Dining out and Takeaways for People with Kidney Disease

My Nutrition

Dining out and takeaways for people with kidney disease

Now and again it is OK to splurge a little This handout includes suggestions on and enjoy some of the foods that are not the following cuisines: a regular part of your usual food intake.  Italian and Spanish  Mexican Some helpful hints to consider  Greek and Middle Eastern • If dining at a restaurant you are not  Asian familiar with call ahead to ask about  Indian the menu or check their website.  Drinks • Save part of your fluid allowance so  Salad bars

that you can enjoy a drink with your meal. Italian and Spanish food: • Ask for sauces, dressings and • Pasta (spaghetti, noodles) can make toppings to be served on the side an excellent starter or main course, rather than on the meal because they My however be aware of what the sauces NutritionMy may be high in salt. That way youNutrition are made from. Creamy and cheesy have control over how much you eat sauces such as Carbonara tend to be • Remember that you are a paying high in fat, so try not to over-indulge in customer. Do not be afraid to ask for them. minor recipe changes such as “please • If you do not have problems with high don’t add any extra salt to mine”. potassium levels tomato-based • If you are on regular phosphate binder sauces such as Napolitana or medication (e.g. Calsup, Alutab, Bolognaise would be suitable. If you Renagel, Fosrenol) you should still need to limit potassium maybe reduce take it when eating out. You could your fruit intake on that particular day. take your pills when your food arrives Pasta dishes made with lots of garlic, or in the car or as you leave the house parsley pesto and olive oil are to go to the restaurant. generally a good choice. • Avoid the temptation to overindulge, as too much potassium and fluid can still make you unwell.

This is a consensus document from Dietitian/ Nutritionists from the Nutrition Education Materials Online, "NEMO", team. Disclaimer: http://www.health.qld.gov.au/masters/copyright.asp Reviewed: July 2017 Due for review: July 2019

• Pizzas are usually high in salt, content, avoid extra cheese to limit potassium and fat. If your potassium phosphate and avoid too many levels aren’t a problem, vegetarian processed meats to limit salt content. pizzas (often called Roma) are probably the healthiest choice. Remember: Use some of your fluid Chicken pizzas may contain less salt allowance for rice and pasta dishes. than those with salami, pepperoni or ham/bacon. Go for pizzas with a thick 3. Accompaniments base, so you fill up on bread rather • Potatoes (boiled/mashed) in small than the toppings. quantities • Dumplings 1. Starters • Salad (remember tomato and avocado • Garlic bread are higher in potassium) • Parma Ham

• Mixed green salad 4. Desserts • “Tapas” e.g. olives, cod (higher • Tiramisu/Italian trifle potassium), meat skewers, calamari, • Ice-cream (contributes to fluid chicken wings and aubergine My allowance) My Nutrition• Sorbet (contributes to fluid allowance) 2. Main Courses Nutrition • Cheesecake • Pasta* (creamy sauces are higher in • Fruit Tart fat but have less potassium than • Gateaux (preferably not chocolate or tomato-based sauces. Sauces with nuts) containing mushrooms will also have • Cheese platter (high phosphate higher potassium content) content) • Cannelloni and Lasagne* (avoid

versions with spinach) • Risotto* – avoid mushroom risotto • Paella* • Chicken or fish dishes (avoid tomato sauces and have with rice or pasta rather than potatoes • Seafood pasta* • Pizza – avoid mushroom / tomato / sun-dried tomato to reduce potassium

Mexican Food: 1. Starters Mexican cuisine consists largely of corn- • Stuffed vine leaves based dishes, usually complemented with • Hummus in small amounts (high beans, tomatoes, cheeses and avocado. potassium content) Therefore they can be high in potassium. • Taramasalata, tzatziki dips They can also be very salty and can • Cold Meats* (processed meats will make you feel thirsty. Limit foods such have a higher salt content) as; refried beans, nachos, salsas, • Lebanese bread with dips (eat only avocado dip, cheese and bean dips. small quantities of hummus dip)

1. Starters 2. Main Courses • Salad • Kebab – any meat/fish/poultry • Plain breads • Rice dishes eg. Pilau

• Kalamares (baby squid) 2. Main Courses • • Enchilada Kofta (meatballs) • • Fajitas Kleftiko (lamb on the bone) • • Tacos Cous cous dishes My My• Grilled meat or fish Nutrition Nutrition 3. Desserts 3. Accompaniments • • Ice cream (contributes to fluid Egg fried allowance) • Boiled rice • Cakes • Noodles • Apple Enchiladas • Stir fry vegetables, Greek salad

• Churros 4. Desserts • Plain biscuits • Lychees

Greek and Mediterranean Food: • Pineapple fritters These cuisines are based on fresh meats, • Sorbet (contributes to fluid allowance) rice and pastas, herbs and spices and a • Ice-cream (contributes to fluid moderate amount of dairy products allowance)

(yoghurt and cheeses) which are lower in potassium and salt and therefore a good choice when eating out.

