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FODMAP-Intolerance(Fructose Malabsorption – se corecteaza cu glucoza in fructe
Varianta Paleo
Grupa
mancareSigure Ai grija Evita
Legume
Lucernă
Muguri Bambus
Muguri Fasole
Ardei grasi
Bok choy? (varza??)
Morcov
Rosii cherry
Arpagic
Castraveti
Andive
Ghimbir
Fasole verdeNap
Salata
Masline
Păstârnac
Castraveti murati (fara zahar)
Alge marine
Spanac
Ceapa verde (doar ce-i verde)
Frunze sfecla??
Rosii
Zucchini
Avocado
Sfecla rosie
Broccoli
Varza Bruxelles
Dovleac placintar
ConopidaTelina
Fenicul bulb
Mazare boaba
Guacamole
Ciupeci
Anghinare
Sparanghel (=Asparagus)
Varza
Usturoi
Trufa alba(=jerusalem artichoke)
PrazOkra?
Ceapa
Șalotă
Mazare fasole
Sugar snap peas
Cicoare
Pasta tomate
Fructe
Banane coapte
Coacăze
Pepene galben
Grapefruit
Pepene alb
Kiwi
Lamaie
Mandarine
Portocale
Papaya
Fructul pasiunii
Ananas
Zmeura
Rubarbă
Banane necoapte
Longan
Lychee
Rambutan
Struguri 15
Mango
Nectarine
Piersici
Pere
Persimmon?
Prune
Pepene rosu
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Amidon
Cartofi Albi
Plantain verde
Nap turcesc
Taro?
Manioc (=> tapioca)
Yuca
Orez Alb
Cartofi dulci x
Oleaginoase xMajoritatea
+ untul lor
Fistic
Migdale (Almond)
Alune de padure
Lactate
Unt
Unt lichid (= Ghee)
Smantana
Branza imbatranita
Branza proaspata
Lapte
Iaurt
Proteine
Carne
Pasari
Peste
Oua
Bacon
x Atentie cu ce suntcombinate!
Grasimi
Ulei cocos
Unt lichid (=Ghee)Unt
Smantana
Untura
Ulei masline
Macadamia (un fruct…)
Maioneza de casa
Masline
Ulei usturoi infuzat?
Avocado
Guacamole
Sosuri pt. salate/
Dressing-uri etc.
“Rasfat” X
Best to be avoided for a
little while
Cocos uscat
Zahar din cocos
Sirop artar
Lapte/Smantana/Unt de
cocos
Faina cocos
Ciocolata neagra
Cacao
Siropuri cu nivel
ridicat de fructoza
Sirop Agave
Miere
Dulciuri fara zahar
Indulcitori artificiali
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Condimente
Sare + Piper
Ierburi proaspete
Ierburi uscate
Ghimbir
Ulei usturoi infuzat?
Lamaie
Mirodenii (evita cu usturoi)
Oteturi?
Asafetida?
Alge de mare
Ceva de masline…
Rosii uscate la soare
Guacamole
Cicoare
Oligozaharide (care-s?)
Inulina
Prebiotice
Pudra ceapa/usturoi
Stabilizatori/Gelatine
Alcool Zaharat
(manitol, sorbitol,
xylitol, izomal…)
Suplimente medicale
Bauturi
+Alcool
Apa
Ceai (verde, negru,
rooibos…) Piftie (Bone broth)
Ceaiuri de fructe
“nesigure”
Vinuri seciCafea
Vinuri dulci, Lichior
Bere
Sucuri, Bauturi carb.
* Iaurtul si chefirul – nu sunt dulci, dar au probiotice. => rele in gastrita!!!
* low-fat/fat free in cazul gastritei(pb la digerarea grasimii/ ajuta controlul producerii aciditatii in stomac
Evita smantana – prea grasa
De asemenea, fara rosii/suc de rosii.
Ardei, ceapa, usturoi
Portocale, Graef, Smochine, Fructe de padure, Fructe uscate.
Legumele crude baloneaza???
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Grupa
mancareSigure
Ai
grijaEvita
Carne Carne rosie, porc, pui, curcanCremvursti, mezeluri sau orice
aliment care contine fructoza
CerealeOrice produs care nu contine fructoza sau
zahar.
Produse indulcite cu zahar,
fructoza sau sorbitol.
Fructe
Toate fructele, sucurile de fructe,
fructe deshidratate, produse care
contin fructe.
Indulcitori Glucoza, dextrina,maltoza Fructoza, sucroza (, zahar), sorbitol
GrasimiUnt, margarina,ulei,maioneza facuta in
casa, dresinguri pentru salate fara zahar
Maioneza, mustar, dresinguri si
sosuri care contin zahar
Oua Orice fel de oua
Lactate Orice tipNu se recomanda lactatele care
contin zahar
Alune,nuci Orice tip Nuci, alune glazurate
PaineOrice tip de paine care nu contine zahar,
fructoza sau sorbitol
Orice produs de panificatie care
contine ca indulcitori zahar,
fructoza sau sorbitol
Cartofi Orice tip de cartofi Cartofii dulci
Paste Macaroane,spagetti, orez
Peste Orice tipo de peste proastapPeste procesat care contine
zaharuri
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DesertIaurt natural, inghetata, prajituri care nu
contin zahar
Orice desert care contine zahar,
fructoza, sorbitol
Branzeturi Orice tip
LegumeSparanghel, conopida, ardei gras, salata
verde, telina, radacinoase
Morcovi, rosii, legume conservate
care contin zahar
AlteleCafea, ceai, supe vegetale, cacao,
condimente, sucuri 0 calorii
Miere, sucurile indulcite, jeleuri,
marmelade, gemuri, fructe
conservate
Asocierea fructoza – glucoza
Glucoza favorizeaza – in cazul celor mai multi pacienti – absorbtia fructozei in intestinul subtire. Este
recomandat sa ingerati o cantitate mai mare de glucoza decat cea de fructoza intrucat absorbtia glucozei
este mult mai rapida si la un raport glucoza:fructoza de 1:1 in intestin raman neabsorbite cantitati mai
mari de fructoza care pot declansa simptomele specifice.
