teacher information: management of food allergies in the ... · teacher information: management of...
TRANSCRIPT
Kerry Parkhill
Schools’ Dietitian
February 2011
Teacher information:
Management of food
allergies in the classroom
www.neelb.org.uk
Web Site Download
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INTRODUCTION
This booklet has been compiled as an easy reference for teaching staff within the NEELB who have pupils with a food allergy. It can be used as a reference guide when cooking, when using food stuffs in the classroom as part of lessons or as a means of determining if food brought in from outside is free from a particular allergen.
If further clarity is needed or if, after reading this, you are still unsure as to whether a food is suitable you can contact Kerry Parkhill, Schools Dietitian at NEELB on 02894 482334 or email [email protected].
Nut free diet………………………………………………………………. page 2
Milk free diet……………………………………………………………… page 6
Egg free diet ……………………………………………………………... page 8
Gluten free diet………………………………………………………….. page 11
Wheat free diet……………………………………………………………page 18
Diabetic diet……………………………………………………………….. page 26
PKU diet (phenylketonuria)………………………………………. Page 27
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ALLERGY TO NUTS IF A CHILD HAS A NUT ALLERGY, THE TREATMENT IS TOTAL AVOIDANCE OF NUTS. EVEN IF THE ALLERGY IS TO A SPECIFIC NUT, THEY MAY STILL BE SENSITIVE TO OTHER TYPES OF NUTS THEREFORE TO MINIMIZE THE RISK OF A REACTION OCCURRING, THEY ARE ADVISED TO AVOID ALL NUTS.
NUTS TO AVOID
ALMONDS BRAZIL NUT CASHEW NUT COB NUT
COCONUT* FILBERTS HAZEL NUT PEANUT
PECAN NUT PISTACHIO NUT WALNUT MACADAMIA NUT
(QUEENSLAND)
* COCONUT DOES NOT NORMALLY CAUSE EXTREME ALLERGIC REACTIONS. HOWEVER, IT IS BEST
AVOIDED AS FOODS CONTAINING COCONUT ARE OFTEN CONTAMINATED WITH OTHER NUTS E.G. MUESLI, TRAIL MIX, COCONUT TOPPED BUNS, CHOCOLATES.
NUTS: IN A NUT SHELL…
● PEANUT (ARACHIS LYPOGOEA) IS ALSO KNOWN AS CHINESE NUT, EARTH NUT, MONKEY NUT,
GOOBER, GROUNDNUT OR PANDA.
● ROASTING OR COOKING NUTS DOES NOT MAKE THEM SAFE TO EAT
● MANUFACTURERS CAN PROCESS PEANUTS TO APPEAR AND TASTE LIKE OTHER, MORE COSTLY
NUTS E.G. ALMONDS
● TRACES OF NUTS ARE NOT JUST FOUND IN FOOD BUT MAY BE FOUND ON UTENSILS, KITCHEN
SURFACES, HANDS OR CLOTHING THAT HAVE BEEN IN CONTACT WITH NUTS.
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COMMON SOURCES OF NUTS: MIXED NUTS
FLAKED NUTS
GROUND NUTS
NUT BATTERS
NUT PASTE
NUT FLAVOURING
NUT OILS E.G. WALNUT OIL, SOME STIR FRY OILS
MARZIPAN, FRANGIPANE (MOSTLY ALMOND DERIVED)
PRALINE, HAZELNUT COFFEE FLAVOURING
FRUIT AND NUT MIXES
NOUGAT
SATAY SAUCE
BREAKFAST CEREALS CONTAINING NUTS E.G. MUESLI,
CRUNCHY NUT CORNFLAKES
EXAMPLES OF FOODS THAT MAY CONTAIN
HIDDEN NUTS
� BREADS AND BAKERY GOODS: SPECIALTY BREADS E.G. FRUIT AND NUT LOAF, DATE AND WALNUT WHEATEN. LOOSE FRESH BAKED BREADS IN SUPERMARKETS AND HOME BAKERIES.
� PASTRIES: DANISH STYLE PASTRIES, CROISSANTS, MINCE PIES, BAKEWELL TART SAVOURY PASTRIES.
� CAKES AND BUNS: E.G. CARROT CAKE, BATTENBERG, FRANGIPANE, ALMOND SLICES. CHRISTMAS PUDDING. MARZIPAN ICING. MAY HAVE NUT DECORATIONS.
