Patients who have undergone diabetic surgery and have had their gastrointestinal tract rerouted and reconstructed will have an impact on gastrointestinal dynamics for a short period of time (1 month) and will need to take gastrointestinal dynamics medication to aid digestion. We want you to be aware of the changes occurring in your own body and understand how to go about adjusting your eating habits to accommodate the effects of the surgery. It is important to learn the proper diet for digestion after surgery in order to avoid discomfort, achieve maximum absorption, and return to a normal diet as soon as possible.
1. Regular follow-up
During the first year after surgery, at least three outpatient follow-up visits are required, as well as more follow-up visits by phone or other means. The main contents of follow-up visits include blood glucose, glycosylated hemoglobin, insulin, C-peptide, as well as weight, nutritional status and mental status. After that, it will be once a year.
2.Vitamin supplementation
Long-term post-operative supplementation of Sinclair tablets and vitamin B complex to prevent hair loss, osteoporosis and anemia.
3.Prevent anastomotic ulcers
Take oral proton pump inhibitor for 4 weeks after surgery.
4.Postoperative dietary guidance
I. Dietary principles.
(A) Dietary progress and eating speed.
1. Dietary progress should be in progressive stages, in the following order.
Clear flow → liquid → soft → solid food
2, the eating speed should be slow, each meal eating time for half an hour.
3. Eat small amounts of food and chew slowly (at least 25 times) to prevent gastric outlet obstruction and vomiting.
(B) The appropriate intake of food and supplements.
1, three meals a day should be consumed small size food, and then take two snacks.
2. Drink at least 6-8 cups (1500-2000cc) of water daily to prevent dehydration and constipation.
3.Take daily multivitamins and minerals, and follow the doctor’s instructions to take them regularly.
(iii) Food that should not be consumed.
1.Avoid concentrated sweets (e.g. sugar, cola, cakes, ices, etc.), which may cause “dumping syndrome”.
2. Avoid foods high in oil, which can prevent vomiting and weight gain.
3.When eating, avoid drinking water and soup, and take in water between meals or 30-45 minutes after meals.
4.Ice water, coffee, tea, alcohol and other stimulants should not be consumed within three months after surgery.
(D) Other precautions.
1.After surgery, the initial stomach can only hold a small amount of capacity, and finally only half a cup to a cup (120cc-240cc) of capacity. If your stomach feels uncomfortable and vomiting occurs, you should avoid eating again.
2.If maladjustment occurs in the food you eat, you can temporarily return to the food you ate in the previous stage, such as clear liquid or fluid or soft food. The period is about one week.
II. Principles of dietary progress.
The first day after surgery: drink water or fast according to medical advice
The first week after surgery: clear liquid diet
Second week after surgery: liquid diet
Third week to twelve weeks after surgery: soft liquid diet
More than 12 weeks after surgery: solid balanced diet
Instructions.
(i) Clear liquid diet.
1. Food selection: plain water, filtered broth, sports drink (diluted 1:1 with water), filtered unsweetened juice (diluted 1:1 with water), honey water, de-oiled chicken soup and fish soup after the third day.
2.Water intake: Try to drink water and clear food in small sips, about 120cc per hour. prohibit gulping to avoid flatulence and vomiting.
(B) Liquid diet.
1, food selection: choose low-fat, low-sugar, low-fiber grated and filtered food. You can choose oil-free soup, rice soup, rice syrup, barley syrup, soy milk, milk
2.Calorie intake: about 800-1200 calories and 50-70 grams of protein.
3, water intake: about 120-180cc per hour, at least 6-8 cups per day (1500-2000cc)
4.Other considerations.
(1) the choice of food and drink will affect the weight loss situation, although the amount of liquid food eaten, but if the high-calorie food, weight loss is still not ideal, on the contrary, if the intake of very low-calorie liquid food, and protein food intake is not enough, it is easy to affect the health, reduce immunity, easy to have hair loss and other phenomena occur. Therefore, the intake of liquid diet should include 240-480cc of milk daily to ensure sufficient protein.
(2) If you are lactose intolerant to milk, you can consume commercial formulas that do not contain lactose. For example: Tonicin, Yapexin, Novartis Aizucon.
(3) Soft diet.
1.Calorie intake: about 800-1200 calories and 50-70 grams of protein.
2, water intake: about 120-180cc per hour, at least 6-8 cups (1500-2000cc) of water per day.
3, food selection: low sugar, low fat, high protein food.
The different ingredients used in the preparation should be handled according to their nature as follows.
1.When using yams or red grapes, steam them first and then cut them into small dice.
2. When using fresh eggs, boil them and peel off the shells, press them into a puree or prepare them by steaming or stewing.
3.When using lean meat, it should be finely chopped and cooked first.
If you cannot prepare it yourself, you can use commercially available baby food, such as meat, vegetable or fruit puree and other canned food.
(4) Low-calorie balanced diet
The calorie intake can be gradually increased to the recommended daily calorie requirement and the protein intake is 50-70 grams.
Foods that should not be consumed:
Post-surgical diabetic patients generally do not require strict dietary control or so-called “taboos” and can eat fruits and sweets like normal people. However, we advocate a healthy diet, but not uncontrolled overeating, if the post-operative weight increases too much in a short period of time, it will affect the treatment effect.
1. avoiding large amounts of concentrated sweets (e.g.: sugar, cola, cakes, ices, etc.)
2.Avoid stimulating foods.
3.Avoid too greasy food, which can prevent vomiting and weight gain.
4.Ice water, coffee, tea, alcohol and other stimulants should not be consumed within three months after surgery.
Other precautions:
1, early after surgery, gastric power is not fully recovered, when eating too much will vomit or uncomfortable, if the stomach feels uncomfortable and vomiting occurs, should avoid eating again. Pay attention to eating less and more often. You can take a Domperidone tablet half an hour before meal.
2.If maladjustment occurs in the food consumed, you can temporarily return to the food of the previous stage; for example, change to semi-liquid or whole liquid food for about one week.
3.If the dietary adjustment is not effective, please contact the doctor in charge for consultation in time so that you can recover more smoothly.