Celiac Disease: The Gluten Free Diet

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What is Gluten ?. Gluten is one of the proteins found in wheat, rye, and barleyIt is the substance in flour that forms the structure of dough, the glue" that holds the product together and is also the leavening ingredientThese proteins are found in ALL forms of wheat (including durum, semolina,

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Celiac Disease: The Gluten Free Diet

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1. Celiac Disease: The Gluten Free Diet Christi Hall, MS, RD Certified Specialist in Pediatrics Certified Nutrition Support Dietitian University of North Carolina Children’s Hospital Children’s Specialty Clinics

2. What is Gluten ? Gluten is one of the proteins found in wheat, rye, and barley It is the substance in flour that forms the structure of dough, the “glue” that holds the product together and is also the leavening ingredient These proteins are found in ALL forms of wheat (including durum, semolina, spelt, kamut, einkorn and faro) and related grains rye, barley and triticale These grains MUST be eliminated from the diet

3. Gluten Containing Grains to Avoid Barley Barley malt/extract Bran Bulgur Couscous Durum Einkorn Emmer Farina Faro Graham flour Kamut Matzo flour/meal Orzo Panko Rye Seitan Semolina Spelt Triticale Udon Wheat Wheat bran Wheat germ Wheat starch

4. Gluten is Typically Found In Most breads and cereals Crackers Pastas Cakes and cookies Donuts Granola bars Communion wafers

5. Gluten is Often Hidden In Canned soups Some soy sauces Candies and many ice creams Dips/sour cream/dressings, Cheese and cheese products Puddings Commercially prepared fruits and vegetables

6. “Mystery Ingredients” Modified food starch Caramel color Natural flavors Artificial flavors and colors Take time to call companies about questionable ingredients

7. Gluten-Free Grains and Starches Amaranth Arrowroot Bean Flours Buckwheat Corn Hominy (Grits) Millet Nut Flours Oats* Potato Quinoa Rice Soy Sorgham Tapioca Teff Wild Rice

8. Are Oats Safe ? Oats can be contaminated with other cereals during growth harvesting transport milling and processing “Pure oats” production has been developed in recent years Certified to be gluten free

9. All Purpose Flour Recipe ALL PURPOSE FLOUR MIXTURE 2 ½ cups brown rice flour 2 cups white rice flour ½ cup corn starch 1 cup potato starch (not potato flour) 1 cup tapioca starch 3 Tbsp. xantham gum Kyle Shadix, MS, RD www.chefkyle.com

10. Avoiding Cross Contamination at Home Use stickers or permanent marker to distinguish GF products Purchase separate jam, jelly, mayonnaise, and peanut butter to avoid wheat/bread crumbs in the shared jars Purchase a separate toaster for gluten-free breads, or use a toaster oven that can be cleaned between uses, or place tinfoil on the rack to avoid contamination Clean counter tops and cutting boards often to remove gluten-containing crumbs Cooking utensils, colanders, and pans need to be cleaned carefully after each use and before cooking gluten-free products

11. Avoiding Cross Contamination Away from Home Caution at buffets- utensils may have been used in more than one dish French fries, chicken wings, or corn chips may have been cooked in the same oil where battered gluten containing foods have been fried, meats may be marinated Request that the chef: (1) use clean utensils or a new crouton free salad bowl (2) clean the grill or pan before preparing food (3) keep the meal away from meals that contain gluten Always pack safe, gluten free snacks while traveling

12. GF Diet Can Be Low In GF products are not always enriched or fortified B vitamins (thiamine, riboflavin, niacin, folate) Calcium Vitamin D Iron Zinc Magnesium Fiber

13. Beyond the Food Medications may use gluten in binders that hold pills together ask Pharmacist or call manufacturer Glutenfreedrugs.com Hygiene/Other Products that may be ingested toothpaste lip products shampoo hand lotion glue on envelopes Play Dough (gluten free recipes available)

14. GF Nutritional Supplements Infant Formulas Pediasure and Boost Kid Essentials GF vitamin and mineral supplements Schiff Freeda

15. Living Gluten Free More Gluten-free foods that are better tasting than ever before The diet gets easier as patients adjust It is not necessary to restrict lifestyle, it is just a different way of eating More resources available Support groups Triangle area GF blogspots

16. Living Gluten Free Improved product labeling Gluten free products Whole foods, Grocery Stores, Walmart Gluten Free products at Restaurants Online gluten free database

17. Gluten Free Examples Questions ??

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