Are Communion Wafers Gluten Free?

Traditional communion hosts are not gluten free. However, if your religious worship includes communion, there are options to fully participate and remain gluten free.

Many denominations will permit the use of a special gluten-free communion host. There are many brands available. Depending on your church, they may supply the gluten free hosts or you may be asked you to provide them. Other denominations will permit a non-host substitute, a gluten-free cracker or gluten-free bread of some type.

It is important to make sure that the gluten-free communion host is handled properly to avoid cross contact. Some churches have many worshipers who need a gluten-free host and will have a gluten-free communion line. Other churches will keep the single gluten-free communion host separate and ask you to receive communion first or last to ensure you receive that particular host. It is best to sit down with your priest or minister to talk about how gluten-free communion is handled to ensure that you are safe from cross contact.

Many churches receive communion in the form of a host and wine. Where receiving communion wine is an option, this avoids any issues of finding a gluten-free host. But, there are also cross contact concerns to be addressed.

Some religions put a piece of the host in the chalice. Clearly, receiving from this chalice would be a cross contact problem and if it is the only source of communion wine, receiving the wine is not an option. But, often there are multiple chalices and the host is only in one. Therefore, you should make certain that you receive from a chalice that did not contain the host. Some churches offer communion in a shared chalice while others offer individual cups. With a shared chalice, you are at risk of contamination from the other people who have used that chalice.

Another source of cross contact in receiving from the chalice is the practice of intinction. Intinction is the dipping of the communion host into the chalice. This practice is considered more sanitary and encouraged by a lot of churches. For those with celiac, intinction is a method of cross contact. If your church practices intinction, you will need to talk with your priest or minister to develop a means of receiving communion that has not been contaminated by intinction.

Catholics have a unique concern. Cannon Law has requirements for communion wafers. And a part of those requirements is that the wafer contains wheat. For many Catholics, this means skipping the communion host and only receiving communion from the chalice. But, for a lot of families, the idea of giving children wine is an issue. In addition, in the old days only the priest received from the chalice. Even though today it is perfectly acceptable for all Catholics to receive from the chalice, more traditional Catholics may have an issue with skipping the host. That said, receiving communion from the chalice alone is an approved option for Catholics.

For Catholics who do not like the idea of skipping the host or have issues with alcohol, there is a low gluten host option. A Benedictine Sister, who is also a scientist, came up with a way to make a host that satisfies Cannon Law in terms of a host that contains wheat. But the amount of wheat is so low that the final product tests to less than 20 parts per million (ppm) of gluten. There are several sources for these hosts but you can purchase them directly from the Benedictine Sisters where the host was developed. Click HERE to visit site. Many physicians in the celiac community have said that the amount of gluten is so minimal, that the weekly consumption of a low gluten host should not be an issue for someone with celiac disease.

Just as with a gluten-free host, the low gluten host should be handled carefully to avoid cross contact. And, talking with your priest to determine the best practice is advisable.

On a final note, most churches have a lot of people involved in the preparation and celebration of their services. And a significant number of these people are volunteers. Therefore, it is really important that you understand the practices and procedures that are followed in your church and that you educate all those that could be involved with the worship about your need for gluten-free communion.

Surviving a Gluten Attack at College

You thought the food in the cafeteria, in the restaurant or at your friends apartment was gluten free…

No matter how hard we try, we all have those times when we accidentally ingest gluten. When you are away at college this will be no different; you will need to be prepared to take care of yourself if you have a gluten attack.

  1. Stay calm and give yourself time to get better. While this is uncomfortable and no doubt inconvenient, you will get better
  2. Colleges have provisions for being sick and making up work. A gluten attack falls into this category and your professors should work with you to ensure you do not miss a beat. If you have problems making up work, see your school’s office of disability services or dean of students for assistance.
  3.  We all have our comfort foods, movies, books and such that we turn to when we are ill. Make sure you have them with you when to pack for school. Having these items will help make you feel better.
  4.  We also all have our favorite medicine when we have a gluten attack. It may be pain medicine or a heating pad for cramping, anti-nausea or anti-diarrhea medicine, etc. You know what works for you. Again, make sure you pack it and take it to college with you. Your roommate is unlikely to make a 3 am run to the drug store for you. You want to have what you need in the room before you get sick.
  5.  Think about where you were exposed to gluten. If you suspect it may have resulted from contamination in the school kitchen, advocate for yourself. Talk to the dietitian and/or the dining hall manager to ensure this does not happen again.
  6.  Don’t be afraid to call or text home. We all need a hug from our parents/loved ones when we are sick. Reaching out for comfort when you are away at school is totally acceptable.

