Topic: diabetes (dm)
Title: Case Study: Celiac Disease: An Important Comorbidity Associated With Type 1 Diabetes.
Author: Fasy, E.A.; Umpierrez, G.
Source: Clinical Diabetes. 26(2): 85-87. Spring 2008.
Abstract: This article presents the case of a 33-year-old caucasian woman with a history of type 1 diabetes, diagnosed when she was 19 years old and complicated by microalbuminuria. Since 2003, she has been treated with insulin pump therapy. She presented with a slow, steady weight loss of 20 pounds during the previous year, with no apparent cause. The authors review the diagnostic tests conducted, the patient’s laboratory results, and the eventual determination that she should undergo a small bowel biopsy, which resulted in a diagnosis of celiac disease. After undertaking a gluten-free diet, the patient experienced less abdominal bloating and a 3-pound weight gain over the next 3 months. Her glycosylated hemoglobin (A1C) decreased from 7.2 to 6.3 percent with the dietary modifications. The authors discuss the common clinical features of celiac disease; the relationships among celiac disease, type 1 diabetes, and Graves’ disease; and the screening recommendations for celiac disease and thyroid autoimmunity in patients with type 1 diabetes. 9 references.

Format: Journal Article
Language: English.
Major Keywords: Diabetes Mellitus. Celiac Disease. Type 1 Diabetes. Complications. Female. Case Reports. Diagnosis. Patient Care Management.
Minor Keywords: Symptoms. Risk Factors. Immune System. Diagnostic Tests. Gluten Free Food. Diet Therapy. Gluten Intolerance. Thyroid Diseases. Graves’ Disease.
Publication Number: DMJA13408
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