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I also didn't realize someone can have no symptoms with CD.  I always thought diarrhea had to be a present.  So, thanks to this course, I plan on having one of my daughters tested.  She has been experiencing headaches for years, and now has peripheral neuropathy and occasional joint pain.  Constipation has been a problem for many years, which I thought was associated with her Asperger's.  She wasn't diagnosed with that until the age of 18.   So CD is not extremely likely, but I'd rather rule it out than wait, especially with damage and cancer risk increasing the longer gluten is consumed.  ~Jeanne Smith

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Hello! I was actually Gluten-Free for 1 year for medical reasons. During that time, I consumed more than my share of Blue Diamond Almond Nut Thins. I found them to be great with cheese (a Wisconsin necessity). Towards the end of my time being Gluten-Free, I also discovered Silly Yak Bakery in Madison, WI. I was going to suggest the Madisonians in the class to go and try some of their gluten-free products, but Google said that it has permanently closed. they had great gluten-free pizzas, bagels, cinnamon rolls... you name it! It was an awesome place to purchase the Gluten-Full items you were missing!

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This weekend I was planning my cousin's bridal shower, and she happens to follow a gluten free diet. Oftentimes, gluten free cakes and breads can be very dry or have a different texture. A friend of mine suggested I check out the store (which is also a franchise nationwide I learned) called 'Nothing Bundt Cakes'. I tried their chocolate chip gluten free bundt cake and it was very good! It was tender and moist, so I think I found a winner for the bridal shower. In talking with the store manager I learned that they do not have a true gluten free kitchen. Therefore, this may not be a good option for someone who has true Celiac's disease as cross contamination would be a risk. None the less, here is their Facebook link!
https://www.facebook.com/nothingbundtcakes/photos/a.84416292022/10155404753577023/?type=3&eid=ARDB2atJFHeSSPY8fiS86_1tlPaQxxOTVYA79Py0AKyXlEbE1W1marC9d4BUL61lD_R9q0W67V0IImaO&__xts__%5B0%5D=68.ARCaSPvxVGLq3W3J260c1MPQNInL7K_1SFjXqubSF6ogGXo3sWVqiubeXFqN0k2Ut7m0OoM9xH2e7uc0QJg-0H0FI4X62UTDlbwdbbnXSPSzcIGYZcDFg-jZbJCQQS8A9JHx7-589SBAd8MMFe0SWIVtDhCoOXqHwZWHtkb4bxa3huhUqwCAIvP5OKPx-RZgmGZUMbphB3NQ1xmuPH8hlyyCbkKMQ1rPaMrFTFQI1OLJt90sHj51irOdIiVjlHgH1wuXmr8df5j5DXtqhg03uMlk7YdmKXR0fznJqzxn41nBZUGLfRrBkDRDzceeo250c7Uer0uVxY52i0jy-Q&__tn__=EEHH-R

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I have tried Gluten-Free pretzels from GLUTINO and SNYDERS OF HANOVER and I really like them. They taste very similar and texture was very similar to regular pretzels. Differently with other products like bread for example, where the texture can be very different compared to regular bread.

http://www.glutino.com/products/chips-crisps-pretzels/pretzels/pretzels-twists-8oz-us/

https://www.snydersofhanover.com/gluten-free-pretzels/

Ligia Brochi

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My question is what is the genetic explanation for this increased association of Celiac Disease and several chromosomal abnormalities?
Ligia Brochi

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I learned multiple things from the CD power point presentation. I was unaware of the non GI-related symptoms such as infertility and increased risk for miscarriage. Since CD might take up to 4 yrs to be diagnosed and 41% of adults dx are asymptomatic, are there any studies showing how often adults seeking fertility treatment are screened for CD?
Denisse de Leon

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One of the things I learned with the materials reviewed this week was that people with Down Syndrome are more susceptible to Celiac Disease. In general, 16% of Down syndrome patients have Celiac Disease. Often patients with Down Syndrome will present with constipation (which may be a symptom of Celiac Disease). However constipation may be put down to low muscle tone rather than given proper medical investigation.

The prevalence of Celiac Disease is  also increased in individuals with the other Genetic  disorders as follows [per NIH Consensus Committee 2005]:

Down syndrome (prevalence of celiac disease: 5%-12%)

Turner syndrome (~3%)

Williams syndrome (3%-10%)

Selective IgA deficiency (~2%-10%)

Insulin-dependent diabetes mellitus (~6%)

Sjögren syndrome (~5%)

Autoimmune thyroid disease (~2%-4%)

Ligia Brochi

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I have had these gluten free pretzels before and they are delicious! I couldn't taste a difference from a normal yogurt covered pretzel, although the consistency of the pretzel was a little different. Not to say it was bad, but you could definitely tell something was different about it. I really enjoyed this product though!- Katherine F

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I am very familiar with many of the symptoms of Celiac's Disease but I didn't realize how many extra-intestinal symptoms can present. Specifically, I hadn't realized it could be associated with anemia, arthralgia, arthritis, infertility, osteoporosis, and peripheral neuropathy. One of my fellow dietitians has Celiac's disease and has been complaining of joint pain recently. Now I realize that pain is likely connected to her disorder. 

