Association of type 1 diabetes and celiac disease: the lived for this double pathology

##plugins.themes.academic_pro.article.sidebar##

Published Jan 21, 2010
Download
pdf
Vol. 88 No. 1 (2010): Issue Jan 2010

##plugins.themes.academic_pro.article.main##

F.Ben Mami
I.Ben Ammar
B.El Felah
A Achour

Abstract

Background: the association of diabetes type 1 and celiac disease seems to pose many problems diagnostic, therapeutic and psychological.
Aim of our work is to study in eight patients with type 1 diabetes associated with celiac disease their daily experience and the constraints that this pathological association imposes.
Methods: This cross-sectional study involved eight patients with type 1 diabetes and celiac disease known for at least 1 year. All patients were given a thorough interrogation specifying the regular monitoring of the two diseases and the quality of the observance of the diabetic dietary and gluten-free diet, as well as an  assessment of impact of diabetes.
Results: the caloric intake in relation to the recommendations is very insufficient. Taking snack is not respected. There is also the consumption of certain foods containing gluten masked and regular consumption of sucrose by our patients despite a long-term evolution of diabetes (19 ± 6 years) and celiac disease (11 ± 7.8 years). Half of patients have degenerative complications of diabetes.
Conclusion: In light of these results, a frequent evaluation of nutrition education in these patients and a psychological care seems necessary.

Keywords:

Type 1 diabetes, Celiac disease, Free diet, Tracking

##plugins.themes.academic_pro.article.details##

References

  1. Sjoberg K, Eriksson KF, Bredberg A, Wassmuth R, Erikson S. Sceen on for celiac disease in adult insulin-dependent diabetes mellitus. Journal of Internal Medecine 1998; 243:133-40.
  2. Jaeger C, Hatziagelaki E, Petzoldt R, Bretzel RG. Comparative analysis of organ-specific autoantibodies and celiacdiseaseassociated antibodies in type 1 diabetic patient their first degree relatives and healthy control subjects. Diabetes Care 2001; 24:27- 32.
  3. Book LS. Diagnosing celiac disease in 2002: Who, why and how? Pediatrics 2002; 109:855-8.
  4. Mohn A, Cerruto M, Lafusco D “and al”, celiac disease in children and adolescents with type 1 diabetes. J. Pediatric Gastroenterol Nutr 2001 ; 32 :37-40.
  5. Holmes GK. Screening for celiac disease in type 1 diabetes. Arch Dis Child 2002; 87:495-8.
  6. Favre G, Grunenberger F, Wurtz EVinzio S, Andres E. Adulte celiac disease: importance of delay to diagnosis. Presse Med 2000; 29: 1973-7.
  7. Holmes GK. Celiac disease and type 1 diabetes mellitus. The case for Screening. Diabet Med 2001 ;18 :169-77.
  8. Monnier L, Slama G, Vialettes B, Zeigler O. Nutrition et diabète. Diabète et métabolisme 1995 ;21 :207-16.
  9. Sategna GC, Grosso S, Pulitano R, Benaduce E, Dani E, Carta Q. Celiac disease and insulin-depedent diabetes mellitus, screening in adult population. Digestive diseases and sciences 1994 ; 39 :1633- 37.
  10. Schober E, Granditsch G. IDDM and celiac disease. Diabetes Care 1994 ;17 :1549-50.
  11. Iafusco D, Rea F, Chiarelli F, Mohn A, Prisco F. Effect of glutenfree diet on the metabolic cotrol of type 1 diabetes in patients with diabetes and celiac disease. Diabetes Care 1998;21:1379-80.
  12. Not T, Tommasini A, Tonini G « and al ». Undiagnoded celiac disease and risk of autoimmune disorder in subjects with type 1 diabetes mellitus. Diabetologia 2001;44:151-5.