Adult Nutritional Products Guide

Transcription

1 Adult Nutritional Products Guide September 2012

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3 Abbott Nutrition Adult Nutritional Products Guide WELCOME TO ABBOTT NUTRITION ADULT NUTRITIONAL PRODUCTS Abbott Nutrition is a world leader in adult nutritionals. Our products are state-of-the-art and include both nutritional products and devices. This product guide is provided to bring you the most accurate nutrition information to help you provide the best care for your patients. We hope you find the content useful. Thank you for choosing Abbott Nutrition, a leader in enteral nutrition and devices for over 30 years! NOTES Many of our adult nutritional products are available in a variety of flavours and/or forms. Ingredient information is shown here only for primary flavours and forms, e.g., vanilla 235-mL bottles. Other flavours and forms, e.g., chocolate flavour or Readyto-Hang containers, may have minor ingredient differences. Refer to product labels for ingredient and nutrient profile information not presented in this booklet. Information in this booklet is accurate at time of printing. ORDERING INFORMATION Hospitals and all other institutions can order Abbott Nutrition adult nutritional products by calling toll-free QUESTIONS OR COMMENTS: Healthcare Professionals can contact our team of nutrition specialists at Abbott Nutrition Communications: (option 1) or canada.nutrition@abbott.com. Monday to Friday 8:30 am-5:00 pm EST Visit us at 3

4 Abbott Nutrition Adult Nutritional Products Guide Also includes selected pediatric products. TABLE OF CONTENTS GENERAL INFORMATION Expiration dates...5 Recommended storage guidelines for Abbott Nutrition nutritional products...5 Hang Time for Abbott Nutrition nutritional products...6 Warnings...6 Lactose content of Abbott Nutrition products...7 Learn about scfos...7 Dosage chart...61 Recommended storage guidelines for Abbott Nutrition pediatric products...62 Hang Time for Abbott Nutrition pediatric products...63 Expiration dates...63 PRODUCTS Adult products Ensure Regular...8 Ensure Fibre...10 Ensure High Protein...12 Ensure Plus Calories (bottle)...14 Ensure Plus (can)...16 Ensure with scfos...18 Ensure Pudding...20 Glucerna Bar...22 Glucerna Nutritional Drink (bottle)...24 Glucerna Nutritional Drink (can)...26 Glucerna 1.0 Cal (for tube feeding)...28 Jevity 1 Cal...30 Jevity 1.2 Cal...32 Jevity 1.5 Cal...34 Nepro...36 Osmolite 1 Cal...38 Osmolite 1.2 Cal...40 Oxepa...42 Polycose...44 Promote...46 Similac Mom...48 Suplena...50 TwoCal HN...52 Vital HN...54 Ready-to-Hang products...56 Enteral Delivery System Enteral nutrition containers...57 Pumps and feeding sets...58 Gravity feeding sets...59 Flexiflo enteral feeding tubes and connectors...60 Pediatric products Pedialyte...64 PediaSure...66 PediaSure Complete...68 PediaSure Fibre...70 PediaSure Plus (with fibre)

5 Abbott Nutrition Adult Nutritional Products Guide EXPIRATION DATES To assure the highest quality, use the formula by the date shown on the product. The vitamin content and the physical stability of the product cannot be guaranteed beyond the Use By date because both may degrade with time. RECOMMENDED STORAGE GUIDELINES FOR ABBOTT NUTRITION NUTRITIONAL PRODUCTS RECOMMENDED STORAGE TEMPERATURES FOR UNOPENED PRODUCTS: LIQUID FORMULAS: The general recommended storage temperatures of nutritional products are between 0 and 35 C. The most desirable temperature range for storage of unopened containers is between 13 and 24 C. Storage at these temperatures will assure the highest quality product, both aesthetically and nutritionally. Prolonged exposure to temperatures below 0 C or to direct heat above 35 C could affect the physical consistency of the product. While the product within the sealed container is sterile and of sound nutritional quality, a change in the consistency of the product could temporarily affect the appearance, flavour, and other sensory attributes. We therefore do not recommend use of product exposed to adverse temperature. Do not freeze Abbott Nutrition nutritional formulas. POWDER FORMULAS: Store nutritional powder products in a dry, cool area. Do not store the actual can of powder in the refrigerator. Powdered formulas should be used within 1 month after opening. RECOMMENDED STORAGE OF OPENED PRODUCTS: 1,2 LIQUID FORMULAS: If cans are used, clean the top of cans thoroughly before opening. Once product is opened: - Use immediately or refrigerate within 2 hours - Discard refrigerated product after 48 hours When product is consumed directly from the can or bottle or through a straw: - Use immediately or refrigerate within 1 hour - Consume refrigerated product within 24 hours Drinking directly from the can or bottle or through a straw exposes product to significant amounts of oral bacteria and therefore reduces storages times. POWDER FORMULAS: Reconstituted formulas, such as Vital HN and Polycose powder, should be poured into cups, capped, and stored in the refrigerator. Use any opened, reconstituted product within: - 24 hours if stored in the refrigerator - 2 hours if left out at room temperature REFERENCES: 1. Canadian Food Inspection agency website ( Safe Food Storage(P0234E-01). September Health Canada website ( December Continued on next page 5

6 Abbott Nutrition Adult Nutritional Products Guide HANG TIME FOR ABBOTT NUTRITION NUTRITIONAL PRODUCTS 1,2 OPEN SYSTEM: Ready-to-feed formulas: Medical literature suggests that the following hang times are acceptable for commercially sterile ready-to-feed nutritional products when carefully poured from the packaged container into a tube-feeding setup. - 8 to 12 hours for adult patients - 4 to 8 hours for pediatric patients Reconstituted formulas: Any enteral nutrition formulas that are modified in any way should be prepared using aseptic technique and should hang for no more than 4 hours. This includes the addition of powder formulas and any feedings to which other ingredients are added. All devices/tubing for an open system are to be changed after no more than 24 hours. CLOSED SYSTEM: Ready-to-Hang products: Hang product according to the following recommendations when a new Ready-to-Hang container, a new feeding set and aseptic technique are used. Otherwise, hang no longer than 24 hours hours when a feeding set with piercing pin is used - 24 hours when a feeding set with screw cap is used In each healthcare facility, it is important to involve the appropriate professionals in developing procedures for using safe technique in the preparation and use of tube feedings and in setting quality assurance protocols for monitoring those techniques. This practice exposes the product to significant amounts of bacteria. Other ingredients may include nutritional liquids, powders or supplemental foods such as Ready-to-Feed or powder formula, Polycose, oils and other nutrient modules (vitamins, minerals, carbohydrates, proteins, fat). REFERENCES: 1. Campbell SM. Preventing Microbial contamination of Enteral formulas and Delivery Systems. Columbus, Ohio, Ross Products Division, Abbott Laboratories, Nevin-Folino N, Miller M. Enteral nutrition, in Handbook of Pediatric Nutrition, ed 2. Gaithersburg, Md. Aspen Publishers, Inc., 1999:537. WARNINGS Abbott Nutrition nutritional products are not intended for parenteral use. Use under medical supervision. While many Abbott Nutrition nutritional formulas are designed to meet specific needs of patients with certain conditions, the choice of the optimal product for a patient must be based on patient-specific information and clinical judgment. Never use a microwave oven to warm formula. Serious burns can result. Adult nutritional products are not intended for use in children unless recommended by a physician or qualified health care professional. 6

