Monthly Archives: December 2008

Shared Genes in Type 1 Diabetes and Celiac Disease


A 2008 study provides more evidence that there is a link between celiac disease and gluten. This article in Scientific American reviews the study.

Diabetes and celiac disease: A Genetic Connection
Patients with type 1 diabetes have been known to be more prone to another autoimmune disorder, celiac disease, in which gluten in wheat, rye and barley triggers an immune response that damages the small intestine or gut. Now there’s evidence that the two diseases have a genetic link: they share at least seven chromosome regions.

The discovery, published in this week’s New England Journal of Medicine, indicates that both diseases may be triggered by similar genetic and environmental mechanisms, such as certain foods, that cause patients’ immune systems to become overactive and destroy healthy instead of infected tissue. Previous research has found that celiac disease is five to 10 times more common in people with type 1 diabetes than in the general population, an editorial accompanying the study notes.

“These findings suggest common mechanisms causing both celiac and type 1 diabetes – we did not expect to see this very high degree of shared genetic risk factors,” said study co-author David van Heel, a gastrointestinal geneticist at Barts and the London School of Medicine and Dentistry.

Van Heel and his colleagues studied genetic material or DNA from about 20,000 people, half of them healthy, nearly half with type 1 diabetes, and 2,000 with celiac disease. The overlapping genetic variants occurred on regions of chromosomes (parts of cells that carry genetic code) that are believed to regulate the gut’s immune system, the BBC notes.

Type 1 diabetes occurs when a person’s immune system mistakenly attacks healthy beta cells in the pancreas that produce the hormone insulin, which is needed to convert glucose into energy. In celiac disease, a similar attack occurs on the small intestine when sufferers eat gluten-rich grains, causing inflammation in the gut that can lead to bloating, abdominal pain, nausea, constipation, diarrhea, fatigue, anemia, headaches, weight loss and failure to thrive in children. Whereas diabetes 1 patients must inject insulin daily to make up for their deficiency, people with celiac disease can avoid damage and symptoms by sticking to a gluten-free diet.

“The finding raises the question of whether eating cereal and other gluten products might trigger type 1 diabetes by altering the function of the gut and its interaction with the pancreas, the authors write. But Robert Goldstein, chief scientific officer of the Juvenile Diabetes Research Foundation, which helped fund the study, says it would be premature to assume from this study that gluten is also a diabetes trigger.

“I fear the newspaper headlines in the popular press will read like, ‘Eating wheat will cause type 1 diabetes,’” Goldstein tells us. “The presence or absence of these associations has to be linked to some biological consequence” for a person’s health.

Article Source: http://www.sciam.com/blog/60-second-science/post.cfm?id=diabetes-and-celiac-disease-a-genet-2008-12-11

*UK Study Source: Shared and Distinct Genetic Variants in Type 1 Diabetes and Celiac Disease, New England Journal of Medicine. http://content.nejm.org/cgi/content/full/NEJMoa0807917

Gluten Free Restaurants – Philadelphia


Celiac disease – Gluten Free friendly restaurants in Philadelphia (listed alphabetically)

Applebee’s Restaurant
http://www.applebees.com/
Applebee Dietary Inquiries
888-592-7753
You can call this number and someone will provide information on gluten free menu items. I have spoken with them while seated in the restaurant – though you could certainly call ahead of time.

Arpeggio
http://www.arpeggiobyob.com
542 Springhouse Village Center
Springhouse, PA 19477
{GPS} 1101 BETHLEHEM PIKE OR SPRINGHOUSE VILLAGE CENTER
215-646-5055
Mediterranean BYOB. Per my GI doc, the owner is very in tune to the needs of celiac patients.

Boston Style Pizza
447 N Sumneytown Pike
North Wales, PA
(215) 699-3977
Has gluten-free pizza as well as a recently expanded gluten-free menu.

Carrabba’s Italian Grill
http://carrabas.com/index.aspx
2575 Maryland Road
Willow Grove, PA 19090
(215) 659-3950
Has a gluten-free menu

Charlie Brown’s Steakhouse
324 W. Swedesford Road
Berwyn, PA 19312
(610)240-0997
www.charliebrowns.com/
Has a gluten free menu and location information online.

Chipotle
www.chipoltle.com
Plymouth Meeting Mall location
Website has a gluten-free listing. Staff and management were very receptive to requests as well as the food being delicious and healthy.

