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Kidney-Friendly Diet: Eating Well with eGFR Below 60 | Dietician Priyanka | Bite And Diet

 Diet for kidney disease – eGFR <60

If your eGFR is less than 60, your kidneys are not functioning properly and you should immediately adopt a diet which help to reduce excess load of nitrogenous waste, salt and toxins on your kidney. The kidneys are primarily responsible for detoxifying blood and eliminating nitrogenous wastes, excess fluid and toxins from your body. It also helps to maintain a healthy balance of water, salt and minerals such as sodium, potassium and phosphorus in your blood.



So what happens when your kidney is not functioning properly?

Impaired kidney fails to filter nitrogenous waste, salt and toxins from your body leading to their accumulation. This may cause

1.    edema or swelling of feet and ankles

2.    Muscle cramps

3.    Shortness of breath

4.    Weakness and fatigue

5.    Hypertension or high Blood pressure

6.    Sleep disturbances and many other symptoms

Causes of kidney disease and how to prevent it?

Since Diabetes or High blood sugar and High bloodpressure are currently the most common causes of kidney disease, controlling these parameters is crucial to prevent kidney disease.

Diagnosis of Kidney Disease?

Kidney disease can be diagnosed with the help of Kidney Function tests. Measurements of serum creatinine, urine ACR (Albumin to Creatinine Ratio ) and GFR (Glomerular Filtration Rate) are all part of your kidney function test.  Therefore, kidney function tests should be performed on a regular basis for those with diabetes, hypertension and people over 65. 

Early detection of Kidney disease can help to minimize further deterioration and easy management of disease. 

Diet for Kidney Disease

Once you are diagnosed with kidney disease, it is better to see a specialized dietician who may help you create a Kidney friendly diet plan and modify it on a regular basis depending on your improvement.  A kidney friendly diet involves eating low sodium, low potassium and low phosphorus food. 

Sodium - You daily sodium intake should not exceed 2,000 mg (2 grams) per day. So, instead of using salt in cooking it is better to sprinkle your food with little salt before eating.

Potassium – Your daily Potassium intake should be less than 2,500 mg per day. You can use the chart given below to monitor your daily potassium intake.

Phosphorous - Your daily phosphorus intake should be 800-1,000 mg per day. You can again use the given chart to monitor your daily phosphorus intake. In order to further reduce the amount of phosphorous from vegetables; it is better to boil your chopped veggies in excess water before cooking and through the excess water.  

Here I am sharing a list of food items which are low in Sodium, Potassium & Phosphorous. You can use this list for your reference...

Cereals (100g)

Sodium (mg)

Potassium (mg)

Phosphorous (mg)

Barley

0

0

215

Rice

0

0

143

Sanwa millet

0

0

280

Wheat semolina/ suji

21

83

102

Wheat vermicilli

21

83

92

 

 

 

 

Pulses and Legumes (100g)

Sodium (mg)

Potassium (mg)

 Phosphorous (mg)

Lentil dal

0

0

293

Green peas

7.8

79

139

Kabuli channa

0

0

312

Black gram, whole

0

0

385

Rajmah

0

0

410

Soyabean

0

0

690

 

 

 

 

Leafy vegetables (100g)

Sodium (mg)

Potassium (mg)

 Phosphorous (mg)

Cabbage

0

0

44

Curry leaves

0

0

57

Mint/ Pudina

0

0

62

Radish leaves

0

0

59

Fenugreek leaves

76

31

51

 

 

 

 

Other vegetables (100g)

Sodium (mg)

Potassium (mg)

 Phosphorous (mg)

Beetroot

29

43

55

Onion

4

127

60

Bottle guard

2

87

10

Broad beans/ sem

43

39

64

Cluster beans/ gwar ki fali

0

0

57

Cucumber

10

50

25

Capsicum

0

0

30

Ladies finger

7

103

56

Green mango

43

83

 

Parwar

3

83

40

Ridge guard

3

50

26

Snake guard

25

34

20

Tinda

35

24

24

 

 

 

 

Fruits (100)

Sodium (mg)

Potassium (mg)

 Phosphorous (mg)

Apple

28

75

14

Dates, fresh

0

0

38

Pale green grapes

0

0

30

Banana

36

88

36

Guava

5.5

91

28

Jamun

26

55

15

Orange (not malta)

5

9

20

Papaya

6

69

13

Pears

6

96

15

Pineapple

34

37

9

Seetaphal/ custard apple

0

0

47

 

 

 

 

Nuts and seeds (100g)

Sodium (mg)

Potassium (mg)

 Phosphorous (mg)

Almonds

0

0

490

Cashew nuts

0

0

450

Groundnuts

0

0

350

Walnuts

0

0

380

Dry coconut

0

0

210

 

 

 

 

 

You can use this cart to choose the best option for your meals. But I will advise you to consult a specialized dietician before you use this chart … 

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