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Editor's e-Note
Challenges of Gluten-Free Living

Did you know that your clients and patients with celiac disease who claim to adhere to a strict gluten-free diet might be unknowingly ingesting gluten that continues to cause gastrointestinal damage?

In this month’s E-News Exclusive, Today’s Dietitian (TD) explores why this may be occurring, reviews the latest research surrounding this issue, and stresses the importance of educating patients so they can make better food choices and live symptom-free lives.

After reading the article, visit TD’s website at www.TodaysDietitian.com to read the digital edition of the May issue, which includes articles on managing diabetes with the Mediterranean diet, women and heart failure, alternative gluten-free flours, and the health benefits of family meals.

Don’t forget to check out RDLounge.com, where you can read and comment on blogs written by RDs for RDs on timely topics. We’re welcoming new guest bloggers, so if you’re interested in writing, please contact me at the e-mail listed below.

It was such a pleasure to see all who attended our 5th Annual Spring Symposium in Austin, Texas. I saw many dietitians with whom I've worked for years and met many for the first time with whom I look forward to working in future issues of TD. You made this year's symposium the best ever, and I look forward to seeing all of you next year in Scottsdale, Arizona.

Please enjoy the E-Newsletter and give us your feedback at TDeditor@gvpub.com, and don’t forget to like us on Facebook and follow us on Twitter.

— Judith Riddle, editor
e-News Exclusive
Is That Gluten-Free Diet Really Gluten-Free?
By Carrie Dennett, MPH, RDN, CD

Dietitians who counsel patients with celiac disease know that adhering to the only known treatment—a gluten-free diet for life—is a difficult, even daunting, proposition. It’s hard enough to say goodbye to obvious sources of gluten—bread, pasta, and other products made from wheat, rye, or barley—but it’s even more challenging to constantly scrutinize food labels to sleuth out “hidden” sources of gluten, such as fillers and thickeners in some prepared foods.

A typical adult without celiac disease consumes 5 to 15 g of gluten per day. Research has found that the likely safe gluten intake level for those with celiac disease is less than 10 mg per day, because that level is unlikely to cause intestinal damage in most patients,1 while recurrence of symptoms has been reported after as few as 50 mg per day. However, a meta-analysis published in February in The American Journal of Clinical Nutrition found that celiac patients are, on average, inadvertently consuming nearly five times that amount: 244 mg/day, based on urine and stool samples.2 That’s easily enough to trigger symptoms and enable intestinal damage to continue.

Inadvertent — or Intentional?
Approximately 20% of patients with celiac disease experience what’s known as nonresponsive or refractory celiac disease. Despite reporting adherence to a gluten-free diet for more than 12 months, they experience persistent signs and symptoms, including ongoing atrophy of the villi—the small, fingerlike projections that line the intestinal walls, greatly increasing the absorptive surface area.3

However, a 2016 study in Journal of Clinical Gastroenterology found that while some “nonresponsive” celiac patients had been incorrectly diagnosed with celiac disease—instead having conditions unrelated to gluten—among nonresponsive patients with confirmed celiac diagnoses, continued exposure to gluten was the main cause of persistent symptoms. These symptoms cleared up in 63% of those patients after further dietary modification.4

Full story »
Field Notes
Med Diet Tied to Better Postmenopausal Bone, Muscle Health

The heart-healthy Mediterranean diet also appears to be good for an older woman’s bones and muscles, according to a new study of postmenopausal women in Brazil. The study results were presented at ENDO 2018, the Endocrine Society’s 100th annual meeting in Chicago.

The researchers reported finding higher bone mass and muscle mass in postmenopausal women who adhered to a Mediterranean diet than in those who did not. The Mediterranean diet has been linked to lower risk of heart disease, diabetes, cancer, and certain other chronic diseases.

Read more »
Continuing Education
Learn about the health benefits of hemp seeds in this month’s issue of Today’s Dietitian. Read the CPE Monthly article, take the 10-question online test at CE.TodaysDietitian.com, and earn two CEUs!

2018 Spring Symposium

We are so thankful to all that contributed to the experience that was the 2018 Spring Symposium. We were proud to connect so many smart, gracious, and fun people in one place and are truly grateful for all of the positive energy everyone gave to each other. Thank you to our attendees for coming to learn and enjoy, our presenters for sharing their expertise and experiences, and our amazing sponsors, without whom we could not have produced this event. We invite you to join us in Scottsdale, Arizona, May 19–22, 2019! Register now at TodaysDietitian.com/ss19.



