Celiac disease, also called celiac sprue, is an autoimmune disorder that occurs when the body reacts to foods containing grains such as wheat, barley, and rye. The body is reacting to a protein called gluten, which is present in grains. Celiac is relatively common in people who have type 1 diabetes or a relative with type 1 or another autoimmune disorder. If you have type 1 diabetes, a relative with type 1 diabetes, or you have other autoimmune disorders in your family, you should ask your doctor about being tested for celiac.

There are many other tests that should be part of your diabetes care regimen, including microalbuminuria, thyroid, lipids, and an annual eye exam including a retinal photograph. Discuss these with your diabetes team.


References:

  1. Update on coeliac disease and type 1 diabetes mellitus in childhood.
  2. Increasing prevalence of coeliac disease over time.
  3. Newly identified genetic risk variants for celiac disease related to the immune response. See also Major Breakthrough in the Treatment of Coeliac Disease by TCD Researchers; Coeliac Disease linked to Diabetes in new TCD Research, Coeliac link to diabetes and TCD scientists in coeliac breakthrough.
  4. Incidence of Autoimmune Diseases in Celiac Disease: Protective Effect of the Gluten-Free Diet.
  5. Screening for coeliac disease in type 1 diabetes [Arch Dis Child. 2002 Dec;87(6):495-8]. Full text available as HTML or PDF.