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title: How DPP-4 Diabetes Drugs Can Spread Tumors
description: There’s growing evidence suggesting a connection between diabetes and cancer, and the latest study pulls out the role that anti-diabetes medications may play
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# These Diabetes Drugs Promote Tumor Spread in Mice: Study

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<!-- video src="https://cdn.jwplayer.com/manifests/fRBp0U3q.m3u8" -->
## Video: Meet the Father and Son Behind a Diabetes Device With Life-Changing Potential

[Watch (HLS stream): Meet the Father and Son Behind a Diabetes Device With Life-Changing Potential](https://cdn.jwplayer.com/manifests/fRBp0U3q.m3u8) (2:56)

![Meet the Father and Son Behind a Diabetes Device With Life-Changing Potential](https://cdn.jwplayer.com/v2/media/fRBp0U3q/poster.jpg?width=720)

_Published 2015-09-29. While it's not a cure for diabetes, it could prove to be the next best thing._


![Alice Park](https://static.time.com/v3/assets/bltea6093859af6183b/blt9b1ff6b12c3a4c3f/698a0b4397cdff3e366ba723/200116_Time_Headshots_Day552832-e1583529256299.jpg?branch=production&width=1200&quality=75&auto=webp&crop=1:1)

by 

[Alice Park](https://time.com/author/alice-park/)


![Alice Park](https://static.time.com/v3/assets/bltea6093859af6183b/blt9b1ff6b12c3a4c3f/698a0b4397cdff3e366ba723/200116_Time_Headshots_Day552832-e1583529256299.jpg?branch=production&width=96&quality=75&auto=webp)

## Alice Park


Senior Correspondent

Apr 13, 2016 6:00 PM UTC

![Alice Park](https://static.time.com/v3/assets/bltea6093859af6183b/blt9b1ff6b12c3a4c3f/698a0b4397cdff3e366ba723/200116_Time_Headshots_Day552832-e1583529256299.jpg?branch=production&width=1200&quality=75&auto=webp&crop=1:1)

by 

[Alice Park](https://time.com/author/alice-park/)


![Alice Park](https://static.time.com/v3/assets/bltea6093859af6183b/blt9b1ff6b12c3a4c3f/698a0b4397cdff3e366ba723/200116_Time_Headshots_Day552832-e1583529256299.jpg?branch=production&width=96&quality=75&auto=webp)

## Alice Park


Senior Correspondent

Apr 13, 2016 6:00 PM UTC

More studies are finding a higher rate of certain cancers, such as breast, colon and liver, among people with diabetes. Some of the research focuses on the drugs used to treat diabetes, since they regulate insulin and growth factors that are also involved in tumor growth.

In an animal [study published in _Science Translational Medicine_](http://stm.sciencemag.org/lookup/doi/10.1126/scitranslmed.aad6095), researchers report that antioxidants in some diabetes drugs may be responsible for spreading tumors.

The study was conducted in mice, but it points to a possible mechanism to explain why cancer rates are higher among certain people with diabetes. Antioxidants are typically recommended to prevent cancer, since they fight the free radicals that can trigger tumor growth. But in this case, say the study authors, the protection from further oxidative stress—which is what antioxidants do—may actually insulate cancer cells, making it easier for them to spread to other parts of the body.

Hongting Zheng, from Xinqiau Hospital and the Third Military Medical University, says that the drugs, belonging to the dipeptidyl peptidase-4 (DPP-4) inhibitor class—there is a list of [FDA approved DPP-4 inhibitors here](http://www.fda.gov/Drugs/DrugSafety/ucm459579.htm)—did not increase the formation of new cancers, but did promote the spread of existing colon and liver tumors in the mice studied.

Zheng said in email to TIME that the effect may also be more pronounced among certain people with genetic predisposition to the effects of oxidation. All the more reason that “understanding the effects of antidiabetic agents on tumor biology is indispensable for the development of specialized drug therapy that is safe for treating diabetic patients with cancer.”


For now, he says, these drugs that contain antioxidant properties “may need to be administered with caution in diabetic patients with existing cancer.”

More research will be needed to determine which people should or shouldn’t be taking these medications.


## Transcript

When you have Type- 1 Diabetes, when you wake up in the morning the first thing that you should be doing is checking your blood sugar. Before you get changed, that's before you have breakfast, that's before you do anything. And you have to remember that every day. From then on you have to check your blood sugar countless times throughout the day. [ MUSIC ] There's a thing called Dead in Bed syndrome when your blood sugar gets so low overnight and you don't wake up. That especially scares me. Managing blood sugar is just really a 24 / 7 obligation blood sugar. If David's blood sugars go low at night, and no one was there to intervene, he could die.

My son David was diagnosed at 11 months old, I had no idea what I was in for. Do you want to start getting some insulin for Sandwich too because you're a little behind. When you have type one diabetes, throughout the day you have to remember to check your blood sugar 8, 12 times a day. My dad realized how burdensome this was, originally for me, and then for the rest of the community and he created the Bionic Pancreas as way of solving this endless routine. My dad's been working on the project for essentially my entire life. The Bionic Pancreas is a device that you wear that Has a glucose sensor that measures your blood sugars levels every few minutes.

Some pumps that infuse drugs just under the skin. And then it has mathematical algorithms that sit between those two technologies, and makes automated decisions of how much drugs to administer every five minutes. The problem is that even if you've had diabetes for your entire lifetime, it's It's inevitable that you will, at some point, forget about giving a bolus or eating carbs. Everyone with Type I Diabetes needs the system in place that will automatically take care of their blood sugars for them, whether they're asleep or whether they're awake. Under all conditions. I can't use the bionic pancreas in clinical trials, because my father is the lead on the project, so that would be a conflict of interest.

We've got to get something built, so that when he's ready to go off to college I don't need to be there. My wife doesn't need to be there looking over his shoulder while he sleeps. I think it's highly unlikely that we're gonna see a cure in five to ten years. The bionic pancreas is something that fills that gap... Bionic pancreas is kind of a way of Reducing the negative thoughts that I have about going to college, the fears that I have, so that I can have more of a normal lifestyle. [ MUSIC ]

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