The Question
09/21/08
04:38 PM
"Can Celiac disease cause high BS and Ketoacidosis in type 1 diabetics especially first thing A.M.?"
Asked By:
ladypoet
Category:
Type 1
Background Info Hide
My daughter is a type 1 diabetic with multiple Hosp. admissions for Ketoacidosis usually waking up first thing am. w/ high BS. Generally has a distended belly, abdom. cramps, sores at the side of her mouth and emotional disturbances when she's ill. Her Endo. Dr had her removed from my home and placed in medical foster care, but I know we did the best we could to keep her numbers down. I have another daughter with the same father who is almost 15 she gets migraine headaches w/ vomiting and facial tics, temper outbursts which are very short lived and is short and thin for her age. Then I stumbled upon Celiac disease on the ADA web-site. I am 5' 10
Expert Answers (1)
09/21/08
05:20 PM
Dear Lady Poet, My heart goes out to you in a special way, as I have Type 1 Diabetes myself, and can only imagine what it would be like to take responsibility for a child who has Diabetes. Your concerns about Celiac also touch my heart, because I have only recently found that I have sensitivity to Gluten, if not outright Celiac. . . So I am learning by experience! The incidence of Celiac Disease amongst people who have Type 1 Diabetes is considerably higher than that of the general population, and the diagnosis of Celiac seems to increase as we learn more about the disease process. The symptoms you list are indeed seen in people who have Celiac, and there are genetic connections. The disease process itself causes inflammation of the gastro intestinal system, which contributes to increased inflammation throughout the body, and Inflammation contributes to High Blood Glucose levels. Symptoms can also mimic those of Irritable Bowel Syndrome, which contributes to a type of Gastroparesis that looks a lot like the Gastroparesis caused by Autonomic Neuropathy in people with long standing, uncontrolled diabetes. Because this causes erratic gastric emptying, it can be difficult to manage insulin administration around the variable absorption of nutrients, which can contribute to drops and rebounds in blood glucose levels. The nutrients may then absorb at times when the body is able to recover from the Catecholamine response caused by reactions to the food and insulin, causing a delayed rise in blood glucose. Symptoms from the reactions to the allergens in Gluten may also mimic those of hypoglycemia, making it even more difficult to detect. So, my answer to your question is YES, it is possible that Celiac could contribute to High Blood Glucose levels in the morning, as well as the incidence of Ketoacidosis. A BIG WORD of caution here, however, is that you SHOULD NOT have your daughter go on a Gluten Free Diet until you talk with her doctor, and she is able to have blood tests to identify the presence of antibodies seen with Celiac, as such would decrease her chance of getting an accurate diagnosis. With that being said, however, a person can have sensitivity to Gluten, without having positive antibodies for Celiac. In order to fully access your daughter’s potential for food sensitivities, you would benefit from the help of a dietician who specializes in Diabetes, Celiac, and Food Sensitivities. For more information check the links below. All My Best to You!
Answered By:
Claire Blum
Accreditations: MS Ed, RN, CDE, CPT
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