1. Early Kidney Disease and Diet: Just the Basics Contributed by Elaine M. Koontz, RD, LD/N Review Date 8/13 R-0627 Provided Courtesy of Nutrition411.com

2. Nutrition and Early Kidney Disease It is recommended that all people with kidney disease see a registered dietitian A registered dietitian’s expertise will help you plan a menu that meets your individual needs

3. Protein and Early Kidney Disease Protein—you may need to limit your protein intake to help you: – Preserve your kidney function – Prevent wastes from building up in your blood

4. Protein and Early Kidney Disease (cont’d) Protein is found in many foods, including: – Beans, peas, and lentils – Eggs – Fish – Meat – Milk and milk products – Nuts and seeds – Poultry – Soy products, such as tofu, miso, and tempeh

5. Sodium and Early Kidney Disease Fluids and sodium can build up in your body if you have kidney disease This can cause: – Edema – High blood pressure

6. Foods That Are High in Sodium Bacon Buttermilk Canned meats and fish Canned vegetables Cheese Chips, pretzels, and salted nuts Flavoring packets for noodle or rice side dishes Hot dogs and sausages Ketchup, BBQ sauce, tartar sauce, and mustard Luncheon meats Meal-starter kits Most restaurant and takeout food Pasta sauces Pickles and olives Quick-cooking oats Salted crackers Sauerkraut Soup Soy sauce, taco sauce, teriyaki sauce, and Worcestershire sauce Tomato and vegetable juices

7. Phosphorus People with kidney disease sometimes cannot excrete phosphorus – Phosphorus builds up in the blood – This results in loss of calcium from the bones – This also can cause calcium to build up in the blood vessels, joints, muscles, skin, and organs, which can result in: Bone pain Organ damage Poor blood circulation Skin ulcers

8. Phosphorus (cont’d) You may need to: – Take a phosphate binder with your meals – Strictly limit the amount of phosphorus that you consume

9. Foods That Contain Phosphorus Biscuits Bran cereals Cake Caramels Cheese Cola, cocoa, bottled iced teas, and beer Cottage cheese Dried beans or peas Granola Ice Cream Milk Muffins Nuts Nut butters Pudding Soy milk Oatmeal Organ meats Oysters and sardines Pancakes Waffles Wheat germ Yogurt

10. Potassium Potassium facts: – Important for helping your muscles and heart work properly – Too much or too little potassium is sometimes dangerous – Your doctor will monitor the level of potassium in your blood – If your potassium level is too high, you will need to restrict your intake of potassium-containing foods

11. Fruits High in Potassium Apricots Bananas Cantaloupe Dates Honeydew Kiwi Mangoes Nectarines Orange juice Papayas Prunes Raisins

12. Vegetables High in Potassium Artichokes Avocados Beets, fresh Brussels sprouts Parsnips Potatoes Pumpkin Spinach Sweet potatoes Tomato Winter squash Yams

13. Other Sources of Potassium Dried beans and peas Milk Milk products Nuts Salt substitutes

14. Resources National Kidney Foundation . Nutrition and Chronic Kidney Disease (Stages 1-4): Are You Getting What You Need? http://www.kidney.org/atoz/atozcopy.cfm?pdflink =NutriKidFail_Stage1-4.pdf. Published November 9, 2010. Accessed August 22, 2013. http://www.kidney.org/atoz/atozcopy.cfm?pdflink =NutriKidFail_Stage1-4.pdf