Transcript What Is Gluten?

WHAT IS
GLUTEN?
How Gluten Can
Harm People
For learning the answers,
remedies and proven ways to
overcome a dietary food
intolerance problem
DEDICATED TO…
Those that have travelled the long road to living gluten free.
The Major Difficulty With Gluten - Of Gluten
Intolerance, Celiac Disease For Life and more..
Gluten is a serious health problem for many people.
Many sufferers don’t realize that they are “intolerant.”
Gluten Ingestion harms people and their health status.
INTRODUCTION
For most, a gluten-free diet is not a passing
fad. It must be a way of life.
WHAT IS
GLUTEN?
Gluten is a protein found in a number of grains
 Wheat
 Barley
 Rye
Just avoiding grains is not enough, it is an additive in food
production
Gluten can be listed as dextrin on product labels
For most, a gluten-free diet is not a passing
fad. It must be a way of life.
Gluten-intolerant individuals can’t digest the gluten protein
WHAT IS
GLUTEN?
Conditions can include:
 Wheat allergies
 Dermatitis herpetiformis
 Celiac disease
Most associate a gluten-free diet
with celiac disease.
Gluten-intolerance symptoms include diarrhea, cramping, gas,
bloating, weight loss, vitamin deficiencies
WHAT IS
GLUTEN?
Discomfort from ingesting gluten comes from intestinal lining
damage
The only treatment is to eliminate gluten from the diet
Gluten Intolerance Statistics
Celiac disease is hereditary.
If you have celiac disease, 4%-12% of your immediate relatives may
also have the condition.
Approx 1 in 133 Americans has celiac disease (3 million people)
WHAT IS
GLUTEN?
Gluten intolerance affects approx 1 in 100 in Australia and New
Zealand.
97% of Americans may have undiagnosed celiac disease.
Celiac disease has over 300 chronic symptoms.
Gluten Intolerance Statistics
Gluten-free foods may cost 242% more than foods with gluten.
No treatments or drugs are available to treat celiac disease.
CD sufferers dine out 80% less than before their diagnosis.
WHAT IS
GLUTEN?
Misdiagnosis of chronic celiac disease can cost $5,000-$12,000.
Sales of gluten-free foods will reach $2 billion in years to come
Celiac disease affects more people by far than other chronic
diseases like epilepsy, Crohn’s disease and Parkinson’s disease.
Globally, the prevalence of celiac disease is directly
related to wheat consumption in each country
WHAT IS
GLUTEN?
How celiac disease works
Celiac disease is an autoimmune disorder
Gluten proteins attack the small intestine villi
Prevents absorption of vital nutrients
WHAT IS
GLUTEN?
Left untreated it can seriously affect the digestive system
Can ultimately lead to osteoporosis, skin rashes and anemia
Highest risk demographic: Caucasion of N. European descent
Celiac disease can be difficult to diagnose
Test for specific antibodies while gluten is in the system.
If one in three antibodies present, celiac disease confirmed through
intestinal biopsy.
If confirmed a gluten-free diet is indicated.
WHAT IS
GLUTEN?
Gluten-free diet cannot include oats due to cross-contamination.
Two specific factors
 Genetics
 Environment
Start by focusing on the many foods that
can be enjoyed while eliminating gluten
Fruits and veggies, coffee, eggs, potatoes, corn, nuts, beans, fish,
meat, and unflavored milk.
Herbs and spices are gluten-free
WHAT IS
GLUTEN?
Continued gluten
ingestion increases risk
of gastrointestinal
cancer 40-100x
The Mystery Behind
Gluten Intolerance
and Celiac Disease
The Mystery Behind Gluten Intolerance
and Celiac Disease
10% with CD have an immediate family member with disease
If one of identical twins has the disease, 70% of the twin has it
Primarily affects Caucasians of European descent
Occasionally occurs in Middle East and India
The Mystery
Behind Gluten
Intolerance and
Celiac Disease
Rarely affects Australian Aborigines and Asians
Grain is a high proportion of diet in the most affected regions
Celiac disease affects children and
adults at any age.
