Local Institutions: Eating Gluten Free When You Can’t Choose Your Food

At our June meeting we had a discussion about being in a hospital and the availability of gluten free food.  Luckily none of us had recent experience.

If the hospital admission is planned, you can check with your doctor about when you will be able to eat and the hospital dietary department about their gluten free practices.  You may even want to bring your own food.  The last thing you need is to have gluten-exposure issues when you are recovering from illness or surgery.

But what about local schools?  And rehab facilities?  And nursing homes?  What if you are incarcerated?

How well do institutions in Northeast Ohio anticipate the needs of those of us eating gluten free?

Feel free to share your experience by adding a comment.

 

Do you find “May Contain Wheat” statements to be confusing?

On March 26, 2018 the article, “When foods contain both a gluten-free claim and an allergen advisory statement for wheat: should consumers be concerned?” by Tricia Thompson, Amy Keller, and Trisha B. Lyons was published online ahead of print by the European Journal of Clinical Nutrition.

The authors quantified data on products obtained by the Gluten-Free Watchdog. All products in this review were labeled “gluten-free.” It is important to understand the distinction between “Contains” and “May contain” statements.

To read the full text article, click here

Click here for a one-page summary.

Trisha B. Lyons, RDN, LD
MetroHealth Medical Center, Cleveland, OH

Let’s Cook! Making Stocks

MAKING STOCKS
recipe by Chef Mariann

For a basic stock, you will need:

a large pot or dutch oven with a lid

water  – 12 cups/3 quarts
celery – a full head
onion  – one large or two medium
carrots – 6/8 
     other vegetable options – garlic, fennel, parsnips,                                                       leeks, shallots
fresh thyme and parsley – 6/8 stalks of each
bay leaves (2)
peppercorns (6)

To the soup pot, on low heat, add the water.

Rinse and trim all vegetables to remove any sandy parts or damaged parts…… 

Remove the bottom of the head of celery  and discard.
Trim the stalks of any damaged parts – rough chop the stalks, include the leaves and add to the pot.

Trim the tops from the carrots, discard or save for other uses – scrub them clean, rough chop the carrots, add to the pot.

Remove the skin from the onion, rough chop, add to the pot.

Add the herbs to the pot.

Cover the pot and allow the stock to simmer about an hour to an hour and a half.  Vegetables will be tender and limp when done.

When done: remove the solids from the pot.  *Strain the hot stock into separate containers to allow it to cool before storing in the fridge or freezer.  I freeze in quart size containers.  If you like you can freeze in cup size or even ice cube trays for smaller recipe uses.

*NOTE:  You should be storing the stock in the fridge within two hours of taking it off the heat.  I ladle it into separate 6 cup glass baking dishes to allow it to cool faster.  

When I want a protein based stock I will add to the pot, along with the vegetables, the remains of a couple of roasted chickens, or a ham bone, or beef soup bones that I get from the butcher and roast to use in the stock.   I save the chicken bones after roasting whole chickens and reserving the meat for other dishes.  The bones are bagged and frozen for use when I am ready to make a stock.  This recipe could use two reserved chickens or a single ham bone from a 12 lb. ham or 5-6 beef soup bones.

Increase the simmering time to 2-3 hours or more for the protein based stocks – the longer you can simmer them – some chefs simmer them for 24 plus hours – the better for flavor and nutrient values.  

 

Polenta Soup

Polenta Soup – 4 servings
adaptation by Chef Mariann

6 cups of your favorite stock
I used ham stock (stock recipe posted at site)
1/2 cup ground cornmeal
1 can chickpeas
1/2 cup Pecorino Romano cheese, grated
1 head of escarole well rinsed and chopped to bite size pieces
(you can sub other favorite greens like kale or spinach)
salt and pepper to taste

In a soup pot or dutch oven, over medium heat, bring the stock to a simmer.

Sprinkle the cornmeal into the hot stock whisking to combine so that the cornmeal does not clump.

Reduce heat to low and simmer for 15 minutes.

Add the chickpeas to the pot and gently whisk the cheese into the pot.

Add the greens to the pot (or place the greens in your serving bowl and serve hot soup over the raw greens to allow them to lightly wilt)

Simmer an additional 10 minutes to heat everything through.

Serve with your favorite g-f crackers or bread.

This recipe has been adapted from Edible Cleveland Magazine
original recipe and food styling by Melissa McClelland
Winter 2016

Study of Allergen Advisory Statements

Gluten Free Watchdog, with the coauthorship of our own Dietitian Advisor Trisha Lyons RD. LD., has recently published the study “Allergen Advisory Statements for Wheat: NOT a Useful Predictor of Gluten Content”.

Gluten Free Watchdog statement.

You can read the full text of the article.

In the US, allergen advisory statements (“Made in a facility that also processes wheat” and similar) are voluntary and are not currently defined by any federal regulation.

What this study found is that products that have warning statements such as “May contain wheat” or “Made in a facility with wheat” might be without gluten and just fine to eat. On the other hand, the lack of a statement did not mean that a product was free of gluten.