August 14, 2013

Celiac Disease in T1D Diagnosis

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celiacNowadays, the prevalence of Celiac Disease and T1D is increasing. The Arab world has little supporting evidence of this trend and took action to begin building documented evidence. The results of this study were published in the Oman Medical Journal.

This study was designed to document the prevalence of celiac disease in Omani children with T1D. Between June 2011 and May 2012, newly T1D diagnosed children were screened for blood and tissue markers indicating celiac disease.

Damage to the lining of the small intestine need to be studied to ensure that this damage is due to celiac disease.  The tissue is taken from the small intestine during a procedure called an  endoscopy. Children that were identified as being positive for celiac disease markers underwent this procedure.

A total of 93 children with T1D who tested positive for celiac disease markers had an endoscopy to confirm celiac disease. Of the children who underwent the procedure, the prevalence of celiac disease is 5.5% in Omani children with T1D.

The prevalence of celiac disease in the world population is about 1 in 20 children with T1D. The prevalence of celiac disease in Omani children with T1D is about the same, not surprising. In general, a person with T1D is nearly 7x more likely to have celiac disease than the general population.

Omani cuisine is comprised of a staple of curry, cooked meat, rice, and vegetables. Assuming the rice is a gluten-free variety, the gluten-free lifestyle shouldn’t be too life-altering. Millions of people, worldwide, have found a way to do it. Millions more will find their way, eventually.

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