Confused About Diet for Stage 3 or 4 Chronic Kidney Disease (CKD)

Posted by wietop @wietop, Dec 13, 2017

I was diagnosed with Stage 3 CKD four years ago, but my doctor didn't tell me. When he retired and I had to find a new doctor is when I found out. I'm new to this and completely confused when it comes to diet. I am currently eating a sandwich for lunch, made with Ezekiel Low-Sodium bread, which is sprouted whole grain bread. In my research I have found some sites that say never eat whole grain bread, while others say you can eat it with no problem. My doctor has told me I don't need to change my diet, but, as you can imagine, my trust factor is pretty low right now. I'm trying to find some solid information about which breads I should avoid and which ones are okay.

Interested in more discussions like this? Go to the Kidney & Bladder Support Group.

@sissieann

Me again...where did you find the “non-dairy mozz flavored shreds? Thxs

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Go Veggie and Daiya foods both make cheese-flavored substitutes. I think WalMart carries some of these.

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I want to share the following information that a member just now shared with me.

Webinar - Eating healthy with diabetes and kidney disease
Wednesday, November 28, 2018 from 1:00 - 2:00 p.m. EST
Speaker: Lori Martinez-Hassett, RD, CSR,
Topics: Diabetes • Diet • ESRD • Nutrition

http://www.kidneyfund.org/training/webinars/eating-healthy-with-diabetes-and-kidney-disease.html

If you are interested in attending this webinar, you will need to register. There is a place to add your own comments and/or questions. @sissieann, @trishanna, @spiritualgangster, @wietop, @predictable, @kamama94

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As always, check with your renal care team beforehand and feel free to tell me about any errors in this recipe. Since it's so low in potassium and phosphorus, I often double the serving.
Vegetarian Omelet with cheese and veggies 189 mg K (9 %) 70.4 mg P (7 %)
Egg Beater ¼ C 127.8 mg K, 43.2 mg P
Daiya non-dairy mozzarella-flavored shreds 20 mg K, 20 mg P
1 T chopped onion 24.9 mg K 5.3 mg P 1
T chopped bell pepper 16.3 mg K, 1.9 mg P
Sm amt EVOO
Saute onion and bell pepper in sm amt EVOO in small skillet or in nonstick skillet without EVOO, remove and drain, turn heat to low
Pour 1 svg Egg Beater into pan and cook slowly, lifting up edges to allow uncooked egg to run underneath
Sprinkle pepper and onion over cooked egg, top with mozzarella shreds
Fold over and remove omelet to plate
For those who don’t tolerate bell pepper and/or onion, celery can be substituted 27 mg K 2.3 mg P

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I've noticed that many low-K and low-P foods also are low in oxalates and vice versa. So far the renal vegetarian diet I follow seems to be helping to slightly improve renal function. I'm wondering if there are any further dietary considerations which might enhance more improvement. With my hx of kidney stones I'm curious about the relationship of oxalates and potassium and phosphorus. Anybody have some info or ideas?

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@kamama94

I've noticed that many low-K and low-P foods also are low in oxalates and vice versa. So far the renal vegetarian diet I follow seems to be helping to slightly improve renal function. I'm wondering if there are any further dietary considerations which might enhance more improvement. With my hx of kidney stones I'm curious about the relationship of oxalates and potassium and phosphorus. Anybody have some info or ideas?

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Here is a related discussion in the Diabetes and Endocrine Group.
https://connect.mayoclinic.org/discussion/healthy-eating-for-diabetics-with-kidney-disease/

Someone there might have some additional insight about this question.
Have you registered for the webinar - Eating Healthy with Diabetes and Kidney Disease? When you register, you are given an opportunity to post questions. I think that this is a good question.

@retiredteacher and I are both participating in the webinar, and we hope that you will join our after-webinar conversation there.

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@rosemarya

Here is a related discussion in the Diabetes and Endocrine Group.
https://connect.mayoclinic.org/discussion/healthy-eating-for-diabetics-with-kidney-disease/

Someone there might have some additional insight about this question.
Have you registered for the webinar - Eating Healthy with Diabetes and Kidney Disease? When you register, you are given an opportunity to post questions. I think that this is a good question.