Many develop symptoms in adulthood, while others have no
symptoms at all
Celiac disease is a most mis- and under-diagnosed autoimmune
disease
The Mystery
Behind Gluten
Intolerance and
Celiac Disease
Celiac disease cannot be cured, symptoms only alleviated
Celiac disease symptoms and diagnosis
Very difficult to diagnose because of a range from mild to severe
symptoms, or from none to many symptoms
The Mystery
Behind Gluten
Intolerance and
Celiac Disease
Common symptoms include:
 Fatigue / weakness
 Low iron levels/unexplained anemia
 Abdominal cramps
 Diarrhea
 Gas/bloating
 Constipation
 Nausea
 Poor weight gain/weight loss
Celiac disease symptoms and diagnosis
The Mystery
Behind Gluten
Intolerance and
Celiac Disease
Less common symptoms include:
 Bruising easily
 Ulcers in the mouth
 Infertility and miscarriage
 Dental problems
 Vitamin deficiencies
 Muscle cramps / spasms
 Brain fog / confusion
 Bone and joint pain
Any or all of these symptoms should be reported to a doctor.
If gluten-intolerance is detected, a gastro-enterologist will test
for celiac disease.
Triggers that lead to celiac disease
The Mystery
Behind Gluten
Intolerance and
Celiac Disease
Celiac disease symptoms and diagnosis
Gluten intolerance can cause the autoimmune disease dermatitis
herpetiformis (DH).
DH causes a skin rash characterised by pimples or blisters.
DH is more common in men and people from Northern Europe.
The Mystery
Behind Gluten
Intolerance and
Celiac Disease
DH may appear on:
 Kneecaps / elbows
 Ears
 Shoulder blades
 Buttocks
 Hairline / eyebrows
DH always occurs symmetrically and is also incurable.
If diagnosed, a skin biopsy is indicated.
Gluten intolerance: Where it all begins
Gluten intolerance: A broad term that relates to all forms of gluten
sensitivity
Many who are gluten sensitive will test negative for celiac disease
This may indicate something less than a 100% gluten-free diet
The Mystery
Behind Gluten
Intolerance and
Celiac Disease
Gluten sensitivity can include:
 Constipation
 Diarrhea
 Gas
 Bloating
Gluten sensitivity can be tested by systematic removal /
reintroduction of trigger foods containing gluten
Wheat allergy versus gluten intolerance
Wheat allergies are less common than gluten intolerance
Wheat allergies are usually accompanied by other severe
allergies to eggs, seafood and nuts
Wheat allergies are best diagnosed by skin prick testing
The Mystery
Behind Gluten
Intolerance and
Celiac Disease
Gluten intolerance and autism
Eliminating gluten can alleviate early symptoms of autism in children
Global Autism Awareness Day is April 2
The Mystery
Behind Gluten
Intolerance and
Celiac Disease
Prevalence of autism around the world:
 China: 1.1 children in 1000 have autism
 India: 1 in 250
 US: 1 in 88
 UK: 2-6 in 1000
Some studies suggest food allergies caused by gluten intolerance
can trigger or worsen autism
Gluten protein breaks down into peptides which work as a narcotic,
worsening symptoms of autism in children
Gluten intolerance and autism
“Brain fog” or confusion can worsen into pyschiatric conditions in
autistic children
Completely eliminating gluten can result in disapperance of
abnormal behavior, cognitive issues and anti-social tendencies
__________
The Mystery
Behind Gluten
Intolerance and
Celiac Disease
Next section: How to implement a gluten-free diet
The Gluten-Free
Diet and Its Many
Health Benefits
All the signs point to a diet change
Mild to severe gluten intolerance, celiac disease, DH and other
indicate a need for a diet change
The GlutenFree Diet and
Its Many Health
Benefits
Diet changes can improve problems with:
 Diarrhea
 Gas
 Bloating
Though the switch can be difficult, the effort go gluten-free can be
worth it for chronic condition sufferers
The Basis of the Gluten-Free Diet
Core of the diet: Avoid any form of wheat, rye and barley
You can continue to enjoy the foods you love.
There are many more foods to enjoy than to avoid.
Gluten-free alternatives are becoming more available in
supermarkets and restaurants.
The GlutenFree Diet and
Its Many Health
Benefits
Many foods are naturally gluten-free.
For others there are gluten-free alternatives.
The Basis of the Gluten-Free Diet
Factors behind the new wave of market expansion
 Increasing diagnoses of food allergies and celiac disease.
 More awareness of gluten intolerance throughout society.
 Growing need for better-tasting gluten-free alternatives.
 Trends for families to eat gluten-free to support loved ones.
The GlutenFree Diet and
Its Many Health
Benefits
 Modern knowledge of the health benefits of gluten-free for all.
