Team. So don't be too concerned if there is no specific advice on how to manage your D better at this moment.

The vital thing is to get though the chemo treatment phase as smoothly as is reasonably possible, get yourself well and into a cancer remission phase, then get stuck into BG management. Healthy food that you can enjoy is important for your mental state right now as part of this chemo phase; I would let BG management be a secondary issue for now. Being prediabetic is a marker to do better - IN ITS TURN. Getting clear of whatever you need the chemo for is your priority, in my opinion.

Good luck with it all. I was a very miserable chemo patient!! I didn't cope with it at all well.
 
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