Why is good nutrition important for people with kidney disease?
Choosing healthy foods is important for all of us, but even more so if you havechronic kidney disease(CKD). Why? Good nutrition gives you energy to do the following:
perform your daily tasks
help maintain a healthy weight
it can also prevent your kidney disease from getting worse.
What can’t a person with kidney failure eat?
Avoid processed meats such as ham, bacon, sausages or sausages and lunch meats. Eat fresh fruits and vegetables instead of cookies or other savory snacks. Avoid canned soups and frozen foods that are high in sodium.
What desserts can a person with kidney failure eat?
DESSERTS FOR CHRONIC KIDNEY DISEASE (CKD)
Blueberries (78 mg) – Persimmon (171 mg) – Tangerine (160 mg) – Mango (150 mg) – Apple (99 mg) – Peach in syrup (104 mg) – Pear (130 mg) – Pear in syrup (66 mg) – Pineapple in syrup (100 mg) – Pineapple in its juice (71 mg) – Grapefruit (141 mg) – Sandia (120 mg)
What foods are good for the kidneys?
The richest vegetables in potassium
Fruits: Bananas, apples, oranges, apricots, peach and strawberries are the fruits with the most potassium.
Vegetables: As a source of this mineral, potato, onion, celery, broccoli, cauliflower and eggplant stand out.
What milk can a person with kidney failure drink?
dairy. It is not convenient to consume a lot. You can have a small cup of milk a day or a yogurt or a small amount of fresh cheese. They can be replaced by flan, custard or rice pudding in similar quantities.
What fish can a kidney patient eat?
For renal patients with lower cardiovascular risk it is suggested to include species such as those mentioned above in addition to Pinto, Tilapia and Mojarra de Nayarit, due to their good amount of EPA + DHA in relation to their protein and their low phosphorus content.
How can kidney failure be prevented?
How can I prevent kidney disease?
Follow a diet low in sodium (salt) and fat.
Exercise for at least 30 minutes almost every day of the week.
Have regular health exams with your doctor.
Do not smoke or use tobacco.
Limit alcohol use.
Treatment of end-stage kidney disease
dialysis. Dialysis artificially removes waste and excess fluids from the blood when the kidneys can no longer do so. …
Kidney transplant. A kidney transplant involves surgically placing a healthy kidney from a donor in the body of the affected person.
Will I have to change my diet if I have kidney disease?
There is no single correct eating plan for everyone with kidney disease. What you can eat and what you are not allowed to eat will change over time, depending on your kidney function and other factors, such as having diabetes. Your doctor may refer you to a dietitian who can teach you how to choose the right foods for you.
What are the basic principles of good nutrition?
A healthy eating plan gives you the right amount of:
You’ll need to choose foods that give you the right amount of protein, calories, vitamins, and minerals per day. This will help you stay healthy. It can also help prevent your kidney disease from getting worse.
If you need help finding a dietitian who specializes in kidney disease, you can ask your doctor for a referral, or contact the Academy of Nutrition and Dietetics at 800.877.1600 (www.eatright.org)
Why do I need protein?
Protein is an important nutrient. Your body needs protein to help build muscles, repair tissue and fight infections. But if you have kidney disease, you may need to control the proteins you eat well to prevent protein waste from accumulating in your blood. This can help your kidneys work longer.
Your doctor will tell you if you need to limit the amount of protein you consume per day. Decisions are based on the stage of your kidney disease, level of nutrition, muscle mass and other factors. It is also important that your protein intake is not too low. Let your nephrologist and dietitian help you.
You get protein from the followingfoods:
red meat (beef, beef, lamb)
birds (chicken and turkey)
fish and other seafood
vegetables and grains
There are two kinds of proteins. “Higher quality” proteins are found in animal products such as meat, poultry, fish and eggs. For your body, using these proteins is easier. “Lower quality” proteins are found in vegetables and grains.
A well-balanced diet for patients with kidney disease should include both types of protein every day.
Your dietitian can help you know how to maintain good nutrition and consume the right amount of protein to help your kidneys.
How many calories do I need?
Everyone is different. Calories are like fuel: they give your body the energy it needs to live. They are important for the following reasons:
help you maintain a healthy weight
give you energy to perform your daily tasks and stay active
they help your body use proteins from food to develop muscle and tissue (Without enough calories, your body will “waste” protein to give you energy, rather than using proteins to develop muscle and tissue).
It’s important to plan meals that give you enough calories every day. Otherwise, your body may not have the energy to stay healthy. Your dietitian will be able to help you with this. Some people may be told to eat more calories. They may need additional sweets, such as sugar, jam, jelly, hard candies, honey, and syrup. Other good sources of calories come from fats such as mild margarine (in pot) and oils such as canola or olive.
How can I incorporate enough vitamins and minerals?
