Type 1 diabetes

Epidemiology of coeliac disease in children and adolescents with type 1 diabetes: a 13-year population-based study using secondary data sources

Diabetes Res Clin PractPublished Population-based longitudinal study

Main finding · CD prevalenceResult — go to the resultPrevalence ratio 18.6 95% CI 14.3–24.0

Authors' conclusion

Children with T1D have a markedly increased risk of CD, particularly in the first years after diagnosis, supporting systematic CD screening in this high-risk population.

Study context

Population
Children aged <15 years, Marche Region, Central Italy, 2011–2023
Exposure
Children with T1D vs general paediatric population
Outcome
Prevalence and incidence of CD in the general paediatric population and among children with T1D
Methodological detailssecondary data sources (Healthcare Utilization Databases), 13-year
  • Secondary data sources (Healthcare Utilization Databases)
  • 13-year

Main finding

CD prevalence · 13-year period (2011-2023)

Prevalence ratio

18.6

95% CI 14.3–24.0

By group

T1D

97.7‰

T1Dvs General population
PR 18.6 (95% CI 14.3–24.0)

As reported in the abstract

Overall Coeliac Disease (CD) period prevalence, children aged <15
5.28‰

Observational data: associations, not effects.

Further findings

OutcomeT1DGeneral populationIRR (95% CI)
CD incidence2,410 per 100,000 person-years65 per 100,000 person-years37.0 (24.7–55.4)
Cumulative probability of developing CD in T1D cohort · 6 years
10.3% · CI 6.2%–14.3%
  • CD incidence: T1D: newly diagnosed

T1D prevalence · 13-year period

Overall prevalence of T1D
1.65‰

Original publication

Epidemiology of coeliac disease in children and adolescents with type 1 diabetes: a 13-year population-based study using secondary data sources. Diabetes Res Clin Pract. Published 2 April 2026. doi:10.1016/j.diabres.2026.113238

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