Fact sheetDiet specifications

Published on 1 Nov 2011


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.

Aim

To provide a diet with reduced fructose, sucrose and sorbitol content.

Characteristics

Avoids fruits and vegetables high in fructose (>3g per serve) or with an unfavourable fructose > glucose ratio.

Indications

Fructose malabsorption or intolerance.

Nutritional adequacy

Nutritionally adequate.

Precautions

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.

Paediatrics

Suitable for use in paediatrics when combined with an age-appropriate diet.

Specific menu planning guidelines

Allowed Not allowed
Hot main dishesAll othersDishes cooked with dried fruit, artichoke, asparagus, leek, onions, coconut milk or cream
Sauces, graviesAll othersSweet and sour sauce, barbecue sauce, plum sauce
Starchy vegetables / pasta / riceAll-
VegetablesAll othersArtichokes, asparagus, leeks, onions, chicory, radicchio
SoupsAll othersAny made with asparagus, leeks or onions
SandwichesAll other ingredients on any breadAsparagus
Salads, dressingsAll other ingredients

Chutney

Artichokes, asparagus, leeks, onions, chicory, radicchio

Breads, cerealsAll othersFruit bread, cereals with dried fruit
SpreadsAll othersHoney
Hot breakfast choicesAll-
Fruit

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

YoghurtPlain yoghurt, yoghurt with allowed fruitAll others
DessertsAll othersDesserts made with bananas, dried fruits, or with honey added
Milk and cheeseAll-
BeveragesTea, coffee, milk, lemonadeFruit juices, cordial
BiscuitsAll othersBiscuits containing dried fruit
MiscellaneousArtificial sweetenersCoconut, confectionery, sugar

References

  1. 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.
  2. Barrett JS, Gibson PR. Clinical ramifications of malabsorption of fructose and other short-chain carbohydrates. Prac Gastroenterol 2007;31(8):51-65.
  3. 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.
  4. Food Standards Australia New Zealand. NUTTAB Online searchable database: foods that contain fructose.
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