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� BISCUITS: PLAIN AND CHOCOLATE BISCUITS. � CONFECTIONERY: CHOCOLATES, CHOCOLATE BARS, CEREAL BARS � DESSERTS: ICE CREAM, FROZEN DESSERTS, CHOCOLATE ICES..
� VEGETARIAN FOODS: VEGGIE BURGER, VEGETARIAN READY MEALS, NUT ROASTS, VEGETARIAN PATE’.
� COOKING SAUCES IN JARS OR TINS: EG. KORMA SAUCE, CURRIES, SALAD DRESSINGS, CERTAIN PASTA SAUCES. TRY HOMEMADE CURRY OR STIR-FRIES USING NUT FREE INGREDIENTS.
NB: SPICY FOODS CAN MASK ORAL TINGLING / ITCHING SENSATIONS ASSOCIATED WITH
ALLERGIC REACTIONS.
COOKING OILS
AVOID UNREFINED OILS (CRUDE) OR “COLD PRESSED” PEANUT AND NUT OIL.
SOURCES INCLUDE:- GOURMET STIR-FRY OILS, SPECIALTY NUT
OILS, UNSPECIFIED “BLENDED” OIL.
REFINED OILS: RESEARCH HAS CONCLUDED THAT REFINED PEANUT OIL CARRIES LITTLE
RISK.
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FOOD LABELLING:
EUROPEAN ALLERGEN LABELLING REGULATIONS 2005
- PEANUTS AND CERTAIN TREE NUTS MUST BE LISTED IF THEY ARE INGREDIENTS IN A FOOD OR FORM PART OF AN INGREDIENT ADDED TO THE FOOD.
- NUTS, THAT MUST BE LABELLED BY LAW ARE: ALMOND, BRAZIL, CASHEW, HAZELNUT,
MACADAMIA/QUEENSLAND NUT, PECAN AND PISTACHIO NUT.
- THE DIRECTIVE DOES NOT INCLUDE COCONUT, CHESTNUT OR PINE NUTS.
NB: IT ONLY APPLIES TO THE LABELS OF MANUFACTURED FOODS; IT DOES NOT COVER
FANCY CONFECTIONARY, LOOSE GOODS, CATERING PRODUCTS AND PRE-PACKED GOODS FOR
DIRECT SALE (EG SUPERMARKET OWN MEAT, CHEESE ETC).
“MAY CONTAIN” WARNINGS
- “MAY CONTAIN TRACES OF NUTS” OR “MADE IN A FACTORY THAT HANDLES NUTS” , MEAN THAT THE FOOD MAY BE CONTAMINATED WITH NUT PRODUCTS DURING PROCESSING. THERE IS A LEVEL OF RISK WITH EATING THESE FOODS, ESPECIALLY IF THE SUFFERER IS VERY SENSITIVE TO NUTS.
- IF IN DOUBT ABOUT WHAT A PRODUCT CONTAINS; AVOID IT UNTIL YOU CAN CONFIRM IT IS NUT FREE AND SAFE
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MILK FREE DIET
FOR A CHILD ON A MILK FREE DIET, TOTAL AVOIDANCE OF MILK AND MILK PRODUCTS IS RECOMMENDED.
MILK AND MILK CONTAINING PRODUCTS TO AVOID:
MILK BUTTER HYDROLYSED WHEY PROTEIN SKIMMED MILK POWDER MARGARINE HYDROLYSED WHEY SUGAR BUTTERMILK WHEY CASEIN YOGHURT CHEESE CASEINATE CREAM NON-FAT MILK SOLIDS LACTOSE ***FOOD LABELS NEED TO BE CHECKED CAREFULLY, IF THEY CONTAIN ANY
OF THE ABOVE INGREDIENTS THEY SHOULD NOT BE EATEN***.
