it is a progressive disease, although in some individuals, it progresses much slower. The thing with CF is that there are many mutations of the
CFTR gene, some are labeled severe mutations and some aren't as severe. Your sister probably has a milder mutation that produced less severe symptoms. I too have CF, and was diagnosed at 33, I am now 36...in hindsight I had problems with my lungs as a child, even more so when I hit my 20's with many infections -pneumonia and bronchitis.