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Subject:
Lactose Intolerant, Gluten Allergy, Low-carb
Category: Health > Fitness and Nutrition Asked by: cmtoh-ga List Price: $20.00 |
Posted:
07 Jun 2005 08:14 PDT
Expires: 07 Jul 2005 08:14 PDT Question ID: 530358 |
So... over the past couple years, since I first hit my mid-20's, I've stopped being able to eat anything. A lactose intolerance I had as a kid came back, rather severely: even the small amount of milk in margarine or many cheeses is a problem. I do keep lactaid with me, but it takes a lot of pills to fix things for me, and they're not cheap. Additionally, I was diagnosed with something like pre-diabetes, although the doctor in question insisted that it wasn't hypoglycemia. At any rate I feel weak, exhausted, and very drunk after consuming simple carbohydrates, for instance: a plate of spaghetti, a large serving of fruit, or a cup of white rice. So I'm supposed to maintain something like a mild atkins diet. From experience, I know that anything with more than 20 grams of non-fiber carbs had better also contain some protein to balance it out, and less than that is perferable. Finally, recently I've had symptoms of a gluten allergy. I'm not in the habit of self-diagnosis, and I won't have good medical insurance until I start grad school this fall, so at the moment this is all very vague. But products which mention 'gluten' on the ingredients (bread, vegitarian meat-substitutes), make me sick. Products which include wheat but presumably less gluten (cookies, cracker-style thin crust pizza, spaghetti) don't seem to bother me. Anyway, until I get this figured out, I'm trying to go the safe route and avoid gluten too. Also, processed soy products (soy milk, soy-protein bars) give me gas, very unpleasant. For whatever reason, the unprocessed beans themselves--edamame, are fine. I'm hungry. I'm going to be a grad student and I can't reasonably cook all my meals myself. Could you please find me some easy/nutritious things I can eat safely? I miss my mac n' cheese, slimfast, and breakfast bars... | |
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Subject:
Re: Lactose Intolerant, Gluten Allergy, Low-carb
From: biophysicist-ga on 07 Jun 2005 13:58 PDT |
The following is a free comment: You don't mention eating any meat. Are you vegetarian? If you can't eat dairy or soy, it may be very hard to find other sources of protein besides meats. I really feel for you. My father is violently allergic to dairy and several meats, besides being pre-diabetic, and I know how much that limits what he can eat. I don't want to steal the thunder of a real researcher, so here are a few disorganized ideas, unsupported by web research, based on what I eat. Grains: Brown rice is better for your blood sugar than white rice. Check whether it'll work for you. Wild rice is good. (It's a completely different grain, not really a rice.) I think that there exist pastas made from brown rice (available in whole foods stores). Incidentally, rice plus beans (any beans, not necessarily soy) will give you a complete protein. There are lots of other grains besides rice and wheat, and people make pastas from some of them (e.g., spelt). Find a book on the glycemic index to see which are best for your blood sugar. Some of the weirder grains can be purchased in health food stores. I've seen some weird types of flour in health food stores too (e.g., flour made from ground up almonds). You can do a lot with lean meats. Boneless, skinless chicken breasts are easy to prepare in a variety of ways. Grill, bake, or sautee them with seasonings and serve with a side of vegetables. Learn how to cook fish (buy frozen filets and thaw them--easy to broil, but you have to scrub the broiling pan afterwards; easy to bake). If you can afford pre-peeled or easy-peel shrimp, sprinkle on Old Bay seasoning and steam them--extremely easy (though you'll need to get a steamer). Find some recipes for soups and stews. You can make them on the weekend and microwave them for dinner during the week. Also, I'm sure there are some canned soups that would meet your requirements. Go to the grocery stores and start reading the labels on everything in the soup aisle. For breakfast, you could eat eggs. Or get some breakfast sausages (made from ground turkey is healthier)--cook them on the weekend, then heat a couple every morning in the microwave. Perhaps you could make those flavored instant oatmeals if you like them made with water rather than milk. (Kind of high in sugar and carbs, though.) For lunches, maybe you could eat a wrap made with a gluten-free tortilla and with no cheese on it. You said you can't reasonably cook all your meals, but I managed to bring a lunch to my office 90% of the time during grad school. You should be able to have pretty good control over your lunches. Snacks: nuts (especialy almonds) are good. Can you eat whole wheat crackers like triscuits? You can snack on veggies like carrots and celery sticks. If you desperately need something sweet, dark chocolate with nuts is (marginally) better