Meal information that covers several of our food issues.

[Zach]

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"   

[Zach]

 

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).

[Sara]

Good idea!

[BigSky]

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. 

[kitkatz]

Shoot me! Just shoot me!

[jedimaster]

 

[Zach]

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.

            

[BigSky]

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.                 

[Zach]

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

[kitkatz]

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

[goofynina]

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   

[jedimaster]

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

[goofynina]

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

I looked up the dietary chart for Tito's and all it showed me was a skull (hmmm, wondering what they are implying) 

[jedimaster]

Oh...same as Mcmuffins, then

[raina]

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

[BigSky]

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
 

[Zach]

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

[raina]

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?

[Zach]

Sorry, PO₄ is phosphorus.

Baking powder is why pancakes can be high in phosphorus.

[BigSky]

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


Actually one of the better tasting protein bars.

[AlasdairUK]

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.

[bluedove57]

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?

[BigSky]

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.

[Wattle]

Zach and Bigsky I need your help,

You both seem to know what you are doing. I am a little more well... totally confused.  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   

[BigSky]

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.