CD diagnosis by serology (antigliadin antibody/antiendomysial antibody/tissue transglutaminase positivity) and confirmed by intestinal biopsy. CD: Celiac disease; T1DM: Type 1 diabetes melitus.

Less than one-third of these patients had evidence of celiac serology results in the medical record, and even in patients with pre-biopsy testing the majority were serologically negative (Table 1).

Celiac disease is a digestive and immune disorder that can keep the body from absorbing necessary nutrients. "Our conception and awareness of celiac disease has evolved over the past few decades, but ...