Celiac Disease : Building Community Awareness

1
Celiac Disease Building Community Awareness

• Compiled by Jane Marler

2
What is Celiac Disease?

• Genetic digestive disorder caused by an allergy
  to protein fractions in certain grains.
• Wheat
• Rye
• Barley

3
Damage Caused by Gluten

• Allergic reaction to proteins leads to damage of
  the intestinal mucosal lining.

4
Consequences of Damage

• Osteoporosis
• Anemia
• Cancer
• Lactose Intolerance
• Multiple Sclerosis
• Rheumatoid Arthritis
• Diabetes

5
How Common is Celiac Disease?

• 1/133 have the disease.
• Only 1/2,500 have been diagnosed in the U.S.
• 1/22 with celiacs in their family have the
  disease.

6
Do You Think You Might Have Celiac Disease?

• Symptoms
• Bumpy rash
• Weight loss and gain
• Diarrhea
• Bloating
• Constipation
• Fatigue
• Weakened bones
• Muscle cramps
• Depression

7
How is Celiac Disease Diagnosed?

• Available Blood Tests
• Anti-Gliadin Antibodies
• Endomysium Antibody
• Tissue Transglutaminase Antibody
• Genetic indicator
• Final Indicator
• Upper Endoscopy

8
Is there a cure?

• Stop consumption of gluten.
• Wheat
• Rye
• Barley
• Oats
• What do gluten-containing foods provide?
• Fiber
• Protein
• Vitamins
• Iron
• Zinc

• How do you replace the nutrients lost?
• Fruits
• Vegetables
• Dairy
• Nuts
• Alternative flours and cereals
• Daily vitamins

In North America, oats can be cross-contaminated
with dangerous grains.
9
Where is Gluten?

• Wheat
• Wheat Bran
• Wheat Starch
• Kamut
• Spelt
• Triticale
• Barley
• Malt
• Malt Extract
• Malt Flavoring

• Rye
• Oats
• Oat Syrup
• Oat Bran
• Bulgur
• Couscous
• Cereal Binding
• Semolina
• Graham Flour

10
Ingredients to Look Out for

• Hydrolyzed Plant or Vegetable Protein
• Seasonings
• Flavorings
• Starches
• Modified Food Starches
• Dextrin
• Maltodextrin
• Be sure to watch out for questionable ingredients
  not only in foods but also in medicines.

11
Eating Gluten-Free

• Breads, Cereals, Rice
• and Pasta
• Amaranth
• Arrowroot
• Buckwheat
• Cornmeal
• Corn Flour
• Flax Seed
• Garbanzo
• Garfava

• Potato Starch
• Rice
• Soy
• Millet
• Sorghum
• Tapioca
• Quinoa
• Teff
• Breads, cereals, and pastas made with gluten-free
  products.

12
Fruits and Vegetables

• Apples
• Grapefruit
• Oranges
• Bananas
• Grapes
• Pears
• Peaches
• Strawberries
• Blackberries

• Spinach
• Celery
• Potatoes
• Onions
• Squash
• Cucumber
• Carrots
• Peppers
• All unbreaded vegetables

13
Meats, Poultry, Fish, Dry Beans Eggs, and Nuts

• Eggs
• Turkey
• Chicken
• Tuna
• Beef
• Peanut Butter
• Soybeans
• Kidney beans
• Lentils

14
Milk, Yogurt, and Cheese

• Milk
• Cheeses
• Yogurt
• Cream
• Watch out for additives.

15
Fats, Oils, and Sweets

• Butter
• Ice Cream
• Honey
• Jams and Jellies
• Chocolate
• Soft Drinks
• Salad Dressing

16
Daily Meal OptionsDay 1

• Breakfast GF cereal, fresh fruit, and a glass of
  orange juice or milk.
• Lunch GF bread with turkey and cheese, corn
  chips, and an apple.
• Snack Yogurt.
• Dinner GF Homemade Macaroni and Cheese, steamed
  carrots, and a fresh fruit salad.

17
Day 2

• B GF waffles or pancakes with eggs and bacon.
• L GF crackers with cheese or hummus, yogurt, and
  rice cakes with peanut butter.
• S Peanuts, almonds, or unseasoned soy nuts.
• D GF pizza with a fresh salad.

18
Day 3

• B Fresh fruit smoothie.
• L Baked potato with cheese or butter and a fresh
  salad with green peppers and tomatoes.
• S Rice cake with peanut butter.
• D Grilled chicken, brown rice, steamed broccoli,
  and GF rolls.

19
Day 4

• B GF toast with peanut butter and a bowl of
  yogurt.
• L Fresh fruit salad and rice with chicken.
• S Popcorn.
• D Mashed potatoes, pork chops, GF bread, and a
  fresh fruit salad.

20
Getting Started

• Begin a gluten-free environment.
• Buy flour mixes, cereals, breads
• First Alternative Natural Foods Co-op
• Fred Meyer
• Bobs Red Mill Natural Foods, Inc.
• Trader Joes
• Always check labels
• Call or email if ingredients are questionable
• Find support in a fellow celiac or group
• Use resources

21
Celiac Resources

• Organizations/Websites
• Celiac Disease Foundation
• Celiac Sprue Association/USA, Inc.
• Gluten Intolerance Group of North America
• Canadian Celiac Association
• Magazines
• Gluten-Free Living
• Living Without
• Books
• Dangerous Grains by James Braly and Ron Hoggan

• Waiter, Is there Wheat in My Soup? by LynnRae
  Ries
• Cookbooks
• Gluten-Free Diet A Comprehensive Resource Guide
  by Shelley Case
• Gluten-Free Baking by Rebecca Reilly
• Wheat-Free Recipes Menus by Carol Fenster
• The Gluten-Free Gourmet Cooks Fast and Healthy
  by Bette Hagman

22
What should you do in these situations?

• School

23
Friends houses
24
Family gatherings
25
Restaurants
26
Tips for Life as a Celiac

• Always question.

27
RememberContentContactContamination
!
28
View life as a new normal and find a positive
aspect.
29
What does the future hold?

• Food Allergen Labeling and Consumer Protection
  Act
• Vaccine
• Medication
• Primitive wheat
• Research

30
Questions?