Our Dietetic Services

 

Phone: 02 8970 6111              Fax: 02 9579 7979              Email: info@musculoskeletalinstitute.com.au

 

WHAT OUR DIETITIAN CAN HELP YOU WITH

  • Antenatal care including gestational diabetes
  • Post natal weight loss
  • Nutritional support pre and post bariatric surgery
  • Weight management
  • Diabetes, including carbohydrate counting
  • Chronic disease management
  • Food allergies and intolerances
  • Fussy eating and introduction to solids
  • Healthy eating for children over a healthy weight
  • Childhood obesity

 

Do I need a referral to see a dietitian?

A referral is not always needed to see a Dietitian however if you have a chronic health condition such as Diabetes, Chronic Heart Disease, Obesity etc you may be eligible for a EPC Care Plan from your General Practitioner which will entitle you to 5 Allied Health visits over a 12 month period. 

If you are eligible for an EPC Care Plan we are able to bulk-bill those initial visits for you.

Alternatively If you have private health insurance with extras cover you will only be out of pocket a small gap amount.

Nutrition support pre and post-surgery

Good nutrition is important for healing wounds. Wounds can occur from falls, accidents, underlying disease, pressure ulcers or wounds after surgery or from trauma. Wound healing may be compromised or wounds may take longer to heal, without good nutrition and hydration and that’s is where a dietitian can help!

A wound will increase your bodies need for certain nutrients and energy, so in addition to a healthy and varied diet, some important nutrients include:

  • Protein
  • Vitamin C
  • Zinc
  • Vitamin A

Talk to our dietitian regarding the best food choices for you whilst you recover.

Aged care nutrition / malnutrition

Malnutrition

When a person doesn’t meet their nutritional needs over a period of time, they can develop malnutrition. A person may be malnourished if they don’t eat enough, particularly common in illnesses that increase a person’s nutritional needs, in the elderly or in those that have a poor appetite.
Malnutrition is associated with poor health, it can impact on a person’s quality of life, affect their daily activities or increase their length of stay in hospital. A dietitian can assist individuals to meet their personal nutritional needs through practical advice.

Aged Care and the Elderly

As we age, individuals may see changes in their appetite and feelings around food. Eating can be the highlight of a person’s day but can also come with enormous stress. Some health conditions may require you to change your diet or medications may have side effects that impact your intake.
Our dietitian has worked with the elderly who still live at home, in acute hospital setting and in residential aged care facilities. She can help you understand your nutritional needs as you age and will work with you and your preferences.
Our dietitian is experienced within the aged care sector and can offer a range of nutrition and hydration services to your residential aged care facility. We can assist with facilities with menu reviews, staff education sessions and supplement use reviews.

Weight management and healthy eating

Trying to lose weight? It is hard and we know it. Often people do it through restrictive dieting and whilst it works in the short term, often leads to weight regain plus some not long after. This can be draining both physically and emotionally. So we aren’t here to help with some fad diet, rather we want to not only focus on a healthy lifestyle (good healthy foods and physical activity) with realistic expectations, but also consider all the pieces of the puzzle, like your sleep levels, stress, emotional eating and other medical conditions.

I know what you are thinking, you saw some facebook ad promising rapid weight loss and that just seems so much more appealing, quick weight loss and you’ll be happy? Yes you may get short term results, but often these programs have absolutely no scientific basis, cut out entire food groups and more importantly most of the weight you lose if water and lean muscle before any actual fat is loss.
We want to help you make long term sustainable changes that suit your lifestyle and individual needs, not a cookie cutter generic approach. The Dietitian’s Association of Australia encourages individuals to eat a variety of foods from these five groups every day:

  • Plenty of vegetables, including different types and colours, and legumes/beans
  • Fruit
  • Whole grains such as breads, cereals, rice, pasta, noodles, polenta, couscous, oats, quinoa and barley
  • Lean meats and poultry, fish, eggs, tofu, nuts and seeds, and legumes/beans
  • Milk, yoghurt, cheese and/or their alternatives, mostly reduced fat
  • And drink plenty of water.

And limit foods containing saturated fat, added sugars, added salt and alcohol.

