EATING GLUTEN-FREE

Contributed by Elise Herzog

rice

Gluten-free. It’s all the rage! It seems that everywhere you turn people are opting for a gluten-free diet. For some, it’s for medical reasons, perhaps because they’ve been diagnosed with Celiac disease or as being gluten intolerant. For others, it is simply a dietary choice. But, no matter what, starting the process can be a bit overwhelming. What should you know prior to starting? What foods can you have and what can’t you have? What are the pros and cons of a gluten-free diet? These issues, and more, will be addressed in this article, but perhaps we’d best start by defining gluten and a gluten-free diet and discussing why it’s the “in” thing to do.

Gluten Free: What is it and Why Are People Flocking to it?

According to Wikipedia, “a gluten-free dietis a diet free of gluten…a protein found in wheat, barley, rye, malts and triticale. Additionally, a gluten-free diet may exclude oats. The term gluten-free is generally used to indicate a supposed harmless level of gluten rather than a complete absence.[1] The term "gluten" technically refers to a specific complex of proteins that forms when wheat flour is mixed with a liquid and physically manipulated, such as in the kneading of bread. [2]

Most people go gluten-free because they suffer from Celiac disease, an autoimmune disease in which they can’t tolerate gluten or are allergic to it. For these individuals, gluten can actually be toxic, causing the lining of the small intestine to become inflamed and damaged. This, in turn, causes numerous uncomfortable and/or painful symptoms. These symptoms can include an upset stomach, abdominal pain and bloating. Currently, the only treatment for Celiac disease is to go gluten-free. However, it is not uncommon for people who suffer from any of these same symptoms to actually test negative for Celiac disease. As a result, going gluten-free is becoming enormously popular – although there isn’t definitive evidence of any health benefits – because more and more people claim that it gives them more energy, helps them lose weight and/or just makes them feel more healthy overall. Research is also being conducted regarding whether a gluten-free diet can help people with ADHD, autism and headaches.

Gluten-free Diet: How to Begin

Although more information continues to become available, opting to go gluten-free can be a bit overwhelming. But, it doesn’t have to be. There are some basic steps that can help:

  1. Start by making sure you thoroughly understand what gluten and a gluten-free diet are.
  2. Become familiar with gluten-free websites.
  3. Start by completely cleaning out your kitchen of anything containing gluten.
  4. Make a list of foods you can and can’t have. This will make grocery shopping and eating out much easier. You might also make a list of foods you love and search online for a gluten-free option.
  5. Because it is essential to identify the processed foods that contain gluten, you may want to consider, at the beginning, sticking to unprocessed foods, such as fresh fruits and vegetables, whole grains, meat, poultry and fish.
  6. Look for gluten-free labels on the product. Numerous grocery stores either have gluten-free sections (i.e. Whole Foods) or are marking which products are gluten-free (i.e. Safeway)
  7. Learn how to read labels:
    1. Even if the food is considered to be gluten-free, look at the bottom of the label to see if the food was produced in a place that may have wheat or other gluten ingredients
    2. Some essential words to look for in order to determine if a product contains gluten include: wheat, barley, rye, malt, oats and hydrolyzed vegetable protein (it often contains wheat).

Gluten-Free Foods

Below is a basic list of gluten-free foods, followed by a list of foods that do, or may, contain gluten. And, again, there are any number of websites that continually update these lists.


·         Plain beef, pork and lamb

·         Plain fish and shellfish

·         Plain chicken and turkey

·         Plain fruits

·         Plain vegetables

·         Plain beans

·         Eggs

·         Milk

·         Quinoa

·         Lentils

·         Corn

·         Cornmeal

·         Potatoes

·         Soy

·         Nuts and seeds

·         Select flours (rice, soy, corn, potato, bean)

·         Hominy grits

·         Polenta

·         Pure corn tortillas

·         Tapioca

·         Most dairy products

·         Potatoes

·         Wine and distilled liquors, ciders and spirits


For Gluten-Free Recipes using these ingredients go to foodGizmo's Gluten-Free Recipes.

