We read with great interest the article by Bakker et al. . They made a retrospective evaluation of 118 patients with both type 1 diabetes mellitus (T1DM) and celiac disease (CD). They collected data on sex distribution, age of onset of T1DM, age of CD diagnosis, CD complaints and duration of CD complaints before CD diagnosis. And they found that 33% of T1DM+CD patients reported CD related complaints for at least 5years before CD diagnosis. The authors concluded that a delay of CD diagnosis is frequently found in adult T1DM patients and more frequent screening for CD in particularly adult T1DM patients is required, preferably by a 5year interval. The article has important messages. But there are some items to be clarified.
