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Diabeties And Celiac Disease


delawaregirl

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delawaregirl Apprentice

My Mom has had adult onset diabeties for years and was diagnosed with Celiac about 2 yrs ago. She is 85 and lives in a continuous care facility (indepentent living now) and fixes some of her meals but eats out or in the dining hall for a large portion of her meals. She is having a horrible time controlling her blood sugar levels. The are steadily going higher but she will also have periodic lows. She is seeing a dietician and an endrocronolgist who have been working on her diabetic diet but are not very helpful or knowledgeable about Celiac. We live in a smaller town with not a lot of choices for Doctors. She never had problems with her blood sugar prior to being diagnosed with Celiac. I can not help but feel that there is a connection but can not get any answers. She is getting very frustrated as I am. My questions are: Does anyone understand what the connection is between the two diseases? How do we balance the two diets? She has a lot of trouble getting in all of the carbs and sometimes does not get in all of the protein. Where do we go to get help? How do we find a Doctor that understands both diseases?


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trents Grand Master

One thing you did not address is the question of her consistency in avoiding gluten intake in the context of the living situaion she is in. Does the staff there understand what gluten is and how it is hidden in food ingredients they may be using every day as they prepare meals? If she is not yet really gluten-free, it might be difficult to ascertain the impact of the gluten on her blood sugar control as you are dealing with two variables.

Steve

delawaregirl Apprentice
One thing you did not address is the question of her consistency in avoiding gluten intake in the context of the living situaion she is in. Does the staff there understand what gluten is and how it is hidden in food ingredients they may be using every day as they prepare meals? If she is not yet really gluten-free, it might be difficult to ascertain the impact of the gluten on her blood sugar control as you are dealing with two variables.

Steve

It is up to her to choose her food from a menu and I am sure that at times she may get some gluten that is hidden. She is 85 and none of this is easy for her. She does cook for herself but enjoys going to the dining hall so that she does not always have to eat alone and so she does not always have to cook. What I am really trying to understand is that if she manages to be 100% gluten free will the flucuations in the blood sugar resolve itself.

trents Grand Master

When she gets glutened does it seem to really upset her system or is she one of those celiacs (like me) who doesn't experience much upset when glutened, symptomatically that is? The reason I'm asking is that certain medical conditions, like infections, can cause blood sugars to be elevated, even in nondiabetics when they are older. If gluten really throws here body for a loop, then it might be having some effect on her blood sugars.

Steve

elye Community Regular

I am a type one diabetic, and I know that like some of the other type ones on this forum, getting glutened results in skyrocketing blood-sugars for me. I don't exactly know why this happens, but sometimes I'll know I've accidentally ingested gluten because I have a sudden high bs reading, as I normally have very tight control. So from my experience, eating gluten has a definite negative impact on my diabetes control, and I think that this is not uncommon in the world of diabetic celiacs...and there are MANY of us out there! :)

  • 2 weeks later...
celiac sucks Newbie
My Mom has had adult onset diabeties for years and was diagnosed with Celiac about 2 yrs ago. She is 85 and lives in a continuous care facility (indepentent living now) and fixes some of her meals but eats out or in the dining hall for a large portion of her meals. She is having a horrible time controlling her blood sugar levels. The are steadily going higher but she will also have periodic lows. She is seeing a dietician and an endrocronolgist who have been working on her diabetic diet but are not very helpful or knowledgeable about Celiac. We live in a smaller town with not a lot of choices for Doctors. She never had problems with her blood sugar prior to being diagnosed with Celiac. I can not help but feel that there is a connection but can not get any answers. She is getting very frustrated as I am. My questions are: Does anyone understand what the connection is between the two diseases? How do we balance the two diets? She has a lot of trouble getting in all of the carbs and sometimes does not get in all of the protein. Where do we go to get help? How do we find a Doctor that understands both diseases?

I have type 1 diabetes and I noticed low blood sugars before being diagnosed with celiac and that was because the food I was eating was not being absorbed so I had low blood sugars. Because I was experiencing low blood sugars I went back to doctor and the doctor changed the amount of insluin I was getting, assuming that I was getting too much. So when I was diagnosed with celiac and I went on a gluten free diet, more food was absorbed and my glucose leverls starting running high. I hope this helps!

-Maggie-

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      Hi, thank you for the reply. Unfortunately, no other antibody tests were ordered. I am a 32-year-old male. About two months ago, I ate pancakes and then developed severe diarrhea that lasted the entire day. At night, I became unconscious due to fluid loss and was admitted to the ER, where I received IV fluids. Two days later, I ate bread again and once more developed severe diarrhea. I ended up in the ER again and received IV fluids. In my country, Pakistan, doctors are unfortunately not very thorough, so they treated me for a stomach infection. I visited three or four doctors, including a gastroenterologist, but it seemed like they just wanted to keep me on medications and IV fluids. Eventually, I did some digging myself and started connecting the dots. For years, I’ve had excessive gas buildup and frequent loose stools, but I never paid much attention to it. I also cannot easily digest dairy products. Two years ago, I had a CBC test that showed iron deficiency. My doctor told me to eat more meat and said it was nothing serious. However, for the past five years, I’ve also had severe motion sickness, which I never experienced before. Whenever I get on a bus or in a car, I sometimes lose consciousness for 10–20 seconds and wake up sweaty, and occasionally I feel the need to vomit. After more research on the internet, I came across gluten and celiac disease, so I got two related tests (TTG-IgA & TTG IgG) done along with a stool test and another CBC. The stool test showed weakly positive blood. Ever since eating those pancakes and bread, I’ve had a burning sensation in my gut. My doctor reviewed my tests, he told me to completely stop eating gluten and started me on IV fluids for 20 days, saying that I had severe inflammation in my gut. It has now been two months since I quit gluten, and I’m still not sure whether this is celiac disease or gluten intolerance. I don’t really trust doctors in Pakistan, so I thought I might get some help here.
    • trents
      Welcome to the celiac.com community, @SamAlvi! Were there any other antibody tests ordered? Particularly, was there a "total IGA" test ordered to check for IGA deficiency. When people are IGA deficient, celiac panel IGA test scores, such as the TTG-IGA, are likely not valid. If a total IGA test was not ordered, I would request such to be done. Note: "Total IGA" goes by other names as well. I will include a primer on celiac disease antibody testing which does a good job in covering the nomenclature variations connected with the various tests. Elevated IGG scores can certainly indicate celiac disease but they are more likely than elevated IGA tests to be caused by something else.  
    • GlorietaKaro
      Thank you— yes, valid and essential— The issue either doctors is that every one I have tried to talk to about this has essentially rolled their eyes and dismissed me as a hypochondriac, which gets discouraging. I believe a diagnosis would help me to be taken seriously by doctors as well as being validating, but can carry on without it.    There are many, probably most people in my area of my age and gender, who avoid gluten, but many just avoid it casually— eating the occasional plate of wheat pasta or a delicious-looking dessert, or baking cookies with wheat flour for gatherings.  That is not an option for me. I don’t eat other people’s cooking or go to restaurants that do not have strict cross- contamination procedures. It can be boring and lonely, and people do look at me as if I am being a bit dramatic but weeks of symptoms after a single small exposure has taught me to respect my experience.    Thank you very much for your response— sometimes I just need to hear that I am not crazy—
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