Lactose Restricted Diet
DESCRIPTION
Lactose, or milk sugar, is produced
exclusively by the bovine (cow) mammary gland. It is a sugar composed of
glucose and galactose which has been shown to be hard to digest by Orientals,
Blacks, Hispanics and some Caucasians. The inability to properly digest this is
a consequence of a deficiency of the enzyme lactase, which breaks down the
sugar. If it is not broken down, bacteria in the intestines ferment the lactose
resulting in flatulence and diarrhea. Culturing a milk product to make yogurt,
kefir, buttermilk or cheese will eliminate the lactose. A lactose restricted
diet is designed for those who cannot tolerate lactose.
According to the RDA’s a lactose
restricted diet is adequate for all nutrients except calcium unless fermenter
(cultured) dairy products are used. In these cases, a calcium supplement of 800
to 1,000 mg per day would be considered desirable.
SAMPLE MENU FOR ONE DAY
Breakfast
| 1 orange |
1 egg (poached or egg substitute) |
| 1/2 cup oatmeal |
1 cup soybean milk |
| 10 whole, shelled, unsalted almonds |
1 slice whole wheat bread (toasted) |
| 1 teaspoon margarine |
Hot, non-caloric beverage |
Lunch
| 1/2 cup tomato juice |
8 ounces soup, vegetable |
| 1/4 cup canned red salmon |
2 slices whole wheat bread |
| 2 teaspoons oil and vinegar dressing
|
1 apple |
| 1 cup salad: romaine or Boston lettuce,
sliced carrots, |
cucumbers, mushrooms, green pepper,
celery |
Dinner
| 4 ounces broiled chicken breast |
1/2 cup cooked lentils |
| 2/3 cup steamed string beans |
1 slice whole wheat bread |
| 1 teaspoon margarine |
4 apricot halves (low sugar) |
| 8 ounces soybean milk |
Hot, non-caloric beverage |
Nutrient Content
- Calories: 1665
- Protein: 15%
- Carbohydrates: 59%
- Fat: 26%
- Cholesterol: 200 mg
- Fiber: 17 g
FOOD EXCHANGE MENU
Bread & Cereal Exchange List:
4 or more servings per day
Recommended:
• Whole wheat bread • White
bread (enr.) • Cereals • Pastas
• Potatoes • Popcorn •
Brown rice • Beans (dried)
• Green peas • Lentils
Avoid: Breads or cereals prepared with
milk or milk products
Fat Exchange List
Recommended:
• Fortified margarine prepared
without milk • Vegetable oils
• Cream (non-dairy, pwd) • Salad
dressing without milk products
Avoid: All others
Fruit Exchange List:
2 or more servings per day
Recommended: All
Avoid: None
Meat and Meat Substitute Exchange
List:
6 or more servings per day
Recommended:
• Meat • Fish
• Peanut butter • Eggs
• Soybeans • Shellfish
• Poultry • Tofu
Avoid: Any meats prepared or processed
with milk products such as:
• Luncheon meats • Cheese
Milk Exchange List:
2 or more servings per day
Recommended:
• Soybean milk and other
lactose-free supplements
• Yogurt and buttermilk may be
tolerated by some
Avoid: All milks and milk products which
are not recommended
Vegetable Exchange List:
2 or more servings per day
Recommended:
Fresh, frozen, or canned vegetables, both
whole and juice
Avoid: Vegetables which are prepared or
processed with milk or milk products
Miscellaneous Exchange List
Recommended:
All beverages and soups prepared or
processed without milk
Avoid: All beverages and soups containing
milk or milk products
Note:
Include six to eight cups of fluids, such
as water, per day. |
