Hyperglycemia and Cancer: An Algorithm to Guide Oncology Nurses

Veronica Sampayo, DNP, ARNP-C; Cindy Tofthagen, PhD, ARNP, AOCNP®, FAANP, FAAN


Background: A dual diagnosis of cancer and hyperglycemia has demonstrated untoward effects on patients’ cancer treatment, prognosis, and survival. 

Objectives: The purpose of this evidence-based project is to improve knowledge and awareness of the consequences of hyperglycemia in patients with cancer, increasing nurses’ capability to effectively intervene. In addition, a clinical algorithm based on current evidence was developed and is presented.

Methods: An educational program was developed and pilot tested. The program addressed the etiology of hyperglycemia and its effects on patients with cancer. Knowledge of hyperglycemia in patients with cancer was assessed with a pre- and post-test.

Findings: All participants found the educational program effective and deemed the clinical algorithm useful. Results improved significantly after participation in the educational intervention.

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