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Despite conscientiously following a low-lactose eating pattern, her symptoms persisted, and her weight loss continued. She is eventually seen by a gastroenterologist who diagnoses celiac disease and iron deficiency anemia. Is there a connection between type 1 diabetes and celiac disease? Should she continue to restrict lactose from her eating pattern? How will nutrition counseling for a college student who lives in a dorm differ from counseling for an adult living in her own home? Stephanie knows she should eat fiber to help regulate her blood glucose levels; what sources of fiber would be appropriate on a gluten-free diet?

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