University of Michigan Health System  
              Patient Food and Nutrition Services 
               Nutrition Care Manual and Pediatric Diet Manual Administrators 
              Email: FANS-NCMAdministrators@med.umich.edu 
               
                                      Available Diet Orders at the University of Michigan Health Systems 
                                                                              
                    Diet Order               Purpose & Indications            General Description & Principles         Further Details  
                                      When no dietary modification is 
                                      needed and solid foods can be 
               General Diet           tolerated.                             No dietary restrictions.                           
                                      When no dietary modification is 
               General Pediatric      needed but restrictions indicated      Dietary restrictions based on age 
               Diet                   based on age limitations.              limitations.                                       
                                      Used post-gastric surgery for          This diet does not allow foods high 
                                      patients exhibiting symptoms of        in sugar and liquids will be provided 
                                      dumping syndrome (nausea,              separate from meals.  Smaller, 
                                      vomiting, diarrhea, etc) following     more frequent meals are 
               Anti-Dumping Diet      PO intake.                             encouraged.                              Nutrition Care Manual 
                                      There are four diets that fall under 
                                      the bariatric diet, each is a stepwise 
                                      progression to a discharge diet.    
                                      These restrictions are placed to       All the diets have the following 
                                      facilitate weight loss and             restrictions:  no concentrated 
                                      maintenance, to avoid dehydration,     sweets, low-fat, no caffeine, no 
                                      and to avoid distention of the gastric  carbonated beverages and no 
               Bariatric Diet         pouch.                                 straws.                                  Nutrition Care Manual 
                                      The bland diet is designed to avoid    The bland diet consists of foods that 
                                      irritation of the gastrointestinal tract.   are easily digestible and mildly 
                                      It is appropriate for people with      seasoned. Fried foods, highly 
                                      peptic ulcer disease, chronic          seasoned foods and most raw or 
                                      gastritis, reflux esophagitis or       gas-forming fruits and vegetables 
               Bland Diet             dyspepsia.                             are eliminated.                                    
              Revised 3/07                                                                       1 
                University of Michigan Health System  
                Patient Food and Nutrition Services 
                 Nutrition Care Manual and Pediatric Diet Manual Administrators 
                Email: FANS-NCMAdministrators@med.umich.edu 
                 
                                                                                    A bland diet consisting of ripe 
                                         This diet is typically used for            Bananas, Rice, Applesauce, and 
                                         controlling diarrhea and provides          Toast. This diet is intended for a 
                                         low fiber, low residue foods that are      very short duration (3 days or less) 
                 BRAT Diet               easier for the intestines to digest.       due to nutritional inadequacies.                       
                                                                                    This diet allows all foods but limits 
                 Calorie Controlled                                                 total calorie intake to the designated 
                 Diet                    Used to promote weight loss.               amount.                                                
                                         This diet order is typical for patients 
                                         with cardiovascular illnesses.  Its 
                                         purpose is to reduce serum 
                                         cholesterol and lipid levels, to avoid     Limits red meat, cheese, whole 
                                         and prevent excessive sodium               milk, butter, and egg yolks, as well 
                                         intake and to reduce heart disease         as high sodium foods and 
                                         risk.  This diet controls for total        condiments. It promotes whole 
                                         dietary fat, saturated fat, cholesterol  grains, beans, vegetables and 
                 Cardiac Diet            and salt (3-4 gm sodium/day).              fruits.                                                
                                         To reduce serum cholesterol and 
                                         lipid levels, usually combined with a      This diet limits cholesterol intake to 
                                         low fat diet restriction.  Used            200-300 mg/day by limiting red 
                 Low Cholesterol         commonly with hyperlipidemia, CAD  meat, cheese, whole milk, butter 
                 Diet                    and other cardiovascular illnesses.    and egg yolks.                                             
                                         This diet is used for pre-op and           Allows visually clear and minimum 
                                         immediately post-op situations, or         residue liquids.  Intended for a very 
                                         for acute episodes of nausea and           short durations (3 days or less) due 
                 Clear Liquid Diet       vomiting to promote bowel rest.            to nutritional inadequacies.                           
                Revised 3/07                                                                             2 
              University of Michigan Health System  
              Patient Food and Nutrition Services 
               Nutrition Care Manual and Pediatric Diet Manual Administrators 
              Email: FANS-NCMAdministrators@med.umich.edu 
               
                                                                           A specified number of 
                                                                           carbohydrates, based on age, will 
                                     To provide consistent                 be provided at each meal to ensure 
               Consistent            carbohydrates, based on patient       consistent carbohydrate intake, 
               Carbohydrate,         age, at meals and an HS snack to      simulating a carbohydrate counting 
               Pediatric             aid in glucose management.            diet.                                   Nutrition Care Manual 
                                                                           A specified number of 
                                     To provide consistent                 carbohydrates, based on calorie 
                                     carbohydrates, based on calorie       range, will be provided at each meal 
                                     level range, at meals and an HS       to ensure consistent carbohydrate 
                                     snack to aid in glucose               intake, simulating a carbohydrate 
               Diabetic Diet         management.                           counting diet.                          Nutrition Care Manual 
                                                                           There are four levels of this diet.  
                                                                           Each requires both a diet level and 
                                                                           liquid consistency to be designated 
                                                                           to be a valid diet order.  Level 1 – 
                                     To decrease the risk of aspiration    Provides pureed food/meats. Level 
                                     related to neurological,              2 – Provides ground meats.  Level 3 
                                     neuromuscular or other etiology of    – Equivalent to Mechanical Soft 
                                     swallowing impairment.  Prescribed    diet.  Level 4 – This is a general diet 
                                     by Speech Pathologist after a         but still requires a liquid consistency 
                                     swallow evaluation has been           per Speech Pathology 
               Dysphagia Diets       conducted.                            recommendations.                        Nutrition Care Manual 
              Revised 3/07                                                                    3 
              University of Michigan Health System  
              Patient Food and Nutrition Services 
               Nutrition Care Manual and Pediatric Diet Manual Administrators 
              Email: FANS-NCMAdministrators@med.umich.edu 
               
                                      The eating disorder diet is indicated 
                                      for individuals diagnosed according 
                                      to the Diagnostic Statistical Criteria 
                                      (DSM-IV) with anorexia nervosa, 
                                      bulimia nervosa or an eating          This diet is calorie controlled, with 
                                      disorder not otherwise specified and  periodic increases in calories to 
                                      treated in the University of Michigan  goal.  Typically 4 meals/day are 
               Eating Disorder Diet  Eating Disorder Program.               served.                                           
                                      The fat-restricted diet is indicated 
                                      for individuals with maldigestion, 
                                      malabsorption and disorders in 
                                      transport of dietary lipids. To 
                                      provide no more than 60 gm fat/day 
                                      for malabsorption issues related to 
               Low Fat Diet (60       GI disease, pancreatitis, and some    Lower fat menu items are provided 
               gm/day)                types of liver disease.               in place of full fat items.            Nutrition Care Manual 
                                                                            Focuses on whole grains, beans, 
               High Fiber Diet -      Used for certain GI conditions to     vegetables and fruits to increase 
               High Residue           promote gut health.                   fiber content of diet.                 Nutrition Care Manual 
                                      Used for certain GI conditions when  Limits use of whole grains, beans, 
               Low Fiber Diet -       high fiber diets can aggravate        vegetables and fruits to lower fiber 
               Low Residue            symptoms.                             content of diet.                       Nutrition Care Manual 
              Revised 3/07                                                                     4