Showing posts with label celiac disease. Show all posts
Showing posts with label celiac disease. Show all posts

Tuesday, August 5, 2014

A New Era of “Gluten-free” Labeling by Michael R. Taylor of the FDA Voice


Michael Taylor

For most of us, choosing a meal is not a make or break decision. Most people prepare a meal without fearing that it will endanger their health. That’s not the case with people who suffer from celiac disease. I’ve learned first-hand from talking with people with the disease how much it means to them to be able to select gluten-free foods with confidence.

Celiac disease is a serious health issue and there is no cure. The only choice for the more than 3 million Americans living with the disease is adherence to a diet free of gluten — proteins that occur naturally in wheat, rye, barley and cross-bred hybrids of these grains. To do otherwise is to risk gradually damaging the intestines, preventing the absorption of vitamins and minerals, and possibly leading to a host of other health problems.

Last year FDA issued a rule on food labeling to improve life for people with celiac disease. The rule ensures that “gluten-free” claims on food packages are reliable and consistent. It provides a clear definition of the term so that all packaged food products bearing the claim “gluten-free” contain less than 20 parts per million of the protein.

And today is the compliance date for this rule. This is important because it means that any packaged food product labeled with the “gluten-free” claim, as of today, must meet the standard set by the FDA.

FDA gave companies a year to make the necessary changes to their products if they used the “gluten-free” claim. This past year, we took steps to educate industry about the rule and what it means to be gluten-free. In June, we issued a guide to help small businesses comply with the rule.

The gluten-free final rule applies to packaged foods, which may be sold in some retail and food-service establishments such as some carry-out restaurants. However, given the public health significance of “gluten-free” labeling, FDA says that restaurants making a gluten-free claim on their menus should be consistent with FDA’s definition. I’m pleased to note that the National Restaurant Association also advised operators offering “gluten-free” items on their menus to make sure their claims are consistent with the definition.

Honest and accurate “gluten-free” labeling will strengthen consumers’ confidence in the products that carry it. One of the rule’s requirements is that it establishes a threshold of 20 parts per million — meaning that to be labeled as free of gluten, each kilogram of the product must contain less than 20 milligrams of the protein. This is consistent with the threshold established by other countries and international bodies that set food safety standards.


I commend companies that have already stepped up to the plate to meet the definition for “gluten-free” labeling. They make it possible for consumers to have labels they can trust as they make well-informed food choices.

Courtesy of Michael R. Taylor is FDA’s Deputy Commissioner for Foods and Veterinary Medicine

Friday, July 25, 2014

A Tale of Two Tees by Jo Maseberg-Tomlinson


My son is five and headed to Kindergarten this August.  He was diagnosed with celiac disease (my husband and I both have it) around age 2.  He's always been in group daycare centers where every precaution was taken with his food and diet.  

Now, as we look at entering public school, we have found out that we won't even know who his kindergarten teacher is until the night before school starts.  I have filled out paperwork about his celiac disease for enrollment, but won't be able to talk to anyone in person until the night before school starts.  

This had me very concerned because I understand they hand out snacks regularly in the classroom and the kids have shared desks, etc.  I started searching online for some cute t-shirts that said "gluten-free" to make it clear to any adult around him that first week of school that he is the child who has celiac disease.  

Most of the t-shirts I found were very confusing.  They said things like "got gluten?" or had a weird picture of wheat that looked like we were endorsing it, not against it.  

Then I stumbled across the SensitiviTees website and found (finally!) shirts in his size that were very clear and easy to read.  

When we opened the package last night, he grinned from ear to ear.  I asked him what the shirts said and he proudly announced "gluten-free!"  I think the first week of school will go just fine!


From SensitiviTees:
Thank you Jo, for your wonderful story. We are confident that the first day of school and other days to follow will come off without a hitch! 




SHOP NOW TO GET YOURS!!!!!!


Thursday, July 17, 2014

THE BASICS OF GLUTEN-FREE TRAVEL by National Foundation for Celiac Awareness

For people with celiac disease and other gluten-free eaters, traveling often means eating outside of a safe, familiar kitchen. With equal parts research, preparation and flexibility, though, everyone can take a healthy and fun gluten-free trip. Read on for some basic tips for gluten-free travel.

Before Your Trip

Research your destination online
Google “gluten-free [your destination]” or use a gluten-free search engine or smartphone app to assess the options. Searching online can provide the most current information and a variety of both professional and user-generated reviews.
Call ahead
Start with your destination’s most promising restaurants, bakeries, and hotels and contact the manager of each to learn more about gluten-free options, food preparation, and cross contamination.
Choose hotels carefully
Extended stay hotels often include kitchenettes in each room, allowing guests the option to cook away from home. Many other hotels will provide a mini refrigerator or a microwave upon request, for more basic food preparation and storage.
Talk with your hosts
If you’ll be staying with friends or family, discuss your gluten-free needs in advance. Suggest some gluten-free foods for your hosts to have on hand, plan meals together, and provide uncontaminated kitchenware if necessary.
Pack snacks
Always have a stash of snacks and meals to keep yourself fueled for the trip. Stock up on your go-to gluten-free products at your local supermarket or pack your favorite homemade treats.

