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Gluten-Free Diet. Who Needs it? Presented by: Nelda W. Malm , M.S. Ed.D . Registered Dietitian. 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?
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Gluten-Free Diet • Who Needs it? • Presented by: • Nelda W. Malm, M.S. Ed.D. • Registered Dietitian
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?
What do you know about Gluten-Free diets? • Why are you here?
What is Gluten? • A protein found in the grains: • Wheat • Rye • Barley
Why is Gluten a problem? Why avoid it?Who can benefit from a Gluten-Free Diet
Gluten is: • An additive to many foods • A preservative • A protein found naturally in certain foods • A flavoring
Which is a symptom of gluten intolerance • Poor circulation • Sore throat • Diarrhea • Ringing in the ears
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
Which Grain does not contain gluten? • Rye • Barley • What • Quinoa
You can tell which prepared foods have gluten just by looking at them. • True • False
You can’t drink alcohol if you’re on a gluten-free diet • True • False
Which is a good gluten-free breakfast choice? • Toast with butter • Scrambled egg and grits • Bagel and cream cheese • Pancakes
What can you use to bake gluten-free? • Rye flour • Brown rice flour • Whole wheat flour • All of the above
Which department should you spend the most time in when shopping for gluten-free food? • Frozen, prepared foods • Snack foods • Produce • Cereal
Why is Gluten a problem? Why avoid it?Who can benefit from a Gluten-Free Diet
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
Celiac Disease • gluten-sensitive enteropathy • celiac sprue
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
In the healthy intestine, the villi greatly increase the absorptive surface area.
In celiac disease, the villi may be shortened or absent, resulting in substantial reductions in nutrient absorption.
Gluten Sensitivity or • Intolerance • Non-celiac-related sensitivity to gluten
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
Wheat Allergy • Experience Symptoms within a few minutes or hours of eating something with wheat
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
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
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