In honor of November’s Diva Inspiration, Aretha Franklin, we’re talking about the connection between diabetes and pancreatic cancer on Diabetes Late Nite podcast scheduled for Wednesday, November 14, 6 PM,  to help you and your loved ones to stay happy and healthy.

Although the Queen of Soul didn’t talk much about her diabetes, she admit to a local news station in 2014 that she was living with diabetes, but did not specify whether it was type 1 diabetes or type 2 diabetes.

Later on in another interview reprinted in BlackDoctor.org, she alluded to living with diabetes when she discussed maintaining her 85 pound weight loss.  Aretha Franklin said, “I have diabetes, really, from years ago when I was really badly and grossly overweight. Now, I’m back to my natural size and thrilled about it.” 

Four years later her pancreatic cancer diagnosis was confirmed by her family after her death. Aretha Franklin’s oncologist also confirmed that Franklin passed away from advanced pancreatic cancer of the neuroendocrine type, according to a CNN report.

Aretha’s health journey is sparking our interest to discuss the uncertain connection between pancreatic cancer and diabetes.

Below are excerpts from a recent interview published on the Pancreatic Cancer Action Network website with Suresh Chari, a professor of medicine and consultant in the division of gastroenterology and hepatology at Mayo Clinic and a member of the Pancreatic Cancer Action Network’s (PanCAN’s) Scientific and Medical Advisory Board (SMAB), who was instrumental in the discovery that new-onset diabetes can be an early symptom of pancreatic cancer.

Q: Is Long-standing diabetes is a (modest) risk factor for pancreatic cancer?

Professor Suresh Chari (SC): Long-standing diabetes can be considered a risk factor for pancreatic cancer. It causes a modest increase in risk of 1.5- to two-fold. Some of the other risk factors for pancreatic cancer include smoking, chronic pancreatitis (inflammation of the pancreas), family history of pancreatic cancer, obesity and certain genetic syndromes.

The duration of diabetes matters.

Q: Are you more at risk the longer you’re living with diabetes?

Professor Suresh Chari (SC): Individuals who’ve had diabetes for more than 5 years can be considered at a slightly higher than average risk of developing pancreatic cancer. But those with new onset of diabetes after age 50 have a nearly 1 percent chance of being diagnosed with pancreatic cancer within one to three years following their diabetes diagnosis. In this case, the pancreatic tumor caused the diabetes.

Hot Topic: A Diabetes Diagnosis After Age 50 May Be an Early Sign of Pancreatic Cancer in Black, Latino People

Everyday Health reports that a study published June 18 in the Journal of the National Cancer Institute suggests that a type 2 diabetes diagnosis after age 50, called late-onset diabetes, is a known risk factor for pancreatic cancer, and in Latino and African-American people with diabetes who are diagnosed with pancreatic cancer within three years, pancreatic cancer itself may manifest as diabetes.

Previous previous research seems to support these findings. According to a review of 500 medical records that was published in the March 2013 issue of Pancreas nearly 40 percent of people with pancreatic cancer had also developed diabetes within the three years prior to their cancer diagnosis.

Pancreatic cancer has poor survival rates because doctors often don’t catch the disease early enough for treatment to be effective. Pancreatic cancer has a five-year survival rate of only 8.5 percent, according to the National Cancer Institute (NCI).

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Q: Diabetes is  a symptom of pancreatic cancer?

Professor Suresh Chari (SC): It’s thought that pancreatic cancer can cause cells in the body to become resistant to insulin, a key hormone produced by the pancreas, that helps regulate blood sugar levels. In other insulin-resistant conditions (like obesity), the insulin-producing cells in the pancreas produce more insulin to overcome the insulin resistance. But pancreatic cancer appears to impede the insulin-producing cells of the pancreas from responding adequately to this insulin resistance. This results in development of diabetes. It’s important to note that even though pancreatic neuroendocrine tumors (PNETs) arise from the hormone-producing cells of the pancreas, diabetes is neither a symptom nor risk factor for PNETs.

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It’s very appropriate that World Diabetes Day, November 14th, and World Pancreatic Cancer Day, November 15th, happen within a few days of one another. Both ailments can present with vague symptoms that can be dismissed by both doctors and patients, and both can be much more manageable if diagnosed early and accurately. PanCAN’s focus on Demand Better this November means that we need to demand earlier detection of pancreatic cancer.

Don’t Miss Diabetes Late Nite on World Diabetes Day, Wednesday, November 14, 2018, 6 PM, EST. Guests include Poet Lorraine Brooks, Dr. Wendy Satin Rapaport, Owner of DiabetesStrong.com Christel Oerum, Makeup Artist & Skincare Expert Suzanne Perez, Mama Rose Marie and the Charlie’s Angels of Outreach. Throughout the podcast we will be playing music from Aretha Franklin’s ‘Aretha Franklin Sings the Great Diva Classics’ courtesy of SONY Music.

Diabetes Late Nite is a fast-paced, full-filled hour of diabetes education and wellness advice that encourages listeners to “laugh a little, learn a  lot.”