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- Coeliac disease and Type 1 diabetes
Coeliac disease and Type 1 diabetes
Dr Kurien has an interest in small bowel disease and clinical nutrition. He qualified in 2003 and subsequently completed a postgraduate diploma in medical education at the University of Nottingham. His current research interests are in the area of coeliac disease, with the aim of improving detection and subsequent management. In 2016 he was the recipient of the Julie Wallace Award from the Nutrition Society, and one of four UK trainees shortlisted for ‘The Royal College of Physicians Excellence in Patient Care Awards’.
The clinical overlap between coeliac disease (CD) and Type 1 diabetes (T1D) is recognised, reflecting a shared genetic background. Classic intestinal symptoms of CD may not always present in those with T1D, leading to recommendations that active case finding should be adopted in this high risk group. The mainstay of treatment for CD is a gluten free diet, however this can pose significant challenges to those with T1D who are already on restricted diets. This presentation reviews the prevalence of CD in T1D, the genetics of the two conditions, and evaluates the challenges associated with dietary adherence. It is proposed to also look at the current screening practices that occur for CD in T1D, alongside highlighting novel insights into the pathogenic overlap between T1D and CD.