CFRD Fact #14

April 7, 2008 at 7:15 am | In CFRD Facts, Cystic Fibrosis, Cystic Fibrosis Related Diabetes | Leave a Comment
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Complications of CFRD (poorly controlled):

Infections due to decreased white blood cell count phagocystosis.

  • Phagocystosis is the ability to encourage white blood cells to destroy bacteria.

Increased viscosity of mucus secretions with hyperglycemia and dehydration.

  • Dehydration is caused by the body trying to flush the excess blood glucose out in the urine.

Increased protein catabolism with CF and diabetes mellitus.

  • Protein catabolism is the breakdown of proteins into amino acids and simple derivative compounds, for transport into the cell.

Increased fatigue with poorly controlled diabetes mellitus.

CFRD Fact #10

March 24, 2008 at 6:16 am | In CFRD Facts, Cystic Fibrosis, Cystic Fibrosis Related Diabetes | Leave a Comment
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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 insulin therapy on lung function and infections.

Lanng, Influence of the development of diabetes mellitus on clinical status in patients with Cystic Fibrosis.

DENIED! – Insurance issues.

January 16, 2008 at 11:55 am | In Challenges, Cystic Fibrosis Related Diabetes, Kidneys, Support, diabetes, insulin pump | 1 Comment
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I am not sure why, I will find out later today, but insurance has denied my request for an insulin pump and Continuous Glucose Monitor.  I am not surprised about the CGM, but floored they denied me an insulin pump.

Do they not realize I have diabetes?  My A1c at last check was 9.0, three months before that it was 9.3.  A normal A1c is between 4% – 6%.  I am already experiencing complications with my kidneys due to this and it affects my CF too.  Do they not see the benefit of giving me a piece of equipment that will help lower these levels and prevent further damage and further complications???

Why does insurance seem to lack the skill of logic?

What Does “Salty and Sweet” Mean?

December 28, 2007 at 1:25 am | In Cystic Fibrosis, Cystic Fibrosis Related Diabetes, Invisible Disease | Leave a Comment
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Salty:
The major sign of Cystic Fibrosis is excess salt. In fact, this is how CF is diagnosed. The Sweat Test, is a simple, painless test and the best way to diagnose CF. The test measures the concentration of salt in a person’s sweat. A high salt level indicates CF. It is actually very complicated to explain and even harder to understand the details of this disease. Basically, CF affects how salt and water moves through the cells of the body which causes very salty sweat and very dehydrated mucus (No one has ever said this is a “pretty” disease!).

salt pretzel

I was diagnosed with CF at the age of 18 months old. As a baby I had a lot of digestive problems which lead doctors to test me for CF. The doctor who diagnosed me only gave me one year to live. Luckily my parents found a specialist who was able to give me the best treatment. As I got older research progressed and therapies improved, the average lifespan has increased and increased, which now is 36.5 years old! But still… there is no cure for CF.

Sweet:
As people with CF live longer, thanks to advanced research studies and new treatments, they are having more and more complications stemming from the CF. One of these complications is diabetes. Diagnosed with Cystic Fibrosis Related Diabetes in 2000, I only now in 2007, am really realizing what a problem diabetes is and how difficult it is to manage.

sugar cupcakes

I was tested for CFRD after a lung CAT-scan which showed that my pancreas had partially autodigested (I thought that was fascinating!). My doctor ordered a glucose test which showed I had CFRD. I was relieved to have an explanation as to why I craved Noodles night and day, my many trips to the restroom even though I didn’t have that much to drink, why my lung function tests were on a steep decline and why I was always tired. Finally an answer… but I had no idea what I had in store. Diabetes is a very complicated disease to control. I now take six shots a day and I still my blood sugars are out of control. Trying to control my sugar levels is now my second full time job. Also, there is no cure for diabetes.

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