I was glad to read "Celiac Disease Goes against the Grain" (February 2006). Most people (and some physicians) don't know enough about this multisystem autoimmune disorder.
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Nurses should teach patients with celiac disease that the gluten-free diet is rich in variety and nutrition. Besides the allowed foods you listed, many kinds of soda, chocolate candy, chips, ice cream, and wines are gluten-free. People can use a gluten-free flour mix for homemade breads and baked goods. Some restaurants and many grocery stores offer gluten-free choices. Although people with celiac disease need to be aware of product ingredients that contain gluten, they shouldn't feel deprived in any way.
SUZANNE FONTECCHIO, RN, BSN
As a retired nurse who's recently been diagnosed with gluten sensitivity, I was delighted to see your article on celiac disease. Tell patients that some medications and vitamins may have a gluten base. The communion wafer is another little-known source of wheat. Most soy sauce contains wheat, and so do many chicken broths.
M. REVOIR, RN, BSN
Big Rapids, Mich.
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