Don t Get Stuck on Gluten Practical information and tools to help - - PDF document

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Don t Get Stuck on Gluten Practical information and tools to help - - PDF document

Don t Get Stuck on Gluten Practical information and tools to help you build your gluten free program Prepared By: Ron Shalit Director of Sales & Marketing October 30 , 2012 601 Magnetic Drive, Unit 24 Toronto, Ontario, Canada, M3J


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601 Magnetic Drive, Unit 24 Toronto, Ontario, Canada, M3J 3J2 Tel: 800.969.699 www.shalitfoods.com Prepared By: Ron Shalit Director of Sales & Marketing October 30 , 2012

Don’t Get Stuck on Gluten

Practical information and tools to help you build your gluten free program

Agend nda

  • Celiac Disease (CD) and Gluten Sensitivity (GS)
  • Nutrition Concerns & The Gluten Free (GF) Diet
  • Sources of Gluten in Foods
  • Foods & Ingredients allowed on a Gluten Free Diet
  • Gluten Free Labeling
  • Gluten Free Strategies at Your Facility
  • Cooking with Gluten Free Foods
  • Sourcing Gluten Free Foods
  • Resources, Website, Recipes
  • Questions
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2 Cont nten ent t Acknow

  • wled

edgemen ement

  • Why am I speaking about Gluten Free?
  • Shelley Case, RD – Renowned international expert
  • Author of ‘The Gluten Free Diet’ – www.glutenfreediet.ca

Celiac Diseas ease e (CD)

  • CD is one of the most common inherited disorders
  • It is an autoimmune disease triggered by gluten in the diet
  • The villi of the small intestine are damaged by gluten

(primarily from wheat, rye and barley and some commercial

  • ats)
  • Symptoms are highly variable, many are associated with

the GI are and gut functioning, but they vary CD affects many other organ systems

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Celiac ac Disease e Con’t

  • If untreated, CD can result in nutritional deficiencies,
  • steoporosis, increased risk in intestinal cancers,

infertility/miscarriage and other autoimmune disorders

  • Untreated it may also lead to significant discomfort in the

GI tract

  • Sometimes misdiagnosed as irritable bowl syndrome,

lactose intolerance, fibromyalgia, chronic fatigue syndrome and ulcers

  • The only treatment for CD is a Gluten Free Diet for life!!!

Gluten en Sensitivi vity (GS)

  • Gluten Sensitivity – literally a sensitivity to gluten. Not an

autoimmune disease and does not cause damage to the villi in the small intestine.

  • Symptoms can be similar to CD
  • Much higher rates in the population, varied intensity
  • How did this come about? Gluten is abundant in our diet
  • Wheat allergy is also quite prevalent, tied directly to wheat
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Nutri rition n Concerns rns and the Gluten en Free e Diet

  • Strict Gluten Free Diet for Life
  • Temporary lactose free diet may be needed
  • A GF diet can lead to iron deficiency – need iron rich foods
  • Adequate calcium and vitamin D needed
  • Dietary Fibre needed from non gluten food sources

Sourc rces es of Gluten n in Foods

  • Many grain based products such as breads, cereals,

pasta’s

  • Commercial soups and sauces (including soy sauce)
  • Snacks and candies
  • Prepared deli meats, salad dressing etc.
  • Beer (wheat, barley based)
  • Flavored coffee and some tea
  • Nutrition supplements
  • ** Coatings on many foods and ingredients to preserve

quality are not always disclosed.

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5 Ingredi edien ents ts Conta tainin ning Glute ten n – Read the Label, , Know your Gluten en

  • Barley
  • Bran
  • Bulgur
  • Couscous
  • Durum Flour
  • Kamut
  • Modified food starch (if you don’t know the source)
  • ** Oats – most commercial
  • Rye Flour
  • Spelt
  • Triticale
  • Wheat flour, starch, bran, germ, grass

Foods ds Allowed ed on a GF Diet

  • Plain meats (red meat, poultry, fish, eggs, etc.)
  • Pulses (Beans & Lentils), Nuts (non coated), Seeds
  • Milk products (cheese, yogurt, etc.)
  • Fruits and Vegetables
  • GF flours, cereals and starches
  • Distilled alcohol and wines
  • Beer made from rice
  • All vinegars except malt vinegar
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Gluten en Free e Labeling ng

  • No world wide definition for GF (yet)
  • New food allergen regulations in affect Aug 4th, 2012
  • http://www.hc-sc.gc.ca/fn-an/label-etiquet/allergen/index-eng.php
  • The new legislation requires manufacturers to declare smaller

ingredient components, giving more visibility.

