Potential beneficial effects of a gluten-free diet in newly diagnosed children with type 1 diabetes: a pilot study

TY - JOUR

T1 - Potential beneficial effects of a gluten-free diet in newly diagnosed children with type 1 diabetes

T2 - a pilot study

AU - Svensson, Jannet

AU - Sildorf, Stine Møller

AU - Pipper, Christian B.

AU - Kyvsgaard, Julie N.

AU - Bøjstrup, Julie

AU - Pociot, Flemming M.

AU - Mortensen, Henrik B.

AU - Buschard, Karsten

PY - 2016/7/7

Y1 - 2016/7/7

N2 - Aim: Gluten-free diet has shown promising effects in preventing type 1 diabetes (T1D) in animals as well as beneficial effects on the immune system. Gluten-free diet at diabetes onset may alter the natural course and outcome of autoimmune diseases such as T1D. Methods: In a 12-month study, 15 children newly diagnosed with T1D were instructed to follow a gluten-free diet. Questionnaires were used to evaluate adherence to the gluten-free diet. Partial remission (PR) was defined by insulin dose-adjusted A1c (IDAA1c) ≤9 or stimulated C-peptide (SCP) >300 pmol/L measured 90 min after a liquid mixed meal at the inclusion, six and 12 months after onset. The intervention group was compared with two previous cohorts. Linear mixed models were used to estimate differences between cohorts. Results: After 6 months, more children on a gluten-free diet tended to have SCP values above 300 pmol/L compared to the European cohort (p = 0.08). The adherence to a gluten-free diet decreased during the 12-month study period. After 1 year there was no difference in SCP levels or percentage in remission according to SCP (p > 0.1). Three times as many children were still in PR based on IDAA1c (p 1 unit lower in the cohort on a gluten-free diet compared to the two previous cohorts (p 

AB - Aim: Gluten-free diet has shown promising effects in preventing type 1 diabetes (T1D) in animals as well as beneficial effects on the immune system. Gluten-free diet at diabetes onset may alter the natural course and outcome of autoimmune diseases such as T1D. Methods: In a 12-month study, 15 children newly diagnosed with T1D were instructed to follow a gluten-free diet. Questionnaires were used to evaluate adherence to the gluten-free diet. Partial remission (PR) was defined by insulin dose-adjusted A1c (IDAA1c) ≤9 or stimulated C-peptide (SCP) >300 pmol/L measured 90 min after a liquid mixed meal at the inclusion, six and 12 months after onset. The intervention group was compared with two previous cohorts. Linear mixed models were used to estimate differences between cohorts. Results: After 6 months, more children on a gluten-free diet tended to have SCP values above 300 pmol/L compared to the European cohort (p = 0.08). The adherence to a gluten-free diet decreased during the 12-month study period. After 1 year there was no difference in SCP levels or percentage in remission according to SCP (p > 0.1). Three times as many children were still in PR based on IDAA1c (p 1 unit lower in the cohort on a gluten-free diet compared to the two previous cohorts (p 

KW - Gluten

KW - Insulin dose-adjusted HbA1c

KW - Remission phase

KW - Type 1 diabetes

U2 - 10.1186/s40064-016-2641-3

DO - 10.1186/s40064-016-2641-3

M3 - Journal article

C2 - 27398272

AN - SCOPUS:84978063340

SN - 2193-1801

VL - 5

JO - SpringerPlus

JF - SpringerPlus

M1 - 994

ER -