Table 1. Nutrition Therapy Recommendations (continued)
Topic Recommendation
Alcohol If adults with diabetes choose to drink alcohol, they should be advised
to do so in moderation (one drink per day or less for adult women and
two drinks per day or less for adult men). (E)
Alcohol consumption may place people with diabetes at increased
risk for delayed hypoglycemia, especially if taking insulin or insulin
secretagogues. Education and awareness regarding the recognition and
management of delayed hypoglycemia is warranted. (C)
Sodium e recommendation for the general population to reduce sodium to
less than 2,300 mg/day is also appropriate for people with diabetes. (B)
For individuals with both diabetes and hypertension, further reduction
in sodium intake should be individualized. (B)
Table 2. Academy of Nutrition and Dietetics
Evidence-Based Nutrition Practice Guidelines
Recommendations
• A series of 3-4 encounters with an RD lasting from 45-90 min.
• The series of encounters should begin at diagnosis of diabetes or at first referral to an RD
for MNT for diabetes and should be completed within 3-6 months.
• The RD should determine whether additional MNT encounters are needed.
• At least one follow-up encounter is recommended annually to reinforce lifestyle
changes and to evaluate and monitor outcomes that indicate the need for changes
in MNT or medication(s). An R D should determine whether additional MNT
encounters are needed.
