CD: Assessment of Other Disease States 2009
Click here to see the explanation of recommendation ratings (Strong, Fair, Weak, Consensus, Insufficient Evidence) and labels (Imperative or Conditional). To see more detail on the evidence from which the following recommendations were drawn, use the hyperlinks in the Supporting Evidence Section below.
CD: Assessment of Other Disease States
The registered dietitian (RD) should assess for the presence of other disease states, such as thyroid conditions, other autoimmune and endocrinologic disorders and diabetes, when implementing medical nutrition therapy (MNT). Identification of all nutritional issues is optimal to integrate MNT for individuals with celiac disease into overall disease management.
Risks/Harms of Implementing This Recommendation
Conditions of Application
Potential Costs Associated with Application
Although costs of medical nutrition therapy (MNT) sessions and reimbursement vary, MNT sessions are essential for improved outcomes.
The National Institutes of Health Consensus Development Conference Statement identified six elements required for the management of celiac disease:
- Consultation with a skilled dietitian
- Education about the disease
- Lifelong adherence to a gluten-free diet
- Identification and treatment of nutritional deficiencies
- Access to an advocacy group
- Continuous long-term follow-up by a multi-disciplinary team.
Recommendation Strength Rationale
The ADA Celiac Disease Work Group concurs with the National Institutes of Health Consensus Development Conference Statement.
- Risks/Harms of Implementing This Recommendation
The recommendations were created from the evidence analysis on the following questions. To see detail of the evidence analysis, click the blue hyperlinks below (recommendations rated consensus will not have supporting evidence linked).
References not graded in Academy of Nutrition and Dietetics Evidence Analysis Process
National Institutes of Health Consensus Development Conference on Celiac Disease. Consensus Development Conference Statement. Available at http://consensus.nih.gov/2004/2004CeliacDisease118html.htm.