Coeliac_Disease_Flashcards
What is the only effective treatment for coeliac disease?
Long-term adherence to a gluten-free diet
What should be removed from the diet for a person with coeliac disease?
All products containing gluten (wheat, rye and barley)
Can gluten-free products be prescribed on the NHS for coeliac disease?
Yes, a selection of gluten-free products can be prescribed on the NHS
When should a person with coeliac disease be referred to a dietician?
If there are problems with adhering to the gluten-free diet
What nutritional deficiencies should be assessed in coeliac disease?
Iron, folic acid, calcium and/or vitamin D
Should nutritional supplements be routinely recommended to prevent deficiencies in coeliac disease?
No, do not routinely recommend nutritional supplements to prevent nutritional deficiencies
How often should an annual review be arranged for a person with coeliac disease?
Annually
What parameters should be checked during the annual review of a person with coeliac disease?
Height, weight and BMI, symptoms, adherence to diet, blood tests (coeliac serology, FBC, TFT, LFT, vitamin D, B12, folate, calcium, U&E)
How often should the IgA-tTG titre be checked until normalised for a person with coeliac disease?
Every 3 months until normalised and then yearly
What tests should be considered during the annual review of a person with coeliac disease?
Blood tests (coeliac serology, FBC, TFT, LFT, vitamin D, B12, folate, calcium, U&E)
What should be evaluated if there are concerns during the annual review of a person with coeliac disease?
Bone mineral density (DEXA scan)
