| Joined: Dec 2010 Posts: 5,264 Likes: 5 "OCF Canuck" Patient Advocate (old timer, 2000 posts) | OP "OCF Canuck" Patient Advocate (old timer, 2000 posts) Joined: Dec 2010 Posts: 5,264 Likes: 5 | Didn't want to put this in the adjunctive therapy forum because is an actual clinical trial - at mayo, and here in Toronto. I tend to get poopooed a lot when I suggest a connection between cancer and diet - particularly sugar intake, but I found this interesting. It started off as a trial aimed at ovarian cancer but now they are trying it on some of the biggies - like pancreatic, breast etc.. The use of metaformin, (a diabetes drug - used to stabilize blood sugar) is now being used in conjuction with other therapy with good results. Since for most of us diabetes is not a part of the picture - rather than taking a pill, try eating naturally, limiting sugars -white sugar in particular, try staying away from over processed junk food, and prepared foods from a can or box etc.. - not saying its a cure but it can't hurt. Just thought that there must be some connection if even the medical world is getting in on dealing with diet-sugar-as a treatment. Hugs all stay healthy or if you're still fighting more power to you.
Cheryl : Irritation - 2004 BX: 6/2008 : Inflam. BX: 12/10, DX: 12/10 : SCC - LS tongue well dif. T2N1M0. 2/11 hemigloss + recon. : PND - 40 nodes - 39 clear. 3/11 - 5/11 IMRT 33 + cis x2, PEG 3/28/11 - 5/19/11 3 head, 2 chest scans - clear(fingers crossed) HPV-, No smoke, drink, or drugs, Vegan
| | | | Joined: May 2010 Posts: 638 "OCF Down Under" "Above & Beyond" Member (500+ posts) | "OCF Down Under" "Above & Beyond" Member (500+ posts) Joined: May 2010 Posts: 638 | [quote]Research studies strongly suggest that the central mechanism of anti-proliferative action of metformin is via activation of liver kinase B1 (LKB1)-AMPK pathway, which has emerged as an attractive and widely studied target for cancer therapeutics.[/quote]
What this means is that metformin is an agent that is being studied for it's apparent ability to inhibit the growth of cancer cells by interfering with the cancer cell's cycle. It is unrelated to dietary sugar intake.
Metformin is also used in HIV patients to combat insulin resistance brought on by the use of drugs and has nothing to do with sugar intake. Metformin has also been shown to decrease lipid levels to prevent cardiovascular disease - again, nothing to do with sugar.
A balanced diet is a good idea of course, but these trials do not support any suggestion that eating naturally and limiting sugars might avoid the use of metformin.
Karen Love of Life to Alex T4N2M0 SCC Tonsil, BOT, R lymph nodes Dx March 2010 51yrs. Unresectable. HPV+ve Tx Chemo x 3+1 cycles(cisplatin,docetaxel,5FU)- complete May 31 Chemoradiation (IMRTx35 + weekly cisplatin) Finish Aug 27 Return to work 2 years on 3 years out Aug 27 2013 NED  Still underweight
| | | | Joined: Mar 2011 Posts: 1,024 "OCF Kiwi Down Under" Patient Advocate (1000+ posts) | "OCF Kiwi Down Under" Patient Advocate (1000+ posts) Joined: Mar 2011 Posts: 1,024 | Or that eating sugar causes cancers to grow.
Caregiver/advocate to Husband Kris age 59@ diagnosis DX Dec '10 SCC BOT T4aN2bM0 HPV+ve.Cisplatin x3 35 IMRT. PET 6/11 clear. R) level 2-4 neck dissection 8/1/11 to remove residual node - necrotic with NED Feb '12 Ca back.. 3/8/12 total glossectomy/laryngectomy/bilat neck dissection/partial pharyngectomy etc. clear margins. All nodes negative for disease. PEG in. March 2017 - 5 years disease free. Woohoo!
