Hypoglycaemia Coeliac diasese-Type 1 Diabetes

Life threatening hypoglycaemic due to previously unrecognized celiac disease in patient with type1 diabetes mellitus.

A Bhattacharyya, DJ Tymms

Practical Diabetes International 1999;16:90-2.

Coeliac disease is currently recognized to be associated with type 1 diabetes mellitus. However, the presentation varies. We report a patient with long-standing type 1 diabetes presenting to us with life- threatening hypoglycaemia for two years before the coexistence of celiac disease was recognized. Following dietary intervention, her symptoms and life style improved remarkably. We conclude that any unexplained hypoglycaemia in a patient with type1 diabetes mellitus should make us think of coexisting celiac disease.