STAGES 1, 2 & 3
Making healthy food choices is important for everyone. When you have Chronic Kidney Disease (CKD), what you eat is an important part of your care plan. There is no set meal plan for people with kidney disease. In Stages 1, 2 & 3, living a healthy lifestyle may help prevent, slow and even stop the progression of kidney disease. By eating healthy, exercising and taking medications as prescribed by your doctor you can:
• Help keep your blood sugar well-controlled
• Help keep your blood pressure in the normal range
Kidney Disease and Diabetes
If you have diabetes, you may need to make a few changes to your diabetes diet, with the help of your dietitian. Check your blood sugar levels often and try to keep your levels under control. Your doctor or pharmacist may adjust your insulin or other medications if your kidney disease gets worse.
Your doctor or renal dietitian will monitor your blood work. If any changes are required to your diet, a renal dietitian will work with you to develop a meal plan that will fit within your cultural and lifestyle needs. It is important to remember that dietary changes may vary among people with kidney disease.
Recommendations for people with CKD Stages 1, 2 & 3:
- Aim for a healthy weight by eating healthy and being active
- Eat healthy by following Canada’s Food Guide
- Include a variety of whole grains, fresh fruits and vegetables
- Cut down on foods and drinks high in sugar
- Affects your blood pressure and can cause your body to hold on to more water
- Cut down on processed foods and prepare foods without adding salt
- Aim for 2000-3000 milligrams (mg) or less of sodium daily
- Check food labels and ingredient lists for the word salt or sodium (e.g. monosodium glutamate). If the word sodium is close to the top of the ingredient list then you know it is high in sodium (salt).
Processed foods have more salt:
|Unprocessed Food||Processed Food||Processed Food|
7 slices = 2 mg
dressing = 234 mg
½ breast = 69 mg
1 frozen = 907 mg
1 tbsp = 1,029 mg
1 tsp = 2300 mg
3 oz = 59 mg
4 slices = 548 mg
3 oz = 1,114 mg
Sample Meal Day – What does a low salt day look like?
|Meal||High Salt Day||Healthy Low Salt Day|
|BREAKFAST||½ cup juice
4 slices bacon & 2 eggs
2 slices toast
1 cup coffee/teag
2 slices toast
1 cup coffee/tea
|LUNCH||½ cup canned soup
1 pastrami sandwich
1 bag of chips
1 can Pepsi® /7-up®
|½ cup homemade low salt soup
1 roast beef sandwich
|DINNER||3 ounces ham
½ cup canned peas
10 piece frozen fried potatoes
1 can Pepsi®/7-up®
|3 ounces pork roast
½ cup frozen or fresh peas
½ cup homemade potatoes
1 dinner roll
- Include a small amount (30 – 45 ml or 2 – 3 tbsp) of unsaturated fat each day.
- This includes oil used for cooking, salad dressings, margarine and mayonnaise.
- Use vegetables oils such as canola, olive and soybean
- Choose soft margarines that are low in saturated and trans fats (look for labels that say non-hydrogenated)
- Limit butter, hard margarines, lard, shortening, fried and deep fried foods
- Include lean meat and meat alternatives by consuming a portion between 2-3 ounces (about the size of a deck of cards) 2 to 3 times per day
Potassium is a mineral found in many foods that helps your nerves and muscles work well.
- You do not need to cut down on foods high in potassium unless you have a high level of potassium in your blood
Note: Food labels do not have to list potassium on the nutrition information but the food may contain potassium.
Phosphorus is a mineral important in keeping bones healthy. In Stage 3 CKD, you may need to cut down on foods high in phosphorous if blood levels rise.
Note: If potassium and/or phosphorus blood levels are above normal you will be contacted.
DOS AND DON’TS OF EATING FOR HEALTH
• Do learn about kidney disease and understand how food choices can help you
• Do follow Canada’s Food Guide
• Do watch your body weight, blood pressure, blood sugar and blood values
• Do take medication as prescribed
• Do have fun with recipes
• Do ask questions about new foods or drinks
• Don’t trade meal plans with other people since needs are different for everyone