Nutrition support pre and post bariatric surgery

Bariatric surgery is certainly not a quick fix but rather a tool that works best when done in conjunction with specific dietary changes to support weight loss and health benefits. Particularly in the case of morbid obesity, it is the most effective method of weight loss. Nutritional changes post-surgery will differ pending on the type of surgery you choose. Knowledge of good nutrition and the implementation of mindful eating habits are key to successful outcomes after bariatric surgery.

In Australia, there are different surgical approaches and your surgeon will usually discuss with you, which one is most appropriate for you. The procedures include, the sleeve gastrectomy, the Roux-en-Y gastric bypass, adjustable gastric banding or the intra gastric balloon.

How can a bariatric dietitian help you?

  • Provides pre and post-surgical dietary counselling
  • Ensures adequate dietary intake to meet nutritional requirements
  • Provides tailored support with motivation to make dietary changes
  • Provides practical strategies to assist her clients to make sustainable, long term lifestyle changes.

Pre-surgery we can help you understand the surgery, what dietary changes are required before surgery and walk you through the initial stages after surgery, so that you feel confident in what is required.

Post-surgery, we step you through all the different dietary stages including fluids, puree and soft foods. We guide you to ensure you are getting adequate protein and hydration. We are here to support you through this journey, help troubleshoot problems and monitor your nutritional pathology.

Most importantly, Jodie will work with her clients for the long term to ensure every person can feel confident and supported in reaching their health goals. She has a special interest in bariatric surgery and is an associate member of the Australian & New Zealand Metabolic and Obesity Surgery Society. She has completed the Medical Nutrition Therapy in Bariatric Surgery course, run by the DAA Centre for Advanced Learning.

Diabetes management – Type 1 & 2, gestational and pre-diabetes

Diabetes is a serious condition, where a person’s body cannot maintain healthy levels of glucose (sugar) in the blood. With continued high levels of blood glucose, this can lead to both short and long term complications. Diabetes requires continuing daily self care to aid in the management of the condition and whilst there is no cure, with appropriate education and management, you can still live an enjoyable life.
There three main types of diabetes and management of each will differ.

  • Type 1 is an auto-immune condition. There is no cure and it cannot be prevented.
    Diabetes Australia explains that in type 1 the immune system is activated to destroy the cells in the pancreas which produce insulin. We do not know what causes this auto-immune reaction. Type 1 diabetes is not linked to modifiable lifestyle factors.
    In type 1 diabetes, the pancreas, a large gland behind the stomach, stops making insulin because the cells that make the insulin have been destroyed by the body’s immune system. Without insulin, the body’s cells cannot turn glucose, into energy.
    People with type 1 diabetes depend on insulin every day of their lives to replace the insulin the body cannot produce. They must test their blood glucose levels several times throughout the day.
  • Type 2 is a progressive condition. It is associated with modifiable lifestyle risk factors
    Diabetes Australia explains that in type 2, the body becomes resistant to the normal effects of insulin and/or gradually loses the capacity to produce enough insulin in the pancreas. Is managed with a combination of regular physical activity, healthy eating and weight reduction. As type 2 diabetes is often progressive, most people will need oral medications and/or insulin injections in addition to lifestyle changes over time.
  • Gestational diabetes occurs during pregnancy. Most women will no longer have diabetes after the baby is born. However, some women will continue to have high blood glucose levels after delivery. It is diagnosed when higher than normal blood glucose levels first appear during pregnancy. In pregnancy, the placenta produces hormones that help the baby grow and develop. These hormones also block the action of the woman’s insulin. This is called insulin resistance. Because of this insulin resistance, the need for insulin in pregnancy is 2 to 3 times higher than normal. If you already have insulin resistance, then your body may not be able to cope with the extra demand for insulin production and the blood glucose levels will be higher resulting in gestational diabetes being diagnosed. Gestational diabetes can often be managed with healthy eating and regular physical activity. However, some women may need medication (metformin) and/or insulin injections to help manage gestational diabetes.

Ref: information from Diabetes Australia

A dietitian can help you learn how to live well with diabetes

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Helpful Advise For Healthy Eating, Fussy Eating & Introduction To Solids