bariatric diet guidelines: pre-testing tricia mah ms,rd and aisling mc ginty ms, rd....
TRANSCRIPT
![Page 1: Bariatric Diet Guidelines: Pre-testing Tricia Mah MS,RD and Aisling Mc Ginty MS, RD. Dietitian/Nutritionist The Center for Bariatric Surgery and Metabolic](https://reader030.vdocuments.net/reader030/viewer/2022032517/56649c8b5503460f94944d06/html5/thumbnails/1.jpg)
Bariatric Diet Guidelines: Pre-testing
Tricia Mah MS,RD and Aisling Mc Ginty MS, RD. Dietitian/NutritionistThe Center for Bariatric Surgery and Metabolic Disease
![Page 2: Bariatric Diet Guidelines: Pre-testing Tricia Mah MS,RD and Aisling Mc Ginty MS, RD. Dietitian/Nutritionist The Center for Bariatric Surgery and Metabolic](https://reader030.vdocuments.net/reader030/viewer/2022032517/56649c8b5503460f94944d06/html5/thumbnails/2.jpg)
Topic: Summary
Stage 1 Diet: Clear Liquid Diet
4 x 4 Rule
Protein Supplement
Daily Vitamin & Mineral Supplements
Physical Activity
![Page 3: Bariatric Diet Guidelines: Pre-testing Tricia Mah MS,RD and Aisling Mc Ginty MS, RD. Dietitian/Nutritionist The Center for Bariatric Surgery and Metabolic](https://reader030.vdocuments.net/reader030/viewer/2022032517/56649c8b5503460f94944d06/html5/thumbnails/3.jpg)
Stage 1 Diet: Clear Liquids
Gastric Bypass: 1 week of clear liquids
Lap Band: 2 weeks of clear liquids
![Page 4: Bariatric Diet Guidelines: Pre-testing Tricia Mah MS,RD and Aisling Mc Ginty MS, RD. Dietitian/Nutritionist The Center for Bariatric Surgery and Metabolic](https://reader030.vdocuments.net/reader030/viewer/2022032517/56649c8b5503460f94944d06/html5/thumbnails/4.jpg)
Stage 1 Beverages: Clear Liquids
Crystal light® Herbal tea( decaf) Diet Gelatin DIET Twister DIET Snapple ® DIET Ocean Spray
Cranberry Sugar free Kool-Aid Broth/Consommé
Diet V8 Splash ® Country Time Diet
Lemonade ® Wyler’s diet
lemonade
Sugar free ice pops
![Page 5: Bariatric Diet Guidelines: Pre-testing Tricia Mah MS,RD and Aisling Mc Ginty MS, RD. Dietitian/Nutritionist The Center for Bariatric Surgery and Metabolic](https://reader030.vdocuments.net/reader030/viewer/2022032517/56649c8b5503460f94944d06/html5/thumbnails/5.jpg)
Flavored Water Options
Water Dasani Flavored Water Hint Flavored Water Fruit20
Aquafina Flavor Splash Propel Water Smart Water
READ the nutrition label!!!
*NO calories (<5-10kcal)
*NO sugar
*NO carbonation
![Page 6: Bariatric Diet Guidelines: Pre-testing Tricia Mah MS,RD and Aisling Mc Ginty MS, RD. Dietitian/Nutritionist The Center for Bariatric Surgery and Metabolic](https://reader030.vdocuments.net/reader030/viewer/2022032517/56649c8b5503460f94944d06/html5/thumbnails/6.jpg)
What to Find on the Hospital Tray
Clear Liquid Diet: Tray ContentsWaterDiet Jell-oTea (non-caffeinated)Soup/Broth Juice
Must dilute 1:1 with water Recommend: Avoid juices once discharged from hospital
![Page 7: Bariatric Diet Guidelines: Pre-testing Tricia Mah MS,RD and Aisling Mc Ginty MS, RD. Dietitian/Nutritionist The Center for Bariatric Surgery and Metabolic](https://reader030.vdocuments.net/reader030/viewer/2022032517/56649c8b5503460f94944d06/html5/thumbnails/7.jpg)
4x4 Rule
![Page 8: Bariatric Diet Guidelines: Pre-testing Tricia Mah MS,RD and Aisling Mc Ginty MS, RD. Dietitian/Nutritionist The Center for Bariatric Surgery and Metabolic](https://reader030.vdocuments.net/reader030/viewer/2022032517/56649c8b5503460f94944d06/html5/thumbnails/8.jpg)
4 x 4 Rule
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
![Page 9: Bariatric Diet Guidelines: Pre-testing Tricia Mah MS,RD and Aisling Mc Ginty MS, RD. Dietitian/Nutritionist The Center for Bariatric Surgery and Metabolic](https://reader030.vdocuments.net/reader030/viewer/2022032517/56649c8b5503460f94944d06/html5/thumbnails/9.jpg)
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
![Page 10: Bariatric Diet Guidelines: Pre-testing Tricia Mah MS,RD and Aisling Mc Ginty MS, RD. Dietitian/Nutritionist The Center for Bariatric Surgery and Metabolic](https://reader030.vdocuments.net/reader030/viewer/2022032517/56649c8b5503460f94944d06/html5/thumbnails/10.jpg)
4 x 4 Rule
Start with 1 oz/ hr- sipped slowly.