In Transit

In the air
Some airlines offer gluten-free snacks and meals for purchase or as part of the regular meal service. Call your airline at least a week in advance to inquire about gluten-free options and place a request if necessary.
In the car
Stop at gluten-free restaurants and shops along the route or pack a cooler filled with your homemade food. If you have extra space, take your gluten-free kitchenware along.
On a boat
Many cruise companies can accommodate celiacs. Be sure to contact the company directly to be sure that all of your needs can be met for each meal you plan to eat on board.

At Your Destination

Ask questions
Even though you’ve already called ahead and spoken with the restaurant, bakery, or hotel manager, be sure to inform the staff of your needs in person. Don’t hesitate to ask specific questions about each menu item. What’s in the sauce? Do the French fries have a separate gluten-free fryer? Is the gluten-free pizza made with dedicated utensils and equipment?
Use dining cards
Reusable dining cards are downloadable or available for purchase through many outlets. With their to-the-point description of the dining needs of people with celiac disease, they are helpful for communicating with chefs and restaurant staff. Available in dozens of languages, dining cards can be lifesavers when traveling abroad and working around language barriers.
Be flexible
Plans can change on a whim. The restaurant you selected might sell out of its gluten-free options before you arrive, or your travel companions might vote against trekking to that bakery you had your heart set on. Don’t hesitate to move on to the next place on your gluten-free list, rely on the snacks you’ve packed, or stock up at a nearby health food store as necessary.
Once you’ve planned and prepared, enjoy your trip! Greater awareness of celiac disease and the gluten-free diet means that safe options are available in many places around the globe. Enjoy gluten-free hotdogs in several major league ballparks, fresh pasta in many trattorias in Italy, piping hot soup throughout much of Vietnam, and galettes with a view of the Seine in France.
Courtesy of Anna Sonnenberg is an avid traveler, always on the lookout for delicious, healthy and safe gluten-free food. After being diagnosed with celiac disease in 2012, she launched the website Gluten-Free Jet Set to share restaurant reviews and healthy travel tips with the gluten-free community. Anna is currently based in Washington, DC and is planning her second gluten-free trip around the world.

Monday, May 12, 2014

The New Gluten-Free Must-Have in our House! PLUS-Gluten-Free Goodies Giveaway

Our son has celiac disease and is on a very strict gluten-free diet. We keep a strictly gluten-free household as well so we’re always on the lookout for new products we can all enjoy. In fact, we are passionate about the hunt for delicious gluten-free foods that not only are delicious but nutritious as well. We just bagged another great find with Brothers-All-Natural fruit crisps.
When I brought home a box of the apple fruit crisps last month, wow—did that ever make our son’s day. He loves them!

We love them, too (please tell us they are not just for kids) because the Fruit Crisps are very allergy-friendly and our son does have some food allergies we have to be mindful of as well. Brothers-All-Natural fruit crisps now occupy a permanent place on our weekly shopping list. We’re planning to try some of the other varieties and look forward to adding them to desserts or salads or with dips.

Our son brings them to school and can snack away without a care. The crunch makes them kid-friendly (unlike dried fruit that says “grownup food”) and of course, we don’t have to worry that he’s eating something that will aggravate his condition since they’re simply all fruit. Since dealing with his food and health issues, we’ve become so much more aware of what’s in the public food supply (much of it is not so good) so we are delighted that Brothers-All-Natural’s fruit crisps are certified to be gluten, peanut, tree nut, soy, and GMO free.

Even if we were not dealing with his celiac disease and food allergies, we’d be so happy to know our son is simply eating healthy snacks instead of all the junk that’s out there. He’s always been so good about his dietary restrictions and it’s so satisfying for all of us that we found something that takes no convincing to eat.

Visit http://blog.brothersallnatural.com to learn more about Brothers-All-Natural fruit crisps and more!!!

We like Brothers-All-Natural so much that SensitiviTees has teamed up for a great gluten-free goodies giveaway in May, in honor of National Celiac Awareness month. The winner will receive a 24-pack of Disney Variety Fruit Crisps and a free SensitiviTee with the gluten-free or allergy awareness design of your choice.

