1. Default Section

* 1. You are: (check all that apply)

* 2. You work in

* 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?

* 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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