The ideal diet in CKD may require limiting fluids, eating a low-protein diet, limiting salt and other electrolytes. In case of weight loss, adequate calories are required.
A balanced diet for CKD should contain the following:
Low-protein diets are based on your weight, stage of disease and other factors. Once you are on dialysis, you will need to eat more protein, including fish, poultry or eggs at every meal.
Fruits, breads, grains and vegetables not only provide energy but fiber, minerals and vitamins as well.
Mono-unsaturated and poly-unsaturated fats (olive oil, canola oil, sunflower oil) are recommended.
CALCIUM AND PHOSPHORUS:
It’s important to limit dairy food intake. This includes milk, yogurt and cheese. Some dairy foods are beneficial including margarine, butter, cream cheese and heavy cream.
Fruits and vegetables contain only small amounts of phosphorus, but may contain large amounts of potassium.
You may need supplemental calcium and vitamin D for bone health.
In early stages of kidney failure, fluid intake is not restricted. But, as the condition gets worse, or when on dialysis, you will need to monitor fluid intake.
To avoid thirst, avoid salty foods and stay cool on hot days.
Potassium intake should also be restricted in CKD. DO NOT use salt substitutes because they contain potassium. Choose fruits like peaches, grapes, pears, cherries, apples, berries, pineapple, plums and watermelon.
Limit or avoid oranges and orange juice, raisins or other dried fruits, bananas etc.
Vegetables safe to eat includes broccoli, cabbage, carrots, cauliflower, celery, cucumber, eggplant, green and wax beans, lettuce, onion, peppers, zucchini and yellow squash.
Limit or avoid asparagus, avocado, potatoes, tomatoes or tomato sauce, pumpkin, avocado and cooked spinach.
Iron supplementation is needed in advanced kidney disease due to anemia.
In case of any concomitant illnesses, consult your Doctor.