7 Abbott Nutrition Adult Nutritional Products Guide LACTOSE CONTENT OF ABBOTT NUTRITION PRODUCTS All Abbott Nutrition products with the exception of Polycose and Isomil contain some milk protein. With improvements in testing methodology, low levels of lactose in the products can now be detected. Most people with lactose intolerance can tolerate some amount of lactose in their diet. A review of the medical and scientific literature 1,2 indicates that most lactose intolerant patients can tolerate up to 6 grams of lactose per serving. Abbott Nutrition adult nutritional products contain less than 500 mg of lactose per serving and are therefore suitable for most people with lactose intolerance. However, such products are not suitable for patients with galactosemia. Not suitable for galactosemia will be clearly indicated on the label. Additional information regarding lactose may be obtained via our team of registered dietitians at , option 1. REFERENCES: 1. Suarez F. Abbott Nutrition Medical assessment of lactose tolerance in the lactose maldigesters population. 11 April Hertzler SR, Huynh BC, Savaiano DA: How much lactose is low lactose? J Am Diet Assoc 1996; 96: LEARN ABOUT scfos What are scfos? Short-chain fructooligosaccharides (scfos) are natural carbohydrates that are not digested in the GI tract, but are fermented by beneficial bacteria in the colon. scfos do not contribute to residue in the stool. 1 What benefits do scfos provide? scfos are fermented by bifidobacteria in the colon to short-chain fatty acids, which are an energy source for cells in the colon 2 scfos can selectively provide energy to beneficial bacteria in the colon 1 Abbott Nutrition products containing scfos: Ensure Pudding, Ensure with scfos, Glucerna Bar, Glucerna Nutritional Drink, Jevity 1.2 Cal, Jevity 1.5 Cal, Nepro, TwoCal HN, PediaSure Complete and PediaSure Plus. REFERENCES: 1. Royall D et al. Clinical significance of colonic fermentation. Am J Gastroenterol 1990;85: Gibson GR et al. Selective stimulation of bifidobacteria in the human colon by oligofructose and inulin. Gastroenterology 1995;108:

8 ENSURE REGULAR COMPLETE, BALANCED NUTRITION Nutrition to stay active and energetic USAGE ENSURE REGULAR is complete, balanced nutrition for supplemental use between or with meals. Suggested indications: For people on modified diets For people at nutritional risk For people with involuntary weight loss For people who need a low-residue diet For people recovering from illness or surgery Not suitable for people with galactosemia FEATURES Complete, balanced nutrition Provides 26 vitamins and minerals For oral feeding Six delicious flavours to prevent flavour fatigue: vanilla, chocolate, strawberry, butter pecan, wild berry and orange cream NUTRIENT FACTS Nutrient density (Cal/mL) 1.06 Protein (% Cal) 15.0 Carbohydrate (% Cal) 61.0 Fat (% Cal) 24.0 Total Cal/g nitrogen 166:1 Nonprotein Cal/g nitrogen 141:1 Water (g/l) 840 Kosher Gluten-free Low residue Osmolality (mosm/kg water) 642 Renal solute load (mosm/l) 345 AVAILABILITY Ready to Use: Vanilla 235-mL bottles 4 x 6/pack Chocolate 235-mL bottles 4 x 6/pack Strawberry 235-mL bottles 4 x 6/pack Butter Pecan 235-mL bottles 4 x 6/pack Wild Berry 235-mL bottles 4 x 6/pack Orange Cream 235-mL bottles 4 x 6/pack 8

9 Per 100 ml Per 235 ml ENERGY Calories Kilojoules PROTEIN (g) % of total energy 15.0% Milk protein concentrate, soy protein concentrate FAT (g) % of total energy 24.0% Polyunsaturated fatty acids (g) Linoleic acid (g) Linolenic acid (g) Omega 6 : Omega 3 ratio 5:1 Monounsaturated fatty acids (g) Saturated fatty acids (g) Cholesterol (mg) Soy oil, canola oil, corn oil, soy lecithin CARBOHYDRATE (g) % of total energy 61.0% Dietary fibre (g) 0 0 Sugar, corn maltodextrin VITAMINS Vitamin A (RE/IU) 160/ /1250 Vitamin D3 (µg/iu) 0.64/ /60 Vitamin E (mg/iu) 1.2/ /3.8 Vitamin C (mg) Thiamine (mg) Riboflavin (mg) Niacin (mg) Vitamin B6 (mg) Folic acid (mg) Vitamin B12 (mg) Pantothenic acid (mg) Biotin (mg) MINERALS Sodium (mg) Sodium (mmol) Potassium (mg) Potassium (mmol) Chloride (mg) Chloride (mmol) Calcium (mg) Phosphorus (mg) Magnesium (mg) Iron (mg) Zinc (mg) Iodide (mg) Copper (mg) Manganese (mg) Selenium (mg) Chromium (mg) Molybdenum (mg) NUTRITIONAL INFORMATION INGREDIENTS ( -D) Water, sugar, corn maltodextrin, milk protein concentrate, soy oil, soy protein concentrate, canola oil, corn oil, potassium citrate, sodium citrate, natural and artificial flavour, magnesium phosphate, soy lecithin, calcium phosphate, salt, magnesium chloride, carrageenan, potassium hydroxide, potassium chloride, ascorbic acid, zinc sulphate, ferrous sulphate, niacinamide, dl-α-tocopheryl acetate, manganese sulphate, cupric sulphate, calcium pantothenate, vitamin A palmitate, pyridoxine hydrochloride, thiamine chloride hydrochloride, riboflavin, folic acid, sodium molybdate, chromium chloride, biotin, potassium iodide, sodium selenate, vitamin D3, cyanocobalamin. Contains milk and soy ingredients. * Ensure Regular vanilla Additional ingredients for chocolate: Corn syrup, cocoa powder, annatto, colour Additional ingredients for strawberry: Colour Additional ingredients for butter pecan: Colour Additional ingredients for wild berry: Colours Additional ingredients for orange cream: Annatto, colour Values listed are subject to change. Please refer to the product label or packaging for the most current ingredient, allergen and nutrient profile information. ENSURE REGULAR COMPLETE, BALANCED NUTRITION

