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Nutrition Care Plan Support Pack

Diabetes Services

Supporting Good Nutrition, Hydration and Healthy Weight

Good nutrition and hydration are essential for maintaining health, supporting recovery, preventing weight loss and promoting wound healing. This support pack provides practical “Food First” advice to help people increase their calorie and protein intake using everyday foods, nourishing snacks and homemade drinks.


Why Nutrition Matters

Poor nutritional intake over a prolonged period can lead to malnutrition, which may increase the risk of:

  • Infection
  • Delayed wound healing
  • Reduced strength and energy
  • Impaired heart and lung function
  • Unplanned weight loss

Early nutritional support can help maintain health and improve recovery.


The Food First Approach

The Food First approach focuses on increasing calories and protein through everyday foods before considering nutritional supplements.

Simple changes can include:

  • Fortifying foods with extra calories
  • Adding protein-rich ingredients
  • Including nourishing snacks between meals
  • Drinking homemade nourishing drinks
  • Monitoring weight and food intake

This approach is recommended within NICE nutritional support guidance.


Fortified Milk

Fortified milk is an easy way to increase calorie and protein intake without increasing portion sizes.

How To Make It

Mix:

  • 1 pint of whole milk
  • 4 heaped tablespoons of dried milk powder

Fortified milk can be used in:

  • Tea and coffee
  • Breakfast cereals
  • Porridge
  • Sauces
  • Soups
  • Custards
  • Mashed potato
  • Milkshakes

Nourishing Snacks

Aim to include nourishing snacks between meals where appropriate.

Examples Include:

  • Cheese
  • Full-fat yoghurt
  • Banana
  • Dried fruit
  • Nuts
  • Hummus
  • Crisps
  • Mini sausage rolls
  • Digestive biscuits
  • Chocolate snacks

Regular snacks can help increase calorie intake throughout the day.


Nourishing Drinks

Homemade nourishing drinks can help increase both calorie and protein intake.

Examples include:

  • Fortified milkshakes
  • Fruit smoothies
  • Malted milk drinks
  • Dairy-free smoothies
  • High-protein shakes

These can be particularly useful for people with a poor appetite or who struggle to eat large meals.


Food Fortification

Adding small amounts of high-calorie ingredients to meals can make a significant difference.

Examples include:

  • Butter
  • Cream
  • Cheese
  • Mayonnaise
  • Nut butters
  • Dried milk powder
  • Honey
  • Jam
  • Olive oil

These ingredients can be added to meals, puddings and snacks to increase nutritional value.


Supporting Wound Healing

For people with pressure injuries or wounds, protein intake is particularly important.

Protein-rich foods include:

  • Cheese
  • Milk powder
  • Eggs
  • Nuts and nut butters
  • Lentils and pulses
  • Seeds
  • Soya products

A varied, balanced diet supports healing and recovery.


Monitoring Progress

Keeping food and fluid records can help identify:

  • Eating patterns
  • Favourite foods
  • Missed meals or snacks
  • Changes in appetite
  • Opportunities to improve nutritional intake

Regular reviews can help ensure nutritional goals are being met.


Further Information Available

This page provides a summary of the Nutrition Care Plan Support Pack.

The full PDF includes:

  • Fortified milk recipes
  • Food fortification guidance
  • Nourishing snack ideas
  • Homemade nourishing drink recipes
  • Protein toppers for wound healing
  • Food diary guidance
  • Nutrition goal setting
  • Problem-solving advice for poor appetite and eating difficulties

For complete guidance and recipes, please download the full PDF resource.