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  • Scott Adams
    Scott Adams

    Medical Students and Professionals Lack Knowledge Regarding Nutritional Deficiencies in Patients with Celiac Disease

    Reviewed and edited by a celiac disease expert.

    A new study shows that medical students and professionals lack knowledge about the risk of nutritional deficiency for celiac patients.

    Medical Students and Professionals Lack Knowledge Regarding Nutritional Deficiencies in Patients with Celiac Disease - Image: CC BY 2.0--colindunn
    Caption: Image: CC BY 2.0--colindunn

    Celiac.com 08/23/2021 - Ever worry about whether your doctor is properly knowledgeable about the risk of nutritional deficiencies for celiac patients on a gluten-free diet? 

    A gluten-free diet offers the best symptom relief for patients with celiac disease, but a number of researchers and nutritionists have expressed concern about the potential for nutritional deficiencies for some patients. A team of researchers recently set determine how well medical students and healthcare professionals in Poland understand nutritional deficiencies, and the prevention of such deficiencies, in celiac patients on a gluten-free diet. 

    Celiac.com Sponsor (A12):
    The research team included Łukasz Dembiński, Artur Mazur, Mariusz Dąbrowski, Teresa Jackowska, and Aleksandra Banaszkiewicz. They are variously affiliated with the Department of Pediatric Gastroenterology and Nutrition, Medical University of Warsaw in Warsaw, Poland; the College of Medical Sciences, University of Rzeszow in Rzeszów, Poland; and the Department of Pediatrics, Center of Postgraduate Medical Education in Warsaw, Poland.

    Because many gluten-free foods are high in fat, sugar and salt, and also have insufficient amounts of fiber, iron, vitamin D, and calcium, celiac patients on a gluten-free diet may be at risk for nutritional deficiencies. Nearly half of the 430 of the survey subjects did not realize that celiac patients may face a higher risk of nutritional deficiencies. The knowledge of those surveyed was lowest regarding the risk of celiacs being overweight or obese. 

    Just over one in three of the healthcare professionals surveyed gave provided sufficiently correct answers, with the dietitians doing the best overall. The team's finding show that improvement is warranted in the education of healthcare professionals regarding nutrition in celiac patients on a gluten-free diet.

    Because celiac patients need prompt, proper treatment, and monitoring by health professionals, it is crucial that those professionals be properly educated on the issues and challenges faced by people with celiac disease, especially those on a gluten-free diet.

    Stay tuned for more on this and related stories.

    Read more in Nutrients 2021, 13(6), 1771
     



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    Guest TJM

    Most doctors are sadly lacking in nutrition information.  

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    Guest Sjb

    I could have told you the exact same thing. Drs and their assistants look at me with a deer in the head light look if I mention I'm celiac just to let them know if I'm having a issue.

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    Guest Heidi

    My dentist who is amazing went out of his way to make sure my 16 year old recently diagnosed daugther was not exposed to gluten during her dental cleaning and exam. Make sure your dentist is aware ahead of your visit that you have celiacs. There may be gluten im powdered gloves, paste, etc.  He also informed her that celiacs get dry mouth, which she does, which lead to tooth decay. He gave her gluten free Biotene lozenges and mouth gel which work well for her.  Her last dentist was not knowledgable about at all and made fun of her for  eating gluten free oreos. We will never ever go back to him!!!

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    Guest Lotte8
    8 hours ago, Guest Sjb said:

    I could have told you the exact same thing. Drs and their assistants look at me with a deer in the head light look if I mention I'm celiac just to let them know if I'm having a issue.

    I know the feeling.  My GI's assistant told me flat out that the Dr. would NOT discuss food.  My PCP doesn't know anything about celiac beyond gluten free dieting.  He thinks I should refer any difficulties back to my GI.  It's not just the lack of knowledge that gets me, it's the serious lack of interest!  We're forced to seek help from alternative sources.  Is it any wonder the general public has so little faith in traditional medicine these days?  

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    Distressed
    21 minutes ago, Guest Heidi said:

    My dentist who is amazing went out of his way to make sure my 16 year old recently diagnosed daugther was not exposed to gluten during her dental cleaning and exam. Make sure your dentist is aware ahead of your visit that you have celiacs. There may be gluten im powdered gloves, paste, etc.  He also informed her that celiacs get dry mouth, which she does, which lead to tooth decay. He gave her gluten free Biotene lozenges and mouth gel which work well for her.  Her last dentist was not knowledgable about at all and made fun of her for  eating gluten free oreos. We will never ever go back to him!!!

    Today is a "better" time for celiac disease patients.  Dentists were simply not in tune with the potential damage.  Over the decades what proceeded was: lost enamel, cracked teeth, broken teeth requiring extraction.  My mouth became a "mess" after acquiring celiac disease.

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    Guest UpHillBattle

    Posted

    What i have learned over the last two drcades dealing with Celiac, and with other collateral damages, is that doctors are bottom feeders and bottom readers. America's sickcare system rakes in over 3 TRILLION a year. And I'm pretty SURE its not from early DIAGNOSIS!

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    Guest Pamela W

    Posted

    So true!!

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    Ellen H.

    I never thought to mention my new celiac to my dentist - thank you for that!

     

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    Susie0402
    On 9/1/2021 at 9:39 AM, Guest Lotte8 said:

    I know the feeling.  My GI's assistant told me flat out that the Dr. would NOT discuss food.  My PCP doesn't know anything about celiac beyond gluten free dieting.  He thinks I should refer any difficulties back to my GI.  It's not just the lack of knowledge that gets me, it's the serious lack of interest!  We're forced to seek help from alternative sources.  Is it any wonder the general public has so little faith in traditional medicine these days?  

    Since my Celiac diagnosis 3 years ago, I've been to a Pulmonologist, dermatologist and the dreaded PCP.  He refers me to either the NP or my GI who is hard to get an appointment with.  My husband died during all this and the anxiety and stress I understand can't be good for celiac disease.  I see a therapist who is wonderful but I don't want to be on an antidepressant for the rest of my life.  My diarrhea is crazy and I'm worn out.  Just wanted to vent. Thanks.

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    Scott Adams

    Is your diet 100% gluten-free? Do you eat in restaurants? If so, probably not.

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    Scott Adams

    Scott Adams was diagnosed with celiac disease in 1994, and, due to the nearly total lack of information available at that time, was forced to become an expert on the disease in order to recover. In 1995 he launched the site that later became Celiac.com to help as many people as possible with celiac disease get diagnosed so they can begin to live happy, healthy gluten-free lives.  He is co-author of the book Cereal Killers, and founder and publisher of the (formerly paper) newsletter Journal of Gluten Sensitivity. In 1998 he founded The Gluten-Free Mall which he sold in 2014. Celiac.com does not sell any products, and is 100% advertiser supported.


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