Table 8

Overview of MNT: an evidence-based application of the nutrition care process provided by the RDN (1,40,6972)

1. Characteristics of MNT reducing A1C by 0.5–2% for type 2 diabetes:
  • Initial series of MNT encounters
  • 3–6 during first 6 months of diagnosis
  • Determine if more encounters are needed based on a personal assessment and person’s goals
 MNT follow-up encounters are based on needs
  • Health care team assesses needs at critical times and makes referrals – change in medication, health status, schedule, activity, stress, access to food, need for on-going support, etc.
  • Minimum of one annual follow-up encounter
  • Key areas of focus and action steps for positive outcomes: persons with diabetes should have knowledge of food plan, planning meals, purchasing food, preparing meals, and portioning food. If they are not confident in these areas it is difficult to take advantage of the full impact of nutrition therapy. Implementation and assessment will drive confidence
2. MNT provides nutrition assessment, nutrition diagnosis, and an intervention and management plan including the creation of personal food plan and support
  • Development of food plan/physical activity/medication dosing for improved postprandial glucose level, hypoglycemia prevention, and overall glycemic improvement
  • Ongoing weight management planning and coaching
  • Development of food plan for managing related complications and comorbidities such as hypertension, celiac disease, gastroparesis, eating disorders/disordered eating, kidney disease, disorders of lipid metabolism, etc.
  • Note: The Academy of Nutrition and Dietetics recognizes the use of registered dietitian (RD) and registered dietitian nutritionist (RDN). RD and RDN can only be used by those credentialed by the Commission on Dietetic Registration.