How should we manage celiac disease in childhood diabetes?

Silink, Martin

doi:10.1034/j.1399-5448.2001.002003095.x

Cited by 4 publications

(3 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…40 However, it must be recognized that a gluten-free diet represents an additional burden on young patients with T1D. 41 Furthermore, this study supports the potential importance of thyroid disease in patients with CD. All patients with T1D and CD should be routinely screened for further autoimmune disease, especially thyroiditis.…”

Section: Discussionsupporting

confidence: 55%

Anthropometry, metabolic control, and thyroid autoimmunity in type 1 diabetes with celiac disease: A multicenter survey

Kaspers

Kordonouri

Schober

et al. 2004

The Journal of Pediatrics

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 55%

Anthropometry, metabolic control, and thyroid autoimmunity in type 1 diabetes with celiac disease: A multicenter survey

Kaspers

Kordonouri

Schober

et al. 2004

The Journal of Pediatrics

View full text Add to dashboard Cite

“…No differences were found in metabolic control, insulin dosage, body mass index (BMI) and hypoglycemic episodes. While the benefit of a preclinical diagnosis of celiac disease for diabetic patients is not yet demonstrated, the diabetologist might face severe non‐compliance for both diseases (19).…”

Section: Discussionmentioning

confidence: 99%

Incidence of enteropathy-associated T-cell lymphoma in celiac disease: implications for children and adolescents with type 1 diabetes

et al. 2002

View full text Add to dashboard Cite

The long-term consequences of screening for celiac disease in diabetic children are not known. Routine screening is not practiced in our pediatric diabetic population. This study of the incidence of the most severe and specific long-term complication of untreated celiac disease, i.e., enteropathy-associated T-cell lymphoma (EATCL) and its association with diabetes, is done in order to justify our strategy not to practice routine screening. In the first phase of this study, a questionnaire was sent to all Swiss pathologists. The second phase consisted of a search in the cancer registry of the canton of Zurich. The incidence of EATCL in the general population of a Swiss region and the theoretical risk for a diabetic patient to develop this type of lymphoma were calculated. Ten cases of EATCL were found. Five had a long history of malabsorption, three of them since childhood. The mean age of the patients was 61.9 yr. None suffered from diabetes mellitus. The incidence of EATCL was 0.07/100,000 inhabitants/year. The expected risk for EATCL in patients with type 1 diabetes is 12.4/100,000 diabetic patients over a period of 60 yr. The data suggest that the risk for EATCL is small in diabetic patients. Therefore, we restrict the investigation for celiac disease to patients with typical and atypical symptoms, but do not perform routine screening.

show abstract

“…Despite the knowledge of the co-occurrence of CD and T1DM and that CD can have an adverse effect on T1DM [1,21,22], there are still different recommendations about screening tests, frequency of screening, and treatment of asymptomatic children in the consensus-based guidelines from national and international associations [23,24] and global consensus on when and how to screen is lacking [1].…”

Section: Introductionmentioning

confidence: 99%

High prevalence of celiac disease in Swedish children and adolescents with type 1 diabetes and the relation to the Swedish epidemic of celiac disease: a cohort study

Bybrant

Örtqvist

Lantz

et al. 2013

Scandinavian Journal of Gastroenterology

View full text Add to dashboard Cite

The onset of CD in the T1DM population does not follow the pattern of the general population during the Swedish epidemic of CD. The shared genetic component in the human leukocyte antigen region in cases with comorbidity of CD and T1DM may overrule other CD-causing factors in the general population. Children with T1DM should be screened for CD at diagnosis and repeatedly at least during the first 2 years, even if asymptomatic.

show abstract

How should we manage celiac disease in childhood diabetes?

Cited by 4 publications

References 11 publications

Anthropometry, metabolic control, and thyroid autoimmunity in type 1 diabetes with celiac disease: A multicenter survey

Anthropometry, metabolic control, and thyroid autoimmunity in type 1 diabetes with celiac disease: A multicenter survey

Incidence of enteropathy-associated T-cell lymphoma in celiac disease: implications for children and adolescents with type 1 diabetes

High prevalence of celiac disease in Swedish children and adolescents with type 1 diabetes and the relation to the Swedish epidemic of celiac disease: a cohort study

Contact Info

Product

Resources

About