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  • Type of Diet

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    20 vues2 pages

    Type of Diet

    Transféré par

    tanveer aslam
    performa

    Droits d'auteur :

    © All Rights Reserved
    Téléchargez comme DOCX, PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    sur 2

    DIET INSTRUCTIONS

    Type of Diet _______________________________


    Total Kcal _______________________________
    Carbohydrates _______________________________
    proteins _______________________________
    Fat _______________________________
    Fluid _______________________________
    Others _______________________________

    Meal/Snack/Time

    Food Breakfast Snack Lunch Snack Dinner Bedtime Total CHO PRO FAT Kcals
    Group Serving (g) (g) (g)

    Starches

    Fruit

    Milk

    Vegetables

    Meat/
    Substitute

    Fats
    Total
    CHO Grams
    Choices
    Total
    Kcal
    Eating Plan Pattern [Form A]

    Timing Food Item Serving size/ CHO Protein Fat Other Kcal
    Amount s
    Pre- ....................... ............... ............ ......... ...... ...... ......
    Breakfast ....................... ............... ............ ......... ...... ...... ......

    ....................... ............... ............ ......... ...... ...... ......


    Breakfast ....................... ............... ............ ......... ...... ...... ......
    ....................... ............... ............ ......... ...... ...... ......
    ----------- ....................... ............... ............ ......... ...... ...... ......
    ....................... ............... ............ ......... ...... ...... ......

    Snack ....................... ............... ............ ......... ...... ...... ......


    ....................... ............... ............ ......... ...... ...... ......
    -----------
    Lunch ....................... ............... ............ ......... ...... ...... ......
    ....................... ............... ............ ......... ...... ...... ......
    ----------- ....................... ............... ............ ......... ...... ...... ......
    ....................... ............... ............ ......... ...... ...... ......
    ....................... ............... ............ ......... ...... ...... ......

    Snack ....................... ............... ............ ......... ...... ...... ......


    ....................... ............... ............ ......... ...... ...... ......
    -----------
    Dinner ....................... ............... ............ ......... ...... ...... ......
    ....................... ............... ............ ......... ...... ...... ......
    ----------- ....................... ............... ............ ......... ...... ...... ......
    ....................... ............... ............ ......... ...... ...... ......
    ....................... ............... ............ ......... ...... ...... ......
    Bedtime
    ....................... ............... ............ ......... ...... ...... ......
    ----------- ....................... ............... ............ ......... ...... ...... ......
    TOTAL ............... ............ ......... ...... ...... ......
    ............... ............ ......... ...... ...... ......

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