Telephone: (905) extension. Dietitian: RD. Name: Date: Diet For:

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1 Name: Date: Diet For: INTRODUCTORY FOOD GUIDE FOR KIDNEY DISEASE Choose these foods Do not eat these foods Dietitian: RD Telephone: (905) extension This information is not meant to replace the medical counsel of your Doctor or individual consultation with a Registered Dietitian.

2 Fruit and Fruit Juices LIMIT TO 3 SERVINGS DAILY One Serving Equals: 1 small fresh fruit 125 ml (1/2 cup) chopped or canned fruit, berries or grapes 125 ml (1/2 cup) fruit juice or nectar Or the amount listed (If you have Diabetes, juices and canned fruits should be unsweetened) Grapes Grape Juice Pear Blueberries, Boysenberries, Cherries, Cranberries, Gooseberries, Raspberries, Strawberries, Apricot (Two), Peach Watermelon (1/4 slice) Pineapple Pineapple Juice Plum (One) Apple Apple Juice, Applesauce Rhubarb Clementine, Lemon, Lime, Mandarin, Tangerine Also: Loquat (4), Lychee Note: Star Fruit (Carambola) should not be eaten by anyone with kidney disease as it contains a dangerous toxin. 1

3 Vegetables LIMIT TO 3 SERVINGS DAILY One Serving Equals: 125 ml (1/2 cup) vegetable - fresh, frozen or canned without salt 1 small potato 250 ml (1 cup) salad greens Or the amount listed Eggplant Cabbage Lettuce (all types) Green & Yellow Beans Leeks & Onions Also: Alfalfa & Bean Sprouts Bitter Melon Radishes Cucumber Celeriac Cilantro or Coriander leaves Peppers Collards & Kale Crookneck and Spaghetti Squash Celery Fennel Bulb Cauliflower Fiddleheads Rapini Spinach (raw only) Raw Tomato (2 half inch thick slices OR half medium OR 5 cherry tomatoes) Asparagus Corn (1 small cob) Green Peas Mushrooms Carrots Snow Peas Zucchini Broccoli If you need to follow a low potassium diet, potatoes MUST be peeled, chopped into small pieces and boiled in a large amount of water. Throw out the cooking water. Turnip Turnip Greens 2

4 High Potassium Fruit & Vegetables If you need to follow a low potassium diet do not eat these foods. Ask your Dietitian or Doctor if you need to follow a low potassium diet. Kiwi Cantaloupe and Honeydew Melon Mango Nectarine Avocado Banana Orange Orange Juice All Dried Fruit Eg: Apricots, Dates, Figs, Raisins, Prunes Grapefruit Grapefruit Juice (Speak to your doctor) Coconut, Coconut Milk, Coconut Water, Fresh Figs, Guava, Guava Juice, Prune Juice, Papaya, Pomegranate Note: Star Fruit (Carambola) should not be eaten by anyone with kidney disease as it contains a dangerous toxin. Potatoes: Baked, French Fries, Instant Potato, Boiled in Skin, Sweet Potato Squash: Acorn, Butternut, Hubbard, Pumpkin Artichoke Vegetable Soup Vegetable Juice Tomato-Based Products (Sauce, Paste, Juice, Salsa) Beets, Beet Greens Plantain Spinach (cooked), Bok Choy, Swiss Chard 3 Parsnips Brussel Sprouts, Kohlrabi, Okra, Rutabaga, Vegetables in Cheese Sauce

5 Breads & Cereals Amount as Desired If you have Diabetes: spread portions throughout the day avoid OR limit sweetened baked goods Breads (made with white, light rye, 60% whole wheat or cracked wheat flour) Bread/Rolls Bagels Chapati/Roti Crackers (unsalted) English Muffin Pita Bread Taco Shell Unsalted Popcorn, Pretzels & Tortilla Chips Pasta, Pizza Crust (No tomato sauce if you need to restrict potassium in your diet) Plain Baked Goods Made With White Flour (Use in Moderation) Cookies, Pastries & Pies, Yeast Donut Homemade Pancakes, Muffins, Cakes White Rice Couscous Cereals Corn Bran Corn Chex Cornflakes Cream of Wheat Puffed Rice Puffed Wheat Rice Krispies Use Occasionally: Oatmeal Special K Shreddies Shredded Wheat Breads/Rolls/Baked Goods made with: Whole Wheat, Wheat & Oat Bran, Wheat Germ, Dark Rye, Pumpernickel, Mixed Grain, Carob, Soybean, Potato or Quinoa Flours, Dried Fruit, Nuts, Seeds, Cheese, Chocolate, Coconut, Cornmeal, Cream, Custard Whole Grain Cereals: Red River, Life, Granola, Oatbran, Bran Flakes, All Bran, Bran Buds, Cheerios, Grape Nuts, Grape Nuts Flakes, Raisin Bran, Vector, Wheaties, Special K with Fibre, Cracklin Oat Bran, Fibre One, Total, Wheat Chex Also: Brown Rice, Whole Wheat Pasta Baked Goods: Cake Donuts Cheesecake Crumpets Frozen Pancakes Pancake Mixes Granola Bars Store-bought Muffins Muffin & Cake Mixes Tea Biscuits Biscuit Mixes Waffles 4

