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2020 NCM® Update Summary and Technical Summary

NCM® Diet Manual Updates

IDDSI Levels

  • Level 5 Minced and Moist (Orange)
  • Mixed Consistency Foods, Transitional Foods, and Complex Foods
  • Transitioning Texture-Modified Diet Terminology and Definitions to the IDDSI Framework
  • Using IDDSI Testing Methods

NCM Diet Manual Crosswalk

NCM Diet Order Terminology and Definitions


NCM® Condition Section Clinical Updates

Review new and updated clinical content featuring comprehensive nutritional management and evidence-based practice recommendations with our new consolidated format for the following conditions:

  • Chronic Kidney Disease (CKD) (Updated)
  • Congenital Sucrase-Isomaltase Deficiency (New)
  • Critical Illness (Updated)
  • Diabetes Mellitus Type 2 (Updated)
  • Pressure Injury (Updated)


New Board-Approved NCM® Clinical Practice-Related Guidelines

Find links to resources from the Academy and other organizations for the following topics:

Anemia, Bariatric Surgery, Cardiovascular Disease, Critical Illness, Developmental Disabilities, Diabetes Mellitus, Drug-Nutrient Interactions, Eating Disorders, Energy Expenditures, Food Allergies, Gastrointestinal Diseases, HIV AIDS, Kidney Disease, Metabolic Syndrome, Normal Nutrition, Nutrition Support, Oncology Inpatient, Oncology Outpatient, Oral Health, Organ Transplant, Pulmonary, Reproduction, Stem Cell Transplant, Surgical and Chronic Wounds, Vegetarian, Weight Management


New and Improved NCM® Client Education Handouts

Now access 48 more vegetarian (lacto-ovo) and vegan menus for NCM® client education handouts:

  • Corn Allergy Nutrition Therapy
  • Dietary Fructose Intolerance Nutrition Therapy
  • Egg Avoidance Nutrition Therapy
  • Epilepsy, Low GI Nutrition Therapy
  • Galactose-Controlled Nutrition Therapy
  • General, Healthful Mediterranean Nutrition Therapy
  • HIV/AIDS Managing Diarrhea
  • HIV/AIDS Managing Nausea and Vomiting
  • IDDSI Level 6 Soft and Bite Sized (Blue) Nutrition Therapy
  • IDDSI Level 7 Regular Easy-to-Chew (Black) Nutrition Therapy
  • Kosher Dietary Guidelines
  • Low-FODMAP Nutrition Therapy
  • Multiple Food Allergies Nutrition Therapy
  • Multiple Gestation Nutrition Therapy
  • Organ Transplant Nutrition Therapy
  • Osteoporosis Nutrition Therapy
  • Peanut Allergy Nutrition Therapy
  • Pica High-Iron Nutrition Therapy
  • Rheumatoid Arthritis Nutrition Therapy
  • Shellfish Allergy Nutrition Therapy
  • Sobriety Nutrition Therapy
  • Transient Ischemic Attack Nutrition Therapy
  • Tree Nut Allergy Nutrition Therapy
  • Urinary Tract Infection (UTI) Nutrition Therapy


Don’t miss the expanded and updated NCM® client education handouts:

Bariatric Surgery

  • Bariatric Surgery Blended/Pureed Diet Stage Nutrition Therapy (Updated)
  • Bariatric Surgery Liquid Protein Supplements (Updated)
  • Bariatric Surgery Soft Diet Stage Nutrition Therapy (Updated)
  • Bariatric Surgery Vitamin and Mineral Supplements (Updated)
  • Fluid Goals After Bariatric Surgery (New)
  • Post-Surgery Meal Plan: 6 Months After Bariatric Surgery and Beyond (New)
  • Roux-En-Y Gastric Bypass/Sleeve Gastrectomy Discharge Nutrition Therapy (Updated)

Congenital Sucrase-Isomaltase Disease

  • Nutrition Therapy for Adults Starting a CSID Diet (New)
  • When You Have Congenital Sucrase-Isomaltase Disease (CSID): How to Read a Food Label (New)


  • Carbohydrate Counting for People with Diabetes (Updated)


  • IDDSI Level 5 Minced and Moist (Orange) Nutrition Therapy (Updated)

Eatright Handouts

  • This section includes all current Eatright nutrition tip sheets and the section was reorganized for easier navigation. 

