Allergy diet - fructose low
This document is part of the ACI Diet Specifications for Adult Inpatients. It is not to be used for patient education.
To provide a diet with reduced fructose, sucrose and sorbitol content.
Avoids fruits and vegetables high in fructose (>3g per serve) or with an unfavourable fructose > glucose ratio.
Fructose malabsorption or intolerance.
It is not possible to provide a full list of all permitted commercial products; the following are general guidelines only. It is important to check the label of commercial foods for to look for high levels of sweeteners high in fructose: high-fructose corn syrup (HFCS), corn syrup solids, fructose and fruit juice concentrate.
Menus should not provide more than one serve of fruit per meal. Some fructose-intolerant patients will also have problems absorbing fructans (found mainly in wheat products), and may also require a wheat-free or FODMAPs low diet.
Suitable for use in paediatrics when combined with an age-appropriate diet.
Specific menu planning guidelines
|Hot main dishes||All others||Dishes cooked with dried fruit, artichoke, asparagus, leek, onions, coconut milk or cream|
|Sauces, gravies||All others||Sweet and sour sauce, barbecue sauce, plum sauce|
|Starchy vegetables / pasta / rice||All||-|
|Vegetables||All others||Artichokes, asparagus, leeks, onions, chicory, radicchio|
|Soups||All others||Any made with asparagus, leeks or onions|
|Sandwiches||All other ingredients on any bread||Asparagus|
|Salads, dressings||All other ingredients|
Artichokes, asparagus, leeks, onions, chicory, radicchio
|Breads, cereals||All others||Fruit bread, cereals with dried fruit|
|Hot breakfast choices||All||-|
Fresh stone fruits (eg apricots, nectarines, peaches, plums)
Berry fruits (eg strawberries, blueberries, raspberries, cranberries)
Citrus fruits (oranges, mandarins, lemons, grapefruit)
Other fruits: kiwifruit, pineapples, rhubarb, passionfruit, tamarillo
Fresh apples, pears, guavas, honeydew melon, mangoes, nashi fruit, pawpaw / papaya, quince, star fruit (carambola), watermelon, lychees, cherries, grapes, banana
Dried apples, apricots, currants, dates, figs, pears, prunes, raisins, sultanas
|Yoghurt||Plain yoghurt, yoghurt with allowed fruit||All others|
|Desserts||All others||Desserts made with bananas, dried fruits, or with honey added|
|Milk and cheese||All||-|
|Beverages||Tea, coffee, milk, lemonade||Fruit juices, cordial|
|Biscuits||All others||Biscuits containing dried fruit|
|Miscellaneous||Artificial sweeteners||Coconut, confectionery, sugar|
- Gibson PR, Newnham E, Barrett JS, Shepherd SJ, Muir JG. Review article: Fructose malabsorption and the bigger picture. Aliment Pharmacol Ther 2007;25:349-63.
- Barrett JS, Gibson PR. Clinical ramifications of malabsorption of fructose and other short-chain carbohydrates. Prac Gastroenterol 2007;31(8):51-65.
- Shepherd SJ, Gibson PR. Fructose malabsorption and symptoms of irritable bowel syndrome: guidelines for effective dietary management. J Am Diet Assoc 2006;106:1631-9.
- Food Standards Australia New Zealand. NUTTAB Online searchable database: foods that contain fructose.