Abstract
The association between diabetes and cancer is complex. Numerous epidemiological studies show temporal associations between diabetes and risks of all-site and of specific cancers, especially of the pancreas, liver, gallbladder, gastrointestinal, and kidney. Hyperglycemia, which defines diabetes, evidently contributes to this risk. In addition, the metabolic milieu that predisposes to diabetes, and that is characterized by obesity, insulin resistance and hyperinsulinemia, altered concentrations of sex hormones, and oxidative stress and inflammation, is conducive to cancer incidence. Genetic and lifestyle factors also provide links between the diseases according to cancer type. No causal relationship of glucose lowering medications on cancer incidence has been demonstrated yet.
Original language | English |
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Title of host publication | Encyclopedia of Cancer, Third Edition |
Subtitle of host publication | Volumes 1-3 |
Publisher | Elsevier |
Pages | V1:459-V1:470 |
Volume | 1 |
ISBN (Electronic) | 9780128124840 |
ISBN (Print) | 9780128124857 |
DOIs | |
State | Published - 1 Jan 2018 |
Keywords
- Antidiabetic medications
- Cancer
- Diabetes
- Diabetic medications
- Glucose lowering medications
- Hyperglycemia
- Hyperinsulinemia
- Inflammation
- Insulin resistance
- Obesity
- Pathophysiology
- Risk factors