Friday, February 21, 2014

Celebrities with Gluten Free Diet...

If you are a Celiac Patient... don't feel down...

Gwyneth Paltrow... you have seen her in IRON MAN MOVIES
















Novak Djokovic... World's No.1 Tennis Player








they are on Gluten Free Diets... Life is full on with Gluten Free
Don't feel down... there is a long list of Star's who enjoy GF Life...

Eat Healthy... Be Gluten Free..

Archna Shah
archnashahconsultant@gmail.com

Celiac Disease.... Diagnose Process.



Celiac Disease.... Diagnose Process.

The tests for celiac disease are simple – just follow the steps below...

1. Keep eating gluten
Do not commence a gluten free diet prior to being tested for celiac disease. If a gluten free diet has already been adopted, the tests used to diagnose celiac disease are unreliable, and can be falsely negative.
If gluten has been removed from the diet, a normal diet must be resumed for at least six weeks prior to testing. During this ‘gluten challenge’, a minimum of four slices of wheat based bread (or equivalent) should be consumed each day (for adults) (two slices of wheat based bread each day for children). It is important the gluten challenge is carried out properly to ensure reliable test results.


2. Blood tests are used for screening
Blood tests (celiac serology) are used to screen for celiac disease. celiac serology measures antibody levels in the blood which are typically elevated in people with untreated celiac disease, due to the body’s reaction to gluten.
These tests can be less reliable in children under the age of four years, as their antibody levels can fluctuate. It is suggested the antibody tests be performed on two occasions three months apart.
Importantly, a diagnosis of celiac disease SHOULD NOT be made on the basis of a blood test alone. A positive blood test always needs to be followed by a small bowel biopsy to confirm the diagnosis.

3. A small bowel biopsy is essential to confirm diagnosis
A diagnosis of celiac disease can only be made by demonstrating the typical small bowel changes of celiac disease. This involves a gastroscopy procedure in which several tiny samples (biopsies) of the small bowel are taken. A gastroscopy is a simple day procedure done under light anaesthetic sedation that takes about 10 minutes. In the majority of cases, the bowel damage present in those with untreated celiac disease is not visible to the naked eye. The biopsies are examined under a microscope to confirm the presence of villus atrophy.


Archna Shah
archnashahconsultant@gmail.com


Tuesday, February 11, 2014

Wheat free gluten free products in Kathmandu Nepal

Wheat free gluten free products in Kathmandu Nepal

Dear friends,
It’s such a pleasure receiving so many mails from you.
I want to say all my friends as per their mail inquiry they want to 
come to Nepal but worrying due to this gluten matter.
Please don’t worry at all we are here to provide you all gluten free 
products. That also 100% gluten free and authentic. 

Our phone no's. 

00977-1-4781155, 00977-9808035085, 00977-9851156466.  

Office: 2nd Floor Tandukar house, way to Sankhmul, 
           New Baneshwor, Kathmandu, Nepal 

We have created our own gluten free world. And we are expanding it day by day.

Be gluten free stay happy and healthy.





Monday, February 10, 2014

CELIAC DISEASE- ALL WHAT WE SHOULD KNOW

Celiac disease- All what we should know



§  It is an autoimmune digestive disease, and as the term suggests, it is the body’s own immune system which responds by damaging the small intestine resulting in varied degrees of malabsorption.
1 out of every 250 people may have CD; only 1 out of 10 people may be actually diagnosed and are aware of their condition, thus suggesting high level of its prevalence.
Signs and symptoms
§  Vague GI complaints-hyperacidity, reflux, cramps, bloating, diarrhea, constipation, abdominal pain.
§  Anemia- iron deficiency anemia and folic acid & vitamin B12 deficiency anemia.
§  Weight loss in adults, growth failure & failure to thrive in infants and children.
§  Fatigue and pallor due to malnutrition or multinutrient deficiencies.
§  Mood changes and irritability.
§  Reduced appetite
§  Dermatitis

Complications
§  Calcium and vitamin D malabsorption (and compensatory secondary hyperparathyroidism) may cause osteopenia (decreased mineral content of the bone) or osteoporosis (bone weakening and risk of fragility fractures).
§  Celiac disease is also associated with bacterial overgrowth of the small intestine, which can worsen malabsorption or cause malabsoption despite adherence to treatment.
§  IgA deficiency is present, which result in increased risk of infection and auto immune diseases.
§  Dermatitis herpetiformis; this itchy cutaneous condition has been linked to a transglutaminase enzyme in the skin.
§  Vitamin K deficiency can lead to risk of abnormal bleeding.
§  Recurrent miscarriages and unexplained infertility.
§  Abnormal liver function test (randomly detected on blood tests).
The Treatment
Dietary management in celiac disease is the backbone of treatment and since it is lifelong it needs a very clear, concise and innovative management involving a straight gluten free environment for a celiac which primarily means totally abstaining from cereals like wheat, barley, rye, and oats.
A gluten free diet ensures speedy healing and at the same time maintains health through the adoption of a well-balanced, interesting lifestyle that avoids gluten and gluten contamination even hidden gluten sources.
Hidden sources of gluten are frequently present in what would otherwise appear to be safe foods.
Dairy foods need to be restricted initially because patient with untreated celiac disease often have untreated lactase deficiency. After 3-6 months of strict gluten free diet, adequate mucosal healing should have occurred to allow for gradual re introduction of dairy products.
Only treatment for celiac disease is a gluten free diet
(GFD).
·      Permanent lifestyle changes
·      Avoid
Wheat
Barley
Rye
Oats

