Hypoglycemia on AIs
Dear OncoLink "Ask The Experts,"
I completed taxotere, carboplatin, and Herceptin chemotherapy in October. I started just Herceptin in October and Arimidex in November. I am an insulin-dependent diabetic; I wear an insulin pump. I have been experiencing severe hypoglycemic episodes requiring emergency room treatment since I started the Arimidex. I have spoken with my oncologist and my endocrinologist, and neither one has any helpful information, except, of course, to reduce my basal rates on my pump, which I had already done. Have you or your team had more experience with diabetics and chemo? Can you help me with any further guidance regarding my Arimidex?
Kevin R. Fox, MD, , responds:
Unfortunately, I have never encountered this problem. I would recommend empirically stopping the Arimidex and see if the episodes decrease, then consider an alternative form of hormonal treatment.