Diet Chart For Renal (dialysis)
Last Updated: Feb 15, 2023
About
Dialysis is the process of removing excess water, solutes and toxins from the blood in those whose native kidneys have lost the ability to perform these functions in a natural way. This is referred to as renal replacement therapy. Dialysis is used as a temporary measure in either acute kidney injury or in those awaiting kidney transplant and as a permanent measure in those for whom a transplant is not indicated or not possible.
Dialysis may be used in those with rapidly developing loss of kidney function, called acute kidney injury, (previously called acute renal failure); or slowly worsening kidney function, called Stage 5 chronic kidney disease, (previously called chronic kidney failure and end-stage renal disease and end-stage kidney disease).People with compromised kidney function must adhere to a renal or kidney diet to cut down on the amount of waste in their blood. Wastes in the blood come from food and liquids that are consumed. When kidney function is compromised it does not filter or remove wastes properly. If wastes are left in the blood they can negatively effect a patients electrolytes. Following a kidney diet may also help promote kidney function and slow progression of complete kidney failure. A renal diet is one that is low in sodium, phosphorous and protein. A renal diet also promotes the importance of consuming high-quality protein and usually limits fluids. Some patients may also need to limit potassium and even calcium. Every persons body is different, and therefore, it is crucial that a renal dietitian work with each patient to come up with a diet that is tailored to his or her needs.
Diet Chart
Sunday | |
Breakfast (8:00-8:30AM) | 1 cup broken wheat upma with vegetables+1 cup toned milk/1 cup tea (100ml) |
Mid-Meal (11:00-11:30AM) | 1 small wedge(100gm) watermelon |
Lunch (2:00-2:30PM) | 1 cup rice+2 chapathi+fish-tuna (100gm) curry+cabbage and green peas sabji |
Evening (4:00-4:30PM) | 1/2 cup Sweet potato salad+ 1 cup green tea(100ml) |
Dinner (8:00-8:30PM) | 1 cup rice+1/2 cup bitter gourd(karela) curry+1/2 cup vegetable salad cup rice |
Monday | |
Breakfast (8:00-8:30AM) | 1 cup roasted oats upma with vegetables+1 cup toned milk/1 cup tea (100ml) |
Mid-Meal (11:00-11:30AM) | Musk melon (100gm) |
Lunch (2:00-2:30PM) | 1 cup rice+2 chapathi+aloo brinjal sabji+1/2 cup tomato dal+1 glass buttermilk |
Evening (4:00-4:30PM) | Avocado(50gm) whole wheat bread(3 slices) sandwich+ 1 cup green tea(100ml) |
Dinner (8:00-8:30PM) | 3 chapathi(multigrain-wheat;jowar;bajra)+lauki sabji+1/2 cup vegetable salad |
Tuesday | |
Breakfast (8:00-8:30AM) | 3 dosa+1/2 cup sambhar+1tsp methi chutney+1 cup toned milk/1 cup tea (100ml) |
Mid-Meal (11:00-11:30AM) | 4 Jambu fruits/ strawberries(small) |
Lunch (2:00-2:30PM) | 4 chapathi+1/2 cup lauki dal+1/2 cup green peas and panner sabji+1 glass butter milk |
Evening (4:00-4:30PM) | 1 cup boiled green gram sprouts with lemon+ 1 cup green tea(100ml) |
Dinner (8:00-8:30PM) | 3 chapathi+ 1/2 cup bhindi sabji+ 1 cup vegetable salad |
Wednesday | |
Breakfast (8:00-8:30AM) | 1/2 cup Oats in 1 glass toned milk (200ml) |
Mid-Meal (11:00-11:30AM) | papaya (100gm) |
Lunch (2:00-2:30PM) | 1 cup rice+2 chapathi+1/2 cup yam (jimikand) curry+1/2 cup ivy gourd(parmal) sabji+1 glass buttermilk |
Evening (4:00-4:30PM) | 1 bowl unsalted pop corn+1 cup tea/milk(toned) |
