Nutrition for CKD Stages 1, 2 & 3

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.

Renal Dietitian

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:

  1. Aim for a healthy weight by eating healthy and being active
  2. Eat healthy by following Canada’s Food Guide
  3. Include a variety of whole grains, fresh fruits and vegetables
  4. Cut down on foods and drinks high in sugar

Fats | Sodium | Other Nutrients

Sodium

  • 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
Cucumber
7 slices = 2 mg
Cucumber/salad
dressing = 234 mg
Dill pickle
928 mg
Chicken
½ breast = 69 mg
Chicken pie
1 frozen = 907 mg
KFC dinner
2,243 mg
Lemon
1 mg
Soy Sauce
1 tbsp = 1,029 mg
Salt
1 tsp = 2300 mg
Pork
3 oz = 59 mg
Bacon
4 slices = 548 mg
Ham
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
apple sauce
1 egg
2 slices toast
1 cup coffee/tea
LUNCH ½ cup canned soup
1 pastrami sandwich
pickle slices
1 bag of chips
1 can Pepsi® /7-up®
½ cup homemade low salt soup
1 roast beef sandwich
cucumber slices
grapes
water/milk/hot beverage
DINNER 3 ounces ham
½ cup canned peas
10 piece frozen fried potatoes
cheese cake
1 can Pepsi®/7-up®
3 ounces pork roast
½ cup frozen or fresh peas
½ cup homemade potatoes
1 dinner roll
peach
water/milk/hot beverage

 

Fats

  • 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

 

Other Nutrients

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
• 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
• Don’t trade meal plans with other people since needs are different for everyone