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Glucose

Forums General Melanoma Community Glucose

  • Post
    smiller
    Participant

      Hello–I am new here.  First of all, thanks for all the topics and posts-really helps to know we are not alone!

     My husband was diagnosed with stage 4 melanoma and is now on the Opdivo/Yervoy regimen.  He had his second infusion yesterday  (25th).  His main complaint is extreme tiredness and "cotton mouth".  His glucose level was 222.  He was told to fast the next time he has labs (three weeks away) and see if it comes down.

     Could this be a side effect–or should we be concerned with diabetes and this is something that should be checked now and not wait three weeks? I keep thinking that if it was a big enough concern the doctor would have suggested it be tested sooner.

     Anyone have any thoughts about this?  Thank you!

    A Concerned Wife

     

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  • Replies
      Bubbles
      Participant

      Immunotherapy can certainly cause diabetes in some.  However, a non-fasting glucose does not tell you much, esp depending on what the patient had recently eaten.  A fasting level is the only thing that is particularly meaningful.  Checking a urinalysis to see if glucose is being spilled into the urine may be helpful as well. Immunotherapy can certainly cause a dry mouth, as well as other oral issues, and fatigue is very common, esp with the combo.  I am glad his docs are planning to f/u on his glucose, but three weeks and a fasting value, sounds like a reasonable plan.  Hang in there.  Celeste

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