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| | |-+  Meal information that covers several of our food issues.
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Author Topic: Meal information that covers several of our food issues.  (Read 19814 times)
Zach
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"Still crazy after all these years."

« on: August 11, 2006, 07:09:09 PM »


EDITED: Stickied for Easy Reference - Sluff, Moderator


In the Phosphates discussion, I mentioned my problem with the way our diet is presented to us.  There's a complete disconnect of information.

So here's an example of one of my meals. My weight is 77 kgs., and the K/DOQI Guideline recommends 92 grams of protein a day for that body weight and about 2,600 calories.  There's always some give and take with these numbers.

                                       Calories:          Protein        Phosphorus          Potassium:
Whole Eggs--2 Large, Fried    184                   12               192                   136
Rye Bread--1 slice                  80                      2                40                     53
  w/Smart Balance--2 T         168                      0                 0                       4
Coffee w/ 2 T Sugar               90                       0                 0                      0
TOTALS                               522  kcal             14g            232 mg            193 mg

Of course, you may not need as much protein as I do.  So if you have only one egg, you've lopped-off almost 100 mg of phosphorus!

Also, don't worry about knowing all the values exactly, just have a good idea of the values.  That goes for measuring food amounts.  I do it once or twice, get a feel for how the amount looks ( i.e. 3 oz of chicken breast ) and go by "eye" in the future.

Please add your own ideas for meals.       ;)

And remember, we all have different needs and medical issues, so you should speak with your dietitian about what you see here.  And of course, remember to take your phosphate binders.

Regards,
--Zach

PS: I guess I need to learn how to make a "table"    ::)
« Last Edit: January 12, 2007, 03:06:15 PM by Zach » Logged

Uninterrupted in-center (self-care) hemodialysis since 1982 -- 34 YEARS on March 3, 2016 !!
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
No transplant.  Not yet, anyway.  Only decided to be listed on 11/9/06. Inactive at the moment.  ;)
I make films.

Just the facts: 70.0 kgs. (about 154 lbs.)
Treatment: Tue-Thur-Sat   5.5 hours, 2x/wk, 6 hours, 1x/wk
Dialysate flow (Qd)=600;  Blood pump speed(Qb)=315
Fresenius Optiflux-180 filter--without reuse
Fresenius 2008T dialysis machine
My KDOQI Nutrition (+/ -):  2,450 Calories, 84 grams Protein/day.

"Living a life, not an apology."
Zach
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"Still crazy after all these years."

« Reply #1 on: December 31, 2006, 09:11:53 PM »

 :bump;

How about this for the New Year?

If each of us would contribute one or two meals with the values to this thread, we would have a pretty good list for all to enjoy (and stay within our limits).
Logged

Uninterrupted in-center (self-care) hemodialysis since 1982 -- 34 YEARS on March 3, 2016 !!
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
No transplant.  Not yet, anyway.  Only decided to be listed on 11/9/06. Inactive at the moment.  ;)
I make films.

Just the facts: 70.0 kgs. (about 154 lbs.)
Treatment: Tue-Thur-Sat   5.5 hours, 2x/wk, 6 hours, 1x/wk
Dialysate flow (Qd)=600;  Blood pump speed(Qb)=315
Fresenius Optiflux-180 filter--without reuse
Fresenius 2008T dialysis machine
My KDOQI Nutrition (+/ -):  2,450 Calories, 84 grams Protein/day.

"Living a life, not an apology."
Sara
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« Reply #2 on: January 01, 2007, 06:31:50 AM »

Good idea!
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Sara, wife to Joe (he's the one on dialysis)

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Joe died July 18, 2007
BigSky
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« Reply #3 on: January 01, 2007, 06:44:26 AM »

How about a day.

I excluded the 2-4 scoops of protein powder I use a day as most probably do not need that much protein.



                                                  Cal.        Fat        Na          K          Prot.        PO4

7:00-7:30

2 large eggs                                 152        10        129        124         13           182
1 slice sourdough *LS                        78         0        100          20           4             30
1 tsp butter unsalted                       33        3.8         0          1.2           0              1
1 packet jam                                   34          0         6           11           0              1.5
1/2 c mixed fruit cocktail                   92         .1        5           108         .5             13
-------------------------------------------------------------------------------------------------------------------------------------------
Total meal 1                                   389       13.9     279        264.2        17.5         227.5


10:00-10:30
Strawberry Zone Bar                         210         7       260           80           15          100
-----------------------------------------------------------------------------------------------------------------------------------------

