House of Delegates

Academy of Nutrition & Dietetics Governing Structure

The governing structure of the Academy of Nutrition and Dietetics includes 19 members of the Board of Directors and 105 members of the House of Delegates (HOD). Click this link here for a more detailed look at our governing body!

Have you ever wondered what the roles and responsibilities of the HOD are? This video link provides a short 2-minute synopsis on the work and structure of the HOD: view here!  Maybe you will be interested in being our next Delegate for 2023!


Strategic & Professional Issues

Strategic issues (previously called Mega Issues) are overriding issues of strategic importance that cut across multiple discipline areas. They address key strategic questions the organization must answer to illuminate choices and challenges that will need to be overcome moving forward for the envisioned future.

The Strategic Issues Process is an important tool for responding to members' needs related to far-reaching professional concerns. A Strategic Issue is strategic and futuristic in its scope and is projected to impact the profession three-to-five years into the future. They are emerging issues with potential impact on the dietetics profession in three or more years, overriding issues of strategic importance that cut across multiple discipline areas and support the Academy’s strategic mission, vision, and focus. Strategic Issues replace Mega Issues. Example Strategic Issues include The Academy’s Council on Future Practice, the organizational unit comprised of ten members who represent practice, education, credentialing and accreditation and the Board of Directors, identifies Strategic Issues for consideration by the HOD.


Our Diabetes DPG members can submit Strategics Issues using the Strategic Issue identification form  (make sure you to select Diabetes DPG) and emailing to Strategic Issues are considered by the House of Delegates Leadership Team for discussion by the House of Delegates. It’s our opportunity to have a voice in current and future challenges that affect our profession!

Professional Issues are specialized or practice-based topics that need immediate attention by the HOD. These issues may impact a subset of practice areas within the profession. Examples of Professional Issues include master’s requirement implementation, licensure, reimbursement and payment, and preceptor and internship shortages.


House of Delegate Meeting Updates 2020-2021

COVID-19 has significantly changed all of our lives, both professionally and personally. According to current health data and outcomes, Black, Latinx and Native American populations have almost 3 times the death rate from COVID-19 compared to white Americans. The pandemic has exposed large health disparities among these populations that Americans can not ignore.  

The House of Delegates (HOD) convened October 15-16, 2020, through a virtual forum. The critical issue HOD will be addressing is Diversity and Inclusion throughout the 2020-2021 year. This is of historic significance for the Academy, because it has never dedicated one topic for the entire year, but given the current situation the Academy feels like it has to.  We have to. As Registered Dietitian Nutritionists, Registered Dietetic Technicians and Certified Diabetes Care and Education Specialists we need to work to address these health disparities caused by conditions in the environments where people live, learn, work and play, (known as social determinants of health), in order to accelerate nutrition health equity.

Throughout this year, you will be provided with tools, activities and learning opportunities that focus on Diversity and Inclusion. Many people seeking a RDN/CDCES, will have difficulty finding one that looks like them or shares the same cultural values and beliefs. Understanding our own bias and attitudes (we all have them!),  identifying factors that contribute to negative health outcomes in public policy, community, organization, personal and individual levels will help us to address Diversity and Inclusion.

If you would like to help plan activities related to this year’s critical issue, please email

House of Delegate Meeting Updates 2019-2020


October 2019  HOD Meeting Outcomes: Technology/Big Data and the Total Diet Approach (click on link for full HOD update)


Strategic Issue 1 Technology/Big Data: Diabetes DPG members have a major stake in Technology/Big Data and can take the lead for the Academy of Nutrition & Dietetics as innovators.

Wearable activity trackers,  smartphone lifestyle modification apps,  and glucose sensors/meters can shape (see Figure 1 below) and improve reimbursement, policy development and glucose control management for prevention or improved glycemic control.   


Sources of Big Data: Inputs and outputs of medical Big Data

Figure 1 (Source: Rumbold JMM, O’Kane M, Philip N, Pierscionek BK. Big Data and Diabetes: the applications of Big Data for diabetes care now and in the future. Diabet. Med. 37, 187– 193 ( 2020)).


According to the Pew Research Center, 61% of Americans get their health information from the internet. Diabetes DPG members need to use popular social media outlets (Twitter, Facebook, Instagram, Snap Chat and  Tic Tok), podcasts, and blogs to increase the credible diabetes related health information on the internet and in social media.



Strategic Issue 2: Total Diet Approach: The Academy’s stance to the The Total Diet Approach was retired in 2018 due to it is not based on specific research questions or studies and thus would not be able to be renewed per the new methodology for position or consensus statements.  The Proposed Total Diet Approach to Healthy Eating Stance can be found here


January HOD Meeting Professional Issue Discussion: Evidence-Based Practice Backgrounder (click on link for full HOD update)


Due to COVID-19, the April 2020 HOD Meeting was cancelled.


Be Apart of the Delegate Diabetes DPG Podcast!

As your Delegate, I am looking for innovative and outstanding Diabetes Educators from our membership to help provide feedback and perspective on House of Delegate issues, especially related to Big Data/Technology and Evidence-Based Practice.  Your insights can help inform and shape the direction of our profession as well as future practice. I would love to hear from diverse voices in a variety of practice fields; inclusive of not just dietitians but also, NDTR's, members under 30, retired members, students/interns, and members from underrepresented groups.


Additionally, if you released new research in our field, authored a new book, or have another topic of interest and you would like to be interviewed on the Delegate Diabetes DPG Podcast, please contact me!


Delegate Contact Information: 

Jennifer O. Barr, MPH, RDN, LDN, CDCES

Delegate, Diabetes Dietetic Practice Group

Academy of Nutrition and Dietetics