Discover and read the best of Twitter Threads about #celiacnyc18
Most recents (8)
Thomas A. Grace of Bia Diagnostics describing in scientific terms the different testing methods for gluten in food #celiacnyc18 
Bia Diagnostics runs up to 200 samples for gluten testing a day and has extensive expertise in choosing the right test for each food #celiacnyc18
Thomas A. Grace of Bia Diagnostics does not recommend the use of consumer devices for gluten and allergen testing due to the complexity of food testing #celiacnyc18
Norelle Reilly MD @ColumbiaMed on the transition from pediatric to adult care for celiac disease: It needs more study, but evidence is that after transition to adult care young patients are less adherent to diet, especially if not symptomatic #celiacnyc18
A quarter of young adults who had transitioned to adult care reported deliberately eating gluten at times #celiacnyc18
Symptoms drive the likelihood that the young adults will seek celiac medical care #celiacnyc18
Randi Wolf MPH PhD @TeachersCollege - Study indicated that extreme vigilance to a gluten-free diet can have a negative impact on quality of life
Study shows supportive family and friends are greatest help in making it easier to be on a GF diet #celiacnyc18
It's still important to be vigilant on a GF diet, but interventions should consider both increased adherence to the diet AND quality of life
Jocelyn Silvester MD PhD on assessing adherence to the gluten-free diet #celiacnyc18
Gluten Immunogenic Peptides (GIP) assays are a powerful new tool to assess gluten exposure in the GF diet and improve adherence to the diet, useful for clinical trials too #celiacnyc18
Studies show symptoms don't necessarily correlate with exposure to gluten - may have symptoms and no exposure OR exposure and no symptoms #celiacnyc18
Anne R. Lee EdD RDN @ColumbiaMed - Difficulty following gluten-free diet negatively impacts celiac quality of life, most so in social domain, specifically dining and traveling #celiacnyc18
Having celiac creates a daily high burden that often does not improve over time because following the GF diet can be isolating, embarrassing, and family and friends may not believe symptoms because they are internal #celiacnyc18
Social support for celiacs is important - studies show face-to-face support most effective, online is least effective. Important for medical professionals to be aware of high treatment burden and need for support #celiacnyc18
Prevalence of celiac has increased worldwide in last 30 years, in many countries two to four fold increase #celiacnyc18
Global prevalence of celiac is 1.37% #celiacnyc18
Joseph Murray MD @MayoClinic on prevalence of gluten-related disorders in United States. Prevalence has increased since 1950s
Comparing studies from over a decade ago to more recently, celiac diagnostic rate has increased significantly #celiacnyc18
About 1-2% per year of undiagnosed celiacs get diagnosed in a community. Those with higher tTG more likely to be diagnosed #celiacnyc18
Jonas Ludvigsson MD on risk factors for celiac, starting with the genes and gluten of course, but many others are under study #celiacnyc18
Environmental risk factors: Despite early studies, there is no apparent association between celiac and breastfeeding or timing of gluten introduction in infants
Seasonality or pregnancy related factors causing celiac, such as elective c-section, have not been proven by studies #celiacnyc18
