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Healthy Eating for Chronic Kidney Disease In Singapore

2017-03-17 18:26

What is Chronic Kidney Disease?

Chronic Kidney Disease (CKD) normally occurs as a result of poorly controlled of diabetes and high blood pressure. When your kidneys fail, wastes that normally leave the body in your urine remain in your blood. This can cause loss of appetite, nausea, vomiting, fatigue, weakness and weight loss.

Taking control of Chronic Kidney Disease

Inpiduals with CKD need to make changes in the diet since the kidneys are not functioning properly. The goal of the CKD diet is to delay the progression of the disease. When the disease progresses into end stage renal failure (ESRF) whereby inpiduals may commence dialysis, diet continues to play a vital role as it helps to optimise the outcome of dialysis.

Basic dietary guidelines for Chronic Kidney Disease In Singapore

1Adhere to the principle of balanced diet

You need a variety of foods to meet your body’s requirements. Your dietitian will work with you to ensure you eat suitable amounts and types of food from each of the food groups.

2Limit potassium intake

Avoid fruits with high potassium content e.g. banana, dried fruits, honeydew, prunes, jackfruit, soursop, mango, rock melon and kiwi.
Avoid vegetables with high potassium content such as spinach, kailan, mustard green, lotus root, sweet potato leaves, broccoli, tomato and potato.
Cut and soak vegetables in water then drain the water away to reduce potassium content in vegetables.

3Control fluid intake

Take note of all sources of fluid in your diet. For example, plain water, juices, soup, porridge, coffee, tea, alcoholic beverages, ice, milk and ice-cream.
Measure household utensils i.e. cup, bowl and spoon to estimate your daily fluid intake.
Prepare a fixed volume of fluid that is required for the day in a water bottle.
Suck on ice cubes to quench the thirst. Remember, the fluid content of one ice cube is approximately 20 ml.
Rinse your mouth with water but do not swallow it.

4Limit sodium intake

Do not add extra seasonings e.g. salt, soy sauce, oyster sauce, MSG and etc. to food.
Do not add gravy or avoid drinking gravy or soup of the dishes.
Choose fresh foods rather than canned, smoked, preserved or processed foods which are high in sodium.
Spice up your dishes with fresh condiments such as ginger, garlic, onion, chili padi, lime juice, tumeric and etc. instead of high sodium seasonings such as stock cubes, oyster sauce, soy sauce, fish sauce and salt.
Beware of the potassium content of salt substitute and discuss with your dietitian regarding the usage.

5Adequate protein intake

Protein is needed for growth, repair tissues and helps to make the immune system strong. When protein is consumed and used by your body, waste products are created. When your kidneys are weak, these waste products build up in your body and make you feel unwell.
Make up your protein intake with at least 50% of it comes from high quality proteins such as meat, poultry, fish and eggs as part of your diet as these proteins generate lesser waste products.
Protein restriction is required before initiation of dialysis. However, when you are on dialysis, you need to eat more protein to replace the loss during each session. Your dietitian will help you determine your daily protein requirement.

6. Limit phosphate intake

Avoid the following high phosphate foods when possible, or take very occasionally and in small amounts only:
Wholegrain/ wholemeal products such as oats, brown rice, weetbix, muesli, wholemeal bread, wholemeal biscuit and etc.
Nuts and seeds, tofu, soymilk, baked beans, peanut butter and etc.
Milk, cheese, yoghurt, icecream and etc.
Beer, soft drink, malted and coco-based drinks and etc.
Sardine, ikan bilis, dried prawns, egg yolk, organ meats and etc.

7. Maintain good blood sugar level if you have diabetes

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