Open AccessCo-occurrence of type 1 diabetes mellitus and celiac disease
Author(s) -
Amit Akirov,
Orit PinhasHamiel
Publication year - 2015
Publication title -
world journal of diabetes
Language(s) - English
Resource type - Journals
ISSN - 1948-9358
DOI - 10.4239/wjd.v6.i5.707
Subject(s) - medicine , disease , type 1 diabetes , diabetes mellitus , natural history , gluten free , type 2 diabetes , presentation (obstetrics) , gastroenterology , pediatrics , endocrinology , surgery
The co-occurrence of celiac disease (CD) and type 1 diabetes (T1DM) has been reported as 5-7 times more prevalent than CD alone. The clinical presentation and natural history of CD in patients with T1DM may vary considerably. Less than 10% of patients with T1DM and CD show gastrointestinal symptoms. Therefore, experts support screening for CD in T1DM patients, though there is no consensus as to the recommended frequency of screening. When stratified by time since CD diagnosis, longer follow-up and coexistence of CD are associated with significant increased risk of diabetic associated morbidity and mortality. Early CD diagnosis and treatment with a gluten-free diet are essential.