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GEN-DM
Medical food vanilla flavor
Nutritionallycomplete formula for normal person, people who need to control blood sugar, patients required tube feeding, people with diabetes and people with hypercholesterolemia

Description

• Nutritionally complete diet
• No sucrose added
• Lactose free
• Contains carnitine: necessary for fat metabolism
• For oral supplement or tube feeding

GEN-DM

• Composed with soy protein isolate
• Composed with fructose
• Composed with fructooligosaccharide (FOS)
• Composed with carnitine
• Composed with chromium

Net weight 2.5 kg.

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Nutrition Fact

Nutrients

Per 100 kcal Per 40 g Per 100 g

Percent amount compared to RNI suggested by WHO(*) per 40 g powder

Percent amount compared to RNI suggested by WHO(*) per 100 g powder

 Energy, kcal

100

180.28

450.7

**

**

 Protein, g

4.23

7.62

19.05

**

**

 Carbohydrate, g

13.14

23.68

59.2

**

**

 Fat, g

3.39

6.12

15.3

**

**

 FOS, g

0.93

1.68

4.2

**

**

 Vitamin A, IU

250.72

452

1130

23-27

57-68

 Vitamin D, IU

20.06

36.16

90.4

9-18

23-45

 Vitamin E, IU

1.50

2.7

6.78

18-24

45-60

 Vitamin C, mg

7.52

13.56

33.9

30

75

 Vitamin B1, mg

0.20

0.36

0.9

30-33

75-82

 Vitamin B2, mg

0.20

0.36

0.9

28-33

69-82

 Vitamin B6, mg

0.20

0.36

0.9

21-28

53-69

 Vitamin B12, mcg

0.60

1.08

2.71

45

113

 Pantothenic acid, mg

1.00

1.81

4.52

36

90

 Niacin, mg

2.01

3.62

9.04

23-26

57-65

 Folic acid, mg

0.04

0.07

0.18

30

75

 Biotin, mg

0.03

0.056

0.14

187

467

 Vitamin K, mcg

15.04

27.12

67.8

42-49

104-123

 Choline, mg

25.07

45.2

113

**

**

 Calcium, mg

50.14

90.4

226

7-9

17-23

 Phosphorus, mg

50.14

90.4

226

**

**

 Magnesium, mg

20.06

36.16

90.4

14-16

35-41

 Sodium, mg

70.11

126.4

316

**

**

 Potassium, mg

130.46

235.2

588

**

**

 Chloride, mg

100.29

180.8

452

**

**

 Iron, mg

1.60

2.89

7.23

10-26

25-64

 Zinc, mg

0.80

1.45

3.62

21-30

52-74

 Copper, mg

0.10

0.18

0.45

**

**

 Manganese, mg

0.20

0.36

0.9

**

**

 Iodine, mcg

7.52

13.56

33.9

9

23

 Carnitine, mg

13.98

25.2

63

**

**

 Taurine, mcg

3.68

6.64

16.6

**

**

 Chromium, mcg

5.55

10.0

25

**

**

 Selenium, mcg

3.33

6.0

15

18-23

44-58

 Molybdenum, mcg

7.54

13.6

34

**

**

 Lactose, g

0

0

0

**

**

(*) % of nutrients compared to recommended nutrient intake according to WHO criteria

(**) daily amount not established by WHO

Main Composition

Main composition in approximate

(% W / W)

 Maltodextrin

41.00 %

 Soy bean oil

15.30 %

 Sodium caseinate

10.70 %

 Soy Protein Isolate

10.70 %

 Fructose

9.00 %

 Polydextrose  

5.00 %

 Fructooligosaccharide

4.20 %

 Total Minerals

2.06%

 Total Vitamins

0.19%

 Carnitine

0.06%

Food Allergy

Contain casein (protein from milk) and soy

Remark

  • Food serial no. 74-1-21431-1-0004
  • Manufacturer HACCP is certified for enteral nutrition products by SGS (Thailand) Limited
  • Registration No. CICOT. HL. 99 B533 003 03 53
  • Manufactured by: Thai Otsuka Pharmaceutical Co., Ltd 50, Sethakij 1 Road, Khlong Madua, Kra Tum Ban, Samutsakorn, Thailand

Date of manufacture and expiry, see below

Preparation

For tube feeding
For concentration preparation at 1 kcal/mL, 222 grams of GEN-DM powder dissolved  in water and adjust to get 1000 mL final volume. (1 spoon = 8 grams) (Osmolarity 350 mOsm/L)   

For oral supplement
Dissolve 5 spoons of GEN-DM powder (40 g) with lukewarm water of about 120 mL and stir well, then adjust to get 200 mL final volume with providing of 180 kcal energy.

Precaution

  1. If the large volume of product preparation for several meals is required, the prepared solution should be kept in the refrigerator and consumed within 24 hours.
  2. Suspension and precipitation can happen after preparation. The prepared solution can be homogeneous again by shaking before consumption.
  3. Medical food must be used under medical supervision.
  4. Diabetes patients with complications such as kidney disease should consult medical supervision

Storage

Close the container tightly after opened and keep in the dry and cool place. Once opened, the product should be consumed within 1 month.