10 ENSURE FIBRE COMPLETE, BALANCED NUTRITION USAGE ENSURE FIBRE is a fibre-containing liquid formula for people who can benefit from dietary fibre. Dietary fibre helps maintain normal bowel function. Suggested indications: For people who may benefit from added fibre For people who do not require a low-residue diet Not suitable for people with galactosemia FEATURES Complete, balanced nutrition Provides 26 vitamins and minerals Provides 3.4 g total dietary fibre per 235-mL serving. A healthy diet with dietary fibre supports regularity For oral feeding Rich and creamy, good tasting Two delicious flavours: vanilla and chocolate NUTRIENT FACTS Nutrient density (Cal/mL) 1.06 Protein (% Cal) 15 Carbohydrate (% Cal) 57.5 Fat (% Cal) 27.6 Total Cal/g nitrogen 172:1 Nonprotein Cal/g nitrogen 146:1 Water (g/l) 826 Kosher Gluten-free Low residue No Osmolality (mosm/kg water) 342 Renal solute load (mosm/l) 345 AVAILABILITY Ready to Use: Vanilla 235-mL cans 12/case Chocolate 235-mL cans 12/case 10

11 Per 100 ml Per 235 ml ENERGY Calories Kilojoules PROTEIN (g) % of total energy 15% Sodium caseinate, soy protein, calcium caseinate FAT (g) % of total energy 27.6% Polyunsaturated fatty acids (mg) Linoleic acid (g) Linolenic acid (g) Omega 6 : Omega 3 ratio 7.3:1 Monounsaturated fatty acids (mg) Saturated fatty acids (mg) Cholesterol (mg) High oleic sunflower or safflower oil, canola oil, corn oil, soy lecithin CARBOHYDRATE (g) % of total energy 57.5% Dietary fibre (g) Maltodextrin, sucrose, soy polysaccharide VITAMINS Vitamin A (RE/IU) 160/ /1250 Vitamin D3 (µg/iu) 0.64/26 1.5/60 Vitamin E (mg/iu) 1.2/ /3.8 Vitamin C (mg) Thiamine (mg) Riboflavin (mg) Niacin (mg) Vitamin B6 (mg) Folic acid (mg) Vitamin B12 (mg) Pantothenic acid (mg) Biotin (mg) MINERALS Sodium (mg) Sodium (mmol) Potassium (mg) Potassium (mmol) Chloride (mg) Chloride (mmol) Calcium (mg) Phosphorus (mg) Magnesium (mg) Iron (mg) Zinc (mg) Iodide (mg) Copper (mg) Manganese (mg) Selenium (mg) Chromium (mg) Molybdenum (mg) NUTRITIONAL INFORMATION INGREDIENTS *(MKD) Water, maltodextrin, sucrose, sodium caseinate, soy polysaccharide, high oleic sunflower oil or high oleic safflower oil, canola oil, soy protein, corn oil, calcium caseinate, potassium citrate, calcium phosphate tribasic, natural and artificial flavour, magnesium phosphate dibasic, soy lecithin, magnesium chloride, sodium chloride, sodium citrate, ascorbic acid, potassium chloride, zinc sulphate, ferrous sulphate, niacinamide, dl-α-tocopheryl acetate, manganese sulphate, citric acid, cupric sulphate, d-calcium pantothenate, vitamin A palmitate, pyridoxine hydrochloride, thiamine hydrochloride, riboflavin, folic acid, sodium molybdate, biotin, potassium iodide, sodium selenate, chromium chloride, vitamin D3, cyanocobalamin. May contain potassium hydroxide. Contains milk and soy ingredients. * Ensure Fibre vanilla Additional ingredients for chocolate: Cocoa powder Values listed are subject to change. Please refer to the product label or packaging for the most current ingredient, allergen and nutrient profile information. ENSURE FIBRE COMPLETE, BALANCED NUTRITION

12 ENSURE HIGH PROTEIN COMPLETE, BALANCED NUTRITION Protein to help build muscle USAGE ENSURE HIGH PROTEIN is complete, balanced nutrition for supplemental use between or with meals. Suggested indications: For people who need additional protein and nutrition in their diet For people recovering from surgery or fracture For people who have or are at risk for pressure ulcers Not suitable for people with galactosemia FEATURES Complete, balanced nutrition 28% more protein per bottle than Ensure Regular Provides 26 vitamins and minerals For oral feeding Rich and creamy, good tasting Three delicious flavours: vanilla, chocolate and strawberry NUTRIENT FACTS Nutrient density (Cal/mL) 0.96 Protein (% Cal) 21.0 Carbohydrate (% Cal) 55.0 Fat (% Cal) 24.0 Total Cal/g nitrogen 122:1 Nonprotein Cal/g nitrogen 96.1:1 Water (g/l) 837 Kosher Gluten-free Low residue Osmolality (mosm/kg water) 546 Renal solute load (mosm/l) 417 AVAILABILITY Ready to Use: Vanilla 235-mL bottles 4 x 6/pack Chocolate 235-mL bottles 4 x 6/pack Strawberry 235-mL bottles 4 x 6/pack 12

13 Per 100 ml Per 235 ml ENERGY Calories Kilojoules PROTEIN (g) % of total energy 21% Sodium and calcium caseinates, soy protein isolate FAT (g) % of total energy 24% Polyunsaturated fatty acids (g) Linoleic acid (g) Linolenic acid (g) Omega 6 : Omega 3 ratio 7.4:1 Monounsaturated fatty acids (g) Saturated fatty acids (g) Cholesterol (mg) High oleic safflower oil, canola oil, corn oil, soy lecithin CARBOHYDRATE (g) % of total energy 55% Dietary fibre (g) 0 0 Sugar, corn maltodextrin VITAMINS Vitamin A (RE/IU) 149/ /1166 Vitamin D3 (µg/iu) 0.53/ /50 Vitamin E (mg/iu) 1.07/ /3.38 Vitamin C (mg) Thiamine (mg) Riboflavin (mg) Niacin (mg) Vitamin B6 (mg) Folic acid (mg) Vitamin B12 (mg) Pantothenic acid (mg) Biotin (mg) MINERALS Sodium (mg) Sodium (mmol) Potassium (mg) Potassium (mmol) Chloride (mg) Chloride (mmol) Calcium (mg) Phosphorus (mg) Magnesium (mg) Iron (mg) Zinc (mg) Iodide (mg) Copper (mg) Manganese (mg) Selenium (mg) Chromium (mg) Molybdenum (mg) NUTRITIONAL INFORMATION INGREDIENTS ( -D) Water, sugar, sodium and calcium caseinate, corn maltodextrin, high oleic safflower oil, canola oil, soy protein isolate, corn oil, potassium citrate, sodium citrate, calcium phosphate, magnesium phosphate, natural and artificial flavour, magnesium chloride, salt, soy lecithin, potassium phosphate, carrageenan, ascorbic acid, zinc sulphate, ferrous sulphate, niacinamide, dl-α-tocopheryl acetate, manganese sulphate, cupric sulphate, calcium pantothenate, vitamin A palmitate, pyridoxine hydrochloride, thiamine chloride hydrochloride, riboflavin, folic acid, potassium iodide, sodium molybdate, biotin, sodium selenate, chromium chloride, vitamin D3, cyanocobalamin. Contains milk and soy ingredients. * Ensure High Protein vanilla Additional ingredients for chocolate: Cocoa powder, colour Additional ingredients for strawberry: Colour Values listed are subject to change. Please refer to the product label or packaging for the most current ingredient, allergen and nutrient profile information. ENSURE HIGH PROTEIN COMPLETE, BALANCED NUTRITION

