Hypothyroidism
Post-diagnosis of type 1 diabetes consider
Screening for
• Antithyroid peroxidase antibodies
• Antithyroglobulin antibodies
Measuring TSH*
• Reassess every 1-2 yrs if normal
Celiac disease
Post-diagnosis of type 1 diabetes consider measuring
• IgA antitissue transglutaminase
• Antiendomysial antibodies
Candidates for testing
• Family history of celiac disease
• Family history of celiac disease
• Failure to grow or gain weight
• Weight loss
• Diarrhea or flatulence
• Abdominal pain
• Signs of malabsorption
• Repeated hypoglycemia of unknown cause or decline in glycemic control
Asymptomatic with positive antibodies
Gastroenterologist referral for confirmatory endoscopy and biopsy
If diagnosis confirmed Gluten-free diet; dietitian consultation
*When metabolic levels well controlled
