[Type 1 diabetes-associated autoimmune diseases: screening, diagnostic principles and management]

Med Wieku Rozwoj. 2012 Jan-Mar;16(1):23-34.
[Article in Polish]

Abstract

Type 1 diabetes (T1DM) is often associated with autoimmune diseases such as: autoimmune thyroid disease (ATD), celiac disease (CD), autoimmune gastritis (AIG), pernicious anemia (PA) and vitiligo. Autoimmune thyroid disease is the most prevalent endocrinopathy among diabetic patients. Hypothyroidism, celiac disease or Addison's disease in patients with type 1 diabetes may deteriorate glycemic control and can lead to an increased rate of hypoglycemia. Autoimmune gastritis, pernicious anemia and celiac disease can cause malabsorption and anemia which additionally impair the quality of life in patients with T1DM. The presence of organ-specific autoantibodies can be used to screen patients who are at higher risk of developing autoimmune diseases. Such procedure can help to identify patients, who need to undergo treatment in order to decrease the rate of possible complications in the future. In this clinical review we present current opinions in terms of diagnosis, management and screening in the most common type 1 diabetes-associated autoimmune diseases.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Addison Disease / diagnosis
  • Addison Disease / epidemiology
  • Addison Disease / therapy
  • Anemia, Pernicious / diagnosis
  • Anemia, Pernicious / epidemiology
  • Anemia, Pernicious / therapy
  • Autoantibodies
  • Autoimmune Diseases / diagnosis*
  • Autoimmune Diseases / epidemiology*
  • Autoimmune Diseases / therapy
  • Causality
  • Celiac Disease / diagnosis
  • Celiac Disease / epidemiology
  • Celiac Disease / therapy
  • Comorbidity
  • Diabetes Mellitus, Type 1 / epidemiology*
  • Gastritis / diagnosis
  • Gastritis / epidemiology
  • Gastritis / therapy
  • Hashimoto Disease / diagnosis
  • Hashimoto Disease / epidemiology
  • Hashimoto Disease / therapy
  • Humans
  • Mass Screening / methods*
  • Thyroid Diseases / diagnosis
  • Thyroid Diseases / epidemiology
  • Thyroid Diseases / therapy
  • Vitiligo / diagnosis
  • Vitiligo / epidemiology
  • Vitiligo / therapy

Substances

  • Autoantibodies