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I am very familiar with many of the symptoms of Celiac's Disease but I didn't realize how many extra-intestinal symptoms can present. Specifically, I hadn't realized it could be associated with anemia, arthralgia, arthritis, infertility, osteoporosis, and peripheral neuropathy. One of my fellow dietitians has Celiac's disease and has been complaining of joint pain recently. Now I realize that pain is likely connected to her disorder. 

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Rachel Kleinman

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This past Friday it was my interns last day with me and she is my only one that is gluten free! This was really challenging for me because I haven't really tried many gluten free products and I really had to explore what was out there. I went to woodman's and I found this cake, link to follow because my picture is weird. This cake was amazing! it was nice and soft, the four was not sweet at all it was the cookie flavor and frosting that gave the sweetness to the cake. My interns loved it! I will definitely be purchasing this product again. I am going to purchase it and see if my nephews to are 10 and 3 years old approve. http://inspired-by-happiness.com/inspired-products/?noredirect=en_CA

--Lorena Reyes

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I had my family over for chili and cornbread, initially I thought I had a gluten sensitive individual coming to the gathering so I made sure my chili was gluten free and being short on time I bought boxed corn bread mix. I purchased it from Aldi (they have a good variety of gluten free products through their store line ‘Live G Free.’ My family are not health conscious individuals and very much stuck in their food habit ways although they LOVED these corn bread muffins, I enjoyed them as well!

Thank you,

Michelle Cote

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There were several new things that I learned from the powerpoint and article. The two most surprising to me was the average length of time that it takes to get a diagnosis and that patients with Celiac disease can be asymptomatic. Four years seems like a long time to go without diagnosis especially if they are experiencing symptoms, which may be severe. It was also really surprising to me that so many patients are asymptomatic.

Sami Miller-Edel

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My daughters and I tried a few things for this assignment.  First, the Saffron Road Lentil Chips.  These were cracked pepper flavored and were very good.  We all agreed that we would eat them anytime, even though none of us is gluten-free.  Next, the Tate cookies were called Ginger Zinger.  Amazing!  They were crispy, sweet and buttery with chewy bits of candied ginger.  Loved them!  Third on the list was the Enjoy Life mini cookies.  They are portion packed with 110 calories and 2 g of fiber for 8 tiny cookies.  Two of us really liked them, but one daughter thought they were a bit dry.  I can see that, but if you want a little chocolate treat, this would hit the spot.  The last one was Snyder's of Hanover GF pretzel rods.  You really would never know they were GF if you didn't see the bag.  They looked and tasted just like a typical pretzel.  Maybe a huge pretzel fan might find a difference in texture, but you'd have to be really looking for it.  I say yes to all 4 products.~Jeanne

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I think this is a great product! I've used it for meatloaf, meatballs, and for breading chicken or eggplant. Everything I've made with it has turned out great.

Note: I'm not sure if it's just my computer, but the picture isn't showing up. If you click on it though it will.

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3)  I eat gluten free foods due to an elimination diet of gluten relieved some severe GI symptoms I was having in 2011. Although I do not have Celiac Disease, after reviewing the material for this assignment maybe I could be categorized as non-Celiac gluten sensitivity. One of the foods that I feel tastes similar to the regular version is Barilla pasta. When I make dishes for pot lucks at work or gatherings at friend’s houses I use the gluten free pasta (so I can enjoy it too!) and no one can tell the difference!
Emily VanAcker

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2) One question I have regarding things I have learned from the materials in this assignment is regarding the Latent/Silent version of Celiac Disease. A family member of mine was diagnosed with Celiac Disease via blood test confirmation following an increase of GI symptoms. She does not however follow a gluten free diet and seems to live a normal life other than the occasional GI symptoms. Does the Latent/Silent Celiac Disease not have the negative consequences as other types of the disease or is her disease causing the same amount of damage to her intestines without any drastic symptoms yet?
Emily VanAcker

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1)      I learned a great deal of information from the PowerPoint and article reviewed for this assignment. I did not know that up tp 16% of people with Down Syndrome have Celiac Disease and that those with Celiac Disease have a higher than normal risk for autoimmune diseases including Type 1 Diabetes, Addison’s Disease, Autoimmune Hepatitis and Multiple Sclerosis.
Emily VanAcker

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The measurement of serum antibodies to tissue transglutaminase is considered the first screening test for patients with suspected celiac disease; serum IgG antibodies is measured in those with IgA deficiency. I know a lot of people who have spent a lot of money on food “sensitivity testing” that measures serum IgG antibodies to a variety of foods. These tests might suggest several food sensitivities; gliadin, “dairy” (lactose or a milk protein is often unclear), eggs, celery, or even brown rice for example. I thought IgG testing was not scientifically backed/ validated? If one of these IgG tests suggest gluten sensitivity, could it mean celiac? Non-celiac? How do we approach this type of IgG food sensitivity testing?

