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Gluten-free Labeling: What You Should Know

Discussion in 'Gastroenterology' started by Hala, Apr 25, 2014.

  1. Hala

    Hala Golden Member Verified Doctor

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    Are you one of millions of Americans who has digestive problems from eating gluten? If you answered yes to this question, then you are not alone. Approximately 18 million people in the United States have nonceliac gluten sensitivity and 3 million people in the United States have celiac disease — a condition that gluten aggravates.1,2


    What is celiac disease and how does it differ from gluten sensitivity?

    Celiac disease is an digestive disease that damages small, finger-like protrusions (or villi) in the wall of the small intestine. Villi contribute to the absorption of nutrients. But foods containing gluten (a protein found in wheat, rye, and barley), can damage villi and prevent the absorption of nutrients in people with celiac disease. Over time, people with celiac disease can become malnourished and develop osteoporosis. Although there is no treatment or cure for celiac disease, it can be managed by avoiding foods that contain gluten.1


    People who have nonceliac gluten sensitivity (or gluten intolerance) have symptoms similar to those of celiac disease. But gluten insensitivity does not typically damage villi and cause malnourishment or osteoporosis.2


    If you think you might be sensitive to gluten or might have celiac disease, your doctor can test you for wheat allergy and celiac disease. If the test is negative, your doctor might recommend dietary changes to see if your symptoms improve.

    Symptoms of gluten sensitivity and celiac disease can include some or a combination of the following:

    Stomachaches with or without
    Gas
    Bloating
    Constipation
    Cramps
    Diarrhea
    Nausea
    Emotional issues such as
    Feeling down or blue
    Irritability
    Sudden mood shifts
    Fatigue, either ongoing or especially after meals
    Headaches, including migraines
    Musculoskeletal pain
    Neurologic problems with or without
    Balance problems
    Dizziness
    Pain and weakness in the extremities
    Tingling and numbness in the extremities


    What foods contain gluten?

    Gluten is found in common ingredients such as malt flavoring, malt vinegar, soy sauce, hydrolyzed vegetable protein, and modified food starch.3 For this reason and because labeling on packaged foods has previously been somewhat unreliable, some consumers have found it difficult to identify all foods that contain gluten. In addition, food labels often are unclear or misleading, making it necessary for some consumers to contact food manufacturers to confirm the contents of packaged foods. Cross-contamination of gluten-free and gluten-containing products can be a problem during processing, transportation, and storage, which also makes it difficult for consumers to be sure the foods they eat are gluten free.4


    New Gluten Labeling Regulations

    The good new is that the US US Food and Drug Administration (FDA) has recently provided directives for voluntary gluten-free food labeling to help consumers identify gluten-free foods. The FDA suggests that by August 5, 2013, all labels for gluten-free foods confirm that the product:

    • Does not contain an ingredient that is a whole, gluten-containing grain such as wheat, barley, rye, or a cross-bred hybrid of the grains
    • Does not contain an ingredient derived from a gluten-containing grain
    • Has not been processed to remove gluten (such as wheat flour)
    • Might contain an ingredient derived from a gluten-containing grain, has been processed to remove gluten (such as wheat starch), and contains <20 parts per million (PPM) of gluten
    • Might contain unavoidable gluten at ≤20 PPM from cross contact or gluten migration from packaging materials5
    • A gluten limit <20 PPM is the lowest level that can be consistently detected in foods. The National Foundation for Celiac Awareness (NFCA) suggests that the amount of gluten you would ingest in a 1-ounce slice of bread containing 20 PPM of gluten is equivalent to the amount of gluten you would consume in an entire 1-ounce slice of gluten-free bread.6


    New Gluten Regulations Help Consumers Stay Healthy

    If you are sensitive to gluten or have celiac disease, new labeling regulations help ensure that foods marked gluten-free, without gluten, free of gluten, and no gluten are safe to enjoy.

    Naturally gluten-free foods include:3
    Fresh fruits
    Fresh beef, pork, chicken, turkey, fish, and seafood
    Fresh eggs
    Fresh, plain milk, butter, margarine, and cream
    Dried beans and other legumes with no additives
    Fresh corn or canned corn with no additives
    White rice, brown rice, and wild rice with no additives
    Fresh nuts and seeds with no additives
    Oils
    Sugar, honey, and molasses
    Spices and herbs with no additives

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  2. Sunday Flower

    Sunday Flower Bronze Member

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    Nice article. Gluten is used in substitution for meal. It is vege-meat.
    There might be unhealthy ways of mixing it to other by products..Like Soya milk. This is also gluten additive.
     

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