No popular authors found.
Ads by Google:

Categories

No categories found.


Get Celiac.com's E-Newsletter




Ads by Google:



Follow / Share


  FOLLOW US:
Twitter Facebook Google Plus Pinterest RSS Podcast Email  Get Email Alerts

SHARE:

Popular Articles

No popular articles found.
Celiac.com Sponsors:

Living With Celiac Disease & Diabetes


Subscribe to Journal of Gluten Sensitivity for more articles like this one.

This article originally appeared in the Autumn 2010 edition of Celiac.com's Journal of Gluten-Sensitivity.

Celiac.com 05/09/2011 - Living with celiac disease and diabetes can be a challenge, but it is not impossible.  You can travel the world, eat out and enjoy life but assertiveness is important to maintaining good blood glucose management and digestive health.

Individuals with diabetes may notice an elevation of their blood glucose after overeating gluten-containing foods at a party, sleep-over, or birthday celebration.  The usual rationalization is that too many calories and/or carbohydrates were consumed.  However, it may be a wake-up call for you to try and control blood glucose levels by reducing or excluding gluten-containing foods.

When eliminating wheat is first proposed as an alternative for controlling blood glucose, a frequent response is to express how “nutritious” wheat is.  As the nutritional comparison of flours in my book Living Gluten-Free (Charles C.  Thomas, Publisher, 2008)  illustrates, rice flour is comparable to wheat flour, and superior in Vitamin B6, Pantethenic Acid, Zinc, Copper, Manganese and many other vitamins and minerals.

Ads by Google:

Gluten sensitivity may affect as many as 1 in 25 Americans.  It is also becoming better recognized as a primary cause of inflammation.  Celiac disease or gluten intolerance can masquerade as many other diseases, including diabetes.  Many people given steroid medications for bowel inflammation can also develop diabetes as a side-effect of the steroid medication.

Once a gluten-free diet has been started, it is not necessary to “go back on wheat” to get a diagnosis of celiac disease.  A simple blood test can reveal whether one has the predisposing genes for gluten enteropathy, and therefore whether it is a cause of blood glucose problems.  Far too many people are told by gastroenterologists that a small intestinal biopsy is the “gold standard” for diagnosis.  A HLA-DQ2/DQ8 blood test is less invasive, more precise and more cost-effective than the “gold standard”.  Genetic predisposition for celiac disease has been described by Alessio Fasano, MD and illustrates how celiac disease is not one disease.  In addition, genetic sequencing has reported that both celiac disease and diabetes are located on Chromosome 6, along with Crohn’s Disease.

For managing diabetes, a gluten-free, carbohydrate-controlled diet can be a healthier alternative than eating whole wheat.  Ten years ago gluten-free products such as prepared muffins, cookies, pizza crust, etc.  were not available.  Rice cakes were the norm and homemade bakery products added variety to the diet.  Today, there are aisles of gluten-free products in the supermarket and health food stores.  Even major convenience bakery mix producers like General Mills, Minneapolis, MN offer gluten-free cookie brownies and cake mixes.

The advantage of choosing recipes in Living Gluten-Free is that sugar and carbohydrate levels are reduced compared to the mixes and prepared frozen bakery products available.  This is important for individuals with diabetes who must limit carbohydrates.  If prepared products are used in the diet, remember to divide the sugars total on the nutrition label by 4 to calculate how many teaspoons of sugar are in a serving (Example: chocolate chip cookie 1= sugars 13g divided by 4g = 3 teaspoons sugar per cookie).

The only therapy currently available to treat gluten intolerance is removal of gluten from the diet.  Since gluten is a component of many common foods and widely available in so many convenience foods, avoidance can be challenging.  Here are two menu ideas for a gluten-free diabetic diet.  More menus are available in Living Gluten-Free.

  • Day 1   
    • Breakfast: Grits, Scrambled Eggs, Orange Juice
    • Lunch: Taco Salad & Corn Chips
    • Dinner: Rib-eye Steak, Baked Potato, Spinach, Tomato Salad
    • Snack: Grapes
  • Day 2
    • Breakfast: Turkey Sausage, Blueberry Muffin*, Apple
    • Lunch: Sliced Ham on Rice Bread, Fresh Fruit
    • Dinner: Baked Chicken, Sweet Potato, Roasted Cauliflower, Carrot Raisin Salad
    • Snack: Rice Flour Brownie

Celiac.com welcomes your comments below (registration is NOT required).





Spread The Word







Related Articles



3 Responses:

 
Health as a Human Right
Rating: ratingfullratingfullratingfullratingemptyratingempty Unrated
said this on
09 May 2011 2:13:25 PM PDT
Type 1 diabetes is highly associated with celiac disease unfortunately -but as you say, living with both is not so bad. I've traveled a fair amount since my diagnoses - including to Mostar, Bosnia where I didn't know a lick of Srpsky (the local language). Yet I was able to find everything I need - fruits, veggies, meats mostly. I was worried about lows and not having gluten free options available, so I packed a few things of my own that would last - smarties and rice noodles were the easiest. I'd venture to say, though frustrating, you live a much healthier life by eating a much more balanced diet. Most of the gluten-free alternatives out on the market (thank goodness for these things that I didn't have when I was first diagnosed) aren't really supposed to be the staples of your diet. Really consider them - breads, cookies, cakes, cereals, pastas, etc. And you might note when reading the labels that most of these products contain much more fat and sugar than normal products to make them taste better. But this can really affect blood sugars. While in moderation these are fine for everyone and maybe even part of a full diet, there needs to be a lot more to your every day meals. Round them out with the food groups that are naturally gluten free - dairy, fruits, veggies, meat. Not only are these the foods you need to eat, but they control your blood sugar, they keep you healthy, and they are CHEAPER than most gluten free products. They are available anywhere you go.

