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Medical nutrition therapy (MNT) is an essential component of DSMES. Ideally all patients should have access to a registered dietitian-nutritionist (RDN) toAccording to the 2017 Standards of Medical Care in Diabetes, “Each person with diabetes should be actively engaged in education, self-management, and treatment For patients receiving basic nutrition care, ongoing, self-management education is recommended at 6-month to 1-year intervals after the initial visit. Medical Nutrition Therapy. Disclaimer. Clinical guidelines are developed and adopted to establish evidence-based clinical criteria for.