Thursday, January 2, 2014

CFRD

Cystic Fibrosis Related Diabetes (CFRD)

What is CFRD, and how is it different than any other form of diabetes?

CFRD is not the same as other types of diabetes. The treatment is much different. There are two different types of diabetes in the non CF population, which are known as type I and type II. Type I is "insulin dependent," and type II is "non insulin dependent." CFRD is a unique combination of both forms of diabetes. The body of some CF'ers with CFRD does not create enough insulin. This happens as a result of scarring in the pancreas. The other type of CFRD is insulin resistant. People with this form have a defect that causes their body to abnormally use the insulin it creates. Some symptoms of CFRD include: increased thirst, high blood sugar levels, weight loss, fatigue, decreased lung functions, and increased urine production. To determine whether or not you have CFRD your doctor may request a oral glucose tolerance test, also known as an OGTT. You will be asked to fast. A sample of blood will be taken prior to the test starting. You will then drink a liquid beverage containing a specific amount of glucose (usually 75 grams). Your blood will be taken in 30-60 minute intervals after you drink the solution. The test takes up to about 3 hours. During the test you may feel nauseous, sweaty, light headed, or short of breath. Be sure to provide your doctor or the person administering the test with a list of medications you've been taking, as certain medications can interfere with your glucose tolerance. Treatment for CFRD includes insulin, changes in your diet, and checking your blood sugar levels on a regular schedule. The insulin allows sugars and proteins to move from the blood into the body's cells. It is then used to build muscle, and for energy.


*The information in this blog is not intended to replace advice from a medical professional. If you suspect that you have CFRD, please contact your primary physican and request an OGTT.*


The link below has wonderful information, resources and tips on how to manage CFRD properly.

http://www.cff.org/UploadedFiles/LivingWithCF/StayingHealthy/Diet/Diabetes/CFRD-Manual-5th%20Edition-05-2012.pdf


The information included in this blog comes from previous experience, and www.cff.org


Stay Healthy,

B.


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