Click on this link to enter the Giveaway

Tuesday, April 8, 2014

May is Celiac Awareness Month and we have lots of shirt selections with special emphasis on Celiac Disease and Gluten-Free Diets


SensitiviTees Graphic Apparel Company Unveils Updated Website Featuring New Gluten-Free Designs in Time for National Celiac Awareness Month. E-Commerce Site Sells T-Shirts with Messages about Common Food Allergies, with Special Emphasis on Celiac Disease and Gluten-Free Diets

May is Celiac Awareness Month. To help support celiac sufferers and to bring more awareness of celiac disease to the public, SensitiviTees, “the sharing caring clothing company” has launched a new e-commerce website, SensitiviTees.com. Consumers can purchase t-shirts for children and adults that bear messages about celiac disease and food allergies “to help others be more sensitive.” The company was started in July 2010 by two mothers whose son suffers from food allergies and celiac; they developed a novel approach to remind family, friends, and teachers about their son’s food restrictions, with a specialty t-shirt line that delivers the message.


“We wanted to come up with a fun way to convey a serious issue regarding our son’s condition and that of other children,” said co-founder, Stacy Tankel. “After doing some research, we realized that many people are in this position of always having to warn others about dietary restrictions and issues around certain foods. Out of that research and the experience of parental concern, we came up with the idea for SensitiviTees.” The company sells short-sleeve and long-sleeve shirts with whimsical, colorful designs to help make others aware of gluten-free restrictions and wheat allergy, dairy and milk allergy, fish and seafood allergy, and nut and peanut allergy.

Celiac disease is an autoimmune disorder that causes inflammation of the small intestine when the individual ingests gluten, a protein found in wheat, barley and rye. This inflammation, which affects the villi, can lead to malabsorption of nutrients which, in addition to digestive problems can lead to complications such as anemia, bone loss, increased risk of other autoimmune disorders, infertility and neurological problems. It is difficult to diagnose but symptoms can be reversed and managed by adopting a completely gluten-free diet. The National Foundation for Celiac Awareness (www.celiaccentral.org) notes that about 1 percent of the population has celiac disease; of that number, an estimated 83 percent of Americans with celiac disease are undiagnosed or misdiagnosed with other conditions.  


As a reminder, our blog is frequently updated with helpful information about celiac, gluten-free foods and recipes, common food allergies and tips for healthful living. There is also a resource page with links to organizations that offer education and information on celiac disease and gluten-free foods.



In addition to consumer sales, SensitiviTees offers a reseller program. For more information or to shop the line of graphic tees, visit www.SensitiviTees.com or contact us at info@sensitivitees.com .

Monday, April 7, 2014

Passover Is Becoming the First (Mostly) Gluten-Free Holiday by Michael Antonoff

Something magical happens this time of year for people with celiac disease: It's called Passover.
An important holiday for the observant, it's also becoming a great time for anyone to find gluten-free products in special Passover aisles. It's time marketers took notice.
Celiacs need to avoid certain Passover foods, of course. Most matzo, for example, is made from wheat, which they cannot eat. Regular matzo ball soup doesn't turn into gluten-free chicken soup by removing the matzo balls after they've leached into the broth, and a gefilte fish will be gut-wrenching if made with conventional matzo meal.
But finding gluten-free matzo ball mix or boxes of gluten-free matzo isn't difficult in early spring. And the holiday's dietary restrictions, which include avoiding leavened bread, have led manufacturers to offer numerous gluten-free options.
Shortly after Lent, my wife, Jackie, who isn't Jewish but is seriously celiac, begins to salivate over what the local Stop & Shop will be stocking for Passover. She says she dreams about a Jelly Roll Cake from the Oberlander Bakery Co., a Classic Seven-Layer Cake from Zemer Cookies & Cakes or a Gluten Free Swiss Chocolate Roll from Shabtai Gourmet.
There are potato pancake mixes, brownie mixes and several flavors of macaroons. A company called Yehuda Matzos not only makes gluten-free matzos but offers them in "Toasted Onion," "Cracked Pepper Crackers," and "High-Fiber" varieties.
But she knows from experience that her window of opportunity lasts only a couple of weeks.
Mintel, a market research company, estimates that the gluten-free food and beverage industry is now a $10.5 billion business. By 2016, it will produce more than $15 billion in annual sales. According to Mintel, "some 24% of consumers currently eat, or have someone in their household who eats, gluten-free foods. Perceptions of gluten-free foods have moved from being bland, boring substitutes for gluten-containing products to everyday items that appeal to those with and without a gluten allergy. Three quarters (75%) of consumers who do not have celiac disease or sensitivity to gluten eat these foods because they believe they are healthier, despite the lack of any scientific research confirming the validity of this theory."
All this attention to Passover and gluten-free by people who don't even celebrate Passover seems to have been lost on marketers. It's time for the grocery industry to subtly brand Passover as the first gluten-free holiday.
Presidents' Day has been branded a national sales holiday, Thanksgiving as the start of Christmas shopping, and St. Patrick's Day as a time for all-day partying. So, while recognizing that many people uphold Passover traditions for religious reasons, why not also brand Passover as the season of the gluten-free?
Courtesy of Crain Communicfations

Tuesday, April 1, 2014

The Best and Worst Foods for a Gluten Free Diet by Traci D Mitchell

The Best and Worst Foods for a Gluten Free Diet
Foods for gluten free diets are absolutely everywhere right now. But should you be eating them? The short answer: some, but not all. Before I get into the best and worst foods for a gluten free diet, let me explain what gluten is, why some people must avoid it and how shifting gears to a processed gluten free diet could be nothing but trouble for you.
What is Gluten?