@retiredteacher and I are both participating in the webinar, and we hope that you will join our after-webinar conversation there.

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Need more info about the webinar. is there a fee? Is it time limited? Not sure if I can attend, depends on when.

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@rosemarya

Here is a related discussion in the Diabetes and Endocrine Group.
https://connect.mayoclinic.org/discussion/healthy-eating-for-diabetics-with-kidney-disease/

Someone there might have some additional insight about this question.
Have you registered for the webinar - Eating Healthy with Diabetes and Kidney Disease? When you register, you are given an opportunity to post questions. I think that this is a good question.

@retiredteacher and I are both participating in the webinar, and we hope that you will join our after-webinar conversation there.

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It is Free
Webinar – Eating healthy with diabetes and kidney disease
Wednesday, November 28, 2018 from 1:00 – 2:00 p.m. EST
Speaker: Lori Martinez-Hassett, RD, CSR,
Topics: Diabetes • Diet • ESRD • Nutrition

http://www.kidneyfund.org/training/webinars/eating-healthy-with-diabetes-and-kidney-disease.html

To register: Click on this link.
Click on the Blue Register Box.
Fill in the information (I chose to use only the required fields). And there is a place to ask questions.
At the end you will clink (another) Register Box.

You will receive an email verifying that you have registered. And there are instructions for how to join the webinar on Nov. 28. You will listen and view on your computer.

I hope this helps you to register. This is new for a lot of us! It should be a fun learning experience in both health and technology:-)

kamama, let me know if you have any more problem with registering. I am new at this, too:-)

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@rosemarya

It is Free
Webinar – Eating healthy with diabetes and kidney disease
Wednesday, November 28, 2018 from 1:00 – 2:00 p.m. EST
Speaker: Lori Martinez-Hassett, RD, CSR,
Topics: Diabetes • Diet • ESRD • Nutrition

http://www.kidneyfund.org/training/webinars/eating-healthy-with-diabetes-and-kidney-disease.html

To register: Click on this link.
Click on the Blue Register Box.
Fill in the information (I chose to use only the required fields). And there is a place to ask questions.
At the end you will clink (another) Register Box.

You will receive an email verifying that you have registered. And there are instructions for how to join the webinar on Nov. 28. You will listen and view on your computer.

I hope this helps you to register. This is new for a lot of us! It should be a fun learning experience in both health and technology:-)

kamama, let me know if you have any more problem with registering. I am new at this, too:-)

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@rosemarya Thanks!

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Have been researching dairy substitutes and so far I have found that rice milk is lower in oxalates than my usual almond milk but higher in potassium and phosphorus. 1 C almond milk has 35 mg K or just under 2 % recommended intake for CKD patients and 20 mg P or 2 % of the recommended amount. On the other hand, 1 C rice milk has 64.8 mg K or about 3 % of the recommended intake and 144.4 mg P or 14 %. I'm thinking the lower-oxalate rice milk might be a better choice for someone with a history of kidney stones as long as the potassium and phosphorus intake from other food sources is reduced so the total daily limits aren't exceeded. I haven't counted calories or carbs here. I would appreciate others' opinions and feedback.

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Vegan Side Salad:
Lettuce, red leaf 1 C 52.4mg K, 7.8mg P
1 T chopped onion 24.9 mg K, 5.3 mg P
1 T chopped bell pepper 16.3 mg K, 1.9 mg P
½ C radish slices 135 mg K, 11.6 mg P
Daiya non-dairy ranch flavor dressing 10 mg K 0 mg P
Total 238.6 mg K, 26.6 mg P
Adding non-dairy mozzarella flavored shreds or non-dairy parmesan flavored sprinkles increases K by 20 mg and P by 20 mg for total of 258 mg K, 46.6 mg P

Check with renal care provider(s) to see if ok for you. Let me know if you find any mistakes.

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