14 ENSURE PLUS CALORIES COMPLETE, BALANCED NUTRITION To help gain or maintain a healthy weight USAGE ENSURE PLUS CALORIES is a great source of protein and is high in calories to help people gain or maintain weight. It is a complete and balanced nutritional supplement that can be used with or between meals or, in appropriate amounts, as a meal replacement. Suggested indications: For people who need to gain or maintain weight For people who have fluid restrictions or require volume-limited feedings Not suitable for people with galactosemia FEATURES Complete, balanced nutrition 44% more protein and 105 more calories per bottle than Ensure Regular Provides 26 vitamins and minerals For oral feeding Five delicious flavours: vanilla, chocolate, strawberry, café au lait and butter pecan NUTRIENT FACTS Nutrient density (Cal/mL) 1.51 Protein (% Cal) 15.0 Carbohydrate (% Cal) 57.0 Fat (% Cal) 28.0 Total Cal/g nitrogen 164.3:1 Nonprotein Cal/g nitrogen 139.3:1 Water (g/l) 770 Kosher Gluten-free Low residue Osmolality (mosm/kg water) 633 (Chocolate flavour) 707 Renal solute load (mosm/l) 450 AVAILABILITY Ready to Use: Vanilla 235-mL bottles 4 x 6/pack Chocolate 235-mL bottles 4 x 6/pack Strawberry 235-mL bottles 4 x 6/pack Butter Pecan 235-mL bottles 4 x 6/pack Café au lait 235-mL bottles 4 x 6/pack 14

15 Per 100 ml Per 235 ml ENERGY Calories Kilojoules PROTEIN (g) % of total energy 15.0% Milk protein concentrate, soy protein concentrate, whey protein concentrate FAT (g) % of total energy 28.0% Polyunsaturated fatty acids (g) Linoleic acid (g) Linolenic acid (g) Omega 6 : Omega 3 ratio 5:1 Monounsaturated fatty acids (g) Saturated fatty acids (g) Cholesterol (mg) Canola oil, corn oil, soy lecithin CARBOHYDRATE (g) % of total energy 57.0% Dietary fibre (g) 0 0 Corn maltodextrin, sugar VITAMINS Vitamin A (RE/IU) 160/ /1250 Vitamin D3 (µg/iu) 0.64/ /60 Vitamin E (mg/iu) 1.2/ /3.8 Vitamin C (mg) Thiamine (mg) Riboflavin (mg) Niacin (mg) Vitamin B6 (mg) Folic acid (mg) Vitamin B12 (mg) Pantothenic acid (mg) Biotin (mg) MINERALS Sodium (mg) Sodium (mmol) Potassium (mg) Potassium (mmol) Chloride (mg) Chloride (mmol) Calcium (mg) Phosphorus (mg) Magnesium (mg) Iron (mg) Zinc (mg) Iodide (mg) Copper (mg) Manganese (mg) Selenium (mg) Chromium (mg) Molybdenum (mg) NUTRITIONAL INFORMATION INGREDIENTS ( -D) Water, corn maltodextrin, sugar, milk protein concentrate, canola oil, soy protein concentrate, corn oil, natural and artificial flavours, whey protein concentrate, magnesium phosphate, sodium citrate, potassium citrate, soy lecithin, calcium phosphate, potassium chloride, salt, ascorbic acid, carrageenan, potassium hydroxide, zinc sulphate, ferrous sulphate, niacinamide, dl-α-tocopheryl acetate, manganese sulphate, cupric sulphate, calcium pantothenate, vitamin A palmitate, pyridoxine hydrochloride, thiamine chloride hydrochloride, riboflavin, folic acid, sodium molybdate, potassium iodide, chromium chloride, biotin, sodium selenate, vitamin D3, cyanocobalamin. Contains milk and soy ingredients. * Ensure Plus Calories vanilla. Additional ingredients for chocolate: Cocoa powder, annatto, colour Additional ingredients for strawberry: Colour Additional ingredients for butter pecan: (none) Additional ingredients for café au lait: Colour Values listed are subject to change. Please refer to the product label or packaging for the most current ingredient, allergen and nutrient profile information. ENSURE PLUS CALORIES COMPLETE, BALANCED NUTRITION

16 ENSURE PLUS COMPLETE, BALANCED NUTRITION USAGE ENSURE PLUS is a great source of protein and is high in calories to help people gain or maintain weight. It is a complete and balanced oral nutritional supplement that can be used with or between meals or, in appropriate amounts, as a meal replacement. Suggested indications: For people who need to gain or maintain weight For people who have fluid restrictions or require volume-limited feedings Not suitable for people with galactosemia FEATURES Complete, balanced nutrition 42% more protein and 105 more calories per can than Ensure Regular Provides 26 vitamins and minerals Rich and creamy, good tasting For oral feeding only Three delicious flavours: vanilla, chocolate, strawberry NUTRIENT FACTS Nutrient density (Cal/mL) 1.51 Protein (% Cal) 15.0 Carbohydrate (% Cal) 61.0 Fat (% Cal) 24.0 Total Cal/g nitrogen 169:1 Nonprotein Cal/g nitrogen 144:1 Water (g/l) 770 Kosher Gluten-free Low residue Osmolality (mosm/kg water) 788 Renal solute load (mosm/l) 466 AVAILABILITY Ready to Use: Vanilla 235-mL cans 12/Case Chocolate 235-mL cans 12/Case Strawberry 235-mL cans 12/Case 16

