Hi Mimi,
First, feel free to eat fruit, as it contains a long chain polysaccharide molecule. In short, it takes energy to break down the longer chain "sugar" (hence, the name polysaccaride). From there, the "fruit sugar" is synthesized into glycogen in the liver for energy. What does this mean? It means, feel free to eat fruit as it takes a lot of energy to break down fruit. Best to have a fresh apple or orange or pineapple or kiwi fruit. Berries -- especially blue and black berries -- are an excellent choice. Avoid dried or processed fruit (i.e., canned fruit).
The key here is to keep your blood sugar as low as possible within the normal range -- i.e., 100 to 104 fasting blood sugar. In short, don't eat refined sugar under any circumstance, as refind sugar is not good for you under any circumstance, whether or not you have cancer.
I have a graduate degree in sports medicine. And in sports medicine, we call white and all refined sugars "white death." This is no joke. Cancer loves the "white death" stuff. So avoid refined sugars -- including syrups and malt and dexterine additives -- at all costs.
There are options if you have a sweet tooth and dislike reducing your caloric intake (i.e., you need to keep eating during chemo). Using Xylitol will keep your blood sugar 100% stable.
Unbeknownst to me, my second husband had uncontrolled diabetes when we met. And within a month after we were married this past January 2009, he was diagnosed with stage IV colon cancer (I asked him to get a colonoscopy because things just were not right with him). Boy did I open up a can of worms, but without addressing this problem, he likely would not be here today.
Being a control freak when it comes to health promotion, I've been monitoring his blood sugar like crazy. And guess what, we're able to control it with a strict low GI Index diet. No refined sugars under any circumstance. And though he's only got one PET/CT scan result under his belt and at that time declared NED (i.e., we find out tomorrow the results of his second PET/CT Scan), for the past 3 months his CEA rates remain very low at point 8 last count. That, plus he's been gaining weight and has the appetite of a horse ... er ... when he's on his one week off chemo. So, we're optimistic that the chemo is working IN COMBINATION WITH A GOOD BALANCED DIET that has eliminated all refind foods, including "white death" sugar.
Strictly speaking, your oncologist is not wrong in saying eat anything. Their ocology literature shows that there is little connection between food and survival rates for Stage IV cancer survivors. But that literature is also very old and not very indepth.
But the research literature -- coming in from my field, and a totally different medical discipline based on "optimal sports performance" -- says eliminate all "white death" sugar, as mutating cells loves the stuff. This is well researched in sports medicine, as we're always trying to squeeze extra performance out of atheletes like Lance Armstrong.
I have access to most medical research online, mostly because I edit medical journals for a living and must double check and confirm the references and to various studies cited in the research studies that have gone through and passed blind peer review. And I've been really reading the oncology literature since my second husband's Stage IV diagnosis this past March. As my field is in enhancing health -- I can say with absolute confidence that you must strive to eliminate all mono-saccarides (short chained white sugars and refind carbs. Then stick to a LOW GI INDEX diet.
Simply Google this term: Low GI Index diet. For an excellent sugar replacement that won't spike your blood insulin levels, you may wish to Google the term: Xylitol.
Take care and good luck!
Paula Jean