Management of coeliac disease

There are a number of guidelines on the recognition, diagnosis and management of coeliac diseaseA condition where a person is unable to eat gluten as it makes their body attack itself. that can help when seeing patients with coeliac disease.

Dietary treatment of coeliac disease

Treatment of coeliac disease requires complete exclusion of glutenA protein that is found in the cereals wheat, barley and rye. from the diet. We have information on how you can support people with coeliac disease can be found under diet information. This provides information on other considerations about the gluten-freeWhen a food has less than 20 parts per million (ppm) of gluten so it is safe for people with coeliac disease to eat. diet and tools that can help people following the diet.

Prescriptions of gluten-free substitute products are important in the gluten-free diet and adherence is improved when adequate supplies of staple foods, such as gluten-free breads, can be found.

Managing associated conditions and complications

The risk of osteoporosis is increased in coeliac disease. All people with coeliac disease should receive general advice to protect and maintain bone health.

Between 2 and 10% of people with coeliac disease will have diabetes. People diagnosed with coeliac disease and diabetes should receive advice and support on managing both conditions.

Other diets and conditions to consider

Some people with coeliac disease can experience weight loss before being diagnosed. Advice can be given to help people who have had problems with under nutrition.

People who have additional restrictions, such as vegetarian and vegans and low lactose diets, should have their diet assessed to make sure that they are meeting all their nutritional needs.

Other uses of the gluten-free diet

There is anecdotal evidence regarding the benefit of the gluten-free diet in children with autism.