Wheat and gluten: what are they?
Gluten is a protein found in:
Nowadays, the process of bread leavening has ben progressively shortened, resulting in an increased concentration of toxic gluten peptides in bakery products for all the patients suffering from gluten-related disorders
- Wheat
- Rye
- Barley
- Oats
Nowadays, the process of bread leavening has ben progressively shortened, resulting in an increased concentration of toxic gluten peptides in bakery products for all the patients suffering from gluten-related disorders
Differences between celiac disease
Celiac diease
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Diagnosis and management of suspected gluten sensitivity
NCGS diagnosis can be reached only be excluding celiac disease and wheat allergy. Thus, only positive requirements to diagnose NCGS is the presence of troubles caused by wheat ingestion and their disappearance in a gluten-free/wheat-free diet
Click on this link for a detailed flow chart Click on the link below to read an interview about a patient living with lactose and gluten intolerance
Alisha's interview on living with lactose and gluten intolerance |
Gluten in medications
Gluten is used in many medications as an excipient, so it is important for people with gluten intolerance to check with the manufacturer to be sure that each medication they take is gluten-free.
In Australia, the Therapeutic Goods Act (TGA) states that labeling on all pharmaceuticals, with the exception of skin and mucous membrane applications, must declare any ingredients derived from an allergenic source eg. Gluten. The active ingredient (chemical that makes it work) is generally gluten free, but it is the inactive ingredient, known as the excipient, that can contain gluten. Excipients are used as the filler, binder or coating in pharmaceuticals. Mostly these are corn based and gluten free, but can sometimes be wheat based. |
List of medications that are gluten-free
A list of gluten-free medications can be found on the link below
http://www.glutenfreedrugs.com/list.pdf If in doubt of the gluten status of a pharmaceutical, ask the pharmacist for the information sheet for the product. Alternatively, you can look up the information on the CMI at www.nps.org.au or phone them at 1 300 633 424. |
References
a) http://www.coeliac.org.au/coeliac-disease/
b) Mangione RA, Patel PN. Caring for patients with celiac disease: the role of the pharmacist. J Am Pharm Assoc (2003). 2008 Sep-Oct;48(5):e125-35.
c) McCarter CF. Non-celiac gluten sensitivity: important diagnosis or dietary fad? American Family Physician (2014). 11 May 14. 89(2).
d) Mansueto P, Seidita A, D’Alcamo A, Carroccio A. Non-celiac gluten sensitivity: literature review. Journal of the American College of Nutrition (2014). 33(1): 39-54.
e) http://www.ktsm.com/news/going-gluten-free
f) Kabbani AT, Vanga RR, Leffler DA, et al., The American Journal of Gastroenterology (2014). 109(1): 741-746.
a) http://www.coeliac.org.au/coeliac-disease/
b) Mangione RA, Patel PN. Caring for patients with celiac disease: the role of the pharmacist. J Am Pharm Assoc (2003). 2008 Sep-Oct;48(5):e125-35.
c) McCarter CF. Non-celiac gluten sensitivity: important diagnosis or dietary fad? American Family Physician (2014). 11 May 14. 89(2).
d) Mansueto P, Seidita A, D’Alcamo A, Carroccio A. Non-celiac gluten sensitivity: literature review. Journal of the American College of Nutrition (2014). 33(1): 39-54.
e) http://www.ktsm.com/news/going-gluten-free
f) Kabbani AT, Vanga RR, Leffler DA, et al., The American Journal of Gastroenterology (2014). 109(1): 741-746.