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The Academy of Nutrition and Dietetics Nutrition Care Manual (NCM) is an Internet-based diet and professional practice manual for registered dietitian nutritionists; dietetic technicians, registered; and allied health professionals. NCM is purchased by annual subscription and gives you online access to evidence- and knowledge-based nutrition information that keeps you current and compliant.

The annual update to NCM was published on October 20, 2017. A summary of the updates is given below.


The NCM® now includes the NCM Diet Manual!

  • Diet Liberalization
  • Diet Manual Implementation
    • General Guidance
    • Process for Annual Review and Implementation
  • Regulations
    • Meeting Regulations and Preparing for Survey
    • Regulations for Health Care Facilities
    • Menu Planning Regulations
  • Ordering Diets in Your Health Care Facility
    • Trends in Ordering Diets
    • Guide to Ordering Diets
    • Reimbursement
    • Obsolete Diets and Terminology
  • Disaster Preparedness
  • Patient-Centered Dining
  • Planning A House/Regular Diet
  • NCM Diet Manual
    • House/Regular
    • Vegetarian
    • Kosher
    • Halal
    • Finger Foods
    • Texture-Modified Diets
      • National Dysphagia Diet
      • Thickened Liquids
      • International Dysphagia Diet Standardization Initiative (IDDSI)
    • Clear Liquid Diet
    • Full Liquid Diet
    • Consistent-Carbohydrate Diet
    • Heart-Healthy Diet
    • Sodium-Restricted Diet
    • Fluid Restriction Diet
    • Renal Diet
    • Food Allergy Diets
    • Fiber-Restricted Diet
    • High Fiber Diet
    • Gluten-Free Diet
    • Lactose-Controlled Diet
    • Fat-Restricted Diet
    • Nourishment and Fortified Foods
  • Guidance for Post-Acute Care Settings
    • Corrections
    • Hospice
    • Home Care

2017 Clinical Updates

Review clinical updates in the Cardiovascular Disease, Dysphagia, and Gastrointestinal sections!

Conditions Section


Summary of Updates

Disorders of Lipid Metabolism

Penny Kris-Etherton, PhD, RD
Linda Van Horn, PhD, RD
Joann Carson, PhD, RD
Geeta Sikand, MA, RDN, CDE, FNLA, CLS, FAND

New guidance on nutrition therapies for cardioprotective dietary patterns, lowering LDL-c, and lowering triglycerides. Includes recommendations for genetic disorders of lipid metabolism, familial hypercholesterolemia, familial chylomicronemia syndrome, sitsosterolemia, and lipodystrophy syndromes. Find comprehensive answers to your saturated fat and cholesterol questions in the revised FAQ section!


Mary Rybicki, MS, RDN, LDN

Updated dysphagia recommendations now include the International Dysphagia Diet Standardization Initiative (IDDSI) dysphagia framework and resources.

Short Bowel Syndrome

Jill Murphree, MS, RD

NEW NCM section includes comprehensive nutritional management for short bowel syndrome. Includes recommendations for clients with and without a colon.


2017 Client Education Handouts

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

  • Heart Healthy Reduced Sodium Nutrition Therapy (new)
  • Heart Healthy Consistent Carbohydrate Nutrition Therapy (new)
  • Cholesterol-Lowering Nutrition Therapy (new)
  • Clear Liquid Nutrition Therapy (new)
  • Full Liquid Nutrition Therapy (new)
  • Fluid-Restricted Nutrition Therapy (new)
  • IDDSI Bite Size Food Level 6 (Blue) Nutrition Therapy (new)
  • IDDSI Minced and Moist Food, Level 4 (Orange) Nutrition Therapy (new)
  • IDDSI Pureed Food, Level 3 (Green) Nutrition Therapy (new)
  • Easy-to-Chew Nutrition Therapy (new)
  • Thickened Liquid Nutrition Therapy (new)
  • Heart Healthy Nutrition Therapy (updated)
  • High Triglycerides Nutrition Therapy (updated)
  • Heart Healthy Cooking Tips (updated)
  • Heart Healthy Fiber Tips (updated)
  • Heart Healthy Label-Reading Tips (updated)
  • Heart Healthy Fats: Omega-3 Fatty Acids (updated)
  • Heart Healthy Shopping Tips (updated)
  • Heart Healthy Sterols & Stanol Tips (updated)
  • Finger Foods Nutrition Therapy (updated)
  • Tips for Adding Protein (updated)
  • Tips for Adding Calories (updated)
  • Tips for adding Fiber (updated)
  • High Protein, High Calorie Nutrition Therapy (updated)
  • National Dysphagia Diet Advanced Nutrition Therapy (updated)
  • National Dysphagia Diet Mechanically Altered Nutrition Therapy (updated)
  • National Dysphagia Diet Pureed Nutrition Therapy (updated)

Retired Content

As part of our 2017 update, previous content has been retired and will no longer appear on the Nutrition Care Manual website:

  • Heart-Healthy Eating Nutrition Therapy
  • High Cholesterol Nutrition Therapy
  • Heart-Healthy Eating: Soy Protein
  • Soft Foods Nutrition Therapy
  • Disaster Preparedness
  • Ordering Nutrition Prescriptions
  • Obsolete Diets