Top 5 Benefits of a Gluten-Free Diet
1. Nutrition from a wide variety of other sources
 Flaxseeds / sesame seeds: same nutrients as wheat flour
 Fruits & vegetables: same or more fibre than whole grains
2. Gluten causes inflammation
 High-gluten grains are high in starch, causing inflammation
The GlutenFree Diet and
Its Many Health
Benefits
 Gluten-free vegetables and fats can neutralize inflammation
 Gluten-free foods can calm systemic inflammation related to
arthritis, osteoporosis, asthma, allergies, etc.
Top 5 Benefits of a Gluten-Free Diet
3. Gluten can harm joints
 Gluten-rich foods have amino acids found in joint tissue
 Can confuse immune system into attacking joints and causing
long-term damage
The GlutenFree Diet and
Its Many Health
Benefits
4. Gluten can cause mineral deficiencies
 Ingestion of gluten-rich grains can inhibit vitamin and mineral
absorption.
 Gluten-free allows for easy digestion and better absorption.
5. Gluten causes gluten craving
 Craving carbs or processed foods may be a gluten addiction
 A vicious cycle: energy boost > energy drop > then cravings
First Steps: The Initial Elimination Diet
Start out small to assess gluten intolerance with “Elimination Diet”
Elimination Diet Process:
 Completely eliminate all gluten for 2-4 weeks
 Then slowly reintroduce items, tracking foods, symptoms and
reactions
The GlutenFree Diet and
Its Many Health
Benefits
 If reintroduction produces negative results a gluten-free diet
may be indicated.
Taking the Plunge –
How to Organize
For Gluten Free
Failure to provide for the glutenintolerant can endanger their health
The following strategies can be offered to those preparing food:
 Avoid packaged or prepared foods
 Cook foods from scratch
Taking the
Plunge – How
to Organize For
Gluten Free
 Avoid cross-contamination in the kitchen
 Be careful with how food is presented
Go the extra mile to help a host prepare gluten-free meals
Top 10 “Hidden” Gluten-Containing
Products in A Kitchen
Salad Dressing: Usually contains gluten unless labelled gluten-free.
Marinades: Most have gluten content or a gluten-derived ingredient.
Soy Sauce: Can contain 60% wheat filler products.
Taking the
Plunge – How
to Organize For
Gluten Free
Instant Pudding: Usually produced with gluten as a thickener.
Frozen Meals: Gluten protein is used as a binding agent.
Deli Meats & Sausages: Gluten is used as a starch to bind water in
production.
Top 10 “Hidden” Gluten-Containing
Products in A Kitchen
Soups: Most commercial soups contain gluten as thickener
Ice Cream: Gluten-free ice cream is available, but watch for
ingredients like cookies and brownies which usually contain gluten
Hot Cocoa: Most instant cocoa, including Ovaltine have gluten
Taking the
Plunge – How
to Organize For
Gluten Free
Condiments: Most have gluten, including mayo, mustard, ketchup,
sauces, etc.
Gluten-Free Shopping Guide
Produce: Any fresh fruit, vegetable, herb and spice
Meat / Fish: Beef, poultry, fish shellfish, some cold cuts w/o additives
Frozen Foods: Frozen fruit & vegetables, gluten-free frozen waffles,
ice cream and sherbets
Taking the
Plunge – How
to Organize For
Gluten Free
Always read the product label
Dairy: Milk, cream, half-and-half, butter, margarine, yogurt, sour
cream, cream cheese, cottage cheese, rice pudding, tapioca
pudding, eggs, tofu, Jell-O, 100% fruit juices
Breakfast: Corn, rice & other gluten-free cereals, eggs, gluten-free
frozen waffles and bagels
Canned Goods/Packaged Foods: Plain canned vegetables & fruits,
cranberry sauce, applesauce, spaghetti sauce, gluten-free organic
soups, gluten-free pastas, corn tortillas, and canned fish
Gluten-Free Shopping Guide
Oils: Shortening, mayonnaise, gluten-free salad dressing, olive oil,
canola oil, vegetable oil
Starches: Rice, buckwheat, chickpeas, sunflower seeds, flax seeds,
corn starch, potato starch, quinoa
Snacks: Rice crackers & cakes, popcorn, cheese puffs, corn chips,
some potato chips, chocolate, dried fruits, some candy
Taking the
Plunge – How
to Organize For
Gluten Free
Beverages: Tea, coffee, soft drinks, 100% fruit juice
Condiments: Horseradish, ketchup, some mustards, honey, pickles,
vinegar (excluding malt vinegar)
Nuts: Almond butter, cashew butter, peanut butter, plain nuts
Always read the product label
Baking: Salt, pepper, herbs, spices, sugar, corn meal, baking soda,
baking powder, baking chocolate, cocoa, and gluten-free flours
How to Cook Gluten
Free - Meal
Preparation Hints
What NOT to do when cooking gluten-free
DON’T use the same cooking materials and utensils.
