An Update in Cystic Fibrosis-Related Diabetes in Children and Adolescents

This paper delineates several aspects of cystic fibrosis-related diabetes (CFRD)—a common complication of cystic fibrosis (CF). CFRD exhibits a predilection for older individuals with CF, yet it also extends its influence on children and adolescents. Scientific insights postulate a potential link be...

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Main Authors: Dana-Teodora Anton-Păduraru, Alina Mariela Murgu, Mădălina Andreea Donos, Felicia Trofin, Alice Nicoleta Azoicăi, Paula Popovici, Aurelian Bogdan Stana, Ionela Gheorghiescu, Laura Mihaela Trandafir
Format: Article
Language:English
Published: MDPI AG 2023-11-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/10/12/1879
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author Dana-Teodora Anton-Păduraru
Alina Mariela Murgu
Mădălina Andreea Donos
Felicia Trofin
Alice Nicoleta Azoicăi
Paula Popovici
Aurelian Bogdan Stana
Ionela Gheorghiescu
Laura Mihaela Trandafir
author_facet Dana-Teodora Anton-Păduraru
Alina Mariela Murgu
Mădălina Andreea Donos
Felicia Trofin
Alice Nicoleta Azoicăi
Paula Popovici
Aurelian Bogdan Stana
Ionela Gheorghiescu
Laura Mihaela Trandafir
author_sort Dana-Teodora Anton-Păduraru
collection DOAJ
description This paper delineates several aspects of cystic fibrosis-related diabetes (CFRD)—a common complication of cystic fibrosis (CF). CFRD exhibits a predilection for older individuals with CF, yet it also extends its influence on children and adolescents. Scientific insights postulate a potential link between CFRD and the aberrant mucus production within the pancreas, thereby culminating in pancreatic insufficiency. This, in turn, perturbs the synthesis of insulin, a pivotal endocrine hormone responsible for the regulation of glycemic levels. Standardized protocols advocate for the systematic screening of CFRD among all individuals with CF, commencing at the age of 10 years using the oral glucose tolerance test (OGTT). Therapeutic modalities encompass insulin therapy, dietary adjustments, and the vigilant monitoring of glycemic parameters. The overarching objective is to maintain blood glucose levels within a targeted range to mitigate the advent of diabetic complications. Untreated or sub-optimally managed CFRD can precipitate a spectrum of deleterious health ramifications, encompassing cardiovascular afflictions, neuropathy, renal dysfunction, and ocular complications.
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spelling doaj.art-4fe78d7a905b4a0e935af7f1837fd5cf2023-12-22T14:00:22ZengMDPI AGChildren2227-90672023-11-011012187910.3390/children10121879An Update in Cystic Fibrosis-Related Diabetes in Children and AdolescentsDana-Teodora Anton-Păduraru0Alina Mariela Murgu1Mădălina Andreea Donos2Felicia Trofin3Alice Nicoleta Azoicăi4Paula Popovici5Aurelian Bogdan Stana6Ionela Gheorghiescu7Laura Mihaela Trandafir8Department of Mother and Child Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, RomaniaDepartment of Mother and Child Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, RomaniaDepartment of Mother and Child Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, RomaniaDepartment of Preventive Medicine and Interdisciplinarity—Microbiology, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, RomaniaDepartment of Mother and Child Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, RomaniaDepartment of Mother and Child Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, RomaniaDepartment of Mother and Child Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, RomaniaFaculty of General Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, RomaniaDepartment of Mother and Child Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, RomaniaThis paper delineates several aspects of cystic fibrosis-related diabetes (CFRD)—a common complication of cystic fibrosis (CF). CFRD exhibits a predilection for older individuals with CF, yet it also extends its influence on children and adolescents. Scientific insights postulate a potential link between CFRD and the aberrant mucus production within the pancreas, thereby culminating in pancreatic insufficiency. This, in turn, perturbs the synthesis of insulin, a pivotal endocrine hormone responsible for the regulation of glycemic levels. Standardized protocols advocate for the systematic screening of CFRD among all individuals with CF, commencing at the age of 10 years using the oral glucose tolerance test (OGTT). Therapeutic modalities encompass insulin therapy, dietary adjustments, and the vigilant monitoring of glycemic parameters. The overarching objective is to maintain blood glucose levels within a targeted range to mitigate the advent of diabetic complications. Untreated or sub-optimally managed CFRD can precipitate a spectrum of deleterious health ramifications, encompassing cardiovascular afflictions, neuropathy, renal dysfunction, and ocular complications.https://www.mdpi.com/2227-9067/10/12/1879cystic fibrosiscomplicationscystic fibrosis-related diabeteschildrenadolescents
spellingShingle Dana-Teodora Anton-Păduraru
Alina Mariela Murgu
Mădălina Andreea Donos
Felicia Trofin
Alice Nicoleta Azoicăi
Paula Popovici
Aurelian Bogdan Stana
Ionela Gheorghiescu
Laura Mihaela Trandafir
An Update in Cystic Fibrosis-Related Diabetes in Children and Adolescents
Children
cystic fibrosis
complications
cystic fibrosis-related diabetes
children
adolescents
title An Update in Cystic Fibrosis-Related Diabetes in Children and Adolescents
title_full An Update in Cystic Fibrosis-Related Diabetes in Children and Adolescents
title_fullStr An Update in Cystic Fibrosis-Related Diabetes in Children and Adolescents
title_full_unstemmed An Update in Cystic Fibrosis-Related Diabetes in Children and Adolescents
title_short An Update in Cystic Fibrosis-Related Diabetes in Children and Adolescents
title_sort update in cystic fibrosis related diabetes in children and adolescents
topic cystic fibrosis
complications
cystic fibrosis-related diabetes
children
adolescents
url https://www.mdpi.com/2227-9067/10/12/1879
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