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    Jefferson Adams
    Jefferson Adams

    By Jefferson Adams •

    Screening and Diagnosing Celiac Disease in Patients With Type 1 Diabetes

    Reviewed and edited by a celiac disease expert.
    Screening and Diagnosing Celiac Disease in Patients With Type 1 Diabetes - Photo: CC--Melissa
    Caption: Photo: CC--Melissa

    Celiac.com 07/11/2013 - A team of researchers wanted to better understand screening practices for celiac disease in patients with type 1 diabetes across North America. One question they sought to answer was whether diabetes centers screen for celiac disease in type 1 diabetes more frequently than other facilities.

    Photo: CC--MelissaThe research team included S.M. Simpson, E.J. Ciaccio, S. Case, N. Jaffe, S. Mahadov, B. Lebwohl, P.H. Green. All except Case are affiliated with the Celiac Disease Center at Columbia University, New York, USA. Shelley Case runs her own nutrition consulting business in Regina, Saskatchewan.

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    For their study, the team conducted a survey with 27 questions on screening practices for celiac disease in patients with type 1 diabetes. The questions were compiled by experts in celiac disease and diabetes.

    The team sent surveys by email to diabetes educators and dietitians throughout the United States and Canada between December 2010 and May 2011.

    They received 514 responses from 484 endocrine clinics, diabetes clinics, private practices, community nutrition centers, and inpatient centers.

    Thirty-five percent of these locations screened for celiac disease, with endocrine clinics reporting screening at the highest rate of eighty percent.

    Not surprisingly, the most common test celiac disease test was tissue transglutaminase, while the most frequently recommended treatment of confirmed celiac disease was a gluten-free diet. However, only 365 respondents (71%) recommended biopsy in patients with positive blood results.

    More than half of those responding (55.3%) reported that patient symptoms improved once they adopted a gluten-free diet.

    Staff at endocrine clinics were most likely to suggest celiac disease testing for patients with type 1 diabetes.

    Due to low screening frequency as well as inconsistency in management of positive celiac disease blood tests, the research team is calling for increased education regarding celiac disease in patients with type 1 diabetes, along with the adoption of uniform protocols.


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    Guest Gayle

    Guest Gayle

    Posted

    I too have both Type 1 and celiac disease.

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    Guest sheryl carr

    Guest sheryl carr

    Posted

    I too have both Type 1 and celiac disease.

    Are you a long-term Type 1 Diabetic? When did you start noticing the symptoms? Did you eventually start having severe weight loss and other auto immune disorders? I have ALWAYS had a BRILLIANT A1C score, 5.7 at the max. So it wasn't because of poor control. I have been a Type 1 diabetic for 45 years.

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  • About Me

    Jefferson Adams

    Jefferson Adams is Celiac.com's senior writer and Digital Content Director. He earned his B.A. and M.F.A. at Arizona State University. His articles, essays, poems, stories and book reviews have appeared in numerous magazines, journals, and websites, including North American Project, Antioch Review, Caliban, Mississippi Review, Slate, and more. He is the author of more than 2,500 articles on celiac disease. His university coursework includes studies in science, scientific methodology, biology, anatomy, physiology, medicine, logic, and advanced research. He previously devised health and medical content for Colgate, Dove, Pfizer, Sharecare, Walgreens, and more. Jefferson has spoken about celiac disease to the media, including an appearance on the KQED radio show Forum, and is the editor of numerous books, including "Cereal Killers" by Scott Adams and Ron Hoggan, Ed.D.

    >VIEW ALL ARTICLES BY JEFFERSON ADAMS

     

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