1. CELIAC DISEASE: THE COLLEGE SURVIVAL GUIDE Emily, Lindsay, Maddie, and Alyssa The basics of Celiac Disease, the differences between Celiac Disease and Gluten Intolerance, and how to cope with Celiac while living on a college campus.

2. LEARNING OBJECTIVES  Audience will be able to…  Differentiate between Celiac Disease and Gluten Intolerance  Identify signs and symptoms of Celiac Disease  Formulate a gluten-free diet and put it into practice on the University of Illinois’ campus

3. What is Celiac Disease?  Autoimmune disease where ingestion of gluten leads to damage in the small intestine  Hereditary  Can develop at any age  Can lead to serious health problems  Develop other autoimmune disorders  Long-term conditions and deficiencies

4. What is Gluten?  General name for proteins found in wheat, rye, barley, and tricitcale  Maintain structure  Common foods  Pasta  Bread  Baked Goods  Sauces  Beer

5. Common Symptoms of Celiac Disease  Abdominal bloating  Chronic Diarrhea/Constipation  Weight Loss  Fatigue  Vomiting  Missed menstrual periods  Depression/Anxiety  Migraines  Iron deficiency anemia  Itchy skin rash  Bone joint Pain

6. Gluten Sensitivity  Similar symptoms to Celiac Disease  Symptoms improve when gluten eliminated  Negative for wheat allergy  No damage of SI  No tTG autoantibodies  Confirm diagnosis  Negative for wheat allergy or Celiac  Symptoms diminish after starting GF diet  Return of symptoms when gluten reintroduced

7. WIIFM?  Awareness of symptoms  Food Diary  Refer to physician  Gain knowledge of Gluten-Free Diet

8. Screening  Must be on a gluten- containing diet for both Screening and Diagnosis  Screening: Blood Tests  tTG-IgA Test http://celiac.org/wp- content/uploads/2013/07/blood- screening.jpg

9. Diagnosis  Diagnosis=Endoscopic Biopsy  Scope inserted through mouth down GI tract to SI  Sample under microscope http://celiac.org/celiac- disease/diagnosing-celiac- disease/diagnosis/

10. Literature Review  Without disease - not beneficial  Wide clinical spectrum http://celiac.org/celiac-disease/treating-celiac-disease/

11. Studies  One in 100  All age groups http://mattitiyahu.blogspot.com

12. Current Research  Non Celiac gluten sensitivity  Celiac disease - four times more common

14. Future Research  Cause  Cure  Spectrum  Linked to diseases  Cooking substitution

15. Practice Recommendations  Dietary recommendations  Be tested first  Foods containing gluten

16. The Gluten-Free Diet It is best to choose whole grain choices such as amaranth, buckwheat, brown rice, gluten free oats, legumes and quinoa

17. Eating GF in the Dining Halls  Meet with Dietitian and chefs individually  DRES application required  UI Dining mobile App  Eat smart http://www.housing.illinois.edu/~/media/Files/Dining/Dietary_Restrictions_H andout.ashx

18. Just Ask!  Call, email, text the chef- one hour notice  Minimizes risk of cross-contamination  Special refrigerators  Gluten-free dedicated toasters

19. Summary  Celiac Disease has harmful health effects  Celiac Disease vs. Gluten Intolerance  For Dietitians  Rising  ID Symptoms  Eating GF  Resources on campus

20. References  Garcia-Manzanares, A., & Lucendo, A. J. Nutritional and Dietary Aspects of Celiac Disease. Nutrition in Clinical Practice. 2011; 26(2), 163-173.  Sabatino, A. D., & Corazza, G. R. (Nonceliac Gluten Sensitivity: Sense or Sensibility?. Annals of Internal Medicine. 2012; 156(4), 309.  Dietary Restrictions at the University of Illinois Dining Services. University Housing at Illinois. http://www.housing.illinois.edu/~/media/Files/Dining/Dietary_Restr ictions_Handout.ashx. Accessed April 25, 2014.  Celiac Disease Foundation. http://celiac.org/ Accessed April 25, 2014.  All photos stock free from : freedigitalphotos.net