Medical Nutrition Therapy & Diabetes Education

WHAT IS MEDICAL NUTRITION THERAPY?

According to the Academy of Nutrition and Dietetics, Medical Nutrition Therapy, or MNT, is a “nutritional diagnostic, therapy, and counseling service for the purpose of disease management which is furnished by a registered dietitian or nutrition professional.  MNT is a specific application of the Nutrition Care Process in clinical settings that is focused on the management of diseases.”

INPATIENT MEDICAL NUTRITION THERAPY

Medical Nutrition Therapy is provided by a Registered Dietitian Nutritionist (RDN) to hospitalized patients identified as high nutritional risk.  The RDN completes a comprehensive dietary assessment and works with the medical team to assess each patient’s needs and develop an individualized plan to address nutrition-related problems.  Individualized dietary instruction is provided as needs are identified to help patients better understand the role of nutrition in healing and long term health.  Patients requiring additional education following discharge from the hospital may be referred by their physician for outpatient medical nutrition therapy.

OUTPATIENT MEDICAL NUTRITION THERAPY

Outpatient Medical Nutrition Therapy is available for patients who are referred by their physician.  During outpatient MNT, a patient will meet with the Registered Dietitian Nutritionist one-on-one at which time a comprehensive dietary assessment is completed.  This information, in addition to pertinent labs, medication, physical signs and symptoms, and more are used to develop an individualized nutrition plan.  Individuals may benefit from Medical Nutrition Therapy for wide variety of conditions, such as:

  • Diabetes - Type 1, Type 2, Gestational
  • Cardiovascular Disease
  • High Cholesterol
  • High Blood Pressure
  • Obesity and Weight Management
  • Oncology 
  • Gastrointestinal Disorders
  • Pulmonary Disease
  • Kidney Disease
  • Liver Disease
  • Food Allergies

Medical Nutrition Therapy, ordered by a physician, is covered by a variety of insurance plans.  Under the Medicare Part B program, recipients with type 1 and type 2 diabetes, non-dialysis kidney disease and post renal transplant (6 to 36 months) are eligible to receive Medical Nutrition Therapy.  In addition, Medicare Part B recipients may be eligible for Intensive Behavior Therapy for Obesity if criteria is met.  Some Medicaid plans will also cover MNT services.  Individuals with private insurance are encouraged to check with their insurance plan for specific medical nutrition therapy coverage details.  It is recommended that you verify your insurance coverage before receiving nutrition counseling.  

For more information on Medical Nutrition Therapy, or to schedule an appointment, call Pam Dove, RDN at (906) 524-3449.  

NATIONAL DIABETES PREVENTION PROGRAM

Baraga County Memorial Hospital currently offers the National Diabetes Prevention Program (DPP) and is working toward becoming a CDC-Recognized Diabetes Prevention Program.  The DPP is led by a trained Lifestyle Coach and focuses on delaying or preventing the progression of prediabetes to diabetes through lifestyle interventions that target improving diet, physical activity and achieving moderate weight loss. 

Based on research funded by the National Institute of Health and the Centers for Disease Control (CDC) and Prevention, the program reduces the risk of developing type 2 diabetes by 58%.  The risk reduction was even greater, 71%, among adults aged 60 or older.  The results were achieved through reducing calories, increasing physical activity, and a weight loss of 5-7% of body weight (10-14# for a person weight 200 pounds).  The study showed that this lifestyle intervention overwhelmingly prevents or delays type 2 diabetes in all racial and ethnic groups and the results persisted for at least 10 years. 

How it Works

National DPP participants receive support, guidance and encouragement from a trained lifestyle coach that has been CDC certified.  Together, they explore how healthy eating, physical activity, moderate weight loss and other behavior changes benefit their health.  Participants also receive guidance on developing a plan for improving and maintaining their overall well-being.

Participants meet as a group with a trained lifestyle coach for 16 weekly sessions and 6-8 monthly follow-up sessions. 

  • The first weekly sessions include:
  • Healthier eating
  • Shopping and cooking to prevent T2
  • Dining out
  • Getting started with physical activity
  • Overcoming stress
  • Coping with triggers
  • Staying motivated
  • Getting support
  • The next 8 monthly sessions include:
  • Additional nutrition and fitness tips
  • Handling eating in social situations
  • Getting enough sleep
  • Dealing with slips ups around diet and exercise, and more.

Eligibility

  • Must be 18 and older, have no previous diagnosis of diabetes, and have a BMI of > 24   AND
  • History of Gestational Diabetes   OR
  • A physician’s diagnosis and/or confirmatory blood test for prediabetes.
  • Fasting plasma glucose: 100-125 mg/dL   OR
  • HbA1C: 5.7-6.4%    OR
  • Two-hour plasma glucose (75 gm glucose test): 140-199 gm/dL
  • Individuals who score positive for prediabetes based on the National Diabetes Prevention Program Risk Test (www.doihaveprediabetes.org) may also be eligible for the program.

Program Goals

  • Prevent type 2 diabetes
  • To reduce body weight by 5-7%
  • Gradually increase brisk, physical activity to 150 minutes per week

Follow-up session goals

  • Keep off the weight that is lost
  • Keep working toward goal weight, if not already reached
  • Maintain activity level

MEET PAM DOVE, MS, RDN, CDE, ACSM-CPT

Pam Dove is a Registered Dietitian Nutritionist (RDN) and a Certified Diabetes Educator (CDE) with over 15 years of experience in clinical and outpatient nutrition settings, including medical/surgical care, intensive care, ambulatory care, long term care, outpatient diabetes education and nutritional counseling.  Pam is a Certified Personal Trainer through the American College of Sports Medicine with a Master’s Degree in Exercise Science.  She is also trained as a Lifestyle Coach for the National Diabetes Prevention Program, a leader for the Lifesteps Weight Management Program, and the Stanford Chronic Disease Self-Management and Pain Management Programs.  She is passionate about improving the health of our community.