Diet Plan For Dialysis patient with CVD (2275 kcal)
DIET PLAN :-
- 6:00am: 100ml Milk with protein power (10g) (skimmed milk)
- 8:00am: Idly 4 no/ suji /oats / vermicelli upma (2- cups) Samber (1 cup) (soak overnight all vegetables and cook)/ Onion & tomato chutney (2tb spoon)(avoided all fried foods)
- 11:00am: oats / poha (1 cup)/ any fruits 100 gm. (apple, strawberries, pear, and papaya) + egg white (2no) 70g
- 1:00pm: phulka (2 no) (60g)/ Rice (90g) (21/2 CUP)+ dhal(1 cup) (only lentil 30g)+ vegetable curry (1 cup)(100g) + curd( 1 cup)(100g) + Grill chicken or steamed fish(50g)/ Tufa tikka (50g)/ soya chunks(20g)
- 4:00pm: Bhel (2 cup)/sago khchidi (2cup)/steamed veg momos(2 no)
- 6:00pm: vermicelli sweet (1 cup) (30g)/ Lauki ke laddo / kasar rava laddo (1no)
- 8:00pm: chapati (60g)/ daily (2 cups) +vegetable curry (any low potassium vegetable from list below) +salad (Cucumber, Onion, carrot) (1/2 cup) + curd (without cream)(100g) (1 cup)
- 10:00pm: Apple (leached) (100g)
Food Included:
- Low potassium or leached vegetables such as: Bottle gourd, Snake gourd, Ridge gourd, Bitter gourd, Pumpkin, Radish, Cabbage, Kovai, capsicum, Cucumber, corn, onion, parwar, tinder, beans scarlet’s, zucchini.
- Fruits : Apple, papaya, pear, guava.
Foods given moderately :
- Whole cereals, pulses & legumes (pulses and legumes can be leached in some cases)
- Chicken, fish, milk, curd, fleshy foods, ginger, garlic, mint leaves, curry leaves, ladies’ finger, broad beans, Turnip, gouge leaves, fenugreek leaves.
- Pineapple, straw berry, blue berry.
Food to be Avoid:
- Salt in cooking or on table
- Salted butter, cheese, papas, processed foods, pickles and chutneys
- All foods to which salt or baking soda has been added in cooking
- Fried foods ex: puri, vadai, bonda
- Butter, hydrogenated fat and lard.
- Coconut and coconut oil (Also foods cooked with these fats)
- Fatty meat, eggs only two per week
- Whole milk and cream, cheese, chocolate and ice- cream.
- Sea fish, salted meat and salted dry fish, shrimp, organ meats etc.
- High potassium foods : Amaranth, coriander, drumstick leaves, spinach, lotus stem, nuts, coffee, cocoa powder, cumin seeds, coconut water, potato, sweet potato, yum, Arvi.
- Fruits :Banana, sweet -lime, jack fruit, orange, avocados, raisins, dried apricots, nuts Tender coconut, water juice, soups.
- Alcoholic Beverages & smoking
Leaching method :-
- Clean and cut the vegetables.
- Cook for 10- to 15 minutes in water.
- Discard the water from them again repeat the same and use the vegetables for cooking.
Dietary Tips :-
- Eat well balanced meals that contain a source of carbohydrate, proteins and fats.
- Protein allowed 1.2g/kg body weight per day for patients on dialysis.
- Choose proteins that have high biological value foods ex: egg white, chicken , fish.
- Choose healthy fat options and limit saturated fats, cholesterol is Restricted to <200mg/day.
- Dietary salt should be restricted 2g/ day and patient with hypertension 1.5g/day.
- Limit the salt used in cooking and do not add salt at the table.
- Add herbs and spices to enhance the flavor of the foods in place of salt ex: a dash of lime, garlic, vinegar etc.
- A Potassium intake is limited to 2500mg /day for dialysis. Low potassium foods should be included (or can be leached).
- All animal food are rich in potassium and phosphorus hence moderation should be followed.
Dietary Tips (fluid):
- Avoid excess fluid intake.
- Do not drink large amount of fluids at a time.
- Be mindful of the amount of fluids you are consuming.
- Avoid tea, coffee, rasam, soups, Tender coconut, water juice (because it contain fluid).
- Solid foods like watermelons & milk and curd (150-200ml) contain lot of water follow in moderation.
- Amount of fluid allowed in the diet varies from person to person and depends on 500ml+ urine output.
- A Dialysis patient can take a fluid less than one liter/day.
Exercise :
- 30mins - physical Activity (minimum walk).