Information From Your Health Care Provider |
This diet is designed to eliminate the protein gluten found in barley, buckwheat, bulgur, millet, oats, quinoa, rye, spelt, triticale, wheat germ, wheat, or their derivatives for individuals with gluten-sensitive enteropathy or celiac sprue and dermatitis herpetiformis. The gliadin component of gluten is believed to be the trigger for intolerance; however, there are many components to the wheat molecule that may cause intolerance.
The Food Guide Pyramid is used as the basis for meal planning. All protein sources are acceptable except those containing gluten. Products made from the flours or starches of arrowroot, corn, potato, rice, and soybean replace products made from wheat, rye, oats, and barley and those cereals and grains listed above.
Tips on Reading Labels: Those from wheat, rye, oat, or barley sources must be excluded from the diet. Only those from arrowroot, corn, potato, soy, or tapioca are permitted. Specific ingredient information may be obtained from manufacturers or the Celiac Sprue Association, PO Box 31700, Omaha, NE 68131; (877) 272-4272; website: www.csaceliacs.org. Gluten-free products are available from certain stores. Ask your pharmacist about your medications; some drugs contain gluten.
The following ingredients contain gluten and are frequently listed on product Labels.
This diet should be adequate in all nutrients. An added effort will need to be made to ensure adequate fiber.
FOOD LISTS
| Food Groups | Foods Allowed | Foods To Avoid |
|---|---|---|
| Breads/Grains | Cornflakes; cornmeal; hominy; rice; puffed rice; grits; Cream of Rice; or Rice Krispies. Food items made from rice, corn, or soybean flours or gluten-free wheat starch, arrowroot, or tapioca. Homemade broth, vegetable, or cream soups made with allowed ingredients. | All products made from barley; buckwheat; bulgur; millet; oats; quinoa; rye; spelt; triticale; wheat germ or wheat; cereals containing malt flavorings; prepared cake, cookie, bread, biscuit, muffin, pancake, or waffle mixes. |
| Fruits/ Vegetables | All except items listed to avoid. | Any thickened or prepared (e.g., some pie fillings). Any creamed or breaded vegetables. |
| Milk/Dairy | All except items listed to avoid. | Commercial chocolate milk with cereal addition; malted milk; instant milk drinks; hot cocoa mix; nondairy cream substitutes; processed cheese, cheese foods, and spreads containing a gluten source; cheese containing oat gum. |
| Meat/Meat Substitutes | All unprocessed meats, poultry, fish, eggs, dried beans, legumes, nuts, peanut butter, or soybeans. | Any prepared with stabilizers or fillers such as frankfurters, luncheon meats, sandwich spreads, sausages, and canned meats; breaded fish, poultry, or meats; poultry or meat prepared with hydrolyzed or texturized vegetable protein (HVP, TVP). Read labels. |
| Desserts/ Sweets | Ices; homemade ice-cream; custard; junket; rice pudding; tapioca; gelatin; cakes, cookies, and pastries prepared with gluten-free wheat starch; syrup; jelly; jam; hard candies; molasses; plain chocolate candies; marshmallows. | All others unless labeled gluten-free. Read labels. |
| Beverages | Carbonated beverages, fruit juices, tea, coffee, decaffeinated coffee to which no wheat flour was added, sports beverages. | Postum, Ovaltine, ale, beer, root beer. |
| Miscellaneous | Herbs, spices, pickles, vinegar, popcorn, potato chips, homemade broth, vegetable or cream soup made with allowed ingredients, jelly, jam, honey, corn syrup, butter, or margarine. | Commercial salad dressings except pure mayonnaise, chip dips, some catsup, chili sauce, soy sauce, steak sauce, mustard, horseradish, sauces and gravies with gluten sources, some dry seasoning mixes, pickles, distilled white vinegar, stabilizers, some chewing gum, malt or malt flavoring unless derived from corn, baking powder. |
SAMPLE MENU
| Suggested Meal Plan | Suggested Foods and Beverages |
|---|---|
| BREAKFAST Fruit Juice Cereal Meat/Meat Substitute Bread with Margarine Milk Beverage |
Apricot Nectar (1/2 cup) Cream of Rice (1 cup) Poached Egg (1) Rice Cake (1) with Margarine (1 tsp) 1% Milk (1 cup) Coffee or Tea |
| DINNER— NOON OR EVENING MEAL Meat/Meat Substitute Potato/Potato Substitute Vegetable and/or Salad Bread with Margarine Dessert Beverage |
Beef Patty (no fillers) (3 oz) Mashed Potato (1/2 cup) Frozen Peas (1/2 cup) Lettuce/Tomato Salad (1 cup) with Salad Dressing (1 Tbsp) Slice Gluten-Free Bread with Margarine (1 tsp) Fresh Apple (1) Coffee or Tea |
| SUPPER— EVENING OR NOON MEAL Soup or Juice Meat/Meat Substitute Vegetable and/or Salad Bread with Margarine Dessert Milk/Beverage |
Tomato Juice (1/2 cup) Baked Chicken (3 oz) Rice (1/2 cup), Spinach (1/2 cup) Corn Tortilla (1) Rice Pudding (1/2 cup) 1% Milk (1 cup), Coffee, or Tea |
| Calories | 1864 Kcal | Riboflavin | 2.1 mg |
| Protein | 97 gm | Thiamin | 1.2 mg |
| Carbohydrate | 244 gm | Folate | 345 mcg |
| Fat | 58 gm | Vitamin B6 | 2.2 mg |
| Saturated Fat | 18 gm | Vitamin B12 | 5.0 mcg |
| Monounsaturated Fat | 20 gm | Calcium | 1060 mg |
| Polyunsaturated Fat | 16 gm | Phosphorus | 1507 mg |
| Cholesterol | 397 mg | Zinc | 13 mg |
| Dietary Fiber | 19 gm | Iron | 13 mg |
| Vitamin A | 1511 IU | Sodium | 1962 mg |
| Vitamin C | 79 mg | Potassium | 3868 mg |
| Niacin Equivalents | 18 mg |