Top 10 tips for dealing with Celiac Disease in College

By Anya Gruber, Smith College

  1. Do your research and find right college for you.
    It’s always a good idea to eat in the dining hall on your college visits. Make sure to talk to the dining staff and ask if they can accommodate a GF diet (shockingly, some schools I visited didn’t know even what gluten was!).
  2. Once you’re moved in to your perfect college, talk to the dining staff and work out a plan.
    It’s a good idea to make sure you know you’ll be accommodated. Work with the dining staff at your school to make sure that they can provide both food and an environment that is safe for you and educate them if you notice something that might be problematic. Don’t be demanding but ask if they might be open to suggestions about which specific foods to carry. At my school, for example, there is a suggestion box for GF issues, we have different plates for GF food and even a newly formed GF student committee that meets monthly to talk about issues or concerns.
  3. Splurge on a mini fridge for your dorm room!
    Sometimes, even at the most accommodating of schools, you just don’t like the food that being served that day. I’ve found that it’s really helpful to keep some food in my room for late night cravings when the only thing open and available is non-GF pizza delivery.
  4. When your friends want to go out for late night pizza…
    Suggest trying ethnic food instead. In my college town, I’ve found that the Greek, Thai, Mexican and Indian restaurants have lots of inherently GF items on their menu.
  5. Don’t avoid special events just because they involved food.
    Just tell whoever is organizing the event that you’re GF, and more often than not, they’ll work something out for you. I’ve done this at my school lots of times and it’s never been an issue. Don’t miss out on an event you’re interested in just because food is being served!
  6. Don’t be afraid to take the opportunity to educate other people about Celiac Disease.
    A lot of people have misconceptions about Celiac and being GF, and you’re in the perfect position to clear up any myths.
  7. Host a dinner party!
    This may not be possible at many schools, but at mine, not only do they provide three GF meals a day, but they also maintain an entirely GF kitchen for the GF students to use, stocked with ingredients. Make dinner for your friends and let them experience for themselves that being GF isn’t a big deal and the food can be really good!
  8. Even though movies make it seem like all college students do is sit around and eat…
    Don’t worry, there are a lot of other things to do that don’t involve food! Don’t be afraid to explore the community around your college if there doesn’t happen to be anything that interests on campus.
  9.  Being GF is a great reason to get out and explore the neighborhoods surrounding your college.
    What restaurants have GF food? Who delivers GF food late at night? Where can you buy GF beer (if that’s your scene)?
  10.  Find a support group or, even better, start your own.
    Sometimes having Celiac Disease makes you feel different – I know I felt like that a lot at first. Talking with other people who are in the same situation can make you feel better. Plus, it’s a great way to make new friends.

Finally, college is the time to try new things – don’t let Celiac Disease hold you back!

Choosing a College

Selecting a college is hard enough without food constraints. With planning it can be done! See the following suggestions for tips.

There are so many resources out there to help students select a college. There are books, websites, school counselors and private consultants that you can hire. And, there are the lists. You can look at schools based on best academics, best value, best college town, happiest students etc. There is even a list of the hairiest colleges.

But, what about food and in particular can the college accommodate your gluten-free (GF) diet? There are lists of colleges with the best food, the worst food and the healthiest food. There also have been a few attempts at making lists of schools that best handle the GF diet. But some students at schools on these lists claim very different GF experiences.

While making sure that your GF diet is accommodated in college is important, it is probably not the number one reason for choosing a particular school. Students who need a GF diet should start the college search process looking at college the same as any other student. They should narrow the thousands of options out there to a manageable list of 10 – 20 schools that they would seriously consider. Once you are here, it is time to look at food options. Based on what you learn you can keep that school on your list or eliminate them based on their ability to provide GF meals.

Here are the steps you can take to determine if the school can accommodate your GF diet. Many of these questions can be answered on the Dining Services page of the school website. Other questions will require that you call the school.

