This document provides information about celiac disease and gluten intolerance for dietitians and college students. It defines celiac disease as an autoimmune disorder triggered by ingesting gluten, which can damage the small intestine and cause health problems. Symptoms of celiac disease are described. The key differences between celiac disease, gluten sensitivity, and gluten intolerance are outlined. Living with a gluten-free diet in a college setting is discussed, including resources for gluten-free dining options on campus.

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-

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