
Curious Cookie would like to offer important
information for people on gluten-free diets due to celiac disease,
gluten intolerance, dermatitis herpetiformis, wheat allergy, or
other health specific reasons. Curious Cookie has delicious desserts
and food choices for people with wheat allergies, celiac disease
or anyone participating in a gluten free diet.
Celiac Disease
Celiac disease, also known as gluten intolerance,
is a genetic disorder that affects 1 in 133 Americans. Because of
the broad range of symptoms celiac disease presents, it can be difficult
to diagnose. Symptoms of celiac disease can range from mild weakness,
bone pain, diarrhea, weight loss, abdominal bloating and malnutrition
to isolated nutrient deficiencies and/or gastrointestinal symptoms.
Those affected suffer damage to the villi (shortening and villous
flattening) in the lamina propria and crypt regions of their intestines
when they eat specific food-grain antigens (toxic amino acid sequences)
that are found in wheat, rye, and barley. It is now considered likely
that celiac disease involves an abnormal immunologic response, rather
than an enzyme deficiency as was suggested in the past.
A person diagnosed
with celiac disease who continues to eat gluten and wheat based products
will increase their chances of gastrointestinal cancer from about
40 to 100 times faster than the normal population. Also, gastrointestinal
carcinoma or lymphoma develop in approximately 15% of people who
are untreated for celiac disease.
Research has estimated that there
are approximately 2.18 million people in the United States diagnosed
with celiac disease. Doctors routine testing is fairly simple and
involves screening the patient's blood for antigliadin (AGA) and
endomysium antibodies (EmA), and/or doing a biopsy on the areas of
the intestines.
The only acceptable treatment for celiac disease is
adherence to a gluten-free diet for life. A gluten-free diet can
prevent almost all complications caused by the disease. A gluten-free
diet means avoiding all products that contain wheat, rye and barley,
or any of their derivatives. This is a difficult task as there are
many hidden sources of gluten found in the ingredients of many processed
foods.
The Gluten-Free Diet
A gluten-free diet is essential for people who
have celiac disease or dermatitis herpetiformis (a gluten induced
skin sensitivity). Some people may choose to follow a gluten-free
diet for other reasons, although these two diseases are the only
ones where a gluten-free diet is considered medically imperative.
Gluten is a mixture of proteins, particularly wheat. It is the gliadin
component of gluten which is responsible for celiac disease. A gluten-free
diet is not the same as a wheat-free diet, and some gluten-free foods
are not wheat free.
A gluten-free diet involves the complete avoidance
of all foods made from or containing wheat, rye, barley and usually,
oats. Some doctors say oats may be permitted, although others advise
against the inclusion of oats in a gluten-free diet because of possible
cross contamination.
Nutritional Advice
Celiac disease leads to severe damage of the gut
surface, which can be completely reversed by following a gluten-free
diet. Shortly after the diagnosis of celiac disease, you need to
be extra careful to ensure you have a nutritionally adequate diet,
as you may have been suffering from malabsorption of nutrients.
Protein:
Some gluten-free flours are low in protein, because they have
had the gluten removed, which is itself a protein. Specially manufactured,
prescribed gluten-free flours usually have milk protein added. Vegetarians
can get protein from nuts & seeds, pulses, the non-gluten containing
cereals, Soya products, milk, cheese and free range eggs. Make sure
some protein is included in each meal, and practice protein complementation
with the vegetable proteins, for example, combine a nut or pulse
dish with a suitable cereal.
Protein is especially important to a
growing child, it is essential to seek the advice of your dietitian
if you are bringing up a child on a gluten-free vegetarian or vegan
diet.
Anemia:
After a person is found to have celiac disease, may begin to
suffer from anemia. This is usually from an iron deficiency, although
it could be caused from folic acid or vitamin B12 deficiency.
To ensure
a good intake of iron include pulses, lentils, nuts and green vegetables
daily in your diet. Avoid drinking tea with meals and instead have
fruit juice, which helps the absorption of iron because it contains
vitamin C. You could also try a natural iron supplement or vitamin
found in most health food specialty stores.
How Is Gluten Made?
Gluten is derived from the following grains.
Cross Contamination is when two grains are grown in the same
field using a rotation method. The following grains do not contain
gluten, but are on the avoid list for most celiacs.
- Amaranth
- Buckwheat
- Millet
- Teff
- Oats
Gluten Free Foods:
You can find gluten free pasta, cereal, bread,
waffles, pancakes, and right here glute free gourmet cookies. Here
are some easy things to cook & eat.
- Cream of Rice Hot Cereal
- Potatoes
- Rice
- Eggs
- Fresh Fruit
- Fresh Vegetables
- Canned Fruit (not in heavy syrup)
- Canned Vegetables (not in sauce)
- Beef (from the butcher without sauce, or seasonings)
- Chicken (from the butcher without sauce, or seasonings)
- Fish (from the butcher without sauce, or seasonings)
- Fresh Vegetables (raw, roasted, boiled, etc.)
- Home made soups (avoid Bullion cubes, and pasta)
- Coffee & Tea (avoid flavored types unless you
contact manufacturer)
- Popcorn (air popped)
- Pudding (thickened with cornstarch)
- Pudding (thickened with cornstarch)
- Juice (All Natural 100% fruit juice)
Some
Things to Watch For:
Modified Food Starch & Natural
flavoring - can be derived from wheat, corn, soy, etc.
Soy - is gluten free, but some individuals
with Celiac Sprue, tend to be sensitive to soy
Shopping and/or eating
out - Often well-meaning employees will tell you something is gluten
free when it is not. It is not as easy as just looking for wheat,
oats, barely, rye, spelt on a label. Gluten based ingredients are
often hidden under the terms or natural flavorings, spices, modified
food starch, etc.
Dairy Products - many low fat varieties of ice
cream, sour cream, cottage cheese, and buttermilk contain modified
food starch.
Non-Dairy Products - Many rice and soy beverage manufacturers
use barely enzymes in the production process of their products.
Cheese
Products - Cheese products are often coated with flour, if shredded,
to prevent sticking.
Cereals - Most cereals on the market contain
malt flavorings that are gluten based.
Vinegar and Condiments - Distilled
vinegar is used in many condiments, and it is often derived from
wheat.
Juice - Juice is not always gluten free even if it says natural
on the label.
Lunch Meat - Make sure you check with the manufacturers,
many varieties contain gluten in ingredients such as natural flavorings.
This is also true for pre-seasoned cuts of meat and turkeys purchased
from the butcher.
Candy - Be careful of hard sticky candies. Many
hard candies are dusted with flour to prevent sticking and it is
not listed on the label.
Cosmetics, Lotions, and Toothpaste - Lotions,
creams, shampoos, and cosmetics can affect individuals with Dermatitis
Herpetiformis. Also beware of licking stamps, envelopes, and gummed
labels.
Medicine - always check with the manufacturer of any over
the counter or prescription medication, many do contain gluten.
Beware of laxatives, they often contain gluten.
Spices and Extracts
- sometimes wheat flour is used in spices to prevent clumping.
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