Celiac Disease | Classification for Adherence to Gluten-Free Diet

Intake of Prohibited Food During Month	Level of Adherence
none at all	strict, absolute, excellent
1 to 2 times per month	partial, good
1 to 2 times per week	partial, fair
3 to 5 times per week	partial, poor
every day	none

 

where:

• If we assume about 100 meals per month, failure at 1-2 times per month is 1-2% while failure once per day would be 33%.

 

Differential diagnosis for symptomatic when adherent:

(1) something unrecognized in diet with gluten

(2) additional food allergy

(3) additional gastrointestinal disorder

 

Differential diagnosis for asymptomatic when nonadherent:

(1) intake less than recognized

(2) wrong diagnosis of celiac disease

(3) very mild disease