Gluten-free diet suggestions... | Arthritis Information

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My goal is to switch to gluten-free diet.  I have tried everything else so why not try this to help with RA:

 
http://www.mayoclinic.com/health/gluten-free-diet/DG00063
 

"Gluten free diet: How to go gluten free

Getting on a gluten free diet isn't easy, but it's essential if you have celiac disease. Following are tips to help you on your way to safe and healthy eating.

A gluten free diet excludes the protein gluten, which is found in grains such as wheat, barley or rye. If you or your child has celiac disease, a gluten free diet is essential, because gluten causes a problematic immune reaction in the small intestine. This reaction results in damage to the inner surface of the small intestine and an inability to absorb certain nutrients from food.

 

If you think you may have celiac disease, wait until you've been diagnosed to start a gluten free diet. That's because it may be more difficult for your doctor to make a diagnosis if you've begun the diet before being tested.

 

Initially, following a gluten free diet may be frustrating. But with time, patience and creativity, you'll find there are many foods that you can eat and enjoy.

 

Avoid these foods in a gluten free diet

To manage celiac disease and prevent complications, it's crucial that you avoid all foods that contain gluten.

 

Avoid these gluten-containing grains

Avoid all foods or food ingredients made from many grains, including:

 

Wheat

Barley

Rye

Farina

Graham flour

Semolina

Durham

Bulgur

Kamut

Kasha

Matzo meal

Spelt (a form of wheat)

Triticale

Oats may not be harmful for most people with celiac disease, but oat products are frequently contaminated with wheat, so it's best to avoid oats as well. The question of whether people eating a gluten free diet can consume pure oat products remains a subject of scientific debate. Difficulties in identifying the precise components of grains responsible for the immune response and the chemical differences between wheat and oats have contributed to the controversy.

 

Avoid these products unless labeled 'gluten free'

The following grains are gluten free as grown, but may be contaminated by other grains during harvesting and processing. Verify that these are processed in a gluten free facility before consuming them:

 

Amaranth

Buckwheat

Quinoa

Most foods made from grains contain gluten. Avoid these foods unless they're labeled as gluten free or made with corn, rice, soy or other gluten free grain. It's also important that they're processed in a facility that is free of wheat or other contaminating products:

 

Breads

Cereals

Crackers

Croutons

Pasta

Cookies

Cakes and pies

Soups

Gravies

Sauces (including soy sauce)

Salad dressings

Beer

Candy

Imitation meat or seafood

Processed luncheon meats

Self-basting poultry

Many other products that you may consume or that may touch your mouth have ingredients that contain gluten. These include:

 

Food additives, such as malt flavoring, modified food starch and others

Medications and vitamins that use gluten as a binding agent

Lipstick and lip balms

Toothpaste

Postage stamps

Play dough

Cross-contamination also may occur anywhere ingredients come together, such as on a cutting board or a grill surface. You may be exposed to gluten by using the same utensils as others, such as a bread knife, or by sharing the same condiment containers — the condiment bottle may touch the bun, or a knife with bread crumbs may contaminate a margarine stick or mayonnaise jar.

 

Safe foods in a gluten free diet

Foods allowed in a gluten free diet

There are still many basic foods allowed in a gluten free diet. These include:

 

Fresh meats, fish and poultry (not breaded, batter-coated or marinated)

Most dairy products

Fruits

Vegetables

Rice

Potatoes

Gluten free flours (rice, soy, corn, potato)

Wine and distilled liquors, ciders and spirits

Products labeled 'gluten free' also safe

Fortunately for bread and pasta lovers with celiac disease, there are an increasing number of gluten free products on the market. If you can't find them at your local bakery or grocery store, check with a celiac support group or the Internet. In fact, there are gluten free substitutes for many gluten-containing foods, from brownies to beer. Many specialty grocery stores sell gluten free foods.

 

Note that "wheat-free" doesn't necessarily mean gluten free. The product may still contain rye, barley or spelt ingredients that contain gluten.

 

How to tell what's OK

Read food labels every time

Read the label before you purchase any food product. Some foods that may appear acceptable, such as rice or corn cereals, may contain gluten. What's more, a manufacturer may change a product's ingredients at any time. A food that was once gluten free no longer may be. Unless you read the label every time you shop, you won't know for sure.

 

The Food and Drug Administration (FDA) requires products containing wheat, milk, soy, peanuts, tree nuts, fish, shellfish or eggs to say so in plain English on the product's label. By August 2008, the FDA is expected to issue a standard definition of "gluten free" to make it easier for shoppers with celiac disease to identify products.

 

Call the manufacturer

If you can't tell by the label if a food contains gluten, don't eat it until you check with the product's manufacturer. Some support groups produce a gluten free shopper's guide that can save you time at the market, although it may not be as current as that obtained from the manufacturer.

