More About Minerals And Nutrients
When you are under hemodialysis, you have to restrict the intake of fluids. Apart from water, some fruits and vegetables also have high water content. These include melons, grapes, apples, oranges, etc. Fluids can build up between dialysis sessions, causing swelling and weight gain. The extra fluids affect your blood pressure and can lead to serious heart troubles.
The best way to reduce fluid intake is to reduce thirst caused by the salt you eat. Avoid salty food like chips and take low-sodium products. You can also keep your fluids down by drinking from small cups. Talk to a dietician about how much fluids you can have daily and follow them strictly.
Potassium affects how healthy the heart beats. Healthy kidneys keep the right amount of potassium in the blood to keep the heart beating at a steady pace. Potassium levels can rise between dialysis sessions and can affect your heartbeat. Eating too much potassium can be very dangerous to your heart. It may even cause death.
To control potassium levels in your blood, avoid food rich in potassium like milk and dairy products, bananas, dry fruits, etc. Also, eat smaller portions of other potassium food. For example, eat only smaller portions of oranges and melons and other low potassium fruits. You can remove some of the potassium from potatoes by dicing or shredding them and then boiling them in water.
Try to eat fresh foods that are naturally low in sodium salts. Avoid salty food like chips.
What Do I Need To Know About Protein
Renal dietitians encourage most people on hemodialysis to eat high-quality protein because it produces less waste for removal during dialysis. High-quality protein comes from meat, poultry, fish, and eggs. Avoid processed meats such as hot dogs and canned chili, which have high amounts of sodium and phosphorus.
Is There Anything Else I Should Know
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Choose Foods With The Right Amount Of Potassium
When your kidneys are not working well, your potassium level may be too high or too low. Having too much or too little potassium can cause muscle cramps, problems with the way your heart beats and muscle weakness.
If you have kidney disease, your doctor or dietitian may tell you to lower the amount of potassium in your eating plan.
Use the lists below to learn foods that are low or high in potassium.
Foods low in potassium
- Apples, cranberries, grapes, pineapples and strawberries
- Cauliflower, onions, peppers, radishes, summer squash and lettuce
- Pita, tortillas and white breads
- Beef and chicken
- Avocados, bananas, melons, oranges, prunes and raisins
- Artichokes, winter squash, plantains, spinach, potatoes and tomatoes
- Bran products and granola
- Brown or wild rice
What Foods Count As Liquid And Why
Foods that are liquid at room temperature, such as soup, contain water. Gelatin, pudding, ice cream, and other foods that include a lot of liquid in the recipe also count. Most fruits and vegetables contain water, such as melons, grapes, apples, oranges, tomatoes, lettuce, and celery. When you count up how much liquid you have in a day, be sure to count these foods.
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Packaged Foods Instant Meals And Fast Food
Packaged foods, instant meals, and fast food tend to be high in sodium, which is one reason they arent ideal for someone with kidney disease and diabetes.
Some examples of these foods are instant noodles, frozen pizza, frozen boxed meals, and other types of microwavable meals.
For example, a slice of frozen pepperoni pizza contains 568 mg of sodium, one-quarter of the advised sodium intake if you have kidney disease, and doesnt provide significant amounts of beneficial nutrients .
These foods are also heavily processed and often high in refined carbs. This isnt ideal if you have diabetes, as refined carbs are digested quickly and tend to spike blood sugar levels .
Packaged foods, instant meals, and fast food are high in sodium and refined carbs but low in beneficial nutrients. Limit your intake of these foods if you have kidney disease and diabetes.
Keep in mind that when these leafy veggies are cooked, they shrink to a significantly smaller size but still contain the same amount of potassium.
So, if you have kidney disease, its better to eat them raw, as youre likely to eat a smaller amount of them this way. That said, its OK to eat them cooked, as long as you manage your portion sizes.
Spinach, beet greens, chard, and other leafy veggies are also high in oxalic acid, an organic compound that can form oxalates once bound to minerals such as calcium.
What Should I Expect During An Emergency Situation
Many things we depend on daily may not be working during an emergency. You may be without a telephone. Water and electricity may be cut off, keeping you from cooking your meals in the usual way. You may need to use cold or shelf-stable foods until the crisis is over. Food in your refrigerator will keep safely for up to 12 hours and in the freezer for one to two days, if these appliances are opened only when meals are prepared. It is best to eat the foods from your refrigerator and freezer first before using your shelf-stable foods. You should always have bottled/Distilled water and disposable plates and utensils on hand at all times in case of an emergency..
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Amounts Equal To One Serving:
Avoid whole grain and high fiber foods to help you limit your intake of phosphorus. By limiting dairybased foods you protect your bones and blood vessels.
