The impact of treatment exposure on diabetes biomarkers among Jordanian breast cancer women: a connection through FBG, C-peptide and HOMA-IR

• Authors: Safaa A. Al-Zeidaneen , Mousa N. Ahmad , Ali D. Al-Ebuos

Title variants

PL

Wpływ leczenia na biomarkery cukrzycy u kobiet z rakiem piersi w Jordanii: związek z glikemią na czczo, peptydem C i wskaźnikiem HOMA-IR

• Languages of publication: EN

Abstracts

EN

Background: Breast cancer is the most frequently occurring and life-threatening malignant tumor in women. The evidence that associates diabetes’ biomarkers with breast cancer is highly controversial. Aims: To evaluate diabetes’ biomarkers in breast cancer patients according to type of treatment exposure, breast cancer severity and menopausal status. Material and methods: A total of 396 breast cancer patients aged between 25 and 65 years attending breast cancer clinics were evaluated. The experimental design permitted to include 134 newly-diagnosed breast cancer patients who were not exposed to any type of interventions and 262 recently diagnosed breast cancer patients (up to three months). Recently, group members were subdivided in two subgroups to control exposure to therapy specially chemotherapy. The patients were further divided according to breast cancer stages and postmenopausal status. Diabetes biomarkers consisted of fasting blood glucose (FBG), C-peptide and HOMA-IR. Results: The high FBG was more prevalent in advance (24.1%) than early (10.6%) stage breast cancer. Compared with premenopausal breast cancer patients, postmenopausal breast cancer patients had higher prevalence of abnormal FBG (21.0% vs. 11.1%). The differences were also significant in the mean of FBG (103.0 ± 1.5 vs. 89.0 ± 0.0 mg/dL). In postmenopausal breast cancer patients, FBG was higher in the recently diagnosed whom expose to treatments including chemotherapy (106.5 ± 1.7 mg/dL vs. 126.2 ± 1.2 mm Hg) compared to the newly-diagnosed group whom not yet expose to any kind of treatment interventions. Conclusion: Diabetes was prevalent among breast cancer patients and it was higher in postmenopausal and advanced stage breast cancer women. The burden of diabetes on treatment expose breast cancer women tend to be high and warrants closer attention by health care provider to improved outcomes after diagnosis and treatment exposure.

PL

Wstęp: Rak piersi to najczęstszy zagrażający życiu nowotwór złośliwy u kobiet. Doniesienia dotyczące związku cukrzycy z rakiem piersi są wysoce kontrowersyjne. Cele: Analiza biomarkerów cukrzycy u pacjentek z rakiem piersi w zależności od ekspozycji na leczenie, stopnia zaawansowania nowotworu i statusu menopauzalnego. Materiał i metody: Do badania włączono 396 pacjentek z rakiem piersi w wieku od 25 do 65 lat, które zgłosiły się do klinik specjalizujących się w leczeniu tej choroby. Plan badania dopuszczał włączenie 134 pacjentek z nowo rozpoznanym nowotworem, które nie otrzymały jeszcze leczenia w żadnej postaci, oraz 262 pacjentek z nowotworem rozpoznanym w ciągu ostatnich trzech miesięcy. Następnie uczestniczki podzielono na dwie podgrupy w celu kontroli ekspozycji na leczenie, szczególnie chemioterapię. Pacjentki podzielono także na podstawie stopnia zaawansowania nowotworu i statusu menopauzalnego. Oceniono następujące biomarkery cukrzycy: glikemię na czczo, peptyd C oraz wskaźnik HOMA-IR. Wyniki: Wysoki poziom glukozy na czczo obserwowano częściej u chorych z zaawansowanym rakiem piersi (24,1%) niż u kobiet z nowotworem we wczesnym stadium zaawansowania (10,6%). W porównaniu z pacjentkami przed menopauzą chore po menopauzie charakteryzowało częstsze występowanie nieprawidłowej glikemii na czczo (21,0% vs 11,1%). Różnice były także istotne dla średniej wartości glukozy na czczo (103,0 ± 1,5 vs 89,0 ± 0,0 mg/dl). W przypadku kobiet po menopauzie wartości te były wyższe u chorych z rakiem piersi, które otrzymały leczenie, w tym chemioterapię (106,5 ± 1,7 mg/dl vs 126,2 ± 1,2 mm Hg), w porównaniu z nowo zdiagnozowanymi pacjentkami, u których nie rozpoczęto jeszcze leczenia w jakiejkolwiek postaci. Wnioski: W grupie badanych chorych cukrzyca była częstym problemem. Chorobę tą częściej obserwowano u kobiet po menopauzie i z zaawansowanym nowotworem. Odnotowano też istotną zależność między cukrzycą a ekspozycją na leczenie raka piersi. Na korelację tę należy zwrócić szczególną uwagę po rozpoznaniu choroby i wdrożeniu leczenia.

Keywords

EN

C-peptide; breast cancer stage; fasting blood glucose; menopausal status; treatment exposure

Discipline

• MEDICINE: MEDICINE

• Publisher: Medical Communications
• Journal: Current Gynecologic Oncology
• Year: 2017
• Volume: 15
• Issue: 4
• Pages: 231–238

Contributors

author

Safaa A. Al-Zeidaneen

• Department of Allied Medical Sciences, Al-Zarqa University College, Al-Balqa’ Applied University, Al-Salt, Jordan

author

Mousa N. Ahmad

• Department of Nutrition and Food Technology, Faculty of Agriculture, University of Jordan, Amman, Jordan

author

Ali D. Al-Ebuos

• Breast Cancer Unit, Department of General Surgery, King Hussein Medical Center, Amman, Jordan

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• Document Type: article