Eat a Healthy Diet for CKD

We literally are what we eat—we build our cells out of our food. So, if you eat mostly fast food and drink sugary sodas, you may be able to improve your kidney health by eating better foods. Studies have found that eating more fresh vegetables, fruit*, and low fat dairy and less saturated fat, starches, and sweets may help slow CKD.

Some doctors believe a diet lower in some proteins can help slow kidney disease. Ask your doctor to refer you to a dietitian who specializes in treating those with chronic kidney disease. A dietitian can help you learn how to keep your kidneys healthy longer by eating the right foods. Don't limit your protein until you have talked about it with your doctor or dietitian.

Control Your Blood Sugar Levels

If you have diabetes, stay at a healthy weight, exercise, and take medications as prescribed to keep your blood glucose in the "normal" range. Tight control of blood sugar can help slow the progression of kidney disease. Your HbA1c levels, which measure your blood sugar control over a period of 3 months, should be less than 6.5%.

Quit Smoking

In people with CKD, smoking is linked to an increase in the amount of protein spilled in the urine. In smokers with diabetes, CKD may progress twice as fast. Scientists are not sure why this is the case, but if you have kidney disease and you smoke, quitting may help slow down the damage.

Avoid Certain Pain Medications

Some over-the-counter pain pills containing ibuprofen or naproxen, and even acetaminophen (e.g., Motrin®, Advil®, Aleve®, Tylenol®) can affect kidney function. This is especially true if you have kidney, heart, or liver disease or you take diuretics (water pills). Avoid using combinations of these pain pills and caffeine—both at once can further damage your kidneys.

Exercise

With your doctor's okay, start an exercise program to control weight and keep your heart and blood vessels healthy and your muscles and joints in good working order. Although written for people on dialysis, Exercise: A Guide for People on Dialysis has useful information to help anyone with a chronic illness get more exercise.

kidneyhospitalabroad@hotmail.com

Kidney Disease: High- and Low-Potassium Foods

People who have problems with their kidneys need to watch how much potassium they include in their diet. That is because the kidneys regulate potassium. If they aren’t working correctly, the potassium may not be flushed out of the body properly.

To minimize potassium buildup, a person with chronic kidney disease should stick to a low-potassium diet of between 1,500 and 2,000 milligrams (mg) per day. Limiting phosphorus, sodium, and fluids may also be important for people with kidney dysfunction.

Torey Jones Armul, MS, RDN, CSSD, a national spokesperson for the Academy of Nutrition and Dietetics, offers a couple of rules of thumb:

Avoid high-potassium foods like potatoes, bananas, whole grains, milk, and tomato products.

Watch portions on all foods.

Be careful with coffee. The National Kidney Foundation recommends that people who should limit their potassium should limit their coffee in take to 1 cup per day
There are still plenty of nutritious, delicious, low-potassium options for people with kidney disease, Armul says. These include berries, squash, corn, rice, poultry, fish and non-dairy substitutes.

kidneyhospitalabroad@hotmail.com

Kidney-Friendly Foods from the Pacific Northwest

Berries off the beaten path

Maybe after touring the apple country it’s time for a little hike. After all, Brenda believes strongly in exercise, “The single most important thing patients can do to improve their health is to increase their amount of physical activity as they are able. Physical activity can do so much for a person’s psychological outlook, which in turn can affect their capacity to be an active participant on their health care team,” she advises. Brenda also suggests you bring a basket for berry picking on your hike. Oregonand Washington are blanketed with an abundant supply of fresh berries. A few hours hike in almost any direction can yield a basket filled to capacity with strawberries, blueberries, raspberries, blackberries, loganberries, gooseberries, boysenberries, Marionberries, tayberries, huckleberries, cranberries, or lingonberries. Ninety percent of the raspberries in North America come from Oregon and Washington. These berries are often included as an interesting flavor counterpoint to a variety of meats and seafood. Most purists agree, however, that nothing beats the classic combination of fresh berries and a small amount of cream to keep it renal friendly.

