2014糖尿病指南: Screening for Comorbidities in Children & Adolescents

Hypothyroidism

Post-diagnosis of type 1 diabetes consider

   Screening for

       • Antithyroid peroxidase antibodies

       • Antithyroglobulin antibodies

   Measuring TSH*

      • Reassess every 1-2 yrs if normal
 

Celiac disease

Post-diagnosis of type 1 diabetes consider measuring

   • IgA antitissue transglutaminase

   • Antiendomysial antibodies

Candidates for testing
   • Family history of celiac disease

   • Failure to grow or gain weight

   • Weight loss

   • Diarrhea or flatulence

   • Abdominal pain

   • Signs of malabsorption

   • Repeated hypoglycemia of unknown cause or decline in glycemic control

Asymptomatic with positive antibodies

   Gastroenterologist referral for confirmatory endoscopy and biopsy

If diagnosis confirmed Gluten-free diet; dietitian consultation

*When metabolic levels well controlled