TEXTURE MODIFIED DIET: DIABETIC CLEAR FLUID

Question 1

INDICATION FOR A DIABETIC CLEAR FLUID DIET

Answer 1

• T1DM, T2DM, GDM or insulin resistance patient receive a clear fluid diet due the following:
• Loss of fluids and electrolytes
• Preparing for bowel procedures
• Recovering from a paralytic ileus or temporary reduction in bowel residue
• Short-term use in the recovery of abdominal surgery or severe burns

Question 2

CONTRA-INDICATIONS FOR A DIABETIC CLEAR FLUID DIET

Answer 2

• If used for more than 24 hours under any condition
• T1DM, T2DM, GDM and insulin resistance patients
• With other known vitamin and mineral deficiencies
• Gastrointestinal intolerance
• Inadequate gastrointestinal function
• Paralytic ileus
• Suspected small bowl trauma
• Perforation or obstruction of the ileus
• It is also contraindicated when diabetic patients are fed parenterally rather than enterally

Question 3

DEFINE A DIABETIC CLEAR FLUID DIET

Answer 3

• Foods that are clear liquid.
• Restricted amounts and types of carbohydrates.
• T2DM, T1DM, GM and insulin resistant patients.

Question 4

WHAT IS THE PURPOSE OF A DIABETIC CLEAR FLUID DIET

Answer 4

• Provide an oral source of fluid
• Small amount of energy and electrolytes to diabetes patients who have lost fluid and electrolytes through:
• Diarrhoea
• Vomiting
• Nasogastric suction
• Fistula drainage
• Infection
• Burns
• Minimise diabetic complications
• Prevent dehydration
• Reduce colonic residue to a minimum
• Ensure optimal blood glucose control.

Question 5

GRAINS ALLOWED AND TO AVOID IN A DIABETIC CLEAR FLUID DIET

Answer 5

ALLOWED: NONE

TO AVOID;
All grain foods including whole grains, processed grains such as pasta, rice, hot and cold cereals, bread, snacks and sweets that are flour-based (cakes, cookies)

Question 6

PROTEINS ALLOWED AND TO AVOID IN A DIABETIC CLEAR FLUID DIET

Answer 6

ALLOWED: NONE

TO AVOID: Beef and pork (all cuts)
Chicken and turkey (all cuts)
Fish (all types)
Nuts and nut butters (all types)
Eggs (all types)
Meat substitutes (all types) such as soy and tofu
Cold cuts or lunch meat (all types) including salami, ham, roast beef, deli turkey, etc.
Sausage (all types)

Question 7

DAIRY ALLOWED AND TO AVOID IN A DIABETIC CLEAR FLUID DIET

Answer 7

ALLOWED: NONE

TO AVOID:
Milk (all types)
Ice cream, sour cream, cream cheese
Yogurt
Cheese

Question 8

VEGETABLES ALLOWED AND TO AVOID IN A DIABETIC CLEAR FLUID DIET

Answer 8

ALLOWED: NONE

TO AVOID: Frozen, fresh, canned varieties
Vegetable juice with pulp

Question 9

FRUITS ALLOWED AND TO AVOID IN A DIABETIC CLEAR FLUID DIET

Answer 9

ALLOWED: Translucent fruit juices without pulp (apple, cranberry, grape

TO AVOID: Frozen, fresh, canned varieties
Fruit juice with pulp

Question 10

OILS ALLOWED AND TO AVOID IN A DIABETIC CLEAR FLUID DIET

Answer 10

ALLOWED: NONE

TO AVOID:BUTTER, MARGARINE, OILS (ALL)

Question 11

BEVERAGES ALLOWED AND TO AVOID IN A DIABETIC CLEAR FLUID DIET

Answer 11

ALLOWED: 
Tea
Coffee
Water, ice
Clear soda
Translucent nutritional supplements

TO AVOID: All beverages and nutritional supplements that are not translucent

Question 12

COOKING METHODS ALLOWED IN A DIABETIC CLEAR FLUID DIET

Answer 12

• Boiling
• Steaming
• Blending

Question 13

COOKING METHODS TO AVOID IN A DIABETIC CLEAR FLUID DIET

Answer 13

• Frying
• Braising
• Sautéing
• Grilling
• Roasting