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Going Gluten-Free. The 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.
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Going Gluten-Free The why and how of gluten-free diets
What is Gluten? • Gluten is a protein composite in many grains and grain-based foods.
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 • The National Foundation for Celiac Awareness estimates that 18 million Americans have non-celiac gluten sensitivity.
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
Barley Beer Bread Cereal Couscous Flour Panko Pasta Rye Spelt Foods to Avoid
Graham flour Kamut Malt Modified food starch Soy Sauce Vegetable protein Foods 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 Other Things to Avoid
Amaranth Beans Buckwheat Fish Fruit Meat Nuts Poultry Quinoa Rice Seeds Soy Tofu Vegetables Gluten-Free Options
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.
Gluten-Free Dining • Do your homework. • Have a list of questions ready. • If it is too risky, don’t go.
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/
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.