The impact of diabetes and celiac disease in the quality of life in children and adolescents.

Our data disagree with common opinion that children with CD have a better adaptation and functioning, because the disease is generally considered less severe and less invasive than diabetes. These findings contribute significant information on the effects of pediatric chronic conditions on generic QOL from the perspectives of children and have implications for care practice. We showed the importance of HRQOL assessment and factors that impact on it, not only the severity of disease. Measurement of QOL also contributes to identify children and adolescents who might need special psychological support. It is conceivable that a immediate multidisciplinary approach to patients with T1DM can be responsible for this differences. In fact, in our clinic, care practice for children with T1DM and CD is different. The integrated multidisciplinary intervention based on family centered care, since the time of diagnosis, is only for patients with T1DM. Unfortunately, the multidisciplinary team is available for patients with CD only on advice, in particular for psychological counseling.