Table 1:
Age at ICI initiation | Malignancy type and stage | ICI | Weeks after initial treatment HG occurred | Peak glucose Mg/dL (mmol/L) | Setting of HG | Admission diagnosis | Hyperglycemia course |
---|---|---|---|---|---|---|---|
70 | Colorectal cancer stage IV | Nivolumab | 32 | 418 (23.2) | Outpatient | N/A | HG improved with basal insulin and metformin treatment |
62 | HCC stage IV | Nivolumab | 108 | 230 (12.8) | Outpatient | N/A | Lost to follow up after HG |
81 | Melanoma stage IV | Ipilimumab | 11 | 309 (17.1) | Inpatient and outpatient | Debility from POD | Continued intermittent HG, insulin started |
57 | NSCLC stage IV | Atezolizumab | 18 | 204 (11.3) | Outpatient | N/A | No further HG without intervention |
50 | HCC stage IV | Nivolumab | 12 | 277 (15.4) | Inpatient | GI bleed | Received insulin dose, then no further HG without intervention, death 2 days later |
36 | HCC stage IV | Nivolumab | 5 | 250 (13.9) | Inpatient | Pneumonia and kidney injury | No further HG without intervention, death 2 days later |
87 | Melanoma Stage IV | Pembrolizumab | 55 | 233 (12.9) | Outpatient | N/A | No further HG without intervention |
69 | Metastatic adenocarcinoma of unknown primary | Nivolumab | 10 | 226 (12.5) | Inpatient | Dyspnea, POD | Glucose not checked after HG, death 6 days later |
47 | HCC stage IV | Nivolumab | 9 | 210 (11.7) | Inpatient | Empyema | Continued HG that then resolved without intervention |
59 | Melanoma stage IV | Ipilimumab | 4 | 500 (27.8) | Emergency Department | Migraine | Lost to follow-up after HG |
GI= gastrointestinal; HCC= hepatocellular carcinoma; HG= hyperglycemia; ICI= immune checkpoint inhibitor; N/A= not applicable; NSCLC= non-small cell lung cancer; POD= progression of disease