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Editor's E-Note
Staying Slim While Gluten Free

Whether clients or patients were just diagnosed with celiac disease or gluten sensitivity or have been living with it for a while, remember to broach the subject about weight management during counseling sessions. This month's E-News Exclusive discusses the reasons why weight management can be an issue among those following a gluten-free diet and why it's important to counsel clients about it regularly.

After reading the article, visit Today's Dietitian's website at www.TodaysDietitian.com. You'll find the digital edition of the October Conference issue plus the latest news and information you'll find relevant and reliable to daily practice. We welcome your feedback at TDeditor@gvpub.com. Enjoy the e-newsletter and follow Today's Dietitian on Facebook and Twitter.

— Judith Riddle, editor
E-News Exclusive
Weight Gain and the Gluten-Free Diet
Counseling Clients Is Key to Their Success

By Lindsey Getz

When clients and patients begin eating a gluten-free diet because of a celiac disease or gluten-sensitivity diagnosis, chances are they'll begin to gain weight.

According to research by Daniel Leffler, MD, MS, an international authority on celiac disease and assistant professor of medicine at Harvard Medical School, the closer people adhere to a gluten-free diet, the more likely they are to gain weight. This can put added stress on a recent gluten-free foods convert, which is a good reason to begin counseling celiac and gluten-sensitive patients about weight management immediately after their diagnosis and for the long term.

There are several reasons why people who begin eating gluten-free foods gain weight. Better absorption of nutrients and calories is a key reason, says Amy Jones, MS, RD, LD, chief clinical dietitian and celiac support group facilitator at Mary Rutan Hospital in Bellefontaine, Ohio. "Though in the past they haven't been able to absorb well, now they're absorbing more calories," she says. "Plus, if they had diarrhea or decreased intake for so long, it's no doubt that they're going to start eating more when they start feeling better."

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In the November issue

Solutions for the diabesity epidemic

Strategies to reduce sodium
and keep the flavor

Coaching for weight loss

Healthful holiday recipes for renal patients

Older clients and eating disorders
Tech & Tools
Managing IBD
GI Buddy by Crohn's & Colitis Foundation of America is designed to help clients and patients easily and conveniently track important aspects of their inflammatory bowel disease and create comprehensive views of their health to share with their health care team. They can log symptoms, stay on top of treatment, record what they eat, and monitor their overall well-being. Learn more »

Scoring Food for Type 2 Diabetes Management
Thrive365 is a patented food-scoring system designed for people with non–insulin-dependent type 2 diabetes. The program helps users balance food consumption to align with nutritional guidelines without the complexity of calculating carb requirements on a meal-to-meal basis. It also can log blood glucose data and track physical activity. Plus it includes a restaurant finder that has restaurants and their Thrive365 scored menu items. Learn more »
Ask the Expert
Have a dietetics-related question
that you'd like our expert, Toby Amidor,
MS, RD, CDN, to answer? E-mail
TDeditor@gvpub.com or send a tweet to
@tobyamidor, and we may feature your query!
Gift Shop
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Continuing Education
It's the beginning of a new springtime tradition for registered dietitians and others working in the field of nutrition and dietetics.
And we want YOU to be part of it.

The 2014 Today's Dietitian Spring Symposium will feature a diverse and appealing continuing education program, with an engaging keynote speaker, networking events, top-shelf catering, and comfortable accommodations at the newly renovated, Hilton Doubletree-owned Tropicana Hotel and Conference Center on the Las Vegas Strip.

Visit www.todaysdietitian.com/ss14 to learn more
about our speakers, sessions, host hotel, and more.

CPE Monthly
Learn the truth about energy drinks 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 CPEUs!
Other Nutrition News
Talk Therapy in Health Class May Help Teens Lose Weight
Health classes don’t have to focus on just eating right and exercising more, according to a study reported in TIME.

Food Allergies’ Costs Add Up
A USA Today article looks at a study that found that food allergies cost an average of $4,184 per child each year, with $931 coming straight out of parents' pockets.
Field Notes
Obese Teens Who Lose Weight May Develop Eating Disorders

In a recent Pediatrics article, Mayo Clinic researchers discuss their belief that obese teenagers who lose weight are at risk for developing eating disorders such as anorexia nervosa and bulimia nervosa. Eating disorders among these patients also aren't being adequately detected because providers and family members see the weight loss as positive, according to the research.

In the article, the researchers argue that formerly overweight adolescents tend to have more medical complications from eating disorders and that it takes longer to diagnose them than kids who are in a normal weight range. This is problematic because early intervention is the key to a good prognosis, says Leslie Sim, PhD, an eating disorders expert in the Mayo Clinic Children's Center and the lead study author.

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Although not widely known, individuals with a history of overweight or obesity represent a substantial portion of adolescents presenting for eating disorder treatment, Sim says.

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