I’m still in the hospital tonight. Just thought I would make a quick post before heading off to bed.
It is quite a surprise to be back on IVs so soon. Usually I only do them once a year, but this is my second time in three months. I am a little disappointed as [...]
How might early diabetes cause CF clinical decline? It is currently unknown, but here are some theories:
Insulin Deficiency
Insulin is an anabolic hormone which promotes conservation of body protein, fat and carbohydrate stores.
Malnutrition and protein catabolism are clearly associated with death in CF.
I found another awesome YouTube video, this one is of Johnny playing my favorite song of his… Enjoy!
[youtube=http://www.youtube.com/watch?v=hO0enx60JV8&hl=en]
Had a CF clinic visit today. I have been feeling a little cruddy and tired recently. My cough has become more of a nag and more productive, so I wasn’t surprised when the Doc suggested I do another round of IV antibiotics. Usually I only have to do this once a year, but [...]
The American Diabetes Association (ADA) classifies CFRD under “other specific types of diabetes” involving diseases of the exocrine pancreas. CFRD shares some features of type 1 and type 2 diabetes but has important clinical distinctions that make its medical treatment and medical nutritional therapy (MNT) unique.
Weight loss and decline in pulmonary function began 4-6 years before the onset of diabetes.
After two years of insulin therapy,weight returned to levels seen six years earlier and the decline in pulmonary function stabilized.
This suggests a cause and effect relationship between clinical decline and the pre-diabetic state.
Lanng, Diabetic mellitus in Cystic Fibrosis: effect of [...]
As the day of chocolate easter bunnies and jelly beans is upon us I thought it would be a good time to share one of my favorite diabetes secrets!
Counting carbs is the most frustrating thing about diabetes. I can deal with the shots, I can figure out how much insulin I need (usually), but [...]
Median Survival Rates in CFRD:
Clinical data was collected at the Minnesota CF Center between 1987 – 2002 from 1,081 Cystic patients with 123 patients having CFRD.
Total Cohort
47.0 Years
Women with Diabetes
30.7 Years
Women without Diabetes
47.0 Years
Men with Diabetes
47.4 Years
Men without Diabetes
49.5 Years
“CONCLUSIONS—Female subjects with CFRD have a remarkably poorer prognosis compared with all male subjects [...]
“You are a very strong person” I am told time and time again. How could this be so, as my body seems to be falling apart?!
I believe the answer is because I came to terms with my own mortality a very long time ago. It has given me a better understanding of how [...]
Interesting tidbits about CFRD:
Diabetic ketoacidosis (DKA) is rare. (I would love some more info on this).
Pancreatic insufficiency associated with CFRD.
A1c levels may underestimate abnormal glucose metabolism. (would love more info on this too). So far I have only found that there is an increased red cell turnover, causing a “diluted” A1c [...]
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