Abstract
Autoimmune diseases such as celiac disease occur more frequently in people with type 1 diabetes than in metabolically healthy individuals. Overall, the prevalence of celiac disease in people with type 1 diabetes is 4–9 times higher than in the general population. Celiac disease or gluten-sensitive enteropathy is an immune-mediated disease affecting the small intestine that is triggered by the consumption of gluten-containing foods. Other wheat-associated diseases such as wheat allergy or non-celiac gluten/wheat sensitivity are to be distinguished from this. In accordance with the updated S2k guideline on celiac disease of the DGVS (German Society of Gastroenterolgy, Digestive, and Metabolic Diseases), this article provides an overview of the epidemiology, clinical presentation, diagnosis, and therapy of coeliac disease, with a focus on the particularities of diabetes mellitus.
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