Gluten Restricted Diet
Gluten Restricted Diet
The Gluten Restricted Diet is designed for those individuals who have an allergy or sensitivity to the wheat protein gluten (alpha-gliadin). Conditions such as sprue or celiac disease are associated with gluten sensitivity. It has been found certain behavioral abnormalities such as schizophrenia may be associated with gluten reactivity. Inflammatory bowel disorders may have a relationship to mucosal hypersensitivity to this food protein or its partial digestion products (exorphins). The Gluten Restricted Diet is designed to exclude gluten-rich foods such as wheat, barley, oats and rye.
Gluten sensitivity is genetically linked and may be a consequence of altered secretory IgA antibodies produced by the intestinal mucosal cells.
Depending upon the individual's specific food choices, the Gluten Restricted Diet can be adequate in all essential nutrients as defined by the RDA's of the National Research Council.
Menu for One day
1/2 c orange juice 10 whole, shelled, unsalted almonds 1 egg (poached or egg substitute) 1 c skim milk or milk - 2% fat 1 c puffed rice Hot, noncaloric beverage
1 c vegetable soup 2 oz sliced turkey breast 2 slices gluten-free bread 2 rice wafers 1 apple 1 c skim milk or milk - 2% fat Sliced lettuce & tomato for sandwich 2 tsp butter, margarine, or mayonnaise
3 ozs broiled halibut 1 c brown rice 1 c steamed broccoli 1 slice gluten-free bread 1 tsp margarine or butter 1/2 banana 1 c skim milk or milk - 2% fat Hot noncaloric beverage 1 c yogurt 2 tsp oil & vinegar dressing 1 c salad: romaine or Boston lettuce; sliced carrot, cucumber, mushroom, bell pepper, celery
Calories: 1590 Fat: 30% Protein: 12% Cholesterol: 350mg Carbohydrate: 58% Fiber: 15g
Food Exchange List
Bread and Cereal Exchange List: 4 or more servings/day
Breads and rolls made from:
Brown rice Gluten-free bread mix arrowroot White rice (enriched) corn flour Potato potato flour soy flour rice flour
Nuts All fats not noted below
Commercial salad dressings which contain gluten stabilizers
Fruit Exchange List: 2 or more servings/day
All fruits and fruit juices
Meat and Meat Substitute Exchange List: 6 or more servings/day
Meat Fish Poultry Shellfish Egg Peanut butter Natural cheeses
Any meat prepared with the restricted grains such as:
Milk Exchange List: 2 or more servings/day
Unflavored milk and milk products
Commercial chocolate milk
All other milks with wheat products added
Vegetable Exchange List: 4 or more servings/day
Fresh, frozen, or canned vegetables prepared without grains
Creamed or breaded vegetables, unless prepared with the recommended ingredients
Miscellaneous Exchange List
Soups and broths made with recommended ingredients
Cereal beverages such as Postum and Ovaltine
Beer, ale, and other beverages made with the restricted grains
Note: Include 6-8 cups of fluids, such as water, per day.
Alpers, D.H., R.E. Clouse, & W.F. Stenson. 1983. Manual of Nutritional Therapeutics. Little, Brown, and Company, Boston. 457 pp.
American Cancer Society. Facts on Prostate Cancer.
Chicago Dietetic Association and the South Suburban Dietetic Association of Cook and Will counties. 1981. Manual of Clinical Dietetics. W. B. Saunders Co., Philadelphia.
Committee of Dietetics of the Mayo Clinic. 1971. Mayo Clinic Diet Manual, 4th ed. W. B. Saunders Co., Philadelphia. 67 pp.
Lowlor, G.J. Jr. & T.J. Fischer. Manual of Allergy & Immunology. Little, Brown & Co., Boston, Ma, 1981.
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