The STEP 1 Gastroparesis Diet is inadequate in all nutrients except sodium and potassium. It should not be continued for more than three days without additional nutritional support. STEP 2 and STEP 3 Gastroparesis Diets may be inadequate in Vitamins A and C, and the mineral iron. A multi-vitamin supplement is usually prescribed.
Special Considerations |
- Diets must be tailored to the individual patient. This is because the degree of gastroparesis may range from severe and long-standing to mild and easily corrected. Patients may also have various medical conditions to be considered. For example, diabetes patients with gastroparesis are allowed sugar-containing liquids on the Step 1 diet, because that is their only source of carbohydrate. On the Step 2 and Step 3 diets, these patients should avoid concentrated sweets. These are noted with an asterisk (*) on the food lists.
- On all of the diets, liquids and food should be eaten in small, frequent meals. This helps to maintain nutrition.
|
Step 1 Food Groups |
Group
| Recommend
| Avoid
|
Milk & milk products
| none | all |
Vegetables
| none | all |
Fruits
| none | all
|
Breads & grains
| plain saltine crackers | all others |
Meat or meat substitutes
| none | all |
Fats & oils
| none | all |
Beverages
| Gatorade and soft drinks (sipped slowly throughout the day)
| all others |
Soups
| fat-free consommé and bouillon
| all others |
Sample Menu Step 1 |
Breakfast
| Lunch
| Dinner
|
- Gatorade 1/2 cup
- ginger ale 1/2 cup
- bouillon 3/4 cup
- saltine crackers 6
| - Gatorade 1/2 cup
- Coke 1/2 cup
- bouillon 3/4 cup
- saltine crackers 6
| - Gatorade 1/2 cup
- Sprite 1/2 cup
- bouillon 3/4 cup
- saltine crackers 6
|
This Sample Diet Provides the Following |
Calories | 790 | Fat | 9 gm |
Protein | 11 gm | Sodium | 3531 mg |
Carbohydrates | 156 gm | Potassium | 244 mg |
Step 2 Food Groups |
Group
| Recommend
| Avoid
|
Milk & milk products
| skim milk, products made with skim milk, low-fat yogurt, low-fat cheeses | whole milk products, creams (sour, light, heavy, whipping), half & half
|
Soups
| fat-free consommé & bouillon, soups made from skim milk, & fat-free broths containing pasta or noodles and allowed vegetables | soups made with cream, whole milk, or broths containing fat |
Bread & grains
| breads & cereals, cream of wheat, pasta, white rice, egg noodles, low-fat crackers | oatmeal; whole grain rice, cereal, bread
|
Meat & meat substitutes
| eggs, peanut butter (maximum 2 Tbsp/day) | beef; poultry; fish; pork products; dried beans, pea, & lentils |
Vegetables
| vegetable juice (tomato, V-8); well-cooked vegetables without skins (acorn squash, beets, carrots, mushrooms, potatoes, spinach, summer squash, strained tomato sauce, yams) | all raw vegetables; cooked vegetables with skins; beans (green, wax, lima), broccoli, Brussels sprouts, cabbage, cauliflower, celery, corn, eggplant, onions, peas, peppers, pea pods, sauerkraut, turnips, water chestnuts, zucchini
|
Fruits
| apple juice, cranberry juice, grape juice, pineapple, prune juice, canned fruits without skins (applesauce, peaches, pears) | citrus juices, all fresh and dried fruits, canned fruits with skins (apricots, cherries, blueberries, fruit cocktail, oranges, grapefruit, pineapple, plums, persimmons) |
Fats & oils
| any type of fat, but only in small amounts
| none
|
Sweets & desserts*
| hard candies, caramels, puddings & custards made from skim milk, frozen yogurt, fruit ice, gelatin, ice milk, jelly, honey, syrups
| high-fat desserts (cakes, pies, cookies, pastries, ice cream), fruit preserves
