Rapid Acting Insulin Used to Treat a Case of Early Cystic Fibrosis Related Diabetes Complicated by Post Prandial Hypoglycemia

BackgroundCystic Fibrosis Related Diabetes (CFRD) is one of the most common non-respiratory complications CF (Cystic Fibrosis). There a lack clinical research to provide guidance on optimal treatment regimens for various subtypes CFRD.Case ReportThis case describes an 18 year old female, diagnosed with in infancy who presented our clinic evaluation possible related diabetes and episodes hypoglycemia. Subsequent testing revealed normal fasting glucose elevated levels post load OGTT, consistent diagnosis CFRD without hyperglycemia. She was found have large glycemic excursions after carbohydrate containing meals followed by delayed prandial hypoglycemia.DiscussionWe initiated low dose mealtime rapid acting analogue insulin saw both decrease her post- hyperglycemia, as well resolution hypoglycemic episodes.ConclusionThis highlights spectrum pancreatic dysfunction dysregulation benefit alone option.