The Core Gluten Grains: Wheat, Rye, and Barley
For anyone with celiac disease, eliminating gluten is the cornerstone of treatment. Gluten, found primarily in wheat, rye, and barley, triggers an immune response that damages the small intestine. Even tiny amounts are harmful. For a safe diet, avoid all forms of wheat (including spelt, kamut, durum, semolina, farina, farro, einkorn, emmer, bulgur, couscous, wheat bran, and wheat germ). Rye and triticale must also be avoided as they contain gluten. Barley, malt, malt extract, malt syrup, malt flavoring, and brewer's yeast also contain gluten.
The Critical Issue of Cross-Contamination
Avoiding cross-contamination is a major challenge. Oats are naturally gluten-free but often contaminated during processing. Only certified gluten-free oats are safe. Manufacturing facilities can cause contamination in products labeled "wheat-free". Look for certified gluten-free labels. Shared kitchens can also transfer gluten.
Hidden Sources of Gluten in Processed Foods
Gluten can be in unexpected processed foods, so always read labels. Common sources include sauces, gravies, traditional soy sauce, marinades, spice mixes, soups, broths, some candies, and imitation meats.
Safe Grain Alternatives for a Celiac-Friendly Diet
Many safe gluten-free grains and pseudocereals are available. These include rice (white, brown, wild), quinoa, buckwheat, millet, corn, sorghum, amaranth, teff, and naturally gluten-free flours (almond, coconut, etc.).
Comparison Table: Gluten vs. Gluten-Free Grains
| Gluten-Containing Grains (Unsafe) | Gluten-Free Grains (Safe) | 
|---|---|
| Wheat (all forms, including spelt, durum, kamut, farro) | Rice (all varieties) | 
| Rye | Quinoa | 
| Barley | Buckwheat | 
| Triticale | Millet | 
| Malt, Malt Extract, Malt Vinegar | Corn | 
| Brewer's Yeast | Sorghum | 
| Non-certified Oats (due to cross-contamination) | Certified Gluten-Free Oats | 
Conclusion
Understanding what grains can celiacs not have involves avoiding wheat, rye, and barley, being careful with oats, and checking labels for hidden gluten. Focusing on naturally gluten-free foods and certified options allows celiacs to maintain a healthy diet. Consult a healthcare provider or dietitian for guidance. Resources like the {Link: Celiac Disease Foundation https://celiac.org/} offer more information.