Meal Planning For Diabetes And Kidney Disease
December 3, 2017 by Joanne Lewis
Up to 50% of people with diabetes demonstrate signs of kidney damage in their lifetime, so managing kidney disease along with diabetes is quite common. Each illness can be difficult enough to manage on its own, but can create even more stress when you have to manage both, especially when it comes to meal planning for diabetes and kidney disease.
A simple description of kidney disease in people with diabetes is a gradual increase in the amount of protein found in your urine. This could result in your kidneys not working adequately. As kidney function decreases, waste and minerals become hard to remove, and the kidneys must work harder to get rid of them. Some of the key risk factors for kidney disease include long duration of diabetes, poor blood sugar control, high blood pressure, obesity and smoking. Controlling your blood sugar and blood pressure are important to slow the progression of kidney disease and to help prevent or minimize other complications of diabetes, such as eye problems or nerve problems.
For diabetes, the nutrient of most concern is carbohydrate. Because it has little impact on blood sugar, protein gets less attention however, with kidney disease, the amount of protein your body needs depends on the level of your kidney function as well as how the kidney disease is being treated. Your healthcare team can help you figure out whether you require more protein or less protein in your diet.
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Choose The Right Types Of Fat
Fat gives you energy and helps you use some of the vitamins in your food. You need some fat in your eating plan to stay healthy. Too much fat can lead to weight gain and heart disease. Limit fat in your meal plan, and choose healthier fats when you can, such as olive oil.
Choosing the right types of fat is also part of a heart-healthy eating plan called DASH.
Putting Together A Healthy Meal On A Diabetic Renal Diet
For a general guideline about what a healthy plate should look like, I love using the general recommendations from the USDA. You may have seen this image before, which provides guidelines on what healthy people should eat. The same is true for people with kidney disease and diabetes!
This graphic highlights the most important thing to remember when meal planning: make ½ of your plate fruits and vegetables. If you have diabetes, really focus on those non-starchy vegetables to avoid using up all your carbohydrate servings on fruit. Meals should also include some protein and some grain.
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Eating And Nutrition For Hemodialysis
If you are getting started with hemodialysis, you need to make certain changes in your diet and lifestyle. Needless to say, but what you eat in a day is a crucial aspect of your treatment. Therefore, it is highly advisable to get in touch with a renal dietician to plan a special diet for you.
As far as a standard diet for hemodialysis is concerned, here are some of the vital pointers to consider:
- Make sure to include high-protein food items in your diet.
- Make sure to consume foods that contain low levels of sodium and potassium and high levels of phosphorus.
- Ask your dietician about the quantity of fluid you can have, including water, tea, coffee, and other beverages.
Diet Plan For Renal Diabetic Patients
Diabetic kidney disease is a type of kidney failure caused by diabetes, a condition characterized by high glucose levels. A high blood sugar in the blood damages the millions of tiny filtering units of kidney leading to kidney failure. Diet is one of the important components in managing diabetes and kidney disease. In diabetic with CKD patients, control of blood sugar level is an important factor to slow down the progression of kidney disease. Low protein, low sodium, and low fat diet are prescribed for patients of diabetes with chronic renal failure. Avoid simple sugars and sweets, carbonated drinks, caffeine, alcohol, fried food, salty foods etc.
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Why It Matters In Kidney Disease
When kidneys start to fail, sodium can build up in cells and cause fluid to accumulate in the tissuesswelling that’s known as called edema. Edema usually occurs in the face, hands, and lower extremities. Excess sodium also causes blood pressure to rise , shortness of breath, and fluid around the heart and lungs, according to the National Kidney Foundation . Too much sodium in the diet can contribute to damage to the kidneys and exacerbate swelling.
When your kidneys are not healthy, extra sodium and fluid build up in your body. This can cause swollen ankles, puffiness, a rise in blood pressure, shortness of breath, and/or fluid around your heart and lungs.
Will My Eating Plan Be Different If I Have Diabetes
If you have diabetes, you need to control your blood sugar to prevent more damage to your kidneys. Your doctor and dietitian can help you create an eating plan that helps you control your blood sugar, while also limiting sodium, phosphorus, potassium and fluids.
You can also ask your doctor to refer you to a diabetes educator who can work with you to better manage your diabetes.
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What Is My Dry Weight
Your dry weight is your weight after a hemodialysis session has removed all extra fluid from your body. Controlling your liquid intake helps you stay at your proper dry weight. If you let too much fluid build up between sessions, it is harder to achieve your dry weight. Your health care provider can help you figure out what dry weight is right for you.
My dry weight goal: _____________.