Asian Food: 1. Starters Chinese food can contain a lot of MSG • Crispy duck pancakes (Monosodium Glutamate) which is high in • Prawn crackers salt and can make you feel thirsty. Ask • Spare ribs the chef what ingredients are used and 2. Main Courses choose dishes that are appropriate for Meat, chicken or fish dishes with rice or you. noodles, for example: • Plain boiled rice is a better choice • Lemon chicken than fried rice as it is lower in salt and • Black or yellow bean sauce fat • Sweet and sour • Avoid dishes with lots of nuts or • Chow mein mushrooms if you need to watch your • Chinese curries potassium • Duck in plum sauce • Ask for no added salt or MSG • Singapore noodles. • High salt sauces include Soy,

Blackbean, Hoisin, Barbecue, 3. Desserts Sichuan, Oyster, Sweet Chilli and Fish • Ice-cream (contributes to fluid My sauce NutritionMy allowance) • Soups (such as Misu) are usuallyNutrition • Fortune cookies quite high in salt and contribute to your daily fluid allowance. • Dishes without sauces or with a light sauce are more suitable e.g. steamed whole fish, braised meats, crispy skin chicken, sweet sauces such as plum, lemon, orange, and sweet and sour may also be lower in salt. • Curries based on coconut milk/cream and deep fried meats (battered, crumbed) are high in fat and should be limited if you are watching your weight

Indian Food: allowance) The salt and potassium content of curries • Sorbet (contributes to fluid allowance) can be very high. Ask the chef about • Most traditional Indian desserts dishes that are not high in salt. Dry contain large quantities of milk and curries have less sauce which are better usually nuts and are therefore choices for those on a strict fluid unsuitable. Similarly, the tropical fruits restriction. Hot curries such as Vindaloo offered tend to be high in potassium. can make you feel thirsty. Keep in mind Drinks that curries made on coconut milk/cream • Many non-cola soft drinks do not are high in fat so limit these if you are contain any phosphate, so these are trying to lose weight.

better choices than cola. Beer, wine 1. Starters and spirits contain some potassium. • Samosas Remember to enjoy alcohol in • Tandoori chicken moderation. Strong coffee is high in potassium so a cup of tea could be a 2. Main Course better option. • Tikka and Tandoori chicken/meat/fish My • Drink serve sizes in restaurants are • Biryani eg. Prawn, lamb, chicken My Nutrition often larger than what people usually • Lamb or chicken korma Nutrition consume at home. It might be a good • Kebab dishes idea to save up some of your daily • Dahl (watch fluid content) fluid allowance (ie. drink less earlier in • Matar panir the day) to account for this. Ask for N.B Drier dishes eg. Biryani will have less small drinks when ordering. fluid & usually less potassium.

3. Accompaniments • Naan • Rice • Chapatti • Raita/lime pickle • Pappadums with yoghurt, mint sauce

4. Desserts • Ice-cream (contributes to fluid

Salad Bars* Other options

Salad bars are generally a low salt option Foods Comments and can be made just the way you want Sushi* Limit consumption of soy it. If watching potassium, limit tomato, sauce, otherwise a healthy option avocado, and choose white bread. Watch Burgers If limiting potassium ask for a added sauces and processed meats to burger on a white bun, limit limit salt content and added fat. There are tomato and avocado and replace the side of chips with many salad bar items that you can easily a salad/vegetables/roll. Avoid fit into your renal diet. The following table deep fried meats if you are watching your weight. includes a list of items to assist you in Steak If watching your potassium choosing sensibly from any salad bar. house intake, replace the mashed potato/side of chips with Choose Limit salad or vegetables or a Alfalfa sprouts Avocado white bread roll. Beets Bacon bits Seafood Generally a low salt option. Limit the side of chips and Cauliflower Chickpeas replace with a side salad Celery sticks Chow mein (limiting tomato) to reduce noodles potassium. Remember Chinese noodles Fried bread My shellfish, snapper and fresh croutons NutritionMy salmon/tuna are higher Nutrition potassium choices. Coleslaw Kidney beans Cucumbers Nuts * These foods have a higher risk for food Eggs, chopped Olives poisoning. Please speak to your Dietitian Green beans Pickles if you want more information on this. Green peas Potato salad

Italian low calorie Potatoes dressing Mushrooms Processed meats Oil/ vinegar dressing Raisins Okra Relishes Onions Sunflower seeds Parmesan cheese Cheddar cheese Radishes Thick salad dressing Tuna in spring water Three-bean salads Zucchini Tomatoes