FOODS NOT ALLOWED ON MILK FREE DIET AND SUITABLE
ALTERNATIVES
FOOD
GROUP
FOODS NOT ALLOWED FOODS ALLOWED
MILK PRODUCTS ANY COW, GOAT, SHEEP/BUFFALO MILK
CONDENSED MILK
EVAPORATED MILK
CREAM
CHEESE, COTTAGE CHEESE, CHEESE SPREAD
YOGHURT, FROMAGE FRAIS
SOYA MILK ( CALCIUM FORTIFIED)
SOYA DRINK
RICE DRINK
OAT DRINK
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COFFEE MATE, MARVEL, BUILD UP
MARGARINES
&
OILS
ALL MARGARINE AND BUTTERS ARE TO BE
AVOIDED EXCEPT FOR THOSE LISTED ON THE
ALLOWED LIST
SOYA MARGARINE E.G. TOMOR, GRANOSE,
‘PURE’ MARGARINE
OILS E.G. SUNFLOWER, OLIVE, RAPESEED, SOYA, CORN, SAFFLOWER
LARD, SUET, VEGETABLE ‘LARDS’
MEAT,FISH
&
POULTRY
SAUSAGES
BEEF BURGERS
FISH FINGERS
TINNED MEAT
FISH IN BATTER/BREAD CRUMBS (UNLESS KNOWN TO BE EGG FREE COATING)
MEAT & FISH PASTES
PATE
PIES, SCOTCH EGGS, OMELETTE
READY - MADE MEALS
FRESH/FROZEN BEEF, LAMB & PORK
FRESH/FROZEN CHICKEN & TURKEY
FRESH/FROZEN LIVER & KIDNEY
COD, PLAICE, TUNA, SALMON
EGGS SCRAMBLED EGG ( IF MILK & BUTTER ADDED) ALL EGGS
SCRAMBLED IS ALLOWED AS LONG AS NO
BUTTER OR MILK ADDED)
FRUIT ALL FRESH/FROZEN/TINNED FRUIT
DRIED FRUIT
VEGETABLES INSTANT MASHED POTATO
POTATO SALADS
VEGETABLE SALADS
ALL FRESH/FROZEN/TINNED VEG
DRIED & TINNED PULSES E.G. LENTILS, HARICOT BEANS, BAKED BEANS (CHECK LABEL)
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COLESLAW
POTATO MASHED WITH MILK/BUTTER
FROZEN/TINNED VEG IN SAUCE
BREAKFAST
CEREALS
MUESLI
SPECIAL K
COCO POPS & OTHER CHOCOLATE FLAVOURED CEREALS
WEETABIX
CORNFLAKES
SHREDDIES
RICE KRISPIES
PUFFED WHEAT
READY BREK
CEREALS WHEAT
RYE
OATS
BARLEY
SEMOLINA, SAGO
CUSTARD POWDER, ARROWROOT, CORNFLOUR
BREAD MILK BREAD
PANCAKES
SCONES
WHEATEN & SODA BREAD
DOUGHNUTS
CHELSEA BUNS
CROISSANTS
NAAN, PARATHA BREAD
WHITE BREAD
BROWN BREAD
WHOLEMEAL BREAD
BISCUITS CAKES AND BISCUITS CONTAINING NUTS
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PASTA TINNED SPAGHETTI (MAY CONTAIN MILK)
NOODLES IN SAUCE
POT NOODLES
DRIED PASTA E.G. SPAGHETTI, MACARONI
PUDDINGS TINNED MILK PUDDINGS
MOST BOUGHT DESSERTS
INSTANT CUSTARD
INSTANT WHIP
ICE CREAM
MERINGUES
TRIFLE
FRUIT FOOLS
FRUIT/CHOCOLATE MOUSSE
SOYA YOGHURTS
SOYA ICE CREAM
SOYA DESSERTS
MILK PUDDINGS MADE WITH SUITABLE MILK
SUBSTITUTE
JELLY
SPREADS CHOCOLATE SPREAD
LEMON CURD
JAM
MARMALADE
MARMITE
BOVRIL
SWEETS &
CRISPS
CHOCOLATE (MILK AND PLAIN)
FUDGE
TOFFEE
FLAVOURED CRISPS & SNACKS
BOILED & JELLY SWEETS
PASTILLES
LOLLIES
PLAIN CRISPS
DRINKS MILKSHAKES
HORLICKS
OVALTINE
BOURNVITA
MILKSHAKE POWDER
FRUIT JUICE
SQUASH
FIZZY DRINKS
BLACK TEA & COFFEE
MISCELLANEOU TINNED & PACKET SOUPS SALT/PEPPER/HERBS/SPICES
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S TINNED & PACKET SAUCES
MAYONNAISE
GRAVY MIXES
MONOSODIUM GLUTAMATE WITH LACTOSE
ESSENCES/COCOA POWDER
VINEGAR/PICKLES
SALAD CREAM/MAYONNAISE (CHECK LABEL)
NUTS
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EGG FREE DIET
IF A CHILD CANNOT TOLERATE THE PROTEINS FOUND IN EGG, IT IS IMPORTANT TO EXCLUDE ALL SOURCES OF EGG FROM THEIR DIET.
