Why refer patients for Medical Nutrition Therapy?

Chronic Kidney Disease affects 1 in 7 Americans, and the incidence is projected to increase due to increasing rates of obesity and the aging population. The high burden, cost and growth of CKD requires early intervention. Medical Nutrition Therapy (MNT) services delay progression of kidney disease by improving co-morbid diseases such as obesity, diabetes and high blood pressure.  The National Kidney Foundation recommends MNT for all persons with CKD, regardless of stage.  It is never too early to integrate nutrition therapy in a patient's care plan.


Patients who receive MNT have fewer CKD-related metabolic abnormalities and are 3x less likely to start dialysis than patients who do not receive early MNT.  Currently Medicare spends an average of $90,000 per year per dialysis patient.  Delaying dialysis even by just a few months will generate huge savings to the healthcare system while allowing patients more time to make important decisions that can affect their clinical outcomes and quality of life on dialysis. 

The recent Executive Order on Advancing American Kidney Health recognizes the untenable track of kidney disease management in this country and has made it a priority to "prevent kidney failure whenever possible through better diagnosis, treatment, and incentives for preventive care."  MNT directly addresses this priority.  I am proud to offer this service, and I welcome the opportunity to serve your patients.   

Approximately 90% of pre-dialysis kidney patients never receive Medical Nutrition Therapy (MNT). 

Provider Referral Form

Please download this form and submit to the fax number listed, along with requested documentation.

Additional Provider Resources

National Kidney Disease Education Program Primary Care Guide to Managing Chronic Kidney Disease

Unsure how MNT can help your patients?   Schedule an informational session with me to discuss the evidence base for nutrition intervention with renal patients.

Select Peer-Reviewed Published Studies:

1. de Waal D et al. "Medical Nutrition Therapy for Chronic Kidney Disease Improves Biomarkers and Slows Time to Dialysis." Journal of Renal Nutrition Volume 26, Issue 1, January 2016, Pages 1-9

2. Kramer et al.  "Medical Nutrition Therapy for Patients with Non Dialysis-Dependent Chronic Kidney Disease: Barriers and Solutions."  Journal of the Academy of Nutrition and Dietetics Volume 118, Issue 10, October 2018, Pages 1958-1965

3. Kelly et al. "Healthy Dietary Patterns and Risk of Mortality and ESRD in CKD: A Meta-Analysis of Cohort Studies." Clin J Am Soc Nephrol. 2017 Feb 7; 12(2): 272–279.

4. Passey C. "Reducing the Dietary Acid Load: How a More Alkaline Diet Benefits Patients With Chronic Kidney Disease." J Ren Nutr. 2017 May;27(3):151-160

5. Garofolo C. et al. "Dietary Salt Restriction in Chronic Kidney Disease: A Meta-Analysis of Randomized Clinical Trials." Nutrients. 2018 Jun; 10(6): 732.

6. Siener R. "Dietary Treatment of Metabolic Acidosis in Chronic Kidney Disease." Nutrients. 2018 Apr 20;10(4)

7. Pedrollo E. "Effect of an intensive nutrition intervention of a high protein and low glycemic-index diet on weight of kidney transplant recipients: study protocol for a randomized clinical trial." Trials. 2017 Sep 6;18(1):413