Choose My CSID Plate

Before and With Sucraid® (sacrosidase) Oral Solution Therapy

While Waiting for Sucraid®

Learn how to CHOOSE YOUR FOODS when you have been diagnosed with Congenital Sucrase-Isomaltase Deficiency (CSID) and are waiting to start Sucraid® (sacrosidase) Oral Solution therapy.

As a newly diagnosed CSID patient who has not started Sucraid® therapy, your doctor may have recommended that you avoid foods high in sucrose and you may need to limit foods that are high in starch. Once you begin Sucraid® therapy, the goal is to return to as near normal and as healthy a diet as possible without experiencing gastrointestinal (GI) symptoms.1

When planning your diet for CSID, it is helpful to learn about the sucrose and starch content of foods. Visit https://www.sucraidassist.com/ to learn more.

The United States Department of Agriculture’s “Choose My Plate” is a helpful guide for meal planning; see https://www.choosemyplate.gov/. Below is a CSID-friendly version of “Choose My Plate” that you can use to help plan your meals.2

To create a CSID-friendly meal, choose one food from each food group. For example, you might choose grilled chicken, sautéed spinach, and a half a cup of mashed potatoes with butter and cheese. Add a bowl of mixed berries and you have created a nice, balanced meal that is low in sucrose and starch.1, 2

Protein

Protein*

  • Beef
  • Chicken
  • Eggs
  • Fish
  • Lamb
  • Pork
  • Tofu
  • Turkey

*plain, no breading

Grains/Starch

Grain/Starch

  • Bread (1 slice)
  • Breakfast cereal, unsweetened (1/2 cup)
  • Crackers (about 5)
  • Oats, unsweetened (1/2 cup)*
  • Quinoa (1/2 cup)*
  • Rice (1/2 cup)*
  • White potato (1/2 cup)*

(1 small serving with each meal)

*measured after cooking

Vegetables

Vegetables

  • Asparagus
  • Bok choy
  • Broccoli
  • Brussels sprouts
  • Cabbage
  • Cauliflower
  • Celery
  • Cucumber
  • Eggplant
  • Green beans
  • Greens (leafy)
  • Lettuce
  • Mushrooms
  • Peppers
  • Radishes
  • Spaghetti squash
  • Spinach
  • Tomatoes
  • Turnips
  • Yellow squash
  • Zucchini
Fruit

Fruits

  • Avocado
  • Blackberries
  • Blueberries
  • Cherries
  • Figs
  • Grapes
  • Kiwi
  • Olives
  • Papaya
  • Pears
  • Prunes
  • Raspberries
  • Strawberries
Dairy

Dairy*

  • Cow's milk
  • Cream cheese
  • Half and half
  • Hard cheese
  • Cottage cheese
  • Plain yogurt
  • Ricotta
  • Sour cream
  • Whipping cream

*if you are lactose intolerant, use Lactaid® milk or alternative dairy sources

Fats

Fats

  • Any vegetable oil
  • Butter
  1. Sucraid® does not break down some sugars that come from the digestion of starch. You may need to restrict the amount of starch in your diet. Your doctor will tell you if you should restrict starch in your diet.
  2. Nutrient values may vary. Always check the Nutrition Facts Label and the Ingredient List on packaged foods and beverages.

While Taking Sucraid®

Learn how to CHOOSE YOUR FOODS when you have been diagnosed with Congenital Sucrase-Isomaltase Deficiency (CSID) and are starting Sucraid® (sacrosidase) Oral Solution therapy.

With Sucraid® therapy, you can include foods that are higher in sucrose because Sucraid® helps you digest these foods. Because Sucraid® therapy does not break down some sugars that come from the digestion of starch, you may need to restrict or experiment with the amount of starch in your diet to prevent any lingering gastrointestinal (GI) symptoms. But, in the end, the goal with Sucraid® therapy is to eat as near normal and as healthy a diet as possible without the return of GI symptoms.

For a healthy diet, you can use “Choose My Plate” (see https://www.choosemyplate.gov/) to help plan your meals. Many of you with CSID who are on Sucraid® therapy can choose freely from all food groups, but some may need to be cautious about foods that are high in starch.

It is helpful to keep a journal and write down what you are eating and whether you experience any GI symptoms. Check out “My Food and Symptom Log” on SucraidASSIST.com. Those of you who continue to have lingering GI symptoms while taking Sucraid® may need to look back through your journal and see if starch may be triggering your GI symptoms.

*See https://www.sucraidassist.com/ for fruit and vegetable lists.

If you have been on Sucraid® for several weeks and continue to have some lingering GI symptoms, you should talk to your doctor about whether you may need to adjust your starch intake*. Your doctor may advise the following:

  • Start by limiting starchy foods to one small serving per meal (3 times a day)
  • At first, you may want to limit your starchy food choices to:
    • ½ cup white potato
    • ½ cup white rice
    • 1 slice sourdough bread
  • Depending on how well you tolerate these starchy foods, you may be able to increase or decrease the amounts until you find your tolerance level (the amount you can eat without having GI symptoms)
  • Your doctor may suggest you try other new foods that are high in starch, like:
    • ½ cup sweet potatoes
    • 1 slice whole grain bread
    • ½ cup quinoa
    • ½ cup beans, peas, or corn
  • The final group of starchy foods you may decide to try includes “processed” foods** and baked goods or any other starchy foods that you enjoy. For example, you might try:
    • ½ cup breakfast cereal
    • small muffin
    • 3 cups popcorn
    • small piece of cake with icing
    • granola bar
    • small bag of chips
  • *You should discuss dietary changes with your physician or a registered dietitian prior to making any changes to your diet.
  • **Be cautious when adding processed foods and baked goods and read food labels carefully since many hidden ingredients could trigger GI symptoms.

REMEMBER

The goal with Sucraid® therapy is to eat as near normal and as healthy a diet as possible without experiencing gastrointestinal symptoms.