• Hyperlipidemia
• CHF or CAD
• Hypertension
  (Systolic >140; Diastolic >90)

Pediatrics

• Failure to Thrive

• Food Allergies

• Malnutrition due to metabolic/organic disorder

• Wt for Ht >95th%ile or <5th%ile

• Wt for Age <5th%ile

• Renal Failure
• Chronic Renal Insufficiency
• Nephrotic Syndrome

Malnutrition

• Unintentional Wt loss  
  ³ 5% in 1 month
  ³ 10% in 6 months

• Pre-albumin < 18 or Albumin < 3

Obesity

• Nutrition for Gastric Bypass Surgery
• BMI ³  30

• BMI ³ 26 w/ HTN, DM, HLP
  

• Anorexia Nervosa / Bulimia
  

• Chronic GI disorders that interfere with absorption of nutrients
• IBS, GERD, Celiac Disease
• Cirrhosis, Pancreatitis

• Surgical Procedures requiring pre-op nutritional assessments
• Difficulty chewing, swallowing or preparing meals

High Risk Pregnancy

• Gestational Diabetes (GDM)

• Hyperemesis Gravidarium

• Prepregnancy Wt < 90% IBW
                         BMI < 19 or >29

• Iron-deficiency Anemia

• Inadequate or Excessive Wt Gain

• Adolescent or < 3 yrs since menarche

• Eating Disorders (Anorexia/Bulimia)

• Vegan (restricts all animal products)

• PreDiabetes 
  (fasting glucose >100mg/dL & <126mg/dL)
• Gestational Diabetes (GDM)
• New-onset DM1/DM2
• HgA1C > 7%
• Reactive Hypoglycemia
• Patients on CSII Therapy

• Chemo or radiation therapy
• Excessive nutritional supplements
• Enteral Nutrition Dependency
• Food Allergies
• Failure to Thrive