<<Disclaimer: Verify this information before applying it to your situation.>> This is from Pediatrics, Vol. 109, No. 5, 5/02, "Diabetes and CD are both autoimmune disorders, sharing the same high-risk HLA DQ2 genotype. One third of type 1 diabetes patients with the CD-associated HLA DQ2 genotype tested serologically positive for CD compared with <2% of patients lacking DQ2. Other autoimmune diseases associated with CD and type 1 diabetes include autoimmune thyroiditis, pernicious anemia, Sjogren syndrome, Addison's disease, alopecia areata, and rheumatoid arthritis. The reasons for these associations may be that CD and these other disorders share a similar autoimmune pathogenic mechanism, or that the same gene is responsible for a proportion of these disorders. It is possible that chronic lymphocyte stimulation in the intestine in CD could result in an increase in autoantibody production and therefore stimulate the development of other autoimmune disorders. Older, untreated CD patients have a higher prevalence of autoantibodies that younger patients, suggesting that duration of gluten exposure increases the risk of developing autoantibodies. In some individuals with rehematoid arthritis and pericarditis, the conditions disappeared when the patients followed gluten-free diets. Although type 1 diabetes is occasionally identified in previously diagnosed individuals with CD, in most cases CD antibodies are present at the time of or after diagnosis of type 1 diabetes. Diabetic autoantibodies generally precede the onset of clinical diabetes by an average of 3 years. .... There is , however, no evidence that treating CD with a gluten-free diet prevents type 1 diabetes." The following quote is from the Journal of Pediatrics and Child Health, Vol. 37, Issue 3, Page 218, 6/01: "Approximately 40% of the genetic susceptibility in Caucasians is explained by the high risk alleles HLA DR3-DQ2 and HLA DR4-DQ8. The HLA DR2 locus confers dominant protection. One of these susceptibility alleles HLA DR3-DQ2 (A1*501, B1*0201) has interesting associations. It is associated with type 1 diabetes in congenital rubella, coeliac disease and selective IgA deficiency; the latter two conditions show high antibodies to cows milk protein. It has also been associated with higher levels of antibodies to GAD in at-risk subjects for type 1 diabetes and with increased immunity to cows milk protein in diabetic patients and controls. It seems possible that this haplotype and/or other haplotypes predispose an individual to sensitization to dietary and viral antigens and thereby increase the risk of autoimmune disease. It is also possible that an alteration in gut mucosal immune function in genetically susceptible individuals, the gut mucosa being the major immunoregulatory barrier in the infant, underlies an effect of dietary or viral proteins on islet autoimmunity in early life." Laura