EGG HAS MANY USEFUL PROPERTIES AND AS SUCH, IT IS ADDED TO MANUFACTURED FOODS IN ALL SORTS OF HIDDEN FORMS OF EGG AND EGG DERIVATIVES THEREFORE CARE MUST BE TAKEN WHEN
READING FOOD LABELS.
FORMS OF EGGS AND EGG DERIVATIVES
READ THE INGREDIENTS LABELS OF ALL MANUFACTURED PRODUCTS BEFORE USING THEM. LOOK OUT FOR THE FOLLOWING:
EGG WHITE
EGG YOLK
DRIED / POWDERED EGG
EGG PROTEIN
TECHNICAL NAMES OF EGG PROTEINS ARE RARELY USED BUT INCLUDE :-
● OVALALBUMIN
● OVOMUCOID
● LIVELIN
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● VITELLIN
● OVOGLOBULIN
ALWAYS ASK THE MANUFACTURER FOR DETAILS IF LABELLING HAS VAGUE TERMS E.G.
“LECITHIN” –E22, IS USUALLY PLANT DERIVED BUT MAY BE EGG LECITHIN
“EMULSIFIER”
“BINDER”
“CLARIFYING AGENT”
FOOD LABELLING
EUROPEAN ALLERGEN LABELLING REGULATIONS 2005
• EGG IS ONE OF 12 MAJOR FOOD ALLERGENS THAT MUST BE LABELLED IF IT IS AN INGREDIENT OR FORMS PART OF AN INGREDIENT ADDED TO MANUFACTURED, PRE-PACKED FOODS.
• HOWEVER, THIS DOES NOT APPLY TO LOOSE FOODS, SHRINK WRAPPED, DELICATESSEN FOODS OR CATERING PRODUCTS THAT MAY NOT BE FULLY LABELLED.
• CONTACT THE MANUFACTURER AND ASK FOR A LIST OF THEIR EGG FREE PRODUCTS.
• ALWAYS CHECK THE INGREDIENTS. IF IN DOUBT ABOUT A FOOD, AVOID IT UNTIL YOU CAN CONFIRM IT IS EGG FREE AND SAFE.
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EXAMPLES OF FOODS THAT MAY CONTAIN EGG.
MAYONNAISE, AND DIPS MADE FROM MAYONNAISE
SALAD CREAM
HOLLANDAISE SAUCE,
CAKES, TRIFLE SPONGES, BUNS
PASTRY
SHINY GLAZE ON BAKERY FOODS E.G. SCONE, SAUSAGE ROLL, PASTRY, BREAD ROLLS
ROYAL ICING , FONDANT ICING, FONDANT SWEETS
MERINGUE
LEMON CURD
BATTERED FOODS
PANCAKES, CREPE, SOUFFLÉ
FRENCH TOAST
FRESH PASTA
NOODLES
POWDERED MALT DRINKS, E.G. OVALTINE
READY MEALS
FROZEN DESSERTS E.G. SORBET, ICE CREAM, GATEAUX, LEMON MERINGUE PIE
SOME CHEWS / JELLY SWEETS
QUORN
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FOODS NOT ALLOWED ON EGG FREE DIET AND
SUITABLE ALTERNATIVES
FOOD
FOODS NOT ALLOWED FOODS ALLOWED
EGGS
ANY OBVIOUS FORM OF EGG INCLUDING
SCOTCH EGGS, EGG MAYONNAISE SANDWICH FILLING, BOILED EGG, RAW
EGG ETC
EGG SUBSTITUTES:
E.G. ORGRAN NO EGG
ALLERGY CARE EGG REPLACER
MILK
&
DAIRY
ICE CREAM
EGG CUSTARD
FRESH MOUSSE
SOUFFLE
CUSTARD TARTS
FRESH CREAM PASTRIES
ALL OTHER DAIRY PRODUCTS E.G. MILK, CHEESE, CREAM, YOGHURT ETC
FATS & OILS BUTTER/MARGARINE/COOKING OILS/SUET
MEAT
&
POULTRY
PROCESSED MEATS EG: SAUSAGES
BURGERS
GOUJONS
NUGGETS
ANY CHICKEN/TURKEY/MEAT IN CRUMBS OR BATTER E.G. RISSOLES
FRESH BEEF, PORK AND LAMB
FRESH CHICKEN, TURKEY, LAMB
SMOKED/FROZEN MEAT ETC
