Follow-up checklist

The following list is for patients who are being reviewed at a follow-up appointment.

• Is the patient's diet gluten-free?
• Are their symptoms resolved?
• If symptoms are unresolved it could be due to contamination/oats/malt extract/Codex wheat starch/ lactose intolerance.
• Is the patient receiving food on prescription? 
• If antibody levels are available have these improved since diagnosis - note that levels tend to drop steeply initially but may not become negative for several months.
• Iron levels - is the patient anaemic? If so are levels increasing and are supplements required?
• Is the patient achieving good calcium intake? If not is there a need for calcium supplements
• Has a DEXA scan done been carried out? If not check the patient has been referred for one. If results are available tailor dietary advice if required.
• Has the patient joined Coeliac UK? Are they ensuring their Food and Drink Directory is up to date through monthly updates?
• Does the patient have a good understanding of allergen labelling?
• Weight and BMI - is the patient's weight stable/ decreasing/ increasing and is the BMI within the healthy range?