17 Per 100 ml Per 235 ml ENERGY Calories Kilojoules PROTEIN (g) % of total energy 15% Calcium caseinate, soy protein FAT (g) % of total energy 24% Polyunsaturated fatty acids (g) Linoleic acid (g) Linolenic acid (g) Omega 6 : Omega 3 ratio 7.3:1 Monounsaturated fatty acids (g) Saturated fatty acids (g) Cholesterol (mg) High oleic safflower or sunflower oil, canola oil, corn oil, soy lecithin CARBOHYDRATE (g) % of total energy 61% Dietary fibre (g) 0 0 Corn syrup, maltodextrin, sucrose VITAMINS Vitamin A (RE/IU) 160/ /1250 Vitamin D3 (µg/iu) 0.64/ /60 Vitamin E (mg/iu) 1.2/ /3.8 Vitamin C (mg) Thiamine (mg) Riboflavin (mg) Niacin (mg) Vitamin B6 (mg) Folic acid (mg) Vitamin B12 (mg) Pantothenic acid (mg) Biotin (mg) MINERALS Sodium (mg) Sodium (mmol) Potassium (mg) Potassium (mmol) Chloride (mg) Chloride (mmol) Calcium (mg) Phosphorus (mg) Magnesium (mg) Iron (mg) Zinc (mg) Iodide (mg) Copper (mg) Manganese (mg) Selenium (mg) Chromium (mg) Molybdenum (mg) NUTRITIONAL INFORMATION INGREDIENTS *(MKD) Water, corn syrup, maltodextrin, sucrose, calcium caseinate, high oleic sunflower oil or high oleic safflower oil, canola oil, soy protein, corn oil, potassium citrate, sodim chloride, calcium phosphate tribasic, soy lecithin, potassium phosphate dibasic, natural and artificial flavour, magnesium phosphate dibasic, magnesium chloride, sodium citrate, carrageenan, ascorbic acid, potassium chloride, zinc sulphate, ferrous sulphate, niacinamide, dl-α-tocopheryl acetate, manganese sulphate, cupric sulphate, d-calcium pantothenate, vitamin A palmitate, pyridoxine hydrochloride, thiamine hydrochloride, riboflavin, folic acid, sodium molybdate, potassium iodide, biotin, sodium selenate, vitamin D3, cyanocobalamin. May contain potassium hydroxide and/or chromium chloride. Contains milk and soy ingredients. * Ensure Plus vanilla Additional ingredients for chocolate: Cocoa powder, annatto, colour Additional ingredients for strawberry: Colour, ethyl maltol Values listed are subject to change. Please refer to the product label or packaging for the most current ingredient, allergen and nutrient profile information. ENSURE PLUS COMPLETE, BALANCED NUTRITION

18 ENSURE with scfos (previously Ensure Prebiotics) COMPLETE, BALANCED NUTRITION scfos, part of a healthy diet USAGE ENSURE with scfos is complete, balanced nutrition with short-chain fructooligosaccharides (scfos). Suggested indications: Recovery from illness / surgery Involuntary weight loss / malnutrition Not suitable for people with galactosemia FEATURES Complete, balanced nutrition 3 g/235-ml serving of scfos. To learn more about scfos, see product guide introduction, page 7 Provides 26 vitamins and minerals For oral feeding Two delicious flavours: vanilla and strawberry NUTRIENT FACTS Nutrient density (Cal/mL) 1.06 Protein (% Cal) 15 Carbohydrate (% Cal) 62.0 Fat (% Cal) 23.3 Total Cal/g nitrogen 172.3:1 Nonprotein Cal/g nitrogen 146.9:1 Water (g/l) 817 Kosher Gluten free Low residue Osmolality (mosm/kg water) 650 Renal solute load (mosm/l) 342 AVAILABILITY Ready to Use: Vanilla 235-mL bottles 4 x 6/pack Strawberry 235-mL bottles 4 x 6/pack 18

19 Per 100 ml Per 235 ml ENERGY Calories Kilojoules PROTEIN (g) % of total energy 15% Milk protein concentrate, soy protein concentrate FAT (g) % of total energy 23.3% Polyunsaturated fatty acids (g) Linoleic acid (g) Linolenic acid (g) Omega 6 : Omega 3 ratio 5:1 Monounsaturated fatty acids (g) Saturated fatty acids (g) Cholesterol (mg) Soy oil, canola oil, corn oil, soy lecithin CARBOHYDRATE (g) % of total energy 62.0% Dietary fibre (g) 0 0 scfos (g) Sugar, corn maltodextrin, scfos NUTRITIONAL INFORMATION VITAMINS Vitamin A (RE/IU) 160/ /1250 Vitamin D3 (µg/iu) 0.64/ /60 Vitamin E (mg/iu) 1.2/ /3.8 Vitamin C (mg) Thiamine (mg) Riboflavin (mg) Niacin (mg) Vitamin B6 (mg) Folic acid (mg) Vitamin B12 (mg) Pantothenic acid (mg) Biotin (mg) MINERALS Sodium (mg) Sodium (mmol) Potassium (mg) Potassium (mmol) Chloride (mg) Chloride (mmol) Calcium (mg) Phosphorus (mg) Magnesium (mg) Iron (mg) Zinc (mg) Iodide (mg) Copper (mg) Manganese (mg) Selenium (mg) Chromium (mg) Molybdenum (mg) INGREDIENTS ( -D) Water, sugar, corn maltodextrin, milk protein concentrate, soy oil, fructooligosaccharides (FOS), soy protein concentrate, canola oil, corn oil, potassium citrate, sodium citrate, natural and artificial flavour, magnesium phosphate, soy lecithin, calcium phosphate, salt, magnesium chloride, carrageenan, potassium hydroxyde, potassium chloride, ascorbic acid, zinc sulphate, ferrous sulphate, niacinamide, dl-α-tocopheryl acetate, manganese sulphate, cupric sulphate, calcium pantothenate, vitamin A palmitate, pyridoxine hydrochloride, thiamine chloride hydrochloride, riboflavin, folic acid, sodium molybdate, chromium chloride, biotin, potassium iodide, sodium selenate, vitamin D3, cyanocobalamin. Contains milk and soy ingredients. * Ensure with scfos vanilla. Additional ingredients for strawberry: Colour Values listed are subject to change. Please refer to the product label or packaging for the most current ingredient, allergen and nutrient profile information. ENSURE with scfos (previously Ensure Prebiotics) COMPLETE, BALANCED NUTRITION

20 ENSURE PUDDING COMPLETE, BALANCED NUTRITION USAGE ENSURE PUDDING is a nutritious alternative to other snacks or desserts. It provides complete, balanced nutrition in a delicious easy-to-eat form for anyone wanting extra nutrition. Suggested indications: For people who have fluid restrictions or require volumelimited feedings For people on consistency-modified diets (ex., soft, pureed or full liquid) For people with swallowing impairments For people who want a nutritious snack Not suitable for people with galactosemia FEATURES Complete, balanced nutrition Provides 26 vitamins and minerals Includes 3 g of scfos/serving. To learn more about scfos, see product guide introduction, page 7 Convenient, needs no refrigeration Safe, easy to open plastic cups for better compliance Rich and creamy, good tasting Three delicious flavours: vanilla, chocolate, butterscotch NUTRIENT FACTS Nutrient density (Cal/g) 1.5 Protein (% Cal) 9.4 Carbohydrate (% Cal) 64.1 Fat (% Cal) 26.5 Water (g/container) 83.3 Total Cal/g nitrogen 266:1 Nonprotein Cal/g nitrogen 258:1 Kosher Gluten-free Low residue Osmolality (mosm/kg water) 1150 AVAILABILITY Ready to Use: Vanilla 113-g cups 12 x 4/case Chocolate 113-g cups 12 x 4/case Butterscotch 113-g cups 12 x 4/case 20

