I Hate Dialysis Message Board
Dialysis Discussion => Dialysis: Diet and Recipes => Topic started by: Zach on August 11, 2006, 07:09:09 PM
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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" ::)
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: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).
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Good idea!
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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
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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
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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
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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
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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
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Total meal 5 381 1.6 82 411 35 247
7:30
1 apple, medium 81 .5 0 159 .3 10
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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.
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Shoot me! Just shoot me!
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:2thumbsup;
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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.
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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.
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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
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Okay you robot, maniac meal planner! Keep up the good work!
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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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Hey goofynina, can you provide the same chart for Tito´s Tacos? :D :D :D
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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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Oh...same as Mcmuffins, then :2thumbsup;
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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
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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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Watch out for baking powder ... it is high in PO4 ... yeast seems to be better.
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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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Sorry, PO4 is phosphorus.
Baking powder is why pancakes can be high in phosphorus.
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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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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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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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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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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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Keep track of what you eat for a week. Use the free program at fitday.com/ (http://fitday.com/) or try the free trial version at dietpower.com (http://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.
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This is my version of Geroge's Chili ... not too spicy for my tummy. ;)
... you can add more onions, garlic, etc.
http://ihatedialysis.com/forum/index.php?topic=3176.msg45451#msg45451
Zach's Chunky Chili
Protein-g Phosphorus-mg Potassium-mg Sodium-mg Calories
1-1/3 pound ground chuck 107 899 1,509 363 1,080
2 ounces bacon – cut into 1/4 inch pieces 12 188 208 833 485
1/2 cup white onion, chopped 1 23 117 3 32
1 large green pepper, skinned (makes approx 1/2 cup) 1 33 287 5 33
1 can (14.5 ounces, no salt added) stewed tomatoes 3 51 528 175 123
1 cup water
1/4 teaspoon salt 582
1 tablespoon chili pepper powder 1 23 144 76 24
1 teaspoon ground cumin 0 10 38 4 8
1/2 teaspoon Tabasco Green Jalapeno Sauce 0 0 4 70 0
1/2 teaspoon standard Tabasco Sauce 0 0 4 15 0
1 tablespoon red wine Vinegar 0 1 6 1 3
1/2 tablespoon lemon juice 0 0 7 2 2
dash of garlic powder
a pinch of ground cinnamon
a dash (or more) of Jalapeno Chili pepper powder
5 Servings Total 125 1,228 2,852 2,129 1,790
Protein-g Phosphorus-mg Potassium-mg Sodium-mg Calories
per serving 25 246 570 426 358
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I am not sure if this question belongs in this thread so if it has to be moved, I understand.....now someone said I should give my husband wheat bread and I was wondering why....we don't really like it but I bought a loaf today since his health needs it but I was just wondering of the benefits......
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He's still pre-dialysis, so the wheat bread will have more fiber and be more filling than white. Once you start having issues with phosphorus and potassium, you aren't supposed to have wheat bread anymore, so it sort of depends on his labs. On the other hand, if he doesn't like it anyhow, find a different source of fiber, and let him eat what he likes!
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In our supermaket you can get whole wheat bread which is white in colour. Does this mean that it is okay?
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:bump;
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wrong thread . apologies .
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Are any of you using Iphone apps for renal dialysis diets? I didn't read the whole thread so if someone already mentioned it, please excuse the repeat
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In our supermaket you can get whole wheat bread which is white in colour. Does this mean that it is okay?
AFAIK, I wouldn't trust it as far as I can throw anything. Honestly, bring that up with a dietitian and see what they say. Until you know more, don't trust it until you are told to throw as far as possible and trust that figurative distance.