Increase in 1 oz increments every 4 hoursGoal rate: 4 oz per hour
![Page 11: Bariatric Diet Guidelines: Pre-testing Tricia Mah MS,RD and Aisling Mc Ginty MS, RD. Dietitian/Nutritionist The Center for Bariatric Surgery and Metabolic](https://reader030.vdocuments.net/reader030/viewer/2022032517/56649c8b5503460f94944d06/html5/thumbnails/11.jpg)
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
![Page 12: Bariatric Diet Guidelines: Pre-testing Tricia Mah MS,RD and Aisling Mc Ginty MS, RD. Dietitian/Nutritionist The Center for Bariatric Surgery and Metabolic](https://reader030.vdocuments.net/reader030/viewer/2022032517/56649c8b5503460f94944d06/html5/thumbnails/12.jpg)
Fluid Journal
Record ALL liquids consumed
4 oz EVERY hour for 12-16 hours per day.
Record total ounces per day
![Page 13: Bariatric Diet Guidelines: Pre-testing Tricia Mah MS,RD and Aisling Mc Ginty MS, RD. Dietitian/Nutritionist The Center for Bariatric Surgery and Metabolic](https://reader030.vdocuments.net/reader030/viewer/2022032517/56649c8b5503460f94944d06/html5/thumbnails/13.jpg)
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.....
![Page 14: Bariatric Diet Guidelines: Pre-testing Tricia Mah MS,RD and Aisling Mc Ginty MS, RD. Dietitian/Nutritionist The Center for Bariatric Surgery and Metabolic](https://reader030.vdocuments.net/reader030/viewer/2022032517/56649c8b5503460f94944d06/html5/thumbnails/14.jpg)
Nutrition FactsServing Size: 1 level scoop (~24g)
Amount per Serving
Calories 90 Calories from Fat 15
% Daily Value *
Total Fat 1.5g 2%
Saturated Fat 1g 5%
Cholesterol 30mg 10%
Sodium 80mg 3%
Potassium 160mg 5%
Total Carbohydrate 2g 1%
Dietary Fiber 0g 0%
Sugars 0g
Protein 18.0g 37%
![Page 15: Bariatric Diet Guidelines: Pre-testing Tricia Mah MS,RD and Aisling Mc Ginty MS, RD. Dietitian/Nutritionist The Center for Bariatric Surgery and Metabolic](https://reader030.vdocuments.net/reader030/viewer/2022032517/56649c8b5503460f94944d06/html5/thumbnails/15.jpg)
Protein Supplement Worksheet
Protein Powder Name:
Nutrition Label: Serving Size: 1 scoop Protein Grams
Designer Whey Protein
_____18____
![Page 16: Bariatric Diet Guidelines: Pre-testing Tricia Mah MS,RD and Aisling Mc Ginty MS, RD. Dietitian/Nutritionist The Center for Bariatric Surgery and Metabolic](https://reader030.vdocuments.net/reader030/viewer/2022032517/56649c8b5503460f94944d06/html5/thumbnails/16.jpg)
Protein Content: BeveragesBeverage Type: Protein Content in 4oz:
Skim Milk Plus 5.5 grams
Skim Milk 4.0 grams
Soy Milk 3.0 grams
Lactaid Milk 4.0 grams
Water 0.0 grams
Crystal Light 0.0 grams
X
![Page 17: Bariatric Diet Guidelines: Pre-testing Tricia Mah MS,RD and Aisling Mc Ginty MS, RD. Dietitian/Nutritionist The Center for Bariatric Surgery and Metabolic](https://reader030.vdocuments.net/reader030/viewer/2022032517/56649c8b5503460f94944d06/html5/thumbnails/17.jpg)