Wild Pacific Northwest salmon

Celebrate the salmon during the Wenatchee River Salmon Festival in Leavenworth, Washington during the month of September. Whether these popular fish are swimming upstream or in a tasty sauce on your plate; salmon is ever-present in the Pacific Northwest. It has been the staple food for Native Americans, early French fur traders, European settlers and now modern-day residents. This versatile and healthy fish can be baked, broiled, boiled, fried, poached, grilled, pickled, smoked, canned and eaten raw. You can serve it with lemon shallot butter, mint pesto, peach chutney, cilantro sour cream, teriyaki glaze, coconut milk, ginger crust, molasses and mustard, Jack Daniels® cream sauce, blackberry reduction, olive oil and garlic, Texas barbecue sauce and Szechwan spices, just to name a few. Brenda’s favorite salmon recipe, Salmon Steaks with Herb Dressing, is a great addition to the dialysis diet.

Apple orchards and other fresh fruits

Boasting close to 300 days of sunshine each year, the Pacific Northwest crops supply approximately one third of the apples to American grocery stores. This is in addition to 160,000 tons of Bartlett pears, 34,000 tons of sweet cherries, plus prunes, plums, grapes, apricots, peaches, figs and quince. Even after much of the fruit is exported from the region, local roadside fruit stands and wild varieties remain for the locals to enjoy. Living in central Washington provides easy access to inexpensive and delicious produce. With such a seasonal diversity of fresh fruits, it’s no wonder local dishes include these flavorful ingredients in appetizers, soups, desserts, sauces, garnishes, chutneys and even brandies.

Apple Country Tours provide an opportunity to sample the fruit and get an appreciation of how it is grown and prepared for your local grocery. The customized bus tours take you through the scenic Wenatchee Valley allowing you to see and experience working family orchards, antique packing line demonstrations and commercial packing line methods used today. Brenda’s recipe for Apple Tostada is a sweet treat to remind you of your time in the apple orchards. This recipe is recommended for all the renal diets.

kidneyhospitalabroad@hotmail.com

Phosphorus Pyramid for CKD Provides Diet Advice

It's a Cyclical Ketogenic Diet, or CKD for short. CKD basically means that you cycle periods of low carb, high protein, and high fat with periods of high carb, high protein, and low fat. If your potassium becomes too high, it can cause an irregular heartbeat or a heart attack. The majority of time you will be consuming a low carb diet, with a period set aside each week for carbing-up. This isn't for the fun of it; there are real scientific reasons for this, reasons with exciting implications for the bodybuilder.

“The phosphorus pyramid herein proposed is an original, visual, user-friendly tool for nutritional education. It can support patients and caregivers in making the right food choices by encouraging adherence to dietary prescriptions, which is a crucial component for CKD-MBD,” Adamasco Cupisti, MD, of the University of Pisa in Italy, and colleagues wrote in BMC Nephrology (2015;16:9).

Phosphorus is a concern at all stages of CKD, the researchers noted. The pyramid can help both CKD and dialysis patients understand what to eat and what to avoid, with appropriate tailoring. Here are some basic nutrition strategies:

In non-dialysis patients, consider restricting protein intake. (Those on dialysis require extra protein.) In a mixed diet, each gram of protein is usually accompanied by 12–14 mg of phosphorus.

Shift from phosphorus-rich foods to low phosphorus foods. Take into consideration bioavailability. Plant foods contain phosphorus but less than half of the mineral content is absorbed by the body. The phosphoric acid in soft drinks, by comparison, is almost completely absorbed.

Boil foods to reduce their mineral content, including phosphorus (then discard the water). According to one study, boiling reduces phosphorus by 51% for vegetables, 48% for legumes, and 38% for meats.

Try to identify and avoid phosphate additives. Processed foods contain considerable amounts of added phosphorus, including from preservatives.

The Phosphorus Pyramid

The food pyramid color codes food items similar to a traffic light: greens for go, yellows for slow, and reds for stop.

It consists of 6 levels with foods arranged by their phosphorus content, phosphorus to protein ratio (no more than 12 mg/g is favorable) and phosphorus bioavailability. Here's an overview of each level from 1 (low phosphorus) to 6 (high phosphorus):

Green: Foods with a very low phosphorus content include protein-free foods, fruit, vegetables, egg white, olive oil, and sugar. These items are not limited, unless a patient is overweight, diabetic, or receiving dialysis.

Light green: Foods with phytate, a less absorbable form of phosphorus, include cereal, rice, pasta, white bread, and legumes. 2–3 servings per day.

Yellow: Among meats, choose lamb, rabbit, ham, or fish (e.g., trout, tuna, cod, hake, and sole). Avoid farmed fish because it has been fed with phosphorus to promote growth. Also choose milk and yogurt. No more than 1 serving per day.

