Heartlands Pre-Op diet options
Okay here is the Heartlands plan - a direct copy from their booklet. There are 5 diets to choose from - patient's choice, to be followed for up to 6 weeks.
DIET #1 Portioned Controlled Food
Composed of different food groups to give a balanced very low calorie diet.
Daily allowance:-
1 x starchy food
2 x fruit
5 x vegetables
3 x meat / alternatives
2 x milk
1 x fat (optional)
A comprehensive list of portion sizes are listed,
Examples of starchy – 1 crumpet / 1 slice bread/toast / 2 crispbreads /3 small crackers / ½ pitta / 1 small chapatti / 3 tbsp dry porridge oats / 2 egg-sized potatoes / 2 heaped tbsp. cooked rice / pasta / 2 rich tea biscuits / 1 digestive biscuit / 1 small corn on cob / 3 tbsp breakfast cereal
Examples of fruit – 1 med apple / orange/pear/½ banana / 2 apricots or plums / 5oz strawberries, raspberries or blackberries / 3 tbsp tinned or stewed fruit /100mls fruit juice / 1 heaped tbsp. dried fruit / handful of grapes
Examples of vegetables – 3 heaped tbsp cooked veg / 1 side salad / 7 cherry tomatoes / glass tomato juice
Examples of Meat/alt – 100g very lean cooked beef, pork, lamb, mince, chicken, turkey, liver, kidney, pilchards, salmon etc / 150g cooked white fish/tuna/ tofu/quorn /2 eggs (max 6 per week)/4 tbsp cooked peas,lentils,beans
Examples of Milk – 200mls semi skimmed milk/ 1 small pot diet yogurt/fromage frais/100g cottage cheese/60g low fat soft cheese / 25g hard cheese (eg cheddar,stilton)
Examples of Fat – 1 tsp butter/marge/oil/mayonnaise / 2tsp low fat spread/mayo / 7g nuts (ie 8 hazelnuts or 4 walnuts) / 1 heaped tsp seeds (eg pumpkin, sesame)
DIET #2 MEAL REPLACEMENT PRODUCTS
Eg Slimfast / Boots Shapers / Tesco Ultraslim
EITHER: - 3 – 4 meal replacement milk shakes, smoothies, soups or bars per day
OR:- 2 meal replacements PLUS Light meal of 300calories of 2 meat + 1 starchy + 2-3 vegetables from Diet #1.
DIET #3 800-1000 CALORIE DIET
Compose your own diet, including fruit and vegetables and as much variety as you can. Keep the starchy carbohydrates and fat to an absolute minimum.
DIET #4 VERY LOW CALORIE DIETS (VCLDs)
Between 450 and 800 calorie \complete menu plans
eg Cambridge diets, LighterLife, Optifast
DIET #5 MILK and YOGURT
1pt Semi-skimmed milk PLUS
8 – 10 125g pots of diet yogurt (around 60kcals per pot) eg Shape, WW, own brands healthy eating
General rules for all diets:-
· Spread food and drink out throughout the day, don’t save it all for the evening.
· Drink a minimum of 2 litres of fluid every day, at regular intervals. No sugar. Avoid alcohol.
· Take a multi-vitamin & mineral tablet daily (chewable / crushable)
· Keep mobile, busy, active.
· Diet plan to be followed up to 6 weeks before operation.
I hope this helps!
