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Guide

Gluten: who really needs to avoid it

Strict avoidance has a clear purpose in coeliac disease. Arrange assessment before removing gluten because of symptoms.

Meal with grains, vegetables and legumes.
In this guide
  1. Establish the reason first
  2. Build a complete meal
  3. Common questions

Gluten is a group of proteins in wheat, barley and rye. Coeliac disease requires lifelong strict gluten avoidance, but differs from wheat allergy. Bloating after bread alone does not identify the underlying problem.

Establish the reason first

If you suspect coeliac disease, speak to your clinician before removing gluten. Changing your diet can make test results harder to interpret. Following a previous immediate allergic reaction, do not try wheat again at home as a test. Difficulty breathing or throat swelling needs emergency help.

Some people have wheat related symptoms after other causes have been excluded. That does not mean everyone in their household needs the same restriction. Removing bread without planning can reduce fibre intake and dietary variety.

Build a complete meal

Rice, potatoes, maize, buckwheat and quinoa can provide practical bases. Add vegetables and a protein source rather than replacing a meal with gluten free biscuits. For oats in coeliac disease, choose appropriate gluten free labelling and follow your care team’s advice.

In a shared kitchen, separate spreads exposed to crumbs and check the toaster, chopping board and utensils. Read complete labels on sauces and mixes, including malt ingredients. A naturally gluten free ingredient does not establish the safety of a finished product or supplement. A dietitian can help make the new menu safe and nutritionally adequate. Keep a short shopping list of suitable staple foods so a rushed day does not leave biscuits as the only option.

Sources: NIDDK NIDDK.

Common questions

Is spelt gluten free?

No. Spelt is a form of wheat.

Are gluten free biscuits a complete meal?

No. Choose varied staple foods and check nutritional quality.

Before first use

Choose products for your dietary routine and care needs. Follow a healthcare professional’s advice for diagnosis and treatment of symptoms. Check suitability first during pregnancy and for use by children.

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