Robbins Pathologic Basis of Disease 7th Edition PDF Free 328: How to Access this Classic Textbook On

Children with biopsy-confirmed celiac disease should be placed on a gluten-free diet and have consultation with a dietitian experienced in managing both diabetes and celiac disease. B

Biopsy-negative children had benefits from a gluten-free diet, but worsening on a usual diet (522). This was a small study, and children with type 1 diabetes already follow a careful diet. However, it is difficult to advocate for not confirming the diagnosis by biopsy before recommending a lifelong gluten-free diet, especially in asymptomatic children. In symptomatic children with type 1 diabetes and celiac disease, gluten-free diets reduce symptoms and rates of hypoglycemia (523).

robbins pathologic basis of disease 7th edition pdf free 328

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