<<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