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Cystic Fibrosis in the 21st Century
Diabetes in Cystic Fibrosis
Bridges N, Spowart K
Bush A, Alton EWFW, Davies JC, Griesenbach U, Jaffe A (eds): Cystic Fibrosis in the 21st Century.
Prog Respir Res. Basel, Karger, 2006, vol 34, pp 278-283 (DOI: 10.1159/000088609)
Abstract: Pancreatic-insufficient individuals with cystic fibrosis (CF)
develop abnormalities in insulin secretion which can be
detected in childhood. The prevalence of impaired glucose
tolerance and diabetes increases with age. Lung function and
clinical status deteriorate in the years prior to a diagnosis of
diabetes and survival is reduced in individuals with diabetes.
Regular screening with oral glucose tolerance tests combined
with clinical vigilance allows for early intervention with
insulin to prevent clinical decline.Diabetes management must
take into account the complex medical and psychological
issues for individuals with CF, aiming to maintain nutritional
and clinical status and prevent long-term complications of
diabetes.
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© 2010 S. Karger AG, Basel
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