 

Tips for cooking at home

For thickening, use cornstarch, potato starch, arrowroot or tapioca flour in place of wheat flour. And in baked products, substitute rice, potato, corn, soy or a blend of these or other gluten free flours. Amounts and other ingredients in recipes may need to be adjusted. Gluten free cookbooks are available that can give you a good start at adjusting recipes.

 

You can still eat out

Though preparing your own meals is the easiest way to monitor your diet, this doesn't mean you can't dine out. For an enjoyable experience, remember the following advice:

 

Select places that specialize in the kinds of foods you can eat. You may want to call the restaurant in advance and discuss the menu options and your dietary needs.

Be a repeat customer. Visit the same restaurants so that you become familiar with their menus and the staff gets to know your needs.

Seek and share ideas. Ask members of your support group for suggestions on restaurants that serve gluten free food. If there are enough gluten-sensitive people in your community, it's likely that restaurant owners will try to satisfy your needs. Continue to share with the support group the names of restaurants that add gluten free foods to their menus...."

Hey Shelly,
Congratulations and good luck with your decision. It's something I've been eying for a long time myself. I know quite a few people who are already gluten free, and I live in a town with several restaurants that have gluten and dairy free menus, so I have the benefit of other people's experiences.

That list looks like an okay place to start but it also makes it look more dire than necessary. For instance, no, you can't have soy sauce, but you CAN have tamari, which is basically soy sauce with no gluten in it. Some grains are okay, such as rice, corn, and Bob's Red Mill now has a gluten free oatmeal (a must for me as I eat oatmeal almost every day). I went to dinner at a gluten free house recently and was served a most delicious moist and fluffy angel food cake made from rice flour with a few other gluten free flours mixed in that was divine. I also have a friend studying healing through foods who is gluten free and is constantly making gluten free pancakes and other "bready" like stuff, so I know with a little practice it is possible.

There are many websites devoted to gluten free cooking and lifestyles. Pip posted one recently: http://www.celiac.com/

One thing about being gluten free is there are many unforseen pitfalls, as even a microscopic amount of gluten can set you back. A few are: toothpaste, glue on enevelopes and stamps, and instant white rice which is sprayed with gluten so the added nutrients have something to stick to.

Hopefully in your town you have a sort of Whole Foods market like Planet Organic or Whole Foods because that can make gluten free living a lot easier.

This could be a good thread for sharing gluten free recipes, too.BTW, Tinkyada rice pastas are pretty good.GG,
Yes, it does look scary and tedious and probably why it isn't something I have switched to already.
However, I think this will be a project for me this year.  I react to soy sauce and have almost given up eating out at Chinese restaurants.  I react to corn, bell peppers, tomato sauce/spaghetti sauce.   I love farina and occasionally eat oatmeal and love bread..  Brushing my teeth makes me extremely thristy and I have been saying I need to switch to a natural toothpast for years.  I will occasionally use baking soda to brush my teeth so that I don't get so thirsty. 
So gluten is probably what's holding me back from feeling better or at least giving it up could help me a little.  Certainly worth a try.
Thanks for information on the soy sauce.
take it easy.
Hey Shelly, I've been thinking about this as well.  Over the last 2 years, I have eliminated preservatives in total and most sugar (I totally caved during the holidays) and most white stuff.  I know this much has helped in feeling better (except the bouts of pneumonia) and more energized over all.  It is hard in this world and this society to change even this much in my diet and I live in a tiny town w/ limited shopping.  Best of luck to you and thanks for bringing this up so we can get good info on it!
Hi Waddie,
Thank you.

You sound like you have gotten further along on your lifestyle change than I have.  I have taken the road of fruits and vegetable with a little bit of regular foods here and there because I know the preservatives are not in the fruits and vegetables.  but that is the only way I have cut out the preservatives.  I definitely need to edcuate myself a bit more on eliminating preservatives and what substitutes could I use.  Or read every label which isn't always comfortable with eyes affected by RA and its secondary conditions.  I am doing pretty good with eliminating sugar.  I used to drink soda everyday and candy bars, etc.  I used to eat bags of M&M to get through the graveyard shift.  but have almost eliminated chocolate candy.  I don't even crave it anymore.  I have greatly reduced sodas except for when i go out with others which is rarely.  I did okay this past holiday.  didn't pig out but did have a sweet potato pie.  usually there are several types of cakes, pies, puddings, etc.   And yes when you live in a society where everything revolves around food, sitting at the computer and television it is very hard to break the habits.  

However, it sounds like you are doing really well with your diet.  Maybe we could support each other through the gluten-free switch.

Why the bouts of pneumonia?  Is it RA related?  I had the pneumonia once about 6 months ago along with severe edema, shortness of breath, etc.  They admitted gave me IV avelox for the pneumonia which cleared it up and it hasn't returned.  Couldn't figure out why would it showed up in the first place other than due to RA.  Didn't think to ask.  I just wanted to sleep during that admission and be left alone.
 
Edited by me:  I can barely spell these days. leaving out words.  Oh my!
Shelly632009-01-24 14:54:46Hi Shelly -
 
I tested positive to c. pneumonia - not that I knew it at the time.  Its been linked to RA because its a cell wall deficient bacteria.
 
