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Monday, June 13th, 2011

Dining Out with Your Celiac Child

First of all, before you start taking your celiac child to restaurants for gluten-free eating, it’s important that you and your child are already familiar with the gluten-free diet, what your child can eat, what he must avoid, and how to protect him from cross-contamination. This way, you’ll know what to order from the menu and what questions to ask the server or chef.

Make sure before you take your celiac child out to dinner that the two of you eat a high-protein snack about an hour before you think you’ll be ordering your food. The hungrier you are, the more likely you will make a mistake. If you absolutely must go to the restaurant hungry, bring a gluten-free snack for your child and a snack for yourself.

Choosing the right restaurant is an important part of successfully eating out gluten-free. There are many celiac-friendly restaurant directories online. I recommend calling the restaurant when it’s not busy and speaking with the manager or chef, or both.  If you’ll be dining Italian, call ahead to see if you can bring your own pasta along. Many Italian restaurants are happy to do this.

Learn how to speak to the server. Make sure he is standing near you and can hear you clearly. Although celiac disease isn’t an allergy, it’s usually easiest to explain to your server that your child has food allergies. Always tell your server to tell the chef that your child is allergic to wheat. If your server doesn’t seem to understand, you’ll need to speak with the manager or chef. You’ll need to ask the server or chef a lot of questions.

Ask your child to pick out several items on the menu that look good, and let him know that you need to ask questions about these first because they may not be safe to eat. Make it clear that his first choice, or even his second choice, may not be okay to eat. Have your child pick out simple dishes without sauces.

Finally, make sure to warn the server about cross-contamination and its dangers. Let him know that your child’s food must be prepared on a clean surface with clean utensils. Most chefs will not realize the risks of cross-contamination unless these are made clear to them.

Going out to eat with your celiac child requires some work and planning ahead, but you’ll find that you and your child will get the hang of it in no time!

Tina Turbin

www.GlutenFreeHelp.info

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Monday, May 23rd, 2011

Gluten-Free Label Reading

One of the first steps in switching to a gluten-free diet is learning to read labels. Here are some helpful tips on how to pull this off successfully.

There are a couple of steps to determine if a food product is gluten-free. First, see if wheat is in the ingredients list or if it’s listed in an allergen statement. If it is, forget about it—the product isn’t gluten-free. However, if wheat isn’t listed, the second step is to read the ingredients list and see if barley, rye, or malt, malt flavoring (which can be made from barley), malt vinegar (made from barley), or triticale are listed (celiac patients are advised to consult with their doctor about including oats in their diet). If any of these are present in the ingredients, the product isn’t gluten-free. If none of these are listed, then the product is gluten-free and safe for you to eat. You can always call the manufacturer to be certain that the manufacturing process doesn’t permit cross-contamination.

The passing of the food allergen labeling law was a landmark victory for the celiac community. The law was the first step in empowering the celiac consumer who, with these helpful tips, can study food labels to make sure his diet stays truly gluten-free.

Tina Turbin

www.glutenfreehelp.info

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Monday, February 7th, 2011

The Gluten-Free Diet: Managing Nutritional Deficiencies

Patients who are newly diagnosed with celiac disease often find that they have nutritional deficiencies, and what’s worse, gluten-free products are often low in B vitamins, calcium, vitamin D, iron, zinc, magnesium, and fiber and aren’t fortified in these nutrients.

When Swedish researchers studied adult celiac patients who had been gluten-free for ten years, they found that half of them had vitamin deficiencies, including low levels of vitamin B-6 or folate, or both, and high levels of homocysteine, a risk factor for heart attacks, vascular disease, and strokes. Before the study, all the patients had biopsies to prove their intestines were in healthy condition, so these vitamin deficiencies could not be explained by malabsorption. Italian researchers have found similar deficiencies in gluten-free adolescents.

I recommend that at your annual check-up, you should ask your doctor whether your vitamin status needs to be measured and whether you should be taking folic acid and vitamin supplements.

Tina Turbin

www.GlutenFreeHelp.info

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Monday, December 20th, 2010

Getting Enough Fiber in Your Gluten-Free Diet—Some Helpful Tips

As healthy as it is cutting out the gluten allergen from your diet, you may find yourself experiencing the effects of insufficient fiber. Rice flours and the starches commonly used in gluten-free diets are lower in fiber than many gluten-containing grains. It is important to realize and meet the challenge of getting enough fiber in your new diet, and it’s easy, too.

