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Celiac.com 06/19/2023 - A recent study conducted by Claire Jansson-Knodell, MD, from the department of gastroenterology, hepatology, and nutrition at the Cleveland Clinic, has revealed that women with celiac disease face an increased risk of complications during pregnancy and delivery. The study aimed to examine pregnancy outcomes by analyzing a large database of maternal, obstetrical, and neonatal outcomes in mothers with celiac disease. Here are some highlights. Study Looked at Data from Pregnant Women Who Delivered Between 2015 and 2019 The study utilized the National Inpatient Sample, which included data from pregnant women who delivered between 2015 and 2019. Out of over 12 million births, the researchers identified 10,555 cases involving women with celiac disease. Pregnant Women with Celiac Disease at Higher Risk of Pregnancy and Delivery Complications According to the findings presented at Digestive Disease Week, pregnant women with celiac disease exhibited a higher risk of experiencing complications related to pregnancy and delivery compared to women without celiac disease. Additionally, they had longer hospital stays, although the rate of maternal mortality did not significantly differ between the two groups. One significant finding was that women with celiac disease had lower odds of having a full-term and uncomplicated delivery. The study also identified a heightened risk of hypertensive diseases of pregnancy, as well as placental diseases such as abruption and placenta previa, among women with celiac disease. Furthermore, women with celiac disease more frequently required assistance during delivery, such as the use of vacuum or forceps, and were at a greater risk of third- or fourth-degree tears. However, the study did not observe higher rates of C-sections among women with celiac disease. The study also revealed that babies born to women with celiac disease were more likely to be small for their gestational age and experience fetal distress. Conclusions Based on these findings, Jansson-Knodell suggests that healthcare providers should consider these risks when caring for patients with celiac disease who are pregnant or planning to become pregnant. Additional attention and care should be provided to address the potential complications associated with pregnancy and delivery in this population. In summary, this study highlights the increased risk of pregnancy and delivery complications faced by women with celiac disease. The findings underscore the importance of comprehensive care and management for pregnant women with celiac disease to mitigate these risks and ensure optimal outcomes for both mothers and babies. Read more at Helio.
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Hi, This my be dumb question, but living in California, many of our restaurants have switched to biodegradable utensils and straws when metal isn't an option. I know they say they are made from all natural products. Some say corn, some bamboo- but what else? I usually have a travel set with me from home, but sometimes it isn't an option. What do I do?
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Celiac.com 03/30/2020 - Panic buying ahead of shelter in place orders for the coronavirus pandemic are taking a toll on people with celiac disease and food allergies, who are finding shelves empty, leaving them with few or no grocery alternatives. Gluten-free, allergen-free, and other special diet foods had not been spared from the carnage, with many celiacs claiming that purchasers of these foods often do not have any food allergies. Empty Gluten-Free Shelves in UK Gluten-free shoppers in the UK, looking for their regular staples, are faced with more and more bare shelves. One UK mom, Debbie Carey from Nuneaton, has been unable to find gluten free pasta for her teenage daughter with celiac disease. Carey says she's been to every store she can find, but none of them have any gluten free pasta...I have been looking for over a week," she said. "The country has gone mad, people are just grabbing what they can not really realizing what they are taking, it is selfish, this is a life-threatening condition, I only have enough pasta left for one more meal now." Gluten-Free Food for Celiacs Only One UK charity, Allergy UK, is urging people to refrain from buying free-from foods, such as gluten-free, unless they have a genuine food sensitivity. With alternative products oat milk and gluten-free bread disappearing from store shelves, Allergy UK is calling on shoppers to be leave these products for people with food allergies. With one in five in the UK suffering from at least one food allergy, purchases of specialty free-from foods by non-sensitive people can shortchange those with special diet needs. That means leaving gluten-free products for people with celiac disease or other medical sensitivities to wheat. Experts Urge Restraint for Non-Celiacs In Australia, Associate Professor Jason Tye-Din, the Head of the Celiac Research Laboratory at the Walter and Eliza Hall Institute, said that numerous worried patients and parents had expressed concerns over the impact of panic-buying on the availability of gluten-free food. "Many have said that the shelves in the gluten-free section are completely empty," said Professor Tye-Din, who also reminded the public that a gluten-free diet is the only medical treatment for people with celiac disease. Gluten is harmful to people with celiac disease, and negatively affects their health. Tye-Din reminds us that people with celiac disease "can suffer symptoms similar to acute food poisoning, but there are also troubling long-term effects like osteoporosis, infertility, liver disease and even some forms of cancer, such as lymphoma." Like many health professionals who treat people with celiac disease, Professor Tye-Din reminds the public to be sensitive to the needs of people with celiac disease and other food allergies. Order Gluten-Free Food Delivery During Covid-19 Glutenfreemall.com Follow COVID-19 on Celiac and Gluten-Free Forum See what people are saying about gluten-free food product shortage during the COVID-19 outbreak in our forum. Have a story about bare shelves and scarce gluten-free products? Share it below in our comment section.
