CELIAC DISEASE IN TYPE 1 DIABETES MELLITUS: A CASE REPORT

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EBRAHIMI DARYANI N.; HASHTROUDI A.

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Journal: GOVARESH Journal Year:2003 | Volume:7 | Issue:41 Page(s): 165-168

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Title

CELIAC DISEASE IN TYPE 1 DIABETES MELLITUS: A CASE REPORT

Author(s)

EBRAHIMI DARYANI N. | HASHTROUDI A. | Issue Writer Certificate

Keywords

CELIAKQ3

TYPE 1 DIABETEQ3

GASTROINTESTINAL PROBLEMSQ4

Abstract

Gastrointestinal problems like bloating, diarrhea and vomiting are not uncommon among diabetic patients. Diabetic neuropathy of GI tracts is considered as the main cause and so the fundamental of the treatment. This reported case is a known type I diabetes mellitus (IDDM) with longtime complaints of iron deficiency anemia and vague abdominal pain, diarrhea and bloating which had not respond to conventional treatment. More accurate investigation revealed Celiac disease and gluten free diet alleviated the symptoms and improved his lab findings.Sometimes some autoimmune diseases occurred simultaneously in one patient so it is not unexpected that Celiac disease is more common in IDDM patients than normal population (2.5 to 6% vs. 0.2 to 0.38%). So it is wise to investigate anti- gliadin and anti endomysial antibodies (AGA & AEA) in any diabetic patient with GI complaints and perform an entroscopy and jejunal biopsy if both are positive. In the other hand almost one third of celiac patients are asymptomatic, so other features like failure to thrive (FTT) in children, iron and folate deficiency anemia, multiple hypoglycemic episodes and osteoporosis should raise the suspicion against Celiac in diabetic patients. The newest recommendations suggest periodical evaluation of Celiac in IDDM patients. Diminished symptoms in symptomatic patients and improvement of lab findings, better control of blood glucose level, less hypoglycemia and lower chance of undesirable outcomes like osteoporosis and lymphoma are results of gluten free diet in such patients.

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APA: Copy

EBRAHIMI DARYANI, N., & HASHTROUDI, A.. (2003). CELIAC DISEASE IN TYPE 1 DIABETES MELLITUS: A CASE REPORT. GOVARESH JOURNAL, 7(41), 165-168. SID. https://sid.ir/paper/86250/en

Vancouver: Copy

EBRAHIMI DARYANI N., HASHTROUDI A.. CELIAC DISEASE IN TYPE 1 DIABETES MELLITUS: A CASE REPORT. GOVARESH JOURNAL[Internet]. 2003;7(41):165-168. Available from: https://sid.ir/paper/86250/en

IEEE: Copy

N. EBRAHIMI DARYANI, and A. HASHTROUDI, “CELIAC DISEASE IN TYPE 1 DIABETES MELLITUS: A CASE REPORT,” GOVARESH JOURNAL, vol. 7, no. 41, pp. 165–168, 2003, [Online]. Available: https://sid.ir/paper/86250/en

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