Celiac, recently diagnosed with Diabetes Type 1?
by hypnotik61985 on Mon May 11, 2009 1:54 am
Coeliac disease leads to severe damage of the gut surface, which can be completely reversed by following a gluten-free diet. Shortly after the diagnosis of coeliac disease, you need to be extra careful to ensure you have a nutritionally adequate diet, as you may have been suffering from malabsorption of nutrients.
Protein
Some gluten-free flours are low in protein, because they have had the gluten removed, which is itself a protein. Specially manufactured, prescribed gluten-free flours usually have milk protein added. Vegetarians can get protein from nuts & seeds, pulses, the non-gluten containing cereals, soya products, milk, cheese and free range eggs. Make sure some protein is included in each meal, and practice protein complementation with the vegetable proteins, for example, combine a nut or pulse dish with a suitable cereal.
Protein is especially important to a growing child, it is essential to seek the advice of your dietitian if you are bringing up a child on a gluten-free vegetarian or vegan diet.
Anaemia
Following diagnosis, many coeliacs sufferers are anaemic. This is usually due to iron deficiency, although it could also be due to folic acid or vitamin B12 deficiency. Your doctor may prescribe an iron supplement for you until your digestive system is back to normal and can absorb iron again.
To ensure a good intake of iron include pulses, lentils, nuts and green vegetables daily in your diet. Avoid drinking tea with meals and instead have fruit juice, which helps the absorption of iron because it contains vitamin C.
Going vegetarian
If you are already a vegetarian or vegan and are advised to follow a gluten-free diet, you do not need to abandon your vegetarianism. If you are recently diagnosed and would like to become vegetarian or vegan, do give your digestive system time to recover before making major changes to your diet, after all, you have a lot to think about in getting used to a gluten-free diet. When you have stabilised, you can gradually change to a vegetarian diet.
Do contact The Vegetarian Society if you have any problems, when making the change to a vegetarian way of living. Also, do contact us if you have any difficulties with health professionals, who are sceptical about your following a vegetarian diet.
Once coeliac disease has been diagnosed, it is recommended that you follow a gluten-free diet for life.
Vegetarian Gluten-Free and Gluten Containing Foods
Cereals, flours, cakes & biscuits:
Gluten free- Arrowroot, buckwheat, corn/maize, potato flour, rice, rice bran, rice flour, sago, tapioca, soya, soya bran, soya flour.
Gluten Containing
Wheat, wholemeal, wholewheat & wheatmeal flour, wheat bran, barley, rye, rye flour, pasta, noodles, semolina, All baked foods made from wheat, rye, semolina, barley & pearl barley.
Dairy products & eggs:
Gluten Free
Eggs, milk, cream, butter, cheese, curd cheese, coffee whiteners, soya products
Gluten Containing
Some yoghurts (eg muesli yoghurt), some cheese spreads
Puddings:
Gluten Free
Tapioca, sago, rice, custard
Gluten Containing
Semolina, sponge pudding, pastry, pies, wafers
Beverages:
Gluten Free
Tea, coffee, herb tea, fizzy drinks, fruit squash, cocoa, marmite, most alcoholic drinks.
Gluten Containing
Barley based drinks, barley fruit drinks, malted drinks, beer.
Fruit & vegetables:
Gluten Free
All fruits & vegetables, unless with certain sauces or cooked with gluten containing foods
Nuts, seeds & pulses:
Gluten Free
All, except certain brands of baked beans and beans with a gluten containing sauce
Preserves & confectionary
Gluten Free
Jam, marmalade, sugar, honey, treacle, molasses, golden syrup, some brands of chocolate & sweets.
Gluten Containing
Confectionary containing flour, some brands of lemon curd
Soups & sauces:
Gluten-free if thickened with a suitable flour. Many manufactured sauces, stock cubes, and soups contain gluten
Miscellaneous:
Gluten Free
Salt, pepper, vinegar, herbs & spices, tamari, yeast, most food colourings and essences
Gluten Containing
Some pepper compounds, shoyu, ready-mix spices, some seasoning powders, certain brands of mustard. Certain medicines may contain gluten.
Vegiac.com - online forums/community for vegetarians and vegans suffering from coeliac disease.
Also being diabetic, you and your dietitian will work together to decide how many carbs you should be eating at each meal, which should be about the same amount at each meal. You will balance this along with how much insulin you need. Make sure you are eating breakfast, lunch and dinner, 2 small snacks in between, and a snack before bedtime.
Good luck!