  • Wheat Free is not Gluten Free
  • Labels can change without notice – check them frequently

Cross Contaminat ation

  • Cross contamination is the greatest challenge
  • Need to understand the severity
  • Surfaces – GF prep in a separate area is the best way to avoid it
  • Alternatively, strict cleaning guidelines between production
  • Watch for “airborne” gluten
  • Store GF items separately
  • Use single serve condiments, desserts, etc
  • Clearly label GF equipment (toasters, cutting boards, utensils, etc.)
  • Change gloves, aprons, hair nets etc.
  • Check your cooking mediums – oils, water, etc.
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GF Strategi egies es at Your Facility

  • Training, Training, Training
  • Provide training for all staff – including awareness of the

consequences

  • Place training materials throughout the kitchen
  • Identify risk areas in the kitchen
  • Incorporate GF practices as a standard of regular work processes, tied

into sanitation practices

  • Detailed training on Cross Contamination

GF Strategi egies es at Your Facility Con’t

  • Suggested training agenda for Staff:
  • What does CD and GS mean?
  • What is a GF diet?
  • What happens a GF diet is not adhered to?
  • Understanding the seriousness of cross contamination
  • Simple solutions for serving a GF diet
  • Understand specific challenges at your facility
  • Identify problem areas
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Operat ration

  • nal

al Control

  • ls that Can Minimize

e Errors

  • Know your GF residents and inform the staff regularly
  • Be aware of menu substitutions
  • Use bright, clear labeling
  • Supervise and spot check service
  • Communicate!

GF Strategi egies es at Your Facility Con’t

  • Start with the resident:
  • Understand their history
  • Check their knowledge base – is it accurate? Can we expand the

scope of their diet?

  • Involve the dietitian as a key resource and communicator with the

resident

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Sourci rcing ng GF Foods

  • Sourcing:
  • Your distributor is key – what’s available?
  • Demand more from your manufacturers
  • Coordinate with your peers
  • Ensure clear labeling and straightforward information

Challenges ges to Sourcing ng

  • Cost – Specialty pre-packaged foods can be expensive (look at
  • pportunity cost)
  • Purchase bulk for all diets
  • Limited storage
  • Products/Labels can change without notice
  • Dialogue with suppliers to ensure they understand
  • Small volumes at the distributor level (5 cases/week movement)
  • Work with your peers
  • Identify items that solve multiple diet issues
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Cooki king g Gluten n Free

  • Cooking gluten free doesn’t have to be complicated
  • Keeping it Simple is the rule
  • Stick to primary unprocessed ingredients
  • Stick to whole foods for maximum nutrition
  • This makes it easier to ensure ingredients are GF

The Power r of Quinoa

  • One of the most nutritious whole grains, rich in fibre and iron
  • Incredibly versatile
  • Sides & Pilafs
  • Cold Salads
  • Soups
  • Patties & Quinoa Balls
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Seasoni

  • ning

ng and coating

  • Many commercial seasonings contain gluten
  • Check for Gluten Free Label
  • Use cumin, cayenne pepper, tumeric etc.
  • Use butter and olive oil to keep moisture and add flavor
  • Use quinoa flours, rice flour, potato flour etc.

A Balanced ed Diet

  • Variety = more nutrients, more excitement, happy residents
  • Avoid too much corn and soy
  • Different beans and legumes
  • Change up the vegetables
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Baking ng

  • Breads and Pasta’s are more difficult
  • More commercial variety available
  • Serve warm, fresh
  • Refer to Carol Fenster’s guide to baking
  • Learn about the characteristics of each flour
  • Try different rice pasta varieties – wash away the starch

Easy Recipe pe Concept epts

  • Chicken with Rice & Beans
  • Quinoa spinach salad
  • Beef and rice macaroni
  • Quinoa lettuce wraps
  • Chicken meatballs and mashed potatoes
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Don’t Let Gluten n Be a Sticky Issue in Your Operat ation

  • n
  • Educate
  • Train
  • Source the right items
  • Prepare your facility
  • Stick to clean, simple ingredients
  • Serve a balanced variety
  • Work with your peers

Resourc rces es

  • Gluten Free Diet: A comprehensive Resource Guide (Shelley Case,

RD)

