Impaired Glucose Tolerance and Diabetes in Patients with Cystic Fibrosis
Koloušková S., Zemková D., Bartošová J., Šumník Z., Vávrová V.
II. dětská klinika 2. LF UK a FN Motol, Prahapřednosta doc. MUDr. J. Vavřinec, DrSc. |
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Summary:
Impaired glucose tolerance and diabetes mellitus (CFRD - cystic fibrosis related diabetes) are a frequent
complication in patients with cystic fibrosis. Within the framework of CFRD screening the authors examined in
122 patients above the age of 10 years without clinical symptoms of diabetes mellitus the oral glucose tolerance test
(oGTT). In subjects with a pathological oGTT subsequently the intravenous glucose tolerance test was made to
assess stimulated insulin secretion (FPIR; sum of insulin levels during the 1st and 3rd minute after an i.v. glucose
bolus). CFRD was diagnosed in 19/122 patients (15.6%), impaired glucose tolerance in 18/122 (14.8%). A total of
37/122 (30.3%) patients with impaired glucose tolerance or CFRD were diagnosed. Marked insulinopenia (FPIR
< 48 mIU/l) was found in a total of 29/122 patients (23.8%), incl. 10/18 with impaired glucose tolerance. The finding
of marked insulinopenia makes it possible also in patients with impaired glucose tolerance to select rationally
individual therapeutic procedures.
Key words:
cystic fibrosis, diabetes mellitus, CFRD, impaired glucose tolerance, FPIR
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