The Manual of Medical Nutrition Therapy was written to serve as a nutrition care guide for nutrition and dietetics professionals and other health care professionals. Each section of the Manual was researched, written, and reviewed by Registered Dietitian Nutritionists, Nutrition and Dietetic Technicians Registered, or nutrition/dietetic faculty and students in accredited programs. However, the field of nutrition and its application to individual needs is constantly changing with continuous research. Therefore, this Manual should always be used with consultation from a Registered Dietitian Nutritionist.

The specific purpose of the Manual of Medical Nutrition Therapy is to provide general practice information in the course of normal nutrition and dietetics practice and to alert practitioners to general areas of concern for which you may seek additional medical, technical, or professional assistance. Many sections of the FAND Manual of Medical Nutrition Therapy contain Practitioner Points for the Registered Dietitian Nutritionist (RDN) and Nutrition and Dietetic Technician Registered (NDTR) and when appropriate Nutrition Education for the public.

To be effective, medical nutrition therapy must be individualized for each person. This requires a collaborative effort between the patient or client and the dietitian/nutritionist. Handing out “diet sheets” to those with nutrition-related medical problems completely overlooks the unique qualities of that person and limits the rate of dietary adherence. The development and maintenance of new eating behaviors requires commitment, time, and support from qualified professionals.

Each medical problem or disease has specific diet guidelines. When using this manual, it will be most helpful to find the information section of the medical problem of your patient or client first. The recommended diet for that specific medical problem will follow right after the information section. The Practitioner Points of each diet generally contain a brief description of rationale, use, related physiology, nutrients modified, nutritional adequacy and references. The Nutrition Education generally contains an introduction, purpose, nutrients modified, dietary guidelines, food lists, sample menus or handouts, and approximate nutritional analysis. All diets analyzed for this manual contain adequacy statements based on the Dietary Reference Intakes (DRIs) for adult males and females.

No warranty, explicit or implied, as to the appropriateness of application of the contents of this manual to specific individuals is made by the Florida Academy of Nutrition and Dietetics, the authors and reviewers, nor by their employers.


Jen Ross, DCN, RD, LD/N, FAND

Casey Colin, DCN, RD, LD/N, FAND



All rights reserved. No part of this manual, other than those specifically designed for patient education, may be reproduced, stored in a retrieval system, or transmitted, in any form or by means electronic, mechanical, photocopy, recording or otherwise, without prior written permission from the publisher.