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Bone mineral density, type 1 diabetes, and celiac disease.

Correspondence in Diabetes Care has highlighted the importance of two secondary causes of reduced bone mineral density (BMD) in type 1 diabetes, namely thyrotoxicosis and primary hyperparathyroidism (1,2). We describe another secondary cause of reduced BMD. Celiac disease is associated with reduced BMD and reversible secondary osteoporosis in the general population (3,4). Celiac disease is not uncommon in type 1 diabetes, with a prevalence of 1–7.8% (5). The association between celiac disease, type 1 diabetes, and osteopenia has been discussed in Diabetes Care (6), but the impact of celiac disease on BMD in type 1 diabetes has not been quantified. …