Kidney Disease: Controlling your Potassium and Phosphate This dietary advice sheet provides general information to help you change your diet. If you want more detailed advice or are following other dietary restrictions and need guidance, please ask your doctor to refer you to a registered dietitian Potassium and phosphate are minerals found naturally in foods and are present in the blood. In kidney disease, the amounts of potassium and phosphate in your blood can rise. This can be harmful to your health. The following advice will help you to choose lower potassium and phosphate foods while still following a varied, enjoyable diet. If you need more detailed advice please contact a dietitian.

Foods to limit Foods to choose Dairy Condensed and evaporated milks Eggs up to 4 per week Products: Processed cheese spread e.g. 200ml (⅓ pint) milk per day; Dairylea, Primula, supermarket Yoghurts/fromage frais 120g-150g pot 3-4 own brand cheese spreads per week; Ice cream: 2 scoops (120g) 2-3 Cheese containing nuts, per week; Custard: 150ml (¼ pint) or Milk Emmental, Gruyere, Parmesan, pudding: 200g (½ tin) 2-3 per week Cheddar, reduced-fat Cheddar, Cheese: maximum 180g (6oz) per week Edam, Gouda, Red Leicester (Brie, Camembert, cottage cheese, cream cheese, Feta, goats cheese, Lancashire, Mozzarella, Quark, ricotta, Roquefort, Stilton). Cream, butter, margarine, Crème Fraiche (in moderation) Meat, Heart, kidney, liver, liver pâté, Bacon, beef, chicken, corned beef, duck, Poultry and oxtail, tongue, pheasant, pigeon, gammon, lamb, pork, rabbit, turkey, veal, Fish: tinned meat, ham, sausages venison. Anchovies, fish paste, fish roe, Cod, haddock, halibut, plaice, sole, skate, pilchards, sardines, scampi, home-made fish cakes, tinned crab, sprats, swordfish, whitebait mackerel, mussels, shrimps, squid, Note: Cured, smoked and tinned scallops, whelks, herring, kippers, prawns, meats and fish are high in salt. salmon and tuna (fresh or canned), trout. Lentils, Aduki beans, butter beans, pinto Quorn , tofu, hummus, boiled lentils Pulses and beans, soya beans Choose canned beans rather than dried: Meat baked beans, black eye beans, broad alternatives: beans, chickpeas, red kidney beans Fruit: Avocado pears, large bananas, Choose 2 servings of fresh or tinned dates, dried apricots, fresh / fruit / day dried figs, grapefruit, melon, E.g. one serving of fresh fruit is nectarines, oranges, equivalent to: pomegranates, prunes, raisins, 1 apple / apricot / peach / pear or ½ rhubarb, star fruit and sultanas small banana / kiwi or 2 clementines / Drain natural juice from tinned satsumas / plums fruit. or 100g (3.5 oz) raspberries / 8 strawberries or 16 grapes/ 20 cherries /180g (6 oz) blueberries

Title: Kidney Disease – Controlling your Potassium and Phosphate Trust Docs ID: 14858 Author: Renal Dietitians NNUH and JPUH Date Reviewed: 17/08/2021 Date of Next Review: 17/08/2022 Kidney Disease: Controlling your Potassium and Phosphate

Title: Kidney Disease – Controlling your Potassium and Phosphate Trust Docs ID: 14858 Author: Renal Dietitians NNUH and JPUH Date Reviewed: 17/08/2021 Date of Next Review: 17/08/2022 Kidney Disease: Controlling your Potassium and Phosphate Foods to limit Foods to choose

Title: Kidney Disease – Controlling your Potassium and Phosphate Trust Docs ID: 14858 Author: Renal Dietitians NNUH and JPUH Date Reviewed: 17/08/2021 Date of Next Review: 17/08/2022 Kidney Disease: Controlling your Potassium and Phosphate Vegetables: Do not bake, fry, microwave, roast, Have 2 portions of suitable boiled pressure cook or steam vegetables. vegetables (1 portion = 3-4 Limit Brussel sprouts, mushrooms, tablespoons) or small salad/day: parsnips, spinach Cabbage, carrots, cauliflower, Avoid raw vegetables (except 1 small chickpeas (tinned), French / green salad per day), sundried tomatoes, beans, kale, mange tout, marrow, tomato puree mixed vegetables, peas, pumpkin, Do not use water from boiling runner beans, spring greens, swede, vegetables to prepare soups, stews sweetcorn, turnip or 2 spears of gravies, casseroles etc broccoli Tomatoes – 1 small or 4 cherry tomatoes / day Potatoes: Jacket potatoes, potato wedges, Choose up to 150 g (5 oz) ie 3 egg- roast potatoes (including sized peeled and boiled potatoes per supermarket varities) & potato day ie boiled potatoes, mashed croquettes, potato waffles, hash potato, tinned potato. Parboiled roast browns. Chip shop and supermarket or parboiled chipped potatoes. chips Sweet potato (boiled)