Gluten is simply a protein found in grains including wheatryebarley andoats*.
Keep in mind, grain derivatives that contain gluten include: triticale, spelt, semolina (durum), einkorn, bulgur, farina, seitan, cous cous, matzo, beer and soy sauce.
*Technically oats don't contain gluten, however, they're are often affected by cross-contamination with other glutenous crops. If farmers rotate their crops from season to season, growing wheat one year and oats the next, remnants of the wheat may still be in the soil.
Who Should Avoid Gluten?

People with celiac disease need to absolutely avoid gluten. Celiac disease is a condition triggered by glutenous foods that affects the absorption of nutrients in the small intestines. When gluten is eaten by people with celiac disease, their body produces an autoimmune response, essentially attacking itself. This response can be very painful. What's more, as nutrients are not absorbed properly, people with celiac disease can become deprived of essential vitamins and minerals needed to maintain optimal health. It's estimated that 1 in 133 Americans have celiac disease, or about 1% of the population.
Symptoms of celiac disease:
  • Skin Rash
  • Weight Loss
  • Muscle Cramps
  • Anemia
  • Joint Pain
  • Constipation
  • Acid Reflux
  • Tingling in Hands and Feet
A larger group of people have what's become known as gluten sensitivity, or non-celiac gluten sensitivity, meaning the body reacts to gluten, but not by mounting an autoimmune response. There is no allergy. While not everyone in the medical community is yet convinced that gluten sensitivity exists, it's estimated that between 5 and 6% of the American population has gluten sensitivity.
Symptoms of non-celiac gluten sensitivity:
  • Gas or bloating after eating foods containing gluten
  • Inflammation or sudden swelling throughout the body
  • Fatigue
  • Depression
  • Eczema or rash-like condition on skin
  • Migraines
As similar as these symptoms are to celiac disease, the only true way to determine if you have an allergy to gluten is through a blood test administered by a medical practitioner. If a blood test comes back as negative for celiac disease, you may be sensitive. In either case, completely avoiding foods containing gluten (and there are many) is the only way to eliminate symptoms.
Should You Eat Gluten Free Foods?
Fortunately, many foods that are found in nature are gluten free. It's the processed gluten free breads, cookies and crackers that are nothing but trouble. On the upside, a person with celiac disease can enjoy a convenient gluten free treat, however, these foods are no healthier than any other super sugary food out there. Gluten free breads, cookies and crackers are still breads, cookies and crackers…just without the gluten. They're not a health foods, they're a gluten free food.
So should you eat gluten free foods? If you have celiac disease or a gluten sensitivity, absolutely! If you think you might have a gluten sensitivity, cut out gluten for a couple weeks, then reintroduce it slowly. If you start noticing that you don't feel as good as you did when you were gluten free, it's your body's way of telling you to cut out the gluten.
The Best Foods for a Gluten Free Diet
It should come as no surprise that the best gluten free foods are found in nature. You eat them every day and don't pay extra for the glutenavocado_grapefruit free price tag. They include:
  • Vegetables
  • Fruits
  • Nuts
  • Seeds
  • Fresh Meats*
  • Most Dairy Products*
  • Eggs
  • Quinoa
  • Buckwheat (does not contain gluten)
  • Rice
  • Amaranth
  • Oats**
  • Flours: Almond, Rice, Potato, Taro
*Note: Deli meats, prepared burger patties and meats in prepared sauces often contain gluten. Unless stated on the package, bleu cheese contains gluten from bread mold. Ice cream products often contain derivatives of gluten.
**Oats are technically not a glutenous product. Many oat products are labeled as gluten free. Some people with celiac disease would do best to avoid oats altogether, but some might be able to tolerate them.
The Worst Gluten Free Foods
Again, a processed gluten free food product is still a processed food. Eat these foods as sparingly as you would any other snack food. gluten free cocoa pebblesThey're no more nutritious that anything else.
  • Sugary Cereals: There are plenty out there that are gluten free. Look at the amount of sugar. If it's over 10g per serving, put it back.
  • Cookies:  Cookies are just cookies, even if they're gluten free. The possess no power to help you lose weight or increase energy. 
  • Savory Snacks: Gluten free snacks, like tortilla chips and corn puffs can still contain a lot of unhealthy additives.
  • Breads: Some brands might be ok for a sandwich, but gluten free sandwich bread is not only calorically dense, it often contains very little nutrient value, something people with celiac disease should avoid.
  • Dressings: The same rules apply here as they do for dressings containing gluten. Bottled salad dressings usually contain loads of ingredients, including flavor enhancers and stabilizers, that don't help you in any way.

