General Nutrition Guidelines for Kidney Disease August 2011 Name:______Date:______Dietitian’S Name:______Phone:______
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General Nutrition Guidelines for Kidney Disease August 2011 Name:___________________________Date:______________________ Dietitian’s Name:________________________Phone:______________ Low Sodium: (2000-3000 mg/day or less than 10% daily value (DV) if reading labels) Avoid using salt in cooking and at the table Limit your intake of salty foods Lower Salt Items-Good choices Higher Salt items-Limit/Avoid Flavour/Seasonings Cheese Flavour/Seasonings Cheese Herbs Cream cheese Seasoning salt Processed cheese Spices Brick cheese Celery salt Cheese Whiz® Black pepper Brie Garlic salt Fresh garlic Swiss Lemon pepper Meats/ Fresh onion Mozzarella Table salt Alternatives Lemon/lime Ricotta Sea salt Canned meats Vinegar Havarti Ketchup Bacon Vanilla extract Monterey Oyster/fish sauce Salami Mrs. Dash® Colby Mustard Bologna McCormick’s- No Gruyere Soy sauce Sausages Salt added ® BBQ sauce Wieners Meats/ Relish Sardines Alternatives Worcestershire sauce Pepperoni, Homemade Fresh poultry Spam®/Klik® Soups Fresh beef Other Ham Pancakes Fresh pork Instant Noodles Waffles Fish Rice/pasta noodle mixes Snacks Muffins Eggs Kraft Dinner® Salted snacks Rinsed canned tuna Hamburger Helper® Pretzels Rinsed canned salmon Instant cereals Potato chips Breads/Cereal Wild meat Alphagetti® Microwave popcorn Bread Packaged gravies Tortilla chips Buns Canned gravies/sauces Chips & dip Rice Other Shake and Bake® Pasta Fast foods Soup Cold & hot cereals Air popped popcorn TV dinners Canned soups Unsalted crackers Pickles Bouillon Unsalted pretzels Tomato/V8 ® juice Consommé Homemade gravies Dry soup mixes Homemade sauces To be used in conjunction with advice from a Registered Dietitian. 1 General Nutrition Guidelines for Kidney Disease August 2011 Phosphorus is a mineral found in many foods. High levels of phosphorus can lead to calcium deposits in your skin, organs, joints, and blood vessels. Over time, this is dangerous and may increase your risk of heart attack, stroke and death. Lower Phosphorus Good choices Higher Phosphorus Limit/Avoid Bread/flour Grains Bread/flour Grains White White noodles 100% whole wheat Whole Wheat noodles 60% whole wheat White rice Multigrain Brown rice Rye Pumpernickel bread Wild rice French bread Homemade Dark rye bread Sourdough bread Muffins Meats/Alternatives Pancakes Hot Cereals Deli meats Cereals Waffles Oat bran® Sausages Cornflakes® Red River® Wieners Rice Krispies® Meats/Alternatives Sunny Boy® Hot dogs Puffed Rice® Fresh beef Chicken fingers Puffed Wheat® Fresh chicken Cold Cereals Seasoned meat Special K® Fresh Pork All Bran® Beef/chicken patties Crispix® Fresh turkey Bran Flakes® Cheese Slices Shredded Wheat® Fish Mini Wheats® Cheese spreads Cream of Wheat ® Eggs Raisin Bran® Navy beans Rolled oats limit to 3x Tofu Kidney Beans per week Wild meat Drinks Black beans Peanut butter- limit to Evaporated milk Lentils Drinks 2 tbsp/day Powdered milk Chickpeas 7 up® Condensed milk Pork & beans Sprite® Other Chocolate drinks Split peas Ginger ale® Air popped popcorn Rice Dream Enriched® Nuts Coffee Hard candies Coke®/ Pepsi® Sesame seeds Tea Jelly beans Dr. Pepper® Sunflower seeds Pumpkin Non dairy whiteners Jams & jelly Beer seeds Rice Dream Classic- Sugar & artificial Original® Sweeteners Store Bought Other Unsalted Pretzels Muffins Chocolate Muffin mixes Scalloped potatoes Biscuits mixes Pancakes mixes Waffles mixes Milk products are high in phosphorus and potassium. These should be limited to ½ cup serving per day. This includes milk used in cooking. Choose one of the following per day: Milk, yogurt, creamed soup, soy milk, ice cream & pudding Phosphate Additives 2 General