title: Perceived impact of cancer treatment on diabetes self-management.
abstract: The purpose of this study was to identify the impact that cancer and its treatment had on diabetes self-management and to identify common issues that individuals with diabetes encounter while undergoing chemotherapy.
  
  
  
  This exploratory study utilized a baseline self-administered written survey and an 8-week telephone follow-up survey that included 2 open-ended questions. Forty-three adults aged 50 or older with diabetes and a solid tumor cancer receiving chemotherapy were recruited from 8 community outpatient cancer centers in Michigan and Ohio. Descriptives, t tests, and correlations were utilized to analyze the data. Content analysis was used to analyze the data from the open-ended questions.
  
  
  
  After a minimum of 8 weeks of chemotherapy, patients performed significantly fewer diabetes self-management behaviors. The majority of individuals experienced a moderate to high impact on their ability to perform diabetes self-management activities while receiving chemotherapy. Exercise, ability to eat and drink, and monitoring blood sugars were most affected. Three themes identifying patient issues were noted: self-management issues, health issues, and prioritization.
  
  
  
  Cancer treatment and cancer-related symptoms can have a negative impact on diabetes self-management behaviors in adults with diabetes who are undergoing chemotherapy. Diabetes self-management education is targeted to improve health outcomes in patients with diabetes and cancer and addresses the "cause" not just the "source" of the problem needs to be developed. Further research needs to be done to address issues related to glycemic control and health-related outcomes in this population.
authors.affiliation: The College of Nursing, Michigan State University, East Lansing, Michigan (Dr Hershey, Dr Given)
authors.forename: Denise Soltow
authors.initials: DS
authors.lastname: Hershey
authors.affiliation: The University of Toledo Medical Center, Toledo, Ohio (Ms Tipton)
authors.forename: Janelle
authors.initials: J
authors.lastname: Tipton
authors.affiliation: The College of Nursing, Michigan State University, East Lansing, Michigan (Dr Hershey, Dr Given)
authors.forename: Barbara
authors.initials: B
authors.lastname: Given
authors.affiliation: Duke University Health System, Durham, North Carolina (Ms Davis)
authors.forename: Ellen
authors.initials: E
authors.lastname: Davis
mesh_terms: D015190:Blood Glucose Self-Monitoring / Q000706:statistics & numerical data*; D015897:Comorbidity; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000453:epidemiology / Q000628:therapy*; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000453:epidemiology / Q000628:therapy*; D015444:Exercise; D005260:Female; D015438:Health Behavior; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D008824:Michigan / Q000453:epidemiology; D009325:Nausea; D009369:Neoplasms / Q000097:blood / Q000453:epidemiology / Q000628:therapy*; D009820:Ohio / Q000453:epidemiology; D010465:Perception; D012648:Self Care / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D016903:Drug Monitoring