Orange: Foods with a higher phosphorus to protein ratio include turkey, offal, shrimp, squid, salmon, and soft cheeses. No more than 1 serving per week.

Orange-Red: Foods with a very high phosphorus content include nuts, egg yolk, and hard cheeses. No more than 2-3 servings per month.

Red: Processed foods with phosphorus-containing additives include colas, processed meat, and processed cheese. Avoid as much as possible.

kidneyhospitalabroad@hotmail.com

www.kidneyhospitalabroad.com/kidney-disease/

Healthy Eating for People with Chronic Kidney Disease

What you eat affects your health. Maintaining a healthy weight and following a balanced meal plan that is low in salt can help you control your blood pressure. If you have diabetes, your meal plan is also important in controlling your blood sugar. Controlling high blood pressure and diabetes may also help slow down kidney disease.

We’ll start by reviewing the basics of a healthy meal plan.  Then, we’ll take a look at the kidney-friendly meal plan and some helpful kidney-friendly resources.

Protein

Protein is one of the building blocks of your body. Your body needs protein to grow, heal and stay healthy. Having too little protein can cause your skin, hair and nails to be weak. But having too much protein can also be a problem.  To stay healthy and help you feel your best, you may need to adjust how much protein you eat.

The amount of protein you should have depends on your body size, activity level and health concerns. Some doctors recommend that people with kidney disease limit protein or change their source of protein. This is because a diet very high in protein can make the kidneys work harder and may cause more damage. Ask your doctor or dietitian how much protein you should have and what the best sources of protein are for you.

Calories

Your body gets energy from the calories you eat and drink. Calories come from the protein, carbohydrates and fat in your diet. How many calories you need depends on your age, sex, body size and activity level.

You may also need to adjust how many calories you eat based on your weight goals. Some people will need to limit the calories they eat. Others may need to have more calories. Your doctor or dietitian can help you figure out how many calories you should have each day. Work with your dietitian to make a meal plan that helps you get the right amount of calories, and keep in close contact for suport and follow-up.

Carbohydrates

Carbohydrates (“carbs”) are the easiest kind of energy for your body to use. Healthy sources of carbohydrates include fruits and vegetables. Unhealthy sources of carbohydrates include sugar, honey, hard candies, soft drinks and other sugary drinks.

Some carbohydrates are high in potassium and phosphorus, which you may need to limit depending on your stage of kidney disease. We'll talk about this in more detail a little later. You may also need to watch your carbohydrates carefully if you have diabetes. Your dietitian can help you learn more about the carbohydrates in your meal plan and how they affect your blood sugar.

Healthy Eating for People with Chronic Kidney Disease. If you want know about more information. You can contact our online doctor and you can send email to kidneyhospitalabroad@hotmail.com. Best wish for you!

People Who Have Problems with Their Kidneys

People who have problems with their kidneys need to watch how much potassium they include in their diet. That is because the kidneys regulate potassium. If they aren’t working correctly, the potassium may not be flushed out of the body properly.

To minimize potassium buildup, a person with chronic kidney disease should stick to a low-potassium diet of between 1,500 and 2,000 milligrams (mg) per day. Limiting phosphorus, sodium, and fluids may also be important for people with kidney dysfunction.

Torey Jones Armul, MS, RDN, CSSD, a national spokesperson for the Academy of Nutrition and Dietetics, offers a couple of rules of thumb:

Avoid high-potassium foods like potatoes, bananas, whole grains, milk, and tomato products.
Watch portions on all foods.
Be careful with coffee. The National Kidney Foundation recommends that people who should limit their potassium should limit their coffee in take to 1 cup per day
There are still plenty of nutritious, delicious, low-potassium options for people with kidney disease, Armul says. These include berries, squash, corn, rice, poultry, fish and non-dairy substitutes.

Low-Potassium Veggie Choices

While vegetables tend to contain a lot of potassium, Sheth says there are plenty of fresh vegetable options for those who need to watch their potassium levels. Veggies that contain less than 200 mg per serving include:

asparagus (6 spears)
broccoli (half-cup)
carrots (half-cup cooked)
corn (half an ear)
yellow squash or zucchini (half-cup)
Avoid potatoes, artichokes, beans, spinach, beet greens, and tomatoes. A half-cup of dried beans or peas can contain as much as 470 mg of potassium.