FISH FISH IN BATTER/CRUMBS/PASTRY
FISH FINGERS
FISH IN SAUCE (CHECK LABEL)
FRESH/FROZEN/SMOKED FISH
TINNED FISH IN BRINE/ OIL/TOMATO SAUCE
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VEGETABLES VEGETABLE SALAD
POTATO SALAD
COLESLAW
ANY VEG WITH SALAD CREAM/MAYO
ALL PLAIN FRESH/FROZEN /TINNED VEG EG CARROTS, BROCCOLI, MUSHROOM. MIXED VEG ETC
PLAIN POTATOES
FRUIT FRUIT IN PASTRY E.G. FRUIT TART/PIE
FRUIT TRIFLE
FRUIT IN BATTER (E.G. FRITTERS)
FRUIT FOOL/SOUFFLE
FRUIT MOUSSE
ALL PLAIN, FRESH. FROZEN, TINNED OR DRIED FRUIT
CEREALS FRESH EGG PASTA
EGG FRIED RICE
EGG NOODLES
DRIED PASTA
WHEAT/RYE/OATS/RICE
RICE NOODLES
SEMOLINA/BARLEY
CORNFLOUR/WHEATFLOUR
RICE CAKES
BREAD
&
FLOUR
BAKERY/DELI BREADS & PASTRY (AS THESE OFTEN CONTAIN EGG/EGG GLAZE)
PANCAKES
SCONES
MALT BREAD/FRUIT LOAF
STUFFING MIXES
BREAD MIXES
WHEAT FREE BREAD
FRENCH TOAST
WRAPPED/SUPERMARKET BREAD E.G. WHITE/BROWN/WHOLEMEAL
SODA / WHEATEN / POTATO BREAD (ONLY IF KNOWN TO BE EGG FREE: CHECK LABEL)
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SANDWICHES CONTAINING EGG
PASTRY CONTAINING EGG
BISCUITS
&
CAKES
&
DESSERTS
BISCUITS/CAKES/SPONGE
PROFITEROLES
MERINGUE/LEMON MERINGUE
MOUSSE
SWISS ROLL
HOMEMADE AS LONG AS NO EGGS HAVE
BEEN ADDED
SPREADS
&
CONFECTIONARY
ROYAL/FONDANT ICING
LEMON CURD
CREAM/NOUGAT FILLED CHOCOLATE
(CHECK ALL OTHER CHOCOLATE)
CHECK FOAM/JELLY SWEETS ETC
SUGAR
JAM/MARMALADE
SYRUP/HONEY/TREACLE
ICE LOLLIES
MOST BOILED SWEETS
BEVERAGES EGG NOGG FRUIT JUICE
SQUASH
FIZZY DRINKS
WATER
MISCELLANEOUS CHECK ALL SAUCES, SALAD CREAMS, DRESSINGS
PRETZELS
GELATINE
COCOA POWDER
BOVRIL, MARMITE
STOCK CUBES
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EGG REPLACERS
• ALLERGY CARE VEGAN WHOLE EGG REPLACER (LIFESTYLE HEALTHCARE) • ORGRAN “NO EGG” EGG REPLACER (COMMUNITY FOODS) • ENER-G EGG REPLACER (GENERAL DIETARY LTD.) MAIL ORDER ONLY.
EGG FREE BAKING
YOU CAN BAKE SUCCESSFULLY WITHOUT BUYING SPECIAL EGG REPLACERS.
FOR EACH EGG IN THE RECIPE; SUBSTITUTE :-
1½ TABLESPOONS WATER, 1½ TABLESPOONS OIL, 1 TEASPOON OF BAKING POWDER.
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GLUTEN FREE DIET
COELIAC DISEASE IS A SENSITIVITY TO GLUTEN AND CHILDREN WITH COELIAC DISEASE MUST
FOLLOW A LIFELONG GLUTEN FREE DIET.
WHAT IS GLUTEN? GLUTEN IS A PROTEIN FOUND IN WHEAT, RYE, BARLEY AND OATS. IT IS NOT PRESENT IN ANY OTHER CEREAL
WHICH FOODS CONTAIN GLUTEN? ANY FOOD MADE WITH WHEAT, RYE, OATS OR BARLEY, OR WITH THE FLOUR FROM THESE CEREALS CONTAIN GLUTEN. EVEN SMALL AMOUNTS OF GLUTEN CAN BE HARMFUL, SO FOODS WITH FLOUR OR BREADCRUMB COATINGS MUST ALSO BE AVOIDED.
