<<Disclaimer: Verify this information before applying it to your situation.>>


	The 2007 revision of Standards for Medical Care in Diabetes 2007
has been published by the American Diabetes Association.
	Included is mention of Celiac Disease as follows: 

Recommendations
*	Children with positive antibodies should be referred to a
gastroenterologist for evaluation. (E) 
*	Children with confirmed celiac disease should have consultation
with a dietitian and placed on a gluten-free diet. (E) 
*	Patients with type 1 diabetes who are or who become symptomatic
for celiac disease should be screened, using tTG antibodies, or
anti-EMA, with documentation of normal serum IgA levels. (E) 
Celiac disease is an immune-mediated disorder that occurs with increased
frequency in patients with type 1 diabetes (1-16% of individuals
compared with 0.3-1% in the general population) Symptoms of celiac
disease include diarrhea, weight loss or poor weight gain, growth
failure, abdominal pain, chronic fatigue, malnutrition due to
malabsorption, and other gastrointestinal problems. 

While it does not recognize that an atypical presentation is more common
in the U.S. and it does not recommend testing for all persons with Type
1 it is a good step forward to be mentioned so prominently.

The Standards are located at
http://care.diabetesjournals.org/cgi/content/full/30/suppl_1/S4

Or http://snipurl.com/16ogr
You may not be able to access the full text. 

Michael Thorn, RN


* Please remember some posters may be WHEAT-FREE, but not GLUTEN-FREE *
Archives are at: Http://Listserv.icors.org/SCRIPTS/WA-ICORS.EXE?LIST=CELIAC