Foods to Avoid

It is becoming more and more popular to find gluten-free options for foods we’ve been told to avoid. They will be deemed safe if they have a gluten-free label or are made with corn, rice, soy or other gluten-free grain. However, the following are foods that may need to be avoided:


·         Barley

·         Bulgur

·         Durham

·         Farina

·         Graham flour

·         Kamut

·         Matzo meal

·         Rye

·         Semolina

·         Spelt (a form of wheat)

·         Triticale

·         Wheat

·         Beers

·         Breads

·         Candies

·         Cakes and pies

·         Cereals

·         Cookies

·         Crackers

·         Croutons

·         Gravies

·         Imitation meats or seafood

·         Oats

·         Pastas

·         Processed luncheon meats

·         Salad dressings

·         Sauces (including soy sauce)

·         Self-basting poultry

·         Soups

·         Broth

·         Coating mixes

·         Marinades

·         Seasoning

·         Soy sauce

·         Thickeners

·         Vegetarian meat substitutes


 

Gluten-free: Pros & Cons

There’s no doubt that the pros and cons surrounding a gluten-free diet is a popular topic. And, as research continues to be conducted, more are likely to surface. In order to make an educated decision as to whether or not this diet is for you, it is recommended that you take time to explore both the good and bad. The following addresses some to take into consideration:

Pros

·         A gluten-free diet is considered to be medically beneficial for a number of diseases:

o   Gluten Intolerance: Patients with this allergy cannot tolerate gluten.

o   Celiac disease: This is an autoimmune disease that damages the intestinal lining when gluten is consumed. Going gluten-free may help save a person’s colon.

o   Dermatitis Herpetiformis: This chronic skin disease is marked by fluid-filled blisters; believed to have been triggered by high gluten ingestion.

o   Migraines: Numerous patients suffering from these severe headaches have said that they feel better by going gluten-free. It is possible that many of them have Celiac disease.

o   Autism: The severity of autism may be directly related to consumption of high gluten. Therefore, children with this disease are often being kept on a gluten-free diet.

·         It has been shown to assist in weight loss, especially as:

o   the muscle/fat ratio continually improves,

o   more calories come from protein,

o   diets may become lower in calories because numerous snacks are not gluten-free and must be avoided, and

o   foods containing gluten, such as bread, pasta and most empty/bulk carbs will be cut from one’s diet.

·         Gluten-free is considered to be a healthy diet because it not only cuts out wheat products, but also a significant amount of processed food and it increases the intake of fruits, lean meats, root vegetables, etc.

·         A number of those following a gluten-free diet maintain that they feel lighter after meals, have more energy and find exercising to be easier.

·         Many digestive issues may be resolved, even if one has not been medically shown to be gluten intolerant.

·         Present medical literature and scientific research indicates that people suffering from any of the following conditions are known to have fewer symptoms and/or a quicker recovery time when they add a gluten-free diet to their treatment. This improves digestive health thereby making nutrients more available which, in turn, accelerates the healing process.


o   Rheumatoid arthritis

o   Parkinson’s disease

o   Neuromyelitis

o   Down’s syndrome

o   Peripheral neuropathy

o   Multiple sclerosis

o   Seizures

o   Ataxia and late-onset Friedreich ataxia

o   Brain fog

o   Osteoporosis

o   Type 2 and Type 1 diabetes and anemia


Cons

·        Adhering to a gluten-free can prove to be very challenging.

·        Following a gluten-free diet for an excessive amount of time may result in several deficiencies in the body.

·        People may not be able to eat all the healthy, natural foods rich in required nutrients, because they contain gluten, and some gluten-free foods are not fortified and do not have a variety of nutrients. These foods are low in folate, fiber and iron.

·        Gluten-free foods still are not always available so patients do not get to consume the minimum recommended amount of the grains.


Eating Out on a Gluten-free Diet

So now that you’ve figured out how to maintain a gluten-free diet at home, one of the next challenges is dining out. Years ago this would have been virtually impossible, but as the diet grows in popularity, it’s becoming less difficult. More and more restaurants are offering gluten-free options as part of their menu. Certainly calling the restaurant in question is the easiest way to gather this information. But, don’t be afraid to ask your server questions about their menu, whether they serve any gluten-free dishes and if they can modify any of their items in order to accommodate your needs. And, the number of websites devoted to researching this for you continues to grow. Below are a few of the more popular sites that offer eating out tips and names of restaurants:

http://www.glutenfreeregistry.com/

http://www.urbanspoon.com/t/17/1/Denver/Gluten-Free-Friendly-restaurants (while based in Denver this site has a list of gluten-free restaurants to be found in a number of different cities)

http://celiacdisease.about.com/od/socializingwithoutgluten/a/DiningOutLists.htm>

http://www.glutenfreerestaurants.org/

As gluten-free becomes a more viable choice, the information surrounding this diet continues to become more readily accessible. As such, foodGizmo is dedicated to posting news that may be of interest. We hope you’ll check back with us on a regular basis and let us know if there are items of which you’d like to see more coverage. Until then, eat well!

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