
A person with chronic kidney disease (CKD) may need to make changes to their diet to manage their condition. This is because the kidneys are not removing waste products as efficiently, and a kidney-friendly diet can help to slow down damage to the kidneys. A dietitian can help create a kidney-friendly eating plan that is tailored to an individual's needs and preferences. This may include limiting fluids, eating a low-protein diet, reducing salt, potassium, phosphorous, and other electrolytes, and ensuring adequate calorie intake. As kidney function decreases, further dietary changes may be required, such as reducing phosphorus and potassium intake to protect the bones and blood vessels. It is important to work with a healthcare provider and dietitian to determine the appropriate diet for each stage of CKD and to ensure the right balance of nutrients is achieved.
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What You'll Learn

Limit sodium, potassium, phosphorus, and fluids
Limiting sodium, potassium, phosphorus, and fluids is crucial for managing chronic kidney disease (CKD). Here are some detailed instructions for each of these restrictions:
Sodium
Sodium, a component of salt, is often added to packaged, prepared, and restaurant foods. To limit your sodium intake, cook meals from scratch using fresh ingredients. When preparing meals, use herbs and seasonings without sodium or potassium instead of salt. Consuming too much sodium can lead to fluid retention and swelling, which puts pressure on your kidneys.
Potassium
Reducing potassium intake is essential for those with kidney disease. Canned fruits, vegetables, and meats should be avoided since they can leach potassium into the liquid, which may spike your potassium levels if consumed. Fresh or frozen produce is a better option. Speak with your doctor about your potassium restriction and have them regularly monitor your levels through blood tests.
Phosphorus
As kidney function declines, phosphorus levels can build up in the blood, pulling calcium from your bones and increasing the risk of fractures. Many packaged foods contain added phosphorus, so checking ingredient labels for "PHOS" is important. Work with your dietitian to adjust your meal plan and include foods you enjoy while managing your kidney health.
Fluids
Some individuals with kidney disease need to limit their fluid intake to prevent fluid overload, which can lead to swelling in various parts of the body and put pressure on other organs, including the heart and lungs. Consult with your healthcare team to determine the right balance of fluids for you, and be sure to discuss the impact of activities that cause sweating or illnesses that result in fluid loss.
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Eat a low-protein diet
Eating a low-protein diet is one of the key ways to manage chronic kidney disease (CKD). This is because when your body uses protein, it produces waste, and with reduced kidney function, your kidneys have to work harder to remove this waste.
A low-protein diet typically involves eating small portions of protein-rich foods. Protein is found in both plant and animal foods. Animal sources of protein include chicken, fish, meat, milk, yoghurt, and cheese. Plant sources include beans, nuts, bread, rice, and noodles. A cooked portion of chicken, fish, or meat is about 2 to 3 ounces or the size of a deck of cards. A portion of dairy is 1/2 cup of milk or yoghurt, or one slice of cheese. A portion of cooked beans is also about 1/2 cup, while a portion of nuts is 1/4 cup. Bread, rice, and noodle portions are typically 1/2 cup as well.
If you are reducing your protein intake, it is important to replace those calories with other foods. Fruits, breads, grains, and vegetables are good options as they provide energy, as well as fibre, minerals, and vitamins. You can also replace protein calories with hard candies, sugar, honey, and jelly.
It is important to note that everyone's nutritional needs are different, and a dietitian can help you create a kidney-friendly eating plan that is tailored to your specific needs and preferences. They can advise you on the right combination of protein foods and help you monitor your protein intake over time.
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Take supplements and vitamins
If you have chronic kidney disease (CKD), you may need to take supplements and vitamins to ensure you are getting the right balance of nutrients. Your kidneys help maintain the correct balance of nutrients and minerals in your body, but when kidney function decreases, this balance can be disrupted. A dietitian can help you find vitamins that are suitable for your needs.
Calcium and Vitamin D
You may need to take calcium supplements to prevent bone disease, especially if your diet is low in phosphorus. Phosphorus can build up in the blood, pulling calcium from your bones, which can make them weak and prone to breaking. Vitamin D is also important as it controls the balance of calcium and phosphorus in your body.
Folic Acid and Iron
Your dietitian may recommend a special kind of vitamin D, folic acid, or iron pill. These can help prevent some common side effects of kidney disease, such as bone disease and anemia.
Special Supplements
There are also special supplements made specifically for people with kidney disease. These can help ensure you are getting the right balance of nutrients and are tailored to your needs.