12:30-1:00
2 slices sourdough bread * LS               156         0       200           40            8            60
1 lettuce leaf                                       3         0           2           40           .2             5
1 tbsp                                                57        4.9      104            1           .1            .4
4 oz turkey breast,fresh(not deli)          120        1.5       65            360         28          240
1/2 c mixed fruit cocktail                       92        .1          5            108         .5           13
1 oz tortilla chips    LS                         140         7        35            61          2.2           69
----------------------------------------------------------------------------------------------------------------------------------------
Totals meal 3                                    568       13.5     411           610         39          387.4   


3:00-3:30

2 graham crackers                              120           3      171           38            2            30
2 pieces canned pears (halves)             154          .2         8           101          .3            12
----------------------------------------------------------------------------------------------------------------------------------------
Total meal 4                                      374          3.2     179          139          2.3           42


5:30-6:00
4 oz chicken tenders,fresh                 111          1.1       67           211          27         156
Walmart Instant Rice                         160            0         5             0            4            12
1/2 c peas **NS                                60           .5        10           100          4            70
1/2 c applesauce, Seneca                    50           0          0            100         0              9
-----------------------------------------------------------------------------------------------------------------------------------------
Total meal 5                                    381          1.6         82          411           35        247


7:30

1 apple, medium                           81           .5           0          159            .3          10
============================================================

Totals for day                           Cal.             Fat          Na          K          Prot.      PO4
                                               
                                            2003           39.7       1011      1663.2       109.1     1013.9





*LS= Low sodium variety
**NS= No salt added variety

Meat used is fresh, no sodium added and non processed. 

« Last Edit: January 01, 2007, 07:00:41 AM by BigSky » Logged
kitkatz
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« Reply #4 on: January 01, 2007, 03:42:03 PM »

Shoot me! Just shoot me!
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Remember your present situation is not your final destination.

Take it one day, one hour, one minute, one second at a time.

"If we don't find a way out of this soon, I'm gonna lose it. Lose it... It means go crazy, nuts, insane, bonzo, no longer in possession of ones faculties, three fries short of a Happy Meal, wacko!" Jack O'Neill - SG-1
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« Reply #5 on: January 01, 2007, 04:39:32 PM »

 :2thumbsup;
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Zach
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"Still crazy after all these years."

« Reply #6 on: January 01, 2007, 05:34:21 PM »

Since I'm not thirsty all the time, I figured that I'm good on the sodium restriction and therefore don't have the sodium listed.  I just stay away from processed foods as much as possible.  I don't have much in high fat foods, so I don't list the fat, either.

                                                     Cal  Protein  Phos  Potassium

Dinner            
Chicken Breast--1/2--3.5 oz (118g)    142       27    231       301
Cooked Pasta--1 cup                         197         7    76         43
Steamed Broccoli spears--2 oz            16         2    34       142
   w/Smart Balance--2 Tablespoons    168         0     0         4
Ice Tea w/ 2 Tablespoons Sugar         90         0      0         0
                                                      613        36     341    490
Dessert            
Vanilla Wafers--7                             125       1       29       27


Remember, you can find the nutrient content of most foods by go to the following site:
http://www.nal.usda.gov/fnic/foodcomp/search/

And, thanks to BigSky's research, you can download this program to keep track of you meals...

http://www.dietpower.com/
A person can download a free trial of it or get a free trial CD sent to them to decide if they want it or not.
            
« Last Edit: January 01, 2007, 05:36:26 PM by Zach » Logged

Uninterrupted in-center (self-care) hemodialysis since 1982 -- 34 YEARS on March 3, 2016 !!
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
No transplant.  Not yet, anyway.  Only decided to be listed on 11/9/06. Inactive at the moment.  ;)
I make films.

Just the facts: 70.0 kgs. (about 154 lbs.)
Treatment: Tue-Thur-Sat   5.5 hours, 2x/wk, 6 hours, 1x/wk
Dialysate flow (Qd)=600;  Blood pump speed(Qb)=315
Fresenius Optiflux-180 filter--without reuse
Fresenius 2008T dialysis machine
My KDOQI Nutrition (+/ -):  2,450 Calories, 84 grams Protein/day.

"Living a life, not an apology."
BigSky
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« Reply #7 on: January 05, 2007, 07:45:17 AM »

Breakfast


                                                                       Cal.               Na                Protein               K                 PO4

1 Kashi Blueberry Waffle*                                      85                150               4                      65                50
1 large egg                                                        76                 64.5            6.5                    62                91
1 tsp butter unsalted                                          33                    0               0                      1.2                 1
1 tbsp syrup                                                      57                  16.5             0                       .3                 1.7
1/2c fruit cocktail                                               92                     5               .5                    108                13
=================================================================================


Totals                                                              343                 236               11                  236.5             156.7     



* To lazy to make my own homemade waffles.
Found Kashi Go Lean waffles to be best prepared waffle with limited K and Na in my area.                 
« Last Edit: January 05, 2007, 07:49:47 AM by BigSky » Logged
Zach
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"Still crazy after all these years."

