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Gluten-Related Disorders — A Visual

Posted on March 8th, 2016 by Alison | Posted in Celiac Disease, Wheat Allergy | Read 1 Comment - Add Your Own »

There has been an increase in adverse reactions to wheat and gluten. I find this chart to be a very helpful visual to explain the spectrum of wheat and gluten-related disorders in general, along with the corresponding definitions (which I have abbreviated) below. There are many, many symptoms of celiac disease and gluten intolerance that are not included here — for a more detailed list, go to the Symptoms page.
Wheat Gluten Chart

Coeliac (or Celiac) disease
Coeliac disease (CD) is an autoimmune condition, which affects the small intestine, resulting in malabsorption, weight loss, fatigue, abdominal pain, vomiting and diarrhoea. Consequently, patients with CD suffer from nutrient deficiencies including iron anaemia and folate deficiency. However, individuals may also be asymptomatic or present only mild symptoms.

Gluten Ataxia
Celiac disease may be associated with neurological conditions, with peripheral neuropathy and gluten ataxia (GA), in which the cerebellum is damaged, being the most common. Their prevalence has not been established but Hadjivassiliou et al. (2002) have estimated that neurological dysfunction may occur in about 6–10% of patients presenting with gastrointestinal symptoms.

Dermatitis Herpetiformis
Dermatitis herpetiformis (DH) is a form of Celiac Disease, which presents as a chronic skin disease.

Wheat allergy
Allergies are hypersensitive responses to foreign components, most commonly proteins, and are usually associated with the production of a specific class of antibody called IgE (in contrast to the IgG antibodies which are produced in response to most invading pathogens). Symptoms of allergy to ingested wheat products include atopic dermatitis, urticaria (also called hives or nettle rash), and respiratory and gastrointestinal symptoms.

Wheat‐dependent exercise‐induced anaphylaxis (WDEIA)
The best characterised form of wheat allergy is wheat‐dependent exercise‐induced anaphylaxis (WDEIA). This is a type of allergic response, which is triggered by the ingestion of food followed by physical exercise, with wheat and crustaceans being the commonest causes

Non-Coeliac Gluten Sensitivity
In recent years, an increasing number of patients have reported symptoms related to wheat consumption, which are not classical allergic or autoimmune responses. This has led to the definition of a new condition called ‘non‐coeliac gluten sensitivity’ (NCGS) (Sapone et al. 2012). The range of symptoms varies widely, including gastrointestinal symptoms, tiredness, headache, dermatitis, pains in muscles and joints, depression, anxiety and anemia, and it is not clear whether NCGS represents a single syndrome or a range of conditions (Sapone et al. 2012). It is therefore best defined in negative terms: as a reaction to gluten (or wheat) when both CD and allergy have been excluded (Aziz et al. 2012; Sapone et al. 2012).

Source: Nutr Bull. 2016 Mar; 41(1): 6–13.
Published online 2016 Feb 16. doi:  10.1111/nbu.12186

Kikkoman gluten-free soy sauce – new product

Posted on January 27th, 2011 by Alison | Posted in Celiac Disease, Gluten Intolerance, Products, Wheat Allergy | Read 8 Comments - Add Your Own »

kikkoman-gluten-free-soy-sauceKikkoman has finally done it — they have created a gluten-free soy sauce. Traditional soy sauce is made with wheat, and is therefore not gluten-free. Wheat-free tamari has been available for years: San-J and Eden Foods are two well-known brands.

To clarify the difference between soy sauce and tamari:
Soy sauce is made from fermented soybeans and wheat. Tamari is made from fermented soybeans and little or no wheat. Tamari is considered richer than soy sauce because of the higher concentration of soybeans.

Some tamari is wheat-free, but many brands of tamari have wheat in them. For example, San-J makes soy sauce (contains 40-60% wheat), tamari (a small amount of wheat), and gluten-free tamari (no wheat).  Kikkoman also makes a Tamari Soy Sauce that contains wheat, so one can’t assume that all tamari is wheat-free.

Kikkoman’s new gluten-free soy sauce is wheat-free, using rice instead of wheat. The ingredients are water, soybeans, rice and salt. What I find interesting is that for years, Kikkoman has claimed that their soy sauce made with wheat is gluten-free by Codex standards, yet they have now come out with a truly gluten-free soy sauce.

Before you get too excited about going out for Asian food again, realize that it’s going to take a while for restaurants to begin using this soy sauce because it needs to be available to them in a large size. Currently there is an almost 1/2 gallon size available for restaurants, but this is small compared to regular soy sauce that comes in 5 gallons! Not only will the available size determine whether or not a restaurant decides to use the gluten-free soy sauce, so will the general availability and the price. Restaurants buy through distributors. If the distributor doesn’t carry the gluten-free soy sauce, then it isn’t available to the restaurants. And the gluten-free soy sauce will probably be more expensive also, deterring restaurants from converting all their dishes to gluten-free.

I still have hope, though, and dream of one day having more choices at a sushi or Chinese restaurant!


Raising awareness about food allergies at school

Posted on January 10th, 2011 by Alison | Posted in Dairy Allergy, Egg Allergy, Food Allergies, News & Research, Peanuts/Nuts Allergy, Uncategorized, Wheat Allergy | Read 10 Comments - Add Your Own »

schoolhouseI recently encouraged my daughter’s elementary school to put a food allergy program in place after the peanut butter incident. The principal liked my proposed ideas and I was able to address the entire school in an assembly on food allergies. It was well-received. In fact, my daughter told me today that whenever her classmates are eating something she is allergic to, they warn her: “Be careful, I’ve got peanut butter today.” These are first graders — it warms my heart! I have definitely sensed a heightened awareness since the assembly. I am working on the rest of the program which will be put to use at the beginning of the next school year. It is inspired by the ideas put out by The Food Allergy and Anaphylaxis Network (FAAN), but with my own twist and with a more age-appropriate message for elementary school kids.

