Once diagnosed with coeliac disease, management involves adherence to a strict, lifelong gluten-free diet.
In this section you can find checklists for newly diagnosed patients and annual review patients, information on managing the nutritional status of your patients as well as information on associated conditions and complications.
Factors affecting adherence
Adherence to the diet is influenced by a number of factors including accurate information about the diet and the availability, access and cost of gluten-free foods. It is important that a dietitian is available to provide individual assessment and advice especially for children and patients with complications, associated conditions and additional dietary needs.
NICE recommends considering the need for specialist dietetic and nutritional advice as part of the annual review and to refer to a medical practitioner (GP or consultant) if concerns are raised in the review.
Guidelines for management of coeliac disease
The following guidelines are available on the management of coeliac disease:
- National Institute for Health and Care Excellence (NG20 NICE, 2015) Coeliac disease:recognition, assessment and management.
- British Society of Paediatric Gastroenterology Hepatology and Nutrition (BSPGHAN) and Coeliac UK (2013) Guidelines for the diagnosis and management of coeliac disease in children.
- British Society of Gastroenterology (2014) Diagnosis and management of adult coeliac disease:guidelines from the British Society of Gastroenterology.