Most people get enough vitamins and minerals to stay healthy by eating a wide variety of foods each day. But, if you have kidney disease, you may need to limit some foods that would normally give you these important vitamins and minerals.
If so, you may need to use special vitamins and minerals as an alternative.
Use only the vitamins and minerals your doctor recommends, because some vitamins and minerals can be harmful to people with kidney disease.
Consult your doctor before using herbal supplements or medications you can buy without a prescription from your doctor. Some can be harmful to people with kidney disease.
Your doctor or dietitian will explain which options are right for you.
How will I know if I get enough calories and nutrients?
Your doctor will do blood and urine tests. These will help you know if you get enough nutrients or not. Your dietitian may also ask you what foods you eat. You may also be asked to keep a “food diary.”
Ask your doctor or dietitian about tests that will be used to monitor your nutritional health. n Discuss test results with your doctor or dietitian.
What if I don’t want to eat or if I don’t like my food choices?
Being a person with kidney disease, it can be difficult to receive enough nutrients from food, especially if your diet has limited amounts of protein. Many people with kidney disease also find it difficult to consume enough calories per day. Nutritional supplements can help you get the calories and nutrients you need. Ask your dietitian if they are right for you.
Supplements can come in the form of drinks, smoothies, juices, bars, soups, cookies, desserts and more. There are many supplements available, but some nutritional supplements are only for people with kidney disease, diabetes or kidney failure. Consult your doctor or dietitian before using supplements.
If you have diabetes and chronic kidney disease (CKD), ask your dietitian how to get the right amount of calories and how to keep your blood sugar levels under control. Adding caloric and sweet foods to your meals may not be a good option for you.
How will I know if I need a nutritional supplement?
Your doctor and dietitian will tell you if you need to use nutritional supplements. Use only those recommended by your doctor or dietitian. Remember that not everyone with kidney disease has the same dietaryneeds.
Depending on what you eat, you may need less protein, but someone else may need additional protein. Or you may need extra calories, but someone else might need less. Your dietitian will help you choose the ideal supplement.
Will I need to control any other nutrients?
You may need to balance fluids and other important nutrients as well. They are as follows:
Sodium is a mineral found in most foods. It is also found in table salt. Sodium affects the body’s blood pressure and water balance. Healthy kidneys control sodium.
But, if the kidneys don’t work well, sodium and fluids build up in the body. This can cause high blood pressure, and other problems such as swelling of the ankles, fingers, or eyes. Your doctor or dietitian will tell you if you need to limit sodium.
You can limit sodium by avoiding table salt and foods such as the following (This food list is not complete):
dressings such as soy sauce, sea salt, teriyaki sauce, garlic salt or onion salt
most canned foods and frozen dinners (unless they say “low sodium”; check the label)
processed meats such as ham, bacon, sausages, cold cuts and rotisserie meat
savory snacks such as french fries and crackers
canned or dehydrated soups (such as noodle soup in envelopes)
most restaurant meals, takeaways and fast food
Your dietitian can teach you how to choose foods that are low in sodium. Knowing how to read food labels can help you choose foods with less sodium.
Learn to read food labels to know what you’re eating. Reading labels can help you acquire foods with less sodium and detect “added” nutrients that can be harmful to you.
DO NOT use salt substitutes unless approved by your doctor.
Try fresh or dehydrated herbs and seasonings instead of table salt to enhance the taste of food. When you limit salt intake, you may need to consume more herbs and seasonings for more flavor. Also try a touch of hot pepper sauce or a splash of lemon juice for flavor.
People with kidney disease may need to carefully monitor phosphorus in food, especially if kidney disease is at an advanced stage. Phosphorus is a mineral found in many foods. A lot of phosphorus is found in the following (This food list is not complete):
dairy products such as milk, cheese, yogurt, ice cream and desserts
nuts and peanut butter
dried beans and peas, such as beans, peas, and lentils
beverages such as cocoa, beer and cola
bran breads and cereals
processed foods, precooked food and fast foods, even some meats that have additives to make them more tender
Eating foods high in phosphorus can increase phosphorus levels in the blood. Your kidneys may not be able to remove all of this extra phosphorus.
What happens when phosphorus builds up in the blood?
Your blood calcium levels decrease and calcium stops building up in your bones. Over time, the bones become weak and can break easily. A high content of phosphorus in the blood can also cause calcium buildup in blood vessels, heart, joints, muscles, and skin, where it shouldn’t be. This can cause serious problems, such as the following:
damage to the heart and other organs
poor blood circulation
To maintain safe levels of phosphorus in your blood, you may need to limit your consumption of phosphorus-rich foods. You may also need to take a type of medication called a phosphate binder.
These binders are taken with meals and snacks. Your doctor will tell you if you need to limit foods high in phosphorus or take phosphorus binders.
