Gluten Free Living For Health: How to Live with Celiac or Coeliac Disease (Gluten Intolerance Guide): How to Live with Celiac or Coeliac Disease
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Gluten Free Living For Health - Speedy Publishing
What is Gluten Free?
If you have read any magazine or newspaper, seen any television commercial or used the internet lately, you have likely heard or read something about a gluten free diet. But just what is gluten free? Simply put, gluten free diet is a diet that excludes gluten, the primary villain for those who have celiac disease. However, many people have found that eliminating gluten from their diet also helps with allergies, certain autism characteristics (although there is some controversy over these claims) and even weight loss.
Gluten is a protein that is found in many grains including wheat, rye and barley. It can cause all sorts of problems with people who have gluten sensitivity or celiac disease. For people with celiac disease, it can cause quite a bit of discomfort, creating inflammation in the small intestines. Other symptoms of celiac disease include irritability, fatigue, decreased appetite, chronic (sometimes bloody) diarrhea and growth problems (in children). For individuals living with this condition, a gluten free diet can be a godsend.
There is some concern among doctors that a gluten free diet can be linked to certain nutrient deficiencies. Many prepared products and are gluten free are not enriched or fortified with nutrients like fiber, folate and iron. Most traditional breads and cereals are enriched and fortified with these nutrients so some people may not realize the disconnect. Additionally, gluten free foods may not always be available, leaving patients to omit vital foods from their diets, thus failing to consume the number of grain servings that are recommended daily.
The menus and meal plans in this book are well rounded and nutritionally sound. Every effort was make to ensure that the recipes here have ingredients that should be fairly easy to find. And when you must alter your diet, the easier it is to find the ingredients and foods you need, the easier it is to stick with the plan. Being gluten free is important for those who require that special diet, but getting the proper nutrition is equally important.
Gluten Free Diet Basics
Beginning a gluten free diet requires some forethought and planning. We are bombarded with gluten rich foods every day in many of our most common foods (like bread and pasta) so cutting it out can require you to make some adjustments to your diet and lifestyle. At first glance it may look like you have to cut out a lot of foods. In reality, you just have to shift things around a bit – most of the time anyway. You will have to change the way you do some things like shop and cook.
You will have to learn how to read and understand labels. The most current research regarding celiac disease suggests that the safe level of gluten in a finished product is about 200 parts per million (ppm), or 0.02% or less. However, it could even go as low as 20 parts per million, or 0.002%. These are the maximum levels of gluten that are considered safe for people with celiac disease.
While food labels vary from country to country, in the United States, the Food and Drug Administration (FDA) has no set guidelines governing the labeling of gluten free foods. Currently, manufacturers are not required to disclose gluten containing ingredients on their labeling. Additionally, foods labeled gluten free
may not be entirely gluten free. The FDA currently allows trace
amounts of gluten in foods that are labeled gluten free. There are proposals on the table to improve the labeling of gluten free foods, but at the publication of this book, no finalizations to this proposal have been made and no final decision is in sight. Trace
amounts, per the FDM means that it allows a variance of a supposedly small, but undefined amount. However, the majority of manufacturers are adhering to the proposed regulations indicating that gluten free labeled products contain less than 20 ppm.
Another significant concern when purchasing foods labeled gluten free is cross contamination. Again, labeling for cross contamination is very poor. When shopping for gluten free products, you must be careful because some grains, flours and seeds that are inherently gluten free but not labeled as such are actually contaminated with gluten. This could cause you to accidentally ingest gluten even though you are trying to maintain a gluten free diet.
Cross contamination can occur at any stage of the processing and preparation of a food. For instance, a gluten free food that is going through the manufacturing process may become contaminated with gluten if that machinery is also used to processed foods containing gluten. But even your own home is not exempt. If you use a toaster for bread containing gluten, then you can easily contaminate your gluten free bread if you put it in that same toaster. It is very important to keep gluten free foods and foods containing gluten separate including storage, preparation and cooking.
When you are shopping, read the ingredients list even if the food is normally considered a gluten free food. Gluten can be found in a variety of ingredients such as modified food starch, vegetable proteins, barley of wheat derivatives, malt flavoring and starch. Ingredients like dextrin, maltodextrine may also contain gluten unless they are labeled as corn malt. Dextrose, however, is considered to be a gluten free food regardless of its source because it is so highly modified.
Gluten Free Food Basics
The healthiest diet is all natural with no processed foods. This is actually very compatible with a gluten free diet.
Beans, nuts and seeds
Beans, nuts and seeds are gluten free if you consume them in their natural state. Once they are processed or have a bunch of fancy seasonings added in they may lose their gluten free status. Always read the labels!
Lean protein
Fresh, lean beef, fresh eggs, poultry, shrimp and fish are great choices. Just make sure that you don’t opt for batter coated, marinated or breaded versions of these foods. Just watch out for cross contamination. Check out the food prep area if you can or ask someone behind the counter if any of the products are cut, packaged or prepared in the same area or using the same equipment as breads or other gluten products.
Sausage can be very tricky. Many manufacturers use bread crumbs as a filler so make sure that the package specifies gluten free. Chicken sausage and beef sausage can be very nice compliments to your menu. You can also typically find gluten free deli meats fairly easily, but check out the prep area at the deli counter to avoid cross contamination from shared slicing equipment.
Fruits and vegetables
Fruits and vegetables are naturally gluten free – when consumed in their natural form.