6 Protein Foods Choose small to moderate amounts of these protein foods every day Egg Beef & Pork Lamb, Goat Cheese occasionally Chicken/Turkey Fish, Eel, Oysters (fresh), Shrimp, Snails Cottage Cheese Firm Tofu Peanut Butter occasionally Legumes Beans: Lima, Navy, Soy, Kidney, Baked, White, Mung, Red Peas: Chick, Cow, Split, Pigeon, Lentils/Dhal Also: Anchovies, Calamari/Squid, Clams, Egg Substitute, Fish Bones, Fish Sticks, Herring, Imitation Crab, Mussels, Octopus, Organ Meats (kidney, liver), Oysters (canned), Pâté, Processed Cheese and Cheese Spreads, Salt Fish, Sardines, Scallops, Swordfish Milk and Milk Products Limit amount to 1 cup or less per day Cream Soup Cream Sauce Yogurt Cream/Milk in Coffee/Tea Ice cream Pudding Milk NO CHOCOLATE, COCONUT, NUTS OR DRIED FRUIT 5

7 Miscellaneous Foods & Drinks Drinks: Use sugar-free drinks if you have Diabetes Coffee/Tea Non-Cola Regular or Diet Pop Fats and Oils Water (Tap, Bottled, Mineral) Lemonade, Cranberry Juice, Fruit-flavoured Drinks Liquor, Wine, Liqueurs With your doctor s approval Non-Hydrogenated Margarine, Butter, Mayonnaise, Cream Cheese Cream Cheese Oil & Vinegar Salad Dressing Sweets (use sparingly if you have Diabetes) Jam, Jelly, Marmalade, Honey, Syrup, Sugar, Candies, Sherbet Vegetable Oils Canola, Corn, Olive, Sunflower, Safflower Sugar Substitutes may be used Cola Beverages Chocolate, Caramels, Toffee Candy, Cocoa and Carob Powders Nuts & Seeds Specialty Coffees Cappuccino, Espresso, Latte, Turkish Coffee Potato Chips & Cheesies Beer Low Salt Cheese, Real Maple Syrup, Molasses, Salt Substitutes containing potassium chloride, Black Licorice, Sweetened Condensed Milk, Buttermilk, Ovaltine, Postum, Chocolate Drinks, Sports Drinks, Ultra Light & Fat Free Cream Cheese 6

8 Salt Tips Prepare and cook food without table salt or sea salt. Take the salt shaker off the table. Use fresh meats, fresh or canned fruits, fresh or frozen vegetables, and plain breads and bread products as often as possible. Learn to enjoy the flavours of unsalted foods. Be patient after a month or so you will notice that your taste buds will get used to food without salt. Try lemon juice, vinegar and fresh or dried herbs and spices to flavour food. Herb shakers such as Mrs. Dash, McCormick s No Added Salt Table Shake, Citrus Pepper, Garlic & Herb and Herb Medley varieties can be used. You may use a total of one tablespoon of the following per day: BBQ sauce, chili sauce, chipotle, chutney, curry paste, hot pepper sauce, ketchup, plum sauce, prepared mustard, relish, seafood sauce, store-bought gravies, store-bought salad dressings. Exception: limit lite soy sauce to 1 teaspoon. Use products labeled as low salt or sodium, no added salt or sodium or salt or sodium free to replace those with higher sodium contents. If low sodium canned foods are not available (i.e. canned vegetables & fish), be sure to rinse and drain them first. Do not use products containing potassium chloride. Do not use salt substitutes that contain potassium chloride. Examples are: No Salt, Nu-Salt and Half Salt 7

9 Salt Tips Avoid These Foods Seasoning Salts of any kind (garlic, onion, celery) Fast Foods Processed Meats & Cheese such as ham, bacon, bologna, corned beef, salami, sausage, wieners, cured/deli/smoked meats, sardines, herring, anchovies, salt fish, cheese slices & spreads Seasoned fresh and frozen meat, fish and poultry Convenience and Canned Foods such as frozen/tv dinners, frozen meat/chicken pies, fish sticks, canned soups, dried soup mixes, bouillon cubes or powder, canned sauces, canned vegetables, frozen vegetables in sauce, sauerkraut, breading mixes (Shake n Bake ), Hamburger Helper, pre-seasoned rice or pasta mixes, packaged croutons, stuffing mixes Salted Snack Foods such as salted crackers, potato chips, pretzels, cheesies, regular microwave popcorn Meat Tenderizers Pickles & Pickled Foods Olives Salty Sauces such as fish, hoisin, oyster, teriyaki, regular soy sauce 8

10 DO NOT:* Change your diet without consulting your dietitian. Exchange diets with other people because food needs and limits differ. Eat or drink any new food or beverage when in doubt about its safety. CALL YOUR DIETITIAN WHEN YOU: Are losing weight or eating poorly. Need new food ideas or a change in your daily eating plan. Have any concerns about your diet or certain foods. Bon appetit! * Reprinted with the permission of The Kidney Foundation of Canada. METRIC AND IMPERIAL EQUIVALENTS 250 ml = 1 cup 125 ml = 1/2 cup 15 ml= 1 tablespoon (Tbsp.) 200 ml = 3/4 cup 75 ml = 1/3 cup 5 ml = 1 teaspoon (tsp.) 175 ml = 2/3 cup 50 ml = 1/4 cup 30 g = 1 ounce (oz.) 9

11 NOTES: Produced by The Credit Valley Hospital Registered Dietitians 10