The Continuum Concept in Coping with Celiac Disease Posted December 20, 2009 · Report to Admin I found what you wrote to be very interesting as I had not thought about the continuum concept in those terms. But, the article seemed to be more about the diagnostic decisions made about what is wrong with a patient. Doctors do seem to see things in black and white when it comes to diagnosis. When in fact, there are degrees of illness which doctors do not always acknowledge. Also, labs like to draw lines in the sand, saying that the patient has a certain disease if numbers go over the line, but don't if numbers fall below it. I think celiac disease is like this. It presents as more of a continuum of signs, symptoms and degrees of illness. We aren't all totally similar in our reaction to gluten, yet we all have a disease state where the consumption of gluten causes illness. Anyway, it's just another perspective from which to try and understand the differences that we see where gluten intolerance is concerned. I hadn't thought about it all in these terms before and found this article enlightening, so thought I'd share.