One grain I highly recommend is quinoa. It is a great source of fiber and can be used in many tasty dishes. Not only is quinoa high in fiber, yielding seven grams of fiber per serving, as added bonus, it’s also high in protein with a whopping fourteen grams per serving. Check out quinoa flour which is great for making pizza dough and bread. I often like to eat quinoa by itself in the mornings as a gluten-free alternative to oatmeal.

Brown rice is also a great alternative to gluten-containing alternatives with three grams of fiber per serving. Brown rice retains the most nutrients of any variety of rice; whereas white rice loses some of the nutrients while it’s processed, brown rice holds onto its nutrients and fiber. This high-fiber substitute can be enjoyed in soups, puddings, and stir-fries, as well as on the side.

An important way to get enough fiber is by eating lots of fruits and vegetables, which are thankfully gluten-free. A simple salad, containing for spinach leaves, broccoli, carrots, and tomatoes, adds seven grams of fiber to your meal. Apples make a great, high-fiber snack. For dessert or along with a meal, a fruit salad can add three to five grams of fiber. I also recommend dates, which have around four grams of fiber per serving.

You should shoot for twenty-five to thirty-five grams of fiber a day. Not only will you continue to reap the benefits of a gluten-free diet, but you’ll be able to enjoy the healthy advantages of a well-balanced diet high in fiber!

Tina Turbin

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Monday, December 13th, 2010

Road Trips with Your Celiac Child

For car trips, bring along a cooler or two with already-prepared gluten-free foods and snacks for your celiac child. Luckily for your child, there are more and more gluten-free snacks available which are perfect for road trips. For instance, you can order online various snacks such as gluten-free jerky, gluten-free potato puffs, and gluten-free popcorn. If you’ll be stopping at restaurants along the way, you can visit a gluten-free restaurant site such as glutenfreerestaurants.org before your trip and plan ahead to eat at restaurants which offer gluten-free foods to its gluten-intolerant patrons. As with flying, I recommend bringing extra gluten-free food just in case there are any delays in your travel such as traffic or car problems.

Tina Turbin

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Monday, August 2nd, 2010

Gluten-Free Summer Camp

     Summer camp is a cherished summertime tradition for children. Just because your child eats gluten free doesn’t mean he has to suffer without summer camp this year. There are actually some camps that specialize in the gluten-free diet, which you can find online; other camps specialize in other restricted diets, such as for diabetic children. You don’t have to choose a special camp for your child, though, as he may want to go to the same summer camps as his friends.

     Just as you had to meet with your child’s teachers and school administrators regarding his diet, talk with counselors and cooks in advance regarding your child’s gluten-free diet. Find out who’s in charge of meals and talk to them, in person if possible, about the details he’ll need to know. I recommend giving them a copy of a gluten-free cookbook and some articles about celiac disease and the gluten-free lifestyle, so that they’ll be able to refer themselves to these resources when they need it. Make sure to allow plenty of time before camp starts to let the camp staff prepare for the diet specifications. Don’t forget to discuss food preparation and serving techniques so they can avoid cross-contamination. Additionally, I recommend sending food along, if the camp’s regulations allow it, so your child has his favorite gluten-free snacks and also some gluten-free flour mixes, for example, which the whole camp can enjoy in gluten-free brownies, cookies, and cakes.

     It’s essential, as much as the camp’s personnel have been enlightened about gluten-free living, that your child understands his own dietary needs as much as possible. This will give him ultimate control in his gluten-free diet. Tell him the questions to ask about food preparation to prevent cross-contamination, make sure he knows how to read food labels, and teach him the synonyms for gluten.

Tina Turbin

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Monday, June 28th, 2010

Avoiding Cross-Contamination: Watch over Food Preparation

You can teach friends, family members, and even servers and cooks at restaurants about cross-contamination, its serious consequences, and how to prevent it from happening. Then ask food preparers every question you can think of regarding the content and preparation of your meals. Learn the questions you have to ask and have them memorized so you don’t leave out any possibility of gluten contamination. Were the cooking utensils contaminated with gluten from other foods? Did the meat share a grill that had come into contact with a gluten-containing marinade?

