Cystic fibrosis-related diabetes: optimizing care with a multidisciplinary approach

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Freddy Frost,1 Paula Dyce,2 Alicja Ochota,3 Sejal Pandya,3 Thomas Clarke,3 Martin J Walshaw,1 Dilip S Nazareth11Respiratory Medicine, Adult CF Centre, Liverpool Heart & Chest Hospital, Liverpool L14 3PE, UK; 2Cystic Fibrosis Related Diabetes Service, Adult CF Centre, Liverpool Heart & Chest Hospital, Liverpool L14 3PE, UK; 3Adult CF Centre, Liverpool Heart & Chest Hospital, Liverpool, L14 3PE, UKAbstract: Cystic fibrosis-related diabetes (CFRD) is a common complication of cystic fibrosis and can be present in over 50% of adults with the disease. CFRD is associated with poorer clinical outcomes, including accelerated pulmonary function decline and excess morbidity. The management of CFRD is complex and differs from that of type 1 and type 2 diabetes mellitus such that clinicians responsible for the care of people with CFRD must work closely with colleagues across a number of different specialities and disciplines. This review aims to discuss why a multi-disciplinary approach is important and how it can be harnessed to optimize the care of people with CFRD.Keywords: insulin, cystic fibrosis, hyperglycemia, nursing, diagnostics, teamwork

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