Why Is It Important To Keep Track Of How Much Liquid I Eat Or Drink
You may feel better if you keep track of and limit how much liquid you eat and drink. Excess fluid can build up in your body and may cause
- swelling and weight gain between dialysis sessions
- changes in your blood pressure
- your heart to work harder, which can lead to serious heart trouble
- a buildup of fluid in your lungs, making it hard for you to breathe
Hemodialysis removes extra fluid from your body. However, hemodialysis can remove only so much fluid at a time safely. If you come to your hemodialysis with too much fluid in your body, your treatment may make you feel ill. You may get muscle cramps or have a sudden drop in blood pressure that causes you to feel dizzy or sick to your stomach.
Your health care provider can help you figure out how much liquid is right for you.
One way to limit how much liquid you have is to limit the salt in the foods you eat. Salt makes you thirsty, so you drink more. Avoid salty foods such as chips and pretzels.
Your renal dietitian will give you other tips to help you limit how much liquid you consume while making sure you dont feel too thirsty.
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How Does What I Eat And Drink Affect My Hemodialysis
Your choices about what to eat and drink while on hemodialysis can make a difference in how you feel and can make your treatments work better.
Between dialysis treatment sessions, wastes can build up in your blood and make you sick. You can reduce waste buildup by controlling what you eat and drink. You can match what you eat and drink with what your kidney treatments remove.
Some foods cause wastes to build up quickly between your dialysis sessions. If your blood contains too much waste, your kidney treatment session may not remove them all.
Dietary Guidelines For Adults Starting On Hemodialysis
- Eating the right kind and amounts of food.
- Having the hemodialysis treatments your health professional orders for you
- Taking the medicines your health professional orders for you.
- Eat more high protein foods.
- Eat less high salt, high potassium, and high phosphorus foods.
- Learn how much fluid you can safely drink .
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Here Is The List Of What You’ll Learn:
IQ MODULE MONTH 1 Learning How To Eat A Pre-Dialysis Kidney Diet Calories, Carbohydrates, Protein and Fat
- What Is The Purpose Of The Diet?
- What Are The Limitations For My Kidney Condition?
- Macro Nutrients-What You Need To Know
- The Differences In Pre-dialysis And Dialysis Diets
- How Do I Eat More Calories & Less Protein?
- Lose Weight Or Gain Weight, Tips For Success
IQ MODULE MONTH 2 Learning How To Eat A Pre-Dialysis Kidney Diet Sodium, Potassium, and Phosphorus
- Fluid Intake-What Is that?
- The Ins and Outs Of Salt
- How Potassium & Phosphorus Can Work Against You
- Eliminating Only What You Absolutely Have To!
IQ MODULE MONTH 3 EATING OUT Eating Out On A Kidney Diet
- Learn How To Sweet Talk The Chef
- Fast Foods In Todays Society
- The Best And Worst Meals When Youre Eating Out
IQ MODULE MONTH 4 LABS Labs And Medical Terminology Understanding Them
- This Is All Too Much? Simplify & Understand
- What Labs You Need To Ask Your Doctor About
- Common Labs You Doctor May Not Be Doing
IQ MODULE MONTH 5 TREATMENT Treatment Options For Kidney Disease
- Do You Have To Be On Dialysis?
- Avoid Dialysis & Why?
- How Soon Should You Start Preparing?
- Types Of Dialysis-What Is Best For You
IQ MODULE MONTH 6 IQ EATING Mindful Eating
- Details Of How To Eat With A Purpose
- Curbing Thirst & Fluid Management
- 5 tips For Controlling Your Eating
- Eat More Of What Your Body Is Craving & Less Of What It Doesnt Need
IQ MODULE MONTH 7 EMOTIONS Coping Emotionally With Kidney Disease
Control Your Portion Sizes
Eating too much of anything, even healthy foods, can be a problem. The other part of a healthy eating plan is portion control, or watching how much you eat.
Good portion control is important in a kidney-friendly eating plan, because you may need to limit how much of certain things you eat and drink.
To help control your portion sizes:
- For packaged foods, check the nutrition facts label to learn the serving size and how much of each nutrient is in one serving. Many packages have more than one serving. For example, a 20-ounce bottle of soda is really two-and-a-half servings.
- For fresh foods that do not have nutrition facts labels, such as fruits and vegetables, ask your dietitian for a list of nutrition facts to measure the right portions.
- Eat slowly and stop eating when you are full. It takes about 20 minutes for your stomach to tell your brain that you are full. If you eat too quickly, you may eat more than you need.
- Avoid eating while doing something else, such as watching TV or driving. When you are distracted, you may not realize how much you have eaten.
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