damage. Generally, diabetes is more likely to occur in CF patients who are severely malnourished and have severe pulmonary disease. This lady is in reasonable health for an adult patient with CF, but she requires tight glycaemic control, particularly since she is contemplating pregnancy. It is unlikely that this could be achieved without insulin, and a basal bolus regimen would be preferred. As more CF patients reach adulthood in a healthier state than could be achieved previously, it is likely that diabetologists will increasingly be involved in managing CFRD, and that pregnancy, diabetes and CF will have to be managed concurrently more frequently.

This woman appears to have reasonable functional status in spite of her cystic fibrosis. Her diabetes is likely to be caused by relative insulin deficiency as a result of pancreatic

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