Children’s Dietitians The Department of Dietetics and Nutrition Renal Recipes for Queen’s Medical Centre Campus Derby Road Nottingham Christmas NG7 2UH Information For Feedback Children with Kidney Disease We appreciate and encourage feedback. If you need advice or are concerned about any aspect of care or treatment please Department of speak to a member of staff or contact the Patient Advice and Liaison Service (PALS): Dietetics and Nutrition Freephone (City Hospital Campus): 0800 052 1195 Freephone (QMC Campus): 0800 183 0204 From a mobile or abroad: 0115 924 9924 ext 65412 or 62301 Minicom: 0800 183 0204 E-mail: [email protected] Letter: NUH NHS Trust, c/o PALS, Freepost NEA 14614, Nottingham NG7 1BR This document can be provided in different languages and www.nuh.nhs.uk formats. For more information please contact: Nottingham Children’s Hospital If you require a full list of references for this leaflet please email [email protected] or phone 0115 924 9924 Queen’s Medical Centre Campus ext. 67754. D Floor, East Block The Trust endeavours to ensure that the information given here Children’s Dietitian: is accurate and impartial. Contact number: (0115) 924 9924 Ext: 62066 Department of Dietetics and Nutrition © Nov 2011. All rights reserved. Nottingham University Hospitals NHS Trust. Review Nov 2014. Ref: xxxx/v1/0411/CR. We are fast approaching the time of year when following a renal diet can be a great challenge. At Christmas Christmas Fun there are often a lot of foods that are not normally there to tempt you. Some of these are high in potassium and Which foods do I need to be careful with salt but do not despair! There are lots of traditional over Christmas? foods you can enjoy and this leaflet may also highlight a few new things to try. Try and find these foods in the word search below Christmas cake parsnips dates pigs in blankets mince pies chocolate crisps brussel sprouts nuts Your traditional Christmas meal can be enjoyed with just a few alterations. a s m i n c e p i e s i p s c j r b s s t f l z m m n b g u z c Soup is high in salt and counts as part of your fluid. p c t a u c j a p a r m x f w h Try alternative starters such as prawn cocktail, paté and toast, tinned fruit cocktail drained of the juice. m l u k b l a f i m e o y g b o i e o m k a l v g o t q e g m c Have turkey or your usual Christmas meat with a c h r i s t m a s c a k e k s o little stuffing, spoonful of cranberry sauce or small b o p n s e i m i r o h h h v l portion of bread sauce. Be careful with sausages and salty meats such as bacon. r c s w y u n d n o c j r d y a u b l c z p s t b s r c m s d t Remember to pre-boil roast potatoes first and do d v e z i d i t l n i l f p m e not have a bigger portion than normal. o j s n e f y u a p s i j m u f Boil vegetables in plenty of water. Try to avoid l t s c u r p d n u p d a t e s large portions of brussel sprouts or parsnips. p c u e n t u a k t s r k r g n h u r f c m s n e x g q r b l m s c b r b z d z t v m y i v a q k m g c m p a r s n i p s d j w Can you also find this famous reindeer’s name in the word search? What about the pudding? Dried fruit is very high in potassium so you need to be careful not to eat too much Christmas pudding, cake or mince pies. Have a small portion of Christmas pudding on Starter Christmas day and serve it with cream or brandy butter. Prawn Cocktail Tzatziki with Pitta Crisps (see our recipe) Throughout the Christmas period if you are going to Garlic bread eat a mince pie or Christmas cake only eat a very small amount of one or the other. Main course Why not try the recipes included, which are lower in Roast turkey / pork / beef / lamb / chicken / duck / potassium. pheasant / goose / quorn Alternative pudding suggestions: Par boiled roast potatoes - Boiled new potatoes - Mashed potatoes Trifle Boiled carrots, cabbage, swede, broccoli, cauliflower Lemon meringue pie Small portion of gravy Arctic roll Dessert Brandy snaps with cream Lemon Meringue pie Shortbread Pannacotta (see our recipe) Pavlova Pavlova Stem Ginger Ice-cream (see our recipe) Pannacotta Brandy snaps with Cream Renal Christmas Pudding (see our recipe) Steamed treacle sponge pudding Steamed treacle pudding You need to be careful with your fluid over the Christmas period. If you are visiting people and Ingredients entertaining you may feel under pressure to drink more, 1 tablespoon black treacle but try hard to keep to your normal fluid intake. 