I also provided written FODMAP materials, suggestions for low-FODMAP and shopping apps, and general IBS diet information. "I placed Nancy on a strict low-FODMAP diet for one week, followed by instructions for adding high-FODMAP foods back into her diet. Her typical daily diet included gluten-free toast, a turkey sandwich and chips for lunch, a clementine or apple, and grilled chicken or beef tacos for dinner. "Nancy's mother, who shops and cooks for the family, described Nancy as a very picky eater who does not like most fruits or vegetables. "When I first saw her, she weighed 163 lbs, having recently lost 15 lbs because of her symptoms. "Nancy had been following a gluten-free, lactose-free diet and came to me with complaints of gas, bloating, and diarrhea, along with vomiting almost daily," Lemond recalls. Nancy, a 15-year-old ninth-grade student with celiac disease and lactose intolerance, received nutrition counseling from Angela Lemond, RDN, CSP, LD, of Lemond Nutrition in Plano, Texas. This article discusses five real-life cases, each presented hypothetically to a supermarket dietitian, who offers guidance to the client as if he or she were a shopper seeking the assistance of a supermarket dietitian in store. "Things that make sense in the comfort of a private office can suddenly become unclear when a shopper is in the supermarket," says Allison Stowell, MS, RD, CDN, a dietitian at Hannaford Supermarket, in Pawling, New York. While an appointment with a clinical or consultant dietitian can yield diet and nutrition advice, clients may require additional assistance with food shopping to translate their diet prescriptions into meals and menu planning. These diagnoses may include type 2 diabetes, CVD, lactose intolerance, celiac disease, nonceliac gluten sensitivity, inflammatory bowel disease, and other gastrointestinal (GI) discomfort caused by FODMAPs (fermentable oligo, di-, monosaccharides, and polyols). Turn Diet Advice Into Meals and Menu Planning - 5 Real-Life Case StudiesĬlients often present with complex diagnoses that require multiple short-term and long-term dietary changes.
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