Breads, Rice Breads containing nuts, seeds & Bread e.g. brown, white, ciabatta, and Pasta: dried fruits. Naan bread. Bulgur pitta, granary bread, bagels, wheat. Chick pea, potato, rye and baguettes, croissants, pancakes. soya flour. Self-raising flour. Brown Yorkshire pudding, couscous, polenta rice, wholemeal pasta. Dumplings, Plain white rice, basmati, plain pasta. instant/pot noodles, macaroni Rice noodles cheese Breakfast Cereals and breakfast/cereal bars Porridge, Puffed wheat, Rice Krispies, Cereals: containing bran, dried fruit, nuts and Ricicles, Special K, Shreddies, Sugar seeds, chocolate, coconut e.g. All Puffs, Coco pops, Cornflakes, Bran, Branflakes, Fruit ‘n’ Fibre, Frosties, Honey Loops, Cheerios, Muesli, Raisin Wheats, Shredded Shredded Wheat, Weetabix Wheat Fruitful, Sultana Bran, Choco Hoops, Weetabix minis with chocolate, Apricot Wheats, wheat bran Savoury Snacks: Some savoury snacks and crisps contain potassium chloride as a flavouring. It is advised that you regularly check the label and avoid crisps containing potassium chloride. Individual brands and flavours may vary. Crispbreads, oatcakes, Ryvita. Breadsticks, butter puffs, cream Potato crisp & snacks e.g. Hula crackers, rice cakes, corncakes, plain Hoops, Quavers, Squares, French popcorn. Matzos, pretzels, rusks, Fries, Discos, Twiglets, Wheat water biscuits, wholemeal crackers. Crunchies. Popadoms. Maize, corn, wheat and rice snacks Vegetable crisps. Bombay/Oriental not containing Potassium Chloride mix, Bhajis, Pakoras, nuts & e.g. cheese puffs, tortilla chips seeds, Tortilla chips

Title: Kidney Disease – Controlling your Potassium and Phosphate Trust Docs ID: 14858 Author: Renal Dietitians NNUH and JPUH Date Reviewed: 17/08/2021 Date of Next Review: 17/08/2022 Kidney Disease: Controlling your Potassium and Phosphate Foods to limit Foods to choose

Biscuits: Biscuits containing chocolate, Plain biscuits: Digestive, Marie, Rich coconut, dried fruit, nuts & seeds, Tea treacle or bran. Sweet biscuits: Custard Cream, Ginger Nut, Jam Rings, Nice, Shortbread, wafers, iced biscuits Cakes, Desserts All cakes, desserts & pastries Angel cake, artic roll, cherry cake, and Pastries: containing chocolate, coconut, choux buns, cream horns, doughnuts, dried fruit, nuts, treacle, bran e.g. ginger cake, iced buns / fingers, jam currant buns, chocolate éclairs, tarts, meringues, pavlova* and fruit hot cross buns, bran muffins, pie/crumble* (*using fruit from Bakewell tart, custard tarts, allowance), Jelly, sorbet Danish pastries. Products containing baking powder e.g. scones. Bread pudding Drinks: Instant coffee, Barista coffees Tea (including fruit, herbal ) e.g. espresso, latte, Choose up to 1 cup filter coffee a cappuccino, mocha etc. day (including packet mixes).Hot Instant Coffee alternatives e.g. Camp chocolate & cocoa, malted coffee, Caro, Barley Cup drinks (e.g. Horlicks & Ovaltine). Light coloured fizzy drinks e.g. Bovril, Oxo, Marmite cherryade, orangeade, ginger beer, Milkshakes & smoothies lemonade, Most fruit &/or vegetable juices, Fruit juices – cranberry, grape, coconut water pineapple High juice squashes, Snapple, Cordials, squashes, Barley water, Orangina, flavoured water Dark fizzy drinks (e.g. Cola, Dr Tonic water Pepper and diet versions). Beer & Spirits and liqueurs e.g. vodka, rum, Lager, cider, sherry, port, Martini, gin, whiskey Vermouth, strong ale, stout, wine (including Champagne & sparkling wine) Miscellaneous: Chocolate and chocolate nut Garlic, herbs, pepper and spices, spreads (e.g. Nutella and curry powder supermarket own brands) & Gravy Granules/powder peanut butter Cooking oil (e.g. rapeseed), olive oil, White sauce, cheese sauces, Glace cherries, golden syrup, honey, instant sauces. jam, lemon curd, marmalade, sugar Meat or yeast extracts e.g. & non-sugar sweeteners Bovril/Oxo/ Marmite Mint sauce, tartar sauce & vinegar, Molasses and treacle pickle Salt substitutes e.g. Lo-Salt, Chilli sauce in moderation Selora & Solo French dressing, mayonnaise, salad Tomato ketchup, Brown sauce, cream Most soups and stock cubes. Pot noodles

Title: Kidney Disease – Controlling your Potassium and Phosphate Trust Docs ID: 14858 Author: Renal Dietitians NNUH and JPUH Date Reviewed: 17/08/2021 Date of Next Review: 17/08/2022 Kidney Disease: Controlling your Potassium and Phosphate

Title: Kidney Disease – Controlling your Potassium and Phosphate Trust Docs ID: 14858 Author: Renal Dietitians NNUH and JPUH Date Reviewed: 17/08/2021 Date of Next Review: 17/08/2022 Kidney Disease: Controlling your Potassium and Phosphate Confectionary containing dried Boiled, chewy, foam and jelly sweets, fruit/nuts Cereal bars, chocolate, chewing gum, marshmallows, mints, Confectionary: fudge, liquorice, marzipan, sherbet sweets, plain Turkish Delight nougat, peanut brittle, toffee, (no chocolate or nuts), ice lollies, caramels, carob. honeycomb, peppermint.

Title: Kidney Disease – Controlling your Potassium and Phosphate Trust Docs ID: 14858 Author: Renal Dietitians NNUH and JPUH Date Reviewed: 17/08/2021 Date of Next Review: 17/08/2022