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[IPp] RE: [IPp CELIAC TESTING



This is what I found recently in a lecture review by pediatric group for
American association of Diabetes Educators - (only highlights of the
lecture)
1. Celiac is extremely underdiagnosed
2. 1.5 million have it with only 15,000 officially diagnosed
3.Most accurate blood testing is the anti-endomysial antibody (EMA) and the
tissue transglutaminase (TtG) with an 85-95 % accuracy.  When going for the
blood work tey should not go on a gluten free diet.  The confirmation with a
intestinal biopsy is still considered standard with 3-4 specimens and be
evaluated by an experienced pathologist with looking at celiac biopsies.
4. Top 3 symptoms: chronic diarrhea, abdominal pain and/or distention, and
constipation
5.  New recommendations to treat if a positive EMA or TtG and a negative
biopsy.

The lecturer was Dee Sandquist, MS, RD, CDE   www.swmedicalcenter.com

My own research has found that girls are dx more often than boys.  Also,
females diagnosed with T1 before the age of 4 are at a much higher risk.
Blood testing should occur at a minimum yearly (typically every 6 mo.) until
the age of 10.    My daughter's endo uses 4 blood test comparisons
(IgA, IgG, EMA and TtG) -  Hope this helps...

Recommended websites:    www.celiac.com and  www.celiac.org

Thank You,

Keirsten Welch RD, LD, CPT
Insulin Pump Specialist
Certified Pump Trainer
-----Original Message-----
From: Miriam Connor [mailto:email @ redacted]

I'd be really interested in any info on testing etc. 
Grace has had gluten occasionally since. 
For the biopsy, I understand she needs to be taking gluten. 
I am wondering if it was true celiac or if there was just a gluten
intolerance that may be manageable in another way. Whenever Grace complains
after gluten she gets relief from probiotics.
It's in the back of my mind all the time so it was great to see your mails.
Grace gets leg pains too.
Thanks lads
Mir
Mum to grace 5yrs dx 10.03 and pumping Oct 6th
----- Original Message -----
From: "Welch, Keirsten" <email @ redacted>

> I don't know from experience if celiac can cause such variations but I
have
> to guess from the nature of the disease it can. I do know that my daughter
> tested positive in 2 of the 3 blood tests used.  One of the 3 is the
better
> predictor - that is the one my daughter was negative for.  A definite
> diagnosis comes with a biopsy.  Before that is done, test in 4-6 months or
> get a second opinion.  We can talk off line if necessary.  I will get the
> specifics from my daughter's endo on what tests to worry about and how to
> proceed if you would like.  I work for him as a consultant dietitian so I
am
> fortunate to have him at my disposal when I need him.   One other approach
> is to try a gluten-free diet for 30 days before a blood test and see if
> there is a change in value.
>
> Unfortunately, with illness, you are treating symptoms and not the cause
for
> awhile.  It is frustrating.
>
> Thank You,
>
> Keirsten Welch RD, LD, CPT
> 
> -----Original Message-----
> From: Erickson, Morgan [CC] [mailto:email @ redacted]
> Sent: Monday, December 27, 2004 1:42 PM
>
> Every time Allie has an Endo appointment, we get a copy of the letter
> that gets sent to her pediatrician.
>
> We got our latest copy on Thursday.  This one mentioned she tested
> positive for some antibody that may mean she has celiac.  This was the
> first we'd heard of it.
>
> Ever since Tuesday, nothing Allie has eaten has affected her blood
> sugar.  With her pump on at her normal basal, she'd go dangerously low.
> The only way to get her higher was to turn the pump off.  With it off,
> she'd go up, but get ketones.
>
> Calls to the on-call Endo (even one at 2 am) provided no real ideas.
> Eventually we took her down to a .05 basal.  This gave her high BS and
> ketones most of the time.
>
> Last night she complained of an earache.  She's had little to no
> appetite for a week.
>
> Called the Dr today (spoke with a dietician) and they wanted her to be
> at .05 from midnight to 10 am and at .1 from 10 am to midnight.  Also
> changed her bolus rate to 1-40.  I told them that food was not affecting
> her BS AT ALL but it was brushed off...
>
> I feel like we are fighting the symptoms and not the cause.
>
> Today we had our first low since Thursday (55) and food seemed to help.
>
> Would celiac, which I know nothing about, produce symptoms like this?
> Any suggestions on what to do?
>
> Morgan
>>
>
>
> 
>
>
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