The Kidney-Potassium Connection

People who have problems with their kidneys need to watch how much potassium they include in their diet. That is because the kidneys regulate potassium. If they aren’t working correctly, the potassium may not be flushed out of the body properly.

To minimize potassium buildup, a person with chronic kidney disease should stick to a low-potassium diet of between 1,500 and 2,000 milligrams (mg) per day. Limiting phosphorus, sodium, and fluids may also be important for people with kidney dysfunction.

General Rules of Thumb

Torey Jones Armul, MS, RDN, CSSD, a national spokesperson for the Academy of Nutrition and Dietetics, offers a couple of rules of thumb:

Avoid high-potassium foods like potatoes, bananas, whole grains, milk, and tomato products.
Watch portions on all foods.
Be careful with coffee. The National Kidney Foundation recommends that people who should limit their potassium should limit their coffee in take to 1 cup per day
There are still plenty of nutritious, delicious, low-potassium options for people with kidney disease, Armul says. These include berries, squash, corn, rice, poultry, fish and non-dairy substitutes.

Substituting Effectively

A plate of beef and potatoes – the quintessential Midwestern diet – is high in potassium. But another hearty meal, chicken and carrots, is considerably lower.

3 ounces (oz) of roast beef and half a cup of boiled potatoes would amount to 575 mg of potassium. But the same size portion of chicken and carrots? That comes to less than 500 mg. Substituting carrots for boiled cauliflowers, broccoli, or asparagus also keeps you in that ballpark.

Plenty of Fish in the Sea

When it comes to fish, potassium levels fall all over the line. You want to avoid high-potassium surf such as halibut, tuna, cod, and snapper. 3-oz servings can contain as much as 480 mg of potassium.

On the low end, the same amount of canned tuna has only 200 mg. Salmon, haddock, swordfish, and perch run about 300 mg per 3-oz serving.


Low-Potassium Fruit Choices

Vandana Sheth, RDN, CDE, spokesperson for the Academy of Nutrition and Dietetics, says that some fruits are ideal for those on a low-potassium diet.

A tennis-ball sized apple or a small or medium-sized peach contain under 200 mg of potassium, as does a half-cup of berries (blackberries, blueberries, raspberries, strawberries).

You should avoid high-potassium fruits such as mangoes, bananas, papayas, pomegranates, prunes, and raisins.

Bananas are also packed with potassium. Just one medium-sized banana contains 425 mg.


Low-Potassium Veggie Choices

While vegetables tend to contain a lot of potassium, Sheth says there are plenty of fresh vegetable options for those who need to watch their potassium levels. Veggies that contain less than 200 mg per serving include:

asparagus (6 spears)
broccoli (half-cup)
carrots (half-cup cooked)
corn (half an ear)
yellow squash or zucchini (half-cup)
Avoid potatoes, artichokes, beans, spinach, beet greens, and tomatoes. A half-cup of dried beans or peas can contain as much as 470 mg of potassium.

Create Your Own Recipes

Post a list of low-potassium foods on your refrigerator for easy reference, Sheth suggests.

“Take advantage of low-potassium cookbooks and free recipes found online, like the National Kidney Foundation’s My Food Coach and Kidney Cooking family recipe book,” she says.

“If you’re struggling to follow a low-potassium diet, make an appointment with a renal dietitian at a local wellness or dialysis center. A registered dietitian nutritionist who is familiar with renal disease can provide food suggestions and a meal plan specifically tailored to your lifestyle.”

Don’t Double Down on French Fries

Sometimes, people are forced to eat on the run. That’s okay, just be mindful of how much potassium you’re getting. An American fast-food staple is a cheeseburger and French fries. A fast-food cheeseburger contains between 225 and 400 mg of potassium.

And one small order of fries? A whopping 470 mg of potassium in just 3 oz. Just 1 oz of salted potato chips contain 465 mg.

The Diet for DN Patients

In recent years, the number of patients with Diabetic Nephropathy (DN) gradual increase, which has brought great harm to so many people, so the patients must prevent DN in all aspects of life, for example, diet. A lot of food is forbade, but some are encouraged, some patients are still not clear enough, often eating the wrong foods that aggravate the disease, so it is very important for diabetic nephropathy patients to know the diet. Now let’s see the details below.