21 Per 113 g ENERGY Calories 170 Kilojoules 711 PROTEIN (g) 4 % of total energy 9.4% Milk protein concentrate FAT (g) 5 % of total energy 26.5% Polyunsaturated fatty acids (g) 2 Linoleic acid (g) 1.60 Linolenic acid (g) Omega 6:Omega 3 ratio 6.5:1 Monounsaturated fatty acids (g) 1 Saturated fatty acids (g) 1 Cholesterol (mg) 5 Soy oil CARBOHYDRATE (g) 30 % of total energy 64.1% scfos (g) 3 Sugar, corn maltodextrin, modified starches, scfos NUTRITIONAL INFORMATION VITAMINS Vitamin A (RE/IU) 150/500 Vitamin D3 (µg/iu) 1/40 Vitamin E (mg/iu) 4.51/6.0 Vitamin K (mg) Vitamin C (mg) 9 Thiamine (mg) 0.23 Riboflavin (mg) 0.30 Niacin (mg) 2.0 Vitamin B6 (mg) 0.30 Folic acid (mg) 0.06 Vitamin B12 (mg) Pantothenic acid (mg) 1.5 Biotin (mg) 0.05 MINERALS Sodium (mg) 85 Sodium (mmol) 3.7 Potassium (mg) 110 Potassium (mmol) 2.8 Chloride (mg) 34 Chloride (mmol) 0.9 Calcium (mg) 100 Phosphorus (mg) 100 Magnesium (mg) 40 Iron (mg) 1.8 Zinc (mg) 1.5 Iodine (mg) Copper (mg) 0.20 Manganese (mg) 0.50 Selenium (mg) Chromium (mg) Molybdenum (mg) INGREDIENTS * -D Water, sugar, corn maltodextrin, modified starches, milk protein concentrate, soy oil, fructooligosaccharides (FOS), magnesium phosphate, potassium citrate, natural and artificial flavour, sodium citrate, sodium stearoyl lactylate, sodium ascorbate, salt, dl-α-tocopheryl acetate, ferric phosphate, zinc sulphate, niacinamide, colour, calcium pantothenate, manganese sulphate, cupric sulphate, thiamine chloride hydrochloride, pyridoxine hydrochloride, vitamin A palmitate, riboflavin, folic acid, chromium chloride, biotin, sodium molybdate, sodium selenate, potassium iodide, phylloquinone, cyanocobalamin, vitamin D3. Contains milk ingredients. * Ensure Pudding vanilla Additional ingredients for chocolate: Cocoa powder Additional ingredients for butterscotch: Colour Values listed are subject to change. Please refer to the product label or packaging Values listed are subject to change. Please refer to the product label or packaging for the most current ingredient, allergen and nutrient profile information. ENSURE PUDDING COMPLETE, BALANCED NUTRITION

22 GLUCERNA BAR NUTRITION SUPPLEMENT WITH FIBRE For people with diabetes USAGE GLUCERNA BARS are a delicious between-meal snack specifically designed for use in conjunction with the prescribed diet for people with diabetes. FEATURES Healthy and convenient snack Unique system of slow release carbohydrate designed to provide more consistent blood glucose levels compared to a standard snack bar 1 Available (Net) carbohydrate: chocolate 17 g, lemon 18 g Contains 26 essential vitamins and minerals Not suitable for people with galactosemia NUTRIENT FACTS Caloric density (Cal/g) 3.7 Protein (% Cal) 16 Carbohydrate (% Cal) 57 Fat (% Cal) 27 Total Cal/g nitrogen 156:1 Nonprotein Cal/g nitrogen 131:1 Kosher Gluten-free * AVAILABILITY Ready to Use: Chocolate Graham 41-g bars 6 x 4/box Chocolate Graham 41-g bars 6 x 15/box Lemon Crunch 41-g bars 6 x 4/box Lemon Crunch 41-g bars 6 x 15/box * Glucerna Bars are manufactured in a facility that processes wheat. REFERENCES: 1. Nicholson S, Garvey WT, Wallace P, et al. Postprandial glucose and insulin responses to dextrin-containing medical nutritional bars in persons with type 2 diabetes mellitus. Diabetes 2001;50(Suppl 1):A