DON’T forget to separate your gluten-free cooking ingredients.
DON’T forget to read labels carefully.
DON’T think that cooking will eliminate trace amounts of gluten.
How to Cook
Gluten-Free:
Meal Preparation
Hints
DON’T double dip.
BREAKFAST
Nutritious gluten-free alternatives:
 Gluten-free cereals
 Gluten-free muffins
 Gluten-free waffles
 Gluten-free pancake mix
How to Cook
Gluten-Free:
Meal Preparation
Hints
 Gluten-free trail mix or cereal bars
 Fresh fruit
 Eggs
LUNCH
Delicious, gluten-free foods to pack for lunch:
 Gluten-free soup
 Fresh fruit, yogurt, and gluten-free granola
 Gluten-free wrap with hummus and vegetables
 Dinner leftovers
How to Cook
Gluten-Free:
Meal Preparation
Hints
 Sandwich on gluten-free bread
Gluten-Free Cooking 101: Basic Guidelines
Know what is and isn’t safe
Read all labels carefully
Buy pre-packaged gluten-free mixes
Use separate cooking implements to prevent cross-contamination
How to Cook
Gluten-Free:
Meal Preparation
Hints
Use gluten-free recipes
How to Convert Recipes to Gluten-Free
Swap out gluten-rich flour
Or, omit flour altogether
Add gluten free alternatives as substitutions for ingredients
Experiment, experiment, experiment
How to Cook
Gluten-Free:
Meal Preparation
Hints
The Basic Gluten-Free Substitution Chart
Sandwich bread  Corn tortillas
Crackers  Brown rice tortillas
Bread crumbs  Crushed gluten-free cereal or gluten-free oats
Pizza crust  Mashed potatoes
How to Cook
Gluten-Free:
Meal Preparation
Hints
Flour tortillas  Corn tortillas
Flour tortillas  Lettuce wraps
Pancakes  Cornmeal cakes
Cake frosting  Meringue
Yogurt with granola  Yogurt with nuts
Croutons  Nuts
The Basic Gluten-Free Substitution Chart
All-purpose flour  Gluten-free flour
Wheat flour  Almond flour
Lasagna noodles  Sliced eggplant
Couscous  Steamed chopped cauliflower
How to Cook
Gluten-Free:
Meal Preparation
Hints
Couscous  Quinoa
Pasta  Rice noodles
Pasta  Spaghetti squash
Bagels  Rice cakes
Roux  Potatoes
Pie crust  Gluten-free cookie dough
The Art of Dining
Out Gluten-Free
Dining out with celiac disease:
the emotional impact
Women with celiac disease are more likely to exhibit disordered
eating and depression due to a gluten-free diet
The Art of
Dining Out
Gluten-Free
Women with celiac disease who stayed with the strictest glutenfree diet had…
 Improved energy
 Reduced levels of stress
 Reduced symptoms of depression
 Improved emotional health
Dining out with celiac disease:
the emotional impact
Dining out creates a much different experience for people with
celiac disease because of diet monitoring
Many are concerned about burdening hosts with dietary requests
The Art of
Dining Out
Gluten-Free
It’s important to continue to educate the public about everyday
difficulties associated with celiac disease
The prescribed treatment for celiac disease shouldn’t just
address the illness.
How to eat out on a gluten-free diet
Eating at a restaurant may now be confusing and nerve-racking
trying to choose menu items for this diet.
Many restaurants now offer special menus for diners with gluten
intolerance and celiac disease.
Eat a balanced snack before going out to eat.
The Art of
Dining Out
Gluten-Free
Study the venues menu in advance.
Tell the house Maitre Di about gluten free diet in advance
Choose safe dishes on the menu and ask questions.
Remind the staff about cross-contamination.
Gluten-free alcoholic drinks
Can still enjoy some alcoholic beverages after-dinner
Beer is not allowed due to the hops and barley, which contain gluten.
