Nutrition & Peritoneal Dialysis

Nutrition for Peritoneal Dialysis Patients

  • Peritoneal dialysis is done daily
  • Sodium and phosphorus need to be limited in the diet to avoid build up in the blood
  • Potassium and fluid may or may not be restricted based on your blood work and fluid balance

When you have chronic kidney disease, nutrition is an important part of your treatment plan. Your Dietitian will help you plan your meals with the right foods and
in the right amounts. Nutrients affecting the kidneys at this stage are: protein, sodium, potassium, phosphorus, vitamins, and fluid.

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.

 

Protein | Sodium | Potassium | Phosphorus | Vitamins | Fluids | More Information

 

PROTEIN

Some protein is removed from your body during each PD exchange. More protein should be eaten when you are on dialysis. Protein comes from:

  • Red meats
  • Poultry (chicken, turkey, duck)
  • Fish and seafood
  • Eggs
  • Milk and cheeses
  • Tofu, legumes and beans

Eating the right amount of protein will help to:

  • Build muscles & repair body tissues
  • Fight infections and helps with healing
  • Prevent wastes from building up in your blood

Note: Milk, cheese, legumes (dried peas, dried beans, and lentils), soy beverage and processed meats are high in phosphorus. These foods should be limited.

 

SODIUM

Limiting sodium to 2000-3000mg or less (about 1 teaspoon of salt) per day:

  • Helps to reduce fluid build up in the body (swelling of the ankles, fingers, eyes)
  • Helps to control blood pressure within normal ranges
  • Helps to control thirst

Sodium is a mineral and is found in most foods, but is especially high in:

  • Table salt & sea salt
  • Salty seasonings (e.g. soy sauce, teriyaki sauce, garlic salt, and seasoning salt)
  • Most canned foods and some frozen foods
  • Processed meats (e.g. ham, bacon, sausage, cold cuts)
  • Salted snack foods (e.g. chips, crackers, pickles)
  • Most restaurant and take-out foods
  • Canned or dehydrated soups (e.g. packaged noodle soup)

TIPS

  • Eat foods closest to their natural state (not processed)
  • Read food labels for the amount of sodium
  • Add flavour to your food. Try a dash of:
    — Hot pepper sauce
    — Lemon juice
    — Vinegar
    — Fresh or dried herbs and spices
    — No-added salt blends (Mrs. Dash®, McCormick’s No Salt Added®)

Avoid: Salt substitutes (Half Salt® or No-Salt®)

 

POTASSIUM

  • Potassium in your blood is removed with each PD exchange
  • Potassium is not restricted in your diet unless the level of potassium in your blood is high

 

PHOSPHORUS

  • Also known as phosphate
  • Is a mineral that works with calcium to form strong bones & teeth

In the later stages of kidney disease, phosphorus starts to build up in your blood. Calcium is then pulled from your bones into your blood. This causes serious problems like:

  • Damage to the heart & other organs
  • Poor blood circulation
  • Bone pain & weakness
  • Skin sores

Phosphorus is found in most foods. Large amounts are found in:

  • Dairy products (milk, cheese, pudding, yogurt, ice cream
  • Dried beans and peas (kidney beans, split peas, lentils)
  • Nuts and seeds
  • Other beverages (colas, beer, cocoa)
  • Chocolate
  • Whole grains especially bran
  • Seasoned meats & processed/convenience foods
  • Baking powder

The Dietitian will discuss ways to help you lower your phosphorus intake. The Doctor may prescribe a phosphate binding medication to be taken just before meals to help control the level in your blood.

TIPS

  • Use non-dairy creamers and milk substitutes in place of milk to help lower the amount of phosphorus in your diet
  • Rice Dream Original™ is low in phosphorus (Enriched Rice Dream is higher in phosphorus)

 

VITAMINS

  • When your diet is limited you may need to take a special vitamin pill made for people with kidney disease
  • Do not take over-the-counter vitamins
  • Do not take over the counter Vitamin D or calcium pills unless recommended by your kidney doctor
  • Check with the kidney doctor and/or pharmacist about herbal medications.

 

FLUIDS

Fluid intake may or may not be limited and will depend on:

  • Your 24hr urine volume collection
  • If you have fluid build up (hands, leg, feet, chest)

 

MORE INFO

ENERGY

  • Comes from the foods you eat.
  • Eating the correct amount of calories helps to give you energy (Your Dietitian will help
    you with this)
  • With peritoneal dialysis, your body will absorb some of the calories from the peritoneal dialysis solution (Dianeal). These extra calories may result in weight gain
    and increased blood sugars. Blood sugars may need to be checked more closely when you have diabetes.

 

FATS

  • Provide energy and are part of a healthy diet

TIPS

  • 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

 

MEAL NO DIET RESTRICTIONS LOW: SALT, POTASSIUM, PHOSPHORUS
& PROTEIN
BREAKFAST Orange juice
Bran cereal
Milk
Coffee with milk
½ cup canned fruit/fresh
Rice Krispies®
½ cup of milk
1 boiled egg
1 slice white/rye toast with peanut butter
Coffee with non-dairy creamer
LUNCH Canned Pea soup
Bologna sandwich
Salad (lettuce, tomato,
cucumber, celery)
Banana
Milk
Homemade low salt soup
Unsalted crackers
Roast beef sandwich (2-3 ounces beef)
Salad (lettuce, cucumber, celery)
½ cup grapes
Water/hot beverage/non-cola soda
DINNER Ham
Canned peas
Frozen fried potatoes
Orange
Milk
5-6 ounces pork roast
frozen or fresh peas
homemade potatoes/1 small baked
potato
1 dinner roll, margarine
Peach
Water/hot beverage/non-cola soda