Diet in ckd (not on dialysis)

FOODS TO BE AVOIDED

FOODS CAN TAKE

Protein intake

Generally protein intake for normal person is 1 gm per kg body weight per day. CKD patients need to take low protein (0.8 gm per kg per day). But if patient is weak and loosing weight then patient has to take high protein (1 to 1.4 gm per kg per day) even if creatinine is high.

Intake of dal preparations not to exceed the prescribed amounts. (washed dal)

Fish or chicken (30 to 50 gm) without skin (grilled, steamed, boiled or baked) or 2 to 4 eggs white is permitted per day with only.

 

Carbohydrates

Whole Cereals like wheat, Arrowroot, Sago (Saaboodaana) millets, rice, barley, oats, ragi according to the prescribed calories

HIGH-POTASSIUM FOODS TO BE AVOIDED If your potassium > 4.5

It is important to remember that almost all foods contain potassium. Serving size will determine whether foods are a low moderate, or high potassium level. A large serving size of a low potassium food can become a high potassium food.

Vegetables

All vegetables contain potassium. Wash, peel and cut vegetables into pieces, soak in warm water for 2-3 hours, discard water and add large volume fresh water, cook and discard water.

Potassium content in Vegetables

Vegetables: All vegetables contain potassium. They are grouped according to their potassium content. You should consume vegetables having lower potassium content.

Group-1 (0-100 mg potassium): Radish- pink(mooli), cucumber (kakdi), snake gourd (padval), bottle gourd (lauki), and beetroot.

Group – II (100-200 mg potassium): Cabbage (band gobi), onion-small, bitter gourd (karela), cauliflower (phul gobi), pumpkin (kaddu), carrots (gajar), radishwhite (mooli), brinjal (baigan), ladies finger (bhindi), and green tomatoes.

Group – III (200+mg. potassium): Coriander (dhaniya), amla, sweet potato, spinach (palak) and green papaya.

Group – II and Group – III vegetables after ‘leaching’ them off with potassium.

Potassium content in Fruits

Only one fruit (200 gm ) can be taken per day like-papaya, apple, guava, Pineapple, pear etc

Special Instructions

  • All food items to be cooked in very low salt (3 gm/day)
  • 350ml of low fat milk, tea, curd, buttermilk is permitted per day. Remove cream from milk.
  • Intake of cereal- rice, wheat, milk, curd & meat or its alternate should not exceed the amount specified in the diet plan.
  • Adequate calorie intake is very important.
  • Prescribed amount of salt & 3-4 tsp oil could be used for cooking per day
  • Spices & condiments contain potassium and should be used in small quantities.
  • Foods served in small portions and at frequent intervals, will ensure satisfactory nutrient intake.
  • At least 50% of prescribed protein should be of high biological value & should be distributed in all the meals for better utilization. 

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