Gluten Restricted Diet

Description

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.

Sample Menu

Menu for One day

Breakfast

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

Lunch

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

Dinner

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

Total Calories For The Day: 1,590
Nutrient Content:

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

Recommended
Breads and rolls made from:

Brown rice	Gluten-free bread mix	arrowroot
White rice (enriched)	corn flour	Potato
potato flour	soy flour	rice flour

Rice noodles
Sweet potato
Beans (dried)
Green peas
Corn cereal or rice cereal
Lentil

Avoid
All others

Fat Exchange List: as needed; moderation advised

Recommended

Nuts	All fats not noted below

Avoid
Commercial salad dressings which contain gluten stabilizers


Fruit Exchange List: 2 or more servings/day

Recommended
All fruits and fruit juices

Avoid
None

Meat and Meat Substitute Exchange List: 6 or more servings/day

Recommended

Meat	Fish	Poultry
Shellfish	Egg	Peanut butter
Natural cheeses

Avoid
Any meat prepared with the restricted grains such as:
Luncheon meat        
Spreads
Processed cheese

Milk Exchange List: 2 or more servings/day

Recommended
Unflavored milk and milk products

Avoid
Commercial chocolate milk
Malted milk
All other milks with wheat products added

Vegetable Exchange List: 4 or more servings/day

Recommended
Fresh, frozen, or canned vegetables prepared without grains

Avoid
Creamed or breaded vegetables, unless prepared with the recommended ingredients

Miscellaneous Exchange List

Recommended
Soups and broths made with recommended ingredients

Avoid
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.

References

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.