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Nutrition


how to locate gluten-free foods in the grocery store. If your child has celiac disease, you must inform his teacher or childcare provider of any dietary restric- tions. It’s important to educate anyone involved with your child about which foods are safe, but also what to do if he becomes ill. You also need to inform supervising adults at social events, camp and any other away-from-home activities about dietary restrictions.


You and your newly diagnosed child should also learn about the disease, and receive help with selecting gluten-free meals, cooking gluten-free and telling others about dietary restrictions. Psycho- logical intervention may be necessary to help you and your child cope with dramatic lifestyle changes.


In general, kids with celiac disease must avoid foods that contain wheat, rye and barley (including spelt, triticale and kam- ut). They can eat a well-balanced diet with a variety of foods, including gluten-free bread and pasta. For example, instead of wheat fl our, you can use potato, rice, soy or bean fl our. Also, you may use naturally


SOURCES FOR PARENTS National Library of Medicine www.nim.nih.gov/mdelineplus/celi- acdisease.html The Celiac Disease Foundation www.celiac.org GastroKids www.gastrokids.org Celiac Disease Forum


http://celiacdisease.about.com/forum 30


You may use naturally gluten-free grains, such as buckwheat, quinoa and millet, on a gluten-free diet


gluten-free grains such as buckwheat, quinoa and millet, but check the product labels to be sure they are gluten-free. Plain meat, fi sh, rice, eggs, fruits and vegetables don’t contain gluten, so your child can eat as much of these foods as she likes. Dairy is not restricted, but there may be transient lactose intolerance when beginning a gluten-free diet. All kids, including those with celiac disease, should receive the recommended childhood vaccinations. Children with celiac disease do not have any restrictions on their activities. Educating, supporting and encouraging them to do anything they want to in life despite having this disease will help them reach for the stars.


Jo Ann Serota, DNP, CPNP, FAANP, is a certifi ed PNP and co-owner of Ambler Pediatrics, Blue Bell, PA. She is a Past President of NAPNAP and President of the NAPNAP Foundation.


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