eat Academyof Nutrition HGR. SnaDietetcs Prepared For: : Date: z Prepared By: Contact: Chronic Kidney Disease Stage 5 Tips for People on Dialysis Cooking Tips # Uso very lite or no salt and other salt seasonings when cooking, ‘Add lemon juice, herbs, and spices that do not contain salt to add flavor. Measure portions of food and ingredienis using standard measuring cups and spoons. Weigh portions of high-protein foods using a kitchen scale. ‘+ Forsoaking vegetables to lower potassium, peel and cut into pieces that are approximately 1/8 inch thick, Rinse and soak them in warm water for at least 2 hours. Use approximately 10 times more water than vegetables, Drain and rinse them under warm water, and then boll them for § minutes. Soaked potatoes can be made into several dishes. For instance, they can be french fried, mashed, boiled, home tied with onions, or scalloped. Label Reading Tips ‘Sodium (Salt) Terms and Their Meanings ‘= Sodium Free — Very litle sodium in each serving ‘+ Very Low Sodium —35 milligrams of sodium or less in each serving ‘= Low Sodium ~ 140 milligrams of sodium or less in each serving + Reduced Sodium ~ Sodium has been lowered by 25% ‘+ Light in Sodium — Sodium has been lowered by at least 50% Ingredient List Itsalt or sodium s listed as one of the fist five ingredients, the food is high in sodium and should not be bought. Nutrition Labels ‘+ Food labels show milligrams (mg) of sodium. A sodium level of 300 milligrams or more in each serving is too high in sodium for you to eat ‘+ twill help you to avoid eating foods that have the words “calcium fortiied” on the food labels. ‘+ Potassium and phosphorus are not required by law fo be shown cn the nutritional label. They are sometimes listed as percent (#4) Daily Value (DV). DY is the percentage of the nutrients level in a 2,000-calorie diet as chown below. Nutrient Dally Value in Milligrams # Potassium: 3.500 + Phosphorus: 1,000 © Calcium: 1,000 Example: food product has 10% DV for potassium, then 10% of 3.$00 milgrams is 350 miligrams of potassium, Shopping Tips Copyright Academy of Nutrition and Dietetics. This handout may be duplicated for client education. Page 1Grocery List Suggestions for Dialysis Patients Meat/Protein Foods Cl Pineapples CO Tumips Beverages Cl Beef 0 Plums CO Tumip greens (Keep in mind your fluio Gi Chicken 1 Raspberries i Water chestnuts restiction) (Diabetics - Cl Egg substitute 1D Strawberries Oi Watercress use caution for sugar intake) (Fag Beaters? Scramibies®) | Tangerines 1 Yamean ficama), (Regular or cet) C Eggs cooked D7-Up O Fish Vegetables 1 Cheny 7-Up® (Serving size = 1/2 cup, Breads/Cere: ins ray ro added salt) C1 Bagals (plain (ee eae Cl Pork (fresh) pee : 1 Ginger ale coRaeen Atala sprouts bluebery, e99, raisin) aun : CO Angula O Bread (white, Franch, © Shetish O Lemonime soda i Asparagus ttaan, rye, soft wheat) Oyo bot 0 Bean sprouts Bread sticks (plain) EMO ea C Tunaleanredinveiet) 1 Bests camned Oi Cerecls, ry, low salt poe aver 1 Brocool (Com Pops®, Cocoa peel ten Fat game i Cabbage (green, red) Putfst, Sugar Smaoks*, | SOO nae Carrots Fruity Pebbles®, Putfed | Stee Fa 0 Cautlower Wheat®, Puffed Rice) | ore (Seng sto = 1 madinsio | Cre Ger Ceomervnese, /2Frpnch fruit or 1/2 cup canned, no Chil Far a", Matt Me * 1 Hi-C® (cherry, grape) : ; 2 Che peppers oer watoMea I Horcnaae ke suger) ives ou : para 0 Coleslaw i Crackers WS Fane atce I Applesauce eee Ansated) co Kooiaa 1D Apticot nectar eran a eeiontts hard ols 15 Lemonade or meade 0 Apricots canned) at ey athinaa 1 Mineral water Baackberies eae lbemburpad 1 Nectars (apricot, peach, CO Blueberries: oGi it hot dog b pear, 1/2 c serving) i Cheries een beer eee I Nondairy creamers 0 Cranberties i cise te (Coffee Rich, etc) a ae 1 Jalaperios (fresh) 1 Noodles Leda an — O Kale Co Oyster crackers Fats et CD Leeks Pita bread O Butter Bachan O Lettuce 1 Popcorn, unsalted Oi Cream cheese a aoctic 1 Mixed vegetables 0 Pretze's, unsalted Margarine a aaa Cl Mushrooms OO Res (brown, white) 1 Mayonnaise Bee 1G Onions Ci Rice cakes Miracle Whip® i Lee fas 0 Parsley (epple-cinnamon, etc.) Cl Nondairy creamers ere Cl Peas (Engish) © Spaghetti 1 Sdlad dressings anata 1 Pimentos Torti (four) 0 Sour cream 1G Loganberies O Radiochio Dairy/D: tes _|C Veastable ois Lychees El Pediat 1D Nondairy creamers (Oreferably canola 0 Seaweed kelp in or alive oi) 1 Peaches (canned) aed ged 1 Nondairy frozen dessert Peach nectar topping (Cool Whip") Summer squash ‘ CO Pear nectar Oi Nondairy frozen desserts 0 Pears (canned) Ectopappinecs 1 Rice mik, unforitied ‘straightneck, Zucchini) 1D Sweet peppers (green, red, yellow) C Tomatillos:s2u2018 Gotting More Protein While on Dialysis | National Kidnay Foundation National Kidney Foundation’ ATO Z HEALTH GUIDE Getting More Protein While on Dialysis What is protein? Protein is an important nutrient that helps build muscle, repair tissue, and fight Infection. Protein is made from amino acids. Amino acids are like building blocks that combine to form many different types of protein, Your body makes some of the amino acids you need. The rest comes fram the foods you eat. This is called dietary protein, Why do I need dietary protein? Your body cannot make all the amino acids it needs to keep your body working. When ‘you eat foods that have protein, your body breaks it down inta the amino acids that it needs. Your body uses these amino acids to make new proteins. These new proteins help your body build muscle and repair tissue, among other things. Why might I need more protein if !am on dialysis? When dialysis filters out wastes from your blood, it can also remove proteins, especially if you are on peritoneal dialysis. What happens if | don't eat enough protein? Ifyou dor't eat enough protein to make up for what is lost during your dialysis treatment, your bady will start to break down your muscles to get the protein it needs. This can cause: + Fatigue (extreme tiredness and lack of energy} + Higher chance of infections + Weightloss or muscle wasting How do! know if my protein level is too low? Your healthcare provider will do blood tests to check the protein levels in your body, They will see ifyour blood has enough albumin, which is a type of protein found in pa a a 13