Coeliac disease in children with type 1 diabetes: are current guidelines proving difficult to implement in practice?

J Pediatr Gastroenterol Nutr

*Department of Paediatric Gastroenterology, Hepatology and Nutrition, Addenbrooke's Hospital †Department of Histopathology ‡Department of Paediatric Endocrinology, Addenbrooke's Hospital, Cambridge, UK.

Published: November 2014

AI Article Synopsis

  • The updated European guidelines for diagnosing coeliac disease (CD) in kids, especially those with type 1 diabetes (T1DM), were released in January 2012 by the European Society for Gastroenterology, Hepatology, and Nutrition.
  • A study found a CD prevalence of 5.8% among T1DM patients at a major healthcare center and assessed how pediatricians are applying the new guidelines 16 months after their release.
  • Results showed significant variability in adherence to these guidelines, suggesting a need for better dissemination and possible simplification to improve practice.

Article Abstract

Updated European guidelines for the diagnosis of coeliac disease (CD) in the paediatric population (the European Society for Gastroenterology, Hepatology, and Nutrition, January 2012) outlined distinct diagnostic algorithms for patients with type 1 diabetes mellitus (T1DM). In this short report we demonstrate a period prevalence of CD in the T1DM population of 5.8% at a large tertiary centre. In addition to this, using a questionnaire circulated to paediatricians, we assessed present practice in the diagnosis of CD in T1DM 16 months following the European Society for Gastroenterology, Hepatology, and Nutrition guideline publication. Our results indicate that present practice and adherence to guidelines varies substantially. Further dissemination and perhaps simplification of guidelines may be required.

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http://dx.doi.org/10.1097/MPG.0000000000000490DOI Listing

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