for blood sugar than milk chocolate with sugary fillings. Some dark chocolate bars are milk-free--read the ingredients. Where could you eat out? I'm not sure. Most East Asian foods are lactose-free (since many Asians are lactose intolerant), but the kind of rice they use is really bad for your blood sugar. Indian food is much better for blood sugar (basmati rice is better than sticky rice). Some of it contains yogurt, but a lot of Indians are vegan. You can probably find yogurt-free dishes without too much difficulty. You could eat a lot of Mexican dishes if you get them to leave the cheese and sour cream off. I assume you'd want a corn tortilla because of possible gluten in the wheat tortilla, but don't eat too much of either type of tortilla--bad for blood sugar. Look into the South Beach diet. It seems to be based on glycemic index and maintaining a good blood sugar level. (It isn't extreme like the Atkins diet.) I found some good recipes in the South Beach Diet Cookbook, which I borrowed from my local library. |
Subject:
Re: Lactose Intolerant, Gluten Allergy, Low-carb
From: cmtoh-ga on 15 Jun 2005 06:22 PDT |
I appreciate the time and thought that went into such a long and thorough comment... especially since it seems my question may have fallen beneath the pay/interest threshold of the researchers. Thank you for responding so sympathetically and for attempting to address all of my issues. But I guess I disagree with you on one fundamental piece of philosophy, an opinion that I've run into repeatedly ever since I was the only 4-year-old at daycare who couldn't have ice cream... and that is that people with special health restrictions should voluntarily concede their god-given american consumer right to be lazy, and to get what they want anyway (smiles). When I was 4, the teacher had granola bars to give me when the other kids got ice cream. That sucked, miserably so. Then my mother started leaving lactose pills and instructions with the teachers, and I swear my overall quality of life improved. Turns out there was a fix to the problem that didn't involve giving up anything important. I know there exists breakfast bars, and instant meals, and nutrition drinks that meet my needs. Here's websites for three different brands of nutrition bars with no wheat, no soy, no dairy, low carbs, only natural sweetners, plenty of vitamins, and high protien: Budda Bars: <A href="http://www.deliciousorganics.com/Products/BuddhaBar.htm">http://www.deliciousorganics.com/Products/BuddhaBar.htm </A> Organic Food Bars: <A href="http://www.naturalzing.com/nzfoodfo.htm">http://www.naturalzing.com/nzfoodfo.htm</A> Thin For Life Gluco Support Bars: <A href="http://www.aplaceofhope.com/Merchant2/merchant.mv?Screen=PROD&Store_Code=thecenter&Product_Code=tflgscr">http://www.aplaceofhope.com/Merchant2/merchant.mv?Screen=PROD&Store_Code=thecenter&Product_Code=tflgscr</A> So... yeah, I'm pitiful. I could obviously, to at least this extent, answer my own question. But I'd ideally like to know about as many options as possible. If I don't have to give up having a variety of options, I don't want to. I don't want to give up a single thing that I don't absolutely have to. So I was hoping that the google answer team might be able to do a more complete seach of the available possibilties than I could. But... I've also noticed that questions which are left unaswered for over a week often expire unanswered, so looks like i may be out of luck. So... I guess since I'm doing the research myself anyway, I might as well be useful about it. I'll post as clarifications to my question all the qualifying products I find as I'm randomly searching... until the question expires. If a researcher can top my list, I'd be very grateful and wouldn't mind paying the 20$... but at least this way *some* answer will be out there. |
Subject:
Re: Lactose Intolerant, Gluten Allergy, Low-carb
From: biophysicist-ga on 15 Jun 2005 07:42 PDT |
I just happened to check this question today and saw your comment. I understand you want convenient prepared foods, esp. since you'll be busy with school soon, but I encourage you to consider other options as well. Less highly processed foods are probably better for you, plus they taste better. Also, you might have to pay a lot more for the prepared foods, if they're rare and you have to order them from somewhere. Still, convenience is important too. I found this site just now: http://www.glutenfreemall.com/ Looks like you can set their search criteria to rule out soy and lactose as well. Then you'll have to check manually whether the items are low-carb. I stumbled across this site on gluten: http://www.sprouts.com/_images/_media/Gluten_Guide.pdf Turns out that some of the weird non-wheat grains also contain gluten, so this might help you see what to rule out. I made this soup last night (adding a small sliced zucchini to make it heartier, using ground turkey instead of beef, and adding 2 boullion cubes). It was extremely quick to make and doesn't contain any of your allergens (unless small amounts of soy sauce cause problems for you!). Tasted fine. http://www.recipezaar.com/119783 some search criteria: gluten-free lactose-free soy-free |
