Cystic fibrosis related diabetes: Nutrition and growth considerations

Beth A. Kaminski, Bracha K. Goldsweig, Aniket Sidhaye, Scott M. Blackman, Teresa Schindler, Antoinette Moran

Research output: Contribution to journalArticlepeer-review

34 Scopus citations

Abstract

Nutritional considerations are crucial to the optimal management of cystic fibrosis related diabetes (CFRD). The development of abnormal glucose tolerance and CFRD can have negative effects on CF nutritional status. Treatment of CFRD with insulin replacement is essential; however, medical nutrition therapy is important to maintain nutritional status while normalizing blood glucose levels. CF Foundation Nutritional Guidelines are recommended for the nutritional management of CFRD; specifically, the diet should be high in calories, protein, fat, and salt. Carbohydrate intake is not limited, but carbohydrate counting can be used to guide insulin dosing and maintain consistent blood glucose levels. CFTR modulator therapy shows early promise for the improvement of growth and nutritional parameters in CF.

Original languageEnglish (US)
Pages (from-to)S32-S37
JournalJournal of Cystic Fibrosis
Volume18
DOIs
StatePublished - Oct 2019

Bibliographical note

Funding Information:
The authors would like to thank the Cystic Fibrosis Foundation and the faculty mentor members of the EnVision: Emerging Leaders in CF Endocrinology Program, for their ongoing support and mentorship of the program awardees.

Publisher Copyright:
© 2019 European Cystic Fibrosis Society

Keywords

  • Cystic fibrosis
  • Cystic fibrosis related diabetes
  • Growth
  • Nutrition

PubMed: MeSH publication types

  • Journal Article
  • Research Support, Non-U.S. Gov't

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