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No Concentrated Sweets Diet Policy

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No Concentrated Sweets Diet Policy

Subject: Diet liberalization and interpretation of “no concentrated sweets” (NCS) diet
Number:
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Authority:  
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Original date:
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Last revised:
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Scope:
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Signature:
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Purpose  
The purpose of this policy is to outline suggested guidelines for the NCS diet. All diets and diet recommendations are individualized to best meet the needs of each resident, per physician order.

Rationale  
Although carbohydrate counting/carbohydrate control is the preferred nutrition therapy for individuals with diabetes, you should take individual preferences and circumstances, including capabilities and living arrangements, into consideration. If the resident’s medical condition allows, this diet is used, rather than a more restrictive diabetic diet. While some residents’ conditions indicate the restrictions of a therapeutic diet, residents who are not in the acute stages of illness may not necessarily need an extremely restrictive diet. The least restrictive regimen(s) possible is recommended, particularly in older adults who are at risk for poor nutritional intake.

Policy statement
With the proper diet order, it is possible to use an NCS diet for residents with diabetes and prediabetes, and for individuals who are on weight-reduction programs. Residents who take insulin will receive a house snack.

The NCS diet is a regular, nutritionally adequate diet that omits foods that are high in simple sugars (concentrated sweets). Carbohydrates that are unrefined and high in fiber are substituted for highly refined foods whenever possible and acceptable to the individual.

Foods to avoid on an NCS diet:

  • Beverages—chocolate milk and soft drinks, soda, lemonade, iced tea, fruit drinks, and punches that are sweetened with sugar
  • Desserts—include only one serving/day (served as part of a meal)
  • Condiments—sugar, brown sugar, powdered sugar, molasses, honey, and sugar-sweetened jam, jelly, or syrup
  • Miscellaneous—sugar-coated cereals, candy, chocolate, candied vegetables, marshmallows, pancake syrup, and other syrups

 

References and recommended readings
American Diabetes Association®. Standards of medical care in diabetes—2012. Diabetes Care [serial online]. 2012;35(suppl 1):S11-S63. Available at: http://care.diabetesjournals.org/content/35/Supplement_1/S11.full. Accessed August 3, 2012.

Franz MJ. Medical nutrition therapy for diabetes mellitus and hypoglycemia of nondiabetic origin. In: Mahan LK, Escott-Stump S, Raymond JL. Krause’s Food and the Nutrition Care Process. 13th ed. St Louis, MO: Elsevier Saunders; 2012:675-710.

 

Review Date 8/12
D-0645

D_0645_No_Concentrated_Sweets_Diet_Policy.doc

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