Gluten-Free Diet

Bamberger Health and Wellness -- Everett and Lynnwood, WA -- (425) 355-4176

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Gluten-Free (GF) Diet

Gluten is a protein found in many grains. The GF diet is the prescribed medical treatment for gluten intolerance diseases such as celiac disease (CD) and dermatitis herpetiformis (DH). The GF diet is a life long commitment and should not be started before being properly diagnosed with CD/DH.

Starting the diet without complete testing is not recommended and makes diagnosis later more difficult. Tests to confirm CD could be negative if a person were on the GF diet for very long. A valid test would require reintroducing gluten (a gluten challenge) before testing.

Dietitians developed the following dietary guidelines, for the Gluten Intolerance Group® and Celiac Disease Foundation. These are in agreement with the Gluten Free Diet guidelines published by the American Dietetic Association, October 2000. The American Dietetic Association Guidelines were written through a cooperative effort of dietitian experts in celiac disease in Canada and the United States.

Allowed: The following grains & starches are allowed, providing that you do not have an allergy to them. 

Amaranth
Arrowroot
Beans
Buckwheat
Corn
Garfava
Lentils
Millet
Montina®
Nut Flours
Potato
Rice
Sorghum
Soy - use in moderation
Tapioca
Tef

NOT ALLOWED: These grains contain gluten

Wheat
Durum
Semolina
Kamut
Spelt
Rye
Barley
Triticale - a cross between wheat and rye
Graham

NOT ALLOWED: Additional components frequently overlooked that often contain gluten:

Flour - unless specified as being from an allowable source.
Baking powder - see recipes section on how to make your own
Breading, Coating mixes, Panko - these contain wheat unless specifically labeled gluten-free.
Broth, Soup bases - unless they are gluten free.
Rice syrup, Brown rice syrup - usually contains malt
Some candy – such as Licorice, some chocolates
Croutons - usually made from bread containing wheat flour.
Flour or cereal products - usually contain forbidden grains.
Imitation bacon
Sirimi, Imitation seafood - is made with a starch binder which may be either cornstarch or wheat
Marinades
Pastas
Processed luncheon meats
Sauces, Gravies
Self-basting poultry
Soy sauce or soy sauce solids
Stuffing, Dressing
Thickeners (Roux)
Communion wafers
Herbal supplements
Drugs & Over-the-Counter Medications - check with your pharmacist for more information
Nutritional Supplements, Vitamins & Mineral Supplements - check with the manufacturer, your health practitioner, or buy a product that is labeled "gluten-free".
Playdough: A potential problem if hands are put on or in the mouth while playing with playdough or are not washed after use.
Flavorings, extracts -
Caramel Color -
Dextrin -
Hydrolyzed Vegetable Protein (HVP), unless made from soy or corn
Cereal products, unless made with pure rice flour, corn flour, potato flour, or soy flour
Vegetable Protein unless made from soy or corn
Malt or Malt Flavoring unless derived from corn
Malt vinegar (made from barley)
Modified Starch or Modified Food Starch unless arrowroot, corn, potato, tapioca, waxy maize, or maize is specified
Vegetable Gum unless vegetable gums are carob bean gum, locust bean gum, cellulose gum, guar gum, gum arabic, gum aracia, gum tragacanth, xanthan gum, or vegetable starch
Soy Sauce or Soy Sauce Solids unless you know they do not contain wheat.
Stabilizer
Starch
Flavoring
Emulsifier
Hydrolyzed vegetable protein
French fries or other potato products - may be coated with gluten containing flour.
Instant or powdered coffee and teas - should be gluten free, but some may have added ingredients or flavorings that contain gluten
Decaffeinated coffee - water decaffeinated coffee tends to not produce symptoms.
Ground meats - make sure they do not contain gluten based additives.
Envelopes - the glue may be corn or gluten based. Use a sponge to wet the stamps, rather than licking them.

Vinegar - some kinds are okay other are not.

Distilled vinegar, white vinegar - may be from wood or grain. If from grain NOT allowed
Malt vinegar - contains gluten - NOT allowed
Apple cider vinegar, wine vinegar, rice vinegar does NOT contain gluten. IS allowed
Mustard - may contain 3hite or distilled vinegar.

A word about Oats:

While oats do not contain gluten, they are often cross cross-contaminated with glutinous grains. Pure, uncontaminated oats in moderation (1 cup cooked) daily are safe for most persons with celiac disease. One benefit of oats is that they add soluble fiber and nutrients to GF Diet that, which may be lacking due to the elimination of those foods containing gluten.  Some persons using oats may notice increased abdominal discomfort, gas and stool changes, which may be due to the increased fiber from oats. Other persons may have a hypersensitivity to oats in addition to gluten-intolorance. At Bamberger Health and Wellness we recommend that oats be avoided until your condition is stabilized, and then added to the diet in small quantities to begin, gradually increasing amount if tolerated. Introducing oats slowly may decrease this discomfort.

Learn More About the Gluten-Free Diet

You may access the Quick Start Diet Guide for Celiac Disease from the  Gluten Intolerance Group's downloadable files.

Learn more about the Food Allergen Labeling and Consumer Protection Act that took effect January 1, 2006.

Up
Gluten Intolorance
Gluten-Free Diet
Gluten-Free Recipes
Locate Gluten Free Foods

Disclaimer: All material provided in this web site is provided for informational purposes only. Consult your own physician regarding the applicability of any opinions or recommendations with respect to your symptoms or medical condition.
Copyright © 2000-2006 by Bamberger Center for Health. All rights reserved. Duplication without express written permission is strictly forbidden.