Kidney Disease is a progressive disease. Therefore,
diet guidelines change as the disease progresses. Diet will also
vary depending on the chosen treatment option. Diet guidelines
are different for hemodialysis and peritoneal dialysis. You should
meet with a registered dietitian to discuss which diet is right
for you.
Pre-dialysis
The two most important things you can do to keep your kidneys
working for as long as possible, is to control high
blood pressure and, if diabetic, to control blood
sugar. Uncontrolled high blood pressure and diabetes are the
two leading causes of kidney failure. In addition, patients are
usually instructed to limit the amount of protein they eat. The
biggest sources of protein in the diet are meat, poultry, eggs,
fish, cheese, and milk. A dietitian
can help you determine how much of these foods to eat. You may
also need to restrict potassium and phosphorus at this stage.
This will depend on your labwork and medications.
High Potassium Foods:
Apricots
Bananas
Oranges/orange juice
Potatoes
Prunes/prune juice
Tomato products
High Phosphorus Foods:
Cheese
Cream soups
Milk
Nuts and seeds
Pudding
Yogurt
Hemodialysis
If you choose hemodialysis as your treatment option, you will
probably need to follow a low potassium, low phosphorus, fluid
restricted diet. The general guideline for restricting your fluid
intake is about 48-56 ounces per day. Remember this includes all
fluids (coffee, tea, pop, juice, ice, water, soup, etc.). Limiting
your sodium intake is also important.
Peritoneal Dialysis
If you choose this treatment option, your diet will be a little
easier. Typically potassium and fluid are not restricted, but
you will still need to limit phosphorus.
Figuring out your diet needs can be complicated
and can change, so it is important to meet with a registered dietitian
and determine the right guidelines for you.
If your physician/nephrologist feels it is
appropriate, Munson Dialysis Center does offer
pre-dialysis
education to teach you about kidney disease, diet, and treatment
options. Contact
us for more information.
If you are a Munson Healthcare patient and have a compliment,
concern, or complaint, please contact one of our Patient
Liaisons.