May CE Special

Need CEUs this month? Let us help by offering you a Buy 2, Get 1 Free special on all self-study courses in our Learning Library throughout the month of May. Get the credits you need by choosing your courses and using coupon code MAYBUY2 at checkout. Offer expires on May 31, 2018, at 11:59 PM EDT. View coupon details »



Live Webinar

Energy for Productivity and Peak Performance
On Thursday, June 21, 2018, from 2-3:30 PM EDT, Dr. Jo®, author of REBOOT, will share the science behind energy for peak performance and offer recommendations for optimal energy management involving strategic shifts in the way we eat, think, move, and sleep to boost energy, focus, and productivity. This lively webinar will include science and guidance on both self-care for the RD and practical applications for their patients and clients! Register Now »

Purchase Dr. Jo’s REBOOT book + 12 CEU Exam for $99.00 and get this webinar for FREE! Use coupon code ENERGYWEBFREE at checkout. Please note: both items must be in your shopping cart in order to apply the coupon.



Recorded Webinars

The Role of Nutrition in Infertility: Evaluating the Research
This 1 CEU webinar by Elizabeth Shaw, MS, RDN, CLT, CPT, is intended to serve as a resource for RDNs who are unfamiliar with reproductive nutrition recommendations and are interested in guiding patients with a nutrition plan that is conducive to conception. Register Now »

Spring Fling: A Journey Through the Seasons — Making the Most Out of the Seasonal Produce and the Complementary Herbs and Spices That Accompany Them
Journey with Shayna Komar, RD, LD, and Chef Nancy Waldeck through the seasons in these 4 unique webinars. Each season they will provide you with recipes, tips, and ideas on how to use seasonal produce with the right herbs and spices. Listen and learn why great chefs and dietitians alike go to the garden to spice up their clients' kitchens!

With the arrival of spring, local produce starts to make its return to market. In this Part 2 of 4, Shayna and Nancy will provide recipes, tips, and ideas for RDs to use to guide their clients in using seasonal produce. In Spring Fling, Shayna and Nancy will highlight:

Arugula • Asparagus • Beets • Bok Choy • Lettuces • Radishes

Register for all 4 parts at a discounted rate of $60 by adding all 4 webinars to your shopping cart and applying coupon code SEASONSMIX at checkout! Please note: this discount applies only to non-CE Club Members.
Gift Shop
From messenger bags and tote bags to apparel and journals, the Today's Dietitian gift shop has the perfect gift for long-time professionals, recent grads, or even the RD-to-be. Check out our secure online shop today or call toll-free 877-809-1659 for easy and fast ordering.
 
In this e-Newsletter
Other News
WHO Issues Call to Action on Trans Fats
The World Health Organization is calling on all countries to rid foods of artificial trans fats over the next five years, banning them if necessary, The New York Times reports.

Ensuring Kids Get Enough to Drink
The Washington Post discusses adequate hydration for infants, toddlers, and children, especially when it comes to drinking water.
RD Lounge Blog
Let’s Talk About Sleep
Pat Baird, MA, RDN, FAND

Lack of sleep is one of the most overlooked health markers that all health care professionals—including dietitians—should address more often. For instance, a dietitian may counsel someone with diabetes or address a group about weight management—both of which can be negatively affected by sleep deprivation.

Whether you’re in clinical practice, academia, public health, or any other area of nutrition, are you talking about sleep? Do you ask your clients about sleep patterns? Do you talk about the importance of healthful sleep patterns? Sleep deprivation is a lifestyle factor that has negative effects on health.

Read more »
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In the June Issue

Navigating the Yogurt Aisle

Diagnosing Food Allergies

Diet and Nutrition for Liver Health

Omega-3 Supplements and Children’s Health

Military RDs on the Front Lines
Featured Jobs
The nation's top employers and recruiters of nutrition professionals advertise in Today's Dietitian magazine and post their job openings on AlliedHealthCareers.com. Check out the most recent opportunities that have been submitted by employers from across the country!

Registered Dietitian
Central Peninsula Hospital, Soldotna, AK
Lead Dietitian
Arrowhead Regional Medical Center, Colton, CA
Find solutions on our ToolKit Page
Tech & Tools
Easy-to-Use Calorie-Reduction Plate
PlateLoss by Dr. Slim is a plate designed to reduce excess fats and oils, and thus calories, from users’ dishes. The plate contains grooves and pinholes that enable grease and oils to drip from the food onto a base plate, where they can then be discarded. It works with any solid foods, including pasta with sauces, grilled food, and food with gravy. It’s available in blue, white, and gray and is dishwasher and microwave safe. Learn more »

CDC Website Introduced for New Parents
The Centers for Disease Control and Prevention (CDC) has launched a website geared toward new parents and grandparents to teach them about infant and toddler nutrition. Topics covered include breast-feeding, hunger and satiety cues in infants and children, formula feeding, mealtime tips, foods for toddlers, and important micronutrients. The CDC also offers links to relevant websites and other helpful resources. Learn more »
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Coming up in our July issue is our Summer Showcase. Email a sales representative to be part of this unique advertising opportunity.

AlliedHealthCareers.com is the premier online resource to recruit nutrition professionals. Post your open positions, view résumés, and showcase your facility's offerings all at AlliedHealthCareers.com!
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