Any program that raises awareness at school is greatly needed. I have not advocated for a peanut or nut free school, CONTINUE READING »


Halloween Candy List – Gluten-Free Allergen-Free Status – 2010

Posted on October 3rd, 2010 by Alison | Posted in Celiac Disease, Dairy Allergy, Egg Allergy, Food Allergies, Gluten Intolerance, Holidays/Special Events, Peanuts/Nuts Allergy, Products, Wheat Allergy | Read 74 Comments - Add Your Own »

THE FOLLOWING INFORMATION IS FROM 2010. THE 2011 HALLOWEEN LIST IS HERE: Halloween Candy List Gluten-Free Allergen-Free 2011

Here’s the list you’ve been looking for… but first, you get to see the giant spider I made in my yard last year for Halloween! The Home Depot guys cutting the black pipe to my specifications thought I was crazy! The spider is coming out again this year with some modifications (furry perhaps?)

spider1

Now on to the candy…

Each candy shows if its ingredients contains wheat/gluten, milk (dairy), soy, egg, nuts, or peanuts (6 of the top 8 allergens — fish and shellfish are not included since I have not found this to be a concern with candy). I do not include coconut as a tree nut and have not listed coconut as an allergen. I called many of the manufacturers and/or checked their websites for gluten and allergen information,which I have noted at the end of each manufacturer’s section. To print this list, click on the Print icon above the title. If you don’t see the print icon, click on the title of the article first.

Note: Please, as always, double check ingredients and also check with the child’s parents before giving them any candy or allowing them to eat anything! I will not be held liable for any accident occurring due to the use of this list. It is meant as a guide only.

In a hurry? Check out these:
Gluten-Free Halloween Candy Quick List 2010
Allergen-Free Halloween Candy Quick List 2010

NOTE for bloggers: If you are going to post or share this list, would you be so kind as to give me credit and link to me? This took many hours of my life and I even got kicked out of Walgreen’s for taking notes in the candy aisle, so please be considerate of my hard work! 🙂

Mainstream candy listed by brand, in alphabetical order:

ADAMS & BROOKS

  • Scooby Doo! Fun Pops (lollipops with picture of Scooby Doo)
    • Ingredients free of: peanuts, nuts, egg, milk, wheat/gluten, soy
    • Ingredients contain: no top 8 allergens
    • Package statement: “Packaged in a plant that processes peanuts and tree nuts.”

AIRHEADS

  • Airheads Bars and Airheads Bars Sour
    • Ingredients free of: peanuts, nuts, egg, milk, wheat/gluten
    • Ingredients contain: soybean oil
    • Package statement: “Manufactured in a facility that processes wheat flour”
  • Airheads Xtremes Rolls
    • Ingredients free of: peanuts, nuts, egg, milk
    • Ingredients contain: wheat flour, soybean oil
  • Airheads Xtremes Belts
    • Ingredients free of: peanuts, nuts, egg, milk, soy
    • Ingredients contain: wheat flour, wheat starch
  • Airheads Pops and Whistle Pops
    • Ingredients free of: peanuts, nuts, egg, milk, soy, wheat/gluten
    • Ingredients contain: none of the top 8 allergens

AMERICAN LICORICE CO.

  • Sour Punch Twists
    • Ingredients free of: peanuts, nuts, egg, milk, soy
    • Ingredients contain: wheat/gluten

ANNABELLE’S

  • Big Hunk
    • Ingredients free of: wheat/gluten, milk, tree nuts (see company Gluten-Free info below)
    • Ingredients contain: peanuts, eggs, soy lecithin
    • Package statement: “made in a facility that uses milk, egg, treenuts, wheat and peanuts”
  • Rocky Road
    • Ingredients free of: none of top 8!
    • Ingredients contain: milk, tree nuts (cashews), wheat/gluten (barley malt and wheat flour), soybean oil
    • Package statement: “may contain peanuts, eggs, and flour”
  • Abba Zabba
    • Ingredients free of: tree nuts, eggs, milk, wheat/gluten (see company Gluten-Free info below)
    • Ingredients contain: peanuts, soybean oil and soy lecithin
    • Package statement: “Made in a facility that uses milk, egg, treenuts, wheat and peanuts”
  • Look
    • Ingredients free of: tree nuts, wheat/gluten (see company Gluten-Free info below)
    • Ingredients contain: milk, peanuts, soy lecithin, eggs
    • Package statement: “Made in a facility that uses milk, egg, treenuts, wheat and peanuts”
  • U-No
    • Ingredients free of: peanuts, eggs, wheat/gluten (see company Gluten-Free info below)
    • Ingredients contain: milk, almonds, soy lecithin
    • Package statement: “Made in a facility that uses milk, egg, treenuts, wheat and peanuts”

Gluten-Free info (via phone Sept 2010): The only guaranteed gluten-free candy is the 2 oz. (regular size) Big Hunk. For all other candies, including the mini Big Hunks, there is the possibility of contamination from flour that is used on the belts. While there is no flour used specifically for the Big Hunk minis, there is flour used on the belts for the manufacture of the Look bars.

CONTINUE READING »







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