[Association of type 1 diabetes and celiac disease: features of this double pathology].
BACKGROUND
the association of diabetes type 1 and celiac disease seems to pose many problems diagnostic, therapeutic and psychological. Aim of our work is to study in eight patients with type 1 diabetes associated with celiac disease their daily experience and the constraints that this pathological association imposes.


METHODS
This cross-sectional study involved eight patients with type 1 diabetes and celiac disease known for at least 1 year. All patients were given a thorough interrogation specifying the regular monitoring of the two diseases and the quality of the observance of the diabetic dietary and gluten-free diet, as well as an assessment of impact of diabetes.


RESULTS
the caloric intake in relation to the recommendations is very insufficient. Taking snack is not respected. There is also the consumption of certain foods containing gluten masked and regular consumption of sucrose by our patients despite a long-term evolution of diabetes (19 +/- 6 years) and celiac disease (11 +/- 7.8 years). Half of patients have degenerative complications of diabetes.


CONCLUSIONS
In light of these results, a frequent evaluation of nutrition education in these patients and a psychological care seems necessary.
Ben Mami
Faika
F
Service C de Diabétologie et des Maladies de la Nutrition, Institut National de Nutrition de Tunis, Tunisie.
Ben Ammar
Ines
I
El Felah
Basma
B
Achour
Ahmed
A
D000328:Adult; D001323:Autoantibodies / Q000097:blood; D015415:Biomarkers / Q000097:blood; D002446:Celiac Disease / Q000150:complications* / Q000175:diagnosis / Q000178:diet therapy* / Q000276:immunology; D003430:Cross-Sectional Studies; D003922:Diabetes Mellitus, Type 1 / Q000150:complications* / Q000175:diagnosis / Q000178:diet therapy* / Q000276:immunology; D055050:Diet, Gluten-Free / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic; D009749:Nutrition Surveys; D010349:Patient Compliance; D017410:Practice Guidelines as Topic; D011788:Quality of Life; D011795:Surveys and Questionnaires
D001323:Autoantibodies; D015415:Biomarkers