Diabetes Mellitus and Gastric Cancer: Correlation and Potential Mechanisms

This review summarizes the correlation between diabetes mellitus (DM) and gastric cancer (GC) from the perspectives of epidemiology, drug use, and potential mechanisms. The association between DM and GC is inconclusive, and the positive direction of the association reported in most published meta-an...

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Main Authors: Li Wang, Zhe Zhang
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2023/4388437
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author Li Wang
Zhe Zhang
author_facet Li Wang
Zhe Zhang
author_sort Li Wang
collection DOAJ
description This review summarizes the correlation between diabetes mellitus (DM) and gastric cancer (GC) from the perspectives of epidemiology, drug use, and potential mechanisms. The association between DM and GC is inconclusive, and the positive direction of the association reported in most published meta-analyses suggests that DM may be an independent risk factor for GC. Many clinical investigations have shown that people with DM and GC who undergo gastrectomy may have better glycemic control. The potential link between DM and GC may involve the interaction of multiple common risk factors, such as obesity, hyperglycemia and hyperinsulinemia, H. pylori infection, and the use of metformin. Although in vitro and in vivo data support that H. pylori infection status and metformin can influence GC risk in DM patients, there are conflicting results. Patient survival outcomes are influenced by multiple factors, so further research is needed to identify the patients who may benefit.
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publisher Wiley
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series Journal of Diabetes Research
spelling doaj-art-9dda3be2122a4fca863d35cd2d50929e2025-08-20T03:38:26ZengWileyJournal of Diabetes Research2314-67532023-01-01202310.1155/2023/4388437Diabetes Mellitus and Gastric Cancer: Correlation and Potential MechanismsLi Wang0Zhe Zhang1Department of EmergencyDepartment of Emergency MedicineThis review summarizes the correlation between diabetes mellitus (DM) and gastric cancer (GC) from the perspectives of epidemiology, drug use, and potential mechanisms. The association between DM and GC is inconclusive, and the positive direction of the association reported in most published meta-analyses suggests that DM may be an independent risk factor for GC. Many clinical investigations have shown that people with DM and GC who undergo gastrectomy may have better glycemic control. The potential link between DM and GC may involve the interaction of multiple common risk factors, such as obesity, hyperglycemia and hyperinsulinemia, H. pylori infection, and the use of metformin. Although in vitro and in vivo data support that H. pylori infection status and metformin can influence GC risk in DM patients, there are conflicting results. Patient survival outcomes are influenced by multiple factors, so further research is needed to identify the patients who may benefit.http://dx.doi.org/10.1155/2023/4388437
spellingShingle Li Wang
Zhe Zhang
Diabetes Mellitus and Gastric Cancer: Correlation and Potential Mechanisms
Journal of Diabetes Research
title Diabetes Mellitus and Gastric Cancer: Correlation and Potential Mechanisms
title_full Diabetes Mellitus and Gastric Cancer: Correlation and Potential Mechanisms
title_fullStr Diabetes Mellitus and Gastric Cancer: Correlation and Potential Mechanisms
title_full_unstemmed Diabetes Mellitus and Gastric Cancer: Correlation and Potential Mechanisms
title_short Diabetes Mellitus and Gastric Cancer: Correlation and Potential Mechanisms
title_sort diabetes mellitus and gastric cancer correlation and potential mechanisms
url http://dx.doi.org/10.1155/2023/4388437
work_keys_str_mv AT liwang diabetesmellitusandgastriccancercorrelationandpotentialmechanisms
AT zhezhang diabetesmellitusandgastriccancercorrelationandpotentialmechanisms