  • Find the Dining Services page on the school website. See what they say about accommodating special diets and what GF options are listed on the menu.
  • Connect with the Registered Dietician at the school as early as possible in case additional testing or documentation is needed. The dietician can work with the dining services to help ensure there are gluten free options available.
  • If you visit the school, ask if you can get a tour of the dining facilities in addition to the group tour of the school.
  • Find out where GF food is available. It may not be available in all dining halls
  • Find out if there are GF self-service areas available with dedicated toasters or specialty GF products.
  • What steps does the school take to avoid cross contact
  • Find out if GF options are readily available or if you need to order in advance.
  • If the school cannot accommodate the GF diet, do you have other options? Can you provide your own food and is there a safe place for you to cook and store that food.
  • Is the meal plan required? If a school cannot accommodate the diet and you are purchasing your own food you do not want to have to also pay for a meal plan.
  • Even if the school has great options for the GF diet, you will likely want to have food in your room for emergencies. Where is the nearest store for purchasing GF food? Is that accessible to you?

Once you have chosen a school you are not done. You will need to talk to dining services, the school dietitian and review other school resources in order to ensure that your GF needs are known and met. To help you we have a DVD “Gluten-Free at College” that can be purchased from Amazon. The DVD contains information that is useful for both the student and the dining hall staff.
Click Here to go to Amazon for video.

The Celiac Student’s College Packing List

By Colleen Fennessy

The amount of cooking any college student on a meal plan does is highly variable, and also depends on one’s definition of “cooking”—making ramen every night doesn’t really count. However, with a gluten-free diet and generally terrible dining hall food, cooking for yourself can become really important.

It doesn’t make sense to get enough dishes for a fully stocked kitchen if you live in a dorm, but there are definitely some essentials you should buy. At least one plate, one bowl, and two sets of silverware are necessary, as well as a pot big enough to cook pasta or rice. Along with that pot, you’ll need a strainer and a bigger spoon for stirring the pasta. I found that the collapsible strainers are really great for saving space, and they’re pretty cheap. An electric tea kettle is essential for many things; but especially for coffee and tea. If you’re like me, and eat a lot of quesadillas and eggs, you’ll want a non-stick frying pan and a spatula. I personally don’t eat a lot of rice, but if you do a rice cooker is a worthwhile purchase. If you think you’ll use it, a cheap knife and cutting board can also be worth investing in, but be honest about what you’ll be cooking. Even the savviest of chefs probably won’t be making gourmet meals every night in a dorm kitchen, and buying too many things will just clutter your room.

One of the most useful things you can buy if your dorm kitchen has a toaster is a toaster bag or two. Obviously it’s impossible for someone with celiac to use a communal toaster, but amazon.com sells these amazing toaster bags that you can put your bread into, and then put that into the toaster to avoid cross-contamination. I also found that a cheap cookie tray was something I used a lot; it was great for cooking frozen pizzas and anything else that you wouldn’t want touching the oven rack and getting contaminated.

A lot of colleges have cabinets in the communal kitchens that the RA will tell you to put your cooking implements in for convenience. While this is very convenient, it also means that anyone can use your pots and pans. Of course, they shouldn’t, but that doesn’t mean they won’t. I personally felt much better storing my dishes in a bin in my dorm room, even if that meant carrying them to the kitchen every time I wanted to cook.

Meal plans are a nice part of the college experience—you get to have the freedom of living on your own without the added responsibility of feeding yourself every day. However, even people whose diets aren’t restricted will invariably get sick of dining hall food, and having a few basic pots and pans at your disposal will be very helpful in spicing up your college diet.

Middle School and High School

Middle School and High School is often the time when students become most concerned with assimilation.

For this reason, spending the time to determine what, if any, foods provided in the cafeteria are gluten-free may be very important for your child’s emotional well-being. Eating the “same” foods at lunch as their peers often is especially important to the student with celiac disease. Some students may bring their own lunch from home, however, many middle and high school cafeterias will have an increased selection of foods and snack items and, hopefully, some of these options may be gluten-free.

While the use of food within the classroom may decrease because of fewer parties, it can still be present in the curriculum. The use of food as “rewards” may also continue. Bake sales or other foods for purchase for fund-raising events can exist. Unlike in elementary school, your child may now be hesitant to have a parent approach the teacher or the school. The middle or high school student may decide to handle this issue on their own, or simply bear with it and eat nothing.

