What the 21st Century Holds for Celiacs

Ann Whelan  

The 21st century will be the Celiac Century -- and it won’t take the entire century to realize that! Before 2025, everyone will know what celiac disease is and celiacs will live totally normal lives everywhere, including at the table.  Within a few years, doctors will be able to diagnose celiac disease without the endoscopy. This landmark development will mean that more people will be diagnosed more easily and on a more timely basis. Simple, cost-efficient celiac diagnosis will revolutionize treatment of problems such as osteoporosis and infertility,  and the gluten-free diet will be used routinely for problems other than gluten sensitivity.

As the celiac population grows, more vendors will enter the market offering a wider variety of gluten-free foods, hopefully at lower prices than we have now relative to their gluten-containing counterparts. This will also mean restaurants, hospitals, airlines, caterers, etc. will have easier, less expensive access to the GF foods they will need to purchase to satisfy their clientele.

Research and expanding knowledge will also bring changes to the lives of non-celiacs. Not only will it be easier to accommodate their gluten-sensitive relatives, but if the gluten-free diet pans out as enormously helpful with other autoimmune diseases, as some limited research is starting to show, then the world will have a very simple way of reducing the impact of such devastating problems as type 1 diabetes and multiple sclerosis.

As researchers work on diagnosis and documenting prevalence, and on figuring out the serendipitous benefits of the gluten-free diet, we celiacs can do our part. We need to support research and get the word out by personally contacting individuals and groups who need to know about celiac disease -- doctors, dietitians, chefs, restaurateurs, etc. and groups of people with osteoporosis, fertility problems or any of the problems that not diagnosing celiac disease leads to.

On a practical basis, we will have less and less to complain about.  Not only can we expect even more variety in gluten-free food, but also easier access to it.  This will not only save money, but will also cut down on the anxiety we now feel in certain situations. GF food will be easily available in local supermarkets, GF bakeries will spring up in cities and towns across North America, and expanding knowledge and technology will help quell fears of contamination -- and starving! 

Even now celiacs can do their part to create this tantalizing future by working with vendors to get the word out, talking to local supermarket managers and helping restaurants, hospitals and other institutions learn how to serve their GF clients with ease.  Most importantly, celiacs need to get any remaining chips off their shoulders.  If we think we won’t be accommodated, we won’t -- and vice versa! 

The future will not contain very many unhappy, angry celiacs as celiac disease becomes the diagnosis of choice.  Fewer and fewer dour-faced celiacs will assume their lives will never be the same post celiac  diagnosis. On a personal level,  acceptance of the gluten-free life will come about much more quickly as our lives improve.

Good  nutritious food that is easily accessible and expanding knowledge will take the edge off our fears.  We will also be relieved of anxieties about family members and life at the family table will be great for everyone all (well, most!) of the time.  We will see our doctor over the computer, attend virtual support group meetings and maybe even annual conferences, order all our food, not just our gluten-free supplies, over the computer, and in general become computer nerds whether we like it or not.

Whatever reservations some of us may have about the future, there is no question that the future of celiac disease is bright. We are moving rapidly into the celiac century -- and it’s about time.

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