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Update on cystic fibrosis-related diabetes

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Presentation on theme: "Update on cystic fibrosis-related diabetes"— Presentation transcript:

1 Update on cystic fibrosis-related diabetes
Andrea Kelly, Antoinette Moran  Journal of Cystic Fibrosis  Volume 12, Issue 4, Pages (July 2013) DOI: /j.jcf Copyright © 2013 European Cystic Fibrosis Society. Terms and Conditions

2 Fig. 1 Incretin secretion and action. Glucose, fructose, free fatty acids, and to a lesser extent amino acids stimulate GLP-1 and GIP secretions. GLP-1 and GIP augment glucose stimulated insulin secretion and in animal models inhibit β-cell apoptosis and promote β-cell proliferation. GIP also promotes lipogenesis. GLP-1 suppresses glucagon secretion and delays gastric emptying. Journal of Cystic Fibrosis  , DOI: ( /j.jcf ) Copyright © 2013 European Cystic Fibrosis Society. Terms and Conditions

3 Fig. 2 Plasma glucose and C-peptide in healthy controls (●), pancreatic sufficient CF (Ο), pancreatic insufficient CF without CFRD (▲), and CFRD (◊), adapted from Moran et al. [16]. Journal of Cystic Fibrosis  , DOI: ( /j.jcf ) Copyright © 2013 European Cystic Fibrosis Society. Terms and Conditions

4 Fig. 3 Enzyme replacement improves glucose excursion and increases GLP-1 and GIP secretion in CF. Plasma glucose (A), GLP-1 (B), and GIP (C) following a mixed meal tolerance test in healthy controls (▲), CF without enzymes (Ο) CF with enzymes (●), adapted from Kuo et al. [31]. Journal of Cystic Fibrosis  , DOI: ( /j.jcf ) Copyright © 2013 European Cystic Fibrosis Society. Terms and Conditions

5 Fig. 4 Mortality in CF subjects with and without CFRD, from Moran et al. [50]. Blue line: males, red line: females; solid line: CFRD; dashed line: CFRD. Journal of Cystic Fibrosis  , DOI: ( /j.jcf ) Copyright © 2013 European Cystic Fibrosis Society. Terms and Conditions


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