Hi, sucks that you're feeling tired. Your diet looks pretty good. Fruit is good, but for veggies, spinach leaves on a slice of toast isn't quite enough. Cheese and sugar aren't ideal for kidney diets, but everybody has emotional food attachments and aversions. Maybe have a spinach salad or a carrot, a different veggie every day. I make a big pot of veggie/bean soup with flavors I love that takes about 20 minutes of active chopping and lasts about 5 days. Cut the dairy (cheese) if its not important to you. I'm not sure you're getting enough protein. Veggies and grains have more protein than fruits, beans like soybeans are better but all plant protein is low on a couple of essential amino acids, that you could probably take in a supplement. Kidneyhood.org makes a protein supplement for kidney patients that has no nitrogen, which is the element that kidneys process, but its expensive. (Just know you don't have to take as many a day as they recommend, I just take a couple.) Protein is essential for health and energy, though a little stressful for kidneys. Maybe some kind of plant protein supplement? Not one of those body-builder supplements with too much carnitine. If you're wound up mentally, deep breaths or walks or whatever works for you. Best of luck and peace and happiness to you.
I can hear your frustration with lack of services available in the UK and your own frustration with your health issues.
Most importantly you need to take care of yourself.
As far as a specific diet, every patient is different with different needs based on labs, the stage of your CKD and other health issues.
Basic food choices for kidney patients include a low sodium, low protein diet which eliminates red meat, processed foods and excessive dairy.
It does include lots of fresh, or frozen vegetables; grill, steam or roast with non-sodium spices. It also includes fresh fruits and light wheat breads.
Most cheeses are high in sodium so reading labels are important.
A breakfast of egg whites with vegetables, or porridge with fruit, wheat toast goes well. Coffee is fine with almond milk.
Fruit with a bit of non-dairy topping is also good and also good at tea.
Small amounts of turkey or skinless chicken, egg whites and beans adds protein. They can go on a salad, in a sandwich.
There are many things that you could eat which are nourishing and appetizing. It's reading labels as well.
I am sending several articles below to explain and give you suggestions
According to the NKF of Illinois link below, this includes the name of a dietician, Dr. Melissa Prest, who offers complimentary consultations for CKD patients and their caregivers. Take a look.
dont know your potassium level, but ever since I was stage 4, my potassium was too high and once I got an emergncy call from my dr ofc, and the elevation was caused by 2 servings of spinach in one week. I Cannot have spinach. And my other observation is you mentioned having rye bread, and that is very high in sodium. I will not fault you for the cheese, as I personally cannot do the plant based diet thing. I was brought up on dairy, and eggs, etc. I wish you luck with this! I also cannot stand on my feet to cook as I'm disabled, which really makes life difficult. My apetite is also diminishing. Lots of vegs are crossed off my ljst for being too high in potassium. The other problem for me with vegs are they dont taste good without salt. So there you have my reasons for not going veggan. I feel the frustrations you have also!
Hello - thanks for that - I will try and rely on other vegetables apart from spinach. Trouble is is if I get to have a blood test once in every 6 months I am lucky - the NHS ration them even though you need results every month. Its a horrible country to be ill.
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