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General Nutrition Guidelines for Kidney Disease
August 2011
Name:___________________________Date:______________________
Dietitian’s Name:________________________Phone:______________
Low Sodium:
(2000-3000 mg/day or less than 10% daily value (DV) if reading labels)
Avoid using salt in cooking and at the table
Limit your intake of salty foods
Lower Salt Items-Good choices Higher Salt items-Limit/Avoid
Flavour/Seasonings Cheese Flavour/Seasonings Cheese
Herbs Cream cheese Seasoning salt Processed cheese
Spices Brick cheese Celery salt Cheese Whiz®
Black pepper Brie Garlic salt
Fresh garlic Swiss Lemon pepper Meats/
Fresh onion Mozzarella Table salt Alternatives
Lemon/lime Ricotta Sea salt Canned meats
Vinegar Havarti Ketchup Bacon
Vanilla extract Monterey Oyster/fish sauce Salami
Mrs. Dash® Colby Mustard Bologna
McCormick’s- No Gruyere Soy sauce Sausages
Salt added ® BBQ sauce Wieners
Meats/ Relish Sardines
Alternatives Worcestershire sauce Pepperoni,
Homemade Fresh poultry Spam®/Klik®
Soups Fresh beef Other Ham
Pancakes Fresh pork Instant Noodles
Waffles Fish Rice/pasta noodle mixes Snacks
Muffins Eggs Kraft Dinner® Salted snacks
Rinsed canned tuna Hamburger Helper® Pretzels
Rinsed canned salmon Instant cereals Potato chips
Breads/Cereal Wild meat Alphagetti® Microwave popcorn
Bread Packaged gravies Tortilla chips
Buns Canned gravies/sauces Chips & dip
Rice Other Shake and Bake®
Pasta Fast foods Soup
Cold & hot cereals Air popped popcorn TV dinners Canned soups
Unsalted crackers Pickles Bouillon
Unsalted pretzels Tomato/V8 ® juice Consommé
Homemade gravies Dry soup mixes
Homemade sauces
To be used in conjunction with advice from a Registered Dietitian.
1
General Nutrition Guidelines for Kidney Disease
August 2011
Phosphorus is a mineral found in many foods. High levels of phosphorus can lead to calcium
deposits in your skin, organs, joints, and blood vessels. Over time, this is dangerous and may
increase your risk of heart attack, stroke and death.
Lower Phosphorus Good choices Higher Phosphorus Limit/Avoid
Bread/flour Grains
Grains Bread/flour
White White noodles 100% whole wheat Whole Wheat noodles
60% whole wheat White rice Multigrain Brown rice
Rye Pumpernickel bread Wild rice
French bread Homemade Dark rye bread
Sourdough bread Muffins Meats/Alternatives
Pancakes Hot Cereals Deli meats
Cereals Waffles Oat bran® Sausages
Cornflakes® Red River® Wieners
Rice Krispies® Meats/Alternatives Sunny Boy® Hot dogs
Puffed Rice® Fresh beef Chicken fingers
Puffed Wheat® Fresh chicken Cold Cereals Seasoned meat
Special K® Fresh Pork All Bran® Beef/chicken patties
Crispix® Fresh turkey Bran Flakes® Cheese Slices
Shredded Wheat® Fish Mini Wheats® Cheese spreads
Cream of Wheat ® Eggs Raisin Bran® Navy beans
Rolled oats limit to 3x Tofu Kidney Beans
per week Wild meat Drinks Black beans
Peanut butter- limit to Evaporated milk Lentils
2 tbsp/day Powdered milk
Drinks Chickpeas
7 up® Condensed milk Pork & beans
Sprite® Chocolate drinks
Other Split peas
Ginger ale® Air popped popcorn Rice Dream Enriched® Nuts
Coffee Hard candies Coke®/ Pepsi® Sesame seeds
Tea Jelly beans Dr. Pepper® Sunflower seeds Pumpkin
Non dairy whiteners Jams & jelly Beer seeds
Rice Dream Classic- Sugar & artificial
Original® Sweeteners Store Bought Other
Unsalted Pretzels Muffins Chocolate
Muffin mixes Scalloped potatoes
Biscuits mixes
Pancakes mixes
Waffles mixes
Milk products are high in phosphorus and potassium. These should be limited to
½ cup serving per day. This includes milk used in cooking.
Choose one of the following per day:
Milk, yogurt, creamed soup, soy milk, ice cream & pudding
Phosphate Additives
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General Nutrition Guidelines for Kidney Disease
August 2011
Phosphate additives are hidden sources of phosphorus. Foods that are
commonly k
nown to contain phosphorus additives include:
Hot dogs
Chicken fingers, frozen chicken parts
Processed cheese
Instant products (e.g. muffin mixes)
Beverages with phosphoric acid (e.g. Colas, Dr. Pepper , Iced Teas)
Frozen foods
Check the ingredient label for phosphate additives. Examples of phosphate
additives include: disodium phosphate, phosphoric acids, hexametaphosphate,
or tri-calcium phosphate. Read labels carefully, as phosphate additives are
absorbed m
ore readily than natural phosphorus.
Phosphorus Binders
Phosphorus binders act as a sponge to soak up phosphorus from your food.
If you have been prescribed phosphate binders (Calcium )
(Apocal , Tums ,
Renagel), remember to take them with meals and snacks as instructed by your
doctor, pharmacist or dietitian.
elpful Hints to remember to take your phosphate binders:
H
1) Plac
e the bottle on your dining room table or where you normally eat
your m
eals.
2) When away f
rom home keep a few pills at work, in your car, jacket, or
purse/backpack.
3) Tell your family a
bout your medications, so they can help to remind you.
4) Refill your prescription a week before running out so you always have a
supply.
5) Wear a watch with an alarm to remind you of your medications.
Adapted from: Renal Nutrition Update Northern Alberta Renal Program
Controlled Protein:
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General Nutrition Guidelines for Kidney Disease
August 2011
Eat ______ servings of meat and alternates per day.
1 serving = 1 oz or 30 g of meat, fish, poultry or wild game
3 ounces of meat or fish = 3 servings (the size of a deck of cards).
The following are examples of one serving of protein:
1 oz beef, pork, or wild meat
1 oz chicken or turkey
1 oz fish or seafood
¼ cup canned salm
on or tuna, rinsed
1/3 cup or 1 oz tofu
1 egg or 2 egg whites
¼ cup cottage cheese
1-ounce cheese
2 tablespoons of peanut butter
1/3-cup legumes such as chickpeas, lentils, beans and split peas (Limit these foods
if you are on a phosphorus or potassium restriction)
Limit processed meats like: ham, bologna, bacon, ho
t dogs, sausages, chicken
fingers, chicken burgers & beef jerky as they are high in salt and phosphorus.
T
his example shows ________ servings of protein each day:
Breakfast ___ egg(s) ___ serving(s)
Lunch ___ ounces of chicken ___ servings
Supper ___ ounces of beef ___ servings
Snack Toast with ________ peanut butter ___ serving
Total ___ servings
Special Notes:
ow Potassium:
L
4
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