Subject:
Re: Lactose Intolerant, Gluten Allergy, Low-carb
From: biophysicist-ga on 15 Jun 2005 07:55 PDT |
Another idea, probably unhelpful... I don't know much about pre-diabetes, but my understanding is that it's controlled by both diet and exercise (plus moderate weight loss). Are there tradeoffs there, such as if you exercise more you won't have to cut carbs as much? If that were true, maybe you could widen the range of foods you could eat? Anyway, I'm sure the doctor who diagnosed you has given you some instructions. |
Subject:
Re: Lactose Intolerant, Gluten Allergy, Low-carb
From: cmtoh-ga on 15 Jun 2005 08:33 PDT |
actually, it seems like by the time you cut out all that stuff you're usually shopping in the vegan/organic area and it's not too processed... it's mostly just a blend of natural products. Not as good as home-cooked, granted. But useful, anyway. Thanks for the sites... I'll check them out too. As far as the exercise goes... yeah, that's a good point. The doctor, despite being a researcher in the field of diabetes, was very irritatingly vague. Apparently 'pre-diabetes' (apparent sensitivity to sugar without noticiable changes in blood sugar) hasn't been officially, scientifically, explained yet. I was told that the phenomena had been recognized, and they're working on it... but he wasn't willing to advise me on anything more specific than that I should cut down on carbs. However, trial and error, watching other members of my family, and general medical folklore on the topic all point to exercise doing a lot of good. I definitely need to exercise more, and I'm planning to once I start school. ...right now resources and schedule make it very difficult. |
Subject:
Re: Lactose Intolerant, Gluten Allergy, Low-carb
From: vahpgcx-ga on 25 Jun 2005 06:11 PDT |
Greetings! As a Dietitian I couldn't help but 'hear' and understand your confusion. I've been down this track myself with food intolerances but thanks to colleagues and my training I've worked things out. Your sensitivity to bread (high gluten) and not pasta which is also made from wheat is perplexing. However it is wise to get this situation nutted out. That you are so sensitive to lactose probably means that something else (not sinister) is happening to the absorptive area in your small bowel. This may be due to fructose malbsorption. Fructose is found in fruit and in long chains of fructose in wheat, onions, inulin and other foods. The diet does not cut out all fruit. I'm not sure where you are but I'm in Australia and fructose malabsorption (FM)is a relatively newly recognised condition and a Dietitian here in Melbourne is doing ground breaking research into formulating the diet. Many doctors here are unfamiliar with FM which is supposedly the cause of 40% of irritable bowel symptoms. I have the condition and the diet has made a huge difference to my discomfort. It is easily diagnosed with a Breath Hydrogen Fructose Test. The test is not invasive and involves drinking 50 gm fructose drink and then breathing into a machine every 15 mins so that the hydrogen excreted via the breath is measured over about 2hrs. The hydrogen is the result of bacterial breakdown of fructose in the large bowel causing hydrogen to be given off. Symptoms of this include bloating, wind, constipation or diarrhoea or both. Not everyone is a hydrogen breath exceter so you need to do a lactose hydrogen breath test 1st to check outthis, otherewise you may get a false negative result From your linking of items that you seem sensitive to and the Dr.'s diagnosis of pre-diabetes, another possibility is coeliac disease as there is a strong correlation between diabetes and coeliac disease. Incidentally, I also have a a niece in this situation. I suggest that you go to a trusted Dr.-your current one is not helpful already re pre-diabetes, something every Dr. should be familiar with- and ask to get blood tests for coeliac disease. If it's suspected then get a bowel biopsy done as sometimes the tests come up negative when the biopsy is positive. Because of your confusion about what is affecting you and what you need to eat be healthy, I strongly recommend you see a Dietitan as you sound like you could easily end up with malnutrition as well as your current problems. You'll waste less food too! Should you have a problem related to food and your bowels, I suggest the Dietitian has a special interest in Gastroenterology, as others may not have the specific knowledge needed to assist you. I urge you not to check out fad diets but get a book on GI written by Jenny Brand-Miller, Kaye Foster-Powell called The New Glucose Revolution. Do a Googe search and you'll find Jenny has written may books and had pocket versions on sale too. She is a world leading researcher on GI and professor human Nutrition here in Aust.with a great deal of credibility. Best of luck. Hope this of assistance |
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