Prevalence of Celiac Disease in 52,721 Youth With Type 1 Diabetes: International Comparison Across Three Continents
Open accessAbstract
Objective Celiac disease (CD) has a recognized association with type 1 diabetes. We examined international differences in CD prevalence and clinical characteristics of youth with coexisting type 1 diabetes and CD versus type 1 diabetes only. Research design and methods Data sources were as follows: the Prospective Diabetes Follow-up Registry (DPV) (Germany/Austria); the T1D Exchange Clinic Network (T1DX) (U.S.); the National Paediatric Diabetes Audit (NPDA) (U.K. [England/Wales]); and the Australasian Diabetes Data Network (ADDN) (Australia). The analysis included 52,721 youths 1c , height SD score [SDS], overweight/obesity) and type 1 diabetes/CD versus type 1 diabetes, adjusting for sex, age, and diabetes duration. Results Biopsy-confirmed CD was present in 1,835 youths (3.5%) and was diagnosed at a median age of 8.1 years (interquartile range 5.3-11.2 years). Diabetes duration at CD diagnosis was 1-2 years in 18% of youths, >3-5 years in 23% of youths, and >5 years in 17% of youths. CD prevalence ranged from 1.9% in the T1DX to 7.7% in the ADDN and was higher in girls than boys (4.3% vs. 2.7%, P P P P P 1c values were comparable: 8.3 ± 1.5% (67 ± 17 mmol/mol) versus 8.4 ± 1.6% (68 ± 17 mmol/mol). Conclusions CD is a common comorbidity in youth with type 1 diabetes. Differences in CD prevalence may reflect international variation in screening and diagnostic practices, and/or CD risk. Although glycemic control was not different, the lower height SDS supports close monitoring…
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Growth can be affected for a prolonged time despite strict gluten-free diet in patients with both celiac disease and type 1 diabetes.
“It has also been shown that growth can be affected for a prolonged time despite strict GFD (126).”
From ESPGHAN Position Paper on Management and Follow-up of Children and Adolescents With Celiac Disease. (2022) · cites this paper as [126]
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Microbiota-dependent proteolysis of gluten subverts diet-mediated protection against type 1 diabetes
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Prevalence of celiac disease in patients with type 1 diabetes: a systematic review and meta-analysis
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Self-citationReview on pediatric coeliac disease from a clinical perspective
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Association of Celiac Serology Normalization With the Risk of Hypothyroidism: A Cohort Study
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The role of vitamin D in the aetiology of type 1 diabetes
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Self-citationCeliac Autoimmunity Is Associated With Lower Blood Pressure and Renal Risk in Type 1 Diabetes
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Celiac disease & type 1 diabetes
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Nutritional Status in Children with Celiac Disease and Type 1 Diabetes Mellitus—A Narrative Review
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Sight‐threatening retinopathy in nine adolescents with early onset type 1 diabetes
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Self-citationCeliac disease in a patient with type 1 diabetes
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Risk of Islet and Celiac Autoimmunity in Cotwins of Probands With Type 1 Diabetes
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Weissbuch Gastroenterologie 2023/24
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- Authors
- Craig, M. E., Prinz, N., Boyle, C. T., Campbell, F. M., Jones, T. W., Hofer, S. E., Simmons, J. H., Holman, N., Tham, E., Fröhlich-Reiterer, E., DuBose, S., Thornton, H., King, B., Maahs, D. M., Holl, R. W., Warner, J. T., on behalf of the Australasian Diabetes Data Network (ADDN), the T1D Exchange Clinic Network (T1DX), the National Paediatric Diabetes Audit (NPDA) and the Royal College of Paediatrics and Child Health, & the Prospective Diabetes Follow-up Registry (DPV) initiative
- Affiliations
- The University of Sydney (AU)
- Universität Ulm (DE)
- Jaeb Center for Health Research (US)
- Leeds Teaching Hospitals NHS Trust (GB)
- The Kids Research Institute Australia (AU)
- Innsbruck Medical University (AT)
- Vanderbilt University Medical Center (US)
- University of Glasgow (GB)
- Women's and Children's Hospital (AU)
- Medical University of Graz (AT)
- Mersey and West Lancashire Teaching Hospitals NHS Trust (GB)
- Hunter Medical Research Institute (AU)
- Lucile Packard Children's Hospital (US)
- Noah's Ark Children's Hospital for Wales (GB)
- Corresponding author
- Craig, Maria E.
- ORCID
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 2017-05-25
- Volume
- 40
- Issue
- 8
- Pages
- 1034-1040
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- PMC
- PMC6463736
- OpenAlex
- W2617859352
- Cited by
- 146
- References
- 38
- Citations by year
- 2026: 9 · 2025: 14 · 2024: 11 · 2023: 14 · 2022: 20 · 2021: 23 · 2020: 17 · 2019: 14 · 2018: 17 · 2017: 6 · 2016: 1
- FWCI
- 15.51
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Diabetes Care (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- UWA Profiles and Research Repository (UWA) (submittedVersion)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
- ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (submittedVersion)
- NOVA (University of Newcastle Australia) (submittedVersion)
- Funders
- German Federal Ministry for Education and Research
- Leona M. and Harry B. Helmsley Charitable Trust
- Royal College of Paediatrics and Child Health
- JDRF Australia (17-2011-665)
- National Health and Medical Research Council (APP1045777)
- Topics
- Health Sciences › Medicine › Gastroenterology › Celiac Disease Research and Management
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Diabetes and associated disorders
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- celiac disease, type 1 diabetes, youth, prevalence, comorbidities, HbA1c, glycemic control, height, obesity, sex differences, cross-national comparison, pediatric diabetes, non-white patients
- MeSH terms
- Adolescent, Australia, Blood Glucose, Celiac Disease, Child, Child, Preschool, Diabetes Mellitus, Type 1, England, Female, Follow-Up Studies, Germany, Glycated Hemoglobin, Humans, Male, Prospective Studies, Registries, Wales, Comorbidity, Prevalence
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