This topic contains 2 replies, has 3 voices, and was last updated by  Dr Walko 5 years ago.

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March 22, 2012 at 3:15 pm  #1972    


I have been having glucose elevations recently ranging from 153 had 12 oz of coffee with powdered creamer, 135 12 oz of coffee with powdered creamer. PCP did fasting finger stick on 3/13=113 had fasting bloodwork before chemo 3/14 and glucose was 111. I did fasting fingerstick today=130. pet scan in Nov showed some possible pancreatic duct dilatation which was not present on scan Feb 8. No one seems to be concerned about this but me. Am I overly concerned or should I push for more investigation?? I also had cyberknife tx to three areas- mass rt lung, suv down to 2.8 from 4.4. left supraclavicular node down to 2.3 from 6.4 and rt adrenal gland down to 2.9 from 4.2=this is a trial for oligmetastatic disease. These tx were from 12/19-12/30/11 at which time I lost 9lbs.

March 22, 2012 at 7:15 pm  #1973    
Dr West
Dr West

I don’t think those levels of glucose elevation are very clinically significant in this setting, let alone alarming. Worth monitoring, I suppose, but not obviously clinically significant or worrisome.

-Dr. West

March 25, 2012 at 7:41 am  #1974    

Dr Walko

I completely agree with Dr. West, but in an effort to explain the numbers would ask if you are taking dexamethasone or another steroid? We commonly use dexamethasone before chemotherapy and based on the chemo schedule, this could explain some of the elevations if they occurred a few days after the dexamethasone.

Best wishes,
Dr. Walko

Christine Walko, PharmD, BCOP
Clinical Pharmacogenetics Scientist
Moffitt Cancer Center, Tampa, FL

Views expressed here represent my opinion, not those of GRACE or Moffitt Cancer Center. This information does not constitute medical advice and is intended to supplement and not replace medical information provided by your doctor.

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