edited by Elisa Magnanelli M.D.
Broadly speaking, the treatment of gluten-related disorders consists in the elimination of gluten-containing cereals from diet. Wheat, barley and rye proteins are completely eliminated eating a Gluten-Free Diet (GFD). For patients suffering from Celiac disease and other gluten-related disorders a wide range of tasty food choices is available, i.e. wheat replacement gluten-free products. Their label, the Barred Ear of Wheat mark, is internationally recognised.
Celiac patients just do not need a lifelong treatment: this treatment
should also be extremely accurate, due to the fact that even trace amount of gluten
will damage small intestine mucosa. On the other hand, the natural history of the other
gluten-related disorders, in particular Gluten Sensitivity,
still remains unclear. Further studies are required as soon as possible, clarifying
whether the spectrum of toxic cereals, the threshold of tolerated gluten levels
and the duration disease are the same both for Wheat Allergy
and Gluten Sensitivity or
Celiac disease or not.
Over the years, GFD experimentations have been carried out on schizophrenic patients and people suffering from multiple sclerosis, ASD and dementia, making just some examples. The actual effectiveness of this kind of diet regarding these pathologies is still subject matter for discussion, because it is often difficult to eliminate placebo effect from dietary treatment. The term “allergy” is currently all the rage and a lot of people are likely to start eating a GFD without real medical reasons. In such cases, the formerly described diagnostic algorithm will ease the selection of patients who really need a GDF treatment.
|Nutrition and Gluten||Medicines and Gluten|