  • Celiac Disease for Dummies (Dr. Ian Blumer & Sheila Crowe)
  • Canadian Celiac Association Pocket Dictionary: Acceptability of Foods

and Food Ingredients for the Gluten Free Diet

  • Real Life with Celiac Disease: Troubleshooting and Thriving Gluten

Free (Melinda Dennis, RD & Dr. Daniel Leffler, MD)

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Websites es

  • www.celiac.ca
  • www.celiacguide.org
  • www.csaceliacs.org
  • www.celiac.org
  • www.gluten.net
  • www.celiaccentral.org

Certification:

  • www.celiac.ca/index.php/about-the-cca/certification
  • www.gfco.org

Packed with Fibre and omega-3 fatty acids

250 ml Serving: 225 Kcal, 30 g CHO, 10 g Fat, 6 g Pro, 7 g Fibre

  • 75 ml Flax Seed Meal (ground Flax)
  • 75 ml Cream of Brown Rice Hot Cereal
  • 325 ml water
  • Dash Vanilla

Option: add brown sugar, nuts and/or dried fruit for daily variety

  • Combine all ingredients except vanilla
  • Cook until thick and creamy, on stove top
  • r in microwave
  • Stir in vanilla
  • Serve with brown sugar, nuts and/or dried

fruits

GF High-Fibre re Hot Cereal al

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Bacon and Mushrooms give this dish real flavor

125 ml Serving: 121 Kcal, 21 g CHO, 2 g Fat, 5 g Pro, 2 g Fibre

  • 250 ml wild rice
  • 250ml quinoa seed
  • 85 ml GF bacon-chopped
  • 15 ml olive oil
  • 125 ml celery
  • 125 ml onion- chopped
  • 250 ml mushrooms-sliced

1. Wash rice in cold water 2. Add rice and 1 L water to large pot, cook until water is absorbed (1 hr) 3. Add quinoa after ¾ hr 4. In a pan, fry bacon until crisp, remove from pan 5. In pan, sauté vegetables for 5 min until al dente 6. In large pan, mix all ingredients and bake at 350F for 30 min.

GF Quinoa

  • a & Wild Rice

e Pilaf

Kasha is roasted buckwheat groats

Serving: 326 Kcal, 13 g CHO, 11 g Fat, 46 g Pro, 2 g Fibre

  • 250 ml cooked Kasha
  • 1 egg, beaten
  • 5 ml lemon zest, grated
  • 675 gm turkey, ground
  • 30 ml vegetable oil
  • 250 ml GF turkey stock
  • 60 ml yogurt, plain
  • 15ml cornstarch
  • 15 ml lemon juice
  • 15 ml carrot, fine shred
  • 15 ml green onion, chopped
  • Cook Kasha in GF broth
  • Combine kasha, egg, lemon zest & turkey,

mix

  • Shape mix into 12 balls
  • In a pan, heat oil and brown turkey balls on

all sides. Add broth and simmer covered for 20 min. - remove

  • In bowl, combine yogurt, cornstarch, lemon

juice

  • In the pan, add bowl ingredients to pan until

sauce is thick, add carrot and onion. Cook 3- 5 min.

  • Pour sauce over meatballs.
  • Makes 4 servings

GF Turke key Meatbal alls with Lemon Sauce

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Coat chicken, veal, shrimp, fish and pork

15 ml Serving: 32 Kcal, 3 g CHO, 2 g Fat, 1 g Pro, 2g Fibre

  • 30 ml paprika
  • 375 ml flax seed, ground
  • 15 ml black pepper
  • 3 ml cumin, ground
  • 3 ml cayenne pepper
  • 3 ml oregano, ground
  • 3 ml thyme, ground
  • 3 ml basil, dried
  • GF salt to taste
  • Combine all ingredients, adding salt to

taste

GF Cajun Flax Coating ng

Combine your favorite flavours

Serving: 131 Kcal, 14 g CHO, 6 g Fat, 8 g Pro, 3 g Fibre

  • 125 ml wild rice
  • 1 can GF cream soup (your choice)
  • 125 ml bit size vegetables (your choice of

broccoli, asparagus, cauliflower)

  • 250 ml cheddar cheese, grated
  • Wash rice and cook with 2 cups of water on

low heat, 45 min. until fork tender

  • Put rice into casserole pan, cover with

undiluted cream soup

  • Cook vegetables in another pot until al

dente, drain

  • Add vegetables over soup
  • Top with cheddar cheese
  • Bake at 350 F for 20 min.
  • Makes 8 servings

GF Wild Rice & Veget etabl able Cassero role