Some things a parent can do at this stage:

Exploring options in the cafeteria

Contact the head of food service during the spring prior to your child’s entry into the school and explain the dietary restrictions. Request the opportunity to read the ingredients on food labels and the ingredients used in the cafeteria. Contact the companies yourself to determine the gluten-free status of questionable ingredients. Learn about the preparation techniques of potentially safe items, (i.e. are the French fries baked or fried? If fried, is the oil contaminated? Are the French fries coated with any unsafe seasonings or flavorings?) Read the labels of anything you think your child might consume (a note of caution, some hamburger patties contain oats or other fillers).

School trips

School trips are often a part of the middle/high school curriculum. Start early to research the places the school may take the students to eat on these events. Provide portable foods to supplement your student’s diet, if necessary. If you are lucky, you may be able to encourage the selection of restaurant choices that are able to provide a gluten-free menu selection (however, if they go for pizza, the options will be slim at best). Contact the restaurants yourself and supply the student with the gluten-free options in advance, if possible.

Establish open lines of communication

Although your student may want their independence and feel that you no longer have a role, establish open lines of communication with the teachers and the administration. Gently remind them to avoid singling out your child so that the student will be less embarrassed. Work as a team and don’t forget common courtesy when arrangements are made to accommodate your child’s diet.

For more information download and share
Managing Celiac Disease in Learning Environments.

Managing Celiac Disease in Learning Environments outlines recommendations from a national coalition of educators, health care professionals, food service providers, advocacy groups, and parents/guardians to develop standardized recommendations and training resources to ensure the safety of a child with celiac disease in any learning environment.

Celiac Disease 101: The Basics

By Dascha Weir, MD, Associate Director, The Celiac Disease Program, Boston Children’s Hospital

Celiac disease is a common autoimmune condition involving the small intestine that is triggered by the ingestion of gluten in genetically predisposed individuals.

A healthy small intestine has finger-like projections, called villi, which maximize the ability of the gut to absorb nutrients. When gluten, proteins found in wheat, rye, barley and most oats, are consumed by someone with celiac disease and enter the small intestine, the immune system reacts and causes inflammation and damage in the small intestine. This damage specifically causes blunting or shortening of the villi which leads to malabsorption of nutrients and a range of health issues and symptoms.

It is estimated that celiac disease occurs in approximately 1% of the population, but most people do not know that they have it. Untreated celiac disease is associated with long-term symptoms, nutritional deficiencies, autoimmune disorders, low bone density, infertility and some cancers.

People with autoimmune diseases, such as Type 1 Diabetes or thyroiditis, are at higher risk of developing celiac disease. People with a family member with celiac disease and children with Down Syndrome are also more likely to get celiac disease in their lifetime. Some of the genetic factors predisposing people to celiac disease are understood. Specific human leukocyte antigen (HLA) types, markers found on cells that regulate the body’s immune system, are found in patients with celiac disease. In fact, almost all patients with celiac disease have either HLA type DQ2 or HLA type DQ8. However, these HLA types are commonly found in the general population and only a small percentage of people with these markers ever develop celiac disease. We do not clearly understand yet why some people with genetic predisposition get celiac disease and others do not, but there are clearly other genetic and environmental factors involved.

Celiac disease develops in both children and adults and shows up in varied ways. Many kids with celiac disease have gastrointestinal symptoms such as abdominal pain, bloating, diarrhea or constipation, nausea, vomiting or gassiness, but some have no gastrointestinal symptoms at all. Iron deficiency anemia, joint pains, oral ulcers, fatigue, irritability, dental enamel defects, low bone mineral density, headaches and delayed puberty are also seen. Poor weight gain and short stature can also be signs of celiac disease but many patients with celiac disease have no growth concerns and some are even overweight. These commonly occurring signs and symptoms, however are also caused by a range of conditions, beyond celiac disease. The first step to diagnosing celiac disease is recognizing that it should even be considered as a potential cause of a child’s medical concerns.

The medical evaluation for celiac disease starts with bloodwork. In patients with celiac disease, gluten-triggered immune system activation leads to the formation of specific antibodies or markers in the blood. Tissue transglutaminase IgA (TTG IgA) is the most commonly used blood test to diagnose celiac disease but endomysial IgA and deamidated gliadin peptide IgG are sometimes used as well. One or more of these markers are usually elevated in cases of celiac disease. These tests are very good at detecting celiac disease. However, these tests are not perfectly reliable, especially if a person is already on a gluten-free diet. Celiac disease can sometimes be present without positive celiac markers in the blood and not all people with positive celiac markers have celiac disease.