Recently, special gluten-free beers have been formulated
The Art of
Dining Out
Gluten-Free
Gluten-free drinks include:
 Brandy, cognac
 Wine, some cider
 Gin, vodka, tequila
 Rum, Schnapps
Gluten-free tips for parties
and gatherings
It may be difficult to request gluten-free if a party has a set menu.
At a party with a catered menu, bring along gluten free food
The Art of
Dining Out
Gluten-Free
Scout the food table or buffet line for gluten-free items:
 Plain grilled meat
 Fresh vegetables
 Salad with oil and vinegar dressing
 Fresh fruit for dessert
Gluten-free tips for parties
and gatherings
A Holiday event probably won’t have gluten-free food
Several steps to take to avoid inconveniencing a host:
 Bring a prepared dish.
 Call the caterer in advance.
The Art of
Dining Out
Gluten-Free
 Eat before everyone goes out.
 Cheating on this diet can cause permanent damage.
Special Guidelines
for Children on a
Gluten-Free Diet
Early diagnosis of gluten intolerance or
celiac disease is critical
2.5 babies / minute are born with genetics to have celiac disease
For children who are at risk the age of diagnosis is critical.
When a first degree blood relative has celiac disease, there is about
a 5% chance that a child also has the condition.
Special
Guidelines for
Children on a
Gluten-Free
Diet
Recognizing celiac disease in young children:
 May refuse to eat or fail to gain weight after eating gluten
 May be irritable, listless, have an enlarged abdomen or irregular
stools
An older child may have symptoms like:
 Stunted growth
 Poor appetite
 Anemia
Coping with celiac disease at school
Speak to a counselor, teacher and the school nurse immediately.
To simplify the process, get a doctor’s note that explains your child’s
celiac disease or gluten intolerance.
Teach your child to be independent in managing their condition.
Some school cafeterias may have gluten-free menu options.
Special
Guidelines for
Children on a
Gluten-Free
Diet
Coping with celiac disease: The teen years
If diagnosed as a child, transition into teen years should be easy.
Discuss situations where they may feel out-of-place with their diet.
Teens need to understand that they won’t outgrow celiac disease.
Occasional cheating is not okay.
Special
Guidelines for
Children on a
Gluten-Free
Diet
Make gluten-free eating fun by having the right snacks on hand and
learning good gluten-free recipes.
Coping with celiac disease: The college years
You need to prepare for them being largely on their own.
More colleges are accommodating students with gluten-intolerance
and celiac disease.
College counselors can advise if the school caters to students with
food sensitivities.
Special
Guidelines for
Children on a
Gluten-Free
Diet
A doctor’s diagnosis or medical report can be helpful.
This time of transition is another opportunity to learn celiac disease
does not go into remission.
How to raise a gluten-free child
Focus on the foods that a child can eat.
Ask the child to help you plan meals.
Try new foods with a child.
Rearrange the kitchen to take away temptation.
Special
Guidelines for
Children on a
Gluten-Free
Diet
Plan in advance to bring gluten-free classroom treats.
Establishing these principles from an early age will it easier for a
child to avoid gluten and minimize short and long-term problems
COPYRIGHT
Disclaimer:
All the information, techniques, skills and concepts contained in this presentation are as a guide and an assist to general education only. Nothing herein is recommended,
neither as an individual’s nor a groups’ direct advice. The intent is to offer a variety of information to provide a wider range of knowledge in education, recognizing that
we have widely diverse circumstances and viewpoints. Should anyone choose to make use of the information contained herein, this is their decision, and the contributors
(and their companies), authors and publishers do not assume any responsibilities whatsoever under any condition or circumstance. It is recommended that the viewer
obtain their own independent advice and consult a medical practitioner experienced with gluten, gluten intolerance, celiac disease, etc.
This presentation is available internationally across all countries and borders for use as an education assist in general. The publisher does not warrant suitability unto any
education authority or any desired outcome for education across all countries and borders accordingly. The end user has determined, under the end user individuals own
merit and knowledge, the decision to using this presentation is as a display medium and general assistant only.
Transmission is permitted in this format for visual display presentation. All rights reserved. No part of this presentation may be altered, reproduced, stored in a retrieval
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publisher.
Further resources are found at www.what-is-gluten.info.
First Edition 2012.
Copyright © 2012 Steven Wilkinson.
Sources:
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