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[Dysphagia] thickened liquids
I think this stresses the importance of having the dietitian involved in the planning of meals for persons with diabetes who require texture modification. Something I have found is not that the thickened liquids are to blame per-se but the fact that the pre-thickened products come in 250 ml (8 oz) cartons and this is considered at least 2 servings of fruit for these patients. Many patients do not tolerate 2 servings of juice (thickened or not) and especially at the breakfast meal.
Sharon Cameron
Registered Dietitian
Stan Cassidy Centre for Rehabilitation
800 Priestman Street
Fredericton, NB E3B 0C7
506-452-5652
-----Original Message-----
From: dysphagia-bounces at dysphagia.com [mailto:dysphagia-bounces at dysphagia.com] On Behalf Of Lucy Reed
Sent: Tuesday, June 05, 2007 8:05 PM
To: 'Vera Karger'; 'Lindsey Lorteau'
Cc: dysphagia at b9.com
Subject: Re: [Dysphagia] thickened liquids
I've had diabetic patients who had their blood sugars increase from drinking
thickened liquids. Just the carbs in the modified food starch was too much
for them. The fructose in this stuff would be out of the question for them.
Lucy Reed, MA, CCC-SLP
Certified VitalStim Provider
Certified Wilson Reading Program Instructor
lucyreed at iname.com
reedlu at winslow-schools.com
-----Original Message-----
From: dysphagia-bounces at dysphagia.com
[mailto:dysphagia-bounces at dysphagia.com] On Behalf Of Vera Karger
Sent: Tuesday, June 05, 2007 5:13 PM
To: Lindsey Lorteau
Cc: dysphagia at b9.com
Subject: Re: [Dysphagia] thickened liquids
My concern is the 2nd ingredient.
Vera Karger, M.S., CCCS
Monroe, CT
vkargerslp at mac.com
On Jun 5, 2007, at 4:58 PM, Lindsey Lorteau wrote:
> We have just sampled today a new brand of thickened liquids that our
> facility is going to be using from now on and I wondered if anyone
> else
> has had experience with them. They are called Carbotrol Nutrassist
> and
> come in the same flavours as our previous supply from
> Resource/Novartis.
>
> I'm curious if anyone is aware of what the ingredients might do if
> they
> happen to be aspirated though. The juices seem to have the same stuff
> as the Resource products but not the thickened water; it seems to have
> quite a few more. It is called Lemon Flavored with Electrolytes
> Hydrating Beverage and its ingredients are:
> water
> high frustose corn syrup
> modified food starch
> natural and artificial flavors
> salt
> sodium citrate
> potassium citrate
> tricalcium phosphate
> glycerol abietate
> gum arabic
> brominated vegetable oil
> ascorbic acid (Vitamin C)
>
> I don't tend to recommend that people drink thickened water alot; I
> prefer that they drink regular water but some people may be drinking
> this stuff anyway.
>
> Thoughts?
> Lindsey
>
> Lindsey J M Lorteau, MS, CCC-SLP
> Speech-Language Pathologist
> St Boniface General Hospital
> 409 Tach? Avenue
> Winnipeg, MB R2H 2A6
> T 204-237-2322
> F 204-235-3026
> llorteau at sbgh.mb.ca
>
>
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