Autoimmune conditions diabetes, Graves disease, Vitiligo

LIVINGLIVING

Coeliac disease is not a food allergy or

intolerance. It's an autoimmune reaction

to gluten. It causes damage to the lining

of the small bowel, which makes it hard

for the gut to absorb nutrients and lead

to nutritional deficiencies. Symptoms

include bloating, diarrhoea, nausea,

wind, constipation, tiredness, sudden or

unexpected weight loss, hair loss, joint or

bone pain, pins and needles, infertility or

repeat miscarriages and anaemia. With

Type 1 also in the mix, you may also have

frequent hypos, and may even find that

any of these symptoms only become

noticeable once insulin treatment has

started. To add to the complication, some

people with Type 1 don't experience any

symptoms of coeliac disease - a 'silent'

form of the condition and it's only picked

up by screening.

Clinical guidelines state that all

children and young people with Type 1

diabetes are screened for coeliac disease

when they are diagnosed and that adults

with Type 1 are assessed for coeliac

disease. Testing should also be offered to

anyone if showing signs and symptoms

of coeliac disease. So, if you think you

could have coeliac disease, see your GP

to discuss your symptoms. A blood test

can check for antibodies that the body

makes in response to eating gluten. A

gut biopsy then confirms the condition.

Ongoing treatment includes following a

strict gluten-free diet and support from a

registered dietitian.

www.coeliacuk.org

thyroid. The autoimmune form is known

as Hashimoto's disease. Symptoms are

generally the opposite of hyperthyroidism

and include weight gain, tiredness, cold

sensitivity, muscle aches and depression.

www.thyroiduk.org

Vitiligo

Again, rare yet more common with

people who have Type 1 diabetes, vitiligo

damages the cells that make pigment

in the skin - called melanocytes - the

mucous membranes, and the retina. This

causes white patches on the skin, which

is usually the first symptom people notice,

particularly sun-exposed areas. While

it's not life-threatening, people can be

affected by cosmetic changes and affect

their confidence and wellbeing. About

1% of the world's population has vitiligo.

Traditional medical therapies include

topical steroid creams that encourage

repigmentation, and medication alongside

ultraviolet A photochemotherapy (PUVA)

- controlled exposure to ultraviolet A

(UVA) light. Surgery is sometimes an

option for people with localised areas of

depigmentation that haven't responded

well to other therapies. This can

include normal, pigmented skin being

removed from one part of the body and

attached to the depigmented areas, or

micropigmentation (tattooing) to 'colour

in' the depigmented areas.

beyondtype1.org/vitiligo

Thyroid disease

The thyroid - a small gland underneath the

Adam's apple - controls our metabolism

and, in our early years, our growth.

There are two types of thyroid disorder -

hypothyroidism, where the body doesn't

produce enough thyroid hormones,

and hyperthyroidism, where the body

produces too many.

Problems with the thyroid - mainly

hypothyroidism - are more common

when you have diabetes - particularly

Type 1 because the body's cells can

attack the thyroid and destroy the cells

in the same was as insulin-producing

cells in the pancreas. Fortunately, thyroid

disorders can be managed - but not

cured - with medication. But as thyroid

diseases affect the metabolism, it can be

problematic when you also have diabetes,

so it's good to be aware of the symptoms

and see your GP if you notice anything as

it may affect your blood glucose control.

• Hyperthyroidism: Producing too

many thyroid hormones causes a fast

metabolism, often called overactive

thyroid. The autoimmune form is called

Graves' disease. Symptoms include

feeling nervous or anxious, weight loss,

insomnia, mood swings, increased thirst,

increased urination, fatigue, muscle

weakness, diarrhoea, feeling itchy and

lack of sex drive.

• Hypothyroidism: Not producing

enough thyroid hormones causes a

slower metabolism and is also sometimes

called myxoedema or underactive

Index

  1. Free online Desang diabetes magazine diabetes information
  2. : Medtrum A6 Touchcare patch pump and CGM in harmony
  3. Desang diabetes magazine diabetes information, Sue Marshall
  4. Desang diabetes magazine, diabetes news
  5. Desang diabetes magazine diabetes news
  6. Desang diabetes magazine diabetes news, diabetes and coronovirus
  7. Desang diabetes magazine diabetes news, World Diabetes Day
  8. Desang diabetes magazine diabetes news, World Diabetes Day
  9. Air Liquide Healthcare UK Tandem t:slim insulin pump with Control IQ
  10. Desang diabetes magazine diabetes news, World Diabetes Day
  11. Diabetes technology education from Diabetes Technology Network DTN
  12. Quality in Care Awards Diabetes 2020, QiC, Sanofi
  13. Abbott Freestyle Libre, Flash Glucose Monitoring
  14. Quality in Care Awards Diabetes 2020, QiC, Sanofi
  15. BD, Becton Dickinson, injection technique, BD pen needles, BD and Me
  16. Page 0016
  17. Insulet Omnipod DASH insulin pump with insulin pods, podders, Omnipod DASH Personal Diabetes Manager
  18. Desang diabetes magazine, diabetes diet
  19. Medtronic diabetes insulin pump, Medtronic Minimed 780G advanced hybrid closed loop insulin pump
  20. insulin pump, Dana RS system, artificial pancreas, Advanced Therapeutics UK, CamAPS FX, Dexcom G6
  21. insulin pump, Dana RS system, artificial pancreas, Advanced Therapeutics UK, CamAPS FX, Dexcom G6
  22. insulin pump, Dana RS system, artificial pancreas, Advanced Therapeutics UK, CamAPS FX, Dexcom G6
  23. insulin pump, Dana RS system, artificial pancreas, Advanced Therapeutics UK, CamAPS FX, Dexcom G6
  24. Autoimmune conditions diabetes, Graves disease, Vitiligo
  25. Ascensia Contour Next One Diabetes blood test meters
  26. Autoimmune conditions diabetes, Graves disease, Vitiligo
  27. Desang diabetes, Inside diabetes guides, guide to injecting insulin, guide to injecting for people w
  28. Desang Diabetes Magazine, free diabetes magazine, living with diabetes
  29. Desang Diabetes Magazine, free diabetes magazine, living with diabetes
  30. Desang diabetes magazine, diabetes diet
  31. desang, diabetes diet, diabetic diet, counting carbohydrates
  32. desang, diabetes diet, diabetic diet, counting carbohydrates, Dishpatch
  33. Spirit Health, Spirit Digital, insulin injection devices, blood glucose monitors
  34. NHS stay well mental health Covid 19
  35. desang, diabetes diet, diabetic diet, counting carbohydrates, food for diabetes
  36. desang, diabetes diet, diabetic diet, counting carbohydrates, food for diabetes
  37. Dexcom G6 CGM, continuous glucose monitoring
  38. Making Carbs Count, Carbohydrate counting for diabetes
  39. Making Carbs Count, Carbohydrate counting for diabetes
  40. Making Carbs Count, Carbohydrate counting for diabetes
  41. Desang diabetes kitbags, bag for diabetes kit
  42. Desang Diabetes Magazine, free diabetes magazine, living with diabetes

Related Issues