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DIABETISOURCE® AC

DIABETISOURCE® AC

Diabetisource® AC is a tube feeding formula made with a unique blend of carbohydrates that includes pureed fruits and vegetables.

  • Unique carbohydrate blend includes pureed fruits and vegetables (pureed peas, green beans, peaches, and orange juice concentrate) to help with the nutritional management of patients with diabetes or stress-induced hyperglycemia
  • Contains supplemental L-arginine which may help support wound management
  • Meets the ADA dietary recommendation for the inclusion of omega-3 fatty acids from fish(1)
  • Does not contain sugar alcohols
  • Does not contain milk protein – may be suitable for cow’s milk protein allergy

Diabetisource® AC Unflavored
kcal/mL 1.2
Caloric Distribution Protein (% of kcal)
 		Protein 22%
Carbohydrate 30%
Fat 48%
L-Arginine (g) 1
L-Glutamine (g)
Sodium (mEq) 12
Calcium (mEq) 10
Potassium (mEq) 10
Chloride (mEq) 5
NPC:N Ratio 90:1
MCT:LCT Ratio
n6:n3 Ratio 1.7:1
Free Water (%) 82
Dietary Nucleotides (g)
EPA + DHA (g) 0.33
Source of Oil
Osmolality (mOsm/kg water) 450
Density (g/mL)
Renal Solute Load (mOsm/L)
mL to Meet 100% DRI
ARA (mg)
  • Diabetes
  • Glucose intolerance
  • Stress-induced hyperglycemia
  • Diabetes with wounds

Important Notes:

NOT FOR PARENTERAL USE
This product is intended for use under medical supervision

  • Lactose-Free
  • Gluten-Free
  • Kosher
  • Soy Protein Isolate
  • L-Arginine
  • Canola Oil
  • Refined Fish Oil (Anchovy, Sardine)
  • Glucose Syrup
  • Green Pea and Green Bean Puree (Water, Dehydrated Peas and Green Beans)
  • Fructose
  • Peach Puree (Water, Peach Puree Concentrate)
  • Tapioca Dextrin
  • Orange Juice (From Concentrate)
  • Green Pea and Green Bean Puree (Water, Dehydrated Peas and Green Beans)
  • Peach Puree (Water, Peach Puree Concentrate)
  • Fructooligosaccharides
  • Partially Hydrolyzed Guar Gum
  • Soy Fiber
Water, Glucose Syrup, Soy Protein Isolate, Canola Oil, Green Pea and Green Bean Puree (Water, Dehydrated Peas and Green Beans) and less than 2% of Fructose, Peach Puree (Water, Peach Puree Concentrate), Tapioca Dextrin, Fructooligosaccharides, Orange Juice (from Concentrate), Refined Fish Oil (Anchovy, Sardine), Partially Hydrolyzed Guar Gum, L-Arginine, Potassium Citrate, Soy Fiber, Calcium Phosphate, Citric Acid, Sodium Citrate, Sodium Ascorbate, Inositol, Choline Chloride, Salt, Maltodextrin, Magnesium Oxide, Magnesium Phosphate, Polysorbate 80, L-Carnitine, Taurine, DL-Alpha-Tocopheryl Acetate, Zinc Sulfate, Ferrous Sulfate, Niacinamide, Calcium Pantothenate, Vitamin A Palmitate, Manganese Sulfate, Copper Gluconate, Vitamin D3, Pyridoxine Hydrochloride, Riboflavin, Thiamine Hydrochloride, Beta-Carotene, Chromium Chloride, Folic Acid, Biotin, Potassium Iodide, Sodium Selenite, Sodium Molybdate, Vitamin K1, Vitamin B12

By Nature:
Soy

DRI Coverage

Meets or exceeds 100% DRI for 22 key vitamins and minerals: Adult (+14 years old), 1250 mL

Diabetisource® AC, Unflavored, 24 x 250 mL Diabetisource® AC, Unflavored, 4 x 1500 mL Diabetisource® AC, Unflavored, 6 x 1000 mL
HCPCS Code B4154 B4154 B4154
NDC-Format Number 43900-0365-00 43900-0365-82 43900-0365-08
Case UPC 10043900365005 10043900365838 10043900365081
Each UPC 00043900365008 00043900365824 00043900365084
Product Code 36500000 4390036583 36508100

Protein Source

  • Soy Protein Isolate
  • L-Arginine

Fat Source

  • Canola Oil
  • Refined Fish Oil (Anchovy, Sardine)

Carbohydrate Source

  • Glucose Syrup
  • Green Pea and Green Bean Puree (Water, Dehydrated Peas and Green Beans)
  • Fructose
  • Peach Puree (Water, Peach Puree Concentrate)
  • Tapioca Dextrin
  • Orange Juice (From Concentrate)

Fiber Source

  • Green Pea and Green Bean Puree (Water, Dehydrated Peas and Green Beans)
  • Peach Puree (Water, Peach Puree Concentrate)
  • Fructooligosaccharides
  • Partially Hydrolyzed Guar Gum
  • Soy Fiber
  • Diabetes
  • Glucose intolerance
  • Stress-induced hyperglycemia
  • Diabetes with wounds

Important Notes:

NOT FOR PARENTERAL USE This product is intended for use under medical supervision

  • Lactose-Free
  • Gluten-Free
  • Kosher

Water, Glucose Syrup, Soy Protein Isolate, Canola Oil, Green Pea and Green Bean Puree (Water, Dehydrated Peas and Green Beans) and less than 2% of Fructose, Peach Puree (Water, Peach Puree Concentrate), Tapioca Dextrin, Fructooligosaccharides, Orange Juice (from Concentrate), Refined Fish Oil (Anchovy, Sardine), Partially Hydrolyzed Guar Gum, L-Arginine, Potassium Citrate, Soy Fiber, Calcium Phosphate, Citric Acid, Sodium Citrate, Sodium Ascorbate, Inositol, Choline Chloride, Salt, Maltodextrin, Magnesium Oxide, Magnesium Phosphate, Polysorbate 80, L-Carnitine, Taurine, DL-Alpha-Tocopheryl Acetate, Zinc Sulfate, Ferrous Sulfate, Niacinamide, Calcium Pantothenate, Vitamin A Palmitate, Manganese Sulfate, Copper Gluconate, Vitamin D3, Pyridoxine Hydrochloride, Riboflavin, Thiamine Hydrochloride, Beta-Carotene, Chromium Chloride, Folic Acid, Biotin, Potassium Iodide, Sodium Selenite, Sodium Molybdate, Vitamin K1, Vitamin B12

By Nature: Soy

Meets or exceeds 100% DRI for 22 key vitamins and minerals: Adult (+14 years old), 1250 mL

Diabetisource® AC, Unflavored, 24 x 250 mL Diabetisource® AC, Unflavored, 4 x 1500 mL Diabetisource® AC, Unflavored, 6 x 1000 mL
HCPCS Code B4154
NDC-Format Number 43900-0365-00
Case UPC 10043900365005
Each UPC 00043900365008
Product Code 36500000
HCPCS Code B4154
NDC-Format Number 43900-0365-82
Case UPC 10043900365838
Each UPC 00043900365824
Product Code 4390036583
HCPCS Code B4154
NDC-Format Number 43900-0365-08
Case UPC 10043900365081
Each UPC 00043900365084
Product Code 36508100

Notes & Disclaimers for Key Benefits (Healthcare Professionals)

  • 1. American Diabetes Association. Diabetes Care. 2015;38:S20-S30