WHAT SHOULD YOU LOOK FOR IN FOOD LABELS? AVOID ANY MANUFACTURED FOOD LISTING ANY OF THE FOLLOWING INGREDIENTS: ● BARLEY OR BARLEY FLOUR
● BREAD
● BREAD CRUMBS
● CEREAL BINDER
● CEREAL PROTEIN
● MODIFIED STARCH
● NOODLES
● OATS OR OATMEAL
● RYE OR RYE FLOUR
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● RUSK
● SEMOLINA
● VEGETABLE PROTEIN
● WHEAT OR WHEAT FLOUR
● UNSPECIFIED STARCH UNLESS GLUTEN FREE
CONTAMINATION WITH OTHER FOODS
IT IS VERY IMPORTANT TO REDUCE THE RISK OF CONTAMINATION OF GLUTEN FREE FOODS WITH
OTHER GLUTEN CONTAINING FOODS. THIS IS SIGNIFICANT PROBLEM AS ONLY A VERY SMALL AMOUNT OF GLUTEN IS REQUIRED TO CAUSE A SEVERE REACTION IN SOMEONE WHO SUFFERS
FROM COELIAC DISEASE.
PLEASE NOTE THE FOLLOWING RECOMMENDATIONS:-
* USE SEPARATE BUTTER/MARGARINE TUBS, JAMS ETC (DO NOT ALLOW BREAD CRUMBS
FROM OTHER BREADS UNTO THE GLUTEN FREE PRODUCTS)
* USE SEPARATE BREAD BOARDS, KNIVES ETC WHEN PREPARING GLUTEN FREE FOOD. TO
MAKE THIS LESS TEDIOUS, PREPARE THE GLUTEN FREE FOOD FIRST AND COVER UNTIL
READY FOR DISPENSING.
* USE A SEPARATE TOASTER, GRILL BREAD MACHINE OR TOASTER BAGS FOR GLUTEN FREE
USE ONLY.
* AVOID FRYING GLUTEN FREE FOODS IN OIL THAT HAS BEEN USED TO FRY OTHER FOODS
THAT MAY CONTAIN GLUTEN.
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FOODS NOT ALLOWED ON GLUTEN FREE DIET
AND SUITABLE ALTERNATIVES
FOOD FOODS NOT ALLOWED FOODS ALLOWED
BREAKFAST
CEREALS
ALL BRAN, BRAN FLAKES, BRAN BUDS
MUESLI, PORRIDGE, WEETOS, READY BREK
PUFFED WHEAT, SHREDDED WHEAT,
CORNFLAKES, FROSTIES, ALPEN, SHREDDIES
SPECIAL K, RAISIN SPLITZ
RICE KRISPIES
RICICLES
COCO POPS
RICE BRAN
CEREALS
&
FLOURS
BARLEY
PEARL BARLEY
OATS
OATMEAL
RYE FLOUR
WHEATGERM
WHEATFLOUR
ARROWROOT
BUCKWHEAT
CORNFLOUR
GLUTEN FREE FLOUR
GRAM FLOUR
MAIZE, MILLET
POTATO FLOUR (FARINA)
RICE FLOUR
TAPIOCA, SAGO
SOYA FLOUR
PASTA
&
RICE
MACARONI, RAVIOLI, SPAGHETTI, TAGLIATELLE, ANY PASTA
NOODLES
RICE
DAIRY
PRODUCTS
*CHEESE SPREADS, CHEESE SAUCE
ROQUEFORT CHEESE
*DESSERT MIXES
MILK (FRESH, DRIED, EVAPORATED, TINNED & CONDENSED)
ALL HARD CHEESE EXCEPT ROQUEFORT
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*FLAVOURED COTTAGE CHEESE
*ICE CREAM *MOUSSE
*YOGHURT
*TINNED MILK PUDDINGS
PLAIN COTTAGE CHEESE
CREAM, CURD
FROMAGE FRAIS
EGGS
FATS
&
OILS
* PACKET SUET BUTTER
LOW FAT SPREADS & MARGARINE
GHEE
LARD
COOKING OIL
VEGETABLE OIL