Calcium is an important mineral for strengthening bones. However, foods that are a good source of calcium are usually high in phosphorus. The best way to prevent calcium loss from bones is to limit foods high in phosphorus. You may also need to take phosphate binders and avoid eating calcium-fortified foods.
Your doctor may ask you to take a special form of vitamin D to help keep calcium and phosphorus levels balanced and to prevent bone disease. Using recommended milk substitutes without added phosphorus is one way to decrease the amount of phosphorus in your diet. Do not take over-the-counter calcium or vitamin D supplements unless your nephrologist recommends it.
Potassium is another important mineral found in most foods. Potassium helps the proper functioning of muscles and heart. Large amounts of potassium are found in the following foods (This food list is not complete).
certain fruits and vegetables (such as bananas, melons, oranges, potatoes, tomatoes, dried fruits, nuts, avocado, green leafy, strong-colored green leafy vegetables and some juices)
milk and yogurt
dried beans and peas
most salt substitutes
protein-rich foods such as meat, poultry, pork, and fish
Too much or too much potassium in the blood can be dangerous. Some people with kidney disease need more potassium, and others need less. The amount you need depends on how your kidneys work. It also depends on whether you use medications that change the level of potassium in your blood.
How do you know if potassium is at a normal level?
With a simple blood test you can check the level of potassium. If it is not normal, you should use the following: n potassium supplements n a special medication to help remove excess potassium Use only the supplements recommended by your doctor. Your dietitian can help you plan a diet that gives you the right potassium content.
Most people with kidney disease do not need to limit the amount of fluid they drink if they are in the early stages of the disease. If you do not know what stage of kidney disease you are in, talk to your doctor.
If your kidney disease worsens, your doctor will tell you if you need to limit the fluids and the amount of fluid you can drink per day. To avoid dehydration, let your doctor and dietitian help you plan your fluid intake.
What if I have diabetes?
If you have diabetes and kidney disease, you may need to make some changes to your diet. If your doctor says you should eat less protein, your diet may need to include more carbohydrates or high-quality fats to give you enough calories. Work with your dietitian to create a eating plan that is right for you. Ask your doctor how often your blood sugar levels should be tested. Try to keep them under control. If your kidney disease worsens, your dose of insulin or other medications may need to be changed. Contact your doctor if you think your blood sugar levels are too high or low.
What if I’m a vegetarian?
Most vegetarian diets are not rich in high-quality protein. But eating a variety of foods and getting enough calories can be helpful. Without enough calories, your body will degrade the proteins it ingests to generate energy. If proteins are degraded, the kidneys will need to remove more waste products.
Ask about ways to make sure the amount of protein you eat is right for you. Talk to your dietitian about the best sources of plant protein with lower amounts of potassium and phosphorus. Your doctor or dietitian can monitor your blood to make sure you get the right amount of protein and calories.
Learn to read food labels to know what you’re eating. Reading labels can help you purchase foods with lower sodium content and detect “added” nutrients that can be harmful to you.
What if I need help planning meals?
Your doctor may refer you to a licensed dietitian who specializes in kidney disease. The dietitian may do the following:
help you choose foods that give you the right nutrients in the right amounts
explain why the dietary changes you need to make are important
answer your questions
The help of a dietitian is very important for people with kidney disease. You may be eligible to receive reimbursement for medical nutrition therapy with a dietitian under Medicare or your health insurance plan. (See www.medicare.gov.)
How is my nutritional health monitored?
Your doctor and dietitian will check you regularly to make sure you receive good nutrition. Some tests are as follows:
Physical nutrition exam
Your dietitian may test you for signs of nutritional problems in your body. This test is called aSubjective Global Assessment(SGA). Your dietitian asks you questions about the foods you eat and analyzes your body’s fat and muscle reserve. The dietitian records the following:
changes in your weight
changes in the tissues around the face, arms, hands, shoulders, and legs
your energy and activity levels
problems that may interfere with the diet
Dietary interviews and food diaries
Your dietitian will ask you what foods you eat. You may also be asked to keep track of everything you eat per day. Your dietitian wants to see if you eat the right amount of protein, calories, vitamins and minerals
Albumin is a type of protein in the blood. It is controlled with a blood test. If your albumin level is too low, it may mean that you do not consume enough calories or protein. Or it may mean that albumin is lost in the urine, in which case, it will not help to consume more protein.
If your albumin level remains low, you are more likely to get an infection, not heal properly, not feel well, and be hospitalized. Your doctor or dietitian will tell you if you need extra protein.
If you have questions or are unsure of something, write down your questions before going to the doctor or nutritionist. Once you’re there, you can easily forget what you wanted to ask. Be sure to ask what the result of each analysis means and what your options are. You must understand the treatment plan.
It’s about your health, so never feel uncomfortable asking anything. Be sure to participate in the decision-making process related to your health.