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I.M.MAGIC's Photo I.M.MAGIC Posts: 12,839
1/20/12 12:40 P

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This is a repeat of a post from a long time ago, and I would ask that you please not add to this unless it is strictly nutrition information for newbies... I get a lot of repeat questions regarding this, and want to keep it simple so the newcomers don't have to hunt down the basic info through additional posts, okay?

Please note, any comments or additions in other areas yoiu wish to make are always welcome in the LIBRARY thread! THANK YOU SO MUCH!

I LOVE this team!...



Hey, gang,... This is the basic info I got from that workshop I went to. I condensed what they gave me into a couple of pages. If anyone wants me to send it, just sparkmail me with your regular email address and I can forward you the docs--unless you just want to copy this! LOL...


NUTRITION FOR PEOPLE WITH CHRONIC KIDNEY DISEASE
REGULAR TESTING FOR POTASSIUM, CALCIUM, PHOSPHORUS, VITAMIN D AND B12 ARE RECOMMENDED. MOST NEPHROLOGISTS OR DOCTORS WILL KNOW TO DO THIS IF YOU HAVE CKD.
POTASSIUM
Control Your Potassium Intake.

Potassium is a mineral found in many fruits and vegetables, and it helps our nerves, muscles, and heart work properly. For people with CKD, the kidneys can no longer remove excess potassium, so levels can build up in the blood, leading to nausea, weakness, irregular heartbeat, and even heart failure. So it’s important to control the amount of high-potassium foods you eat.

GOOD CHOICES
Apples, berries, grapes, peaches, plums, pineapple, watermelon
Cranberry juice, apple juice, grape juice (a single serving is FOUR ounces. not six, not eight)
Carrots, green beans cauliflower, eggplant cucumbers, lettuce, mushrooms
Non-dairy whipped topping, non-dairy creamer, sherbet, sorbet
Unenriched rice milk, non-dairy creamer

POOR CHOICES
Bananas, oranges, avocado, cantaloupe, honeydew, apricots, nectarines, papaya, kiwi, mangoes
Tomatoes, spinach, potatoes, greens, pumpkin
Nuts, cooked dried beans, peas, seeds
Yogurt, ice cream, milk
Chocolate

SODIUM IN YOUR DIET

LIMIT THESE HIGHLY SALTED, HIGH-SODIUM FOODS
Fast foods: Pizza, Chinese, Mexican, and deluxe hamburger and fries
Condiments: Salt, garlic salt, onion salt, celery salt, souy sauce, steak and barbeque sauce, teriyaki and Worcestershire sauce
Snack foods: All salted chips, pretzels, crackers and pork rinds
Soups: Instant, canned, including broth and bouillon
Sauces: Canned or jarred sauces and gravy, instant sauce and gravy mixes
Meats: Smoked, salted or cured meats such as bacon, ham, hot dogs, sausage, bologna, salami, pepperoni luncheon meats, corned beef, pastrami and chipped beef
Dairy: Processed cheese, cheese spread and buttermilk
Seafood: Canned tuna, sardines, anchovies, crab oysters
Vegetables: Canned salt, frozen vegetables in sauces, olives, pickles and sauerkraut
Pasta and rice: Boxed and flavored mixes of rice, pasta, instant noodles and stuffing

CHOOSE FRESH FOODS
Fresh foods have no added salt, unlike canned and processed foods.

READ FOOD LABELS.
Choose snacks and side dishes less than 150mg of sodium per serving
Choose full meals or entrees less than 600mg of sodium.
Always look at the serving size.
Read the ingredient list. If salt or an ingredient listing the word “sodium” is in the first three or four items, avoid that product.

AVOID SALT AT THE TABLE.
At home, remove the salt shaker from the table.
At restaurants, use caution ordering food with sauces and condiments. Ask that salt not be used in preparing your food.
Spice your food with black pepper, hot pepper sauce, crushed red pepper, garlic or onion powder.

