Sep 24, 2026 · 44 min · 11 segments
!https://netrf.org/wp-content/uploads/2026/09/2_EP-56_ARTWORK-HORIZONTAL-1024x576.webp ## What Do We Know? GLP-1 medications have transformed the treatment of diabetes and obesity, with millions…
Jessica ThomasHost
Amr WahbaGuest
Meghan LaszloGuest
Po-Hien EarGuest
Udhayvir Singh GrewalGuest
Finding a GLP-1 receptor on a tumor is not the same thing as proving that taking a GLP-1 medication will cause that tumor to grow.

But a recent few studies have shown that some human cells in certain organs like the pancreas or the small bowels like the duodenum can have receptors or docking sites where these medications can act on.

We currently don't have evidence to suggest that there is harm for using these medications in patients with neuroendocrine cancers.

However, Because of the biology of those cancers expressing those docking sites, it is something that we are taking into consideration whether the type of neuroendocrine cancer that a patient may have could potentially be affected.

Do they have a genetic problem which would raise their risks of being starting or continuing those medications? and whether they are at a stage where the harms from using such a medicine may be overweighting the benefits that they get from a blood sugar control or a weight loss standpoint.

So tumor type matters, disease status matters, medical history matters, and the reason the medication is being prescribed matters.

So, for example, some areas in the small bowel, like the ileum, which is sort of the distal or the further part of the small bowels, didn't seem to express as much docking sites for these medications to act upon.

as compared to people with neuroendocrine tumors or cancers in the pancreas or the duodenum.

And so the patients with such tumors would be at a higher risk and so would require closer monitoring.

I think someone with a very low burden of tumors is generally less risk than someone who's got spread tumors throughout their body or a type that is progressively going at a faster rate than we would hope for.

So these are things that I would think of when making a decision or recommendation as to continuing such medications.

These medicines are used to or have been used and still for treatment of diabetes or high blood sugar.

So one of the types of neuroendocrine cancers, namely insulinomas, which produce a lot of insulin, can lead to low blood sugars.

In that case, using a GLP-1 agent may not be in the best interests of the patient because it may increase their risks of further or life-threatening low blood sugar levels.

And so these would be things that I would take into consideration to discuss with my patient if they bring up that topic.

And that's why a single headline or even a single study can't answer this question for every patient.

Medications do have side effects and we are aware of that and we make sure that patients are aware of that as well before we start one.

Finding a GLP-1 receptor on a tumor is not the same thing as proving that taking a GLP-1 medication will cause that tumor to grow.

But a recent few studies have shown that some human cells in certain organs like the pancreas or the small bowels like the duodenum can have receptors or docking sites where these medications can act on.

We currently don't have evidence to suggest that there is harm for using these medications in patients with neuroendocrine cancers.

However, Because of the biology of those cancers expressing those docking sites, it is something that we are taking into consideration whether the type of neuroendocrine cancer that a patient may have could potentially be affected.

Do they have a genetic problem which would raise their risks of being starting or continuing those medications? and whether they are at a stage where the harms from using such a medicine may be overweighting the benefits that they get from a blood sugar control or a weight loss standpoint.

So tumor type matters, disease status matters, medical history matters, and the reason the medication is being prescribed matters.

So, for example, some areas in the small bowel, like the ileum, which is sort of the distal or the further part of the small bowels, didn't seem to express as much docking sites for these medications to act upon.

as compared to people with neuroendocrine tumors or cancers in the pancreas or the duodenum.

And so the patients with such tumors would be at a higher risk and so would require closer monitoring.

I think someone with a very low burden of tumors is generally less risk than someone who's got spread tumors throughout their body or a type that is progressively going at a faster rate than we would hope for.

So these are things that I would think of when making a decision or recommendation as to continuing such medications.

These medicines are used to or have been used and still for treatment of diabetes or high blood sugar.

So one of the types of neuroendocrine cancers, namely insulinomas, which produce a lot of insulin, can lead to low blood sugars.

In that case, using a GLP-1 agent may not be in the best interests of the patient because it may increase their risks of further or life-threatening low blood sugar levels.

And so these would be things that I would take into consideration to discuss with my patient if they bring up that topic.

And that's why a single headline or even a single study can't answer this question for every patient.

Medications do have side effects and we are aware of that and we make sure that patients are aware of that as well before we start one.
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