2. THERAPEUTIC DIET
• A meal plan that controls the intake of certain foods or
nutrients.
• It applies especially to patients with digestive system,
kidney and metabolism disturbances.
3. Energy Modification
1. A high diet joule diet
It is used in emaciated patients especially Tuberculosis
patients.
2. Low joule diet(reducing fat)
used for obesity accompanied by diabetes mellitus, renal
failure, cardiac failure and hypertension
4. Protein Modification
1. High protein diet
Used for cirrhosis of the liver without liver failure, malignant
malnutrition , after head injury, before and after major
operations, deep and extensive burns.
2. Low protein diet
Used for acute nephritis and renal failure and liver failure
3. Gluten free diet
Used in coeliac disease of the children and adults.
5. 4. A low purine diet
Consists of ample fluids and various medication.
Used in management of chronic hyperuricaemia
5. Purine free diet
Consist of milk and vegetables
Used in acute stage of gout.
6. Carbohydrate modification
1. High carbohydrate diet
Used for febrile disease, infective hepatitis and emaciation.
2. Low carbohydrate diet
Used in diabetes mellitus, anaemia and coeliac disease.
3. Lactose free diets
Used for patients with lactase deficiency (alctasia)
7. Fat modification
1. High fat diet
Used for peptic ulcer.
2. Low fat diet
Used for obesity, gout, cirrhosis of the liver
3. Diet low in animal fats and cholesterol
Used for chronic cholecystitis, skin disease and diabetes
mellitus.
8. Iron modification
1. Diet rich in iron
Used in anaemia and scurvy
Calcium modification
1. Diet low in calcium
Used for hypercalcaemia
2. Diet rich in calcium
Used for rickets and tetany tuberculosis
9. Salt modification
1.Sodium restriction diet
Used for patients with hypertension.
2.A diet with increased salt intake
Used for Addison’s disease; after excessive vomiting, during
excessive perspiring.
10. Vitamin modification
1. Diet rich in vitamins B and K
Used for typhoid fever, anaemia and peptic ulcer
2. Diet rich in vitamin C
Used for scurvy , after operation and injuries and fractures
3. Diet rich in vitamin B
Used for congestive cardiac failure, stomatitis.
11. Fluid modification
1. Restricted fluids
Used for acute nephritis, anuria and nephritis
2. Increased fluids
Used for dehydration , diarrhea, pyrexia.
