The Gluten-Free Diet and Glycaemic Index in the Management of Coeliac Disease Associated with Type 1 Diabetes

摘要

Type 1 diabetes (T1D) is frequently associated with coeliac disease (CD). Individuals with concomitant diseases, should adhere to a strict gluten-free diet (GFD) and control glycaemia to avoid the complications associated with both conditions. However, many aspects of the GFD which is a highly eliminative diet is inferior, compared to conventional gluten-containing diet. In this review, the management of CD associated with T1D are presented and the treatment dilemmas concerning a GFD are discussed in the context of the glycaemic response of gluten-free products. A great deal was also focused on glycaemia control as potential protection against chronic diseases.