An article in the current issue of the Journal Blood Advances discusses the impact of diabetes on the survival of patients with multiple myeloma in different racial groups.
Past research has shown that patients with multiple myeloma and diabetes have poorer survival outcomes compared to myeloma patients without diabetes.
The above-referenced paper is the first, however, to analyze and report on the difference in outcomes between white versus black patients with both myeloma and type 2 diabetes.
The study included over 5,000 myeloma patients, 15 % of whom had type 2 diabetes. The incidence rate of patients with both conditions showed that black patients were twice as prevalent as white patients. There are some very interesting conclusions from this study :
The authors of the study clearly state that “The underlying basis for increased incidence of myeloma in Black patients is not known. Unique [factors] in Black individuals have not been identified, suggesting factors beyond genetics, including diabetes and obesity, may be contributing, given that they affect the Black population to a greater degree than in the White population. In our study, we saw twice the prevalence of diabetes in the Black population compared to the White population with MM. The higher prevalence of myeloma in patients with diabetes suggests that diabetes may be a risk factor contributing to the increased development of MM in Black individuals compared to White individuals.” [emphasis added]
The authors also studied the impact of diabetes on myeloma growth in “special” diabetic and non-diabetic mice. This separate study showed that “Tumors grew in more of the [diabetic] mice compared with control [non-diabetic mice] and grew more rapidly in the [diabetic] mice compared with [non-diabetic] controls.” This shows that diabetes affects survival and risk of multiple myeloma cancer.
The authors conclude their paper with the observation and recommendation, “As patients with MM live longer than ever before given a rapidly changing treatment landscape due to the approval of novel therapies, inadequate diabetes management can lead to delays in diagnostic tests and the initiation of treatments, higher risks of complications from treatments, and deaths from cancer and non-cancer causes. Our data suggests that to further improve OS in our patients with MM, modifiable risk factors such as diabetes can no longer be ignored as we improve the chemotherapeutic management of this common hematological neoplasm. Pharmacological and non-pharmacological measures such as dietary intervention need to be investigated in future studies to improve outcomes in myeloma.” [emphasis added]
An article in the current issue of the Journal Blood Advances discusses the impact of diabetes on the survival of patients with multiple myeloma in different racial groups.
Past research has shown that patients with multiple myeloma and diabetes have poorer survival outcomes compared to myeloma patients without diabetes.
The above-referenced paper is the first, however, to analyze and report on the difference in outcomes between white versus black patients with both myeloma and type 2 diabetes.
The study included over 5,000 myeloma patients, 15 % of whom had type 2 diabetes. The incidence rate of patients with both conditions showed that black patients were twice as prevalent as white patients. There are some very interesting conclusions from this study :
The authors of the study clearly state that “The underlying basis for increased incidence of myeloma in Black patients is not known. Unique [factors] in Black individuals have not been identified, suggesting factors beyond genetics, including diabetes and obesity, may be contributing, given that they affect the Black population to a greater degree than in the White population. In our study, we saw twice the prevalence of diabetes in the Black population compared to the White population with MM. The higher prevalence of myeloma in patients with diabetes suggests that diabetes may be a risk factor contributing to the increased development of MM in Black individuals compared to White individuals.” [emphasis added]
The authors also studied the impact of diabetes on myeloma growth in “special” diabetic and non-diabetic mice. This separate study showed that “Tumors grew in more of the [diabetic] mice compared with control [non-diabetic mice] and grew more rapidly in the [diabetic] mice compared with [non-diabetic] controls.” This shows that diabetes affects survival and risk of multiple myeloma cancer.
The authors conclude their paper with the observation and recommendation, “As patients with MM live longer than ever before given a rapidly changing treatment landscape due to the approval of novel therapies, inadequate diabetes management can lead to delays in diagnostic tests and the initiation of treatments, higher risks of complications from treatments, and deaths from cancer and non-cancer causes. Our data suggests that to further improve OS in our patients with MM, modifiable risk factors such as diabetes can no longer be ignored as we improve the chemotherapeutic management of this common hematological neoplasm. Pharmacological and non-pharmacological measures such as dietary intervention need to be investigated in future studies to improve outcomes in myeloma.” [emphasis added]
about the author
Paul Kleutghen
I am a patient diagnosed in 2014 with primary plasma cell leukemia (pPCL), a rare and aggressive variant of multiple myeloma and have been very fortunate to find successful treatment at the division of Cellular Therapy at the Duke University Cancer Institute. My wife, Vicki, and I have two adult children and two grandsons who are the ‘lights of our lives’. Successful treatment has allowed Vicki and I to do what we love best : traveling the world, albeit it with some extra precautions to keep infections away. My career in the pharmaceutical industry has given me insights that I am currently putting to use as an advocate to lower drug pricing, especially prices for anti-cancer drugs. I am a firm believer that staying mentally active, physically fit, compliant to our treatment regimen and taking an active interest in our disease are keys to successful treatment outcomes.
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