Tip 1 Diyabet ve Çölyak Hastalığı Birlikteliği: Olgu Sunumu

Tip 1 diyabet ve çölyak hastalığı en yaygın pediatrik otoimmün hastalıklardır. Tip 1 diyabetli çocuk ve ergenlerde çölyak hastalığı sıklığı genel popülasyondan daha yüksektir. Tip 1 diyabetli çocuklarda çölyak hastalığının genellikle asemptomatik olması nedeniyle, çoğu olgu yalnızca çölyak hastalığı taraması ile tanı alır. Glutensiz diyet tek tedavi yöntemidir. İyi metabolik kontrol ve büyümenin devamını sağlamak için aileye/bakımdan sorumlu bireylere yeterli-dengeli glutensiz diyet uygulamaları ve karbonhidrat sayımı konularında danışmanlık bu konuda deneyimli diyetisyen tarafından verilmelidir. Bu makalede, tip 1 diyabet ve çölyak hastalığı olan olgu sunulmuştur.

Type 1 Diabetes and Celiac Disease Coexist: Case Report

Type 1 diabetes and celiac disease are the most common pediatric autoimmune diseases. The prevalence of celiac disease in children and adolescents with type 1 diabetes is higher than in the general population. Since celiac disease is usually asymptomatic in children with type 1 diabetes, most cases are only diagnosed by celiac disease screening. A gluten-free diet is the only treatment method. Family/caregivers should receive dietary counselling on gluten-free dietary practices and carbohydrate counting to ensure good metabolic control and maintenance of growth, by an experienced dietitian. In this article, a case with Type 1 diabetes and celiac disease is presented.

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1. Kurppa K, Laitinen A, Agardh D. Coeliac disease in children with type 1 diabetes. Lancet Child Adolesc Heal. 2018;2(2):133-43.
2. Craig ME, Prinz N, Boyle CT, Campbell FM, Jones TW, Hofer SE, et al. Prevalence of celiac disease in 52,721 youth with type 1diabetes: International comparison across three continents. Diabetes Care. 2017;40(8):1034- 40.
3. Şimsek DG, Aycan Z, Özen S, Çetinkaya S, Kara C, Abali S, et al. Diabetes care, glycemic control, complications, and concomitant autoimmune diseases in children with type 1 diabetes in Turkey: A multicenter study. J Clin Res Pediatr Endocrinol. 2013;5(1):20-6.
4. Mahmud FH, Elbarbary NS, Fröhlich-Reiterer E, Holl RW, Kordonouri O, Knip M, et al. ISPAD Clinical Practice Consensus Guidelines 2018: Other complications and associated conditions in children and adolescents with type 1 diabetes. Pediatr Diabetes. 2018;19(Suppl 27):275- 86.
5. Fröhlich-Reiterer EE, Kaspers S, Hofer S, Schober E, Kordonouri O, Pozza SBD, et al. Anthropometry, metabolic control, and follow-up in children and adolescents with type 1 diabetes mellitus and biopsy proven celiac disease. J Pediatr. 2011;158(4):589-93.
6. Rubio-Tapia A, Hill ID, Kelly CP, Calderwood AH, Murray JA. ACG Clinical Guidelines: Diagnosis and management of celiac disease. Am J Gastroenterol. 2013;108(5):656- 76.
7. Smart CE, Annan F, Higgins LA, Jelleryd E, Lopez M, Acerini CL. ISPAD Clinical Practice Consensus Guidelines 2018: Nutritional management in children and adolescents with diabetes. Pediatr Diabetes. 2018;19(Suppl 27):136-54.
8. Krupa-Kozak U, Lange E. The gluten-free diet and glycaemic index in the management of coeliac disease associated with type 1 diabetes. Food Rev Int. 2019;35(6):587-608.
9. Camarca M, Mozzillo E, Nugnes R, Zito E, Falco M, Fattorusso V, et al. Celiac disease in type 1 diabetes mellitus. Ital J Pediatr. 2012;38(1):10.
10. Capriles VD, Arêas JAG. Approaches to reduce the glycemic response of gluten-free products: In vivo and in vitro studies. Food Funct. 2016;7(3):1266-72.
11. Pham-Short A, Donaghue KC, Ambler G, Garnett S, Craig ME. Quality of life in type 1 diabetes and celiac disease: Role of the gluten-free diet. J Pediatr. 2016;179:131-8.
12. Sanchez-Albisua I, Wolf J, Neu A, Geiger H, Wäscher I, Stern M. Coeliac disease in children with type 1 diabetes mellitus: the effect of the gluten-free diet. Diabet Med. 2005;22:1079-82.
13. Neyzi O, Günöz H, Furman A, Bundak R, Gökçay G, Darendeliler F, et al. Türk çocuklarında vücut ağırlığı, boy uzunluğu, baş çevresi ve vücut kitle indeksi referans değerleri. Çocuk Sağlığı ve Hastalıkları Dergisi. 2008;51:1-14.