Saturday, May 2, 2015

Nutrition and Chronic Kidney Disease (Not on Dialysis)

Your food choices can be one of the most effective ways to manage your kidney disease. You can prevent or delay health problems from chronic kidney disease (CKD) by eating the right foods and avoiding foods high in phosphorus, potassium, and sodium. Eating too much protein can also burden the kidneys and speed the progression of CKD. Protein foods like meat and dairy products break down into nitrogen and creatinine, waste products that healthy kidneys remove from the blood. But diseased kidneys can’t stop waste products from building up in the blood and causing health problems. By determining your stage of kidney disease you can learn what diet is best for you and what foods to select.

Fluids – In the early stages of chronic kidney disease, you may not need to limit your fluid intake. However, as the disease progresses you will need to limit your fluid intake. You doctor will advise you to stick to a specific recommended fluid intake.
Carbohydrates –People who are overweight or have diabetes will need to limit the amount of carbohydrates in their food. Your doctor or dietician will advise you on the proportion of carbohydrates in your diet plan. Foods rich in carbohydrates include fruits, breads, grains and vegetables. Apart from energy, these foods will also provide you with fiber, minerals and vitamins.

Fats – Fats are a good source of calories. Use only monounsaturated and polyunsaturated fats such as olive oil or safflower oil as these oils are good for the heart.

Proteins – Too much protein in the diet can burden the kidneys and further damage them. This can speed up the progression of the disease. Proteins in foods like meat and dairy products are broken down into waste products such as nitrogen and creatinine. Your kidneys are cannot process these wastes efficiently and this leads to a buildup of these wastes in the blood and causes health problems. Foods rich in proteins include meat, fish, poultry, dairy products, eggs, lentils and pulses.

Minerals & electrolytes– The levels of calcium, phosphorus, sodium, and potassium in your diet also need to be monitored carefully. Phosphorus levels in the blood can increase even in the early stages causing calcium levels to drop, thereby affecting your bones. Dairy products should be limited because of their high phosphorus levels. Reducing your salt intake helps to control high blood pressure, reduces thirst, and helps your body to get rid of excess fluid. Look for phrases such as ‘low-sodium’, ‘sodium-free’, ‘unsalted’, and ‘no salt added’ on food labels. Kidney damage can lead to an increase in potassium levels which can affect the functioning of your heart. While fruits and veggies are healthy food choices, you will need to avoid those that are high in potassium. Instead, focus on low potassium fruits and veggies which are excellent foods for chronic kidney disease. Fruits with low levels of potassium include peaches, grapes, pears, cherries, apples, berries, plums, pineapples and watermelon. Vegetables with low potassium content include broccoli, cabbage, cauliflower, celery, cucumber, carrots, eggplant, lettuce, onions, and peppers. email kidneyhospitalabroad@hotmail.com

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