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9.4.1 - 9.4.2 Special diabetic, salt substitutes, low protein, gluten free

9.4.1 Foods for special diets

A wide variety of gluten free, low protein and other specialised products are available. These products will be prescribed on the advice of a dietician, who will ensure that products are safely prescribed and that patients are adequately monitored. They will ensure that each product is only prescribed for patients who suffer from the clinical conditions for which that item has 'ACBS' approval.

Special Diabetic Products

Products that are sold as "diabetic foods" are no longer recommended for people with diabetes. These products are expensive and contain a sugar substitute, sorbitol, which may cause diarrhoea. They are energy dense and may contribute to undesirable weight gain. Most supermarkets now stock a range of low sugar/sugar free products that are suitable for people with diabetes.

Salt Substitutes

Potassium chloride is usually used as a substitute for Sodium chloride in products sold as salt substitutes. These products would not be recommended for the general population and should definitely not be recommended for patients in renal failure.

Gluten Free Foods

These are required by patients with Coeliac Disease.


9.4.2 Enteral nutrition

Enteral nutrition is the preferred method of feeding patients. If the gut works use it. Advice on the use of all products is available from the Department of Nutrition and Dietetics.


These are used when FOOD intake is inadequate or as a sole source of nutrition. These products are not all the same and therefore should not be substituted for another.

a) Milk-like:
Fortisip Multifibre, Fortifresh, Scandishake


b) Juice-like:
Fortijuce Enlive Provide Xtra


c) Semi-solid:


For link to BNF section: 9.4 Oral nutrition