Nutrient Lists

  • Lower-Potassium Foods List (Updated)
  • Phosphorus Content of Foods (Updated)
  • Potassium Content of Foods (Updated)


  • Chronic Kidney Disease Stages 3-5 Nutrition Therapy (Updated; previously Chronic Kidney Disease Stage 5 Nutrition Therapy)
  • Chronic Kidney Disease Stage 5 Tips for People not on Dialysis Receiving Conservative, Supportive, or Medical Care (Updated; previously Chronic Kidney Disease Stage 5 Tips for People Not on Dialysis)


NCM® Resources Updates

  • New Standards of Practice section
  • Updated Dietary Reference Intakes (DRI) section


Retired NCM® Content

Client Education Handouts

  • Diabetes
    • Carbohydrate Counting for Vegetarians with Diabetes
    • Type 1 Diabetes Nutrition Therapy
    • Type 2 Diabetes Nutrition Therapy
    • Type 2 Diabetes Vegetarian Nutrition Therapy


  • Chronic Kidney Disease Stage 5 Nutrition Therapy
  • Chronic Kidney Disease Stage 5 Tips for People Not on Dialysis 
  • Diabetes and Chronic Kidney Disease Stages 1 Through 4 Meal Planning Appendix for RDs
  • Diabetes and Chronic Kidney Disease Stages 1 Through 4: Nutrition Guidelines 

Weight Management

  • 800 Calorie Sample Meal Plan
  • 1000 Calorie Sample Meal Plan
  • Banded Gastroplasty Discharge Nutrition Therapy

Condition Sections

The following condition sections were retired based on consensus among the members of the NCM® Board of Editors due to underutilization: Aspiration Pneumonia; Body Dysmorphic Disorder; Body Image Distortion; Chronic Kidney Disease (CKD) Stage 5 Dialysis; Chronic Kidney Disease (CKD) Stages 1-5 Non-Dialysis; Cystic Fibrosis-Related Diabetes; Drug-Nutrient Interactions: Bisphosphonate, Monoamine Oxidase, Non-Potassium-Sparing Diuretic, Potassium-Sparing Diuretic, Steroid; Eating Disorders Not Otherwise Specified; Fibrocystic Breast Conditions; Fragile X; Fructose Intolerance; Galactosemia; Huntington's Disease; Infertility; Jaw Fracture; Latex Allergy; Maple Syrup Urine Disease; Muscle Dysmorphia; Night Eating Syndrome; Oral Allergy Syndrome; Oral Health; Organ Transplant: Bowel, Heart, Lung; Osteoarthritis; Pica; Prader-Willi Syndrome; Rett Syndrome; Spina Bifida; Sulfite Sensitivity; Tuberculosis; Urea Cycle Disorders; Urinary Tract Infections.


Full NCM® Transition to IDDSI Framework by October 2021  

The International Dysphagia Diet Standardization Initiative (IDDSI) created global standardized terminology and definitions for texture-modified foods and thickened liquids to improve the safety and care for individuals with dysphagia, a swallowing disorder, which affects an estimated 560 million people worldwide. The Academy of Nutrition and Dietetics and the American Speech-Language-Hearing Association jointly supported May 1, 2019 as the official launch date for IDDSI implementation in the United States.

It is imperative that all healthcare providers globally implement IDDSI, both to ensure patient safety and to maintain current standards of practice.  The Academy of Nutrition and Dietetics is pleased to announce beginning October 2021, IDDSI will be the only texture-modified diet recognized by NCM®. The National Dysphagia Diet (NDD) and associated resources will no longer be included in the NCM® past October 2021.


NCM® Technological Updates  

  • Improved search function with recommended results
  • Now access all available client education formats and Spanish translations in one location. Learn more about the benefits of HTML and PDF formats here


We hope you enjoy the 2020 Nutrition Care Manual® Updates! 


The NCM® Team