The Diabetes and Celiac Diet (continued)
Follow a whole-food meal plan. A gluten-free dinner consisting of a serving of protein (broiled or baked), steamed vegetables, a small serving of brown rice, and a small piece of fruit for dessert can also work well for managing your diabetes.
Buy gluten-free products. Health food stores and most mainstream grocery stores now carry gluten-free products. If your diabetes management plan allows for pasta, rice pasta is an excellent substitute, since the taste is very similar to wheat pasta.
Watch your blood sugar levels. A diagnosis of celiac disease necessitates what may be a pretty dramatic change in your daily sources of carbohydrate. This means you're going to experience variations in your usual blood-sugar patterns, so be extra vigilant in testing.
Continue to track your calories and carbs. Some gluten-free foods such as rice may be calorie- and carbohydrate-dense. Don't assume a sandwich made with gluten-free bread has the same amount of carbohydrates as one made with regular bread.
Don't be afraid to dine out. Consult directories of gluten-free restaurants, at sites such as the Gluten-Free Restaurant Awareness Program. If a restaurant isn't advertised as gluten-free, ask your server to tell the chef that you can't have wheat, and find out how dishes are prepared. And be creative -- some restaurants may allow you to bring gluten-free products for the chef to prepare.
- American Diabetes Association. Celiac Disease: Wheat Ails You? http://www.diabetes.org/type-1-diabetes/celiac-disease.jsp (Accessed February 26, 2008)
- American Diabetes Association. Wheat Me, Worry? http://diabetes.org/diabetes-forecast/aug2004/celiac.jsp (Accessed February 27, 2008)
- Interview with Larry C. Deeb, M.D., immediate past president of the American Diabetes Association. Conducted February 29, 2008.
- Lazzarotto, Francesca, M.D., et al. 2002. Type 1 Diabetes and Celiac Disease: Overview and Medical Nutrition Therapy. Diabetes Spectrum 15:197-201, 2002. http://spectrum.diabetesjournals.org/cgi/reprint/15/3/197 (Accessed February 26, 2008)
- Mayo Clinic. Celiac Disease: Self-Care. http://www.mayoclinic.com/health/celiac-disease/DS00319/DSECTION=9 (Accessed February 27, 2008)
Tofu Teriyaki Apple Cranberry Pork Chops Citrus Guacamole Maple Glazed Pork Tenderloin Wrapped in Bacon Artichoke Vegetable Pizza Tarragon and White Wine Scallops Agrodolce Dressing Peanut Berry Blast Smoothie Creamed Spinach Sauce Tarragon Salmon Fillets
Holidays are tricky, no? Between managing diabetes among massive amounts of junk food, managing stress to manage bloodsugar among (sometimes) massive amounts of family squabbling, shopping stress and the like, and trying to get enough sleep and exercise in the cold winter months - it's a lot to handle. So I've got a two tier plan to keep bloodsugars at bay this year. Tier one - diet and exercise. Typically, at this time of year I do what I call the nutrition and gym...