I know PRA peeps who are gluten free and have NO remnants of the disease left.  I'm going to try this too because I should have been further along in my journey and I'm thinking a constantly inflamed gut might be part of the problem.
 
Hugs,
 
Pip
Shelly, the switch to no preservatives has been a really hard road as they are in just about everything, including some fresh fruits and veggies and meats.  I had to really learn to look at labels and I do try to buy organic when I can and I rarely eat out, fixing most everything at home.  Its a job!  I remind myself this is how my grandmothers use to do things and do the best I can.  Eating this way seems to have eliminated my migraines, so it was worth it just for that alone!  I try to be careful about what I recommend to others but I really believe in this life-style change.

My pneumonia probably was due to my RA if for no other reason than a suppressed immune system.  I was not tested as to c. pneumonia as Pip was - I really don't know what that is... Pip?  I learn sooo much here and don't know why I never looked up the forum until last fall!

I will be glad to share some links on food preservatives with you and also be a gluten-free buddy Waddie,
I can imagine b/c preservatives are in everything as you said.  I have incorporated some organic fruits and vegetables.  I have to really do my research on preservatives.  I peel the skin from apples, peaches, pears, cucumbers, carrots, etc. and prefer melons, canteloupes, honeydew, watermelon. I love peaches, mangos, grapes, etc. 
Another thing I am trying to get away from is high fructose corn syrup. I read the label on some crackers one day while eating them and learned high fructose corn syrup was in them and also another day learned it was in ketchup.  So I have my work cut out for me.
My original plan was to go mostly to a raw diet. I felt that way I could avoid a lot of the refined sugar, flour and preservatives and that would be a good start to changing my diet. so that is how I ended up eating a lot of fruits and vegetables and it has helped me cut back on white sugar and sodas tremendously.  I don't crave them anymore.
However, the overall feeling of being ill, weak, and fatigued is still there even with all of my cuts.  So, I have tried to mix both worlds nutrition and traditional meds for RA.  My hope is one day the nutrition will allow me to go off or greate reduce my ra meds.
that's the plan.
Thanks for the information.  Yes, I think sharing information is a good way to motivate each for make the switch.
take it easy.
 
Waddie - APers' think the reason we're sick are cell wall deficient bacteria called mycoplasma.  The tests are crap (just like all of the RA/AI ones - but I did test positive for c. pneumonia (which I was told was NOT the case but recently found in my files) as well as strep.  It's the reason I chose AP vs the traditional meds.  We don't believe in the 'body attacking itself' model/theory - instead we believe that the body is doing exactly what its supposed to be doing - battling an intracellular infection.  GoGo posted this many times before -  the tiny blue dots in the picture is what they've just proved. 
 
http://www.med.umich.edu/opm/newspage/2007/microbes.htm
 
Hugs,
 
Pip
Just a couple quick pionts. Gimpy mentioned that you can have tamari sauce, actually you still have to look for a wheat-free version.  It's basically a better soy sauce, so often still has wheat.  Tamari sauce is quite expensive, and if you look around you may be able to find a wheat-free soy sauce -- we get VH1 sodium reduced (I think that's what it's called).  I also recommend corn pasta over rice pasta if you can get it.  Rice pasta is very starchy and thus messy.  Corn pasta cooks up much nicer.  But corn pasta can be harder to find.

Gluten-free (GF) living isn't too bad, once you get the hang of it.  We only find lunches out to be the most challenging as that's the meal of the day mostly served with bread. 

Oh, and watch out for soup, especially when eating out -- most have flour in the stock.

My hubbie is the celiac in the household, but I still eat gluten.

- Joy
Thanks, Joy---for some reason i thought all tamari was wheat free---these are the pitfalls I speak of, at least for me!

That corn pasta sounds great! Although I try to avoid too much corn because of it's high Omega-6 content. I take a lot of Omega 3's (in fish oil form) to try and control inflammation, so the more Omega 6 I eat, the more Omega 3 I need (the problem is the imbalance. But if that's not a concern corn pasta sounds great! I'm still going to try some. I'm sure I can find it n a west coast city.Shelly, here is a very useful link for msg;  http://www.truthinlabeling.org/hiddensources.html
and one more; http://www.fedupwithfoodadditives.info/factsheets/FactMSG.htm
Follow the links on the 'bottom of the fed up with food additives' one to more useful links.  It is a start and I really think it will help. 

Pip, thanks so much for that link, I have an appt. tomorrow and think I will ask about that.
Thanks!
I got BF to buy a package of that corn pasta when he went shopping today. I am excited to try it.I hope that because it's organic, it's not made from genetically modified corn, but who knows? I wish that was required to be labeled. It's made in Italy which is always a good sign with pasta.Waddie,
Thank you so much for the web sites.
They mentioned fillers and binders for medications possibly being a problem.  I really think so.
Thanks. take care.

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