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Types of Therapeutic Diets
A therapeutic diet is a meal plan that controls the intake of certain foods or
nutrients
...
A therapeutic diet is
usually a modification of a regular diet
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Therapeutic diets are modified for (1) nutrients, (2) texture, and/or (3) food
allergies or food intolerances
...
Nutrient modifications
• No concentrated sweets diet
• Diabetic diets
• No added salt diet
• Low sodium diet
• Low fat diet and/or low cholesterol diet
• High fiber diet
• Renal diet
2
...
Food allergy or food intolerance modification
• Food allergy
• Food intolerance
4
...
Additional feedings – In addition to meal, extra nutrition may be
ordered as:
• Supplements – usually ordered as liquid nutritional shakes once,
twice or three times per day; given either with meals or between
meals
• Nourishments – ordered as a snack food or beverage items to be
given between meals mid-morning and/or mid-afternoon
• HS snack – ordered as a snack food or beverage items to be given at
the hour of sleep
The following list includes brief descriptions of common therapeutic
diets:
Clear liquid diet –
• Includes minimum residue fluids that can be seen through
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• Is often used as the first step to restarting oral feeding after surgery or
an abdominal procedure
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• Should not be used for an extended period as it does not provide
enough calories and nutrients
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• Some examples of food allowed are ice cream, pudding, thinned hot
cereal, custard, strained cream soups, and juices with pulp
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• Used for people who cannot tolerate a mechanical soft diet
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No Concentrated Sweets (NCS) diet –
• Is considered a liberalized diet for diabetics when their weight and blood
sugar levels are under control
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• Calories are not counted as in ADA calorie controlled diets
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• Portion control is used at mealtimes as outlined in the ADA “Exchange
List for Meal Planning
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No Added Salt (NAS) diet –
• Is a regular diet with no salt packet on the tray
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Low Sodium (LS) diet –
• May also be called a 2 gram Sodium Diet
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• Is used for people who may be “holding water” (edema) or who have
high blood pressure, heart disease, liver disease, or first stages of
kidney disease
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• Limits fat to 50 grams or no more than 30% calories derived from fat
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High fiber diet –
• Is prescribed in the prevention or treatment of a number of
gastrointestinal, cardiovascular, and metabolic diseases
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Renal diet –
• Is for renal/kidney people
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• The diet restricts sodium, potassium, fluid, and protein specified levels
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Mechanically altered or soft diet –
• Is used when there are problems with chewing and swallowing
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• Includes chopped or ground meats as well as chopped or ground raw
fruits and vegetables
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Pureed diet –
• Changes the regular diet by pureeing it to a smooth liquid consistency
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• Often thinned down so it can pass through a straw
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• Foods should be pureed separately
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• Is nutritionally adequate when offering all food groups
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• Foods implicated with allergies are strictly eliminated from the diet
...

• The most common food allergens are milk, egg, soy, wheat, peanuts,
tree nuts, fish, and shellfish
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Replaced with potato, corn, and rice products
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• Other common types of food intolerance include adverse reactions to
certain products added to food to enhance taste, color, or protect
against bacterial growth
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Tube feedings –
• Tube feedings are used for people who cannot take adequate food or
fluids by mouth
...

• Some people may receive food by mouth if they can swallow safely and
are working to be weaned off the tube feeding

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