Special Considerations

The person who prepares the patient's food must fully understand the gluten-free diet. Read food labels carefully.

• Do not eat anything that contains the following grains: wheat, rye, and barley.
• The following can be eaten in any amount: corn, potato, rice, soybeans, tapioca, arrowroot, carob, buckwheat, millet, amaranth and quinoa.
• Distilled white vinegar does not contain gluten.
• Malt vinegar does contain gluten.

Grains are used in the processing of many ingredients, so it will be necessary to seek out hidden gluten. The following terms found in food labels may mean that there is gluten in the product.

• Hydrolyzed Vegetable Protein (HVP), unless made from soy or corn
• Flour or Cereal products, unless made with pure rice flour, corn flour, potato flour, or soy flour
• Vegetable Protein unless made from soy or corn
• Malt or Malt Flavoring unless derived from corn
• Modified Starch or Modified Food Starch unless arrowroot, corn, potato, tapioca, waxy maize, or maize is used
• Vegetable Gum unless vegetable gums are carob bean gum, locust bean gum, cellulose gum, guar gum, gum arabic, gum aracia, gum tragacanth, xanthan gum, or vegetable starch
• Soy Sauce or Soy Sauce Solids unless you know they do not contain wheat

Any of the following words on food labels usually means that a grain containing gluten has been used

• stabilizer
• starch
• flavoring
• emulsifier
• hydrolyzed plant protein

There are now several companies that produce gluten-free products, and several support groups to provide delicious recipes and help patients adapt to the gluten-free diet.

Organized Groups

Companies That Sell Gluten-Free Products

Cookbooks

The Gluten-free Gourmet
More from the Gluten-free Gourmet
Bette Hagma

Gluten Freeda Online Cooking Magazine
www.glutenfreeda.com

Food Group

Do Not Contain Gluten

May Contain Gluten

Contain Gluten

Milk & milk products (2 or more cups daily)

whole, low fat, skim, dry, evaporated, or condensed milk; buttermilk; cream; whipping cream; Velveeta cheese food; American cheese; all aged cheeses, such as Cheddar, Swiss, Edam, and Parmesan

sour cream commercial chocolate milk and drinks, non-dairy creamers, all other cheese products, yogurt

malted drinks

Meat or meat substitutes (5 to 6 oz daily)

100% meat (no grain additives); seafood; poultry (breaded with pure cornmeal, potato flour, or rice flour); peanut butter; eggs; dried beans or peas; pork

meat patties; canned meat; sausages; cold cuts; bologna; hot dogs; stew; hamburger; chili; commercial omelets, soufflés, fondue; soy protein meat substitutes

croquettes, breaded fish, chicken loaves made with bread or bread crumbs, breaded or floured meats, meatloaf, meatballs, pizza, ravioli, any meat or meat substitute, rye, barley, oats, gluten stabilizers

Breads & grains (4 or more servings daily)

cream of rice; cornmeal; hominy; rice; wild rice; gluten-free noodles; rice wafers; pure corn tortillas; specially prepared breads made with corn, rice, potato, soybean, tapioca arrowroot ,carob, buckwheat, millet, amaranth and quinoa flour; puffed rice

packaged rice mixes, cornbread, ready-to-eat cereals containing malt flavoring

breads, buns, rolls, biscuits, muffins, crackers, and cereals containing wheat, wheat germ, oats, barley, rye, bran, graham flour, malt; kasha; bulgur; Melba toast; matzo; bread crumbs; pastry; pizza dough; regular noodles, spaghetti, macaroni, and other pasta; rusks; dumplings; zwieback; pretzels; prepared mixes for waffles and pancakes; bread stuffing or filling

Fats & oils (servings depend on caloric needs)

butter,margarine, vegetable oil, shortening, lard

salad dressings, non-dairy creamers, mayonnaise

gravy and cream sauces thickened with flour

Fruits (2 or more servings daily)

plain, fresh, frozen, canned, or dried fruit; all fruit juices

pie fillings, thickened or prepared fruit, fruit fillings

none

Vegetables (3 or more servings daily)

fresh, frozen, or canned vegetables; white and sweet potatoes; yams

vegetables with sauces, commercially prepared vegetables and salads, canned baked beans, pickles, marinated vegetables, commercially seasoned vegetables

creamed or breaded vegetables; those prepared with wheat, rye, oats, barley, or gluten stabilizers

Snacks & desserts (servings depend on caloric needs)

brown and white sugar, rennet, fruit whips, gelatin, jelly, jam, honey, molasses, pure cocoa, fruit ice, popcorn, carob

custards, puddings, ice cream, ices, sherbet, pie fillings, candies, chocolate, chewing gum, cocoa, potato chips

cakes, cookies, doughnuts, pastries, dumplings, ice cream cones, pies, prepared cake and cookie mixes, pretzels, bread pudding

Beverages (4 to 6 cups or more daily)

tea, carbonated beverages (except root beer), fruit juices, mineral and carbonated waters, wines, instant or ground coffee

cocoa mixes, root beer, chocolate drinks, nutritional supplements, beverage mixes

Postum™, Ovaltine™, malt-containing drinks, cocomalt, beer, ale, gin, whiskey, rye

Soups

those made with allowed ingredients

commercially prepared soups, broths, soup mixes, bouillon cubes

soups thickened with wheat flour or gluten-containing grains; soup containing barley, pasta, or noodles

Thickening agents

gelatin, arrowroot starch; corn flour, germ, or bran; potato flour; potato starch flour; rice bran and flour; rice polish; soy flour; tapioca, sago

wheat starch; all flours containing wheat, oats, rye, malt, barley, or graham flour; all-purpose flour; white flour; wheat flour; bran; cracker meal; durham flour; wheat germ

Condiments

glutent-free soy sauce, distilled white vinegar, olives, pickles, relish, ketchup

flavoring syrups (for pancakes or ice cream), mayonnaise, horseradish, salad dressings, tomato sauces, meat sauce, mustard, taco sauce, soy sauce, chip dips

Seasonings

salt, pepper, herbs, flavored extracts, food coloring, cloves, ginger, nutmeg, cinnamon, bicarbonate of soda, baking powder, cream of tartar, monosodium glutamate

curry powder, seasoning mixes, meat extracts

synthetic pepper, brewer's yeast (unless prepared with a sugar molasses base), yeast extract (contains barley)

Prescription products

all medicines: check with pharmacist or pharmaceutical company

Sample Menu

Breakfast

Lunch

Dinner

• cream of rice 1/2 cup
• skim milk 1 cup
• banana 1 med
• orange juice 1/2 cup
• sugar 1 tsp

• baked chicken 3 oz
• rice 1/2 cup
• green beans 1/2 cup
• apple juice 1/2 cup
• ice cream (made with-out wheat stabilizers ) 1/2 cup

• sirloin steak 3 oz
• baked potato 1 med
• peas 1/2 cup
• fruited gelatin 1/2 cup
• butter 1 Tbsp
• tea 1 cup
• sugar 1 tsp

This Sample Diet Provides the Following

Calories

1748

Fat

62 gm

Protein

77 gm

Sodium

1577 mg

Carbohydrates

225 gm

Potassium

2934 mg