It's not so hard once you try it. Sometimes frustrating. And you might have to think a bit to solve a few problems, but there are tons of resources online to help you and many Celiac/Diabetics who are willing to guide you.

 
JOANMARIE JOHNSON
Rating: ratingfullratingfullratingfullratingfullratingempty Unrated
said this on
09 Jan 2012 11:15:52 PM PDT
Thank you. As a celiac sufferer since 1975, and only diagnosed in 2005, I have finally started to feel stronger; then I was diagnosed with type 2 diabetes. This article is much help so I know that I am alone.

 
Joseph DeAngelis
Rating: ratingfullratingfullratingfullratingfullratingfull Unrated
said this on
30 Jun 2012 8:40:03 AM PDT
Great article. Thank you!




Rate this article and leave a comment:
Rating: * Poor Excellent
Your Name *: Email (private) *:




In Celiac.com's Forum Now:

All Activity
Celiac.com Celiac Disease & Gluten-Free Diet Forum - All Activity

MelissaNZ, Has your daughter been checked for vitamin deficiencies??? Vitamin D deficiency symptoms include urinary incontinence, oral candidiasis (thrush), skin rashes, bumps on the backs of arms, joint pain, distended stomach and short stature. Bones can't grow much without vitamin D. Vitamin D deficiency causes delayed gastric emptying (food doesn't move through the gastrointestinal tract at a normal speed and the intestines bloat) which explains your daughter's delayed reaction to the cake. Vitamin A deficiency is also a cause of bumps on the back of the arms. Vitamin A deficiency causes vision problems. Vitamin A and D are both fat soluble vitamins. Absorption of fats is a problem for Celiacs. So is absorption of B vitamins and important minerals. B Complex vitamins are water soluble and must be replenished every day. Skin rashes are associated with several B vitamins like niacin (B3), B12, and thiamine (B1). I went through a period of severe malnutrition prior to diagnosis. It was not a pleasant experience. I had symptoms similar to your daughter's, including the incontinence, which resolved on vitamin D supplementation. Please, please have your daughter tested for vitamin D deficiency. And have her B vitamins checked as well. Celiac Disease causes malabsorption. Malabsorption causes deficiency diseases. Newly diagnosed Celiacs need to be checked for deficiencies. I hope this helps.

I will try to make my long story short, I have been searching my whole life for a diagnosis, I have seen pretty much every doctor possible I even went through a spinal tap recently because they thought I had multiple sclerosis, when I was younger I was always throwing up and having stomach problems, a couple hospital visits they thought I had appendicitis, I started having a neurological symptoms as well as anxiety and depression, The fatigue was just over bearing, I was having numbness and tingling and muscle spasms all the time eventually started having seizures, which kind of cycled through and stop happening after a couple months, and then it dawned upon me my brother has celiac pretty severely, my grandmother also has celiac, my dad does as well, I don't know why I never thought that it could be my issue, for the last week I have Been gluten-free and steering clear of cross-contamination, my dizziness is improved my fatigue is improved as well as rashes I was getting on my arms and sides, I have no more muscle jerks or spasms, The problem is I have horrible insurance and I cannot afford testing, so I am at least trying to do it an home blood test, I know it's not very accurate on telling me if I have celiac or not, But the thought I may never know for sure if I have it is very daunting. My family keeps telling me you don't need to spend thousands of dollars to have a doctor tell you you can't eat something you already know you can't. Just was wondering if anybody else has been in my position and seeing if anybody has a vi just was wondering if anybody else has been in my position and seeing if anybody has advice, I don't want to be known as one of those people who believe they have something and people with the disease frown upon them it's a very scary thing to think about.

...ON a side note this is quite easy, you can make your own out of any gluten-free Bread mix, I recently started using a coconut flour blend for this.......Most often people associate caraway with Rye Bread so you just add caraway seeds to the dough and a bit more vinegar to sour it a tad and BAM gluten-free Rye Bread knock off. I think Authentic Foods even has a additive to put in bread mixes to make it taste like Rye Bread....Or you can buy it preamade, I have issues with all the other ingredients but as for one of the best gluten-free Breads out the Canyon House makes a Rye like bread https://canyonglutenfree.com/buy-gluten-free-bread-products/Gluten-Free-Rye-Deli-Sandwich-Bread.html

Took me less than a minute, although why did they need our addy and phone?

As mentioned before you said she had rashes, have they checked if that is DH? That is a positive sign of celiac and those with the DH manifestation can have problems getting a postive with the gut biopsy. Here are some links. https://celiac.org/celiac-disease/understanding-celiac-disease-2/dermatitis-herpetiformis/ https://www.gluten.org/resources/getting-started/dermatitus-herpetiformis/ Please read up on this. She can get the rash tested for the disease if it is DH.