Author(s): 
KA Adamson, AE White, J Geddes, BM Frier, HR Gillett, MWJ Strachan

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Abstract

This study aimed to assess the impact of screening positive for coeliac disease on a population of adults with type 1 diabetes. Fifty-three patients were identified with a positive screen for coeliac disease, out of a population of 2,752 individuals with type 1 diabetes (minimum prevalence 1.9%). Prior to screening, 32% of patients were asymptomatic. Only a fifth of patients found no improvement in well-being with a gluten-free diet and in those who followed a strict gluten-free diet the improvement in well-being was greater (p=0.034). Screening was felt to be beneficial by 73%. The response did not relate to gluten-free diet adherence but did relate to symptom improvement (p=0.037). These data show that patients report an improvement in well-being with treatment and feel that screening for coeliac disease is beneficial.

Keywords Coeliac disease, type 1 diabetes

Declaration of Interests No conflict of interests declared.

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