Clinical practice versus guidelines for the screening of cystic fibrosis-related diabetes: A French survey from the 47 centers.

Continuous glucose monitoring Cystic fibrosis Diabetes OGTT Screening

Journal

Journal of clinical & translational endocrinology
ISSN: 2214-6237
Titre abrégé: J Clin Transl Endocrinol
Pays: Netherlands
ID NLM: 101629335

Informations de publication

Date de publication:
Jun 2022
Historique:
received: 02 11 2021
revised: 12 03 2022
accepted: 31 03 2022
entrez: 18 4 2022
pubmed: 19 4 2022
medline: 19 4 2022
Statut: epublish

Résumé

This study aimed to analyze clinical practices concerning cystic fibrosis-related diabetes (CFRD) screening in France. A web-based questionnaire was distributed between December 1, 2020 and January 31, 2021 among 47 cystic fibrosis centers including pediatric, adult, and mixed units. In accordance with guidelines, 92.8% of CF centers performed annual oral glucose tolerance tests (OGTT). Overall, 86.3% of CF centers performed 1- and 2-hour blood glucose determinations following OGTT. The OGTT was conducted before 10 years of age in 73% of pediatric centers. Continuous glucose monitoring (CGM) and laboratory glycated hemoglobin were employed for CFRD screening in 86.5% and 50% of centers, respectively. CGM was carried out in 69% of centers after glucose tolerance abnormalities had been detected in OGTT. Most CF centers used OGTT and CGM for CFRD screening. Studies are required to assess CGM usefulness as a validated tool in CFRD screening.

Identifiants

pubmed: 35433271
doi: 10.1016/j.jcte.2022.100298
pii: S2214-6237(22)00006-0
pmc: PMC9010626
doi:

Types de publication

Journal Article

Langues

eng

Pagination

100298

Informations de copyright

© 2022 The Author(s).

Déclaration de conflit d'intérêts

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

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Auteurs

Laurence Weiss (L)

Pediatric Cystic Fibrosis Center, University Hospital of Strasbourg, France.

Olivia Ronsin (O)

Adult Cystic Fibrosis Center, University Hospital Timone, Marseille, France.

Quitterie Reynaud (Q)

Adult Cystic Fibrosis Center, Department of Internal Medicine Hospices Civils Lyon, France.

Michel Abely (M)

Pediatric Cystic Fibrosis Center, American Memorial Hospital, Reims, France.

Laurent Mely (L)

Cystic Fibrosis Center, Renée Sabran Hospital, Giens, France.

Pierre-Régis Burgel (PR)

Respiratory Medicine and Cystic Fibrosis National Reference Center, Cochin Hospital, Assistance Publique Hôpitaux de Paris, Paris, France.
Université de Paris, Institut Cochin, Inserm U1016, Paris, France.

Jacques Beltrand (J)

Pediatric Endocrinology, Gynecology and Diabetes, Hôpital Necker Enfants-Malades, Assistance Publique Hôpitaux de Paris, Université de Paris, Paris, France.
Inserm U1016, Institut Cochin, Paris, France.

Laurence Kessler (L)

Department of Diabetology, Adult Cystic Fibrosis Center, University Hospital Strasbourg, France.
Inserm UMR 1260, Regenerative Nanomedicine, University of Strasbourg, France.

Classifications MeSH