This article provides a comprehensive narrative review of the link between type 1 diabetes mellitus and celiac disease, concluding with "When T1DM and CD coexist, glucose metabolism is compromised, effective insulin therapy is hampered, and diabetes management is worsened... Individuals with autoimmune illnesses must closely monitor their immune system reactions since they may impact other organs."
This abstract of the clinician's guide to gluten challenge from the Journal of Pediatric Gastroenterology and Nutrition states "...baseline serology followed by a minimum of 3-6 grams of gluten per day for over 12 weeks to optimize diagnostic accuracy for evaluation of CD." Click here to read more.
The Environmental Determinants of Diabetes in the Young (TEDDY) study explored associations of dietary patterns by age 2 years with risk of celiac disease autoimmunity (CDA) and celiac disease in genetically susceptible children and concluded, "Dietary patterns in early childhood are associated with risk of CDA and celiac disease in genetically predisposed children, independent of gluten intake." Click here to read more.