Diet and nutrition

After your pancreas transplant, you should adjust your diet to keep your pancreas healthy and functioning well. Maintaining a healthy weight through diet and exercise can help prevent many common post-transplant complications, including infection, heart attacks and bone thinning.

Your Mayo Clinic transplant team includes a nutrition specialist (dietitian) who can discuss your nutrition and diet needs and answer any questions you have after your transplant.

Your Mayo Clinic dietitian will also provide you with several healthy food options and ideas to use in your nutrition plan. Your dietitian's recommendations may include:

  • Eating at least five servings of fruits and vegetables each day
  • Eating lean meats, poultry and fish
  • Eating whole-grain breads, cereals and other products
  • Having enough fiber in your daily diet
  • Drinking low-fat milk or eating other low-fat dairy products to help maintain healthy calcium levels
  • Limiting salt and sodium intake by using fresh herb and spices to season foods and avoiding processed foods
  • Limiting unhealthy fats, such as saturated fats in butter and red meats
  • Limiting your caffeine
  • Avoiding excessive alcohol
  • Staying hydrated by drinking adequate water and other fluids each day
  • Avoiding grapefruit and grapefruit juice, pomegranate and Seville oranges due to their effect on a group of immunosuppressive medications (calcineurin inhibitors)
  • Following food safety practices to reduce the risk of infection
Aug. 19, 2017
References
  1. Klein CL, et al. Patient selection for and immunologic issues relating to kidney-pancreas transplantation in diabetes mellitus. http://www.uptodate.com/home. Accessed March 21, 2016.
  2. Klein C, et al. Benefits and complications associated with kidney-pancreas transplantation in diabetes mellitus. http://www.uptodate.com/home. Accessed March 21, 2016.
  3. Pancreas transplantation. American Diabetes Association. http://www.diabetes.org/living-with-diabetes/treatment-and-care/transplantation/pancreas-transplantation.html. Accessed March 21, 2016.
  4. Robertson RP. Pancreas and islet transplantation in diabetes mellitus. http://www.uptodate.com/home. Accessed March 21, 2016.
  5. Health after transplantation. American Society of Transplantation. http://www.healthytransplant.com/health_maintenance/health_after_transplantation.aspx Accessed March 22, 2016.
  6. Preparing for the transplant. American Society of Transplantation. http://www.healthytransplant.com/health_maintenance/preparing_for_transplant.aspx. Accessed March 22, 2016.
  7. Kidney-pancreas transplant. National Kidney Foundation. http://www.kidney.org/atoz/content/kidpantx.cfm. Accessed March 22, 2016.
  8. Scientific Registry of Transplant Recipients 2012 Annual Data Report: Pancreas. Health Resources and Services Administration. http://srtr.transplant.hrsa.gov/annual_reports/2012. Accessed April 12, 2016.
  9. Chakkera HA (expert opinion). Mayo Clinic, Phoenix, Arizona. April 12, 2016.
  10. Side effects. UNOS Transplant Living. http://transplantliving.org/after-the-transplant/medications/side-effects/. Accessed March 22, 2016.
  11. Pancreas transplant. National Kidney Foundation. https://www.kidney.org/atoz/content/pancreastx. Accessed March 22, 2016.
  12. Heilman RL, et al. Immunosuppression in simultaneous pancreas-kidney transplantation. Drugs. 2010;70:793.
  13. Kandaswamy R, et al. Pancreas. American Journal of Transplantation. 2016;16(suppl 2):47.
  14. Pancreas. Organ Procurement and Transplantation Network. https://optn.transplant.hrsa.gov/data/organ-datasource/pancreas/. Accessed March 23, 2016.
  15. Barbara Woodward Lips Patient Education Center. Pancreas transplant. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2013.
  16. Pancreas. PubMed Health. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0015631/. Accessed April 7, 2016.
  17. Guidance for industry: Considerations for allogeneic pancreatic islet cell products. U.S. Food and Drug Administration. http://www.fda.gov/BiologicsBloodVaccines/GuidanceComplianceRegulatoryInformation/Guidances/CellularandGeneTherapy/ucm182440.htm. Accessed March 28, 2016.
  18. Pancreatic islet transplantation. National Institute of Diabetes and Digestive and Kidney Diseases. http://www.niddk.nih.gov/health-information/health-topics/Diabetes/pancreatic-islet-transplantation/Pages/index.aspx. Accessed March 28, 2016.
  19. Kudva YC, et al. Comprehensive immune monitoring reveals profound immunological changes in pancreas after kidney (PAK) transplant recipients. Human Immunology. 2013;74:738.
  20. Reddy KS, et al. Alemtuzumab with rapid steroid taper in simultaneous kidney and pancreas transplantation: Comparison to induction with antithymocyte globulin. Transplantation Proceedings. 2010;42:2006.
  21. Riggin ER. Allscripts EPSi. Mayo Clinic, Rochester, Minn. April 6, 2016.