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Can a Grocery Delivery Service Help You Shop Gluten-free?
Jefferson Adams posted an article in Additional Concerns
Celiac.com 02/07/2019 - A number of companies have rolled out online grocery delivery services recently. Such services are growing in popularity every day. But are they helpful for gluten-free grocery shopping? Being able to check products and labels can be crucial to effective gluten-free shopping. So, how helpful are grocery delivery services for gluten-free shopping? Can you really have your groceries delivered and be confident that they get the gluten-free part right? We’ve scouted the major grocery delivery services to find out. Here's what we found. Grocery Delivery Services: Safeway Safeway.com delivers groceries in some areas. They handle their own deliveries, so check the Safeway website for delivery information in your area. A search of Safeway’s shopping website for the term “gluten-free” turns up nearly 5000 products. Each product listing includes a picture and links for nutritional information, including potential allergens. Farmstead In San Francisco Bay Area, Farmstead.com delivers fresh, local groceries in your neighborhood, saving you time, money and stress. Target Target features grocery delivery by a company called Shipt. Type the term “gluten-free” into the search window to find numerous gluten-free products, including granola bars, bread and muffins. Shipt offers a helpful feature that allows shoppers to manage their selections in the virtual cart before placing their final order. Shipt Shipt.com partners with various grocers nationwide to offer grocery delivery services. Type the term “gluten-free” into the search window to find numerous gluten-free products, including granola bars, bread and muffins. Instacart Instacart.com partners with a variety of major grocery outlets in regions nationwide. Check by zip code to find options ranging from grocery stores and pharmacies to pet stores. In Los Angeles, Instacart partners with Aldi, Kroger, Ralph’s, Von’s and Albertson’s, among others. Check the main company website for delivery options near you. The Gluten-Free Mall GlutenFreeMall.com offers online shopping, and nationwide delivery services for hundreds of favorite, name brand gluten-free products. Overall, grocery delivery services can offer tremendous convenience, and ease of shopping. Nutrition and ingredient labels are shown on each product page. Be careful to check nutrition labels. Otherwise, some pros and cons include: PROS: Convenience Ease of shopping Ease of managing cart and paying Delivery CONS: Nutrition information can be hard to find. Double check the return policy of any service you choose. Tip: If you’re not sure of certain items, order products that you are confident are gluten-free, such as dairy, fruit, vegetables, meat, etc., and try adding Have you tried a grocery delivery service? If so, how was your experience? Let us know in the comment section.- 2 comments
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Celiac.com 09/15/2009 - Active delivery of recombinant autoantigens or allergens to intestinal mucosa by genetically modified Lactococcus lactis (LL) offers a unique therapeutic approach for the induction of tolerance to gluten proteins. A team of researchers recently set out to determine whether oral administration of LL-delivered DQ8-specific gliadin epitope induces Ag-specific tolerance. The research team was made up of Inge L. Huibregtse, Eric V. Marietta, Shadi Rashtak, Frits Koning, Pieter Rottiers, Chella S. David; Sander J. H. van Deventer, and Joseph A. Murray under the auspices of the Center for Experimental and Molecular Medicine of the Academic Medical Center of the University of Amsterdam in the Netherlands. Celiac disease is associated with either HLA-DQ2- or HLA-DQ8-restricted responses to specific antigenic epitopes of gliadin, and may be treated by induction of Ag-specific tolerance. The research team engineered LL to secrete a deamidated DQ8 gliadin epitope (LL-eDQ8d) and then observed the induction of Ag-specific tolerance in NOD AB degrees DQ8 transgenic mice. The team measured tolerance by delayed-type hypersensitivity reaction, cytokine measurements, eDQ8d-specific proliferation, and regulatory T cell analysis. Oral administration of LL-eDQ8d induced suppression of local and systemic DQ8-restricted T cell responses in NOD AB degrees DQ8 transgenic mice. Result was an Ag-specific decrease of the proliferative capacity of inguinal lymph node (ILN) cells and lamina propria cells. Production of IL-10 and TGF-beta and a significant induction of Foxp3(+) regulatory T cells were associated with the eDQ8d-specific suppression induced by LL-eDQ8d. These results support the development of orally administered Ag-secreting LL to treat gluten-sensitive disorders. Such treatments may be effective even in cases of established hypersensitivity. Journal of immunology (Baltimore, Md. : 1950) 2009;183(4):2390-6
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