MEAT BEEFBURGERS, SAUSAGES
MEAT PIES & MEAT PIE FILLINGS
MEAT PASTES, PATE
SAUSAGE ROLLS
*TINNED MEATS
FRESH/FROZEN BEEF. CHICKEN, LAMB. PORK. TURKEY, HAM, BACON,
OFFAL
FISH FISHCAKES
FISH FINGERS
FISH IN BATTER, SAUCE OR BREADCRUMBS
*FISH PASTE
SARDINE/PILCHARDS IN TOMATO SAUCE
FRESH/FROZEN, CANNED IN OIL OR BRINE, SHELLFISH
VEGETABLES BAKED BEANS
*FLAVOURED CRISPS/SNACK PRODUCTS
*FROZEN POTATO WAFFLES
*MUSHY PEAS
*TINNED VEGETABLES IN SAUCE
FRESH/FROZEN VEGETABLES
TINNED VEG IN WATER OR BRINE
GREEN/YELLOW/RED PEPPERS
POTATOES: BOILED/MASHED/JACKET
CHIPS
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PLAIN POTATO CRISPS
DRIED BEANS & LENTILS
FRUIT FRUIT CRUMBLE
FRUIT PIES
*TINNED PIE FILLINGS
FRESH/FROZEN/TINNED FRUIT
DRIED FRUIT
FRUIT JUICE
PRESERVES
SPREADS
&
SUGARS
*BEEF EXTRACTS
*CHOCOLATE
*LEMON CURD
* MINCE MEAT
*PEANUT BUTTER
*SWEETS
* YEAST EXTRACTS
GLUCOSE
HONEY
JAM
JELLY
MARMALADE
MOLASSES
SUGAR
SYRUP
TREACLE
SOUP
SAUCES
&
GRAVY
*CURRY SAUCE
* GRAVY BROWNING
*GRAVY MIXES/CUBES
*MEAT EXTRACTS
*PACKET SAUCE MIXES
*STOCK CUBES
*TINNED/PACKET SOUPS
CORNFLOUR
HOMEMADE SOUP AND SAUCE
(THICKENED WITH GLUTEN FREE
FLOUR/CORNFLOUR)
GRAVY MADE FROM MEAT JUICES
/VEGETABLE STOCK
MISCELLANEOUS *BAKING POWDER
*BOTTLED SAUCES
CHUTNEY
*CURRY POWDER
BICARBONATE OF SODA
CLEAR PICKLES
CREAM OF TARTAR
FRESHLY GROUND BLACK PEPPER
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*CUSTARD POWDER
*DRY ROASTED NUTS
MALT VINEGAR
* MIXED SPICES
*MUSTARD
* PICKLES
STUFFING MIX
WHITE PEPPER
FOOD COLOURING
GLUTAMATE
HERBS
MINT JELLY
MINT SAUCE
PLAIN/ROASTED NUTS
PURE SPICES
SALT
TARTARIC ACID
VANILLA AND ALMOND FLAVOURING
VINEGAR
YEAST
ANY FOODS LABELLED WITH * CAN BE CHECKED IN THE ‘GLUTEN FREE MANUFACTURED PRODUCTS BOOKLET’ – YOU CAN OBTAIN A BOOKLET BY CONTACTING COELIAC UK.
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WHEAT FREE DIET
IN A WHEAT-FREE DIET ALL WHEAT PRODUCTS SUCH AS ORDINARY BREAD, E.G. WHEATEN, WHOLEMEAL, WHITE, SODA, TEA BREADS, ROLLS, BUNS, CAKES, BISCUITS, ETC. MUST NOT BE EATEN.
ORDINARY BRAN, SEMOLINA, FAROLA AND PASTA, E.G. SPAGHETTI, MACARONI, LASAGNE, ETC. ARE NOT SUITABLE. MANY TINNED AND PACKET FOODS ALSO CONTAIN WHEAT.
NATURALLY WHEAT FREE FOODS
MILK FRESH, TINNED, POWDERED, BUTTERMILK, SOYA MILK, U.H.T. SKIMMED MILK, ETC., YOGHURT, EXCEPT THOSE CONTAINING MUESLI.
