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604 Medical Nutrition Therapy in Heart Failure

NUTRITION CARE PLAN (5)

Table 3 NUTRITION MANAGEMENT (4,5)
1.Lose to or maintain appropriate weight
2.Dash Dietary PatternRestricted sodium diet 2 gm/
day (Visible & Invisible Sodium)3.Mediterranean diet
pattern In-
creased use of whole grains, fruits(provided ade-
quate glycemic control), vegetables
Increase dietary fibre to 25–30 g/day or more

Add omega-3 fats from food sources
Add fresh fruits and vegetables
4.Limit fluid to urine output plus obligatory losses
5.Potassium restriction or excess based on the di-
uretic used if any.
6.Magnesium supplementation
7.Thiamine supplementation

8.Avoid tobacco
9.Increase physical activity as tolerated
10.Avoid alcohol
11.CoQ10 for those on statin drugs
References

1. Lifestyle Management Diabetes Care 2017;40(Suppl.1): S33–S43
2. American Diabetes Association: Standards of Medical Care in Diabetes
2017 ;40, (Suppl.1): S:1- S131
3. Yancy et al. Heart Failure Focused Update J a C C A u g u s t 8, 2 0
17 V O L 7 0, No.6, 2 017: 7 7 6– 803 2017ACC/AHA/HFSA
4. L. Kathleen Mahan, Medical Nutrition Therapy for Cardiovascular Disease,
CD, Janice L. Raymond, Krause’s Food & The Nutrition Care Process, St.
Louis, Missouri, Elsevier, Fourteenth Edition 2017,33:668-676
5. Sylvia Escott-Stump, Cardiovascular Disorders, avid Troy, Nutrition and
Diagnosis-Related Care, Philadelphia, Lippincott Williams & Wilkins,
Seventh edition 2012: Section 6, 357 -360.

GCDC 2017