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Going Gluten-FreeThe why and how of gluten-free
diets
Today’s Agenda
Part 1: Gluten and Gluten Sensitivities
What is Gluten?
• Gluten is a protein composite in many grains and grain-based foods.
What is a gluten sensitivity?
Symptoms
Additional Symptoms
Spotlight on Celiac
Why Intestinal Damage?
Surprising Celiac Stats
• 30-40% of all people in the U.S. carry the gene for celiac disease.
• Only 1-2% of those people have the gene activated.
Surprising Celiac Stats• Activating the gene for celiac
disease is usually the result of an environmental trigger.– Getting a parasite– Getting sick– Stress– Taking a certain medication– Trauma
How is Celiac Diagnosed?
• First, a blood test.
• Then, a biopsy.
But It’s Tough, Man
But It’s Tough, Man
But It’s Tough, Man
• The National Foundation for Celiac Awareness estimates that 18 million Americans have non-celiac gluten sensitivity.
So… what’s the cure?
NO GLUTEN
• If you have celiac disease, the only treatment is to go on a 100% GLUTEN-FREE diet.
Getting “Glutened”
• Diarrhea• Fainting/dizziness• Fever• Itching/rash/hives• Nausea• Stomach pain• Vomiting
Part 2: Gluten Sensitivities and Food
Foods to Avoid
• Barley• Beer• Bread• Cereal• Couscous
• Flour• Panko• Pasta• Rye • Spelt
Foods to Avoid
• Graham flour• Kamut• Malt
• Modified food starch• Soy Sauce• Vegetable protein
Other Things to Avoid
• Certain cosmetics– Particular lipsticks– A variety of
shampoos– Sometimes even
soaps• Certain medications
• Rubber or latex gloves– (often lined with flour
or other grain-derived substances)
• Stamps and envelopes
Gluten-Free Options
• Amaranth• Beans• Buckwheat• Fish• Fruit • Meat• Nuts
• Poultry• Quinoa• Rice• Seeds• Soy• Tofu• Vegetables
Gluten-Free Alternatives
• Tons of products these days are being made completely gluten-free.
• Check out new gluten-free breads, cereals, flours, pastas, and more!
A Note About Oats
• Oats do not contain gluten.• They are often processed on machines
that process foods that do contain gluten.
• Check labels carefully.
Gluten-Free Home
• Avoid cross-contamination– Clean anything that might have touched
gluten, and clean it with soap and hot water.
– Get your own cooking supplies and keep them separate.
Sample Meal Plan
• Breakfast: Fresh fruit with nonfat, plain yogurt and raw sunflower seeds.
• Lunch: Large green salad topped with gluten-free dressing and a grilled chicken breast. Cup of vegetable rice soup on the side.
Sample Meal Plan
• Snack: A medium apple with a tablespoon of peanut butter.
Dinner: Sonoran Sunset Quinoa Salad
Gluten-Free Dining
• Do your homework.• Have a list of questions ready.• If it is too risky, don’t go.
The Stakes are High
The Stakes are High
Part 3: Resources
Resources• National Foundation for Celiac Awareness:
http://www.celiaccentral.org/ • Gluten Intolerance Group:
http://www.gluten.net/ • Celiac Disease Foundation:
http://www.celiac.org/ • Celiac Sprue Association:
http://www.csaceliacs.info/
Resources
Quick Quiz!
• Gluten is a protein composite found in…* Meat * Dairy* Grains * Vegetables
• True or false: The gene that triggers celiac disease can be activated at any time.
Quick Quiz!
• Gluten is a protein composite found in…* Meat * Dairy* Grains * Vegetables
• True or false: The gene that triggers celiac disease can be activated at any time.
Quick Quiz!
• Symptoms of a gluten sensitivity include…* Depression * Abdominal pain* Hives * All of the above
• True or false: Celiac disease involves damage to the small intestine whenever gluten is consumed.
Quick Quiz!
• Symptoms of a gluten sensitivity include…* Depression * Abdominal pain* Hives * All of the above
• True or false: Celiac disease involves damage to the small intestine whenever gluten is consumed.
Quick Quiz!
• The cure for gluten sensitivities is…* Nonexistent * Pharmaceutical* A supplement * Rare and costly
• True or false: 1-2% of all people in the United States carry the gene for celiac disease.
Quick Quiz!
• The cure for gluten sensitivities is…* Nonexistent * Pharmaceutical* A supplement * Rare and costly
• True or false: 1-2% of all people in the United States carry the gene for celiac disease.
Quick Quiz!
• Which of the following grains contains gluten?* Amaranth * Barley* Quinoa * Rice
• True or false: Beer contains gluten.
Quick Quiz!
• Which of the following grains contains gluten?* Amaranth * Barley* Quinoa * Rice
• True or false: Beer contains gluten.