Evidence map›Paper›PMID 34850006›Full record

Observational studyThe Journal of clinical endocrinology and metabolism2022

Continuous Glucose Monitoring and HbA1c in Cystic Fibrosis: Clinical Correlations and Implications for CFRD Diagnosis.

Kevin J Scully, Jordan S Sherwood, Kimberly Martin, Melanie Ruazol, Peter Marchetti, Mary Larkin, Hui Zheng, Gregory S Sawicki, Ahmet Uluer, Isabel Neuringer and 4 more

2 registry-linked trialsOpen access · bronzeAbstract readObservational Study
In one paragraph

Observational study in The Journal of clinical endocrinology and metabolism, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
4.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05723445 narecruitingnot on this mapstarted 2023, after this paper: background citation

The Effects of a Low Glycemic Load Diet on Dysglycemia and Body Composition in Adults With Cystic Fibrosis-Related Diabetes

TypeinterventionalSponsorRhode Island HospitalRan2023 to 2026Enrolled15ConditionsCystic Fibrosis, Cystic Fibrosis-related Diabetes, Cystic Fibrosis With Intestinal ManifestationsArmsLow Glycemic Load Diet
NCT06837181 recruitingnot on this mapstarted 2025, after this paper: background citation

Studying the Presence of CFRD Complications With Thoughtful Recruitment (SPeCTRuM)

TypeobservationalSponsorJaeb Center for Health ResearchRan2025 to 2028Enrolled200ConditionsCystic Fibrosis (CF), Cystic Fibrosis-related Diabetes, Diabetes, RetinopathyArmsobservational study
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 42 citations in OpenAlex.

  1. Trial
  2. Sleep patterns and glycemia in adults with cystic fibrosis-related diabetes: a remote pilot study.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2026
    Article
  3. Article
  4. The endocrine complications of cystic fibrosis.Nature reviews. Endocrinology · 2026
    Review
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  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Observational
  12. Article
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  14. Observational
  15. Review
  16. Review
  17. Observational
  18. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 1 country.

Kevin J ScullyDivision of Endocrinology, Boston Children's Hospital, Boston, MA, USA.ORCID 0000-0001-7886-9871
Jordan S SherwoodHarvard Medical School, Boston MA, USA.
Kimberly MartinDiabetes Research Center, Massachusetts General Hospital, Boston, MA, USA.
Melanie RuazolDiabetes Research Center, Massachusetts General Hospital, Boston, MA, USA.
Peter MarchettiDivision of Pulmonary Medicine, Boston Children's Hospital, Boston, MA, USA.
Mary LarkinHarvard Medical School, Boston MA, USA.
Hui ZhengHarvard Medical School, Boston MA, USA.
Gregory S SawickiHarvard Medical School, Boston MA, USA.
Ahmet UluerHarvard Medical School, Boston MA, USA.
Isabel NeuringerHarvard Medical School, Boston MA, USA.
Lael M YonkerHarvard Medical School, Boston MA, USA.
Leonard SicilianHarvard Medical School, Boston MA, USA.
Deborah J WexlerHarvard Medical School, Boston MA, USA.
Melissa S PutmanDivision of Endocrinology, Boston Children's Hospital, Boston, MA, USA.ORCID 0000-0002-7655-8954
Harvard University · USBoston Children's Hospital · USMassachusetts General Hospital · USBrigham and Women's Hospital · US

Funding

Research in Development Endocrinology and MetabolismT32DK007699 · NIDDK · CHILDREN'S HOSPITAL BOSTON · PI JOEL N HIRSCHHORN · 1992 to 2026
$7.1M
NIDDK NIH HHS 5T32DK007699NIDDK NIH HHS T32 DK007699
6 · The paper itself

Abstract

contextThe clinical utility and implications of continuous glucose monitoring (CGM) in cystic fibrosis (CF) are unclear.

objectiveWe examined the correlation between CGM measures and clinical outcomes in adults with CF, investigated the relationship between hemoglobin A1c (HbA1c) and CGM-derived average glucose (AG), and explored CGM measures that distinguish cystic fibrosis-related diabetes (CFRD) from normal and abnormal glucose tolerance.

methodsThis prospective observational study included 77 adults with CF who had CGM and HbA1c measured at 2 to 3 time points 3 months apart.

resultsThirty-one of the 77 participants met American Diabetes Association-recommended diagnostic criteria for CFRD by oral glucose tolerance testing and/or HbA1c. In all participants, CGM measures of hyperglycemia and glycemic variability correlated with nutritional status and pulmonary function. HbA1c was correlated with AG (R2 = 0.71, P < 0.001), with no significant difference between this regression line and that previously established in type 1 and type 2 diabetes and healthy volunteers. Cutoffs of 17.5% time > 140 mg/dL and 3.4% time > 180 mg/dL had sensitivities of 87% and 90%, respectively, and specificities of 95%, for identifying CFRD. Area under the curve and percent of participants correctly classified with CFRD were higher for AG, SD, % time > 140, > 180, and > 250 mg/dL than for HbA1c.

conclusionCGM measures of hyperglycemia and glycemic variability are superior to HbA1c in distinguishing those with and without CFRD. CGM-derived AG is strongly correlated with HbA1c in adults with CF, with a similar relationship to other diabetes populations. Future studies are needed to investigate CGM as a diagnostic and screening tool for CFRD.

Indexed as

Cystic FibrosisDiabetes Mellitus, Type 2HyperglycemiaAdultBlood GlucoseBlood Glucose Self-MonitoringGlycated HemoglobinHumansBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, humanaverage glucosecontinuous glucose monitoringcystic fibrosis–related diabetesHbA1c

Identifiers

PMID34850006
PMCPMC8947309
OpenAlexW3216490715

What OpenQuestion holds

Textmetadata
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.