Courtesy of About ChicagoNow

Wednesday, March 19, 2014

What you need to know about gluten and celiac disease by Erica Marcus

Why all the fuss about gluten?
Over the past decade, gluten has surpassed fat, and is now making gains on refined sugar as Public Health Enemy Number 1. We asked Dr. Peter H.R. Green, director of the Celiac Disease Center at Columbia University, to explain what exactly is going on.
What is gluten?
Gluten is a protein found in the cereal grains wheat, barley and rye.
What is celiac?
Celiac disease is an inflammatory condition in the small intestine, the result of the body's immune reaction to gluten, in genetically predisposed individuals. The inflammation can lead to malabsorption of nutrients. Moreover, common complications of celiac disease in adults include reduced bone density, anemia, increased risk of other autoimmune disorders and malignancies, infertility and neurological problems. Overall, 0.7 percent of the population has celiac. About one in a hundred Caucasians have it, it's less common in other ethnic groups.
What is gluten sensitivity?
This is a term for people who don't test positive for celiac antibodies but whose symptoms (usually gastrointestinal or neurological) resolve when they go on a gluten-free diet. Gluten sensitivity is often self-diagnosed and also is called gluten intolerance.
Is everyone better off avoiding gluten?
No. There is no evidence that people without gluten sensitivity will benefit from abstaining from gluten. In fact, it can be more difficult to eat healthfully when you eliminate gluten from your diet. Wheat flour is fortified with vitamins and minerals, but the flours they use as wheat substitutes -- rice flour, potato starch, tapioca flour -- are not fortified. There's also less fiber in gluten-free grains than there is in whole-wheat flour.
The gluten-free market is more than $4 billion annually. Who is buying all these gluten-free products?
Of the 0.7 percent of the population that has celiac, only 17 percent are aware of it. That means 80 percent of celiac sufferers don't know they have celiac. Meanwhile, about 0.5 to 0.6 percent of the population that doesn't have celiac is following a gluten-free diet. It's ironic: There are many people who should be on a gluten-free diet who aren't, and many people who are on such a diet and don't need to be.
There also are many people who buy gluten-free products because they like them or think they're healthier but who also buy "regular" food.
Why would a healthy person choose to be on a gluten-free diet?
Currently, gluten is the big bogey man, and the gluten-free diet is trendy. People are getting a lot of press saying that gluten sensitivity is very common; individuals are claiming it causes brain issues, that it's evil. But there's no evidence for that.
Is wheat different than it used to be?
Wheat has no more gluten in it than it used to have. Nor is there any genetically modified wheat consumed in the United States. It's possible there's more gluten being added to food now but, again, only a small fraction of the population is affected by that.
What could be causing the rise in celiac?
We don't yet understand why celiac and other autoimmune conditions are on the rise, but the evidence suggests environmental factors that have nothing to do with gluten. For example the widespread use of antibiotics, what's being added to food, the tremendous distances food has to travel from the farm to the plate. That's what people should be concerned about.
Courtesy of Newsday

Before You Buy Gluten-Free Products by Gerri Willis

You can’t go anywhere these days without running into gluten-free products. Whether you’re at the grocery store or in a restaurant, the gluten-free option is everywhere. Heck, even the Girl Scouts this year are offering gluten-free cookies. The question is do you need to buy them?

Gluten-free, according to the Federal Government means getting rid of the protein found in wheat, rye and barley. People with severe gluten allergies, a condition called celiac disease, try to stay away from gluten. But those folks make up only one percent of the population. What’s going on now is the food manufacturers are promoting these foods to everyone as healthier.

And, it’s working. The business of gluten-free products is expected to grow 50 percent in the next few years to $15 billion in sales by 2016. Today’s gluten-free products are purchased by 11 percent of customers – more than ten times the number with celiac. At the same time, wheat flour consumption has fallen to a 22-year low, according to the U.S.D.A. So these non-wheat products are popular with loads of health-conscious consumers who believe in its benefits. Experts say as many as 18 million people or 6 percent of the population may have sensitivity to gluten.

But here’s the rub: These products are more expensive than their more common counterparts – way more. Consumer Reports estimate that gluten-free products can cost two to three times more than regular non-gluten free products. What’s more, you don’t have to pay the premium price to stay away from wheat in some categories. Plenty of foods are naturally gluten-free, like polenta, rice-crackers and nuts. 

