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Gleevec and Diabetes


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#1 jmoorhou

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Posted 13 October 2016 - 01:59 PM

I might have Diabetes does anyone know anything about this?
Diagnosed 3/2014 WBC 28 Non detectable within 3 monthsGleevec 400 mg 5/2014 one hour after dinner really improves nausea300 mg 12/15/2016200 mg and 300 mg Gleevec 2/25/2017 (after 3 years on Gleevec) For last four months taking 300 mg per day. Last CMC showed liver enzymes elevated, went to a good Naturopath and he recommended 4 Tumeric, 10,000 mg Vitamen D, and 3 milk thistle (silymarin) daily. Also use One<p>Day Detox Dandeloin tea, and Nettle Tea and a slice of ginger every day...in two months liver tests were below normal.Janis

#2 beno

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Posted 18 October 2016 - 10:22 AM

I have lived with people dealing with diabetes.  For them, it requires some discipline and planning regarding their eating and activity levels, but it is manageable.


DX 3/30/2016 WBC 484.2 FISH 95.3

took Hydrea 3/30-4/11

taking Sprycel 100 mg since 4/5

10 day break from Sprycel for platelet count of 12 4/26-5/8

7/07/2016 1.47% (IS)

9/30/16 BMB PCR .1259 switched to new onc

12/30/16 PCR .1569

4/7/17 PCR .0904 MMR

7/14/17 PCR .0520

12/1/17 PCR .0148


#3 Buzzm1

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Posted 18 October 2016 - 10:23 AM

Me too; last year my blood test in advance of my annual physical showed a fasting glucose level of 128 at which point my doctor loaded me up with all of the testing paraphernalia (which I couldn't bring myself to use) .  This years blood test, yesterday, showed a fasting glucose level of 137.  I'll see my doctor for my physical on Oct. 31.  


For the benefit of yourself and others please add your CML history into your Signature

 

02/2010 Gleevec 400mg

2011 Two weakly positives, PCRU, weakly positive

2012 PCRU, PCRU, PCRU, PCRU

2013 PCRU, PCRU, PCRU, weakly positive

2014 PCRU, PCRU, PCRU, PCRU (12/07 began dose reduction w/each continuing PCRU)

2015 300, 250, 200, 150

2016 100, 50/100, 100, 10/17 TFR

2017 01/17 TFR, 04/18 TFR, 07/18 TFR 0.0012, 08/29 TFR 0.001, 10/17 TFR 0.000

2018 01/16 TFR 0.0004 ... next quarterly PCR 04/17

 

At the earliest opportunity, and whenever possible, lower your TKI dosage; TKIs are toxic drugs and the less we take longterm the better off we are going to be ... this is especially true for older adults.  

 

In hindsight I should have started my dosage reduction two years earlier; it might have helped minimize some of the longterm cumulative toxic effects of TKIs that I am beset with.  

 

longterm side-effects Peripheral Artery Disease - legs (it's a bitch); continuing shoulder problems, right elbow inflammation.   GFR and creatinine vastly improved after stopping Gleevec.

 

Cumulative Gleevec dosage estimated at 830 grams

 

Taking Gleevec 400mg an hour after my largest meal of the day helped eliminate the nausea that Gleevec is notorious for.  

 

Trey's CML BlogStopping - The OddsStop Studies - Discussion Forum Cessation Study

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#4 survenant

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Posted 19 October 2016 - 11:33 AM

See also Living with CML and diab├Ętes



#5 survenant

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Posted 19 October 2016 - 11:37 AM

Diabetes drug may help in leukaemia

See also     Combination of pioglitazone with tyrosine kinase inhibitor



#6 Gail's

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Posted 20 October 2016 - 09:17 PM

I have been T2 diabetic for many years, way before dx of CML. Imatinib lowered my blood sugar so much, it took several months to get the amount right while not having crazy low blood sugars. Now that I'm on sprycel, that help with diabetes is gone so I'm on bigger doses of insulin.
Diagnosed 1/15/15
FISH 92%
BMB 9:22 translocation
1/19/15 began 400 mg gleevec
1/22/15 bcr 37.2 IS
2/6/15 bcr 12.5 IS
3/26/15 bcr 10.3 IS
6/29/15 bcr 7.5 IS
9/24/15 bcr 0.8 IS
1/4/16 bcr 0.3 IS
Started 100 mg dasatinib, mutation analysis negative
4/20/16 bcr 0.03 IS
8/8/16 bcr 0.007 IS
12/6/16 bcr 0.002 IS
Lowered dasatinib to 70 mg
4/10/17 bcr 0.001 IS
Lowered dasatinib to 50 mg
7/5/17 bcr 0.004 IS
8/10/17 bcr 0.001. Stopped TKI in prep for September surgery.
9/10/17 bcr 0.006
10/10/17 bcr 0.088

#7 Billie Murawski

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Posted 20 October 2016 - 10:47 PM

Gail, How do you handle living with two diseases like that, I always said I could never handle the schedule you have to follow on Tasigna. I'm trying to cope with several different things and I complain about how many pills I have to take everyday. I'm lucky compaired to so many other people.               Billie



#8 Gail's

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Posted 21 October 2016 - 01:35 PM

Hi Billie, I've been diabetic so long, I'm pretty used to it. I do feel like a walking pharmacy when I see all the meds I'm on. I think cml will someday be automatic to me. If I could just get the dang TKI side effects to settle down. I also take Cymbalta. Helps with depression but muscle pain worse since TKIs despite Cymbalta. Are you having any fun lately? Besides watching ants?
Diagnosed 1/15/15
FISH 92%
BMB 9:22 translocation
1/19/15 began 400 mg gleevec
1/22/15 bcr 37.2 IS
2/6/15 bcr 12.5 IS
3/26/15 bcr 10.3 IS
6/29/15 bcr 7.5 IS
9/24/15 bcr 0.8 IS
1/4/16 bcr 0.3 IS
Started 100 mg dasatinib, mutation analysis negative
4/20/16 bcr 0.03 IS
8/8/16 bcr 0.007 IS
12/6/16 bcr 0.002 IS
Lowered dasatinib to 70 mg
4/10/17 bcr 0.001 IS
Lowered dasatinib to 50 mg
7/5/17 bcr 0.004 IS
8/10/17 bcr 0.001. Stopped TKI in prep for September surgery.
9/10/17 bcr 0.006
10/10/17 bcr 0.088




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