23 Chocolate Graham Lemon Crunch Per 41 g Per 41 g ENERGY Calories Kilojoules PROTEIN (g) 6 6 % of total energy 16% Soy protein Soy protein isolate isolate, nonfat yogurt, calcium caseinate FAT (g) % of total energy 27% Polyunsaturated fatty acids (g) Linoleic acid (g) Linolenic acid (g) Omega 6: Omega 3 ratio 7.6:1 Monounsaturated fatty acids (g) Saturated fatty acids (g) Fractionated palm kernel oil, high oleic safflower oil, canola oil, soy lecithin, mono- glycerides Fractionated palm kernel oil, soy lecithin, monoglycerides, high oleic safflower oil, canola oil CARBOHYDRATE (g) % of total energy 57% Dietary fibre (g) 2 2 scfos (g) Polydextrose (g) Sugars (g) 8 8 Lactitol (g) Maltitol (g) < Honey, corn maltodextrin, high Honey, corn maltodextrin, high fructose fructose corn syrup, lactitol/maltitol, milled rice, soy fibre, polydextrose, glycerine, scfos, microcrystalline cellulose, guar gum, fructose corn syrup, lactitol/ maltitol, milled rice, glycerine, fructose, soy fibre, polydextrose, cultured nonfat milk, microcrystalline cellulose, guar gum, scfos, modified food starch Acesulfame-potassium (mg) 7 7 NUTRITIONAL INFORMATION VITAMINS Vitamin A (RE/IU) 165/ /549 Vitamin D3 (µg/iu) 0.5/20 0.5/20 Vitamin E (mg/iu) 1.8/ /2.4 Vitamin C (mg) 9 9 Thiamine (mg) Riboflavin (mg) Niacin (mg) Vitamin B6 (mg) Folic acid (mg) Vitamin B12 (mg) Pantothenic acid (mg) Biotin (mg) MINERALS Sodium (mg) Sodium (mmol) Potassium (mg) Potassium (mmol) Chloride (mg) Chloride (mmol) Calcium (mg) Phosphorus (mg) Magnesium (mg) Iron (mg) Zinc (mg) Iodide (mg) Copper (mg) Manganese (mg) Selenium (mg) Chromium (mg) Molybdenum (mg) INGREDIENTS Chocolate Graham: ( -D) Chocolate flavoured coating (lactitol, fractionated palm kernel oil, polydextrose, cocoa, natural and artificial flavour, soy lecithin, monoglycerides, acesulfame-potassium), soy protein isolate, honey, corn maltodextrin, high fructose corn syrup, milled rice, soy fibre, glycerin, high oleic safflower oil, fructooligosaccharides (FOS), microcrystalline cellulose, guar gum, canola oil, tricalcium phoshate, dipotassium phosphate, fructose, artificial flavours, potassium chloride, soy lecithin, magnesium oxide, ascorbic acid, niacinamide, dl-α-tocopheryl acetate, zinc oxide, ferrous fumarate, manganese sulphate, β-carotene, copper gluconate, d-calcium pantothenate, riboflavin, pyridoxine hydrochloride, thiamine mononitrate, vitamin D3, folic acid, potassium iodide, biotin, sodium selenate, cyanocobalamin. Contains corn and soy; manufactured in a facility that processes eggs, nuts, seeds and wheat. Lemon Crunch: ( -D) Yogurt coating [lactitol, fractionated palm kernel oil, polydextrose, nonfat yogurt (cultured nonfat milk), calcium caseinate, soy lecithin, monoglycerides, titanium dioxide, modified food starch, lactic acid, acesulfame-potassium, natural flavour], soy protein isolate, honey, corn maltodextrin, high fructose corn syrup, milled rice, soy fibre, glycerin, high oleic safflower oil, fructooligosaccharides (FOS), microcrystalline cellulose, guar gum, canola oil, tricalcium phosphate, natural and artificial flavour, dipotassium phosphate, fructose, potassium chloride, citric acid, soy lecithin, magnesium oxide, ascorbic acid, niacinamide, dl-α-tocopheryl acetate, zinc oxide, ferrous fumarate, manganese sulphate, β-carotene, copper gluconate, d-calcium pantothenate, riboflavin, pyridoxine hydrochloride, thiamine mononitrate, vitamin D3, folic acid, potassium iodide, biotin, sodium selenate, cyanocobalamin. Contains corn, milk and soy; manufactured in a facility that processes eggs, nuts, seeds and wheat. Values listed are subject to change. Please refer to the product label or packaging for the most current ingredient, allergen and nutrient profile information. GLUCERNA BAR NUTRITION SUPPLEMENT WITH FIBRE For people with diabetes

24 GLUCERNA NUTRITIONAL DRINK Complete and balanced meal replacement or snack, with fibre, for people with diabetes USAGE GLUCERNA NUTRITIONAL DRINK is a great-tasting drink clinically proven to lower glycemic response. 1 Suggested indications: Specifically designed for people with diabetes Not suitable for people with galactosemia FEATURES Slow release carbohydrate blend that is scientifically formulated to help reduce postprandial rises in blood glucose and insulin 1,3 Complies with the Canadian Diabetes Association Nutritional Guidelines 2 23 g available (net) carbohydrate Provides 1 g of short-chain fructooligosaccarides (scfos). To learn more about scfos, see product guide introduction, page 7 Healthy and convenient, to be used as a snack or a meal replacement in conjunction with the prescribed diet in people with diabetes For oral use only not for tube feeding Convenient reclosable bottle Four delicious flavours with improved taste: vanilla, chocolate, strawberry and wild berry NUTRIENT FACTS Nutrient density (Cal/mL) 0.95 Protein (% Cal) 20.0 Carbohydrate (% Cal) 47.2 Fat (% Cal) 32.8 Total Cal/g nitrogen 126:1 Nonprotein Cal/g nitrogen 101:1 Water (g/l) 849 Kosher Gluten-free Low residue No Osmolality (mosm/kg water) 651 Renal solute load (mosm/l) 393 AVAILABILITY Ready to Use: Vanilla 237-mL bottles 4 x 6/pack Chocolate 237-mL bottles 4 x 6/pack Strawberry 237-mL bottles 4 x 6/pack Wild Berry 237-mL bottles 4 x 6/pack REFERENCES: 1. J.A. Williams, J. Garcia Almeida, M. Matia Martin et al. Lack of Glycemic Response at 120 minutes postprandial with a New Diabetes Specific Nutritional Formula (Abstract). Clinical Nutrition Supplements. Sept 2009; 4(S2). LB Canadian Diabetes Associaton Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada. Nutrition Therapy S40-S Study BK20, Data on file, Abbott Laboratories, Limited. Compared to a standard nutritional drink. 24

25 Per 100 ml Per 237 ml ENERGY Calories Kilojoules PROTEIN (g) % of total energy 20.0% Milk protein concentrate, sodium and calcium caseinates, soy protein concentrate FAT (g) % of total energy 32.8% Polyunsaturated fatty acids (g) Linoleic acid (g) Linolenic acid (g) Omega 6 : Omega 3 ratio 5.84:1 Monounsaturated fatty acids (g) Saturated fatty acids (g) Cholesterol (mg) High oleic safflower oil, canola oil, soy oil, soy lecithin CARBOHYDRATE (g) % of total energy 47.2% Dietary fibre (g) scfos (g) Corn maltodextrin, glycerine, fructose, scfos Acesulfame-potassium (mg) Sucralose (mg) 4 10 VITAMINS Vitamin A (RE/IU) 127/ /1000 Vitamin D3 (µg/iu) 0.5/21 1.3/50 Vitamin E (mg/iu) 1.2/ /2.8 Vitamin C (mg) 6 14 Thiamine (mg) Riboflavin (mg) Niacin (mg) Vitamin B6 (mg) Folic acid (mg) Vitamin B12 (mg) Pantothenic acid (mg) Biotin (mg) Choline (mg) MINERALS Sodium (mg) Sodium (mmol) Potassium (mg) Potassium (mmol) Chloride (mg) Chloride (mmol) Calcium (mg) Phosphorus (mg) Magnesium (mg) Iron (mg) Zinc (mg) Iodide (mg) Copper (mg) Manganese (mg) Selenium (mg) Chromium (mg) Molybdenum (mg) NUTRITIONAL INFORMATION INGREDIENTS *( -D) Water, corn maltodextrin, milk protein concentrate, glycerine, sodium and calcium caseinates, high oleic safflower oil, fructose, soy protein concentrate, canola oil, soy oil, fructooligosaccharides (FOS), natural and artificial flavour, potassium citrate, soy lecithin, calcium phosphate, sodium chloride, sodium citrate, magnesium phosphate, carrageenan, potassium chloride, choline chloride, potassium phosphate, ascorbic acid, acesulfame-potassium, zinc sulphate, ferrous sulphate, sucralose, niacinamide, manganese sulphate, dl-α-tocopheryl acetate, cupric sulphate, calcium pantothenate, vitamin A palmitate, pyridoxine hydrochloride, thiamine chloride hydrochloride, riboflavin, folic acid, sodium molybdate, potassium iodide, chromium chloride, biotin, sodium selenate, vitamin D3, cyanocobalamin. Contains milk and soy ingredients. *Glucerna Nutritional Drink vanilla Additional ingredients for chocolate: Cocoa powder, colour. Additional ingredient for strawberry: Colour. Additional ingredient for wild berry: Colour. Values listed are subject to change. Please refer to the product label or packaging for the most current ingredient, allergen and nutrient profile information. GLUCERNA NUTRITIONAL DRINK NEW FORMULATION Complete and balanced meal replacement or snack, with fibre, for people with diabetes