| | | | Joined: Dec 2010 Posts: 5,264 Likes: 5 "OCF Canuck" Patient Advocate (old timer, 2000 posts) | OP "OCF Canuck" Patient Advocate (old timer, 2000 posts) Joined: Dec 2010 Posts: 5,264 Likes: 5 | Actually something I recently read suggests that metaformin starves the cancer cells by preventing the uptake of sugar. Even the experts don't know for sure - why its successful which is what the research is about -. One thing that we do know is that cancers cells are sugar hogs - because they are so highly metabolic. This is why they are doing the trials,
Cheryl : Irritation - 2004 BX: 6/2008 : Inflam. BX: 12/10, DX: 12/10 : SCC - LS tongue well dif. T2N1M0. 2/11 hemigloss + recon. : PND - 40 nodes - 39 clear. 3/11 - 5/11 IMRT 33 + cis x2, PEG 3/28/11 - 5/19/11 3 head, 2 chest scans - clear(fingers crossed) HPV-, No smoke, drink, or drugs, Vegan
| | | | Joined: May 2010 Posts: 638 "OCF Down Under" "Above & Beyond" Member (500+ posts) | "OCF Down Under" "Above & Beyond" Member (500+ posts) Joined: May 2010 Posts: 638 | Metformin is an insulin sensitiser which increases the number of insulin receptors thereby allowing improved uptake of glucose. Completely the opposite to what you have read. The quote below comes directly from the FDA approved product information.
[quote]Metformin is an oral biguanide hypoglycaemic agent. It causes an increased peripheral uptake of glucose by increasing the biological efficiency of available exogenous or endogenous insulin.[/quote]
Karen Love of Life to Alex T4N2M0 SCC Tonsil, BOT, R lymph nodes Dx March 2010 51yrs. Unresectable. HPV+ve Tx Chemo x 3+1 cycles(cisplatin,docetaxel,5FU)- complete May 31 Chemoradiation (IMRTx35 + weekly cisplatin) Finish Aug 27 Return to work 2 years on 3 years out Aug 27 2013 NED  Still underweight
| | | | Joined: Dec 2010 Posts: 5,264 Likes: 5 "OCF Canuck" Patient Advocate (old timer, 2000 posts) | OP "OCF Canuck" Patient Advocate (old timer, 2000 posts) Joined: Dec 2010 Posts: 5,264 Likes: 5 | Interesting - ill look into it - I do know what most diabetes drugs do - most are designed as you said to prod the cells into taking up the glucose as opposed to leaving it floating in the blood stream.
Cheryl : Irritation - 2004 BX: 6/2008 : Inflam. BX: 12/10, DX: 12/10 : SCC - LS tongue well dif. T2N1M0. 2/11 hemigloss + recon. : PND - 40 nodes - 39 clear. 3/11 - 5/11 IMRT 33 + cis x2, PEG 3/28/11 - 5/19/11 3 head, 2 chest scans - clear(fingers crossed) HPV-, No smoke, drink, or drugs, Vegan
| | | | Joined: Jul 2012 Posts: 3,267 Likes: 4 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Jul 2012 Posts: 3,267 Likes: 4 | Metformin and Placitaxel is being used in a phase II Clinical trial in Brazil for Recurrent or Metatstic Head and Neck Cancer. I used Metformin when I was first diagnosed with diabetes in the 90's, and is usually the first line of treatment in type II diabetes. Unfortionetly, as with most oral diabetes medications, they stop working sometimes, and I went on insulin, but maybe I'll look into adding it.
Anyway, hopefully there are additional findings with Metformin, which I believe is only being used with chemo in clinical trials now. it seems to may be of benefit to breast, pancreatic, liver, even oral cancer. In addition to what Karen mentioned, somehow it helps tumors to be more radiosensitive, which some cancers are, which is thought by some to be caused by Cancer Stem Cells or Cancer Like Stem Cells, which is another new area of research, and which Metformin is being studied for.
As far as tumors, they need nutrients and new blood supplies in order to proliferate, and this area, angiogenesis, is being studied, along with hypoxia, which occurs as the tumor grows, causing tumors to be chemo and radio resistant.
Thanks.
10/09 T1N2bM0 Tonsil 11/09 Taxo Cisp 5-FU, 6 Months Hosp 01/11 35 IMRT 70Gy 7 Wks 06/11 30 HBO 08/11 RND PNI 06/12 SND PNI LVI 08/12 RND Pec Flap IORT 12 Gy 10/12 25 IMRT 50Gy 6 Wks Taxo Erbitux 10/13 SND 10/13 TBO/Angiograph 10/13 RND Carotid Remove IORT 10Gy PNI 12/13 25 Protons 50Gy 6 Wks Carbo 11/14 All Teeth Extract 30 HBO 03/15 Sequestromy Buccal Flap ORN 09/16 Mandibulectomy Fib Flap Sternotomy 04/17 Regraft hypergranulation Donor Site 06/17 Heart Attack Stent 02/19 Finally Cancer Free Took 10 yrs
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