« Reply #8 on: January 05, 2007, 07:21:04 PM »

Lunch                                          Calories       Protein   Phos    Potassium
Low-sodium sliced Turkey--3 oz (84g)   60            18       246        207
Rye Bread--2 slices                            166             5        80        106
   w/Mayonnaise--3 T                         270              0        12          15
Coffee w/ 2 Tablespoons Sugar            90              0          0            0
                                                       586             23       338        328
Logged

Uninterrupted in-center (self-care) hemodialysis since 1982 -- 34 YEARS on March 3, 2016 !!
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
No transplant.  Not yet, anyway.  Only decided to be listed on 11/9/06. Inactive at the moment.  ;)
I make films.

Just the facts: 70.0 kgs. (about 154 lbs.)
Treatment: Tue-Thur-Sat   5.5 hours, 2x/wk, 6 hours, 1x/wk
Dialysate flow (Qd)=600;  Blood pump speed(Qb)=315
Fresenius Optiflux-180 filter--without reuse
Fresenius 2008T dialysis machine
My KDOQI Nutrition (+/ -):  2,450 Calories, 84 grams Protein/day.

"Living a life, not an apology."
kitkatz
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« Reply #9 on: January 06, 2007, 05:52:31 PM »

Okay you robot, maniac meal planner! Keep up the good work!
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lifenotonthelist.com

Ivanova: "Old Egyptian blessing: May God stand between you and harm in all the empty places you must walk." Babylon 5

Remember your present situation is not your final destination.

Take it one day, one hour, one minute, one second at a time.

"If we don't find a way out of this soon, I'm gonna lose it. Lose it... It means go crazy, nuts, insane, bonzo, no longer in possession of ones faculties, three fries short of a Happy Meal, wacko!" Jack O'Neill - SG-1
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He is the love of my life......

« Reply #10 on: January 06, 2007, 06:52:41 PM »

Okay you robot, maniac meal planner! Keep up the good work!

my thoughts exactly!!!  I learn so much from your posts Zach, from others too, but yours are   :thumbup; :thumbup;
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« Reply #11 on: January 06, 2007, 07:41:54 PM »

Hey goofynina, can you provide the same chart for Tito´s Tacos? :D :D :D
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« Reply #12 on: January 06, 2007, 07:54:12 PM »

Hey goofynina, can you provide the same chart for Tito´s Tacos? :D :D :D

I looked up the dietary chart for Tito's and all it showed me was a skull (hmmm, wondering what they are implying)  :P :P
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« Reply #13 on: January 06, 2007, 08:05:57 PM »

Oh...same as Mcmuffins, then :2thumbsup;
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« Reply #14 on: January 09, 2007, 05:44:19 PM »

I have the full color phoslo fridge hanger (and about 92 reems of other phosphorus information, piled next to my chair every time my phosphorus goes up..) It mentions white bread as being low in phosphorus and wheat bread, not so much.

My boyfriend and I recently bought a bread-o-matic 3000 and have in doing so discovered that theres lotsa other kinds of bread.  How can I find out which breads are best for me to eat?  We obviously know whats in there if we're making it but I wondered if anyone knew how I could find the phosphorus content of.. say.. corn flour and other ingredients.

I know I could ask my renal dietician but I always feel like she is talking down to me.  She had the nerve to eat a peanut butter sandwich while she was talking to me and she knew I have a serious peanut butter problem.





EDITED: Merged More About Bread with Meal information that covers several of our food issues - Sluff, Moderator

« Last Edit: January 10, 2007, 11:56:34 AM by sluff » Logged

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BigSky
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« Reply #15 on: January 09, 2007, 06:01:34 PM »

You can use this site that Zach has posted in another thread.

http://www.nal.usda.gov/fnic/foodcomp/search/


Or you can go to this site and get a program.  They offer a free 15 day trial so you dont have to buy it if you do not like it.

http://www.dietpower.com/try/



                                                                         Potassium                Phosphorus             Na                 Protein

1 oz. corn flour, masa white and yellow,enriched        84.5                         63.2                  1.4                    2.6

1 oz. corn flour, whole grain, white and yellow           89                            77                     1.4                    1.9
enriched
 
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Zach
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"Still crazy after all these years."

« Reply #16 on: January 09, 2007, 10:02:59 PM »

Watch out for baking powder ... it is high in PO4 ... yeast seems to be better.
Logged

Uninterrupted in-center (self-care) hemodialysis since 1982 -- 34 YEARS on March 3, 2016 !!
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
No transplant.  Not yet, anyway.  Only decided to be listed on 11/9/06. Inactive at the moment.  ;)
I make films.