Even so, food makers are on the bandwagon. General Mills, whose brands include Bisquick and Pillsbury, have begun reformulating products to remove gluten. It’s already reformulated Chex and plans to introduce gluten-free brownies, cookies and cakes next year. Likewise, the grocery store chain, Wegman’s, is now the country’s largest seller of gluten-free products. New brands, like Udi’s and Glutino, are taking advantage of the trend.

Just keep in mind as you shop the supermarket aisles that cheaper options may be available.

Courtesy of Fox Business


Gluten free 101: What you need to know by BPT

(BPT) - You’ve probably been hearing a lot about gluten. Maybe a friend has gone gluten-free or a family member has been diagnosed with celiac disease or been advised to avoid gluten. So, what exactly is gluten? Is it something you should give up too?
Gluten is a protein that is most commonly found in wheat, barley and rye. It comes in several forms, like flour, and exists in many foods including pizza, pasta, breads and baked goods. For those who have sensitivity to gluten, it can be hard to avoid. The Center for Celiac Research estimates that 18 million people (or 6 percent of the population) may suffer from gluten intolerance. The severity of a person’s gluten sensitivity is measured by the Sensitive Enteropathy scale, and can range from slight allergic reactions to more serious conditions, like Celiac disease, that require a person to eliminate gluten all together.
How do you know if you should avoid gluten? If you don’t have gluten sensitivity, it isn’t necessary to remove gluten from your diet. Keep in mind a gluten-free diet is not a weight-loss diet. But if you experience symptoms like fatigue, dizziness, digestive issues or Keratosis Pilaris (better known as “chicken skin” on the back of your arms) after eating certain foods, you may have sensitivity to gluten and could potentially benefit from reducing or removing it from your diet. However, you should first consult a doctor or registered dietician before making any changes to your diet.
However you eat – gluten free or not – a healthy diet starts by considering quantity, quality, nutritional balance (carbohydrates, protein and fat) and variety, with the goal of making sure your body gets all the essential vitamins and minerals it needs. For those who are avoiding gluten, the good news is that with the rise in people avoiding gluten, availability of gluten-free products has also increased, making it easier to avoid gluten.  However, many food companies are adding ingredients or adjusting the formulation to make the gluten-free food offerings taste more appealing and losing important nutrients along the way, so it is important to look at the types of gluten-free foods you are eating.
"If you are reducing or removing gluten from your diet, you should consider that the quality of the gluten-free ingredients in the foods you choose to eat plays as much of a role in your results as what you choose not to eat (like gluten),” says celebrity dietician Ashley Koff. “For optimal health, I recommend eating foods that are organic, which are produced without toxic chemicals and genetically modified ingredients (or GMOs), and to avoid ingredients that are ‘chemistry lab projects’, such as artificial colors and sweeteners.”
What can you do to avoid gluten in your diet?
 * Learn to read labels. Common forms of gluten, such as wheat, barley and rye, are easy to spot but avoiding these products can be challenging since wheat is often labeled by other names. Avoid anything with bulgar, durum flour, farina, graham flour, kamut, semolina and spelt. Do your research so you know exactly what to avoid when reading labels or a menu. If you have questions, the National Foundation for Celiac Awareness is a credible resource and can help guide you through the process of going gluten free.
* Beware of hidden gluten. Gluten is in many products that you might not expect like condiments, sauces and drinks. For example, raw meat is gluten free, however, processed meats – hot dogs, sausages and deli meats – often add flour (which contains gluten) as filler or to change the texture of the product.
* Eat organic. By choosing gluten-free foods that are also organic, you can avoid consuming pesticides and chemicals. This is important for everyone but especially those with an auto-immune disorder like Celiac disease. Companies like Nature’s Path offer organic, Non-GMO Project Verified and certified gluten free easy breakfast and snack options like cereals and granola bars.
* Get creative. Giving up your favorite foods can be a frustrating, but with a little time and creativity, you won’t even notice a difference – except in the way you feel. Don’t be afraid to try different combinations and new recipes.
It’s OK to have questions about gluten-free diets and making the right food choices for you and your family. The first step is speaking to a registered dietician or doctor if you think you or a family member has a gluten intolerance. There are many products to choose from, but do your research and choose products like Nature’s Path, that are organic and Non-GMO.


Courtesy of Journal Sentinel

Friday, November 22, 2013

How to stay Gluten-Free and still love the Thanksgiving feast by Mary MacVean

Depending on who sits at your Thanksgiving table, you may already have figured out how to serve vegetarians or guests who are allergic to nuts. But more people are choosing to eat gluten-free or learning they must do without gluten. And with pie crusts and dinner rolls and stuffings, making sure those diners are grateful can pose a holiday challenge.

