Fructose, sucrose and sorbitol-free diet Information for patients and families What is a fructose, sucrose, and sorbitol-free diet? This diet avoids all forms of fructose, sucrose and sorbitol in food sources because your body lacks the enzyme (1,6-diphosphatase) to break down these foods. Why is this diet important? It can be a serious problem if the body cannot make the enzyme to break down fructose, sucrose and sorbitol. This can cause very low blood sugar (hypoglycemia) and decreased muscle tone (hypotonia). A diet without fructose, sucrose and sorbitol can help to manage symptoms like diarrhea and avoid more serious conditions. Who should consider this diet? This diet may help people who do not make enough 1,6-diphosphatase or who have fructose sensitivity. What can I eat on this diet? Dairy products What to eat What to avoid All fluid milk (whole, 2%, skim, Pudding buttermilk, cream, etc.) Ice-cream Plain yogurt Fruit yogurt Cheese Sherbet Diet chocolate milk Condensed milk Chocolate milk Some processed cheeses Meats and alternatives What to eat What to avoid Meat (beef, pork, lamb) Meats processed in sugar Poultry (chicken, turkey, duck, goose) brine, such as ham, bacon, Fish and luncheon meats Shellfish Breaded poultry and fish Organ meats Eggs Tofu Black-eye peas Beans (including mung beans and snap beans) Lentils Sesame seeds, pumpkin seeds Raw coconut Grains What to eat (only have 5 servings per day) What to avoid White bread, 1 slice All other items English muffin, ½ muffin for example: spelt flour, Rye crackers, 6 crackers quinoa, millet, barley Pasta (spaghetti, macaroni, noodles), ½ cup White rice, ½ cup Puffed rice, 1¾ cup Puffed wheat, 1¾ cup Corn tortillas, 1 tortilla Popcorn, 2 cups White flour, ½ cup Corn meal, ½ cup Buckwheat, ½ cup Amaranth grain, ½ cup Oat flour, ½ cup Vegetables What to eat (only have 1 serving per day, What to avoid serving size = ½ cup, cooked) Artichoke (but not Jerusalem artichoke) All other items Asparagus for example: kale, eggplant, Avocado tomato, squash Broad bean Broccoli Brussel sprouts White cabbage Wassava Cauliflower Celery Chicory root Chive Chard Cucumber Endive Guava, raw Green pepper Lettuce Mushrooms Mustard greens Potatoes Radishes Turnip Watercress Yams Zucchini Fruits What to eat (only have 5 servings per day) What to avoid Lemon, 1 whole All other items Lime, 1 whole for example: pears, Rhubarb, 1 cup, uncooked mangoes, cherries, watermelon Other foods What to eat What to avoid Baking chocolate Brown sugar Cocoa Sucrose, table sugar Products containing aspartame as a Beet sugar sweetener, such as diet soda, gum, jello, Cane sugar pudding, fruit crystals, up to 1 serving per day Fruit sugar Dry sherry, up to 2 oz per day Icing sugar Dry vermouth, up to 2 oz per day Maple syrup Dry white wine, up to 4 oz per day Molasses Vodka, rum, gin, up to 2 oz per day Honey Corn syrup Inverted sugar Sorbitol St. Michael’s cares about your health. For reliable health information, visit our Patient and Family Learning Centre, Room 6-004, 6th floor, Cardinal Carter Wing, or find us online at www.stmichaelshospital.com/learn This information is not intended as a substitute for professional medical care. Ask your healthcare provider about this information if you have questions. 73648 Dev. Jan17 2017 V1 .