Just the facts: 70.0 kgs. (about 154 lbs.)
Treatment: Tue-Thur-Sat   5.5 hours, 2x/wk, 6 hours, 1x/wk
Dialysate flow (Qd)=600;  Blood pump speed(Qb)=315
Fresenius Optiflux-180 filter--without reuse
Fresenius 2008T dialysis machine
My KDOQI Nutrition (+/ -):  2,450 Calories, 84 grams Protein/day.

"Living a life, not an apology."
raina
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« Reply #17 on: January 10, 2007, 12:05:47 AM »

I got a b- in chemistry and I've thought about calling potassium k but I'm afraid people might not understand.

anywhoo.. what is po4?
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Zach
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"Still crazy after all these years."

« Reply #18 on: January 10, 2007, 05:49:58 AM »

Sorry, PO4 is phosphorus.

Baking powder is why pancakes can be high in phosphorus.
« Last Edit: January 15, 2007, 06:02:57 AM by Zach » Logged

Uninterrupted in-center (self-care) hemodialysis since 1982 -- 34 YEARS on March 3, 2016 !!
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
No transplant.  Not yet, anyway.  Only decided to be listed on 11/9/06. Inactive at the moment.  ;)
I make films.

Just the facts: 70.0 kgs. (about 154 lbs.)
Treatment: Tue-Thur-Sat   5.5 hours, 2x/wk, 6 hours, 1x/wk
Dialysate flow (Qd)=600;  Blood pump speed(Qb)=315
Fresenius Optiflux-180 filter--without reuse
Fresenius 2008T dialysis machine
My KDOQI Nutrition (+/ -):  2,450 Calories, 84 grams Protein/day.

"Living a life, not an apology."
BigSky
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« Reply #19 on: January 28, 2007, 06:21:55 PM »

Snack
                                                      Protein                  K                    PO4            NA          Calories
MetRx Bar
Chocolate Chocolate Chunk                   32                     120                   160          210            320


Actually one of the better tasting protein bars.
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AlasdairUK
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« Reply #20 on: February 09, 2007, 05:56:32 AM »

I have just stumbled across this thread. I do not worry to much about my K intake as I normally eat foods that are low/ moderate in K and my blood results are good. With my phosphate I eat foods that are low in Phosphate and normally always take my binders. When I eat foods that are higher in phosphate content I eat an extra binder. I also do hemodiafiltration that removes more phosphate than conventional HD.

What I do keep a check on is my calorie and protein intake. I generally eat foods that are not high in fat content and stay away from processed foods. I also take a multi vitamin as I do not always eat enough fruit and veg.
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« Reply #21 on: February 19, 2007, 09:52:23 AM »

I was advised by my dietician that low sodium foods have much higer potassium levels and it's better to eat regular food and omit low sodium. Was this ever told to  you?
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BigSky
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« Reply #22 on: February 19, 2007, 10:26:31 AM »

I was advised by my dietician that low sodium foods have much higer potassium levels and it's better to eat regular food and omit low sodium. Was this ever told to  you?

There are certain products that are like this. 

However all you need to do is read the label.  If a low sodium product has added potassium to it to make up for the sodium it will usually show up on the ingredient label as potassium chloride.

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« Reply #23 on: April 08, 2007, 01:36:03 AM »


Zach and Bigsky I need your help,

You both seem to know what you are doing. I am a little more well... totally confused.  :P The diet issue has really got me going. I have been given a list of high phosphate foods. Like 'whole grain foods' so o.k what bread can I eat? I read in your posts you both eat rye or sour dough are these o.k? I have just got my kids to eat wholemeal or grain bread I really do not want to go back to white.

My levels are up so I am actively trying to get them down. Being on PD I am meant to eat more protein. I find that hard when the dietitian also told me to be careful of high protein foods because they also are high in phosphates. AAAHHHHHH   :banghead;
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PKD
June 2005 Commenced PD Dialysis
July 13th 2009 Cadaveric 5/6 Antigen Match Transplant from my Special Angel
BigSky
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Posts: 2380


« Reply #24 on: April 08, 2007, 02:53:18 PM »

Keep track of what you eat for a week. Use the free program at fitday.com/ or try the free trial version at dietpower.com.

After you find out exactly how much PO4 you are taking, try to spread that out over 5-6 meals.  I have found doing this allows the binders to actually work better.  When I stayed at 3 meals a day I was staying below 1,200 mg of PO4 and running high labs. (8-10 range) Once I switched to 5-6 meals I actually take in roughly 1,500 mg a day now and my PO4 lab is often low or barely within bottom range of normal, (2.0-3.5) and that is with taking less binders now.

Difference between PO4 from white to wheat isnt that much.  Only about 20-25 milligrams depending.

« Last Edit: April 08, 2007, 02:55:31 PM by BigSky » Logged
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