Earlier in the month, we discussed how chronic kidney disease patients can make smarter diet choices to help slow the progression of the disease. In addition to those tips, there are some food substitutions that people with kidney disease can make to avoid over-consuming minerals such as potassium and phosphorus that should be closely regulated in a kidney-friendly diet.
Potassium:
Potassium is a mineral found in almost all foods. The body requires some potassium to make the muscles work, but during dialysis, potassium levels must be very closely monitored. Having too much or too little potassium can cause muscle cramps, irregular heartbeat and muscle weakness. A dietitian can help determine how much potassium is best for an individual.
When monitoring your potassium levels:
Eat This:
- Apples, cranberries, grapes, pineapples, strawberries
- Cauliflower, onions, peppers, radishes, zucchini, lettuce
- Pita bread, tortillas, and white bread
- Beef and chicken
- White rice
Not This:
- Avocados, bananas, melons, oranges, prunes, raisins
- Artichokes, kale, plantains, spinach, potatoes, tomatoes
- Bran products and granola
- Beans
- Brown or wild rice
Phosphorus:
Phosphorus, a mineral found in many foods, works with calcium and vitamin D to keep bones healthy. During dialysis, phosphorus can build up in the blood, and too much phosphorus can lead to weak bones that break easily. A dietitian can help determine how much potassium is best for an individual.
When monitoring your phosphorus levels:
Eat this:
- Italian, French, and sourdough bread
- Rice cereals and cream of wheat
- Unsalted popcorn
- Light-colored sodas or lemonade
- White rice
Not This:
- Whole grain bread
- Bran cereals and oatmeal
- Nuts and sunflower seeds
- Dark sodas
- Brown or wild rice
Be aware that potassium and phosphorus do not have to be listed on a nutrition facts label. Check the package ingredients list for other clues. For example, foods high in potassium might list the ingredient potassium chloride or KCl; foods high in phosphorus might have the words phosphate or phosphoric somewhere in the ingredient list.
Independence-4-Seniors understands the specific care and dietary needs of older adults with kidney disease, and can assist with chronic disease care and meals at home. Contact our Chicago based home care team at 630) 323-4665 to learn more about our care services.