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.
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