SEASON WITH HERBS
Alspice: ground meats, stews, salads, soups, sauces
Basil: eggs, fish, lamb, beef, stews, salads, soups, sauces
Bay leaves: meats, stews, chicken, turkey, soups
Chives: eggs, salads, sauces, soups, meats, vegetables, rice
Cider vinegar: salads, vegetables, sauces and marinades
Cilantro: meats, chicken, fish, rice, pasta and beans
Cinnamon: fruits, bread an dhot cereals
Curry powder: meats, chicken, fish
Dill weed: fish, soups, Pasta
Garlic: meats poultry, fish, vegetables, ric and pasta
Ginger: chicken, fish, fruits
Mustard powder: ground meats, salads, sauces
Paprika: meats, fish, stews, sauces, soups, vegetables
Rosemary: chicken, veal, meats, bread, pasta
Sage: meats, stews, green beans
Thyme: eggs, meats, sauces, soups, vegetables



PHOSPHORUS

Stage II and higher benefit from a low phosphorus diet. Benefits can be seen even when blood values are normal.

HIGH PHOSPHORUS FOODS
Milk, Cheese, Ice Cream, Pudding/custards, Yougurt, Coottage Cheese, Macaroni & Cheese, Pizza, Chicken Nuggets, Nuts, Bran Cereals/muffins

HIDDEN SOURCES OF PHOSPHORUS
Processed foods, Dark colas, Baked goods
READ LABELS FOR ADDED PHOSPHORUS (Anything where you see the word phosphate)
ALSO WATCH FOR PACKAGING MATERIALS—cardboard, and some plastics like those juices or flavored waters come in have phosphate added as a preservative, which can leach into the contents.

BUTTER, MARGARINE, SOUR CREAM AND CREAM CHEESE ARE LOW IN PHOSPHORUS AND OKAY FOR CONSUMPTION

PROTEIN

Most patients with Stage II or higher benefit from a low protein diet. Stages III-IV need careful planning. Caution is necessary if you are losing weight, especially if poor appetite becomes a problem.
Use more plant based proteins such as tofu, beans (High potassium, so no more than ˝ cup per day) and meat analogs (saitan, gluten, tvp.)

Limit red meat and pork
Use more fish, poultry and egg whites
Add one soy product per day i.e. soy milk, tofu or veggie burgers
Keep protein foods to 2 small (3oz) servings per day

DIETARY NEEDS FOR THOSE ON DIALYSIS ARE DIFFERENT. THEY DO NEED TO RESTRICT THE NORMAL THINGS LIKE SODIUM, POTASSIUM AND PHOSPHORUS—BUT REQUIRE LOW FLUIDS AS WELL—AND HIGH PROTEIN—SO IF ON DIALYSIS YOU WILL NEED TO CONSULT WITH A PROFESSIONAL TO HELP YOU DETERMINE THE RIGHT LEVELS FOR YOU.


STAYING HYDRATED IS IMPORTANT, FLUID RESTRICTIONS USUALLY ONLY APPLY TO STAGE V WHEN DIALYSIS TREATMENTS ARE REQUIRED. YOUR NEPHROLOGIST OR OTHER KIDNEY SPECIALIST WILL INFORM YOU IF AND WHEN THIS BECOMES NECESSARY.

SYMPTOMS OF KIDNEY PROBLEMS/UREMIA

Poor taste. Metallic, bitter or “off”.
Itching skin
Upset stomach or nausea
Unexplained weight loss
Headache
Weakness/fatigue

If unexplained weight loss occurs it may become necessary to use supplements such as Suplena, Benecalorie, Boost, Novasource Renal…

VITAMINS AND MINERAL
Stage III and lower “multi-vitamin”
Stage IV and higher renal vitamin
AVOID all other minerals and herbs unless you check with a renal dietitian, nephrologist or renal pharmacist.

Hope this helps...

I still have my one-on-one consultation, it's on the 16th of March...
Kathy

On one of the other threads we were talking about balance and moderation... It applies here to. Being strict is important, and so is not feeling deprived. We all have to develop our own good judgement...



"The real secret of success is enthusiasm..." thanks, Walter P. Chrysler. I believe it. That's what I want in my life--to give my imagination a chance, to live with energy and enthusiasm!

Ralph Waldo Emerson said 'Life belongs to the energetic.' But you don't have to be frenetic and hyper--some energy is quiet and steady, like a heartbeat... and that works too! LOL

Life comes in specific increments, which we receive as a gift of one moment at a time. That's why it's called


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