Hidden source of Gluten:


·      Malted drink additives like Horlicks, bournvita, complain, etc.
·      Barley malt (a sweetener commonly used in breakfast cereals, snacks, and convenience foods).
·      Chocolates/ candies.
·      Soups, soup pre mixes.
·      Sauces containing flour / malted vinegar- namely soy sauce and Worcestershire sauce / tomato sauce.
·      Wheat germ oil.
·      Asafetida (Hing) commonly used seasoning in Indian cooking.
·      Fruit beer, alcoholic beverages like beer and vodka.
·       Mustard powder.
·      Baking powder and baking soda.
·      Soya sauce.
·      Malt vinegar.
·      Mono sodium glutamate (MSG).
·      Modified food starch.
·      Using same mill to grind grains where wheat is being ground.
·      Using same bakery to produce gluten free products where wheat products are produced.
·      Using same spatula to pick various cereals and spices (i.e. gluten containing & gluten free) at grocery shop.
·      Battered food.
·      Nonfood sources:
                 Lipstick
                  Stamp and envelope glues
                   Play dough
                   Mouth wash and tooth paste
                   All chewing Gums (sugar free)         


Archna Shah
archnashahconsultant@gmail.com





Monday, February 3, 2014

Being 100% Gluten Free

Being 100% gluten free.

Dear friends,
This is something very important I want to share with you all.
There are no medicines, vaccines available to get cure with this gluten allergy.
But we can improve the immunity of the allergic body.
Children’s suffering to this can be improved their immune power.
Eating 100% gluten free diets.
Being 100% gluten free is not an easy job.
Because in Kathmandu there is no product and place where 100% gluten free products are available.
My 3 and ½ year son is having celiac problem. Along with him we all are on gluten free diet only because we don’t want any kind of contamination. Any wheat product and even gluten free labeled product from market are not allowed in our premises.
We are making it ourselves, and facing lots of problem making it.
Contamination is always available during purchasing of cereals, pulses and other ingredients.
Now days we are purchasing it directly from the farmers.
But I want to suggest my all friends to clean pulses and cereals very carefully. You will always find 1 or other wheat grain there.
And while purchasing loose ingredients like: sugar, spices, etc. be very careful.
Try to make homemade spices and recipes. Especially for child suffers.
There are lots of child have gluten allergic are suffering from other problems like rickets, diarrhea, skin rashes and sores, even brain problem etc.
This is just a request to all parents and friends no medicine and gluten free will help.

We have to be gluten contamination free.

Then only we will become 100% gluten free.
Be sure to be 100% gluten contamination free and help the child to do their best.
Thank you.

Wish u a healthy wealthy life.

Sunday, February 2, 2014

Hidden Source of Gluten


To create a gluten-free environment, families, quickly learn that label reading alone is not enough. Families benefit from dietary education to recognize Gluten containing grains and potential hidden sources of gluten in products. This education is best delivered by a registered dietitian familiar with celiac disease. To achieve this level of sophistication, families need to learn and practice several basic rules:

1. Read every product label
2. Any product that comes into contact with the mouth and can be ingested must be GF
                                - This includes nonfood items such as play dough.
                                - This can be a major challenge in the pediatric age group
3. Wheat is not the same as gluten free
                                - Any multi-ingredient product has the potential to be contaminated with gluten
        - This is important in restaurants and social situations.

5. Obtain knowledge about cross contamination issues*.

*See our last post “Cross Contamination”.


Multi-ingredient product list: definitions of agents and risk of gluten contamination
Seasonings—blend of flavoring agents. The source of all ingredients must be verified.
Extenders/thickeners—used in packaged foods to enhance the final product and may contain gluten.
An example is baked beans.
Sauces—may have wheat protein, hydrolyzed wheat starch or wheat flour.
Malt—barley malt may be used and listed as barley malt, malt extract or vinegar.
Modified foods starch/gelatinized food starch—source of starch must be identified.
             Wheat is a common source of starch. The safe forms of starch sources are rice, potato, and tapioca.
Milk—as a single ingredient is GF. If it is malted or flavored, may contain gluten.
Flavorings—may be present in any prepared food, teas, drinks, juices, flavored waters and baked product 


Possible gluten containing products (Non Food).

Make-up, Lips tic, Lip balm
Play dough, Paints, Toothpaste
Stamps, Envelopes, Suntan lotion

Pet food, Baby power