There is a truck load of information out there, and
really good information, regarding
Blenderized Diets for those who receive the majority of their daily nutrition through a g-tube. Here is a fantastic blog that has helped me with getting started, staying encouraged, trouble-shooting, etc:
http://youstartwithatube.blogspot.com/
In case anyone was interested in learning more, maybe someone you know or your own loved one has a g-tube, I thought I would share a little bit of information on the subject as we have been doing this type of diet for our sweet Jocelyn for quite some time.
I specifically remember when we decided to try this diet with Jocelyn, I admit, we were nervous. What if she can't tolerate the food, what if she doesn't get enough of the nutrients she needs, how will we do this when we travel or on the go, how complicated will this
really be. First, have you taken a look at the diets of most children, or adults for that matter? Not so perfect huh?
Not even close!
So my advice?
Ssssshhhhhh! Quiet your mind, listen to your heart, trust in yourself because this was
one of the best things we ever could've done for Jocelyn.
Think about it, would you want to drink a shake supplement for every meal day in and day out? How would your body perform physically or mentally? How well do you think you would feel? How well and for how long do you think you could actually tolerate that kind of diet?
Since we've gone to a blenderized diet, some call it a
Whole Food Diet because we do not use any formula at all, Jocelyn has improved in many areas of her health. Her reflux has significantly improved, her bowels are more regular causing a dramatic decreased in supplements to assist her with having a bowel movement, her strength and endurance has increased, we only do three "feedings" a day versus five or more, she can tolerate a greater volume of food and she doesn't throw up
every single morning like she use too. Can you imagine throwing up every single day? How awful is that?
When you embark on this journey, you will see there are many ways to go about doing a blenderized diet. A person could blend each individual meal, the whole days worth of food all blended together (this is what we choose to do), count the calories and nutritional value (again, what we choose to do), or simply blend whatever everyone else is eating each meal. Eventually we plan to blend smaller portions of whatever we are eating for Jocelyn's meals, but for now to have greater control so that things can be tweaked more easily, we count calories.
There is nothing mysterious about a blenderized diet and is no different than regular food passing from the mouth to the stomach. Whatever you eat by mouth, your loved one can eat (well, unless they have a medical issue, intolerance to certain foods, etc). So this means you can blend canned foods or fresh foods. Get fancy and do only organic, home-grown or whatever trips your trigger. A lot of people think "canned food? what about botulism or something like that?" Well, sometimes we eat canned foods, we are fine, and so will Jocelyn if that's what we use for the day. If there is something that you think wouldn't be safe to eat, you wouldn't blend it up right? That simple.
Sure, not knowing is intimidating but that should never stop you from anything. Sure, people will tell you its too much work or not an exact science (uhm, I didn't know eating was a science). Sure, people will discourage you because its more difficult for
them to help you because of their lack of knowledge. Sure, people will tell you that your child or loved one will not gain the appropriate weight. Sometimes the reasons
NOT to do something are longer at first sight, but once you start breaking down all the positive reasons for doing a blenderized diet, the negative reasons seem ridiculous!
***Key Note: When you first start doing a blenderized diet, you typically do lose weight. This often happens because your coming off all the corn syrup in the shakes, but I encourage you to not be alarmed. Do your homework, beef up the calories at first and you will be okay! Great calorie boosters, for a small volume amount, are peanut butter, avocados, coconut oil, etc. All these things only take a 1-2 tablespoons that pack a healthy number of calories and nutritional value.
I could go on and on about blenderized diets, what we have learned along the way in regards to foods that are sticky and make feedings more difficult, or how to blend to get the correct/easiest consistency, how fast to push the food bolus and so forth. This type of diet may obviously not be for everyone, but it makes me feel so good as a mother knowing I'm giving
real food to our daughter like nature intended and she's succeeding on it. She has steadily gained 10-15 grams per day which has put her in the 89th percentile for height/weight ratio as I mentioned the other day. With having cerebral palsy, we don't want her being too heavy so what are we doing? Cutting calories but definitely not the nutrition. Replacing lower calorie yogurts, grains and fruits. Yes, its that simple.
So I know I'm getting long winded, but if I can quickly, let me give you a visual of a typical days diet. You'll notice we don't follow a recipe or anything, we simply try to get a little bit of every food group and almost every day is something different.
Here is the most miraculous piece of kitchen equipment that we own. Everything I have read recommended a Vitamix and that is what we use. A Vitamix is a pricey piece of equipment, but I did find out that they have a program that you can get a discount if you have a prescription saying its being used for medical purposes. Also, you could even get a
FREE one if you qualified financially. How awesome is it that a company has a program like this for people? Very cool in my books!
{No lie, this thing can pulverize bones, and in my case, it pulverized a spatula!
Lets just say that was a meal that wasn't served to Jocelyn and a very important
lesson learned about not using the spatula when the machine is in operation!!}
Here was today's menu for a grand total of 715 calories. Each day the calories are different because it's no different than a person that eats by mouth, some days you eat more than others. For a seven day period we are now averaging 725 calories/day:
- 1/2c Grape Nut Cereal (this cereal is awesome with having 90% of daily iron intake & lots of fiber)
- 1c whole milk
- 1/2 can tuna in oil (perfect for protein, DHA source and fats)
- 1 fresh mango (we do anywhere from 1/2-1c of fruit depending on the calories in the fruit)
- 1 handful of fresh spinach (again, often times its 1/2-1c of veggies)
- 1c of yogurt (we keep a variety of yogurts that range from 100cals to 240cals per cup so we can adjust for calorie intake)
- 1 chewable multi-vitamin, 1 probiotic capsule, 1-1000mg glucosamine and 600mg vitamin B12 which is 0.5ml or half the dropper
Through trial and error, it works best to put the more course foods at the bottom of the blender (ie mixed nuts, cereals, etc). So for this meal, everything went into the blender at one time except for the yogurt and meds which were added last. The food was blended on high for 5-7 seconds, then I added everything else (note: I open and empty the capsules contents into the blender rather than drop the whole thing in there), blend for another 3 seconds and wallah!
{The final product. I know it may look gross but the nutritional and
health value is far better than formula no matter how you dice it!}
{The food was poured into a storage container to be refrigerated for all the meals of the day}
{Breakfast that was drawn up into the syringes to be administered. Jocelyn can
tolerate anywhere from 8-11oz in one setting which never happened on formula.
We tend to only do 8-9oz in the mornings as she has a more sensitive stomach at that time.
Prior to administering, we place syringes to in hot water to warm as cold food typically
causes abdominal cramping. I hear so often, "cold food doesn't do that," and sure it
might not when after its traveled through your mouth and down your throat, but this
is going directly into the stomach!}
Right now the magic formula for Jocelyn is to push a 15ml bolus every two minutes which makes her meal times last anywhere from 30-45 minutes three times a day. During her meals, Jocelyn is well supported and we use the iPad as a distraction during her feedings. Some may disagree with our approach and that's okay. I always say you do what works for you!
{Feedings are now one of the most enjoyable things for her and that feels awesome!}
I know this is a lot to digest, no pun intended, but hopefully if we all help each other we will continue to gain knowledge and understanding. Maybe by sharing, if you see someone out in public eating syringes full of food, you won't be alarmed or find it off putting because you'll have an idea of what is going on and why.
Our health is our life-line,
so here's to making it the
best health possible!!!