Screening and Treatment Outcomes in Adults and Children With Type 1 Diabetes and Asymptomatic Celiac Disease: The CD-DIET Study

To describe celiac disease (CD) screening rates and glycemic outcomes of a gluten-free diet (GFD) in patients with type 1 diabetes who are asymptomatic for CD. Asymptomatic patients (8-45 years) were screened for CD. Biopsy-confirmed CD participants were randomized to GFD or gluten-containing diet (...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Diabetes care 2020-07, Vol.43 (7), p.1553-1556
Hauptverfasser: Mahmud, Farid H, Clarke, Antoine B M, Joachim, Kariym C, Assor, Esther, McDonald, Charlotte, Saibil, Fred, Lochnan, Heather A, Punthakee, Zubin, Parikh, Amish, Advani, Andrew, Shah, Baiju R, Perkins, Bruce A, Zuijdwijk, Caroline S, Mack, David R, Koltin, Dror, De Melo, Emilia N, Hsieh, Eugene, Mukerji, Geetha, Gilbert, Jeremy, Bax, Kevin, Lawson, Margaret L, Cino, Maria, Beaton, Melanie D, Saloojee, Navaaz A, Lou, Olivia, Gallego, Patricia H, Bercik, Premysl, Houlden, Robyn L, Aronson, Ronnie, Kirsch, Susan E, Paterson, William G, Marcon, Margaret A
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
Beschreibung
Zusammenfassung:To describe celiac disease (CD) screening rates and glycemic outcomes of a gluten-free diet (GFD) in patients with type 1 diabetes who are asymptomatic for CD. Asymptomatic patients (8-45 years) were screened for CD. Biopsy-confirmed CD participants were randomized to GFD or gluten-containing diet (GCD) to assess changes in HbA and continuous glucose monitoring over 12 months. Adults had higher CD-seropositivity rates than children (6.8% [95% CI 4.9-8.2%, = 1,298] vs. 4.7% [95% CI 3.4-5.9%, = 1,089], = 0.035) with lower rates of prior CD screening (6.9% vs. 44.2%, < 0.0001). Fifty-one participants were randomized to a GFD ( = 27) or GCD ( = 24). No HbA differences were seen between the groups (+0.14%, 1.5 mmol/mol; 95% CI -0.79 to 1.08; = 0.76), although greater postprandial glucose increases (4-h +1.5 mmol/L; 95% CI 0.4-2.7; = 0.014) emerged with a GFD. CD is frequently observed in asymptomatic patients with type 1 diabetes, and clinical vigilance is warranted with initiation of a GFD.
ISSN:0149-5992
1935-5548
DOI:10.2337/dc19-1944