Page 36 - Delaware Medical Journal - July/August 2019

A1c may reveal clues to another diagnosis REFERENCES
that may not have been previously suspected, as in our case here. Additionally, the case highlights the association between diabetes and increased risk of developing certain cancers. Therefore, adequate glycemic control is not only important for reduction in microvascular and macrovascular complications, but may also reduce risk of developing various cancers.
DISCLOSURE

disclose.
CONTRIBUTING AUTHORS
■ RONAK M. PATEL, MD is an internal medicine resident with Christiana Care Health System.
■ M. JAMES LENHARD, Jr., MD is a clinical endocrinologist with Christiana Care Health System
■ PRAKASH SESHADRI, MD is a clinical endocrinologist with Christiana Care Health System.
1. Radin MS. Pitfalls in hemoglobin A1c measurement: when results may be misleading. J Gen Intern Med. 2014; 29(2):388–94.
2. Väyrynen JP, Tuomisto A, Väyrynen SA, et al. Preoperative anemia in colorectal cancer: relationships with tumor characteristics, systemic inflammation, and survival. Scientific Reports. 2018; 8:1126.
3. Peeters PJ, Bazelier MT, Leufkens HG, de Vries F, De Bruin ML. The risk of colorectal cancer in patients with type 2 diabetes: associations with treatment stage and obesity. Diabetes Care. 2015; 3:495-502.
4. Steenland K, Nowlin S, Palu S. Cancer incidence in the National Health and Nutrition Survey I. Follow-up data: diabetes, cholesterol, pulse and physical activity. Cancer Epidemiol Biomarkers Prevention. 1995; 4: 807–811.
5. Michels KB, Solomon CG, Hu FB, et al. Nurses’ Health Study. Type 2 diabetes and subsequent incidence of breast cancer in the Nurses’ Health Study. Diabetes Care. 2003; 26: 1752–1758.
6. Campbell PT, Newton CC, Patel AV, Jacobs EJ, Gapstur SM. Diabetes and cause- specific mortality in a prospective cohort of one million U.S. adults. Diabetes Care. 2012; 35:1835–1844.
7. Barone BB, Yeh HC, Snyder CF, et al. Long-term all-cause mortality in cancer patients with preexisting diabetes mellitus: a systematic review and meta- analysis. JAMA. 2008; 300:2754–2764.
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