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Insulin Dependent, PSA Reading Inconsistent. Sugar In Blood Causing This? Rectal Exam Shows Enloarded Prostate
Question: I'm 70 & insulin dependent. Over the last 15/10 years my PSA has been up & down between 3.2 (at the lowest) & 5.8 (at the highest). Last year it was 5.3. Recent test show 6.3. Would sugar in the blood be the cause for the inconsistent readings? The rectal exam shows a slightly enloarded prostate with no lumps, and soft. Should I b worried, and should I have a biopsy? XXXXXXX XXXXXXX PS recently (over the past year) I've had several steroid injections for back issues.
Hello,
Thanks for posting your query.
Raised blood glucose levels are not likely to cause a rise in levels of PSA.
On the contrary it has been seen that long term diabetic men have a lower risk of prostate cancer and have a lower levels of PSA.
If on examination no prostate abnormality is found and you are not having any urinary symptoms right now then there is no need of getting a biopsy done at these levels. However it might be advisable if the levels of PSA rise further on a follow up test.
Steroid injections might influence androgen levels causing a mild rise in PSA levels. You can go for a repeat test after 5-6 months to see the effect.
I hope this answers your query effectively.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Please accept my answer in case you do not have further queries.
Wishing you good health.
Regards.
Thanks for posting your query.
Raised blood glucose levels are not likely to cause a rise in levels of PSA.
On the contrary it has been seen that long term diabetic men have a lower risk of prostate cancer and have a lower levels of PSA.
If on examination no prostate abnormality is found and you are not having any urinary symptoms right now then there is no need of getting a biopsy done at these levels. However it might be advisable if the levels of PSA rise further on a follow up test.
Steroid injections might influence androgen levels causing a mild rise in PSA levels. You can go for a repeat test after 5-6 months to see the effect.
I hope this answers your query effectively.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Please accept my answer in case you do not have further queries.
Wishing you good health.
Regards.
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Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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