Overweight and Obese Use calorie replacements* as part of a reduced-calorie meal plan.
Calorie Goals
<113 kg = 1200 to 1500 calories
>113 kg = 1500 to 1800 calories
Calorie Replacement Goals
2 to 3 calorie replacements per day to be incorporated into a reduced-calorie meal plan, as a meal replacement, partial meal replacement or snack.
Normal Weight Controlled
Diabetes
A1c ≤7%
Use of calorie replacement/calorie supplement should be based on clinical judgment and individual assessment**
Uncontrolled Diabetes
A1c>7%
1 to 2 calorie replacements per day to be incorporated into a reduced-calorie meal plan, as a meal replacement, partial meal replacement or snack.
Underweight Use nutrition supplement*** 1–3 units/day per clinical judgment based on desired rate of weight gain and clinical tolerance.
Table 2: Glycemia-targeted Specialized Nutrition (GTSN) for Prediabetes and Diabetes.