Protein Supplement Worksheet
_______Grams of Protein in Beverage
_______Grams of Protein in 1 Scoop
_______Grams of Protein in ONE SHAKE!!!!
5.5
18
23.5
+
![Page 18: Bariatric Diet Guidelines: Pre-testing Tricia Mah MS,RD and Aisling Mc Ginty MS, RD. Dietitian/Nutritionist The Center for Bariatric Surgery and Metabolic](https://reader030.vdocuments.net/reader030/viewer/2022032517/56649c8b5503460f94944d06/html5/thumbnails/18.jpg)
Protein Supplement Worksheet
Circle One:
1 2 3 4 5 Shakes Needed Per Day to get at least 70 grams of Protein!!
![Page 19: Bariatric Diet Guidelines: Pre-testing Tricia Mah MS,RD and Aisling Mc Ginty MS, RD. Dietitian/Nutritionist The Center for Bariatric Surgery and Metabolic](https://reader030.vdocuments.net/reader030/viewer/2022032517/56649c8b5503460f94944d06/html5/thumbnails/19.jpg)
Daily Multivitamin and Mineral
Schedule
![Page 20: Bariatric Diet Guidelines: Pre-testing Tricia Mah MS,RD and Aisling Mc Ginty MS, RD. Dietitian/Nutritionist The Center for Bariatric Surgery and Metabolic](https://reader030.vdocuments.net/reader030/viewer/2022032517/56649c8b5503460f94944d06/html5/thumbnails/20.jpg)
Daily Vitamin and Mineral Schedule
My schedule Time Sample Schedule
Time:
Multivitamin 7:00am
Calcium: 500mg
12:00pm
Calcium: 500mg
5:30pm
Iron 9pm
![Page 21: Bariatric Diet Guidelines: Pre-testing Tricia Mah MS,RD and Aisling Mc Ginty MS, RD. Dietitian/Nutritionist The Center for Bariatric Surgery and Metabolic](https://reader030.vdocuments.net/reader030/viewer/2022032517/56649c8b5503460f94944d06/html5/thumbnails/21.jpg)
Daily Vitamin and Mineral Schedule
MultivitaminMultivitamin Chewable or Liquid form Chewable or Liquid form
Calcium CitrateCalcium Citrate with with vitamin Dvitamin D
Do NOT take calcium with iron Do NOT take calcium with iron Take 2-4 hours apart!Take 2-4 hours apart!
500mg of calcium at one time. 500mg of calcium at one time.
![Page 22: Bariatric Diet Guidelines: Pre-testing Tricia Mah MS,RD and Aisling Mc Ginty MS, RD. Dietitian/Nutritionist The Center for Bariatric Surgery and Metabolic](https://reader030.vdocuments.net/reader030/viewer/2022032517/56649c8b5503460f94944d06/html5/thumbnails/22.jpg)
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!
![Page 23: Bariatric Diet Guidelines: Pre-testing Tricia Mah MS,RD and Aisling Mc Ginty MS, RD. Dietitian/Nutritionist The Center for Bariatric Surgery and Metabolic](https://reader030.vdocuments.net/reader030/viewer/2022032517/56649c8b5503460f94944d06/html5/thumbnails/23.jpg)
MOVE!
Immediately following surgery get up and move!
Helps get rid of excess gas
Decrease potential health risks- pulmonary embolus, blood clots
![Page 24: Bariatric Diet Guidelines: Pre-testing Tricia Mah MS,RD and Aisling Mc Ginty MS, RD. Dietitian/Nutritionist The Center for Bariatric Surgery and Metabolic](https://reader030.vdocuments.net/reader030/viewer/2022032517/56649c8b5503460f94944d06/html5/thumbnails/24.jpg)
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.
![Page 25: Bariatric Diet Guidelines: Pre-testing Tricia Mah MS,RD and Aisling Mc Ginty MS, RD. Dietitian/Nutritionist The Center for Bariatric Surgery and Metabolic](https://reader030.vdocuments.net/reader030/viewer/2022032517/56649c8b5503460f94944d06/html5/thumbnails/25.jpg)
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).
![Page 26: Bariatric Diet Guidelines: Pre-testing Tricia Mah MS,RD and Aisling Mc Ginty MS, RD. Dietitian/Nutritionist The Center for Bariatric Surgery and Metabolic](https://reader030.vdocuments.net/reader030/viewer/2022032517/56649c8b5503460f94944d06/html5/thumbnails/26.jpg)
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