Related Research

The comparative study of diabetic specific formula and standard formula on postprandial plasma glucose control in type 2 DM patients. Click here.

FAQ

GEN-DM is ideal for whom?

• Any one in good health
• The diabetics
• Those who are keen on controlling blood sugar level
• Those who are high blood glucose level
• Those who require tube feeding

How does GEN-DM help control the diabetes?

• Fructose is used as a component. This sugar uses a tiny amount of insulin to transport sugar into cells and accelerate the conversion of glucose to glycogen stored in the liver, allowing blood sugar levels to stay stable.
• Fructo-oligosaccharides (FOS) are a type of soluble dietary fiber that helps slow the absorption of blood sugar after meals so that blood sugar levels rise gradually. As a result, the blood sugar level does not rise too quickly and stay in the bloodstream for a longer period of time, making you feel full longer.

For the diabetics with hyperlipidemia and weight control. How can they drink GEN-DM drink?

• For the most effective cases, it is recommended to drink 1 glass of GEN-DM as a meal replacement. It helps control blood sugar levels, reduce fat levels, and body weight control.
• If GEN-DM can't be taken as a meal replacement, it is recommended to drink one glass of GEN-DM 15-20 minutes before a typical meal and then reduce the amount of rice, flour, and fruit in half.

 How to prepare GEN-DM?

1. For tube feeding, mix GEN-DM 222 g and adjust the volume to 1,000 ml
   • This portion gives 1000 kcal
   • With the concentration 1kcal/ml
2. For oral intake, mix 5 spoons of GEN-DM (40 g) with water to 180-200 ml. This portion provides 180 kcal/glass.
3. Mix the powder with cold or warm water.

How many sizes is GEN-DM available in? What is the shelf life of this product?

GEN-DM is formulated as powder and offered in 3 distinct packages
• 400 g packaged in can
• 40 g in sachet, portable size ( 6 sachets per box)
• 2.5 kg in bag
The product has a two-year shelf life.

I have kidney disease and received dialysis. Can I take GEN-DM?
GEN-DM can be taken. Patients having received dialysis lose nutrients during the process and GEN-DM provides sodium, phosphorus, and potassium.

Can a pregnant woman and breastfeeding mother take GEN-DM?

Definitely yes. GEN-DM provides all required nutrients and help control blood sugar level and cholesterol level as there may be a risk of gestational diabetes in pregnant women in the second trimester. However, they should also take any other pregnancy supplements.

What nutrients are available in GEN-DM?

1. Carbohydrates include
    • Dextrin/ Fructose (instead of sucrose)/ PolydextroseI FOS in the following proportions: 70%: 15%: 8%: 7% of total carbohydrate
    • Polydextrose is a soluble dietary fiber that helps to decrease glucose absorption and keep blood sugar levels not too high.
    • FOS helps in the control of choresterol levels, whether LDL or Triglyceride.
2. Protein is made of Caesin and protein produced from soy bean, mixed in a 50:50 ratio.
3. Fat is made up of 100 percent soy bean oil, which contains linoleic acid (15%) and alpha-linolenic acid, which is an essential fatty acid.
4. Carnitine is an important component of metabolism, brach chain amino acids, and glucose, and it draws Long Chain Triglycerides to convert to energy.
5. Chromium is a trace element that aids in blood sugar regulation.

I have diarrhea after receiving GEN-DM. What should I do?
For oral intake, it is recommended to reduce the amount of the product consumed by mixing 4 spoons of product 250 cc. You can gradually add one more spoon at a time when the conditions improve.
For tube feeding, you can reduce the concentration of the product to 0.5kcal/ml and slow the flow rate down.

Limitation to the use of GEN-DM?
1. Those allergic to the components of GEN-DM including cow's milk, soy bean or any other ingredient listed
2. Those suffering from a gastrointestinal blockage
3. Those who have a serious illness in absorbing nutrition

Product Mixing Table

0.5 kcal / mL 1 kcal / mL
Powder Volume Powder Mix with Water Energy Powder Volume Powder Mix with Water Energy
(g) (spoon) (mL) (kcal) (g) (spoon) (mL) (kcal)

11.1

1.4

100

50

22.2

2.8

100

100

22.2

2.8

200

100

44.4

5.6

200

200

27.8

3.5

250

125

55.6

6.9

250

250

33.3

4.2

300

150

66.7

8.3

300

300

38.9

4.9

350

175

77.8

9.7

350

350

44.4

5.6

400

200

88.9

11.1

400

400

55.6

6.9

500

250

111.1

13.8

500

500

111.1

13.9

1,000

500

222.2

27.8

1,000

1,000

133.3

16.7

1,200

600

266.7

33.3

1,200

1,200

Remark

GEN-DM  1 spoon = 8 g (Energy 36 kcal)