U.S. Department of Health and Human Services
Indian Health Service: The Federal Health Program for American Indians and Alaska Natives
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Friday, October 31, 2014

Division of Diabetes Treatment and Prevention - Leading the effort to treat and prevent diabetes in American Indians and Alaska Natives


Standards of Care and Clinical Practice
Recommendations: Type 2 Diabetes

Last updated: July 2012

Cancer Screening

Clinical Practice Recommendations

Cancer Screening

recommendations icon Recommendations for Cancer Screening

Ensure that patients with diabetes receive cancer screening tests according to national guidelines:

  • Check periodically for updated cancer screening protocols.

Cancer screening is a core component of the care of people with diabetes. Routine screening for and early detection of breast, cervical, and colorectal cancers can reduce morbidity and mortality. Diabetes is associated with at least a two-fold increased risk for cancers of the liver, pancreas, and endometrium, and a 1.2- to 1.5-fold increased risk for cancers of the colon and rectum, breast, and bladder. While screening tests are not available for many cancers, providers are encouraged to take this increased cancer risk into account when discussing cancer screening tests with patients as well as when evaluating symptoms of unknown cause or an abnormality on laboratory studies or radiologic imaging.

 

Resources

Tools for Clinicians and Educators

Bibliography

Giovannucci E, Harlan DM, Archer DM, Bergenstal RM, Gapstur SM, Habel LA, et al. Diabetes and cancer: a consensus report. Exit Disclaimer: You Are Leaving www.ihs.gov [PDF] Diabetes Care. 2010;33:1674-85.

Moyer VA, U.S. Preventive Services Task Force. Screening for cervical cancer: U.S. Preventive Services Task Force recommendation statement. Exit Disclaimer: You Are Leaving www.ihs.gov Ann Int Med. 2012 Jun 19;156:880-91.

Smith RA, Cokkinides V, Brooks D, Saslow D, Shah M, Brawley OW. Cancer screening in the United States, 2011: a review of current American Cancer Society guidelines and issues in cancer screening. Exit Disclaimer: You Are Leaving www.ihs.gov [PDF] CA Cancer J Clin. 2011;61(1):8-30.

Wright TC, Massad LS, Dunton CJ, Spitzer M, Wilkinson EJ, Solomon D; 2006 American Society for Colposcopy and Cervical Pathology-sponsored consensus conference. American Society for Colposcopy and Cervical Pathology (ASCCP) cervical consensus guidelines and algorithms. Am J Obstet Gyn. 2007;197(4):346-55.

Division of Diabetes Treatment and Prevention | Phone: (505) 248-4182 | Fax: (505) 248-4188 | diabetesprogram@ihs.gov