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December 8, 2011

Gluten-Free: Update on Gluten Sensitivity and Celiac Disease

One of my most popular blog and podcast topics is gluten-free. Do you have questions too? I’m thrilled to have as my podcast guest this week registered dietitian and a leading international expert on celiac disease and the gluten-free diet, Shelley Case. She’s a member of the Medical Advisory Boards of the Celiac Disease Foundation, Gluten Intolerance Group and Canadian Celiac Association.

Her best selling book is Gluten-Free Diet: A Comprehensive Resource Guide. Shelley’s website offers a bevy of free helpful information and resources.

Celiac disease is an autoimmune disorder that attacks your small intestine and persists for a lifetime.  Autoimmune basically means that your body turns on itself. Specifically your intestine is damaged by the protein you eat found in wheat, rye and barley…collectively this protein is referred to as gluten.

Any food item that contains gluten is like poison to your small intestine particularly to the little fingerlike projections called villi and makes it difficult to absorb the nutrients from food such as vitamins and minerals.

Gluten is so ubiquitous that becoming a label sleuth is a top diet strategy. The dangerous grains and their protein include barley, rye, wheat, spelt and kamut while the safe grains include rice, corn, potato, amaranth, quinoa, buckwheat, millet, chickpea flour and oats (have the oat discussion with your registered dietitian for your particular case).

Remember wheat free is NOT gluten free. Wheat free can contain barley, bulgur or other grains with gluten.

This is really important if you think you might have celiac disease. A gluten-free diet can interfere with obtaining an accurate diagnosis so never start on the diet until you’ve had the tests suggested by your doctor such as blood tests and a biopsy.

If you have celiac disease life is NOT over. Your diet, the gluten-free diet, can make you feel much better and it’s easier to follow than just a few years ago. Plus the really good news… when you live a gluten-free lifestyle, most of the complications associated with celiac disease can be prevented.

***Giveaway: Register to win a $20 variety pack of Lucy’s Cookies, which are gluten free and made without milk, eggs, peanuts or tree nuts making them worry-free snacks for anyone who suffers from any kind of food allergy.

Remember the bottom-line basics of the gluten-free diet for celiac disease and gluten sensitivity: The grain group is most affected and the specific grains we just mentioned.

  1. Dairy, fruits, vegetables and protein food groups have minimal changes especially in their most natural form
  2. Put your emphasis on whole foods versus processed foods or those modified in some way. Processed and modified foods are most likely to contain gluten.
  3. Remember there are many naturally gluten-free foods such as fruit and vegetables and many grains. Reach for whole grains such as brown rice over white rice.

Want more information on how to select fish in the grocery? Listen to this week’s podcast below.

Listen to this week’s podcast


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