If I knew now what I did not know then, I then would take this as an opportunity to really understand blood sugar and CF. You have a chance to keep yourself healthy and stave off CFRD. It is just another scary thing that we do not want to deal with, trust me I've been there. Our bodies are subjected to a constant barrage of oxidants, stress and infection( high blood sugars feed pseudomonas too). Our pancreas has to work overtime to compensate for the inflammation and non functioning part of the digestion issue. This is what leads to the CFRD. Having a blood glucose that is high but not "Offically" CFRD is an indicator that you are putting too much sugar into your system and your body has to deal with it. Just because the GTT was ok I would do everything I could to maintain my blood sugar and stay healthy and check it anyways for trends and ways to correct if need be. CF care should really include preventive care of CFRD and it is lacking. Bottomline: Learn about how high blood sugars affect the body. Get an inexpensive checker and check periodically. Limit your intake of refined sugars, sodas etc. Being proactive is easier than reactive by educating and possibly treating for CFRD could be an advantage to you. Information about it makes it easier to deal with it. Looking back if I understood this and tracked my sugars 20 years ago before CFRD I could of been that much ahead of the game and could of used this info to keep healthier with the assistance of meds or insulin before CFRD. ie: I think most CF's should take a long acting insulin to assist with glucose conversion regardless of a CFRD diagnosis. Unfortunately that is not how medicine works and they only treat after the fact and not preventatively. So don't be scared be proactive and take this chance to stay healthier. Footnote: I have CFRD and it can be a pain but not the end of the world. It is relatively easy to manage.
