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Three Celiac Management Habits I Borrowed from 1888, 1924, and 1944

Samuel Gee stood before the Royal College of Physicians in 1888 and described a wasting condition he called the coeliac affection. He noticed it responded to food changes, but he could not name the trigger. I think about his lecture every time I reread an ingredient list for the third time. Gee did the same careful observation in a world with no gluten-free labels, no barcode scanning apps, and no guarantee that a packaged food would not make his patients worse. The history of celiac management is a record of people learning to see cause and effect in their own kitchens. That habit keeps my daughter Kolbie safe today.

When Kolbie was diagnosed with celiac disease in 2020, I did not inherit a manual. I started a simple food and symptom journal with three columns:

  • food and brand
  • time eaten
  • how she felt the next day

After a couple of months, patterns emerged that no single incident could have shown us. That notebook became the first habit, and it came straight from Gee's 1888 paper.

1888: The coeliac affection gets a clear description

Gee wrote that diet was the main treatment for the coeliac affection. He did not know which food component caused the trouble. He observed that some patients improved on milk and oysters, others on bananas. What made his paper unusual for the time was the level of detail. He recorded what each child ate, when symptoms appeared, and what changed when the diet changed. That documentation habit is the foundation of my own management routine.

For Kolbie and me, that means a notebook in the kitchen drawer. We record the food and brand, the time she ate, and how she felt the next day. We track one meal at a time, not a whole day. After a few weeks, we can see which foods repeat on her good days and which ones appear before rough mornings. The notebook does not diagnose anything. It gives us a clearer record to share with her doctor or dietitian.

1924: Bananas and the short ingredient list

Sidney Haas, a New York pediatrician, treated celiac children in the 1920s with a diet built around bananas and other simple foods. The banana diet dominated care for decades and worked for many children even though Haas did not know gluten was the problem. The practical advantage was clear long before the science caught up. The diet removed processed grains and starches and centered on whole foods with short ingredient lists. That principle survives the banana diet itself.

For my family, that means the backbone of Kolbie's meals is whole, single-ingredient food: rice, potatoes, chicken, carrots, apples. Then I add one trusted seasoning or sauce with a label I can read in full. Clean Monday Meals Chicken Ramen Seasoning Mix is one of those. The Clean Monday Meals Clean Ramen Noodles contain one ingredient, organic brown rice flour. The noodles are organic, and the seasoning is clean, not organic. The label states which is which.

Cross-contact is the reason I read labels every time, even on products I have used for years. A manufacturer can change a facility or a shared line without changing the front label. I check the ingredient list and the allergen statement each time I buy, and I keep a running list of companies that answer their phones when I call to ask about shared lines and batch testing. If a product says it was made in a facility that also processes wheat, I call the company or skip it. The site's consumer advisory says individuals with severe food allergies should assess suitability, and I take that seriously.

1944: A bread shortage reveals the trigger

Willem Dicke, a pediatrician in the Netherlands, spent the winter of 1944 to 1945 watching something unexpected. Bread was scarce in the western Netherlands because of the German blockade. Children with celiac disease in his care improved on the scant rations, gaining weight and losing diarrhea. When Allied food drops resumed in May 1945 and bread returned, the same children relapsed within days. Dicke tracked the timing. By 1950, he had published his observations, and within a few years other researchers connected the wheat protein gluten to the intestinal damage.

Dicke's famine observation gave me a method for reintroducing foods. When a food leaves the diet and symptoms improve, and then the food returns and symptoms worsen, you have a signal. In my kitchen, that method means reintroducing one food at a time, waiting several days, and writing down the result. If Kolbie tries a new grain, we add that grain alone to an otherwise unchanged meal plan. We change one variable at a time. That small test gives us clearer information than changing three things at once.

How this shows up on an ordinary weeknight

Kolbie loved ramen, and I could not find a gluten-free ramen that tasted good with clean ingredients. So I made my own seasoning blend and kept it in a mason jar in my spice cabinet. Enough people asked to buy it that the blend and an onion soup mix became our first two products at the Gluten-Free Expo in Utah in October 2022. Every product in our pantry came from a problem we faced at our own table.

On weeknights when Kolbie asks for ramen, I reach for the Clean Monday Meals Clean Ramen Noodles. The noodles contain one ingredient, organic brown rice flour. The seasoning packet lists every spice by name, with no MSG and no seed oils. I add shredded chicken and spinach. She eats every bite. That ordinary meal is the whole system: a food log, one new food at a time, and a pantry built from short ingredient lists.

Celiac management began with people paying attention, long before anyone printed a gluten-free label. That part of the work has not changed, even as labels and apps have made parts of it easier. I am not a clinician, and this is not medical advice. If you have questions about your own diagnosis, talk to your doctor or dietitian.

If you are building your own celiac-safe kitchen, our free Recipe App has hundreds of gluten-free, dairy-free recipes that start with simple ingredients and short labels. If you try a recipe, tag us @cleanmondaymeals. With love, Janae.