26 GLUCERNA NUTRITIONAL DRINK COMPLETE AND BALANCED MEAL REPLACEMENT, OR SNACK, WITH FIBRE For people with diabetes USAGE GLUCERNA NUTRITIONAL DRINK is a great-tasting drink specifically designed for people with diabetes. GLUCERNA NUTRITIONAL DRINK has been clinically shown to provide more consistent blood glucose levels compared to a standard nutritional drink. 1 Not suitable for people with galactosemia FEATURES Complete, balanced nutrition Complies with the Canadian Diabetes Association Nutritional Guidelines 2 For use as a snack or meal replacement in conjunction with the prescribed diet in people with diabetes Contains a unique blend of slow-release carbohydrates, clinically shown to deliver more consistent blood glucose levels compared to a standard nutritional drink 1 Contains 1.9 g of dietary fibre and 1.13 g of short-chain fructooligosaccharides (scfos) per 250-mL serving. To lean more about scfos, see product guide introduction 24 g available (net) carbohydrate For oral use only not for tube feeding NUTRIENT FACTS Nutrient density (Cal/mL) 0.92 Protein (% Cal) 19.7 Carbohydrate (% Cal) 48.1 Fat (% Cal) 32.2 Total Cal/g nitrogen 130:1 Nonprotein Cal/g nitrogen 105:1 Water (g/l) 853 Kosher Gluten-free Low residue No Osmolality (mosm/kg water) 486 Renal solute load (mosm/l) 382 AVAILABILITY Ready to Use: OM Vanilla 250-mL cans 12/case REFERENCES: 1. Fix BM, Lowe W, Cockram DB, Craig LD. Effect of a liquid nutritional supplement containing a novel carbohydrate system on glucose tolerance in subjects with type 2 diabetes. Ann Nutr Metab 2001;45(suppl 1): Canadian Diabetes Associaton Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada. Nutrition Therapy S40-S45. 26

27 Per 100 ml Per 250 ml ENERGY Calories Kilojoules PROTEIN (g) % of total energy 19.7% Sodium caseinate, calcium caseinate FAT (g) % of total energy 32.2% Polyunsaturated fatty acids (g) Linoleic acid (g) Linolenic acid (g) Omega 6 : Omega 3 ratio 7:1 Monounsaturated fatty acids (g) Saturated fatty acids (g) Cholesterol (mg) High oleic safflower oil, canola oil, soy lecithin CARBOHYDRATE (g) % of total energy 48.1% Dietary fibre (g) scfos (g) Maltitol (g) Maltodextrin, maltitol, fructose, scfos, soy polysaccharide Inositol (mg) Acesulfame-potassium (mg) VITAMINS Vitamin A (RE/IU) 173/ /1442 Vitamin D3 (µg/iu) 0.7/29 1.8/72 Vitamin E (mg/iu) 1.5/ /5.4 Vitamin C (mg) Thiamine (mg) Riboflavin (mg) Niacin (mg) Vitamin B6 (mg) Folic acid (mg) Vitamin B12 (mg) Pantothenic acid (mg) Biotin (mg) Choline (mg) MINERALS Sodium (mg) Sodium (mmol) Potassium (mg) Potassium (mmol) Chloride (mg) Chloride (mmol) Calcium (mg) Phosphorus (mg) Magnesium (mg) Iron (mg) Zinc (mg) Iodide (mg) Copper (mg) Manganese (mg) Selenium (mg) Chromium (mg) Molybdenum (mg) NUTRITIONAL INFORMATION INGREDIENTS (MKD) Water, maltodextrin, sodium caseinate, maltitol, fructose, high oleic safflower oil, calcium caseinate, canola oil, soy polysaccharide, fructooligosaccharides, calcium phosphate, sodium citrate, potassium citrate, soy lecithin, magnesium chloride, natural and artificial flavour, potassium phosphate, m-inositol, potassium chloride, sodium hexametaphosphate, magnesium sulphate, choline chloride, calcium carbonate, ascorbic acid, gellan gum, acesulfame-k, zinc sulphate, ferrous sulphate, niacinamide, dl-α-tocopheryl acetate, manganese sulphate, cupric sulphate, calcium pantothenate, vitamin A palmitate, pyridoxine hydrochloride, thiamine hydrochloride, riboflavin, folic acid, potassium iodide, sodium molybdate, biotin, cyanocobalamin, sodium selenate, vitamin D3. May contain potassium hydroxide. Values listed are subject to change. Please refer to the product label or packaging for the most current ingredient, allergen and nutrient profile information. GLUCERNA NUTRITIONAL DRINK COMPLETED AND BALANCED MEAL REPLACEMENT, OR SNACK, WITH FIBRE For people with diabetes

28 GLUCERNA 1.0 Cal (FOR TUBE FEEDING) SPECIALIZED LIQUID FORMULA WITH FIBRE For people with diabetes USAGE GLUCERNA 1.0 CAL is a reduced-carbohydrate, modifiedfat, fibre-containing liquid formula designed for people with diabetes. Suggested indications: For people with diabetes For supplemental or sole source nutrition Not suitable for people with galactosemia FEATURES Glucerna 1.0 Cal features help reduce glycemic response versus standard liquid formulas % of total calories as carbohydrate 14.4 g of dietary fibre per litre Fat blend high in monounsaturated fatty acids Can be used orally or for tube feeding NUTRIENT FACTS Can Nutrient density (Cal/mL) 1.0 Protein (% Cal) 16.6 Carbohydrate (% Cal) 34.3 Fat (% Cal) 49.1 Total Cal/g nitrogen 153:1 Nonprotein Cal/g nitrogen 127:1 Water (g/l) 839 Kosher Gluten-free Low residue No Osmolality (mosm/kg water) 375 Min. tube size for gravity/ pump feeding (Fr) 10/8 Renal solute load (mosm/l) 348 AVAILABILITY Ready to Use: Vanilla 235-mL cans 12/case REFERENCE: 1. Craig LD, Nicholson S, Silverstone FA, Kennedy RD. Use of a reduced-carbohydrate, modified-fat enteral formula for improving metabolic control and clinical outcomes in long-term care residents with type 2 diabetes: Results of a pilot trial. Nutrition 1998;14(6):