Five Guys Burgers and Fries
www.fiveguys.com
Check website for local sites – coming soon to K of P mall. Great burgers and fries! Locations I visited were very gluten-friendly.

JB Dawson’s
http://jbdawsons.com/index.html
Has a gluten free menu available online as well as upon request at each location. This is a local chain with five outlets –one near Plymouth Meeting Mall. The corporate Director of Kitchen’s is very Celiac aware as he has family member with Celiac.

Jules Thin Crust Pizza
http://www.julesthincrust.com/
Offers great gluten –free pizza and crusts to make your own. Locations in Doylestown and Newtown.

Legal Seafoods
http://www.legalseafoods.com/
King of Prussia Mall. Great food and great attention to gluten-free concerns. Gluten-free menu is available.

Morton’s Restaurant
http://www.mortons.com/
King of Prussia Mall location is actually working on an allergy menu for customers, though other locations have been very responsive to gluten-free requests. My waitress, Gina, was very well versed and great at offering gluten-free alternatives.

Outback Steakhouse
http://www.outbacksteakhouse.com/
Has a gluten free menu available online as well as upon request at each location.

Pasta Pomodoro
http://www.pastapomodoronj.com
Won 2007 NFCA Gluten-free cooking competition
Voorhees NJ

PF Chang’s China Bistro
http://www.pfchangs.com/
Great Chinese food. They have a gluten-free menu available and are very responsive to concerns. Plymouth Meeting Mall location is now open.

Redstone American Grill
www.redstonegrill.com
Plymouth Meeting Mall
Have spoken with Director of Culinary Operations from corp office. Gave me local chef’s name and email as well as a listing of gluten-free menu items.

Erewhon Organic Corn Flakes 11 oz. – Product Reviews


These light and crispy flakes are made with simple pure ingredients – organically grown corn and sea salt. And, Erewhon Corn Flakes are 100% natural, low in sodium, and low fat. Great taste and great nutrition! Allergy Alert: contains corn. Kosher.

Ingredients: Organic corn flour, sea salt.

Product does not contain:
Gluten, Wheat, Soy, Eggs, Dairy, Nuts, Peanuts

Nutrition Facts:
Serving Size 1 1/4 cup
Serving per container: 6

Amount per Serving: Calories 210, Total Fat 2.5g, Saturated Fat 0g, Trans Fat 0g, Cholesterol 0mg, Sodium 100mg, Total Carbohydrates 26g, Dietary Fiber 3g, Sugars 3g, Protein 2g, vitamin A 10%, vitamin C 2%, calcium 0%, iron 15%

Erewhon Crispy Organic Brown Rice With Mixed Berries – Product Review


Delicious organic cereal made from the actual whole grain of organic brown rice. After the rice has been carefully toasted, it is glazed with a subtle blend of honey and brown rice syrup that sparkles with sweetness. Then a delicious medley of strawberries, raspberries and blue berries is added. Kosher.

Ingredients: Organic whole grain brown rice, organic brown rice syrup, honey, freeze dried blueberries, freeze dried raspberries, freeze dried strawberries, sea salt, and natural flavor.

Product does not contain:

Gluten, Wheat, Soy, Eggs, Dairy, Nuts, Corn, Peanuts

Nutrition Facts:
Serving Size 1 cup
Serving per container: 9
Amount per Serving: Calories 120, Total Fat 0.5g, Saturated Fat 0g, Trans Fat 0g, Cholesterol 0mg, Sodium 100mg, Total Carbohydrates 27g, Dietary Fiber 1g, Sugars 6g, Protein 2g, vitamin A 0%, vitamin C 4%, calcium 0%, iron 2%

Chebe Mix Gluten-Free for Pizza Crust 7.5 oz. – Product Review


This chewy pizza crust is easy to make! Mix requires addition of oil, egg, cheese (optional) and liquid (milk or milk substitute) to make pizza dough, calzones, cracker bread, and more. Yeast free and made in a gluten-free environment.

Ingredients: Manoic (tapioca) flour, modified manoic starch
(100% manoic), salt, minced herbs (basil, garlic, onioin, oregano, thyme).

