Diabetes and Celiac Disease Screening Study

1. Default Section

 
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1. You are: (check all that apply)
2. You work in
3. Please indicate your state or province location.
4. You primary work location is:
5. What is the name of the center that you practice in?
6. How often do you see people with type 1 diabetes?
7. How often do you see patients that have been diagnosed with both type 1 diabetes and celiac disease?
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8. Does your center screen for celiac disease?
9. If your center does not screen for celiac disease please indicate why (check all that apply):
10. If your center does not screen please skip to question 13.

When does your center screen for celiac disease (in the typical patient with type 1 diabetes)? (check all that apply):
11. What screening tests do you use for celiac disease? (check all that apply):
12. What criteria do you use to screen for celiac disease? (check all that apply):
13. If a patient has positive celiac serologies, does your center recommend an endoscopy to diagnose celiac disease?
14. If you do not recommend an endoscopy, please indicate why: (Check all that apply)
15. If someone with type 1 diabetes is diagnosed with celiac disease does someone in your clinic recommend treatment with a gluten-free diet?
16. If you do not recommend a gluten-free diet please indicate the reason for this: (check all that apply):
17. If someone who has type 1 diabetes is diagnosed with celiac disease who primarily teaches them the gluten-free diet? (check all that apply):
18. Have you taught the gluten-free diet?
19. What formal steps have you taken to learn about the gluten-free diet? (check all that apply):
20. Which resources have you used for teaching the gluten-free diet?
21. I am comfortable teaching the gluten-free diet.
22. Have you ever recommended that someone with type 1 diabetes be tested for celiac disease?
23. What percentage of your type 1 diabetes patients report symptoms prior to the diagnosis of celiac disease?
24. Do your patients with type 1 diabetes that are diagnosed with celiac disease report that their symptoms improve after starting the gluten-free diet.
25. For patients that report improved symptoms please specify by checking all that apply:
26. Do you notice that glycemic control changes with the gluten-free diet?
27. If you are interested in learning more about the gluten-free diet please indicate which of the following would be most effective for you? (check all that apply):
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