Turkey is generally gluten-free, but as many diners will tell you, the turkey is often a mere delivery device for dishes like gravy that frequently have wheat — the main food in our diets that contains gluten.
Problems can occur, however, in just about any dish on the holiday table. Kyra Bussanich, who owns the gluten-free Kyra’s Bake Shop in suburban Portland, Ore., was at a big Thanksgiving feast last year, she says, “and there was a turkey — I jokingly said, ‘This is gluten-free, right?” Turned out the cook had used beer in the brine — and beer has gluten in it.

“You have to be really vigilant, ask questions. Let the host know,” Bussanich says. One reason to do that is so the host won’t be insulted about what you don’t eat.

A person who has celiac disease can become very sick by ingesting the smallest amount of gluten, even flour dust that spreads during a pie-baking binge. But gluten-free diets also have become rather a craze, and those people may decide the holidays are a time for fewer restrictions. So figure out your guests’ requirements.

“There’s no reason why people on a restricted diet can’t enjoy festivities as much as other people, it just takes cooperation and understanding from the food preparers," said Dr. Peter Green, director of the Celiac Disease Center at Columbia University Medical Center.

The cooks don’t always take issues seriously enough, especially because eating gluten-free has become a fad as well as a response to a serious disease, he said.

“With it being a fad, it may make it seem less important for some people,” he said. And despite the attention that’s been given to gluten recently, he said, a recent survey with chefs showed that many of them didn’t understand gluten or what foods contained it.

To avoid gluten, read every label. And seek out alternatives. Rice or almond flours may work in pie crusts, for example. Or make a crust with other ground nuts or with ground gluten-free ginger snaps. For stuffings try wild rice with mushrooms, and for gravy try cornstarch.

Rather than dinner rolls, Bussanich suggests pão de queijo, a traditional Brazilian cheese bread that’s made with tapioca flour and is sold frozen at many stores.

Debbie Adler has a 5-year-old son with several food allergies, so she always goes to parties with a dessert that he can eat. “There’s no judgment involved. It’s hard to understand if you don’t live with it,” says Adler, who has an L.A.-based mail-order bakery, Sweet Debbie’s Organic Cupcakes.

Her book, “Sweet Debbie’s Organic Treats,” includes several holiday-friendly recipes, including pumpkin spice doughnut holes, a pumpkin corn bread and acai berry truffles. And Bussanich, whose new book is called “Sweet Cravings,” suggests apple crisp with vanilla ice cream.

Kristine Kidd, a chef who has celiac disease, has published a recipe for gluten-free mushroom gravy. It has the bonus that it's make-ahead.

The availability of gluten-free food has exploded, and many companies -- including Udi’s, Pamela’s, King Arthur and Bob’s Red Mill — have all-purpose flour substitutes or mixes for breads and rolls, as well as packaged baked goods. In her shop, Bussanich makes stuffing mix with gluten-free bread, which people could do with the bread they already use.

So is there anything she misses at the holidays? There was — a Brie en croute that her family always served. But she’s figured out a way to use a “super flaky pie crust” rather than puff pastry and it’s “absolutely delicious.”

For anyone avoiding anything on a holiday table, it might help to remember that the food is not the only point. Bussanich says, “It’s about family and traditions and being together and celebrating.”


Courtesy of http://www.latimes.com

Friday, October 4, 2013

Seafood Allergies Can Make Serious Waves for Adult Allergy Sufferers

Seafood comprises finned fish and shellfish, and both types of aquatic creatures can be allergens. Unlike many other food allergies that affect toddlers and young children (such as wheat, milk, or nut allergies), seafood allergy is more likely to start in adulthood and therefore less likely than other allergies to be outgrown. According to Food Allergy Research and Education (FARE) about 40% of people with fish allergy and 60% with shellfish allergy experience the onset as adults.

People who are allergic to finned fish are not necessarily allergic to shellfish and vice versa since these are different species with different allergy-producing proteins.


Fish Allergy
FARE states that the most common species to cause fish allergy are salmon, tuna, and halibut; other types are cod, pollock, snapper, eel, and tilapia. It may seem easy to avoid any one of these species if you have fish allergy but unfortunately, people with allergies to one type of fish are likely to have (or to develop) allergies to others. This cross-reactivity is due to the culprit protein, parvalbumin that is present in many fish species. Therefore, people with an allergy to one fish should steer clear of all fish.


In adults, an increased risk of severe asthma is linked to fish allergy. An allergist can perform comprehensive allergy testing and advise you on whether or not you may include certain, less reactive types of fish in your diet.

Besides the obvious fish salads and cooked fish dishes (such as ceviche, cioppino, and bouillabaisse), beware of hidden fish ingredients in foods you might not be aware of such as Caesar salad dressing, caponata, and Worcestershire sauce (which contain anchovies), Omega-3 supplements (there are vegan/plant-based varieties available), and gelatin which may be made from a fish base. Many soups and stews are also prepared with fish stock (fumet) so always ask if you are dining out. Don’t forget caviar (fish eggs).

