Implementing IDDSI on Gelmix + Purathick Labels

What is IDDSI?

IDDSI is short for International Dysphagia Diet Standardisation Initiative, a collaborative, international effort to standardize the way we talk about modified food and drink textures. For decades, descriptors of modified diet textures varied drastically, between regions and sometimes from facility to facility in the same area. Without industry standards, miscommunication and confusion about the dysphagia diet often led to real safety risks for patients. The development and adoption of IDDSI guidelines reduces the confusion with global descriptors and easy, reliable measuring techniques. In 2017, ASHA announced its support for the adoption of IDDSI in the United States, and throughout this 2018, many have started to prepare for full implementation and adoption of IDDSI at the institutional level.

Basic IDDSI Framework & Testing Method for Thickened Drinks

The IDDSI framework of terminology includes 4 levels of thickened liquids, with the ability to measure the flow of those liquids with a 10 ml syringe and a 10 second timer. 

How Parapharma Tech is Adopting IDDSI

Parapharma Tech is proud to sponsor IDDSI. We worked throughout 2018 to standardize the Gelmix and Purathick mixing instructions and usage guidelines to be used with the IDDSI framework. . While our product formulas and ingredients remain unchanged, we launched brand new labels that hit the market at the end of the year. We worked with institutions that use our products to make them aware of  IDDSI and prepare them for the adoption of the new dual-labels.

Gelmix + IDDSI

Gelmix mixing instruction labels previously included a “nectar” recipe, based on National Dysphagia Diet terminology that relied on wide viscosity ranges, measured in centipoise (cP). Infants are often recommended thickened liquids for reflux or swallowing problems, but previous terminology did not include the thinner variations that are most commonly recommended for infants. The new IDDSI guidelines now includes Slightly Thick (Level 1), more commonly recommended for infants, and Mildly Thick (Level 2). It is not commonly recommend to thicken infant milk above mildly thick because it is difficult to pass Moderately Thick (Level 3) and Extremely Thick liquids (Level 4) through a nipple.

Purathick + IDDSI

Since Purathick may be used by both adults and children over one year old, the new IDDSI compliant label includes all 4 recommended levels of thickened drinks to include pediatric and adult feeding therapies.


To learn more about IDDSI and download additional resources, visit