Product does not contain:

Gluten, Wheat, Soy, Eggs, Dairy, Nuts, Corn, Peanuts

Nutrition Facts
Serving Size 0.75 oz.
Serving per container 10
Amount per Serving: Calories 70
Total Fat 0g, Saturated Fat 0g, Trans Fat 0g, Cholesterol 0mg, Sodium 190g, Total Carbohydrates 17g, Dietary Fiber 0g, Sugars 0g, Protein 0g, Vitamin A 0%, Vitamin C 0%, Calcium 0%, Iron 0%

Erewhon Rice Twice 10 oz. – Product Review


Delicate crisps and tender puffs of organic brown rice gives you two distinct textures in this exceptional cereal. Rice is glazed with a blend of honey and brown rice syrup that sparkles with sweetness. Besides having great taste, Rice Twice is a fat free, low sodium food you can eat out-of-hand…just bag it for snacks at school, work, or on the road! “Only the purest, finest natural ingredients from the people who coined the term “natural foods.”

Ingredients: Organic brown rice, brown rice syrup, honey, sea salt.

Product does not contain:

Gluten, Wheat, Soy, Eggs, Dairy, Nuts, Corn, Peanuts

Nutrition Facts:
Serving Size 3/4 cup
Serving per container: 9
Amount per Serving: Calories 120, Total Fat 0g, Saturated Fat 0g, Trans Fat 0g, Cholesterol 0mg, Sodium 60mg, Total Carbohydrates 26g, Dietary Fiber 0g, Sugars 8g, Protein 2g, vitamin A 0%, vitamin C 0%, calcium 0%, iron 0%

Clif Organic Nectar Bar, Lemon, Vanilla & Cashew 1.6 oz. – Product Review


One of a family of snacks. 100% organic chewy fruit and nut natural energy bar with creamy lemon, crunchy cashews, and anti-oxident goji berries. Deliciously satisfying. No added sugar. Not genetically engineered.

Allergy Alert: contains nuts. May contain trace amounts of dairy, peanuts, and soy.

Ingredients: Organic dates, organic roasted cashews, organic goji berries, organic lemon juice concentrate, organic vanilla.

Product does not contain:

Gluten, Wheat, Soy, Eggs, Dairy, Corn,

Nutrition Facts:
Serving Size 1 bar (45g)
Serving per container 1
Amount per Serving: Calories 160
Total Fat 6g, Saturated Fat 1g, Trans Fat 0g, Cholesterol 0mg, Sodium 5mg, Potassium 310mg, Total Carbohydrates 27g, Dietary Fiber 6g, Insoluble fiber 5g, Sugars 17g, Protein 4g, vitamin A 2%, vitamin C 0%, calcium 2%, iron 8% , selenium 4%, vitamin E 2%

Chebe Gluten-Free All-Purpose Mix 7.5 oz. – Product Review

The chewy texture and flavor of this product prove that wheat is not necessary to make good bread. Requires the addition of oil, eggs, and liquid (milk or milk substitute or water). Yeast free and made in a gluten free environment.

Ingredients: Manoic (tapioca) flour, modified manoic starch
(100% manoic), iodine-free salt, cream of tartar, sodium bicarbonate.

Product does not contain:

Gluten, Wheat, Soy, Eggs, Dairy, Nuts, Corn, Peanuts

Nutrition Facts
Serving Size 70
Serving per container 10
Amount per Serving: Calories 70
Total Fat 0g, Saturated Fat 0g, Trans Fat 0g, Cholesterol 0mg, Sodium 0g, Total Carbohydrates 17g, Dietary Fiber 0g, Sugars 0g, Protein 0g, Vitamin A 0%, Vitamin C 0%, Calcium 0%, Iron 0%

Six Facts About Celiac Disease in the United States You Need to Know

by John Libonati

Here are six important facts about celiac disease in the United States:

1. Doctors do not understand celiac disease. 97% of celiacs are not diagnosed. Diagnosis takes over 10 years on average and follow up treatment is poor.

2. Doctors do not understand nutrition. Medical schools do not teach it, so doctors generally do not look for nutrient deficiencies unless you are emaciated.

3. Most of the 300 health problems stemming from celiac disease are due to nutrient deficiencies.

4. Comparing symptoms with one another does not work in celiac disease because symptoms change over time and everyone absorbs or malabsorbs nutrients differently. You may absorb everything but vitamin B12. Another person will not absorb calcium or vitamin D. Even siblings sometimes have totally different symptoms.