Relatively mild symptoms of fish allergy are similar to those of other food allergies—swelling, itchy mouth, rash, wheezing; more severe reactions include anaphylaxis. More on that below.


Shellfish Allergy
Shellfish include two types of marine animals, each with their own types of allergy-producing proteins. Crustaceans such as shrimp, crab, lobster and similar species make up one class. Mollusks are a more diverse group; there are bivalves (such as mussels, oysters, scallops, and clams) gastropods (snails, abalone, limpets, periwinkles), and cephalopods (such as cuttlefish, octopus, and squid). Someone allergic to one type of shellfish may also be allergic to the others, or could only be allergic to the one type that causes allergic reactions.

You’ll know within minutes of eating shellfish if you are allergic. Mild symptoms are hives, rash, and itching, or a tingling in the mouth; moving up a notch is swelling of oral tissues or other parts of the body. As with other food allergies, shellfish allergy also may present with more severe (and sometimes life-threatening) symptoms such as congestion or trouble breathing, abdominal pain and gastrointestinal distress, lightheadedness or fainting, and even anaphylaxis.

Anaphylaxis constricts your throat and interferes with your breathing, and causes a severe drop in blood pressure which may lead to shock or loss of consciousness. It is advisable for individuals who are prone to severe reactions to carry injectable epinephrine to administer immediately to alleviate symptoms (often before going to the ER to be checked out).

Be advised that shellfish by-products are used in cosmetics, medicines, and creams so scrutinize labels or call the manufacturer with questions about ingredients. If you suspect shellfish allergy, a skin test or blood test can confirm this.

Things to Keep in Mind When Dining Out
Unfortunately, fish proteins become airborne during the cooking process so if you suffer from severe fish or shellfish allergy, certain restaurant environments may pose a big problem. Steam tables and stove tops in commercial or home kitchens can be danger zones depending on the severity of the allergy.

Also, just as with wheat and celiac disease, it’s important to avoid cross-contamination of the allergen on cooking utensils, pots/pans, and work surfaces—even cooking oil. Fish may be friend in the same oil as chicken or even vegetables. Ask in advance about whether the kitchen can use separate cookware or prep areas to prepare your food if this is an issue.

Suffice to say, with either kind of seafood allergy, sushi restaurants are probably not the best place to be, even if you choose vegetable sushi. See if the sushi chef can make your rolls with different mats and knives.



Monday, August 5, 2013

The FDA Creates Standard Regulation for Gluten-Free Foods


On August 2, 2013, the Food and Drug Administration made history for those with celiac and gluten sensitivities by finalizing (at last!) a standard definition of what constitutes “gluten-free.” This means that food labeled as gluten-free must now adhere to a uniform standard in the U.S. The standard also applies to foods labeled "without gluten," "free of gluten," and "no gluten."

The new regulations state that a food must contain less than 20 parts per million (ppm) of gluten in order to bear a “gluten-free” label. This is the lowest level most people with celiac disease can tolerate in foods, and researchers support this threshold as safe for those with celiac and other gluten-related disorders to consume. 20 ppm is also the lowest level that can be consistently detected in foods using valid scientific analytical tools.

This threshold is in line with what is accepted overseas; Europe has been ahead of us on this issue for a long time.

Why is this so historic?
First of all, it’s a long time in the making. The FDA first proposed the standard in 2007 in response to a 2004 law on food-allergen labeling that required a definition of gluten-free.

Second, until now, the term “gluten-free” had no clear definition in the food production field. Consumers have had to trust that companies where being truthful, honorable, and adhering to production practices that did not cause cross-contamination.

Having a published federal regulation and guideline will help people with celiac disease, wheat allergy, or those who choose gluten-free diets for other reasons.

More about the FDA Standard
The FDA’s web page about this regulation states that:

In addition to limiting the unavoidable presence of gluten to less than 20 ppm, FDA will allow manufacturers to label a food "gluten-free" if the food does not contain any of the following:
  1. an ingredient that is any type of wheat, rye, barley, or crossbreeds of these grains
  2. an ingredient derived from these grains and that has not been processed to remove gluten
  3. an ingredient derived from these grains and that has been processed to remove gluten, if it results in the food containing 20 or more parts per million (ppm) gluten

With a clear and enforceable standard in place, consumers now have more certainty about how food producers label their products and people will celiac disease are assured that gluten-free brands meet the FDA requirements.

The regulation will be published on August 5 and manufacturers have one year to comply and ensure that all relevant food packaging (and the actual food in those boxes and cans) meets the published criteria set by the FDA.

There are more details about this important ruling on the website of the National Foundation for Celiac Awareness and the organization will be posting a fact sheet that outlines the new regulations at www.CeliacCentral.org/FDA. The organization is also planning a free webinar about the FDA’s rule; see NFCA’s Webinar Schedule.