Xylose isomeraza: o enzima utila in intoleranta la fructoza
Aceasta enzima converteste fructoza din intestinul subtire in glucoza care ulterior va fi absorbita incirculatia sanguina.
Asa cum am mentionat malabsorbtia fructozei se datoreaza deficitului transportorului GLUT-5 .
Administrarea xylose izomerazei inainte de a consuma alimente bogate in fructoza va determina
conversia fructozei in glucoza care va fi absorbita din intestinul subtire sistemul de transport responsabil
in acest caz fiind GLUT-2
Intrebati medicul dumneavoastra curant
Care este diferenta intre malabsorbtia fructozei si intoleranta ereditara la fructoza?
Care este incidenta malabsorbtiei fructozei?
Este posibil sa sufar de malabsorbtie a fructozei?
Cum am dobandit-o?
Care sunt complicatiile?
Care este tratamentul acestei afectiuni?
Cum se diagnosticheaza intoleranta la fructoza?
Care sunt simptomele malabsorbtiei fructozei?
Ce alimente si bauturi contin fructoza?
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ethnic groups are known to be at high risk of lactose intolerance as they produce low levels of lactase, including
those of Asian, African and Mediterranean backgrounds.
Diagnosis of lactose intolerance does not necessarily require a dairy free diet. Depending on the severity of your
condition, you may only need to reduce your intake of these foods, or you may require further restriction. This should
be discussed with your dietitian. With the increasing availability of lactose free dairy products and the naturally low
level of lactose in many dairy foods, managing lactose intolerance is easy and it doesn’t have to affect calcium intake.
Fructose Malabsorption
Fructose is known as the ‘fruit sugar’, but it is also found in some vegetables and honey. Fructose malabsorption is
likely to occur due to an impairment of absorption in the small intestine. It is not fully understood why some people
malabsorb the sugar, but if you have an underlying gastrointestinal condition such as IBS, Crohn’s disease or suffer
symptoms of bloating, wind, abdominal cramps and altered bowel habits, breath testing for fructose will help to
identify whether this is a trigger for your symptoms.
Diagnosis of fructose malabsorption does not necessarily require a fruit free diet. There are many fruits you can have
such as bananas and kiwifruit, although the overall quantity of fruit may need to be adjusted. Patients with fructosemalabsorption can absorb fructose in certain conditions, e.g. if there is glucose present in a food. Your tolerance to
fructose and the degree of dietary restriction you require can be defined by your dietitian. Many people are now
searching the internet for food lists in this area, but be aware that the research into this condition continues, with food
lists changing frequently. As such we recommend specialist dietetic advice.
Sucrose Malabsorption
Sucrose is traditional table sugar used most commonly in Australian commercial products and in the household.
Malabsorption of sucrose is caused by a reduced production of sucrase enzyme (sucrase-isomaltase deficiency)
which is required to digest sucrose.
A low sucrose diet aims to reduce dietary sucrose and sucrose loading in soft drinks, cordials and sweets. The
degree of restriction required will depend on your symptoms and the level of sucrose in your current diet. This can be
assessed by consulting your dietitian.
Sorbitol Malabsorption
Sorbitol is a type of sugar found naturally in fruits such as stone fruits, and also used as an artificial sweetener in
sugar free gums and mints. Sorbitol is poorly absorbed in the small intestine by everyone, and a sorbitol breath test
will determine your ability to absorb a small load of sorbitol which will then determine whether dietary restriction of the
sugar is required to improve gastrointestinal symptoms.
It is very useful to undertake a sorbitol breath test in conjunction with a fructose test. Many of the fruits safe on a low
fructose diet are high in sorbitol, for example stone fruits, so it is important to understand your tolerance to both
sugars.
=> nu am indentificat pb la sucroza si sorbitol?
http://www.gastrolab.com.au/hydrogen-methane-breath-testing-at-gastrolab.htmlhttp://www.gastrolab.com.au/hydrogen-methane-breath-testing-at-gastrolab.htmlhttp://www.gastrolab.com.au/hydrogen-methane-breath-testing-at-gastrolab.htmlhttp://www.gastrolab.com.au/hydrogen-methane-breath-testing-at-gastrolab.htmlhttp://www.gastrolab.com.au/hydrogen-methane-breath-testing-at-gastrolab.htmlhttp://www.gastrolab.com.au/hydrogen-methane-breath-testing-at-gastrolab.htmlhttp://www.gastrolab.com.au/hydrogen-methane-breath-testing-at-gastrolab.htmlhttp://www.gastrolab.com.au/hydrogen-methane-breath-testing-at-gastrolab.html