Question

Stephanie is an 18-year-old college freshman who was diagnosed with type 1 diabetes 12 years ago. She has an insulin pump, is of healthy weight, and has no other significant medical history. She went to the student health center on campus with complaints of fatigue, abdominal cramping, and diarrhea.

Question

Despite conscientiously following a low-lactose eating pattern, her symptoms persiste, and her weight loss continues. She is eventually seen by a gastroenterologist who diagnoses celiac disease and iron deficnicey anemia. is there a connection between type 1 and celiac disease? Should she continue to rustic lacrosse from her eating pattern? how will nutriton counseling for a college student who lives in a dorm differ from counseling for an adult living in her own home? Stephaie knows she should eat fiber to help regulate her blood glucose levels what sources of fiber would be appropriate on a gluten free diet?

Answer 1

Celia disease result in damage to small intestine and can possibly increase risk for hypoglycemia ,as the small intestine may no longer be able to absorb nutrients such as sugars properly .Celiac disease is treated with lifelong avoidance of dietary gluten .Wheat,barley,oats,and rye products must be avoided.Although pure oats do not contain gluten ,oat products can become contaminated with wheat ,rye and barley during the milling process.Gluten is also found in many food additives,preservatives and stabilizers.A combination of corticosteroids and a gluten-free diet is used to treat individuals with refractory celiac disease who do not respond to the gluten-free diet alone.Maintenance of a gluten-free diet is difficult,particularly when travelling or eating in restaurants .The patients need to know where to purchase gluten-free products .Patients may need referral for financial assistance ,because gluten-free products are more expensive than regular foods.Gluten-free products are sold in health food stores and are available through various internet sites.Patients need to know that the intestinal damage will recur unless they adhere to the diet and that chronic inflammations can lead to complications such as lymphoma.