Young children in preschool, kindergarten and the first few years of elementary school face particular challenges in the classroom if they have celiac disease or gluten sensitivity.
Even if you pack lunches for your child to keep her gluten-free, she'll still need to deal with messy gluten-eating classmates, frequent gluten-y classroom snacks, multiple birthday celebrations featuring gluten cake or cookies, and craft supplies that can contain gluten.
To help your child cope and ensure a safe environment, you'll need to work closely with the teacher and make sure he or she understands. You'll also need to teach your young child to keep herself safe in the midst of her gluten-eating peers.
Here's a rundown of six specific situations you'll need to monitor and manage for a young celiac/gluten intolerant child in school:
1. Cafeteria Lunches
If you've perused a school cafeteria menu lately, it's probably struck you how much gluten the lunches include. Despite pledges to combat childhood obesity by providing healthier food choices, cheeseburgers, chicken nuggets, grilled cheese sandwiches and pizza dominate the menu.
In this gluten-filled atmosphere, it might be possible to get a gluten-free meal for your child. However, you'd need to work very closely with the school dietitian and the cafeteria staff to make certain ingredient issues and cross contamination risks are addressed.
Sadly, I haven't seen parents have much luck with trying to get gluten-free meals for their children at school. Some parents fight hard and get some accommodation, especially if they have a 504 plan in place to ensure their child is protected and accommodated in school.
However, cafeteria cross contamination is always a huge danger even if the staff is committed to providing a gluten-free lunch. I recommend packing a bag lunch for your child unless you absolutely have no alternative except to use the school cafeteria.
2. Shared Lunches
Some young children like to share parts of their lunches with their friends, and parents often accommodate this by packing enough extra cookies or crackers to go around.
But this carries obvious danger for a child with celiac disease or gluten intolerance — rarely will you find those shared snacks are gluten-free. And even if the food itself would pass as gluten-free (carrot sticks or corn chips, for example), it almost certainly wasn't prepared and packed with cross contamination dangers in mind.
Unfortunately, you need to teach your young child that she cannot share snacks with her friends at school. Remind her how bad she feels when she accidentally consumes gluten, and temper that harsh message with some yummy gluten-free snacks in her own lunch, every day.
Pack some extra snacks for your child's friends, as long as she understands she can't sample any of theirs. You may even find (as I did) that some of her friends prefer her gluten-free treats to their own.
3. Gluten Crumbs
Little children sometimes seem like crumb factories, traveling everywhere with a handful of cookies or pretzels to keep them company. Crumbs often cover their school desks, too, especially in classrooms where snacks are served regularly.
As adults, we know to keep a safe distance and to wash our hands frequently. You'll need to teach your child the same thing when it comes to her gluten-eating friends.
Hand sanitizers won't help, since they don't remove the gluten — they just kill bacteria.
Ideally, your child's classroom should be completely free of gluten foods, but you'll likely have trouble getting that result, especially if the school normally has the children snack at their desks. If your child is particularly sensitive to gluten, this may be another issue to address with school officials in a 504 plan.
4. Play-Doh
Classrooms for very young children — preschool through early elementary school — often feature copious amounts of Play-Doh, or reusable modeling clay.
Sadly, brand-name Play-Doh contains gluten. And even though your child probably won't eat the clay (although some children do), she may still inadvertently consume it if she gets it on her hands and under her fingernails.
Ideally, your child's classroom shouldn't include any gluten-based modeling clay, since it's not reasonable to expect her to use something different than the other children. Fortunately, gluten-free Play-Doh alternatives exist.
Ask your school to sub a gluten-free modeling clay for PlayDoh. If school officials balk, some parents opt to purchase enough for the classroom themselves.
You also need to watch out for gluten in certain art supplies. Cream-based face paint, for example, often contains gluten, and many brands of finger paints aren't safe for the gluten-intolerant.
5. School Projects
Rarely has a school year gone by for us that doesn't include some classroom project involving flour. My daughter's classmates have made paper maché creatures (most recipes use wheat flour) and pies (ditto). The children and teachers also have performed science experiments using flour.
Even though she's not eating the flour-based products of these projects, your celiac child will get sick from the flour in the air while the project proceeds.
You have two choices: work with the teacher to substitute gluten-free materials for these projects, or pull your child from school the day something involving flour is scheduled to take place.
Obviously, it's better to help the teacher make the project safe for everyone, including your child. To do this, you'll need to know about the projects in advance, so keep the lines of communication open. You'll also need to find gluten-free alternatives.
You can make gluten-free paper maché by mixing water with safe glue (Elmer's is gluten-free), and you can substitute gluten-free flour in recipes and projects that involve regular flour.
6. Classroom Treats
Elementary school classrooms these days seem to feature a birthday party almost every week, and of course those parties include gluten-y cupcakes or other snacks.
You can't count on the teacher to warn you before a parent appears with treats (the teacher often has no warning, either). Since there are few things sadder than your child in tears because everyone got a delicious cupcake except for her, you'll need to prepare for these constant parties in advance.
Ask the teacher if you can place some frozen cupcakes or brownies in the school's freezer. If that's possible, make up a large batch to freeze. Then, the teacher simply can grab a cupcake (hopefully giving it time to defrost) anytime there's a party.
If you can't use the freezer, fill a box with your child's favorite gluten-free snacks and deliver it to the teacher. Either way, check in periodically to see if you need to replenish the supply.
