Program for Weight Management

** This diet is intended for diabetic preoperative weight loss surgery patients at Brigham and Women's Hospital / Faulkner Hospital only.  This diet does not replace the medical or dietary advice given by the physician or dietitian.  It is essential that you follow up with your physician and registered dietitian on a regular basis

BRIGHAM AND WOMEN'S HOSPITAL / FAULKNER HOSPITAL

PREOPERATIVE DIETARY GUIDELINES

FOR DIABETICS^©

The recommended preoperative food plan will consist of a prescribed amount of a high protein drink, some carbohydrate plus one meal. For people who use medication to treat diabetes it is important to keep the carbohydrate intake consistent to help prevent low blood sugar (hypoglycemia). Since you will be reducing calories, please review this diet with your primary care physician or endocrinologist to prevent wide swings in blood sugar.  Be sure to weigh and measure all foods.  Record daily protein drink intake, vitamin intake, foods eaten, fluid intake, and exercise on a food record.  When recording foods, include portion size, method of preparation and calories.  Begin preoperative diet 2 weeks before y our surgery.

PLAN:          3 high protein drinks per day (containing between 20-40 gm of carbohydrate)

CALORIES:    Approximately 1200 calories per day     _________ Calories

PROTEIN DRINK TYPES:   

• HMR 70+: (13g of carbohydrate)
• Glucerna Weight Loss Shake: (39g carbohydrate)
• EAS Advantage/Myoplex (21g carbohydrate)

EXAMPLES OF 15 GRAMS OF CARBOHYDRATE:

Fruit

• 1 med. fruit (apple, pear, etc)
• ¾ cup of blueberries
• 1 c cubed melon
• ½ banana

Starch

• ½ cup mashed or sweet potato
• ½ cup corn, peas, dried beans
• 4-6 whole grain crackers
• 1 slice whole wheat bread
• ½ cup cooked cereal
• 1/3 cup cooked brown rice

Milk/Dairy

• 1cup 1% or skim milk
• 1cup light yogurt

MEAL: 

• Water
• Diet Snapple
• Crystal Light
• Fruit₂0
• Propel
• Any other artificially sweetened beverage (NutraSweet, Sweet & Low, and Splenda are acceptable)

PROTEIN DRINK/MEAL TIMES:  Be sure to drink a protein drink every 3-4 hours

o Time _______         o Time _______         o Time _______         (o Time _______)

SAMPLE DAY: Freshly Prepared Meal

• Breakfast:                    8 oz Glucerna (39g Carbohydrate)
• Lunch:                         8 oz No Sugar added CIB plus ½ banana (20+15 = 35g Carbohydrate)
• Mid Afternoon Snack:  8oz EAS Advantage/Myoplex plus 4-6 whole grain crackers (21+15 = 36)
• Dinner:                       
  • 4 oz baked chicken - no skin (4Meat)
  • ½ cup sweet potato (1 Starch)
  • ½ cup cooked broccoli (1 Vegetable)
  • Lettuce with one cup raw vegetables (1 Vegetable)
  • 1 TBS salad dressing (1 Fat)
  • 4 oz non-fat yogurt  (1/2 Milk)
  • 1 peach (1 Fruit)

SAMPLE DAY: Frozen Dinner

• Breakfast:                    8 oz Glucerna (39g Carbohydrate)
• Lunch:                         8 oz No Sugar Added CIB plus ½ banana (20+15 = 35g Carbohydrate)
• Mid Afternoon Snack:  8oz EAS Advantage/Myoplex plus 4-6 whole grain crackers (21+15 = 36)
• Dinner:                       
  • Lean Cuisine Café Classics Beef Portobello (2 Meat, 1 Starch, 1 Vegetable)
  • Lettuce with one cup raw vegetables (1 Vegetable)
  • 1 TBS salad dressing (1 Fat)
  • 1/2 cup non-fat or low fat cottage cheese (2 Meat)
  • 1/2 cup canned pineapple - drained (1 Fruit)
  • 1/2 cup 1% or skim milk (1/2 milk)

Note:  Some frozen dinners have variable exchanges listed on the box.  For frozen dinners ONLY use the following substitution rules:

• 1 Bread = 1 Fruit  
• 1 Bread = 3 Vegetables
• 1/2 Milk = 1 Meat  
• 1 Milk = 1 Meat and 1 Bread