Use this information to help you learn how to eat right to feel right on hemodialysis. Houston, TX 77058 Too much phosphorus in your blood pulls calcium from your bones. Limiting phosphorus can be hard because foods that contain phosphorus, such as meat and milk, also contain the protein you need. A healthy diabetes diet looks pretty much like a healthy diet for anyone: lots of fruits, … A renal dietitian has special training in caring for the food and nutrition needs of people with kidney disease. Animal protein in egg whites, cheese, chicken, fish, and red meats contain more of the essential nutrients a body needs. Have very small portions of foods that are higher in potassium, such as one or two cherry tomatoes on a salad or a few raisins in your oatmeal. // Leaf Group Lifestyle. Milk also adds to your liquid intake. Coffee, tea, low-sodium broth, water and clear sodas can also help keep you hydrated. Bethesda MD: National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases; 2019. If your blood contains too much waste, your kidney treatment session may not remove them all. Your renal dietitian will give you other tips to help you limit how much liquid you consume while making sure you don’t feel too thirsty. Hard candy, sugar, honey, jam, and jelly provide calories and energy without fat or adding other things that your body does not need. Tomatoes, potatoes, bananas, whole grain foods and orange juice are all very high in potassium and should be avoided or eaten sparingly while on dialysis. She has had articles and patient information handouts published in the "Renal Nutrition Forum" and the "Journal of Renal Nutrition." High-quality protein comes from meat, poultry, fish, and eggs. Humana Press, 2014, How to Increase Calories in Your CKD Diet Healthy kidneys keep the right amount of potassium in your blood to keep your heart beating at a steady pace. A balanced meal has at least 3 of the food groups (protein, grain, vegetables, fruits, and dairy). Grains, breads, cereal, fruits and vegetables contain higher amounts of potassium. How does what I eat and drink affect my hemodialysis? You will need to carefully plan your meals and keep track of the amount of liquids you eat and drink. High-quality protein comes from meat, poultry, fish, and eggs. I can have _____ ounces of ______________ in the evening. Avoid processed meats such as hot dogs and canned chili, which have high amounts of sodium and phosphorus. Meat is an excellent protein source while you are on dialysis, so other foods high in phosphorus should be eaten in moderation 5. The phosphorus binder “seals” the phosphorus from food and moves it out through stool so the phosphorous does not enter the bloodstream. Plant sources of protein include beans, lentils, nuts, peanut butter, seeds and whole grains. Make a food plan that reduces the potassium in your diet. Talk with your renal dietitian about the types and amounts of fat you need in your diet. You also need to be careful with salt substitutes as many contain the ingredient potassium chloride. New York, NY 10016 For safety reasons, talk with your health care provider before using probiotics, dietary supplements, or any other medicine together with or in place of the treatment your health care provider prescribes. Everyone’s calorie needs are different. 30 East 33rd Street Your health care provider may prescribe a vitamin and mineral supplement designed specifically for people with kidney failure. These supplements can also be used for an on-the-go meal on dialysis days or when you’re too busy to prepare a meal. Website: www.medhelpexpress.com. Nephrology (Carlton). Use them less often. With this treatment, diet is important to help control blood levels of certain nutrients. Eating too much potassium can be dangerous to your heart and may even cause death. Phone: 1–800–622–9010 or 212–889–2210, Nutrition and Hemodialysis Vegetable oils—such as olive oil, canola oil, and safflower oil—are good sources of calories and are the healthiest way to add fat to your diet if you need to gain weight. Unenriched rice milk or non-dairy creamer can be used as a milk alternative. Do not use salt substitutes because they contain potassium. You may not get enough vitamins and minerals in your diet because you have to avoid so many foods. List them here: More information is provided in the NIDDK health topic, Sodium: Tips for People with Chronic Kidney Disease. 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