Type 2 & other diabetes

Evaluation of Family History of Diabetes and the Development of Cystic Fibrosis-Related Diabetes in a Clinical Cystic Fibrosis Cohort

Endocr PractPublished Retrospective cohort study

Authors' conclusion

Type 2 diabetes and CFRD family history double CFRD risk. PI quadruples CFRD odds. Each age decade increased CFRD odds by 46%, but sex, genotype category, and BMI were not associated.

Study context

Population
Modulator-treated cystic fibrosis cohort, single centre
Exposure
Diabetes family history vs none
Outcome
CFRD
Methodological detailssingle-centre, clinician-collected family history, modified Poisson regression with robust SE, adjusted for age, sex, genotype category, pancreatic insufficiency (PI) and body mass index (BMI) category
  • Single-centre
  • Clinician-collected family history
  • Modified Poisson regression with robust SE
  • Adjusted for age, sex, genotype category, PI and BMI category

Main finding

As reported in the abstract

CFRD risk by diabetes family history
Incidence rate ratio (CI)P value
T2D family history157% increased CFRD risk
2.57(1.53–4.32)
P < 0.001
CFRD family history92% increase in CFRD risk
1.92(1.15–3.21)
P = 0.013

Observational data: associations, not effects.

Further findings

Pancreatic insufficiency and CFRD

OR (CI)P value
PI3.99 (1.35–11.81)P = 0.012
OutcomeOR (CI)P value
Age (per additional decade) and CFRD46% increased CFRD odds1.46 (1.18–1.81)P = 0.001

Sex, genotype category and BMI

Sex, genotype category, and BMI were not associated with CFRD

Original publication

Evaluation of Family History of Diabetes and the Development of Cystic Fibrosis-Related Diabetes in a Clinical Cystic Fibrosis Cohort. Endocr Pract. Published 29 April 2026. doi:10.1016/j.eprac.2026.04.013

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