The Diabetes and Celiac Diet (continued)
Meet with a registered dietitian. It's complicated having two serious diseases that come with different dietary restrictions. "People with celiac disease should find a nutritionist who's dealt with the issue and will go over everything," says Larry C. Deeb, M.D., former president of the American Diabetes Association. "It's hard to do it on your own -- you really need to have help."
Check nutrition labels of processed foods. You'll need to scrutinize the ingredients lists on product labels to look for wheat, barley, and rye. All food labels are required to state if the food contains wheat, but keep in mind that wheat-free doesn't mean gluten-free. Flavorings, colorings, and other additives in processed foods may contain gluten. Consult these lists of safe ingredients and unsafe foods to figure out what's off limits.
Adapt recipes. You can make a few simple changes to recipes containing gluten. For 1 tablespoon of wheat flour, substitute one of these:
- 1 1/2 teaspoons cornstarch
- 1 1/2 teaspoons potato starch
- 1 1/2 teaspoons arrowroot starch
- 1 1/2 teaspoons rice flour
- 2 teaspoons quick-cooking tapioca
For 1 cup of wheat flour, substitute one of these:
- 3/4 cup plain cornmeal, coarse
- 1 cup plain cornmeal, fine
- 5/8 cup potato flour
- 3/4 cup rice flour
Get recipes online. It's easy to find gluten-free, diabetes-friendly recipes on the Internet. For more information, check out some of these sites:
University of Chicago Celiac Disease Center: www.celiacdisease.net
Celiac Sprue Association: www.csaceliacs.org/recipes.php
CalorieKing: www.calorieking.com/recipes/advancedsearch.php (Select "diabetes" and "gluten-free" categories.)
Diabetes 123: www.diabetes123.com/recipes/ (Recipes marked "GF" are gluten-free.)
A Gluten-Free Guide: www.aglutenfreeguide.com
Reviewed by Susan Weiner, R.D., M.S., C.D.E., C.D.N. 3/08
- 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)
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I had a work dinner last night with some leadership from my office. I always find diabetes etiquette at these things to be kind of tricky. It was a four course meal, with salad, soup, entree' and dessert and coffee. There was also a selection of gluten free and non-gluten free dinner rolls. I felt way too full of questions for waitress... "Could I get my dressing on the side? How much sugar is in it?" A course later...