Step

Individual

Management Guidelines

• Newly diagnosed
• Active CD/DH

• Eliminate all gluten exposure, including oats
• Begin developing intake plan (keep lists)
• foods/beverages:
• identify tolerated foods/beverages
• identify intolerances/allergies
• supplements/medications
• identify vitamin/mineral supplementation needs
• identify gluten-free medication sources
• Develop gluten identification skills
• label reading
• hidden sources
• cross-contamination
• Establish medical team partnership
• dietitian, physician, pharmacist, dentist, physical
• therapist, psychologist, other (individual)
• Join support group
• national and local CSA chapters

• In remission
• Stable

• Establish individual evaluation method for
• new, questionable or controversial information
• unresolved allergy or intolerance manifestations
• food industry manufacturing changes
• Develop gluten identification skills
• keep a daily diary
• record all intake, amounts and reactions
• identify and eliminate immune-response triggers
• wait 2-4 weeks before reintroducing new or questionable items. Monitor with your physician the introduction of such items as pure oats.
• Expand knowledge of CD/DH
• Expand medical and CSA partnerships

• "Old-timer"

• Maintain self-management through
• periodic updates/re-evaluations with medical team
• examining/evaluation new CD/DH information
• maintaining optimal immune-function
• Revisit Steps 1 or 2 as required
• Serve as role model to newly diagnosed persons
• Maintain medical and CSA partnerships