It is important to note that regular multi-vitamins may not be suitable for those with kidney disease, so always consult your doctor or dietitian before taking any new supplements or vitamins. They can advise on the correct dosage and any potential interactions with your current medication.
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Eat fresh food and limit prepared food
Eating fresh food and limiting prepared food is an important part of managing chronic kidney disease (CKD). This is because sodium (a part of salt) is added to many prepared or packaged foods, such as canned foods, frozen dinners, and fast food. When you buy fresh food and cook from scratch, you have more control over the ingredients in your meals.
To manage CKD, it is important to control your blood pressure by reducing your sodium intake. This can be achieved by limiting processed and packaged foods, as well as cooking from scratch. Check food labels and avoid products that list salt near the beginning of the ingredients. Aim for products with less than 100 milligrams of salt per serving. Additionally, avoid using salt when cooking or at the table, and be cautious with salt substitutes, as they often contain potassium, another mineral that needs to be monitored in CKD.
Prepared and packaged foods may also contain added phosphorus, which can be harmful to people with CKD. High phosphorus levels in the blood can cause bone and joint pain, itchy skin, and weaken bones by pulling calcium away from them. Look for phosphorus or words with "PHOS" on ingredient labels, and be mindful that deli meats and some fresh meat and poultry may have added phosphorus.
By choosing fresh, whole foods and cooking your meals, you can better manage your sodium and phosphorus intake, which is crucial for controlling blood pressure and protecting your bones when living with CKD. Remember to consult with a registered dietitian to develop a meal plan that is tailored to your specific needs and preferences, ensuring you get the right balance of nutrients to manage your CKD effectively.
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Control blood pressure
When you have chronic kidney disease, it is important to watch what you eat and drink because your kidneys cannot remove waste products as efficiently. A kidney-friendly eating plan can help you stay healthier and slow down damage to your kidneys.
High blood pressure can be dangerous for those with chronic kidney disease. A kidney-friendly diet can help control blood pressure by limiting the amount of sodium consumed. Sodium is a mineral found in salt that helps control the amount of fluid in your body. Too much sodium causes your blood to retain fluid, which can lead to high blood pressure and swelling, putting stress on your kidneys and heart.
The U.S. Food and Drug Administration recommends that adults limit their sodium intake to no more than 2,300 mg per day. However, a healthcare professional or dietitian can help determine the right amount of sodium for an individual, based on their stage of kidney disease and health status.
To reduce sodium in your diet, limit the consumption of processed foods, pre-made meals, and canned foods with added salt. Instead, cook foods from scratch using fresh or frozen ingredients, and flavour them with herbs and spices instead of salt. When eating out, request that the chef refrain from adding salt to your dish.
In addition to sodium, a kidney-friendly diet also involves controlling the intake of other minerals such as phosphorus, potassium, and fluids. Damaged kidneys may not effectively eliminate excess fluid, leading to fluid buildup in the body, which can cause high blood pressure. Limiting fluid intake can help manage blood pressure and reduce the risk of heart failure.
It is important to consult with a dietitian or healthcare professional to create a personalised kidney-friendly eating plan that considers the individual's stage of kidney disease, health status, and specific nutritional needs.
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Frequently asked questions
A kidney-friendly diet helps manage chronic kidney disease and slow down damage to the kidneys. It does this by preventing certain minerals from building up in the body, which is important because the kidneys of someone with CKD do not work as well to remove waste products. A kidney-friendly diet can also help prevent other serious health problems and control high blood pressure and diabetes, which can prevent kidney disease from worsening. It is important to work with a dietitian to create a kidney-friendly eating plan that is right for you.
It is important to limit foods with high levels of sodium, phosphorus, and potassium. Sodium, a component of salt, is added to many prepared or packaged foods. Phosphorus can build up in the blood and pull calcium from the bones, making them weak and more likely to break. Many packaged foods have added phosphorus, and deli meats and some fresh meat and poultry can also contain added phosphorus. Potassium can also build up when the kidneys are not functioning well, leading to dangerous heart rhythms.
A kidney-friendly diet should include whole grains, fruits, breads, grains, and vegetables, which provide energy, fiber, minerals, and vitamins. It is important to ensure you are getting the right balance of nutrients, including protein, calories, vitamins, and minerals. A dietitian can help create a kidney-friendly eating plan that includes foods you enjoy and meets your nutritional needs.











































