Middleton Peter G, Matson Angela G, Robinson Paul D, Jane Holmes-Walker D, Katz Tamarah, Hameed Shihab
CF Centre Director, Westmead Hospital, Sydney.
Senior Dietitian, Adult CF Centre, The Prince Charles Hospital, Brisbane.
Paediatr Respir Rev. 2014 Sep;15(3):281-4. doi: 10.1016/j.prrv.2014.05.003. Epub 2014 Jun 5.
One of the major complications of Cystic Fibrosis (CF) is CF-Related Diabetes (CFRD), which increases in incidence with age, from 1-2% below the age of 10 years to ∼20% of adolescents and 40-50% of adults. Multiple guidelines have been published over the last few years for the diagnosis and management of CFRD, from the American Diabetes Association (ADA) / US Cystic Fibrosis Foundation, International Society for Pediatric and Adolescent Diabetes (ISPAD) and the Thoracic Society of Australia and New Zealand-Australian Diabetes Society. However, little is published about the particular issues involved in transition of patients with CFRD from paediatric to adult care, nor the issues concerning the development of CFRD during the transition period. This document seeks to provide assistance to physicians, dieticians, nurses, diabetes educators, CF patients and their families by outlining the issues surrounding CFRD during transition from paediatric to adult care.
囊性纤维化（CF）的主要并发症之一是囊性纤维化相关糖尿病（CFRD），其发病率随年龄增长，10岁以下发病率为1%-2%，青少年发病率约为20%，成人发病率为40%-50%。过去几年，美国糖尿病协会（ADA）/美国囊性纤维化基金会、国际儿童和青少年糖尿病学会（ISPAD）以及澳大利亚和新西兰胸科学会-澳大利亚糖尿病学会发布了多项关于CFRD诊断和管理的指南。然而，关于CFRD患者从儿科护理过渡到成人护理所涉及的具体问题，以及过渡期间CFRD发展相关问题的报道很少。本文档旨在通过概述从儿科护理过渡到成人护理期间围绕CFRD的问题，为医生、营养师、护士、糖尿病教育工作者、CF患者及其家属提供帮助。