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I have had these gluten free pretzels before and they are delicious! I couldn't taste a difference from a normal yogurt covered pretzel, although the consistency of the pretzel was a little different. Not to say it was bad, but you could definitely tell something was different about it. I really enjoyed this product though!

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Down Syndrome and development of Celiac D

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Down Syndrome and development of Celiac D

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What I had not known before was that people who have Down syndrome are at risk of developing celiac disease and that it can affect as many as 16% of the people with Down syndrome. The reasons for the development of celiac disease aren't entirely clear, but children with Down syndrome are at a greater risk to develop auto-immune diseases. Since celiac disease is an autoimmune condition, this may briefly explain why celiac disease affects people with Down syndrome. - Wai Yee MAH

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Developing Other Autoimmune Diseases and Being Asymptomatic

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Developing Other Autoimmune Diseases and Being Asymptomatic

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I was not aware that individuals with Celiac Disease have a greater risk for developing other autoimmune diseases, including type 1 diabetes, autoimmune thyroid disease, Addison's Disease, autoimmune hepatitis, and multiple sclerosis. In addition, I did not know that the longer someone with Celiac Disease consumes gluten, the greater chance of developing cancer, especially lymphoma.  I was also unaware that 60% of pediatric and 41% of adult patients are asymptomatic. I knew that it was possible to be asymptomatic, but had no idea that the percentages are that high!
-Meridith Maricque

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This is the only cornbread we use in my house. My youngest and I both have a sensitivity to gluten so we try to avoid as much as possible. This is one of my favorites. Our local grocery chain, HEB, carry a significant amount of gluten free options including some that are store brand (read cheaper) than some of the name brand stuff.

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See my post below for details.
Melanie

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Here is another brand of of GF crackers I enjoy as discussed in my post below.
Melanie

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Here are two types of gluten free crackers that I really enjoy. They taste great and are a lot healthier than Ritz type of crackers. As you can see from the food labels I included, one serving is a lot of crackers (note the Crunch Master brand are mini crackers). This could also be nice for individuals trying to lose weight. I like to pair these crackers with low fat string cheese, and it's a very filling snack.
-Melanie Hocker
P.S. I didn't realize I could only attach one picture per post, so please see my other two posts above this for the front of the boxes :)

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I did not realize that a second EGD is needed after gluten has been removed from the diet to confirm the diagnosis of celiac disease. Not only is the person required to make a major life change, but the process of diagnosing celiac disease can be quite a burden itself.
-Melanie Hocker

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I enjoyed learning that we need to pay special attention to the carbohydrate content of gluten free foods,  be sure to recommend whole gluten free grains, and monitor for weight gain in patients implementing a gluten free diet. I found this interesting because I am working with a patient who had a liver transplant (due to his inborn error of metabolism - MMA). His new liver, unfortunately, has become fatty. His parents feed him a gluten free diet (due to preference rather than a diagnosis of CD), and I learned from the NAFLD RD that the higher carbohydrate content of his processed gluten free choices are partly to blame for his fatty liver.  He has also gained weight over the years, likely due to the higher calorie content  (due to added sugars, fat, syrups, etc.) of his gluten free options.  We've since counseled the family on choosing unprocessed whole grain gluten free options, portion control, and other ways to eat more healthfully.  -Jessica Burfield

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I'm sharing this Schar gluten free pizza crust. As I mentioned in my comment on Amanda's post, my patients with inborn errors of metabolism use a lot of gluten free products because they are low in protein. These crusts are low (2 g protein in 1/3 of the crust) and fit nicely in their diet prescriptions. The patients like the taste, and I was able to try it at a patient event topped with sauce, veggies, and vegan cheese and it was delicious! The only complaint I receive is that the crusts can be difficult to find in our local stores. - Jessica Burfield

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I love these gluten free pretzels.  I find that they are lighter and crunchier texture than traditionally pretzels.  Wheat tends to make products a bit thicker and clumpier, whereas these are crunchy, taste like pretzels and feel lighter.  Highly recommend!
- Amanda

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Time to heal the gut, intestine and colon

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Time to heal the gut, intestine and colon

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How long after removing gluten from the diet does it take for the micro-villi in the brush border and other damaged areas of the GI tract to heal, whereas they are producing all expected enzymes and such? So if a patient suffers from secondary lactose intolerance, how long after removing gluten from the diet is it to be expected before he or she can reintroduce dairy?
-Amanda Hoppe

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I did not realize that the average length of time that a patient suffers from Celiac's before diagnosis is 4 years!  And that the longer it goes unidentified, the greater the risk of long term cancers.  Additionally, with gluten craze in the media, complication of a diagnosis require the patient to be eating gluten, whereas many people with Celiac's or gluten sensitivity have already removed gluten from their diet and are not eager to add it back just to achieve a positive diagnosis.
- Amanda Hoppe