MEAT ALL VARIETIES, FRESH OR FROZEN, E.G. LIVER, KIDNEY, ALL MEATS. POULTRY CHICKEN, TURKEY, GAME - FRESH OR FROZEN. EGGS EGGS CHEESE AVOID ONLY SPREADS AND PASTES. FATS BUTTER, MARGARINE, OIL, CREAM. VEGETABLES ALL VARIETIES - FRESH OR FROZEN, INCLUDING POTATOES AND CHIPS
IF NOT PRE PACKED. FRUIT ALL FRESH, TINNED OR COOKED FRUIT. CEREALS SAGO, RICE, TAPIOCA, GROUND RICE, BARLEY AND OATS. FLOURS CORNFLOUR, SOYA FLOUR, ARROWROOT (SEE WHEAT-FREE PRODUCTS
LIST) SUGARS SUGAR, JAM, HONEY, MARMALADE, SYRUP, TREACLE, PLAIN BOILED
SWEETS, PLAIN CHOCOLATE, FRUIT GUMS. BEVERAGES TEA, COFFEE, COCOA, MINERALS, FRUIT JUICES AND SQUASHES. MISCELLANEOUS HERBS, PURE SPICES, SALT, PEPPER, VINEGAR, MARMITE, PURE CURRY
POWDER
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FOODS CONTAINING THE FOLLOWING INGREDIENTS MUST
BE AVOIDED
WHEAT FLOUR WHEAT STARCH WHEATGERM WHEATGERM OIL WHEAT GLUTEN WHEAT THICKENER
WHOLEWHEAT WHEAT PROTEIN BRAN RUSK BREAD BREADCRUMBS
CEREAL BINDER RAISING AGENT, UNLESS SPECIFIED WHEAT FREE HYDROLYSED VEGETABLE PROTEIN OF WHEAT SOURCE
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DIABETIC DIET
THE DIET FOR CHILDREN WITH DIABETES IS A HEALTHY DIET FOLLOWING GENERAL HEALTHY
EATING GUIDELINES INCLUDING:
� EATING REGULAR MEALS
� NO SKIPPING MEALS
� STARCHY CARBOHYDRATES WITH ALL MEALS (EG POTATOES/BREAD/RICE/PASTA)
� CHOOSING FEWER SUGARY FOODS
IF A DIABETIC CHILD IS HAVING SCHOOL MEALS THE MAIN POINTS ARE:
1. STARCHY CARBOHYDRATES WITH ALL MEALS: THEY SHOULD MAKE UP NO LESS THAN 50% OF THE MAIN MEAL
2. AN IDEAL DESSERT IS FRUIT OR A DIET YOGHURT 3. AVOIDANCE OF SUGARY FOODS (SEE TABLE BELOW)
HIGH SUGAR FOODS LOWER SUGAR/SUGAR FREE ALTERNATIVES
SUGAR, GLUCOSE, DEXTROSE, SUCROSE ARTIFICIAL SWEETNERS (TABLETS, GRANULES OR LIQUID) E.G. CANDEREL, HERMESETA, SPLENDA
SHORTBREAD, CAKES, CHOCOLATE CRACKNEL PLAIN BISCUITS EG WHOLEMEAL AND BRAN BISCUITS, RICH TEA, SCONES, PANCAKES, CRISPBREADS, CRUMPETS. OATCAKES, RICE CAKES
TINNED FRUIT IN SYRUP TINNED FRUIT IN NATURAL JUICE/WATER
SWEET PUDDINGS EG TARTS, PIES, TRIFLE, SPONGE PUDDINGS
LOW SUGAR/SUGAR FREE INSTANT WHIP/JELLY, HOMEMADE PUDDINGS E.G. CUSTARD MADE WITH
SWEETENERS
FRUIT YOGHURTS EG FRUIT CORNERS/ THICK AND CREAMY, FROMAGE FRAIS
DIET YOGHURTS OR YOGHURTS SWEETENED WITH
ARTIFICIAL SWEETENER E.G. MULLER LIGHT, MULLER RICE
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LIGHT, SHAPE, SKI DIET ETC
JAM, MARMALADE, HONEY, LEMON CURD, SYRUP, TREACLE
THIN SCRAPING OF ORDINARY JAMS ETC OR REDUCED
VARIETIES
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PHENYLKETONURIA
Phenylketonuria (PKU) is an inherited metabolic disorder which prevents the normal breakdown of protein foods.
Phenylalanine is found in many proteins, so protein-rich foods such as meat must be avoided and replaced with 'safe' proteins, usually in the form of specially formulated substitutes..
If a pupil has PKU, a dietician will liaise with the school directly to discuss the specific dietary requirements of that child.