temptation island: surviving the holidays on the gluten ... · temptation island: surviving the...

Temptation Island: Surviving the Holidays on the

Gluten-Free Diet!

www.CeliacCentral.org Restoring Health … Reclaiming Lives. National Foundation for Celiac Awareness 2010. All rights reserved.

Brought to you by Blue Diamond Growers

Margaret Weiss Masiello, RD Clinical Coordinator for The Kogan Celiac Center

• BA in Psychology from William Smith College

• Nutrition at the College of Saint Elizabeth

• Dietetic Internship at the University of Medicine and Dentistry of New Jersey

• Certified in Adult Weight Management

• Consultant to several supermarket chains



Comprehensive approach to the treatment and management of celiac disease for adults and children.

•  Early assessment and diagnosis

•  Screening services

•  Education •  Patients

•  Healthcare professionals

•  Community

•  Support


• Celiac Disease • Definition • Symptoms and Presentations • Diagnosis • Treatment

• Gluten-Free Diet • What is gluten? • Hidden Sources

• Holiday Planning • Practical Approaches • Emotional Strategies


• A permanent, genetic disorder that is characterized by an autoimmune reaction to the ingestion of gluten, a protein found in wheat, rye and barley.

• This reaction causes damage to the absorptive structures in the small intestine (villi) and ultimately results in:

• Conditions of malnutrition • Potential damage to any organ system

There is no cure, the only known treatment is the complete removal of gluten from the diet.


Gastrointestinal Symptoms   Anorexia

  Chronic diarrhea

  Bloating

  Constipation

  Pale or foul smelling stool

  Abdominal pain

Non-GI Symptoms   Failure to thrive in infants   Anemia   Lactose intolerance   Thyroid disorders   Unexplained short stature or

delayed puberty   Depression, behavior disorders   Seizures   Neuropathy, ataxia   Miscarriages & stillbirth   Infertility   Delayed or missed periods   Osteoporosis/osteopenia   Oral sores   Loss of tooth enamel   Vitamin deficiencies   Fatigue

Associated Conditions:  Type 1 Diabetes

 Thyroiditis

 Addison’s Disease

 Primary Biliary Cirrhosis

 Autoimmune Hepatitis

 Rheumatoid Arthritis

 Sjogren’s Syndrome

 Down Syndrome

 Turner’s Syndrome

 Williams Syndrome

Family History: • 7-10% primary relatives

• 3-5% secondary relatives

www.CeliacCentral.org Restoring Health …. Reclaiming Lives. National Foundation for Celiac Awareness 2010. All rights reserved.

  Gluten is the trigger for the inflammatory response of celiac disease.

  Gluten is a general name for storage proteins.

  Storage proteins in wheat, barley and rye are harmful to celiacs. •  These grains and any ingredient that comes from

them are eliminated in the gluten-free diet.

  Spelt, kamut and triticale are botanically related to wheat and are eliminated too.


• Substitution of obvious sources: • Bread • Pasta • Baked goods

• Market research shows marked increase in new products over the past few years, with current trends anticipated to continue. • Consider naturally gluten-free dishes: • Risotto • Stir-fry • Chili • Omelettes


Managing unclear sources is vital. •  Unexpected: •  Soy sauce, Rice Krispies, Medication

•  Hidden: •  Malt, Bouillon Cubes, Brown Rice Syrup, Caramel, Dextrins, Emulsifiers, Fillers,

Flavorings, Food Starch •  Gravy, Ground Spices, Gums, Hydrolyzed Plant Protein, Imitation Bacon,

Imitation Seafood, Miso, Modified Starch •  Natural Color/Flavor, Smoke Flavoring, Stabilizers, Textured Vegetable Protein,

Thickeners, Vegetable Gum

•  Cross Contamination: •  Shared utensils & dishes •  Clean surfaces


  Currently, nutrition labels must list 8 most common allergens

  Definition of gluten-free claim pending   Note: Law covers dietary supplements and vitamins, NOT

prescription drugs or over the counter medication


MILK, EGGS, FISH, SHELLFISH, TREE NUTS, PEANUTS, WHEAT, & SOYBEANS

Accidental:   What could happen? •  ASS-U-ME •  Cross contamination •  Well-meaning relatives/hosts

  What strategies can I implement? •  Ask to read labels •  Call ahead •  Educate others •  Eat naturally gluten-free


Purposeful:   What could happen? •  Hungry •  “Just this once”

  What strategies can I implement? •  Eat before the event •  Bring your favorite things •  Eat naturally gluten free •  Call ahead


  Label it. Tell yourself, “This feeling is just a craving, uncomfortable but not an emergency.”

  Stand firm. Tell yourself that you’re absolutely not going to eat the food that you’re

craving. Consider whether giving in to this craving will be worth the momentary pleasure you’ll get from eating or undermining your diet and health.

  Don’t give yourself a choice. The emotionally painful part about a craving is the struggle you feel. Once you can tell yourself with total conviction, NO CHOICE, the craving will diminish.


• Imagine the aftermath of giving in. Measure the short period of gratification you will get from eating the food you are craving against the longer period of time when you might experience symptoms and/or discomfort — when you look at the whole picture, not eating the food seems the better choice.

• Remind yourself why you want to learn to withstand cravings. Giving in to cravings can affect your quality of life . . .and worse!


  How can I best advocate for myself in places and with people when knowledge about my diet is limited? •  Be polite but firm. •  Use simple terms! Waitresses don’t care about villi! •  Everyone understands “naked food.”

  Any tips for getting nice high rising cakes? •  Xanthan gum. •  Avoid deflated baked goods: spoon flour into measuring cup vs.

scooping, room temperature ingredients, beaten egg whites, don’t overmix, bake immediately.

  What if I feel sick after eating out, no matter how hard I tried? •  Don’t blame everything on gluten!


(973)322-7272

www.koganceliaccenter.com


Join Us!

www.julesglutenfree.com Products: Thanksgiving e-book

Coupon Code: TG10NFCA Valid: December 15-21, 2010

www.CeliacCentral.org Restoring Health … Reclaiming Lives. National Foundation for Celiac Awareness 2010 . All rights reserved.

This webinar was proudly sponsored by Blue Diamond Growers! Please visit their website to obtain coupons for your next Blue Diamond purchase:

www.bluediamond.com


Thank you!

Questions? Comments? Feedback? [email protected]

[email protected]


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