High Quality Low Protein Diet

Excessive protein intake will increase the burden on the kidneys, so controlling the total amount of protein intake is very necessary. Try to eat less protein, and restrict of staple food appropriately, such as rice and flour. The patients should add egg white, milk, fish, lean meat and other animal protein. Generally speaking, the level of serum creatinine is higher and endogenous creatinine clearance rate is lower. So the protein intake should be strictly controlled.

Appropriate Low-Fat Diet

Diabetic patients need a low- fat diet, and should control the total quantity of heat. The shortage heat supply can make kidney creatinine being high which is not conducive to blood glucose control. Fat also can provide more calories. The specific implementation is taro, yam, and starch containing high food instead of staple food. The patients are supposed to eat vermicelli, Steamed buns, steamed stuffed bun, and steamed wheat starch, which can add heat, but does not contain the protein.

High Calcium but Low Phosphorus Diet

Diabetic nephropathy is resulting by electrolyte disorders, so the patients should pay attention to the food with high calcium and low phosphorus. Animal organs, such as the brain, liver, kidney are forbid. It is better for kidney patients to eat pumpkin seeds and other nuts.

A High Fiber Diet

A high fiber diet is beneficial to defecate, and maintain the body's metabolism balance. The patients should be appropriate to eat grains, kelp, and vegetables.


If you want to know more diets about Diabetic Nephropathy , you can talk with our online doctors who will answer all your questions. And you also can send emails to kidneyhospitalabroad@hotmail.com. we hope you have a good life.

What Is a Healthy Diet for Chronic Kidney Disease

Chronic Kidney Disease occurs when the kidneys can’t do their work normally. A healthy diet is very important for these patients. It can help slow the progression of their Chronic Kidney Disease. Once the patient has this disease, he/she needs to make changes in your diet, including:

● Limit the intake of fluids
In the early stages of chronic kidney disease, you do not need to limit the fluid you drink. As your kidney disease becomes worse, you will need to watch how much liquid you drink. In between dialysis sessions, fluid can build up in the body. Too much fluid will lead to shortness of breath, an emergency that needs immediate medical attention.

●Eat a low-protein diet
Low-protein diets may be helpful before you start dialysis. Your doctor or dietitian may recommend a moderate-protein diet (1 gram of protein per kilogram of body weight per day).
Once you start dialysis, you will need to eat more protein. In fact, a high-protein diet with fish, poultry, pork, or eggs at every meal may be recommended. This will help you replace muscles and other tissues that you lose.

● Restrict phosphorous
Phosphorus is a mineral found mostly in dairy products and meats. Your body uses it to form strong bones and teeth. But starting in the moderate, earlier stages of CKD, your kidneys begin to lose the ability to remove extra phosphorus from your body. Because too much phosphorus can harm your bones, it makes sense to eat less phosphorus.

● Restrict potassium
Having the right level of potassium in your body helps all your muscles work smoothly. Keeping potassium at the right level all the time is one of the jobs that healthy kidneys do for your body. When kidneys fail, they start to lose this ability.

● Have a low salt diet
Reducing sodium in your diet helps you control high blood pressure, keeps you from being thirsty, and prevents your body from holding onto extra fluid. You will probably need to eat a low-salt diet.
Having a healthy diet can help you fight against your Chronic Kidney Disease

What should dialysis patients eat

You will need to follow a dialysis diet if you are getting dialysis (deye-AL-i-sis) treatment. The dialysis machine removes wastes from your blood when your kidneys cannot do this job. These wastes come from the foods you eat. Wastes slowly build up in your blood between your dialysis treatments. You can decrease the amount of these wastes by following the dialysis diet.
Any food that contains liquid, such as soup, must be added in the amount of liquid that you may have each day. Any food that melts when it is not cold, such as gelatin or ice cream, must also be counted.
Ask your caregiver if you should make other diet changes because of other health problems you may have. You may need to take a vitamin and mineral supplement (pill). Your caregiver will recommend the right vitamin and mineral supplement for you if you need one.
You may need to stop using salt substitutes because they also contain potassium.
Eat high fiber foods to avoid becoming constipated. Constipation is having dry, hard stools that are difficult to pass. High fiber foods include vegetables and fruits, whole grains (whole wheat bread and bran cereals) and legumes (beans, lentils). Eat only the amounts of high fiber foods suggested by your caregiver to avoid getting too much potassium, phosphorus and sodium.