Your new Complete Diet

RHIANNON BARNES – Dietitian-Nutritionist
BchHlthSc(Nut&Diet), APD, AN

MIDBAND Diet

The 10 Rules to MIDBAND Success...
1. Eat less Following the insertion of the MIDBAND, your stomach will be smaller. It will fill quickly and empty slowly making it difficult to eat large amounts of food.
2. Go slow You must eat very very very slowly. If you are questioning if you are eating slow enough, don’t risk it. Just go slower again! Try placing your knife and fork down in between mouthfuls to assist you with slowing down.
3. Chew, chew, chew You must chew thoroughly and swallow slowly or you may vomit. If you chew your food well, you should be able to tolerate most foods!
4. Small mouthfuls Cut your food into small pieces before placing it in your mouth. Ensure you have finished one mouthful before getting the next one ready.
5. Eat only until satisfied Eat and drink only until you are satisfied! If you feel full, stop, or you may vomit and possibly stretch your pouch. You need to allow yourself time to feel whether your stomach is full
6. Separate food & fluid You must drink in between meals, otherwise the volume you consume will be too much for your small pouch. Also, the fluid will mix with your food making it slip through too easily making your MIDBAND useless!
7. No carbonated
beverages		 Carbonated beverages and effervescent medications are prohibited as the bubbles in these products will expand your small pouch. Choose water or diet cordial instead, and speak to your doctor to see if there is/are alternatives to your effervescent medication(s).
8. No liquid kilojoules Because your pouch is only small, your diet needs to be full of nutrient dense foods to ensure you are meeting your nutritional requirements.
9. Use a teaspoon Try serving your food on a saucer and eat with a teaspoon. A small plate makes the serve appear larger and therefore the small quantity less obvious. Teaspoons mean small mouthfuls which will assist you to eat slowly.
10. Physical exercise Aim for 30 minutes of physical activity most days of the week. It is recommended you see a physiotherapist or exercise physiologist to prescribe you an exercise program tailored to your individual needs.

MIDBAND Full Diet
Congratulations! You have made it to the Full Diet stage…no more pureed foods!

It is essential your diet is healthy and well balanced to ensure your body obtains all the nutrients it needs. Because your pouch is only small, you need to maximise your nutrient intake by avoiding nutrient poor foods (‘extra’ foods), and choosing nutrient dense foods from the five food groups.

Five food groups

  • Breads, cereals, rice, pasta, noodles
  • Vegetables, legumes and pulses
  • Fruit
  • Dairy
  • Meat and meat alternatives

    AVOID the ‘extras’ food group as these foods are very energy dense and nutrient poor!

Variety is the key! Ensure you consume a wide variety of foods from each of the five food groups – particularly the fruit and vegetable food groups as having a ‘range’ of coloured fruit and vegetables indicates you are consuming a ‘range’ of vitamins and minerals.

You also need to consume adequate protein from high quality sources (meat and meat alternatives food group, and dairy food group) to maintain your muscle mass as it is your lean tissue that burns the kilojoules/calories! We want to help you lose weight – but the right type! You need to retain (or even gain) lean body mass, and loose fat mass to ensure you remain well nourished while reducing your overall weight.

Fibre, fibre, fibre…If you notice your bowel motions are not as regular as normal, you may need a fibre supplement such as Metamucil, or Benefibre.

Meal Plan Options...

Meal/mid-meal
Examples
Breakfast
  • Toast x 1 plus egg x 1
  • ¼ cup baked beans on toast
  • Fruit and diet yoghurt
  • Weetbix x 1 with milk

Lunch
Your daytime meal should include:

  • Vegetables (salad/steamed or cooked vegetables)
  • Protein (meat/chicken/fish/eggs etc), and
  • Carbohydrate (rice/pasta/noodles/potato/
    corn/crackers etc)
  • Cracker/cruskit x 1-2 with cheese and tomato OR peanut butter OR avocado
  • ½ sandwich
  • Salad (plus protein and carbohydrate)

Dinner
Your evening meal should include:

  • Vegetables (salad/steamed or cooked vegetables)
  • Protein (meat/chicken/fish/eggs etc), and
  • Carbohydrate (rice/pasta/noodles/potato/
    corn/crackers etc)
  • Casseroles
  • Lean meat/chicken/fish with vegetables (inc. potato/sweet potato/corn)
  • Stir-fry
  • Salad (plus protein and carbohydrate)
Morning Tea & Afternoon Tea
(smaller meals)
  • Yoghurt
  • Fruit
  • Cracker x 1 with 20g cheese (1 slice) OR avocado
Fluids
  • Only zero calorie fluids!
  • Separate from meals by at least 30 minutes
  • 500mL skim milk/day

 

Five Food Groups
IMAGE COURTESY OF THE AUSTRALIAN GOVERNMENT DEPARTMENT OF
HEALTH & AGEING.

PREPARED BY THE CHILDREN’S HEALTH DEVELOPMENT FOUNDATION, SOUTH AUSTRALIA, & DEAKIN UNIVERSITY, VICTORIA, 1998.
Copyright ©2009 Hillcrest Surgical Weight Loss Centre - All Rights Reserved