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While people with diabetes know that they face a long list of possible complications, it looks as if there’s one more to worry about: We now know that diabetics also face a higher risk of colon cancer. However, there is some consolation in knowing that colon cancer can often be prevented with proper testing.
First, the bad news. A recent study of 200,000 Americans released in November 2005 by Donald Garrow, MD, a clinical research fellow at the Medical University of South Carolina, concluded that diabetics are 1.4 times more likely to be diagnosed with colon cancer than nondiabetics. Cancers of the colon and rectum are the second most common cause of cancer death in the United States.
The good news is that diabetics can do a lot to protect themselves from developing colon cancer. Eating a diet that is high in fruits and vegetables and low in red and processed meat, being physically active, and maintaining a healthy weight can reduce the risk of colon cancer.
Begin Getting Screened at 50
The American Cancer Society does not list diabetes as a primary risk factor for developing colon cancer. Age is considered the primary risk factor, which is why the Society’s colorectal cancer testing guidelines recommend that individuals aged 50 and older begin having colorectal cancer screening. People with a family or personal history of colon cancer or polyps, or who have a personal history of inflammatory bowel disease, are at a higher risk.
Early detection of colon cancer is critical. There are several screening options, including fecal occult blood test, flexible sigmoidoscopy and colonoscopy. Based upon various determinants, a physician will decide what makes the most sense for each patient.
A colonoscopy allows a doctor to closely inspect the inside of the entire colon for signs of cancer and polyps that can eventually become cancerous, according to Len Lichtenfeld, MD, deputy chief medical officer of the American Cancer Society. The procedure requires the insertion of a slender, flexible tube that sends images to a monitor. The exam takes 15 to 30 minutes, and the patient is asleep during the procedure.
“The procedure is not painful or embarrassing,” Lichtenfeld says.
Colonoscopies and sigmoidosocopies are always done in a private room. Doctors and nurse specialists are careful to respect the patient’s privacy. A colonoscopy may be done in a hospital outpatient department, in a clinic, an ambulatory surgery center or in the doctor’s office. The procedure is usually done by a gastroenterologist or a surgeon. Studies have shown that a well-trained clinical nurse specialist, nurse practitioner or physician’s assistant can also perform these procedures effectively.
Patients should ask their doctors whether they will need to miss work after the colonoscopy or sigmoidoscopy. Most people feel fine after a colonoscopy. Even so, they may feel a bit woozy, Lichtenfeld says. They will be observed and given fluids after the procedure as they awaken from the anesthesia. They may have some gas, which causes mild discomfort. The patient should have someone drive them home after the procedure.
Most diabetics understand the seriousness of their disease, Schuster says. As a result, they may be better prepared that most people to understand that prevention and early detection are the best ways to avoid colon cancer.
Steps Diabetics Should Take Before a Colonoscopy
While all patients should follow the preparation procedures for a colonoscopy carefully to ensure accurate test results, diabetics need to take extra precautions.
The DiabetesColon Cancer Connection
By Daniel Trecroci
In a study of 2,395,935 participants that was published in the November 16, 2005, issue of the Journal of the National Cancer Institute, it was found that “diabetes was associated with an increased risk of colorectal cancer, compared with no diabetes.” This association did not differ between men and women.
Apr 1, 2006
Diabetes Health is the essential resource for people living with diabetes- both newly diagnosed and experienced as well as the professionals who care for them. We provide balanced expert news and information on living healthfully with diabetes. Each issue includes cutting-edge editorial coverage of new products, research, treatment options, and meaningful lifestyle issues.