Cystic fibrosis related diabetes: Nutrition and growth considerations

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

doi:10.1016/j.jcf.2019.08.011

Cited by 29 publications

(37 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The carbohydrate content of CF-appropriate supplements should be covered with appropriate insulin therapy if needed. (please see Kaminiski et al [13] in this issue for further details. )…”

Section: Dietary Management Of Cfrdmentioning

confidence: 99%

See 1 more Smart Citation

Cystic fibrosis related diabetes: Medical management

Ode

Chan

Granados

et al. 2019

Journal of Cystic Fibrosis

Self Cite

View full text Add to dashboard Cite

“…The carbohydrate content of CF-appropriate supplements should be covered with appropriate insulin therapy if needed. (please see Kaminiski et al [13] in this issue for further details. )…”

Section: Dietary Management Of Cfrdmentioning

confidence: 99%

“…Instruction on adjusting insulin to carbohydrate intake is recommended instead of a fixed carbohydrate meal plan, as appetite can vary from day to day in patients with CF. (please see Kaminiski et al [13] in this issue for a full discussion of diet and CFRD. )…”

Section: Dietary Management Of Cfrdmentioning

confidence: 99%

Cystic fibrosis related diabetes: Medical management

Ode

Chan

Granados

et al. 2019

Journal of Cystic Fibrosis

Self Cite

View full text Add to dashboard Cite

“…Sugary foods, sweetened beverages and processed simple carbohydrates should be avoided, especially on an empty stomach. Carbohydrate counting has been suggested as a useful tool to manage postprandial hypoglycemia [33] . Patients are counseled to avoid meals with very high carbohydrate amounts, and instead to distribute total carbohydrate intake over meals and snacks throughout day.…”

Section: Spontaneous Hypoglycemia In Cfmentioning

confidence: 99%

Spontaneous and iatrogenic hypoglycemia in cystic fibrosis

Hicks

Marks

Oxman³

et al. 2021

Journal of Clinical & Translational Endocrinology

View full text Add to dashboard Cite

Highlights Spontaneous fasting and/or postprandial hypoglycemia is common in people with CF. The clinical significance of OGTT related hypoglycemia in CF is not clear. Dietary modification is the first line treatment for postprandial hypoglycemia. Patients with CFRD are at risk of hypoglycemia related to insulin therapy. CGMs and closed loop insulin pump systems may reduce hypoglycemia risk in CFRD.

show abstract

“…In fats consumption, it is recommended to have food with higher omega-3 fatty acids content to lower inflammation which commonly seen in CFRD. 16 For newly diagnosed infants, the energy intake should come from exclusive breastfeeding if possible. If exclusive breastfeeding is not possible, regular infant formula can be used.…”

Section: The Role Of Nutritional Management In Cystic Fibrosis Patientmentioning

confidence: 99%

The role of nutrition and pancreatic enzyme replacement therapy in children with cystic fibrosis

Kadim

Cheng

2021

World Nutr J

View full text Add to dashboard Cite

Background Cystic fibrosis (CF) is an inherited genetic disorder with high mortality and morbidity. CF is strongly correlated with malnutrition due to higher energy losses, pancreatic insufficiency, chronic inflammation, higher resting energy expenditure, and feeding problems. Malnutrition in CF patients associated with worse survival. Thus, appropriate and prompt nutritional intervention should be addressed to reduced malnutrition in CF patients. Methods The literature search was performed on 9 August 2021 in four major databases such as MEDLINE, EBSCOhost, Cochrane Reviews, and Web of Sciences to find the role of nutrition and pancreatic enzyme replacement therapy in pediatrics population with cystic fibrosis. Recent findings In recent decades, early nutritional management and pancreatic enzyme replacement therapy (PERT) have been shown to improve CF patient’s outcomes. Nutrition should be given in higher calories compared to healthy individuals with close and regular nutritional status monitoring. High protein and fat diets are essential for CF patient’s overall survival. Adequate level of micronutrients should be ensured to avoid morbidity caused by micronutrients deficiency. Regular pancreatic insufficiency screening should be done annually in order to start PERT early. Further research focusing on body composition, growth chart, protein intake, and PERT are needed to further improve the management of CF patient. Conclusion Nutritional intervention and PERT play an important role in prolonging CF patient survival. Both treatments should be initiated early with nutritional status close monitoring and tailored to each individual. Collaboration with parents and children is critical to warrant that CF patients followed the dietary advice.

show abstract

Cystic fibrosis related diabetes: Nutrition and growth considerations

Cited by 29 publications

References 46 publications

Cystic fibrosis related diabetes: Medical management

Cystic fibrosis related diabetes: Medical management

Spontaneous and iatrogenic hypoglycemia in cystic fibrosis

The role of nutrition and pancreatic enzyme replacement therapy in children with cystic fibrosis

Contact Info

Product

Resources

About