3 tablespoons golden syrup 175g (6oz) self-raising flour Drinks to avoid Drinks recommended 1 rounded teaspoon baking powder 175g (6oz) butter, softened Cola drinks Lemonade, cherryade, 3 large eggs orangeade or limeade Method Sparkling fruit juices e.g. Water, sparkling water / 1. Butter a basin and add 3 tablespoons of golden Appletiser, Peartiser, flavoured water syrup to it. Schloer 2. Take a large mixing bowl, sift the flour and baking Fruit juice Squash/cordial powder into it, add the softened butter, eggs, sugar Milk, hot chocolate, Tea and fruit tea and black treacle. coffee 3. Whisk the mixture for about 2 minutes until it is Sweets and snacks thoroughly blended. Spoon the mixture into a basin and level the top using the back of a tablespoon. Try pastilles, fruit jellies, jelly beans, dolly mixtures, popcorn, peppermint creams, marshmallows, boiled 4. Place a sheet of foil over the greaseproof paper, sweets or Turkish delight instead of chocolate. make a pleat in the centre and place foil side up on top of the pudding. Pull it down the sides and tie You should try to limit the following: Dates, figs, dried with some string. Trim off the excess paper. fruit, nuts and crisps as they are all very high in 5. Steam the pudding for 2 hours, checking the water potassium. level halfway through. Try these snacks, which are lower in potassium: 6. To serve, loosen the pudding all round using a Bread snacks palette knife, turn out onto a plate and pour an Rice crackers extra 3 tablespoons of syrup over the top. Toasted croutons Plain popcorn Christmas biscuits The following pages contain recipes that you can try Ingredients over the Christmas season. These are recipes the 225g (9oz) plain flour whole family can enjoy! 1 teaspoon mixed spice 1/2 teaspoon ground cinnamon 50g (2oz) caster sugar Pitta crisps with tzatziki dip 400g (4oz) half fat spread Ingredients 1 egg, beaten 4 pitta breads Method 2 tablespoons of olive oil 1. Stir together the flour and spices. Stir in the sugar Ground black pepper and rub in the half fat spread until the mixture For the dip resembles breadcrumbs. 1 small pot of low-fat plain yoghurt 1 teaspoon of mint sauce 2. Add the beaten egg and knead into a ball. Cover 70g of cucumber finely diced and chill for 30 minutes. Method 3. Pre-heat the oven at gas mark 5/190oC/375oF. Roll 1. Pre-heat the oven to 170°C (gas mark 3). out the biscuit mixture onto a lightly floured surface to a 3mm thickness. 2. Brush each pitta bread on both sides with olive oil. Tear or cut each pitta bread into about 6 pieces 4. Cut out Christmas shapes, such as stars and trees and spread out on a baking tray. using biscuit cutters or a template. 3. Bake the pitta breads for about 20 minutes or until 5. Lift the biscuits onto the baking sheets, prick lightly crisp and lightly browned. Leave them to cool on a with a fork and bake in the oven for 10 - 12 wire rack. minutes, until lightly browned. 4. Mix the yoghurt, mint sauce and cucumber in a bowl to make the dip. Low potassium Christmas pudding Zingy spiced pears Ingredients 250g (9oz) canned pineapple pieces Ingredients 100g (4oz) Demerara sugar 6 medium pears, peeled and sliced 50g (2oz) glacé cherries, roughly chopped 150g (6oz) soft brown sugar 175g (6oz) self raising flour, sifted 2 tablespoons ginger (crystallised) 1 Grated rind of 1 lemon 1 /2 teaspoons rum extract 1 100g (4oz) unsalted butter /4 teaspoon ground cinnamon 2 eggs, beaten Dash of ground all spice 50g (2oz) sultanas 25g (1oz) margarine 2 - 3 teaspoons mixed spice Method Method 1. Arrange the pear slices in a baking dish. 1. Drain the pineapple through a sieve. Chop the fruit 2. Combine the brown sugar, ginger, run extract, into smaller pieces. cinnamon and all spice. 2. Cream the butter and sugar until light and fluffy. 3. Sprinkle the brown sugar mixture over the pears. Beat in the eggs. Dot with margarine.