End stage renal failure diet recipes

By the Renal Dietitians, Edinburgh Royal Infirmary

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By the Renal Dietitians, Edinburgh Royal Infirmary
No Added Salt diet
Low Potassium Diet
Low Phosphate Diet
Fluid Restriction
What foods are good for end stage renal disease?
What nutrient must be increased in end stage renal failure?
Are scrambled eggs good for kidney disease?
Which would be the best snack for a person with end stage renal disease?

As patients have varying degrees of renal failure and on different forms of treatments, it is very difficult to provide recipes which are suitable for every patient.

The following tips should be useful when deciding what food or meals to prepare. In most cases, “special recipes” are not required as it very much depends on other foods or drinks chosen throughout the day.

Many standard cookbook or celebrity chef recipes can be used safely or adapted slightly with some imagination. The internet is a good resource for lots of recipes. See the information below for some suggestions.

No Added Salt diet

A small amount of normal salt can used in cooking but the less the better!
Taste food before adding further salt, add a bit less than the recipe suggests!
Avoid using salt substitutes eg lo salt or reduced sodium varieties.
Try using more fresh or dried herbs, spices, pepper, garlic or chilli.
If using butter or margarine, choose the unsalted varieties.
Limit using smoked or salty foods eg smoked bacon, olives, salami
Use cheese sparingly as this can be salty
It is a good idea to make your own sausages, burgers, kievs etc as homemade ones will have significantly less salt in them than pre prepared ones, especially the lower quality, cheaper ones.

Low Potassium Diet

Try using rice, pasta, noodles, couscous or breads instead of potatoes at meal times. This would lower the overall potassium content of the the dish and therefore allow the use of tomatoes and vegetables. These could be used either in sauces or as ingredients eg tomato pasta, a stir fry with rice/noodles or curries with rice
Potatoes and many vegetables can be soaked or par boiled before being added to recipes eg carrots, broccoli or cauliflower in a curry
Bean and pulses dishes are a good substitute for meat dishes but try and avoid using alongside meat or chicken in the same meal.
For dishes that contain high potassium vegetables eg mushrooms these could be substituted for lower potassium vegetables eg courgettes, green beans. You could also have a small amount with a rice or pasta accompaniment eg mushroom risotto
Avoid steaming vegetables, boiling is better.
Drained tinned fruit is a good choice in puddings.

Low Phosphate Diet

If dishes contain cheese, try using this sparingly or choosing a lower phosphate cheese eg brie, camembert, parmesan, feta, cottage cheese.
Double cream, crème fraiche or double cream plus water is a good alternative to single cream, milk, custard or yoghurt.
Limit dishes containing liver, kidney or other offal.
White fish is a good choice at mealtimes
Egg whites are lower in phosphate than egg yolks eg meringues

Fluid Restriction

Ensure you follow the “no added salt” advice above.
Avoid very runny sauces or too much gravy.
Rice and Pasta are OK to have, even though they absorb water and they are a good choice if on a potassium restriction.
Beware of some puddings eg jelly, custards etc as these will contribute to fluid intake.

AAKP Delicious!

The AAKP Delicious! recipe series program was created to support those affected by kidney disease, whether you’re a patient or family member, in your efforts to take charge of your health care through nutrition.

Let our recipes and information about nutrition and cooking inspire you. Get ready to experience the joy of preparing and sharing kidney-friendly meals!

Our team at AAKP Delicious! have created easy and delicious recipes for individuals at all stages of kidney disease and with different dietary needs. Each recipe has a complete nutrient analysis and an indication as to what type of patient it is best suited for: CKD Non-Dialysis; Dialysis; Dialysis/Diabetes; Transplant.

Newly released recipes! Download the brand new AAKP Delicious! 6th Edition! These 12 new recipes were released for National High Potassium Awareness Day on May 1. Learn more at www.areyou.ok.org.

There are many resources for kidney friendly recipes. Here are a few helpful links:

DaVita – Recipes: This website has over 1,000 renal friendly recipes and a free Diet Helper service!
The American Association of Kidney Patients – Kidney Friendly Recipes: A great resource with many recipes for all meals!
The Kidney Foundation of Canada – Kidney Kitchen Cookbook: A community cookbook that includes options for beverages, breakfast, lunch, and dinner! There is also a meal plan option.
The National Kidney Foundation – My Food Coach: Allows you to specify your diet between full renal diet, low sodium, and diabetic.
The American Heart Association – Nutrition Center: Provides a lot of tips on dining out, cooking, and healthy shopping.
Heart Healthy Online – Low Sodium Recipes: If you’ve been advised to follow a low-sodium diet, these delicious recipes are perfect for you – they all have 140 mg or less of sodium per serving.
Mega Heart – Low Sodium Recipes: This site has a lot of low sodium recipes and there is even a kid’s section!

Have a recipe you LOVE to make? Share your own Kidney Friendly Recipes in our online community, NephSpace!

What foods are good for end stage renal disease?

Choose low-potassium fruits and vegetables. These include things like grapes, pineapple, lettuce, green beans, and cucumber. Choose low-potassium foods such as pasta, noodles, rice, tortillas, and bagels. And avoid high-potassium foods, including things like milk, bananas, oranges, spinach, tomatoes, and broccoli.

What nutrient must be increased in end stage renal failure?

You need to change your diet when you are on dialysis for end-stage renal disease (kidney failure). You will need more protein than you did before you started dialysis. You may need to limit salt and fluids. You also may need to limit minerals such as potassium and phosphorus.

Are scrambled eggs good for kidney disease?

Although egg yolks are very nutritious, they contain high amounts of phosphorus, making egg whites a better choice for people following a renal diet. Egg whites provide a high quality, kidney-friendly source of protein.

Which would be the best snack for a person with end stage renal disease?

Looking for some kidney-friendly snack inspiration? Fresh fruits, veggies, and protein are great everyday choices. You can also enjoy low-sodium chips, crackers, or fruit-based desserts for a treat on the go.

end stage renal failure diet recipes