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Managing coeliac disease in patients with diabetes.

Abstract

The association between coeliac disease and type 1 diabetes has long been established. The combination of genetic susceptibility along with a potential role for gluten in the pathogenesis of autoimmunity makes defining gluten's role in type 1 diabetes extremely important. Evidence supporting the role of a gluten-free diet to improve complications associated with type 1 diabetes is not robust. However there is evidence to support improved growth, bone density and potentially the prevention of additional autoimmune diseases in patients with coeliac disease and type 1 diabetes. The gluten free diet is expensive and challenging to adhere to in people already on a modified diet. Early identification of those who have coeliac disease and would benefit from a gluten-free diet is of utmost importance to prevent complications associated with type 1 diabetes and coeliac disease.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Center for Celiac Research, Massachusetts General Hospital and Division of Pediatric Gastroenterology and Nutrition, Massachusetts General Hospital for Children, Boston, MA, USA.

    ,

    Source

    Diabetes, obesity & metabolism 17:1 2015 Jan pg 3-8

    MeSH

    Animals
    Autoimmunity
    Celiac Disease
    Diabetes Complications
    Diabetes Mellitus, Type 1
    Diet, Diabetic
    Diet, Gluten-Free
    Evidence-Based Medicine
    Humans
    Patient Compliance
    Severity of Illness Index

    Pub Type(s)

    Journal Article
    Review

    Language

    eng

    PubMed ID

    24814173

    Citation

    Leonard, M M., et al. "Managing Coeliac Disease in Patients With Diabetes." Diabetes, Obesity & Metabolism, vol. 17, no. 1, 2015, pp. 3-8.
    Leonard MM, Cureton PA, Fasano A. Managing coeliac disease in patients with diabetes. Diabetes Obes Metab. 2015;17(1):3-8.
    Leonard, M. M., Cureton, P. A., & Fasano, A. (2015). Managing coeliac disease in patients with diabetes. Diabetes, Obesity & Metabolism, 17(1), pp. 3-8. doi:10.1111/dom.12310.
    Leonard MM, Cureton PA, Fasano A. Managing Coeliac Disease in Patients With Diabetes. Diabetes Obes Metab. 2015;17(1):3-8. PubMed PMID: 24814173.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Managing coeliac disease in patients with diabetes. AU - Leonard,M M, AU - Cureton,P A, AU - Fasano,A, Y1 - 2014/05/29/ PY - 2014/03/21/received PY - 2014/04/28/revised PY - 2014/04/29/accepted PY - 2014/5/13/entrez PY - 2014/5/13/pubmed PY - 2015/7/15/medline KW - coeliac disease KW - gluten-free diet KW - type 1 diabetes SP - 3 EP - 8 JF - Diabetes, obesity & metabolism JO - Diabetes Obes Metab VL - 17 IS - 1 N2 - The association between coeliac disease and type 1 diabetes has long been established. The combination of genetic susceptibility along with a potential role for gluten in the pathogenesis of autoimmunity makes defining gluten's role in type 1 diabetes extremely important. Evidence supporting the role of a gluten-free diet to improve complications associated with type 1 diabetes is not robust. However there is evidence to support improved growth, bone density and potentially the prevention of additional autoimmune diseases in patients with coeliac disease and type 1 diabetes. The gluten free diet is expensive and challenging to adhere to in people already on a modified diet. Early identification of those who have coeliac disease and would benefit from a gluten-free diet is of utmost importance to prevent complications associated with type 1 diabetes and coeliac disease. SN - 1463-1326 UR - https://www.unboundmedicine.com/medline/citation/24814173/Managing_coeliac_disease_in_patients_with_diabetes_ L2 - https://doi.org/10.1111/dom.12310 DB - PRIME DP - Unbound Medicine ER -