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 also been found that certain
behavioral abnormalities (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, buckwheat, 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 FOR ONE DAY
Breakfast
| 1/2 cup orange juice |
1 egg (poached) or egg substitutes |
| 1 cup puffed rice |
10 whole, shelled, unsalted almonds |
| 1 cup skim milk or milk (2% fat) |
Hot, non-caloric beverage |
Lunch
| 1 cup soup, vegetable |
2 ounces sliced turkey breast |
| 2 slices gluten-free bread |
2 rice wafers |
| 1 apple |
1 cup skim milk or milk (2% fat) |
| 2 teaspoons butter, margarine, or
mayonnaise, |
sliced lettuce and tomato for
sandwich |
Dinner
| 3 ounces broiled halibut |
1 cup brown rice |
| 1 cup steamed broccoli |
2 teaspoons oil and vinegar
dressing |
| 1 slice gluten-free bread |
1 teaspoon margarine or butter |
| 1 banana |
1 cup skim milk or milk (2% fat) |
| Hot, non-caloric beverage |
1 cup yogurt |
| 1 cup salad: romaine or Boston lettuce,
|
sliced carrots, cucumbers, mushrooms,
green peppers, celery |
Nutrient Content
Calories: 1590
Protein: 12%
Carbohydrates: 58%
Fat: 30%
Cholesterol: 350 mg
Fiber: 15 g
FOOD EXCHANGE MENU
Bread and Cereal Exchange List:
4 or more servings per day
Recommended:
• Breads and rolls made from:
• Arrowroot • Corn •
Potato
• Rice • Soybean flour •
Gluten-free bread mix
• Corn or rice cereals • Brown
rice • White rice (enriched)
• Rice noodles • Potato •
Sweet potato
• Beans (dried) • Green peas
• Lentils
Avoid: • All others
Fat Exchange List
Recommended:
• Nuts • All fats not noted
below
Avoid: • Commercial salad
dressings which contain gluten stabilizers
Fruit Exchange List:
2 or more servings per day
Recommended: • All fruits and
fruit juices
Avoid: • None
Meat and Meat Substitute Exchange
List:
6 or more servings per day
Recommended:
| Meats |
Fish |
| Eggs |
Poultry |
| Peanut butter |
Shellfish |
| Natural cheeses |
|
Avoid:
• Any meat prepared with restricted
grains such as:
• Luncheon meats • Spreads
• Processed cheese
Milk Exchange List:
2 or more servings per 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 per 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 to 8 cups of
fluids, such as water, per day. |
