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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Suggest Treatment For Fluctuating Blood Sugar Levels While Treating Acute Myeloid Leukemia

My father s age is 69. He is a diabetic patient for the past 30 years and has been only using oral medications. Recently he has been diagnosed with AML and undergoing chemotherapy treatment. His counts are fluctuating and his sugar levels are unpredictable and has to take insulin. Please help.
Fri, 6 Jan 2017
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Diabetologist,  's  Response
Hello,

If a diabetic patient is on chemotherapy, those drugs are likely to affect blood glucose levels. Controlling blood glucose becomes much difficult. Proper titration of insulin dosage and repeated checking of glucose levels at home is absolutely essential.

Also, one may have to use more than one type of insulin like a long acting newer insulin (glargine or degludec) and a rapid acting one to control post meal surge of glucose. If corticosteroids are used in the treatment they also do affect, so you have to manage with extra care.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Prabhakar Laxman Jathar
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Suggest Treatment For Fluctuating Blood Sugar Levels While Treating Acute Myeloid Leukemia

Hello, If a diabetic patient is on chemotherapy, those drugs are likely to affect blood glucose levels. Controlling blood glucose becomes much difficult. Proper titration of insulin dosage and repeated checking of glucose levels at home is absolutely essential. Also, one may have to use more than one type of insulin like a long acting newer insulin (glargine or degludec) and a rapid acting one to control post meal surge of glucose. If corticosteroids are used in the treatment they also do affect, so you have to manage with extra care. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Prabhakar Laxman Jathar