enzymes already being manufactured for human con-
sumption. Fritz Koning of Leiden University Medical
Center in the Netherlands is leading the research. He
stated that if the enzyme proves itself in clinical trials to
eliminate the need for a gluten-free diet, it could be
mass produced at a reasonable cost.
Resources
BOOKS
Case, Shelley.Gluten-Free Diet: A Comprehensive Resource
Guide.Regina, Saskatchewan, Canada: Case Nutrition
Consulting, 2003.
Celiac Sprue Association.The CSA Gluten-Free Product
Listing11th Edition. Omaho, NE: Celiac Sprue Asso-
ciation, 2006.
Children’s Digestive Health and Nutrition Foundation.
Gluten-Free Diet Guide for Families.Flourtown, PA:
Children’s Digestive Health and Nutrition Foundation,
- [www.celiachealth.org/pdf/GlutenFreeDiet
GuideWeb.pdf]
Korn, Danna.Kids with Celiac Disease: A Family Guide to
Raising Happy, Healthy, Gluten-Free Children.
Bethesda, MD: Woodbine House, Inc., 2001.
Hagman, Bette.The Gluten-Free Gourmet Cooks Comfort
Foods: Creating Old Favorites with the New Flours.New
York, NY: Henry Holt and Co., 2004.
Tessmer, Kimberly A.Gluten-Free for a Healthy Life:
Nutritional Advice and Recipes for Those Suffering from
Celiac Disease and Other Gluten-Related Disorders.
Franklin Lakes, NJ: New Page Books, 2003.
Korn, Danna.Living Gluten-Free for Dummies.Hoboken,
NJ: Wiley Publishing, Inc., 2006.
Korn, Danna.Wheat-Free, Worry-Free: The Art of Happy,
Healthy Gluten-Free Living.Carlsbad, CA: Hay House,
Inc., 2002.
Lowell, Jax Peters.The Gluten-Free Bible: The Thoroughly
Indispensable Guide to Negotiating Life without Wheat.
New York, NY: Owl Books, 2005.
ORGANIZATIONS
Celiac Disease Foundation, 13251 Ventura Boulevard, Suite
1, Studio City, CA 91604-1838; Telephone: (818) 990-
2354; Website: [www.celiac.org]
Celiac Sprue Association, P.O. Box 3170, Omaha, NE
68131-0700. Telephone: (877) 272-4272; E-mail: [cel-
[email protected]]; Website: [www.csaceliacs.org]
Gluten Intolerance Group, 31214 124th Avenue SE,
Auburn, WA 98092-3667. Telephone: (253) 883-6655;
Website: [www.gluten.net]
Gluten-Free Living, [glutenfreeliving.com]
The University of Maryland Center for Celiac Research. 20
Penn Street, Room S303B Baltimore, MD 21201.
Clinic: University of Maryland Medical Center 22 S.
Greene Street (N5W40) Baltimore, MD 21201. Tele-
phone: (410) 328-6749 or (800) 492-5538. Website:
[www.celiaccenter.org/]
Judith L. Sims
Glycemic index diets
Definition
Glycemic index diets rank carbohydrates based on
their ability to affect blood glucose (sugar) levels. These
diets generally consider foods high in carbohydrates,
such as bread, sugar, and pasta, as bad and low carbo-
hydrate foods, such as meat, fish, and dairy products,
as good.
Origins
Low-glycemic diets concepts were first developed
in the 1960s and were originally designed for individu-
als with diabetes. At that time, the prevailing medical
attitude was that a diet emphasizing well-balanced
foods while paying special attention to carbohydrates
(carbs) and avoiding carbohydrate-rich foods, helped
to control blood sugar and insulin levels. This came
after a number of medical studies linked eating foods
high in carbohydrates with elevated blood glucose lev-
els in diabetics. In the 1980s, researchers developed the
glycemic index (GI).
Before 1981, carbohydrates were classified as sim-
ple or complex. Simple carbohydrates included fructose
(fruit sugar), sucrose (table sugar), and lactose (milk
sugar). Complex carbohydrates are also composed of
sugars but the sugar molecules are strung together to
form longer and more complex chains. Foods high in
complex carbohydrates include vegetables, whole
grains, and beans. In 1981, researchers David Jenkins
and Thomas Wolever of the University of Toronto
Department of Nutritional Sciences developed the gly-
cemic index (GI) and published a study suggesting that
using the glycemic index of foods was a more accurate
way of classifying carbohydrates than the simple and
complex system.
Since 1981, dozens of low-carb diets and diet books
have come out, using the glycemic index as the primary
guiding principle. Among the more popular glycemic
index-inspired diets are the Sugar Busters Diet, Zone
Diet, Protein Power Diet, Suzanne Somers diet, and
South Beach Diet. In general, these diets are similar.
Their differences are in the zeal that they limit carbohy-
drate intake.
In 1997, epidemiologist and nutritionist Walter
Willett of the Harvard School of Public Health devel-
oped the glycemic load as a more accurate way of rating
carbohydrates compared to the glycemic index. This is
because the glycemic load factors in the amount of a
food eaten which the glycemic index does not. The
glycemic load of a particular food is determined by
Glycemic index diets