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Kidney Fund
reaching out
giving hope
improving lives
reaching out
giving hope
improving lives
Healthy Eating
for People on
Hemodialysis
Calories
Carbohydrates
Protein
Fat
Portions
In this section, well review each of these. Well also take a
look at the nutrition facts label and explain how you can use
this tool to help you have a healthy diet.
Calories
Carbohydrates
our body gets energy from the calories you eat and
drink. Calories come from the carbohydrates, protein,
and fat in your diet. How many calories you need depends
on your age, sex, 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 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 more advice and follow up.
Protein
Fat
You need some fat in your diet to stay healthy. Fat gives
you energy, keeps you warm, and helps you use some of
the vitamins in your food. But too much fat can lead to
weight gain and heart disease. Try to limit fat in your diet,
and choose healthier fat when you can.
Talk to your dietitian to find out how much protein you should
have each day. Your dietitian can help you make a meal
plan that helps you get the protein you need.
Use the table below to learn which foods are low or high in
protein.
Lower-protein foods
Higher-protein foods
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Sodium
Sodium (salt) is a mineral found in almost all foods. Too much
sodium can raise your blood pressure and make your heart
work harder. Too much sodium can also make you thirsty.
One of the best things that you can do to stay healthy is to
limit how much sodium you eat. A dialysis diet should have
less than 2,000 milligrams (mg) of sodium per day. To
limit sodium in your diet:
Do not add salt to your food when cooking or at the
table. Try cooking with fresh herbs, lemon juice or other
salt-free spices.
Choose fresh or frozen vegetables instead of canned
vegetables. If you do use canned vegetables, rinse
them to remove extra salt before cooking or eating them.
Avoid processed meats like ham, bacon, sausage and
lunch meats.
Munch on fresh fruits and vegetables rather than
crackers or other salty snacks.
Avoid canned soups and frozen dinners that are high in
sodium.
Avoid pickled foods, like olives and pickles.
Limit high-sodium condiments like soy sauce, BBQ sauce
and ketchup.
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This part of the label tells you how much of the food is equal to one
serving. Many packages contain more than one serving, but the
information on the label is for just one serving. Using the example
below, if you have one cup of this food, you will get 50 calories. If you
have two cups of this food, you will get 100 calories. If you have half a
cup of this food, you will get 25 calories. This same idea applies to all of
the other nutrients listed.
Calories
This part of the label tells you how
many calories are in each serving
of the food. An average adult will
need about 2,000 calories per day,
but this might vary based on age,
sex, size, activity level and health
concerns. Ask your doctor or
dietitian how many calories you
should have each day.
Nutrients
Look here to see how much fat,
sodium, carbohydrate and
protein are in each serving.
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Portions
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Potassium
Phosphorus
Use the table below to learn which foods are low or high in
potassium. Your dietitian can also help you work in some
higher potassium foods in small amounts.
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(lower-potassium foods)
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Rather than
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Rather than
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Fluids
You need water to live, but when you are on dialysis, you
may not need as much. This is because fluid may build up
in your body between treatments. Too much fluid in your
body can be dangerous. It can cause high blood pressure,
swelling, heart failure and trouble breathing. Extra fluid
can also make your dialysis treatments more difficult.
Vitamins
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My Diet
Following the kidney-friendly diet can be difficult. Your dietitian
can help you learn how much of each nutrient you should have
each day. Next time you meet with your dietitian, take this
worksheet. Ask your dietitian to help you fill in the blanks.
Nutrient
Protein
Sodium
Potassium
Phosphorus
Fluid
Your dietitian can also help you learn what foods to limit
and other foods you might try instead. Work with your
dietitian to find a meal plan that works for you.
Summary
Foods To Limit
Because Theyre
High In
What to Try
Instead
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Kidney-Friendly Cookbooks
Brilliant Eats: Simple and Delicious Recipes for
Anyone Who Wants to be Kidney Wise
Kelly L. Welsh, RD, CD
www.brillianteats.com
1.866.524.6732
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Online Recipes
DaVita
www.davita.com/recipes
Kidney Kitchen
National Kidney Foundation
www.kidney.org/patients/kidneykitchen
Kidney Times
Renal Support Network
www.kidneytimes.com
Northwest Kidney Centers
www.nwkidney.org
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Notes:
Acknowledgements
Our sincere thanks to Rebecca Brosch, RD, LD for her
continued support of the American Kidney Fund and for
her input on this brochure.
The American Kidney Fund is the leading national
voluntary health organization serving people with and at
risk for kidney disease through direct financial assistance,
comprehensive education, clinical research, and
community service programs.
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