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Failure to Thrive (0.1% for weight) Calorie Intake Needs

Posted by on Jul. 31, 2013 at 12:15 PM
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Hi Everyone,

I'm looking to see if anyone has been to a pediatric nutritionist (or is one) and can tell me how many calories we should be targetting for our little girl?  I'll give some background below.  We are headed to the Pediatric GI Specialist in 2 weeks, and I want to try to do everything I can before then to monitor calorie intake and strive to achieve what should be her target.

DD is 13 mos old, 27 1/4 length (3%) and 15 lbs 7 oz (<1%) at her monthly weigh in.  She's milk allergic, diagnosed at 3 mos immediately after her first milk bottle landed her in an ambulance escort from the Urgent Care to Children's ER due to severe reaction.  We tried recently to control re-introduce milk products in the hopes of having all those good dairy products as a food option to drive calorie rich foods into her diet - alas, it was a no-go.  Dairy is still out.  At the 13 month weigh in our pediatrian categorized her as Failure To Thrive.  This allows us access to testing and resources - so we are in the process of running several blood tests in preparation for a visit to the Ped GI.  Even though my smart girl brain understands the Failure To Thrive means access to resources to help turn the situation around....my guilty mom brain understand Failure To Thrive to mean Failure As A  Mom - UGH!

My husband and I have decided that we need to do a better job of monitoring her food intake so we can be articulate about how much goes in her - as well as work really hard to only offer nutrient rich-calorie rich foods. To that end we've started calorie tracking.  But what we don't know is what should her target be?  I read some posts that say 1 year olds should have 900 - 1200 calories per day.  But she is no where near the size of most 1 year olds and eats right now on a good day 700 calories based on our tracking over that last week. 

One could say just drive to the 900 at least and be done with.  But I am also conscious that we could become over the top trying to get her there.  If 700 is reasonable for her height and weight then we would just take the pressure off and focus on continuing to do what we're doing, but if for her height and weight she should be at 1200 in order to recover her underweight position then we've really got to switch things up here.

So - anyone have great reference materials out there that speak to target calorie intake?  I will certainly learn more in 2 wks at the GI dr, but if we can get a jump start driving to a good target then we should do that for her.

Thanks for any ideas, help on the calorie target front would be great.

by on Jul. 31, 2013 at 12:15 PM
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