Presentation on theme: "Bariatric Diet Guidelines: Pre-testing Tricia Mah MS,RD and Aisling Mc Ginty MS, RD. Dietitian/Nutritionist The Center for Bariatric Surgery and Metabolic."— Presentation transcript:
Bariatric Diet Guidelines: Pre-testing Tricia Mah MS,RD and Aisling Mc Ginty MS, RD. Dietitian/Nutritionist The Center for Bariatric Surgery and Metabolic Disease
Topic: Summary Stage 1 Diet: Clear Liquid Diet 4 x 4 Rule Protein Supplement Daily Vitamin & Mineral Supplements Physical Activity
Stage 1 Diet: Clear Liquids Gastric Bypass: 1 week of clear liquids Lap Band: 2 weeks of clear liquids
Flavored Water Options Water Dasani Flavored Water Hint Flavored Water Fruit 2 0 Aquafina Flavor Splash Propel Water Smart Water READ the nutrition label!!! *NO calories (<5-10kcal) *NO sugar *NO carbonation
What to Find on the Hospital Tray Clear Liquid Diet: Tray Contents Water Diet Jell-o Tea (non-caffeinated) Soup/Broth Juice Must dilute 1:1 with water Recommend: Avoid juices once discharged from hospital
Drink 1 oz per hour for the first 4 hours. Remember to sip slowly! = 1 oz Drink 2 oz per hour for the next 4 hrs. =2 oz
4 x 4 Rule Drink 3 oz per hour for the next 4 hrs. = 3 oz Drink 4 oz per hour for the next 4 hrs. = 4 oz
4 x 4 Rule Start with 1 oz/ hr- sipped slowly. Increase in 1 oz increments every 4 hours Goal rate: 4 oz per hour
Fluids Drink 48 to 64 oz each day Avoid sweetened, caffeinated, carbonated beverages Do NOT use a straw STOP drinking if you feel fullness, pain or discomfort
Fluid Journal Record ALL liquids consumed 4 oz EVERY hour for hours per day. Record total ounces per day
Protein Shake Begin the day after you go home from Hospital Minimum protein goal 70grams per day May be mixed with Skim milk, Skim milk plus, 1% milk, Soy milk, Water, Crystal Light.....
Nutrition Facts Serving Size: 1 level scoop (~24g) Amount per Serving Calories 90Calories from Fat 15 % Daily Value * Total Fat 1.5g2% Saturated Fat 1g5% Cholesterol 30mg10% Sodium 80mg3% Potassium 160mg5% Total Carbohydrate 2g1% Dietary Fiber 0g0% Sugars 0g Protein 18.0g37%
Protein Supplement Worksheet Protein Powder Name: Nutrition Label: Serving Size: 1 scoop Protein Grams Designer Whey Protein _____18____
Protein Content: Beverages Beverage Type:Protein Content in 4oz: Skim Milk Plus5.5 grams Skim Milk4.0 grams Soy Milk3.0 grams Lactaid Milk4.0 grams Water0.0 grams Crystal Light0.0 grams X
Protein Supplement Worksheet _______Grams of Protein in Beverage _______Grams of Protein in 1 Scoop _______Grams of Protein in ONE SHAKE!!!!
Protein Supplement Worksheet Circle One: Shakes Needed Per Day to get at least 70 grams of Protein!!
Daily Multivitamin and Mineral Schedule
Daily Vitamin and Mineral Schedule My scheduleTimeSample Schedule Time: Multivitamin7:00am Calcium: 500mg 12:00pm Calcium: 500mg 5:30pm Iron9pm
Daily Vitamin and Mineral Schedule Multivitamin Chewable or Liquid form Calcium Citrate with vitamin D Do NOT take calcium with iron Take 2-4 hours apart! Take 2-4 hours apart! 500mg of calcium at one time.
Multivitamin and Protein Begin your daily vitamin/minerals and protein shake the day AFTER you get home! You will need to take multivitamins for the rest of your LIFE!
MOVE! Immediately following surgery get up and move! Helps get rid of excess gas Decrease potential health risks- pulmonary embolus, blood clots
MOVE! At home: walk inside and outside. This is your responsibility! Record exercise in journal and bring to visits. As tolerated slowly incorporate treadmill, stationary bike, elliptical, chair exercises. Swimming: incorporate once wounds heal.
Summary Only clear liquids are allowed Juices in hospital must be diluted 1:1 with water Do NOT use a straw Avoid caffeinated and carbonated beverages Start off with 1 oz of liquids sipped slowly over 1 hr. Use the 1 oz cups provided. As tolerated, fluids will be gradually increased in 1 oz increments every 4 hrs to a goal rate of 4 oz/hr while awake (4x 4 rule).
Important! Bring to Hospital: Booklet “ Your Guidelines for Food Choices and Nutrition ” Pen or Pencil 4x4 Worksheet (today ’ s handout). Watch or clock Bring to EVERY office visit: Booklet “ Your Guidelines for Food Choices and Nutrition ” Food and Exercise Journal