5. Symptoms from nutrient deficiencies show up before intestinal damage occurs, but also after starting the gluten-free diet depending on the degree of damage and quality of diet.

6. Most celiacs do not realize how sick they really are. They think, “This is me. I’ve always been this way.” They end up spending thousands of dollars on lotions, salves, medications and surgeries when the root of their problem has been a missing nutrient or nutrients all along.

You need to understand gluten and how celiac disease affects your body if you want to be healthy.

You must be able to identify health problems and the nutritional deficiencies that cause them so you can add the missing nutrients to your diet and inform your doctor to help him treat you.

You need the book, Recognizing Celiac Disease.

Recognizing Celiac Disease teaches you everything about gluten, celiac disease, the health problems it causes and what you need to fix them.

Thousands of celiacs around the world are using Recognizing Celiac Disease…because it works.

“Having been dx with CD for one year, I reached saturation – almost overload point a few months ago. Then I read the summary of “Recognizing Celiac Disease” and felt it might encompass everything I had referenced across numerous articles and books – and more. I love being able to look in the index and go to detailed information in my struggle to ensure my nutritional requirements and deficiencies are being met and addressed.” – Reta McCallum, TX

Read how this one of a kind book is helping others at www.recognizingceliacdisease.com.

Order your copy of Recognizing Celiac Disease today. Review it and bring it with you to your next doctor visit. This way you can work with your doctor to make sure you get the best treatment possible.

Visit www.recognizingceliacdisease.com for more information and to see what others are saying.

Festive Gluten-Free Almond Fruitcake

Foolproof Christmas option for gluten-intolerant (+ recipe)

Home » Lifestyle » Food & Wine
Wed, 3 Dec 2008
Food & Wine

A festive almond fruitcake with a difference. This festive almond fruitcake is a superb alternative for those who are wheat- or gluten-intolerant or who would simply like to try a different Christmas cake.
The dried fruit and almonds, both chopped and ground, are glued together with a minimum of batter.

It is an easy and foolproof cake to make.

Rich, moist and delicious, it is best served in small slices.

Use a small serrated knife to cut.

The cake will keep for up to three months if wrapped in foil and stored in the refrigerator.

It’s great to have on hand right through the holidays.

For those with a mild glucose intolerance, a half tsp of baking powder is unlikely to be a problem.

When I checked the supermarket shelves to see what baking powders are available, I discovered that Edmonds is now gluten-free.

You can, if you wish, substitute a half tsp cream of tartar and a quarter tsp baking soda for the baking powder in this recipe to make a gluten-free raising agent, or just buy a gluten-free baking powder.

1kg mixed dried fruit
120g whole brown skinned almonds, roughly chopped
70g maize cornflour
1/2 tsp baking powder
70g ground almonds
3 eggs, size 6
1/4 cup honey, warmed
1 tsp natural almond essence
2 Tbsp amaretto liqueur or brandy (optional)

Line the base and sides of a 20cm square cake tin.

Combine dried fruits and chopped nuts in a large bowl and mix thoroughly.

Sift the cornflour and baking powder together and stir in the ground almonds.

Mix well.

Beat eggs and honey in a medium-sized bowl with an electric mixer until thick and creamy.

Beat in almond essence.

Stir the cornflour and almond mixture into the beaten eggs, mixing well.

Pour this into the bowl containing the dried fruit and nuts and stir until thoroughly combined.

Spread into the prepared tin, pushing it well into the corners.

Smooth the top.

Place just below the centre of an oven which has been heated to 150degC.

Cook for 1hr 35min to 1hr 50min.

The cake should be golden brown, feel firm to touch and a skewer inserted in the centre of the cake should come out clean.

Remove from the oven and brush the hot cake with amaretto, brandy or a liqueur of your choice.

Cool completely, wrap in foil and store in the refrigerator.

It is ready for eating within 12 hours of baking.

This is not a cake for icing.

I serve it just as it is, but you could brush the top with an apricot jam glaze and decorate with glace fruits.

– Joan Bishop

Article Source: http://www.odt.co.nz:80/lifestyle/food-wine/34329/foolproof-christmas-option-gluten-intolerant-recipe

Become a Member and Get All This! Show Me!
+