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Thursday, January 21, 2010

Goin' Gluten-free

There are no health benefits with avoiding gluten in your diet, unless you suffer from gastrointestinal intolerances from gluten or Celiac's disease.

Celiac's Disease:
Autoimmune disease (when the body attacks itself) where you become intolerant of gluten proteins found in wheat, barley, and rye.
Symptoms of the disease:
Weight loss, diarrhea, tiredness, gas, vitamin & mineral deficiencies, malnutrition. Damage to the small intestine can occur if you ingest gluten.
It is imperative to check with your doctor if you think you might have this. I do NOT advise to go on a gluten-free diet until you've seen a doctor and tested for Celiac's (if you avoid gluten for awhile before you get the test, the test could result in a false negative).



How to live with Celiac's:

1. One thing you must become consistent with is reading food labels: Under the Food Allergen Labeling and Consumer Protection Act of 2004, if a food or an ingredient contains wheat or protein from wheat, the word “wheat” must be clearly stated on the food label either in the ingredient list or in a separate “Contains” statement.

2.Avoid cross-contamination
Cook seperately and use seperate utensils if someone is eating gluten-free. Simply taking the gluten food off the gluten-free food doesnt really work (ex: taking a crouton off a salad) because there could be traces of gluten left behind and ingested. Same goes with your toaster-use seperate for regular bread and GF bread.

3. Focus on what you CAN have. The good news is you can still eat healthy. I included some alcohol choices as well (go easy!).

What you can have:
Anything labeled 'gluten-free'
Baked Lays potato chips
Beans
Boar's Head cheeses/meat/condiments
Brandy
Buckwheat
Champagne: Korel & Moet & Chandon.. NYE anyone?
Corn - includes some corn tortillas,
Flax
Fruit!! Go fresh
Gluten-free beers: Anheuser-busch Redbridge, Bard's Tale Beer Lakefront brewery: new grist                                                     
Gluten-free Oats (Bob's red mill)
Hummus
Jose Cuervo & Suaza Tequila...Ole!
Legumes
Meat/poultry/fish: without any bread toppings or fried
Milk, low-fat/fat-free yogurt
Nuts!!
Ouzo
Popcorn
Potatoes - keep portion in check-no more than the size of a computer mouse
Quinoa- a healthy whole grain
Rice- brown & wild are best
Rum
Soy
Sunflower seeds
Tapioca
Veggies, veggies, veggies!! Oh good. As long as they aren't slobbered with any gravies or bread crumbs
Vermouth
Vodka (from potato)
Wine (check with manufacturer..some may add it)

4. Shop Right. GF foods are becoming more widely available & most supermarkets carry a ton of GF products. Great markets are Whole Foods and my all time fave, TRADER JOE's: locations.
   
What to avoid:
Anything made w/flour(self-rising,white,durum),rye,malt,or barely
Beer
Bran
Breads/pasta/bagels
Cakes, cookies, crackers
Couscous
Dextrin: found in some medications/supplements
Graham crackers
Modified food starch
Some flavored potato chips
Soy sauce
Whole wheat anything- including einkorn, emmer, spelt, and kamut
Wine Coolers


Here's a menu from the ADA that doesn't  require the use of any specially made gluten-free foods:

Breakfast:
Egg omelet made with low-fat natural cheese, such as cheddar or monterey Jack, and fresh vegetables
Rice cake (check the ingredient list to make sure it is gluten free) topped with jam, jelly, or preserves
Orange juice

Lunch:
Black bean tacos made with corn tortillas, black beans, fresh vegetables, low-fat natural cheese, and topped with fruit salsa (diced tropical fruit, lime juice, cilantro)
Seltzer water with lime

Evening meal:
Chicken and fresh vegetables stir-fried in olive oil and spices
Plain brown rice or plain enriched white rice
Sorbet topped with fresh fruit
Cranberry juice mixed with seltzer water

Snack: All-natural yogurt mixed with blueberries or another fruit

Approximate Nutrition Analysis:

Calories: 1,615; Protein: 67g (17% of calories); Carbohydrate: 272g (68% of calories); Fat: 26g
(15% of calories); Cholesterol: 273mg; Sodium: 2,890mg; Fiber: 21g

5. Prepare ahead before you eat out:
Some restaurants that have Gluten-free options/menus:
(tip: check menu online first to see if they have options you LIKE..some are under "allergy" )
99 restaurants
Boston Market
British Beer Company (framingham, Falmouth, MA)- has GF pizza
Bugaboo Creek
Capitol Grille (Boston, Burlington, MA)
Chili's
Fireflies
Fresh City
Glutenus Minimus (Arlington, MA)
ick-ass cupcakes (Somerville, MA)
Longhorn Steakhouse
Not your average joe's
Outback Steakhouse
PF Changs
Stone Hearth Pizza- GF pizza  
Uno Chicago Grille
Wagamama

*** Always ask the waiter/waitress if they have a gluten-free menu/options and be careful or gravies/sauces. If you need your waiter to ask the chef, no biggie! Just tell them you have an allergy and they usually take it seriously (its not really an allergy though but this works!)

National Support Groups

Celiac Disease Foundation
Phone: (818) 990-2354
http://www.celiac.org/

Celiac Sprue Association
Phone: (877) CSA-4-CSA (272-4272) Toll Free
http://www.csaceliacs.org/

The Gluten Intolerance Group of North America
Phone: (206) 246-6652
http://www.gluten.net/


I'd be more than happy to include more GF recipes, topics, etc!! Keep in touch!

2 comments:

  1. Christy Woodcock, MS, RD, LDNJanuary 30, 2010 at 3:40 PM

    Great post on celiac disease and the gluten free diet Emmie! I'd like to give a little shout out to our local celiac support group here in Boston called The Healthy Villi. The website is www.healthyvilli.org. We have a meeting tomorrow at 2pm at Mass Bay Community College-all are welcome!!

    ReplyDelete