1. Gluten-Free Diet • Who Needs it? • Presented by: • Nelda W. Malm, M.S. Ed.D. • Registered Dietitian

2. Lots of Questions! • Who needs this diet? Who doesn’t? • How do I know if I need this restriction? • Is it fad or fact? • What are the pros and cons? • Does it work if I don’t need it? • What are the risks? • How do I plan such a diet? • Will my cooking and eating out change? • Where do I get the products?

3. What do you know about Gluten-Free diets? • Why are you here?

4. What Chelsea Clinton’s Cake might have looked like

5. What is Gluten? • A protein found in the grains: • Wheat • Rye • Barley

6. Why is Gluten a problem? Why avoid it?Who can benefit from a Gluten-Free Diet

7. What do you already know?

8. Gluten is: • An additive to many foods • A preservative • A protein found naturally in certain foods • A flavoring

9. Which is a symptom of gluten intolerance • Poor circulation • Sore throat • Diarrhea • Ringing in the ears

10. Eating Gluten-Free is critical if you: • Want to lose weight • Want to cleanse your digestive tract • Want to have more energy • Have celiac disease

11. Which Grain does not contain gluten? • Rye • Barley • What • Quinoa

12. You can tell which prepared foods have gluten just by looking at them. • True • False

13. You can’t drink alcohol if you’re on a gluten-free diet • True • False

14. Which is a good gluten-free breakfast choice? • Toast with butter • Scrambled egg and grits • Bagel and cream cheese • Pancakes

15. What can you use to bake gluten-free? • Rye flour • Brown rice flour • Whole wheat flour • All of the above

16. Which department should you spend the most time in when shopping for gluten-free food? • Frozen, prepared foods • Snack foods • Produce • Cereal

17. Why is Gluten a problem? Why avoid it?Who can benefit from a Gluten-Free Diet

18. Three types of people who may not be able to eat products containing Gluten: • People with Celiac Disease • People with Gluten sensitivity or intolerance • People with wheat allergy

19. Celiac Disease • gluten-sensitive enteropathy • celiac sprue

20. Symptoms of Celiac Disease: • Anemia • Fatigue • Infertility • Eczema • Joint pain or aches • Lactose Intolerance • Diarrhea • Steatorrhea • Flatulence • Abdominal pain and bloating, acid reflux • Unexplained weight loss

21. In the healthy intestine, the villi greatly increase the absorptive surface area.

22. In celiac disease, the villi may be shortened or absent, resulting in substantial reductions in nutrient absorption.

23. Prevalence of celiac disease in the U.s.

25. Gluten Sensitivity or • Intolerance • Non-celiac-related sensitivity to gluten

26. Symptoms: • Digestive symptoms: bloating, gas, IBS, acid reflux, diarrhea, constipation • Skin: eczema or acne • Skeletal: joint pain or aches • Brain fog, migraines, headaches • Depression, anxiety • Ongoing Fatigue

27. Wheat Allergy • Experience Symptoms within a few minutes or hours of eating something with wheat

28. Symptoms Include: • Swelling, itching or irritation of the mouth or throat • Hives, itchy rash or swelling of the skin • Nasal congestion • Itchy, watery eyes • Difficulty breathing • Cramps, nausea, or vomiting • Diarrhea • Anaphylaxis

29. Should you Go Gluten-Free??

30. The Health Hype

31. Is it a speedy ticket to weight loss?

32. Some Problems: • Besides the hassle, you could end up with serious nutritional deficiencies • Gluten-free doesn’t necessarily equal healthy • No grains means missed nutrients

33. Gluten “Red Flags”

34. Items that commonly contain hidden gluten • Honey baked hams • Some ice creams and frozen yogurts • Instant teas and coffees • Lip balms and lipsticks • Mayonnaise • Sour cream • Some toothpastes • Soy sauce • Malt, malt flavoring, malt vinegar • Dietary supplements including vitamins • Communion wafers • Imitation bacon and seafood • Bouillon cubes • Candy – dusted with wheat flour • Canned soups • Cheese spreads • Chocolate – malt flavoring • Cold cuts, hotdogs, sausages • Dip mixes • Dry sauce mixes • Dry roasted nuts & honey roasted nuts • French fries or other fried foods in restaurants • Gravies • Playdough

35. Say Bye-Bye to Bread……Mostly

36. You Have Gluten-Free Bread Choices

37. Lots of Cereals Have Gluten

38. Enjoy Corn and Rice Cereals

39. Arrivederci, Pasta?

40. Dig in to Rice and Potatoes?

41. Most Crackers are Made of Wheat

42. Rev up munchies With Rice Cakes

43. Beware of Breaded Foods

44. Who Misses the Breading?

45. Avoid Most Cookies and Cakes

46. Enjoy Sweet and Chewy Treats

47. Beer Contains Gluten – Who Knew?

48. Cheers! You Can Still Raise a Glass

49. There’s So much More to Enjoy

50. When Dining Out, Talk it Out