It is usually beneficial to write out a list of ways gluten-free foods can get contaminated by gluten (dusting the gluten-free cake’s pan with flour, using utensils that have touched gluten-containing foods, etc.) and a list of gluten-containing foods. Bring this to restaurants and have the server take it to the kitchen. You can give your relatives and close friends this list or an article about cross-contamination. It is usually helpful for people to see instructions in writing.

Tina Turbin

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Monday, June 7th, 2010

Living Gluten Free: Avoiding Cross-Contamination

     If you’ve recently been diagnosed with celiac disease, it is likely you’re still adapting to a gluten-free lifestyle. It may seem overwhelming at first to a celiac patient to begin the gluten-free road to recovery, as there are many challenges to face in adjusting to your new gluten-free diet. One of these challenges is avoiding gluten that can get in your food through cross-contamination.

     It’s important to realize that any food processed on equipment shared with gluten is at risk to have at least some degree of contamination. In order for a product to be truly gluten-free, special handling is required at each step of the process—the growing, harvesting, milling, and processing of non-gluten grains. Shared equipment results in gluten contamination in the field, a manufacturing facility, a restaurant, or a home kitchen.

     Make sure you are familiar with cross-contamination and how to avoid it to ensure that you’re eating a truly gluten-free diet!

Tina Turbin

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Monday, May 24th, 2010

B Vitamin Supplements Recommended for Celiac Patients

 One of the major health concerns regarding a gluten-free diet is increased homocysteine levels.  Recently, a recent study found that by taking B vitamin supplements, celiac patients can reduce this risk.

     What exactly is homocysteine? Homocysteine is an amino acid in the blood. Studies have shown that too much homocysteine in the blood is related to a higher risk of coronary heart disease, stroke and peripheral vascular disease. Other evidence suggests that homocysteine may have an effect on atherosclerosis by damaging the inner lining of arteries and promoting blood clots.

     Even when faithfully following a gluten-free diet, celiac patients are more likely to suffer from nutrient deficiencies and poor health. Gluten-free products are often low in B vitamins, calcium, vitamin D, iron, zinc, magnesium, and fiber as very few gluten-free foods are not fortified with these nutrients.

     In the study that was recently conducted, celiac patients were treated with not only a gluten-free diet, healing their small intestine and increasing absorption of nutrients, but they were also given B vitamin supplements. It was found that those who took this supplement and maintained a gluten-free diet had significantly higher levels of B vitamins in the blood and lower levels of homocysteine, compared with a group who only maintained a gluten-free diet and another control group.

     What does this mean for you? Researchers are now saying that B vitamin supplements
should be considered in disease management. In addition to your gluten-free diet, you should take B vitamin supplements daily, making sure these include vitamin B6, folate, and vitamin B12. It is fortunate the celiac community now has this vital information, and as celiac research continues, we can look forward to more helpful data from researchers.

Tina Turbin

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Monday, May 3rd, 2010

The Gluten-Free Diet: Managing Cholesterol Levels

     If you’ve been diagnosed with celiac disease, you probably know all about the painful and uncomfortable physical and mental symptoms and are glad to be rid of them with a gluten-free diet. However, staying away from gluten doesn’t mean that your health and well-being are guaranteed, although fortunately you have taken a major step in preventing serious and potentially fatal complications of long-term, untreated celiac disease. There are a few side effects, you could say, associated with a gluten-free diet, but thankfully there are solutions to manage them as you adjust to your new lifestyle.

     For instance, it’s important to watch out for is increased cholesterol levels. For the first part of my life, when I was eating gluten-containing foods, doctors were amazed by my low cholesterol levels. The reason for this was that my intestines weren’t absorbing the cholesterol in my food. Now I need to pay attention to my cholesterol levels just like other people. This means checking food nutrition labels for not only gluten but also fat and cholesterol content, selecting low-fat, low- low-cholesterol foods. Watch out for packaged gluten-free products, which often have more fat than the gluten-containing foods they substitute, especially gluten-free cookies, crackers, and cakes. The American Heart Association recommends eating high-fiber foods to help lower cholesterol.

Tina Turbin

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  • Tina Turbin

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    Tina Turbin became extremely interested and involved in the subjects of gluten free, gluten sensitive and celiac disease a number of years ago as a result of...

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