Esme12, ASN, BSN, RN 4 Articles; 20,908 Posts Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma. Has 43 years experience. Sep 29, 2014 there was a post a few back. Gotta follow with me or you'll get left behind. It's no the ordering of the diet that is an issue. It's the enforcement. I give enough forced medications by court order to know what enforcement is. If someone doesn't want insulin well although I might educate them to the reason and do everything I can they still have the right to refuse the diet as treatment.Could you reference that post....I am still not following.Yes they can refuse the diet but the dietician is not under any obligation to change the order. They can choose whether to refuse and go hungry....or eat it and do what they want when they go home.