Dinner (8:00-8:30PM) | 1 cup rice+1/2 cup Snake gourd curry+1/2 cup vegetable salad cup rice |
Thursday | |
Breakfast (8:00-8:30AM) | 4 Idly+ 1/2 cup sambhar+1 tsp coconut chutney+1 cup milk/ 1 cup tea (100ml) |
Mid-Meal (11:00-11:30AM) | 1 medium size guava |
Lunch (2:00-2:30PM) | 1 cup rice+2 chapathi+1 portion(100gm) grilled/stewed-tuna fish+1/2 cup rajmah curry |
Evening (4:00-4:30PM) | 3 Cracker biscuits+ 1 cup tea/milk(toned)(100ml) |
Dinner (8:00-8:30PM) | 3 chapathi+ 1/2 cup ridge gourd(thori) sabji+1/2 cup vegetable salad |
Friday | |
Breakfast (8:00-8:30AM) | 2 paratha(aloo/onion) with 2 tsp groundnut chutney+1 cup toned milk/1 cup tea (100ml) |
Mid-Meal (11:00-11:30AM) | Pineapple (100gm) |
Lunch (2:00-2:30PM) | 4 chapathi+1/2 cup cluster beans curry+1/2 cup capsicum paneer sabji+ 1 glass buttermilk |
Evening (4:00-4:30PM) | 1 small fistful (40 gm) of peanuts,almonds,walnuts+1 cup green tea(100ml) |
Dinner (8:00-8:30PM) | 1 cup rice+1/2 cup raw banana sabji+1/2 cup vegetable salad |
Saturday | |
Breakfast (8:00-8:30AM) | Vegetable sandwich with 4 whole wheat bread slices+cucumber,tomato, onion,lettuce+1 cup toned milk/1 cup tea (100ml) |
Mid-Meal (11:00-11:30AM) | 1 medium size apple |
Lunch (2:00-2:30PM) | 4 chapathi+1/2 cup french beans curry+1/2 cup colocasia(arbi) sabji+ 1 glass buttermilk |
Evening (4:00-4:30PM) | 1 cup boiled bengalgram with lemon+ 1 cup green tea(100ml) |
Dinner (8:00-8:30PM) | 3 chapathi(multigrain-wheat;jowar;bajra)+1/2 cup tinda sabji+ 1/2 cup vegetable salad |
Do's And Dont's
Do's:
- Include sufficient protein in the diet after dialysis.
- Eat Right
- Opt for Leaching of Vegetables which are high in potassium.
- Eat Fruits like Apple, Guava, Pear
- Eat all gourd vegetables, tinda, capsicum, Cabbage, Cauliflower, Onion
- Include foods rich in calcium such as milk, leached green leafy vegetables.
Don'ts:
- Avoid water drinking water in large quantities at once, instead take sips.
- Avoid high salty foods which might increase blood sodium levels.
- Avoid fatty, smoked foods and frozen foods that contain preservatives.
- Don't consume sugery foods/ beverages and alcoholic drinks too.
Food Items You Can Easily Consume
- Cereal: Rice, wheat, white rice
- Pulses: red gram, green gram, black gram, bengal gram (all leached) and beans like broad, cluster, french.
- Vegetables: all gourds- snake gourd, ridge gourd, bottle gourd, ivy gourd, ladies finger, tinda,green leafy vegetables
- Fruits: Apple, guava, pear, papaya, cranberries, blueberries, raspberries, strawberries, red grapes
- Nuts & seeds: almonds, walnuts (2-3) (leached pieces)
- Milk and milk products: low fat milk, low fat curd, low fat paneer.
- Meat,fish & egg: Skin out chicken, egg white, fish like salmon, sardines, trout, mackerel, tuna.
- Oil: 2 tsp (10ml)
- Sugar: 2 tsp (10gm)
References
- Wiggins KL. Guidelines for nutrition care of renal patients. American Dietetic Associati; 2002.
- D’Alessandro C, Rossi A, Innocenti M, Ricchiuti G, Bozzoli L, Sbragia G, Meola M, Cupisti A. Dietary protein restriction for renal patients: don't forget protein-free foods. Journal of Renal Nutrition. 2013 Sep 1;23(5):367-71.
- Coresh J, Walser M, Hill S. Survival on dialysis among chronic renal failure patients treated with a supplemented low-protein diet before dialysis. Journal of the American Society of Nephrology. 1995 Nov 1;6(5):1379-85.
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