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Diabetes: Five Percent Of Children With Diabetes Also Have Celiac Disease

J Pediatr Gastroenterol Nutr 2001;33:462-465.

Celiac.com 11/12/2001 - According to a recent report published in the October issue of the Journal of Pediatric Gastroenterology and Nutrition nearly 5% of US children with juvenile diabetes also have celiac disease. Dr. Steven L. Werlin of the Medical College of Wisconsin in Milwaukee and colleagues tested 218 patients with juvenile diabetes and 117 matched control subjects for the IgA endomysial antibody. Patients with positive results were offered a small bowel biopsy. The patients symptoms were assessed via a parent questionnaire.

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Results: Seventeen diabetic patients tested positive for the IgA endomysial antibody, while no positive results were found among control subjects. Fourteen of the 17 patients who tested positive underwent a follow-up small bowel biopsy. Villous atrophy was found in 11 of the patients. Two patients had increased intraepithelial lymphocytes without villous atrophy. Interestingly, more than half of the patients with biopsy-proven celiac disease were asymptomatic.

According to Dr. Werlin, the results indicate that there is an association between asymptomatic celiac disease and juvenile diabetes. According to other research the treatment of the celiac disease in these patients will make the management of their diabetes easier. He further states that treating asymptomatic celiac disease will prevent many of its complications, and recommends that children with diabetes mellitus be screened for possible celiac disease with an antibody test and possible follow-up small bowel biopsy.

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Yes, I would ask for the rest of the celiac panel (including the IgA deficiency test). Discuss this with your child's GI. He/She may be able to order for you. Share the CBC results too with him/her. I would want to know for sure before giving up gluten to support my child, but you need to det...

I am sorry too. I did not mean to imply that you have a sugar issue (though it may contribute to our obesity problem, but that is another debate). I do not think that is the cause of your symptoms. I brought it up because the American Academy of Pediatrics just issued this on juice for infants...

Hi and welcome You've found a great community full of wise people who have experience successfully negotiating just the things you're going through. So that's some good news to start. Course there's people like me here too... Take heart from the fact its very early days and you will hav...

Sorry it probably did read like that but I was just rambling! Ignore me