|
Beverages
| Gatorade*, soft drinks* (sipped slowly throughout the day)
| all others, except allowed juices
|
*Concentrated sweets |
Sample Menu Step 2 |
Breakfast
| Lunch
| Dinner
|
- skim milk 1/2 cup
- poached egg 1
- white toast slice
- apple juice 1/2 cup
| - mozzarella cheese
2 oz
- saltine crackers 6
- chicken noodle soup 3/4 cup
- Gatorade 1/2 cup
| - peanut butter 1 Tbsp
- saltine crackers 6
- vanilla pudding
1/2 cup
- grape juice 1/2 cup
|
Morning Snack
| Afternoon Snack
| Evening Snack
|
- ginger ale 1/2 cup
- canned pears 1/2 cup
| - skim milk 1/2 cup
- cornflakes 1/2 cup
- sugar 2 tsp
| - frozen yogurt 1/2 cup
- saltine crackers 6
|
This Sample Diet Provides the Following |
Calories | 1343 | Fat | 35 gm |
Protein | 52 gm | Sodium | 2639 mg |
Carbohydrates | 206 gm | Potassium | 1411 mg |
Step 3 Food Groups |
Group
| Recommend
| Avoid
|
Milk & milk products
| skim milk, products made with skim milk, low-fat yogurt, low-fat cheeses | whole milk products, creams (sour, light, heavy, whipping), half & half |
Soups
| fat-free consommé & bouillon, soups made from skim milk, & fat-free broths containing pasta or noodles and allowed vegetables | soups made with cream, whole milk, or broths containing fat |
Fruits
| fruit juices, canned fruits without skins (applesauce, peaches, pears) | all fresh & dried fruits, canned fruits with skins (apricots, cherries, plums, blueberries, fruit cocktail, oranges, grapefruit, pineapple, persimmons) |
Meat & meat substitutes
| eggs, peanut butter (2 Tbsp/day), poultry, fish, lean ground beef | fibrous meats (steaks, roasts, chops), dried beans, peas, lentils |
Fats & oils
| any type of fat, but only in small amounts | none |
Breads & grains
| breads & cereals, cream of wheat, pasta, white rice, egg noodles, low-fat crackers | oatmeal; whole grain rice, cereal, bread |
Vegetables
| vegetable juices (tomato V-8), well-cooked vegetables without skins (acorn squash, beets, carrots, mushrooms, potatoes, spinach, summers quash, strained tomato sauce, yams) | all raw vegetables; cooked vegetables with skins: beans (green, wax, lima), broccoli, Brussels sprouts, cabbage, cauliflower, celery, corn, eggplant, onions, peas, peppers, pea pods, sauerkraut, turnips, water chestnuts, zucchini |
Sweets & desserts*
| hard candies, caramels, puddings & custards made from skim milk, frozen yogurt, fruit ice, gelatin, ice milk, jelly, honey, syrups | high-fat desserts (cakes, pies, cookies, pastries, ice cream), fruit preserves |
Beverages
| Gatorade*, soft drinks* (sipped slowly throughout the day), coffee, tea, water (note: non-caloric beverages should be limited if patient cannot maintain adequate caloric intake) | all others, except allowed juices |
*Concentrated sweets |
Sample Menu Step 3 |
Breakfast
| Lunch
| Dinner
|
- skim milk 1/2 cup
- cream of wheat
1/2 cup
- sugar 2 tsp
- orange juice 1/2 cup
- white toast 1 slice
- margarine 1 tsp
- jelly 1 Tbsp
| - tuna fish 2 oz
- low-fat mayonnaise 2 Tbsp
- white bread 2 slices
- canned peaches 1/2 cup
- Gatorade 1.2 cup
| - baked chicken 2 oz
- white rice 1/2 cup
- cooked beets 1/2 cup
- dinner roll 1
- skim milk 1/2 cup
- margarine 2 tsp
|
Morning Snack
| Afternoon Snack
| Evening Snack
|
- low-fat yogurt
1/2 cup
- Sprite 1/2 cup
| - chocolate pudding
1/2 cup
- gingerale 1/2 cup
| - ice milk 1/2 cup
- pretzels 2
|
This Sample Diet Provides the Following |
Calories | 1822 | Fat | 42 gm |
Protein | 75 gm | Sodium | 2234 mg |
Carbohydrates | 286 gm | Potassium | 2467 mg |
|