Nutrition Guidelines for Kidney Disease August 2011 Phosphate additives are hidden sources of phosphorus. Foods that are commonly known to contain phosphorus additives include: Hot dogs Chicken fingers, frozen chicken parts Processed cheese Instant products (e.g. muffin mixes) Beverages with phosphoric acid (e.g. Colas, Dr. Pepper, Iced Teas) Frozen foods Check the ingredient label for phosphate additives. Examples of phosphate additives include: disodium phosphate, phosphoric acids, hexametaphosphate, or tri-calcium phosphate. Read labels carefully, as phosphate additives are absorbed more readily than natural phosphorus. Phosphorus Binders Phosphorus binders act as a sponge to soak up phosphorus from your food. If you have been prescribed phosphate binders (Calcium (Apocal), Tums, Renagel), remember to take them with meals and snacks as instructed by your doctor, pharmacist or dietitian. Helpful Hints to remember to take your phosphate binders: 1) Place the bottle on your dining room table or where you normally eat your meals. 2) When away from home keep a few pills at work, in your car, jacket, or purse/backpack. 3) Tell your family about your medications, so they can help to remind you. 4) Refill your prescription a week before running out so you always have a supply. 5) Wear a watch with an alarm to remind you of your medications. Adapted from: Renal Nutrition Update Northern Alberta Renal Program Controlled Protein: 3 General Nutrition Guidelines for Kidney Disease August 2011 Eat ______ servings of meat and alternates per day. 1 serving = 1 oz or 30 g of meat, fish, poultry or wild game 3 ounces of meat or fish = 3 servings (the size of a deck of cards). The following are examples of one serving of protein: 1 oz beef, pork, or wild meat 1 oz chicken or turkey 1 oz fish or seafood ¼ cup canned salmon or tuna, rinsed 1/3 cup or 1 oz tofu 1 egg or 2 egg whites ¼ cup cottage cheese 1-ounce cheese 2 tablespoons of peanut butter 1/3-cup legumes such as chickpeas, lentils, beans and split peas (Limit these foods if you are on a phosphorus or potassium restriction) Limit processed meats like: ham, bologna, bacon, hot dogs, sausages, chicken fingers, chicken burgers & beef jerky as they are high in salt and phosphorus. This example shows ________ servings of protein each day: Breakfast ___ egg(s) ___ serving(s) Lunch ___ ounces of chicken ___ servings Supper ___ ounces of beef ___ servings Snack Toast with ________ peanut butter ___ serving Total ___ servings Special Notes: Low Potassium: 4 General Nutrition Guidelines for Kidney Disease August 2011 Eat servings of fruits and vegetables from the low potassium list each day. 1 serving = ½ cup or 1 small fruit. Low Potassium - Choose High Potassium - Avoid Beverages: Boiling, instead of Beverages: Vegetables: Juice-Cranberry, microwaving Coffee (limit to 3 Carrots (raw) Apple vegetables in a large cups per day) Potato- baked, Powdered Drink amount of water will Milk products canned, instant, Crystals help decrease limit ____ /day frozen, chips, fries potassium. Tea (limit to 5 cups Spinach (cooked) Fruit Vegetables: per day) Sweet Potato Apple Broccoli Juice-Orange & Tomato Berries Cabbage Vegetable Grapefruit (½ only) Carrots, boiled Other: Grapes Cauliflower Fruit Dried beans & peas Orange-Mandarin Corn Bananas Chocolate Peach Cucumber Cantaloupe Molasses Pineapple Green/Wax beans Dried Fruit; Nuts & seeds Watermelon Lettuce (apricots, prunes, Pasta/noodles- Canned fruit Mixed Vegetables dates) whole wheat Peas-green Kiwi Rice-brown Other: Peppers Nectarine Salt substitutes (e.g. Pasta/noodles-white Potato-double-boiled Orange- (Valencia, Half Salt, No Rice-white or soaked navel) Salt) Spinach-raw Pear - fresh Sweet Potato- double-boiled or soaked *Do not eat Star Fruit* Special Notes: 5 .