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Subject:
From:
Jim Lyles <[log in to unmask]>
Date:
Wed, 21 Feb 2001 23:50:04 EST
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<<Disclaimer: Verify this information before applying it to your situation.>>

                         Newsletter Roundup
                         ------------------
                Compiled by Janet Armil and Jim Lyles

This section contains articles and excerpts from newsletters produced
by other celiac groups.


...............................................................
:                                                             :
:              Excerpts from _Derby City Celiac_              :
:              ---------------------------------              :
: Fall 2000                       Bill Banks, editor in chief :
:               Greater Louisville Celiac Sprue Support Group :
:                                                 PO Box 7194 :
:                                  Louisville, KY  40257-0194 :
:.............................................................:

Product Information
-------------------

Certo's Liquid Pectin is gluten-free.  Call 1-800-437-3284 for more
   information.

Walmart is in the process of changing all labeling for their products
   to indicate not just "modified food starch", but either "modified
   corn starch" or "modified wheat starch".  You may want to recheck
   Walmart products that you previously put on your "no" list.

Bayer Products:  The Consumer Care Division of Bayer (800-800-4793)
   states that Bayer no longer guarantees any of its products,
   including Alka-Seltzer, to be gluten-free.


..............................................
:                                            :
:        Excerpts from _Alamo Celiac_        :
:        ----------------------------        :
: Sep. 2000           Lynn Rainwater, editor :
:               San Antonio CS Support Group :
:                           1023 Cloverbrook :
:                San Antonio, TX  78245-1604 :
:............................................:

Just a Thought...
-----------------
by Christie Schroeter

I found a cookbook that I love and actually read and follow.  No
kidding.  So I'm here to pass it on to you.  My daughter-in-law gave
me The Rice Bible for my birthday and my first thought was, "Oh no,
another dust catcher for the kitchen."  Then I opened what was billed
as "the ultimate, authoritative, and sumptuous guide" to rice.  With
over 500 illustrations, this book is not only beautiful, but
informative.

There are thirteen chapters, with topics such as the varieties and
uses of rice; different methods of cooking this grain; seasonings and
colorings to add interest and flavor; products made with rice; and
recipes for risottos, soups, snacks, paellas, and desserts.

Being celiac normally means incorporating quite a bit of rice into our
diets.  But it doesn't have to mean boring.  This book, written by
Christian Teubner, shows you how to make it delightful and delicious.
But the real eye catcher for me was the many times they mentioned
gluten intolerance, celiac sprue, and gluten sensitivity in the book.
They know about us!

Well, it's time to go get dinner started.....  now what am I going to
fix?  Will it be the saffron risotto with asparagus, or baked rice
balls, or red snapper in a rice crust?  Whatever I decide to do, I
promise I won't change the recipe.

The Rice Bible, Viking Penguin, hardcover, 565 pages.  ISBN
0670886025.  List Price:  $34.95.  Available from Barnes and Noble for
$26.36 plus $3.99 shipping.


........................................................
:                                                      :
:          Excerpts from _Celiac Connections_          :
:          ----------------------------------          :
: Nov./Dec. 1999                Barbara Jordan, editor :
:                    The Celiac Disease Resource, Inc. :
:                                           PO Box 621 :
:                                  Glenmont, NY  12077 :
:......................................................:

Diabetes and Celiac Disease
---------------------------

"5 or more percent of people with Type 1 diabetes may have celiac
disease!"  (Dr. Markku Maki, Finland).  1 in 250 people in the
general population may have it too (according to Dr. Alessio Fasano,
Baltimore).  Currently 8 million Americans are diagnosed with
diabetes, and it is estimated that another 8 million Americans have
diabetes and don't know it.  That means as many as 64,000 Americans
may have to face the dual challenge of celiac disease (CD) and
diabetes.

What should people with CD in their family tree know about diabetes?
   1. There are three types of diabetes:
         Type 1 Diabetes most often develops before age 30.  It is an
            autoimmune disease (as is CD).  Type 1 diabetics
            eventually (usually within one year) totally lose the
            ability to produce insulin.  They require insulin
            injections to survive.
         Type 2 Diabetes usually develops after age 40.  The body
            produces some insulin, but it is insufficient or
            ineffective.  It is managed by following an individualized
            meal and exercise plan.  Oral medication and/or insulin
            may also be required.  Risk factors for this type of
            diabetes include family history, sedentary lifestyle, and
            excess weight.  Additional risk factors for women include
            previous diagnosis of gestational diabetes, or the
            delivery of a child weighing more than 9 lbs.
         Gestational Diabetes can develop during the second half of a
            pregnancy and may disappear once the pregnancy is over.
            Women who have this condition should work with their
            health care provider to control blood sugars by following
            individualized meal plans, and should closely monitor
            blood sugar levels.  If the meal plan does not control the
            blood sugar level then insulin injections may be
            necessary.
   2. Signs and symptoms of high blood sugar include:
         Excessive hunger, frequent urination, thirst, fatigue, and
         unexplained weight loss.

What should people with diabetes know about CD?
   * There is a wide variety of possible signs and symptoms of CD.
   * It is important to be screened for CD.
   * A diagnosis of gastroparesis (delayed gastric emptying), often a
       complication of diabetes, may actually be caused by or
       complicated by undiagnosed CD.
   * The improvement in blood sugar control that can be realized once
       a person with CD becomes gluten-free is dramatic.

What nutrition therapy is needed for those with both CD and diabetes?

Those with both CD and diabetes must follow a gluten-free (GF) diet
that includes appropriate levels of carbohydrates, proteins, fats,
fiber, vitamins, and minerals that are spaced throughout the day.  CD
requires careful attention to WHAT you eat.  Diabetes requires careful
attention to the QUANTITY [and type] of food eaten, especially the
quantity of carbohydrates.

It should be understood that many of the alternative food sources safe
for people with CD create a denser, more carbohydrate-laden starch.
The overall calorie and carbohydrate content of GF foods may be higher
than similar gluten-containing foods, because many GF foods gain their
texture and taste by adding sugar and fat.  One of the challenges for
people with CD and diabetes is to gain accuracy with the carbohydrate
counting of GF foods.

Patients experienced with diabetes, yet newly diagnosed with CD, may
require medication adjustment during the first 6-12 months after
starting a GF diet.  They may have been suffering from chronic
malabsorption.  Once the intestinal villi heal and absorption
improves, medication needs may change.

The quality of life for patients diagnosed with both CD and diabetes
can be greatly improved if they have coordinated efforts from
professionals knowledgeable about both diseases.

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